ZhaoHeng Xie

Shuang Zeng, Lei Zhu, Xinliang Zhang et al. · pku

Medical image segmentation is a fundamental yet challenging task due to the arduous process of acquiring large volumes of high-quality labeled data from experts. Contrastive learning offers a promising but still problematic solution to this dilemma. Firstly existing medical contrastive learning strategies focus on extracting image-level representation, which ignores abundant multi-level representations. Furthermore they underutilize the decoder either by random initialization or separate pre-training from the encoder, thereby neglecting the potential collaboration between the encoder and decoder. To address these issues, we propose a novel multi-level asymmetric contrastive learning framework named MACL for volumetric medical image segmentation pre-training. Specifically, we design an asymmetric contrastive learning structure to pre-train encoder and decoder simultaneously to provide better initialization for segmentation models. Moreover, we develop a multi-level contrastive learning strategy that integrates correspondences across feature-level, image-level, and pixel-level representations to ensure the encoder and decoder capture comprehensive details from representations of varying scales and granularities during the pre-training phase. Finally, experiments on 8 medical image datasets indicate our MACL framework outperforms existing 11 contrastive learning strategies. i.e. Our MACL achieves a superior performance with more precise predictions from visualization figures and 1.72%, 7.87%, 2.49% and 1.48% Dice higher than previous best results on ACDC, MMWHS, HVSMR and CHAOS with 10% labeled data, respectively. And our MACL also has a strong generalization ability among 5 variant U-Net backbones. Our code will be released at https://github.com/stevezs315/MACL.

Yuanheng Zhang, Nan Jiang, Zhaoheng Xie et al.

Accurately annotated ultrasonic images are vital components of a high-quality medical report. Hospitals often have strict guidelines on the types of annotations that should appear on imaging results. However, manually inspecting these images can be a cumbersome task. While a neural network could potentially automate the process, training such a model typically requires a dataset of paired input and target images, which in turn involves significant human labour. This study introduces an automated approach for detecting annotations in images. This is achieved by treating the annotations as noise, creating a self-supervised pretext task and using a model trained under the Noise2Noise scheme to restore the image to a clean state. We tested a variety of model structures on the denoising task against different types of annotation, including body marker annotation, radial line annotation, etc. Our results demonstrate that most models trained under the Noise2Noise scheme outperformed their counterparts trained with noisy-clean data pairs. The costumed U-Net yielded the most optimal outcome on the body marker annotation dataset, with high scores on segmentation precision and reconstruction similarity. We released our code at https://github.com/GrandArth/UltrasonicImage-N2N-Approach.

Hongyang Jiang, Mengdi Gao, Yan Hu et al.

Deep neural networks (DNNs) have been widely applied in medical image classification and achieve remarkable classification performance. These achievements heavily depend on large-scale accurately annotated training data. However, label noise is inevitably introduced in the medical image annotation, as the labeling process heavily relies on the expertise and experience of annotators. Meanwhile, DNNs suffer from overfitting noisy labels, degrading the performance of models. Therefore, in this work, we innovatively devise noise-robust training approach to mitigate the adverse effects of noisy labels in medical image classification. Specifically, we incorporate contrastive learning and intra-group attention mixup strategies into the vanilla supervised learning. The contrastive learning for feature extractor helps to enhance visual representation of DNNs. The intra-group attention mixup module constructs groups and assigns self-attention weights for group-wise samples, and subsequently interpolates massive noisy-suppressed samples through weighted mixup operation. We conduct comparative experiments on both synthetic and real-world noisy medical datasets under various noise levels. Rigorous experiments validate that our noise-robust method with contrastive learning and attention mixup can effectively handle with label noise, and is superior to state-of-the-art methods. An ablation study also shows that both components contribute to boost model performance. The proposed method demonstrates its capability of curb label noise and has certain potential toward real-world clinic applications.

Qianchao Wang, Shijun Zhang, Dong Zeng et al.

In this paper, we propose a new super-expressive activation function called the Parametric Elementary Universal Activation Function (PEUAF). We demonstrate the effectiveness of PEUAF through systematic and comprehensive experiments on various industrial and image datasets, including CIFAR10, Tiny-ImageNet, and ImageNet. Moreover, we significantly generalize the family of super-expressive activation functions, whose existence has been demonstrated in several recent works by showing that any continuous function can be approximated to any desired accuracy by a fixed-size network with a specific super-expressive activation function. Specifically, our work addresses two major bottlenecks in impeding the development of super-expressive activation functions: the limited identification of super-expressive functions, which raises doubts about their broad applicability, and their often peculiar forms, which lead to skepticism regarding their scalability and practicality in real-world applications.

Yixin Chen, Ourui Fu, Wenrui Shao et al.

This study presents FP-PET, a comprehensive approach to medical image segmentation with a focus on CT and PET images. Utilizing a dataset from the AutoPet2023 Challenge, the research employs a variety of machine learning models, including STUNet-large, SwinUNETR, and VNet, to achieve state-of-the-art segmentation performance. The paper introduces an aggregated score that combines multiple evaluation metrics such as Dice score, false positive volume (FPV), and false negative volume (FNV) to provide a holistic measure of model effectiveness. The study also discusses the computational challenges and solutions related to model training, which was conducted on high-performance GPUs. Preprocessing and postprocessing techniques, including gaussian weighting schemes and morphological operations, are explored to further refine the segmentation output. The research offers valuable insights into the challenges and solutions for advanced medical image segmentation.

Xiangcen Wu, Ruohua Chen, Sichun Li et al.

