Kai Jin

Danli Shi, Weiyi Zhang, Jiancheng Yang et al.

Early detection of eye diseases like glaucoma, macular degeneration, and diabetic retinopathy is crucial for preventing vision loss. While artificial intelligence (AI) foundation models hold significant promise for addressing these challenges, existing ophthalmic foundation models primarily focus on a single modality, whereas diagnosing eye diseases requires multiple modalities. A critical yet often overlooked aspect is harnessing the multi-view information across various modalities for the same patient. Additionally, due to the long-tail nature of ophthalmic diseases, standard fully supervised or unsupervised learning approaches often struggle. Therefore, it is essential to integrate clinical text to capture a broader spectrum of diseases. We propose EyeCLIP, a visual-language foundation model developed using over 2.77 million multi-modal ophthalmology images with partial text data. To fully leverage the large multi-modal unlabeled and labeled data, we introduced a pretraining strategy that combines self-supervised reconstructions, multi-modal image contrastive learning, and image-text contrastive learning to learn a shared representation of multiple modalities. Through evaluation using 14 benchmark datasets, EyeCLIP can be transferred to a wide range of downstream tasks involving ocular and systemic diseases, achieving state-of-the-art performance in disease classification, visual question answering, and cross-modal retrieval. EyeCLIP represents a significant advancement over previous methods, especially showcasing few-shot, even zero-shot capabilities in real-world long-tail scenarios.

Ziyu Gao, Xinyuan Wu, Xiaolan Chen et al.

Ophthalmic decision-making depends on subtle lesion-scale cues interpreted across multimodal imaging and over time, yet most medical foundation models remain static and degrade under modality and acquisition shifts. Here we introduce EyeWorld, a generative world model that conceptualizes the eye as a partially observed dynamical system grounded in clinical imaging. EyeWorld learns an observation-stable latent ocular state shared across modalities, unifying fine-grained parsing, structure-preserving cross-modality translation and quality-robust enhancement within a single framework. Longitudinal supervision further enables time-conditioned state transitions, supporting forecasting of clinically meaningful progression while preserving stable anatomy. By moving from static representation learning to explicit dynamical modeling, EyeWorld provides a unified approach to robust multimodal interpretation and prognosis-oriented simulation in medicine.

Tengjin Weng, Yang Shen, Kai Jin et al.

Automatic segmentation of fluid in Optical Coherence Tomography (OCT) images is beneficial for ophthalmologists to make an accurate diagnosis. Although semi-supervised OCT fluid segmentation networks enhance their performance by introducing additional unlabeled data, the performance enhancement is limited. To address this, we propose Superpixel and Confident Learning Guide Point Annotations Network (SCLGPA-Net) based on the teacher-student architecture, which can learn OCT fluid segmentation from limited fully-annotated data and abundant point-annotated data. Specifically, we use points to annotate fluid regions in unlabeled OCT images and the Superpixel-Guided Pseudo-Label Generation (SGPLG) module generates pseudo-labels and pixel-level label trust maps from the point annotations. The label trust maps provide an indication of the reliability of the pseudo-labels. Furthermore, we propose the Confident Learning Guided Label Refinement (CLGLR) module identifies error information in the pseudo-labels and leads to further refinement. Experiments on the RETOUCH dataset show that we are able to reduce the need for fully-annotated data by 94.22\%, closing the gap with the best fully supervised baselines to a mean IoU of only 2\%. Furthermore, We constructed a private 2D OCT fluid segmentation dataset for evaluation. Compared with other methods, comprehensive experimental results demonstrate that the proposed method can achieve excellent performance in OCT fluid segmentation.

Zeqiang Wei, Kai Jin, Kuan Song et al.

Current SSM-based light field super-resolution (LFSR) methods often fail to fully leverage the complementarity among various LF representations, leading to the loss of fine textures and geometric misalignments across views. To address these issues, we propose RASLF, a representation-aware state-space framework that explicitly models structural correlations across multiple LF representations. Specifically, a Progressive Geometric Refinement (PGR) block is created that uses a panoramic epipolar representation to explicitly encode multi-view parallax differences, thereby enabling integration across different LF representations. Furthermore, we introduce a Representation Aware Asymmetric Scanning (RAAS) mechanism that dynamically adjusts scanning paths based on the physical properties of different representation spaces, optimizing the balance between performance and efficiency through path pruning. Additionally, a Dual-Anchor Aggregation (DAA) module improves hierarchical feature flow, reducing redundant deeplayer features and prioritizing important reconstruction information. Experiments on various public benchmarks show that RASLF achieves the highest reconstruction accuracy while remaining highly computationally efficient.

Pusheng Xu, Yue Wu, Kai Jin et al.

