Jinzhu Yang

Zhiqiang Shen, Peng Cao, Hua Yang et al.

Consistency regularization and pseudo labeling-based semi-supervised methods perform co-training using the pseudo labels from multi-view inputs. However, such co-training models tend to converge early to a consensus, degenerating to the self-training ones, and produce low-confidence pseudo labels from the perturbed inputs during training. To address these issues, we propose an Uncertainty-guided Collaborative Mean-Teacher (UCMT) for semi-supervised semantic segmentation with the high-confidence pseudo labels. Concretely, UCMT consists of two main components: 1) collaborative mean-teacher (CMT) for encouraging model disagreement and performing co-training between the sub-networks, and 2) uncertainty-guided region mix (UMIX) for manipulating the input images according to the uncertainty maps of CMT and facilitating CMT to produce high-confidence pseudo labels. Combining the strengths of UMIX with CMT, UCMT can retain model disagreement and enhance the quality of pseudo labels for the co-training segmentation. Extensive experiments on four public medical image datasets including 2D and 3D modalities demonstrate the superiority of UCMT over the state-of-the-art. Code is available at: https://github.com/Senyh/UCMT.

Junming Su, Zhiqiang Shen, Peng Cao et al.

The existing barely-supervised medical image segmentation (BSS) methods, adopting a registration-segmentation paradigm, aim to learn from data with very few annotations to mitigate the extreme label scarcity problem. However, this paradigm poses a challenge: pseudo-labels generated by image registration come with significant noise. To address this issue, we propose a self-paced sample selection framework (SPSS) for BSS. Specifically, SPSS comprises two main components: 1) self-paced uncertainty sample selection (SU) for explicitly improving the quality of pseudo labels in the image space, and 2) self-paced bidirectional feature contrastive learning (SC) for implicitly improving the quality of pseudo labels through enhancing the separability between class semantics in the feature space. Both SU and SC are trained collaboratively in a self-paced learning manner, ensuring that SPSS can learn from high-quality pseudo labels for BSS. Extensive experiments on two public medical image segmentation datasets demonstrate the effectiveness and superiority of SPSS over the state-of-the-art. Our code is release at https://github.com/SuuuJM/SPSS.

Siyu Liu, Guangqi Wen, Peng Cao et al.

Modeling the complex interactions among functional subnetworks is crucial for the diagnosis of mental disorders and the identification of functional pathways. However, learning the interactions of the underlying subnetworks remains a significant challenge for existing Transformer-based methods due to the limited number of training samples. To address these challenges, we propose KD-Brain, a Prior-Informed Graph Learning framework for explicitly encoding prior knowledge to guide the learning process. Specifically, we design a Semantic-Conditioned Interaction mechanism that injects semantic priors into the attention query, explicitly navigating the subnetwork interactions based on their functional identities. Furthermore, we introduce a Pathology-Consistent Constraint, which regularizes the model optimization by aligning the learned interaction distributions with clinical priors. Additionally, KD-Brain leads to state-of-the-art performance on a wide range of disorder diagnosis tasks and identifies interpretable biomarkers consistent with psychiatric pathophysiology. Our code is available at https://anonymous.4open.science/r/KDBrain.

Xiaolong Li, Guiliang Guo, Guangqi Wen et al.

Mental disorder populations exhibit pronounced heterogeneity -- that is, the significant differences between samples -- poses a significant challenge to the definition of positive pairs in contrastive learning. To address this, we propose a subtype-guided contrastive learning framework that models patient heterogeneity as latent subtypes and incorporates them as structural priors to guide discriminative representation learning. Specifically, we construct multi-view representations by combining patients' clinical text with graph structure adaptively learned from BOLD signals, to uncover latent subtypes via unsupervised spectral clustering. A dual-level attention mechanism is proposed to construct prototypes for capturing stable subtype-specific connectivity patterns. We further propose a subtype-guided contrastive learning strategy that pulls samples toward their subtype prototype graph, reinforcing intra-subtype consistency for providing effective supervisory signals to improve model performance. We evaluate our method on Major Depressive Disorder (MDD), Bipolar Disorder (BD), and Autism Spectrum Disorders (ASD). Experimental results confirm the effectiveness of subtype prototype graphs in guiding contrastive learning and demonstrate that the proposed approach outperforms state-of-the-art approaches. Our code is available at https://anonymous.4open.science/r/BrainSCL-06D7.