Whole-body Positron Emission Tomography (PET) registration is essential for multi-parametric tumor characterization and assessment of metastatic disease progression. In deep learning-based deformable registration, the dense displacement field (DDF) regularizer is crucial for stabilizing optimization and preventing unrealistic deformations in large 3D volumes. A key challenge in whole-body deformable registration is anatomical heterogeneity, rigid structures (e.g., bones) should undergo stronger regularization, whereas soft tissues require more flexible deformation and weaker constraints. In this work, we propose a simple yet effective CT-guided spatially-varying regularization strategy for whole-body cross-tracer deformable PET registration. The key idea is to use the paired CT volume from the PET/CT acquisition to construct a voxel-wise regularization map for the DDF, replacing the conventional single global regularization weight. This yields anatomy-adaptive regularization strength across rigid and soft tissues. The proposed method is evaluated on a real clinical cross-tracer PET/CT dataset of 296 patients involving 18F-PSMA and 18F-FDG, showing that the proposed method achieves statistically significant improvements over weakly-supervised registration baseline in both whole-body registration performance and organ-wise alignment.

Xinliang Zhang, Lei Zhu, Shuang Zeng et al. · pku

Scribble-based weakly supervised semantic segmentation leverages only a few annotated pixels as labels to train a segmentation model, presenting significant potential for reducing the human labor involved in the annotation process. This approach faces two primary challenges: first, the sparsity of scribble annotations can lead to inconsistent predictions due to limited supervision; second, the variability in scribble annotations, reflecting differing human annotator preferences, can prevent the model from consistently capturing the discriminative regions of objects, potentially leading to unstable predictions. To address these issues, we propose a holistic framework, the class-driven scribble promotion network, for robust scribble-supervised semantic segmentation. This framework not only utilizes the provided scribble annotations but also leverages their associated class labels to generate reliable pseudo-labels. Within the network, we introduce a localization rectification module to mitigate noisy labels and a distance perception module to identify reliable regions surrounding scribble annotations and pseudo-labels. In addition, we introduce new large-scale benchmarks, ScribbleCOCO and ScribbleCityscapes, accompanied by a scribble simulation algorithm that enables evaluation across varying scribble styles. Our method demonstrates competitive performance in both accuracy and robustness, underscoring its superiority over existing approaches. The datasets and the codes will be made publicly available.

Wenpei Jiao, Kun Shang, Hui Li et al.

Positron emission tomography/computed tomography (PET/CT) is essential in oncology, yet the rapid expansion of scanners has outpaced the availability of trained specialists, making automated PET/CT report generation (PETRG) increasingly important for reducing clinical workload. Compared with structural imaging (e.g., X-ray, CT, and MRI), functional PET poses distinct challenges: metabolic patterns vary with tracer physiology, and whole-body 3D contextual information is required rather than local-region interpretation. To advance PETRG, we propose PETRG-3D, an end-to-end 3D dual-branch framework that separately encodes PET and CT volumes and incorporates style-adaptive prompts to mitigate inter-hospital variability in reporting practices. We construct PETRG-Lym, a multi-center lymphoma dataset collected from four hospitals (824 reports w/ 245,509 paired PET/CT slices), and construct AutoPET-RG-Lym, a publicly accessible PETRG benchmark derived from open imaging data but equipped with new expert-written, clinically validated reports (135 cases). To assess clinical utility, we introduce PETRG-Score, a lymphoma-specific evaluation protocol that jointly measures metabolic and structural findings across curated anatomical regions. Experiments show that PETRG-3D substantially outperforms existing methods on both natural language metrics (e.g., +31.49\% ROUGE-L) and clinical efficacy metrics (e.g., +8.18\% PET-All), highlighting the benefits of volumetric dual-modality modeling and style-aware prompting. Overall, this work establishes a foundation for future PET/CT-specific models emphasizing disease-aware reasoning and clinically reliable evaluation. Codes, models, and AutoPET-RG-Lym will be released.

Ourui Fu, Hangzhou He, Xinliang Zhang et al. · pku

The annotation bottleneck in semantic segmentation has driven significant interest in few-shot segmentation, which aims to develop segmentation models capable of generalizing rapidly to novel classes using minimal exemplars. Conventional training paradigms typically generate query prior maps by extracting masked-area features from support images, followed by making predictions guided by these prior maps. However, current approaches remain constrained by two critical limitations stemming from inter- and intra-image discrepancies, both of which significantly degrade segmentation performance: 1) The semantic gap between support and query images results in mismatched features and inaccurate prior maps; 2) Visually similar yet semantically distinct regions within support or query images lead to false negative or false positive predictions. We propose a novel FSS method called \textbf{I$^2$R}: 1) Using category-specific high level representations which aggregate global semantic cues from support and query images, enabling more precise inter-image region localization and address the first limitation. 2) Directional masking strategy that suppresses inconsistent support-query pixel pairs, which exhibit high feature similarity but conflicting mask, to mitigate the second issue. Experiments demonstrate that our method outperforms state-of-the-art approaches, achieving improvements of 1.9\% and 2.1\% in mIoU under the 1-shot setting on PASCAL-5$^i$ and COCO-20$^i$ benchmarks, respectively.

Yixin Chen, Lin Gao, Yajuan Gao et al.

The integration of deep learning in medical imaging has shown great promise for enhancing diagnostic, therapeutic, and research outcomes. However, applying universal models across multiple modalities remains challenging due to the inherent variability in data characteristics. This study aims to introduce and evaluate a Modality Projection Universal Model (MPUM). MPUM employs a novel modality-projection strategy, which allows the model to dynamically adjust its parameters to optimize performance across different imaging modalities. The MPUM demonstrated superior accuracy in identifying anatomical structures, enabling precise quantification for improved clinical decision-making. It also identifies metabolic associations within the brain-body axis, advancing research on brain-body physiological correlations. Furthermore, MPUM's unique controller-based convolution layer enables visualization of saliency maps across all network layers, significantly enhancing the model's interpretability.