Purpose: To evaluate the accuracy and reasoning ability of DeepSeek-R1 and three other recently released large language models (LLMs) in bilingual complex ophthalmology cases. Methods: A total of 130 multiple-choice questions (MCQs) related to diagnosis (n = 39) and management (n = 91) were collected from the Chinese ophthalmology senior professional title examination and categorized into six topics. These MCQs were translated into English using DeepSeek-R1. The responses of DeepSeek-R1, Gemini 2.0 Pro, OpenAI o1 and o3-mini were generated under default configurations between February 15 and February 20, 2025. Accuracy was calculated as the proportion of correctly answered questions, with omissions and extra answers considered incorrect. Reasoning ability was evaluated through analyzing reasoning logic and the causes of reasoning error. Results: DeepSeek-R1 demonstrated the highest overall accuracy, achieving 0.862 in Chinese MCQs and 0.808 in English MCQs. Gemini 2.0 Pro, OpenAI o1, and OpenAI o3-mini attained accuracies of 0.715, 0.685, and 0.692 in Chinese MCQs (all P<0.001 compared with DeepSeek-R1), and 0.746 (P=0.115), 0.723 (P=0.027), and 0.577 (P<0.001) in English MCQs, respectively. DeepSeek-R1 achieved the highest accuracy across five topics in both Chinese and English MCQs. It also excelled in management questions conducted in Chinese (all P<0.05). Reasoning ability analysis showed that the four LLMs shared similar reasoning logic. Ignoring key positive history, ignoring key positive signs, misinterpretation medical data, and too aggressive were the most common causes of reasoning errors. Conclusion: DeepSeek-R1 demonstrated superior performance in bilingual complex ophthalmology reasoning tasks than three other state-of-the-art LLMs. While its clinical applicability remains challenging, it shows promise for supporting diagnosis and clinical decision-making.

Zeqiang Wei, Kai Jin, Xiuzhuang Zhou

Cross-modal medical image-report retrieval task plays a significant role in clinical diagnosis and various medical generative tasks. Eliminating heterogeneity between different modalities to enhance semantic consistency is the key challenge of this task. The current Vision-Language Pretraining (VLP) models, with cross-modal contrastive learning and masked reconstruction as joint training tasks, can effectively enhance the performance of cross-modal retrieval. This framework typically employs dual-stream inputs, using unmasked data for cross-modal contrastive learning and masked data for reconstruction. However, due to task competition and information interference caused by significant differences between the inputs of the two proxy tasks, the effectiveness of representation learning for intra-modal and cross-modal features is limited. In this paper, we propose an efficient VLP framework named Masked Contrastive and Reconstruction (MCR), which takes masked data as the sole input for both tasks. This enhances task connections, reducing information interference and competition between them, while also substantially decreasing the required GPU memory and training time. Moreover, we introduce a new modality alignment strategy named Mapping before Aggregation (MbA). Unlike previous methods, MbA maps different modalities to a common feature space before conducting local feature aggregation, thereby reducing the loss of fine-grained semantic information necessary for improved modality alignment. Qualitative and quantitative experiments conducted on the MIMIC-CXR dataset validate the effectiveness of our approach, demonstrating state-of-the-art performance in medical cross-modal retrieval tasks.

Sahana Srinivasan, Xuguang Ai, Minjie Zou et al.

Question: What is the performance and reasoning ability of OpenAI o1 compared to other large language models in addressing ophthalmology-specific questions? Findings: This study evaluated OpenAI o1 and five LLMs using 6,990 ophthalmological questions from MedMCQA. O1 achieved the highest accuracy (0.88) and macro-F1 score but ranked third in reasoning capabilities based on text-generation metrics. Across subtopics, o1 ranked first in ``Lens'' and ``Glaucoma'' but second to GPT-4o in ``Corneal and External Diseases'', ``Vitreous and Retina'' and ``Oculoplastic and Orbital Diseases''. Subgroup analyses showed o1 performed better on queries with longer ground truth explanations. Meaning: O1's reasoning enhancements may not fully extend to ophthalmology, underscoring the need for domain-specific refinements to optimize performance in specialized fields like ophthalmology.

Zeqiang Wei, Kai Jin, Zeyi Hou et al.