Qingshan Hou, Peng Cao, Jiaqi Wang et al.

Retinal fundus images have been applied for the diagnosis and screening of eye diseases, such as Diabetic Retinopathy (DR) or Diabetic Macular Edema (DME). However, both low-quality fundus images and style inconsistency potentially increase uncertainty in the diagnosis of fundus disease and even lead to misdiagnosis by ophthalmologists. Most of the existing image enhancement methods mainly focus on improving the image quality by leveraging the guidance of high-quality images, which is difficult to be collected in medical applications. In this paper, we tackle image quality enhancement in a fully unsupervised setting, i.e., neither paired images nor high-quality images. To this end, we explore the potential of the self-supervised task for improving the quality of fundus images without the requirement of high-quality reference images. Specifically, we construct multiple patch-wise domains via an auxiliary pre-trained quality assessment network and a style clustering. To achieve robust low-quality image enhancement and address style inconsistency, we formulate two self-supervised domain adaptation tasks to disentangle the features of image content, low-quality factor and style information by exploring intrinsic supervision signals within the low-quality images. Extensive experiments are conducted on EyeQ and Messidor datasets, and results show that our DASQE method achieves new state-of-the-art performance when only low-quality images are available.

Zhiqiang Shen, Peng Cao, Junming Su et al.

Mix-up is a key technique for consistency regularization-based semi-supervised learning methods, blending two or more images to generate strong-perturbed samples for strong-weak pseudo supervision. Existing mix-up operations are performed either randomly or with predefined fixed rules, such as replacing low-confidence patches with high-confidence ones. The former lacks control over the perturbation degree, leading to overfitting on randomly perturbed samples, while the latter tends to generate images with trivial perturbations, both of which limit the effectiveness of consistency regularization. This paper aims to answer the following question: How can image mix-up perturbation be adaptively performed during training? To this end, we propose an Adaptive Mix algorithm (AdaMix) for image mix-up in a self-paced learning manner. Given that, in general, a model's performance gradually improves during training, AdaMix is equipped with a self-paced curriculum that, in the initial training stage, provides relatively simple perturbed samples and then gradually increases the difficulty of perturbed images by adaptively controlling the perturbation degree based on the model's learning state estimated by a self-paced regularize. We develop three frameworks with our AdaMix, i.e., AdaMix-ST, AdaMix-MT, and AdaMix-CT, for semi-supervised medical image segmentation. Extensive experiments on three public datasets show that the proposed frameworks can achieve superior performance. For example, compared with the state-of-the-art, AdaMix-CT achieves relative improvements of 2.62% in Dice similarity coefficient and 48.25% in average surface distance on the ACDC dataset with 10% labeled data. The results demonstrate that mix-up operations with dynamically adjusted perturbation strength based on the segmentation model's state can significantly enhance the effectiveness of consistency regularization.

Xin Huang, Junjie Liang, Qingshan Hou et al.

Medical image synthesis is crucial for alleviating data scarcity and privacy constraints. However, fine-tuning general text-to-image (T2I) models remains challenging, mainly due to the significant modality gap between complex visual details and abstract clinical text. In addition, semantic entanglement persists, where coarse-grained text embeddings blur the boundary between anatomical structures and imaging styles, thus weakening controllability during generation. To address this, we propose a Visually-Guided Text Disentanglement framework. We introduce a cross-modal latent alignment mechanism that leverages visual priors to explicitly disentangle unstructured text into independent semantic representations. Subsequently, a Hybrid Feature Fusion Module (HFFM) injects these features into a Diffusion Transformer (DiT) through separated channels, enabling fine-grained structural control. Experimental results in three datasets demonstrate that our method outperforms existing approaches in terms of generation quality and significantly improves performance on downstream classification tasks. The source code is available at https://github.com/hx111/VG-MedGen.

Guiliang Guo, Guangqi Wen, Lingwen Liu et al.

