Kehan Qi

Meilong Xu, Qingqiao Hu, Xiaoling Hu et al.

Topological correctness is crucial for tubular structures such as blood vessels, nerve fibers, and road networks. Existing topology-preserving methods rely on domain-specific ground truth, which is costly and rarely transfers across domains. When deployed to a new domain without annotations, a key question arises: how can we detect topological anomalies without ground-truth supervision? We reframe this as topological anomaly detection, a structured visual reasoning task requiring a model to locate and classify topological errors in predicted segmentation masks. Vision-Language Models (VLMs) are natural candidates; however, we find that state-of-the-art VLMs perform nearly at random, lacking the fine-grained, topology-aware perception needed to identify sparse connectivity errors in dense structures. To bridge this gap, we develop an automated data-curation pipeline that synthesizes diverse topological anomalies with verifiable annotations across progressively difficult levels, thereby constructing the first large-scale, multi-domain benchmark for this task. We then introduce Topo-R1, a framework that endows VLMs with topology-aware perception via two-stage training: supervised fine-tuning followed by reinforcement learning with Group Relative Policy Optimization (GRPO). Central to our approach is a topology-aware composite reward that integrates type-aware Hungarian matching for structured error classification, spatial localization scoring, and a centerline Dice (clDice) reward that directly penalizes connectivity disruptions, thereby jointly incentivizing semantic precision and structural fidelity. Extensive experiments demonstrate that Topo-R1 establishes a new paradigm for annotation-free topological quality assessment, consistently outperforming general-purpose VLMs and supervised baselines across all evaluation protocols.

Kehan Qi, Saumya Gupta, Qingqiao Hu et al.

Magnetic Resonance Imaging (MRI) offers excellent soft-tissue contrast without ionizing radiation, but its long acquisition time limits clinical utility. Recent methods accelerate MRI by under-sampling $k$-space and reconstructing the resulting images using deep learning. Unrolled networks have been widely used for the reconstruction task due to their efficiency, but suffer from unstable evolving caused by freely-learnable parameters in intermediate steps. In contrast, diffusion models based on stochastic differential equations offer theoretical stability in both medical and natural image tasks but are computationally expensive. In this work, we introduce flow ODEs to MRI reconstruction by theoretically proving that unrolled networks are discrete implementations of conditional probability flow ODEs. This connection provides explicit formulations for parameters and clarifies how intermediate states should evolve. Building on this insight, we propose Flow-Aligned Training (FLAT), which derives unrolled parameters from the ODE discretization and aligns intermediate reconstructions with the ideal ODE trajectory to improve stability and convergence. Experiments on three MRI datasets show that FLAT achieves high-quality reconstructions with up to $3\times$ fewer iterations than diffusion-based generative models and significantly greater stability than unrolled networks.

Hao Yang, Weijian Huang, Kehan Qi et al.

Segmenting stroke lesions from T1-weighted MR images is of great value for large-scale stroke rehabilitation neuroimaging analyses. Nevertheless, there are great challenges with this task, such as large range of stroke lesion scales and the tissue intensity similarity. The famous encoder-decoder convolutional neural network, which although has made great achievements in medical image segmentation areas, may fail to address these challenges due to the insufficient uses of multi-scale features and context information. To address these challenges, this paper proposes a Cross-Level fusion and Context Inference Network (CLCI-Net) for the chronic stroke lesion segmentation from T1-weighted MR images. Specifically, a Cross-Level feature Fusion (CLF) strategy was developed to make full use of different scale features across different levels; Extending Atrous Spatial Pyramid Pooling (ASPP) with CLF, we have enriched multi-scale features to handle the different lesion sizes; In addition, convolutional long short-term memory (ConvLSTM) is employed to infer context information and thus capture fine structures to address the intensity similarity issue. The proposed approach was evaluated on an open-source dataset, the Anatomical Tracings of Lesions After Stroke (ATLAS) with the results showing that our network outperforms five state-of-the-art methods. We make our code and models available at https://github.com/YH0517/CLCI_Net.

Kehan Qi, Hao Yang, Cheng Li et al.

The morbidity of brain stroke increased rapidly in the past few years. To help specialists in lesion measurements and treatment planning, automatic segmentation methods are critically required for clinical practices. Recently, approaches based on deep learning and methods for contextual information extraction have served in many image segmentation tasks. However, their performances are limited due to the insufficient training of a large number of parameters, which sometimes fail in capturing long-range dependencies. To address these issues, we propose a depthwise separable convolution based X-Net that designs a nonlocal operation namely Feature Similarity Module (FSM) to capture long-range dependencies. The adopted depthwise convolution allows to reduce the network size, while the developed FSM provides a more effective, dense contextual information extraction and thus facilitates better segmentation. The effectiveness of X-Net was evaluated on an open dataset Anatomical Tracings of Lesions After Stroke (ATLAS) with superior performance achieved compared to other six state-of-the-art approaches. We make our code and models available at https://github.com/Andrewsher/X-Net.

