Yunsong Peng

Zhuhao Wang, Fang Chen, Chaohui Yu et al.

CT interpretation requires radiologists to review hundreds of volumetric slices per examination, making reporting time-consuming and highly expertise-dependent. Automated CT report generation offers a promising route to improving clinical efficiency, yet the field still lacks a generalizable CT report generation foundation model that supports multi-region reporting and remains robust across external real-world cohorts. Intrinsic inconsistencies in reporting style and diagnostic terminology across cohorts make naive joint training prone to noisy textual supervision, thereby limiting model generalizability. Here we present Astra, a generalizable CT report generation foundation model trained on 90,678 thoracoabdominal CT-report pairs (CTRgDB) with 353,671 abnormalities spanning eight organ systems. By harmonizing report style and further refining diagnostic consistency via reinforcement learning, Astra achieves style-consistent and diagnostically accurate report generation across diverse anatomical regions and institutions. Evaluating on CTRgDB and six external cohorts, Astra achieves state-of-the-art performance with a 44.1% average improvement in fine-grained diagnostic metrics (P<0.001). In real-world clinical workflows, Astra assistance accelerates chest report drafting by 29.6% and improves abdominal report completeness by 11.3% (P<0.001). Furthermore, Astra also demonstrates broad utility as a foundation for CT AI development, improving downstream diagnostic performance and scaling vision-language pretrain through high-quality report synthesis. Overall, Astra serves as a broadly accessible clinical assistant and a pivotal infrastructure for the next generation of AI-powered healthcare.

Haoxuan Zhang, Wenju Cui, Yuzhu Cao et al.

The segmentation of mass lesions in digital breast tomosynthesis (DBT) images is very significant for the early screening of breast cancer. However, the high-density breast tissue often leads to high concealment of the mass lesions, which makes manual annotation difficult and time-consuming. As a result, there is a lack of annotated data for model training. Diffusion models are commonly used for data augmentation, but the existing methods face two challenges. First, due to the high concealment of lesions, it is difficult for the model to learn the features of the lesion area. This leads to the low generation quality of the lesion areas, thus limiting the quality of the generated images. Second, existing methods can only generate images and cannot generate corresponding annotations, which restricts the usability of the generated images in supervised training. In this work, we propose a paired image generation method. The method does not require external conditions and can achieve the generation of paired images by training an extra diffusion guider for the conditional diffusion model. During the experimental phase, we generated paired DBT slices and mass lesion masks. Then, we incorporated them into the supervised training process of the mass lesion segmentation task. The experimental results show that our method can improve the generation quality without external conditions. Moreover, it contributes to alleviating the shortage of annotated data, thus enhancing the performance of downstream tasks.

Wenju Cui, Caiying Yan, Zhuangzhi Yan et al.

FDG-PET reveals altered brain metabolism in individuals with mild cognitive impairment (MCI) and Alzheimer's disease (AD). Some biomarkers derived from FDG-PET by computer-aided-diagnosis (CAD) technologies have been proved that they can accurately diagnosis normal control (NC), MCI, and AD. However, the studies of identification of early MCI (EMCI) and late MCI (LMCI) with FDG-PET images are still insufficient. Compared with studies based on fMRI and DTI images, the researches of the inter-region representation features in FDG-PET images are insufficient. Moreover, considering the variability in different individuals, some hard samples which are very similar with both two classes limit the classification performance. To tackle these problems, in this paper, we propose a novel bilinear pooling and metric learning network (BMNet), which can extract the inter-region representation features and distinguish hard samples by constructing embedding space. To validate the proposed method, we collect 998 FDG-PET images from ADNI. Following the common preprocessing steps, 90 features are extracted from each FDG-PET image according to the automatic anatomical landmark (AAL) template and then sent into the proposed network. Extensive 5-fold cross-validation experiments are performed for multiple two-class classifications. Experiments show that most metrics are improved after adding the bilinear pooling module and metric losses to the Baseline model respectively. Specifically, in the classification task between EMCI and LMCI, the specificity improves 6.38% after adding the triple metric loss, and the negative predictive value (NPV) improves 3.45% after using the bilinear pooling module.