Transformers bring significantly improved performance to the light field image super-resolution task due to their long-range dependency modeling capability. However, the inherently high computational complexity of their core self-attention mechanism has increasingly hindered their advancement in this task. To address this issue, we first introduce the LF-VSSM block, a novel module inspired by progressive feature extraction, to efficiently capture critical long-range spatial-angular dependencies in light field images. LF-VSSM successively extracts spatial features within sub-aperture images, spatial-angular features between sub-aperture images, and spatial-angular features between light field image pixels. On this basis, we propose a lightweight network, $L^2$FMamba (Lightweight Light Field Mamba), which integrates the LF-VSSM block to leverage light field features for super-resolution tasks while overcoming the computational challenges of Transformer-based approaches. Extensive experiments on multiple light field datasets demonstrate that our method reduces the number of parameters and complexity while achieving superior super-resolution performance with faster inference speed.

Tao Chen, Dan Zhang, Da Chen et al.

Choroidal neovascularization (CNV), a primary characteristic of wet age-related macular degeneration (wet AMD), represents a leading cause of blindness worldwide. In clinical practice, optical coherence tomography angiography (OCTA) is commonly used for studying CNV-related pathological changes, due to its micron-level resolution and non-invasive nature. Thus, accurate segmentation of CNV regions and vessels in OCTA images is crucial for clinical assessment of wet AMD. However, challenges existed due to irregular CNV shapes and imaging limitations like projection artifacts, noises and boundary blurring. Moreover, the lack of publicly available datasets constraints the CNV analysis. To address these challenges, this paper constructs the first publicly accessible CNV dataset (CNVSeg), and proposes a novel multilateral graph convolutional interaction-enhanced CNV segmentation network (MTG-Net). This network integrates both region and vessel morphological information, exploring semantic and geometric duality constraints within the graph domain. Specifically, MTG-Net consists of a multi-task framework and two graph-based cross-task modules: Multilateral Interaction Graph Reasoning (MIGR) and Multilateral Reinforcement Graph Reasoning (MRGR). The multi-task framework encodes rich geometric features of lesion shapes and surfaces, decoupling the image into three task-specific feature maps. MIGR and MRGR iteratively reason about higher-order relationships across tasks through a graph mechanism, enabling complementary optimization for task-specific objectives. Additionally, an uncertainty-weighted loss is proposed to mitigate the impact of artifacts and noise on segmentation accuracy. Experimental results demonstrate that MTG-Net outperforms existing methods, achieving a Dice socre of 87.21\% for region segmentation and 88.12\% for vessel segmentation.

Yunxiang Li, Jingxiong Li, Ruilong Dan et al.

Accurate segmentation is a crucial step in medical image analysis and applying supervised machine learning to segment the organs or lesions has been substantiated effective. However, it is costly to perform data annotation that provides ground truth labels for training the supervised algorithms, and the high variance of data that comes from different domains tends to severely degrade system performance over cross-site or cross-modality datasets. To mitigate this problem, a novel unsupervised domain adaptation (UDA) method named dispensed Transformer network (DTNet) is introduced in this paper. Our novel DTNet contains three modules. First, a dispensed residual transformer block is designed, which realizes global attention by dispensed interleaving operation and deals with the excessive computational cost and GPU memory usage of the Transformer. Second, a multi-scale consistency regularization is proposed to alleviate the loss of details in the low-resolution output for better feature alignment. Finally, a feature ranking discriminator is introduced to automatically assign different weights to domain-gap features to lessen the feature distribution distance, reducing the performance shift of two domains. The proposed method is evaluated on large fluorescein angiography (FA) retinal nonperfusion (RNP) cross-site dataset with 676 images and a wide used cross-modality dataset from the MM-WHS challenge. Extensive results demonstrate that our proposed network achieves the best performance in comparison with several state-of-the-art techniques.

Dongyu Liu, Weiwei Cui, Kai Jin et al.

Deep convolutional neural networks (CNNs) have achieved remarkable success in various fields. However, training an excellent CNN is practically a trial-and-error process that consumes a tremendous amount of time and computer resources. To accelerate the training process and reduce the number of trials, experts need to understand what has occurred in the training process and why the resulting CNN behaves as such. However, current popular training platforms, such as TensorFlow, only provide very little and general information, such as training/validation errors, which is far from enough to serve this purpose. To bridge this gap and help domain experts with their training tasks in a practical environment, we propose a visual analytics system, DeepTracker, to facilitate the exploration of the rich dynamics of CNN training processes and to identify the unusual patterns that are hidden behind the huge amount of training log. Specifically,we combine a hierarchical index mechanism and a set of hierarchical small multiples to help experts explore the entire training log from different levels of detail. We also introduce a novel cube-style visualization to reveal the complex correlations among multiple types of heterogeneous training data including neuron weights, validation images, and training iterations. Three case studies are conducted to demonstrate how DeepTracker provides its users with valuable knowledge in an industry-level CNN training process, namely in our case, training ResNet-50 on the ImageNet dataset. We show that our method can be easily applied to other state-of-the-art "very deep" CNN models.