Weimin Lyu, Qingqiao Hu, Kehan Qi et al.

Whole-slide images (WSIs) in pathology can reach up to 10,000 x 10,000 pixels, posing significant challenges for multimodal large language model (MLLM) due to long context length and high computational demands. Previous methods typically focus on patch-level analysis or slide-level classification using CLIP-based models with multi-instance learning, but they lack the generative capabilities needed for visual question answering (VQA). More recent MLLM-based approaches address VQA by feeding thousands of patch tokens directly into the language model, which leads to excessive resource consumption. To address these limitations, we propose Token Compression Pathology LLaVA (TCP-LLaVA), the first MLLM architecture to perform WSI VQA via token compression. TCP-LLaVA introduces a set of trainable compression tokens that aggregate visual and textual information through a modality compression module, inspired by the [CLS] token mechanism in BERT. Only the compressed tokens are forwarded to the LLM for answer generation, significantly reducing input length and computational cost. Experiments on ten TCGA tumor subtypes show that TCP-LLaVA outperforms existing MLLM baselines in VQA accuracy while reducing training resource consumption by a substantial margin.

Qingqiao Hu, Weimin Lyu, Meilong Xu et al.

Whole Slide Image (WSI) understanding is fundamentally challenging due to its gigapixel scale and the extreme sparsity of diagnostically relevant regions. Unlike human experts who primarily rely on key areas to arrive at a diagnosis, existing slide-level multimodal large language models (MLLMs) for pathology rely on heavy slide-level encoders that process thousands of patch features in a brute-force manner, resulting in excessive computational cost. In this work, we revisit the WSI-language modeling paradigm and show that tile-level features exhibit strong global and local redundancy, whereas only a small subset of tiles are truly task-relevant. Motivated by this observation, we introduce an efficient MLLM framework, called LoC-Path, that replaces the expensive slide-level encoder with redundancy-reducing modules. We first design a Sparse Token Merger (STM) and an MAE-pretrained resampler to remove local redundancy and compress globally redundant tile tokens into a compact slide-level representation set. We then propose a Cross-Attention Routing Adapter (CARA) and a Token Importance Scorer (TIS) to integrate the compressed visual representation with the language model in a computation-efficient manner. Extensive experiments demonstrate that our approach achieves performance comparable to existing state-of-the-art whole-slide MLLMs, while requiring significantly lower computation and memory.

Chen-Chen Fan, Peiyao Guo, Linping Zhang et al.

Given the limitations of satellite orbits and imaging conditions, multi-modal remote sensing (RS) data is crucial in enabling long-term earth observation. However, maritime surveillance remains challenging due to the complexity of multi-scale targets and the dynamic environments. To bridge this critical gap, we propose a Synchronized Multi-modal Aligned Remote sensing Targets dataset for berthed ships analysis (SMART-Ship), containing spatiotemporal registered images with fine-grained annotation for maritime targets from five modalities: visible-light, synthetic aperture radar (SAR), panchromatic, multi-spectral, and near-infrared. Specifically, our dataset consists of 1092 multi-modal image sets, covering 38,838 ships. Each image set is acquired within one week and registered to ensure spatiotemporal consistency. Ship instances in each set are annotated with polygonal location information, fine-grained categories, instance-level identifiers, and change region masks, organized hierarchically to support diverse multi-modal RS tasks. Furthermore, we define standardized benchmarks on five fundamental tasks and comprehensively compare representative methods across the dataset. Thorough experiment evaluations validate that the proposed SMART-Ship dataset could support various multi-modal RS interpretation tasks and reveal the promising directions for further exploration.

Kehan Qi, Yu Gong, Xinfeng Liu et al.

Noises, artifacts, and loss of information caused by the magnetic resonance (MR) reconstruction may compromise the final performance of the downstream applications. In this paper, we develop a re-weighted multi-task deep learning method to learn prior knowledge from the existing big dataset and then utilize them to assist simultaneous MR reconstruction and segmentation from the under-sampled k-space data. The multi-task deep learning framework is equipped with two network sub-modules, which are integrated and trained by our designed iterative teacher forcing scheme (ITFS) under the dynamic re-weighted loss constraint (DRLC). The ITFS is designed to avoid error accumulation by injecting the fully-sampled data into the training process. The DRLC is proposed to dynamically balance the contributions from the reconstruction and segmentation sub-modules so as to co-prompt the multi-task accuracy. The proposed method has been evaluated on two open datasets and one in vivo in-house dataset and compared to six state-of-the-art methods. Results show that the proposed method possesses encouraging capabilities for simultaneous and accurate MR reconstruction and segmentation.