Dynamic functional connectivity captures time-varying brain states for better neuropsychiatric diagnosis and spatio-temporal interpretability, i.e., identifying when discriminative disease signatures emerge and where they reside in the connectivity topology. Reliable interpretability faces major challenges: diagnostic signals are often subtle and sparsely distributed across both time and topology, while nuisance fluctuations and non-diagnostic connectivities are pervasive. To address these issues, we propose BrainSTR, a spatio-temporal contrastive learning framework for interpretable dynamic brain network modeling. BrainSTR learns state-consistent phase boundaries via a data-driven Adaptive Phase Partition module, identifies diagnostically critical phases with attention, and extracts disease-related connectivity within each phase using an Incremental Graph Structure Generator regularized by binarization, temporal smoothness, and sparsity. Then, we introduce a spatio-temporal supervised contrastive learning approach that leverages diagnosis-relevant spatio-temporal patterns to refine the similarity metric between samples and capture more discriminative spatio-temporal features, thereby constructing a well-structured semantic space for coherent and interpretable representations. Experiments on ASD, BD, and MDD validate the effectiveness of BrainSTR, and the discovered critical phases and subnetworks provide interpretable evidence consistent with prior neuroimaging findings. Our code: https://anonymous.4open.science/r/BrainSTR1.

Jingfeng Tang, Peng Cao, Guangqi Wen et al.

Brain network analysis based on functional Magnetic Resonance Imaging (fMRI) is pivotal for diagnosing brain disorders. Existing approaches typically rely on predefined functional sub-networks to construct sub-network associations. However, we identified many cross-network interaction patterns with high Pearson correlations that this strict, prior-based organization fails to capture. To overcome this limitation, we propose the Brain Hierarchical Organization Learning (BrainHO) to learn inherently hierarchical brain network dependencies based on their intrinsic features rather than predefined sub-network labels. Specifically, we design a hierarchical attention mechanism that allows the model to aggregate nodes into a hierarchical organization, effectively capturing intricate connectivity patterns at the subgraph level. To ensure diverse, complementary, and stable organizations, we incorporate an orthogonality constraint loss, alongside a hierarchical consistency constraint strategy, to refine node-level features using high-level graph semantics. Extensive experiments on the publicly available ABIDE and REST-meta-MDD datasets demonstrate that BrainHO not only achieves state-of-the-art classification performance but also uncovers interpretable, clinically significant biomarkers by precisely localizing disease-related sub-networks.

Chongxiao Wang, Junjie Liang, Peng Cao et al.

Depression is a severe mental disorder, and reliable identification plays a critical role in early intervention and treatment. Multimodal depression detection aims to improve diagnostic performance by jointly modeling complementary information from multiple modalities. Recently, numerous multimodal learning approaches have been proposed for depression analysis; however, these methods suffer from the following limitations: 1) inter-modal inconsistency and depression-unrelated interference, where depression-related cues may conflict across modalities while substantial irrelevant content obscures critical depressive signals, and 2) diverse individual depressive presentations, leading to individual differences in modality and cue importance that hinder reliable fusion. To address these issues, we propose Individual-aware Multimodal Depression-related Representation Learning Framework (IDRL) for robust depression diagnosis. Specifically, IDRL 1) disentangles multimodal representations into a modality-common depression space, a modality-specific depression space, and a depression-unrelated space to enhance modality alignment while suppressing irrelevant information, and 2) introduces an individual-aware modality-fusion module (IAF) that dynamically adjusts the weights of disentangled depression-related features based on their predictive significance, thereby achieving adaptive cross-modal fusion for different individuals. Extensive experiments demonstrate that IDRL achieves superior and robust performance for multimodal depression detection.

Xi Chen, Zhiqiang Shen, Peng Cao et al.

Medical images are usually collected from multiple domains, leading to domain shifts that impair the performance of medical image segmentation models. Domain Generalization (DG) aims to address this issue by training a robust model with strong generalizability. Recently, numerous domain randomization-based DG methods have been proposed. However, these methods suffer from the following limitations: 1) constrained efficiency of domain randomization due to their exclusive dependence on image style perturbation, and 2) neglect of the adverse effects of over-augmented images on model training. To address these issues, we propose a novel domain randomization-based DG method, called content style augmentation (ConStyX), for generalizable medical image segmentation. Specifically, ConStyX 1) augments the content and style of training data, allowing the augmented training data to better cover a wider range of data domains, and 2) leverages well-augmented features while mitigating the negative effects of over-augmented features during model training. Extensive experiments across multiple domains demonstrate that our ConStyX achieves superior generalization performance. The code is available at https://github.com/jwxsp1/ConStyX.

Jianqiang Lin, Zhiqiang Shen, Peng Cao et al.

Although diffusion models have achieved remarkable progress in multi-modal magnetic resonance imaging (MRI) translation tasks, existing methods still tend to suffer from anatomical inconsistencies or degraded texture details when handling arbitrary missing-modality scenarios. To address these issues, we propose a latent diffusion-based multi-modal MRI translation framework, termed MSG-LDM. By leveraging the available modalities, the proposed method infers complete structural information, which preserves reliable boundary details. Specifically, we introduce a style--structure disentanglement mechanism in the latent space, which explicitly separates modality-specific style features from shared structural representations, and jointly models low-frequency anatomical layouts and high-frequency boundary details in a multi-scale feature space. During the structure disentanglement stage, high-frequency structural information is explicitly incorporated to enhance feature representations, guiding the model to focus on fine-grained structural cues while learning modality-invariant low-frequency anatomical representations. Furthermore, to reduce interference from modality-specific styles and improve the stability of structure representations, we design a style consistency loss and a structure-aware loss. Extensive experiments on the BraTS2020 and WMH datasets demonstrate that the proposed method outperforms existing MRI synthesis approaches, particularly in reconstructing complete structures. The source code is publicly available at https://github.com/ziyi-start/MSG-LDM.

Zhiqiang Shen, Peng Cao, Xiaoli Liu et al.

Label scarcity remains a major challenge in deep learning-based medical image segmentation. Recent studies use strong-weak pseudo supervision to leverage unlabeled data. However, performance is often hindered by inconsistencies between pseudo labels and their corresponding unlabeled images. In this work, we propose \textbf{SynMatch}, a novel framework that sidesteps the need for improving pseudo labels by synthesizing images to match them instead. Specifically, SynMatch synthesizes images using texture and shape features extracted from the same segmentation model that generates the corresponding pseudo labels for unlabeled images. This design enables the generation of highly consistent synthesized-image-pseudo-label pairs without requiring any training parameters for image synthesis. We extensively evaluate SynMatch across diverse medical image segmentation tasks under semi-supervised learning (SSL), weakly-supervised learning (WSL), and barely-supervised learning (BSL) settings with increasingly limited annotations. The results demonstrate that SynMatch achieves superior performance, especially in the most challenging BSL setting. For example, it outperforms the recent strong-weak pseudo supervision-based method by 29.71\% and 10.05\% on the polyp segmentation task with 5\% and 10\% scribble annotations, respectively. The code will be released at https://github.com/Senyh/SynMatch.

Zhiqiang Shen, Peng Cao, Jinzhu Yang et al.

Due to domain shifts across diverse medical imaging modalities, learned segmentation models often suffer significant performance degradation during deployment. We posit that these domain shifts can generally be categorized into two main components: 1) "style" shifts, referring to global disparities in image properties such as illumination, contrast, and color; and 2) "content" shifts, which involve local discrepancies in anatomical structures. To address the domain shifts in medical image segmentation, we first factorize an image into style codes and content maps, explicitly modeling the "style" and "content" components. Building on this, we introduce a Style-Content decomposition-based data augmentation algorithm (StyCona), which performs augmentation on both the global style and local content of source-domain images, enabling the training of a well-generalized model for domain generalizable medical image segmentation. StyCona is a simple yet effective plug-and-play module that substantially improves model generalization without requiring additional training parameters or modifications to segmentation model architectures. Experiments on cardiac magnetic resonance imaging and fundus photography segmentation tasks, with single and multiple target domains respectively, demonstrate the effectiveness of StyCona and its superiority over state-of-the-art domain generalization methods. The code is available at https://github.com/Senyh/StyCona.

Zhiqiang Shen, Peng Cao, Junming Su et al.

This paper investigates an extremely challenging problem: barely-supervised volumetric medical image segmentation (BSS). A BSS training dataset consists of two parts: 1) a barely-annotated labeled set, where each labeled image contains only a single-slice annotation, and 2) an unlabeled set comprising numerous unlabeled volumetric images. State-of-the-art BSS methods employ a registration-based paradigm, which uses inter-slice image registration to propagate single-slice annotations into volumetric pseudo labels, constructing a completely annotated labeled set, to which a semi-supervised segmentation scheme can be applied. However, the paradigm has a critical limitation: the pseudo-labels generated by image registration are unreliable and noisy. Motivated by this, we propose a new perspective: instead of solving BSS within a semi-supervised learning scheme, this work formulates BSS as an unsupervised domain adaptation problem. To this end, we propose a novel BSS framework, \textbf{B}arely-supervised learning \textbf{via} unsupervised domain \textbf{A}daptation (BvA), as an alternative to the dominant registration paradigm. Specifically, we first design a novel noise-free labeled data construction algorithm (NFC) for slice-to-volume labeled data synthesis. Then, we introduce a frequency and spatial Mix-Up strategy (FSX) to mitigate the domain shifts. Extensive experiments demonstrate that our method provides a promising alternative for BSS. Remarkably, the proposed method, trained on the left atrial segmentation dataset with \textbf{only one} barely-labeled image, achieves a Dice score of 81.20%, outperforming the state-of-the-art by 61.71%. The code is available at https://github.com/Senyh/BvA.

Haonan Wang, Peng Cao, Xiaoli Liu et al.

Most state-of-the-art methods for medical image segmentation adopt the encoder-decoder architecture. However, this U-shaped framework still has limitations in capturing the non-local multi-scale information with a simple skip connection. To solve the problem, we firstly explore the potential weakness of skip connections in U-Net on multiple segmentation tasks, and find that i) not all skip connections are useful, each skip connection has different contribution; ii) the optimal combinations of skip connections are different, relying on the specific datasets. Based on our findings, we propose a new segmentation framework, named UDTransNet, to solve three semantic gaps in U-Net. Specifically, we propose a Dual Attention Transformer (DAT) module for capturing the channel- and spatial-wise relationships to better fuse the encoder features, and a Decoder-guided Recalibration Attention (DRA) module for effectively connecting the DAT tokens and the decoder features to eliminate the inconsistency. Hence, both modules establish a learnable connection to solve the semantic gaps between the encoder and the decoder, which leads to a high-performance segmentation model for medical images. Comprehensive experimental results indicate that our UDTransNet produces higher evaluation scores and finer segmentation results with relatively fewer parameters over the state-of-the-art segmentation methods on different public datasets. Code: https://github.com/McGregorWwww/UDTransNet.

Qingshan Hou, Shuai Cheng, Peng Cao et al.

Representation learning offers a conduit to elucidate distinctive features within the latent space and interpret the deep models. However, the randomness of lesion distribution and the complexity of low-quality factors in medical images pose great challenges for models to extract key lesion features. Disease diagnosis methods guided by contrastive learning (CL) have shown significant advantages in lesion feature representation. Nevertheless, the effectiveness of CL is highly dependent on the quality of the positive and negative sample pairs. In this work, we propose a clinical-oriented multi-level CL framework that aims to enhance the model's capacity to extract lesion features and discriminate between lesion and low-quality factors, thereby enabling more accurate disease diagnosis from low-quality medical images. Specifically, we first construct multi-level positive and negative pairs to enhance the model's comprehensive recognition capability of lesion features by integrating information from different levels and qualities of medical images. Moreover, to improve the quality of the learned lesion embeddings, we introduce a dynamic hard sample mining method based on self-paced learning. The proposed CL framework is validated on two public medical image datasets, EyeQ and Chest X-ray, demonstrating superior performance compared to other state-of-the-art disease diagnostic methods.

Jinzhu Yang

This study is dedicated to exploring the application of prompt learning methods to advance Named Entity Recognition (NER) within the medical domain. In recent years, the emergence of large-scale models has driven significant progress in NER tasks, particularly with the introduction of the BioBERT language model, which has greatly enhanced NER capabilities in medical texts. Our research introduces the Prompt-bioMRC model, which integrates both hard template and soft prompt designs aimed at refining the precision and efficiency of medical entity recognition. Through extensive experimentation across diverse medical datasets, our findings consistently demonstrate that our approach surpasses traditional models. This enhancement not only validates the efficacy of our methodology but also highlights its potential to provide reliable technological support for applications like intelligent diagnosis systems. By leveraging advanced NER techniques, this study contributes to advancing automated medical data processing, facilitating more accurate medical information extraction, and supporting efficient healthcare decision-making processes.