11.3IVJun 17, 2025
Xray2Xray: World Model from Chest X-rays with Volumetric ContextZefan Yang, Xinrui Song, Xuanang Xu et al.
Chest X-rays (CXRs) are the most widely used medical imaging modality and play a pivotal role in diagnosing diseases. However, as 2D projection images, CXRs are limited by structural superposition, which constrains their effectiveness in precise disease diagnosis and risk prediction. To address the limitations of 2D CXRs, this study introduces Xray2Xray, a novel World Model that learns latent representations encoding 3D structural information from chest X-rays. Xray2Xray captures the latent representations of the chest volume by modeling the transition dynamics of X-ray projections across different angular positions with a vision model and a transition model. We employed the latent representations of Xray2Xray for downstream risk prediction and disease diagnosis tasks. Experimental results showed that Xray2Xray outperformed both supervised methods and self-supervised pretraining methods for cardiovascular disease risk estimation and achieved competitive performance in classifying five pathologies in CXRs. We also assessed the quality of Xray2Xray's latent representations through synthesis tasks and demonstrated that the latent representations can be used to reconstruct volumetric context.
5.1IVOct 2, 2025
Median2Median: Zero-shot Suppression of Structured Noise in ImagesJianxu Wang, Ge Wang
Image denoising is a fundamental problem in computer vision and medical imaging. However, real-world images are often degraded by structured noise with strong anisotropic correlations that existing methods struggle to remove. Most data-driven approaches rely on large datasets with high-quality labels and still suffer from limited generalizability, whereas existing zero-shot methods avoid this limitation but remain effective only for independent and identically distributed (i.i.d.) noise. To address this gap, we propose Median2Median (M2M), a zero-shot denoising framework designed for structured noise. M2M introduces a novel sampling strategy that generates pseudo-independent sub-image pairs from a single noisy input. This strategy leverages directional interpolation and generalized median filtering to adaptively exclude values distorted by structured artifacts. To further enlarge the effective sampling space and eliminate systematic bias, a randomized assignment strategy is employed, ensuring that the sampled sub-image pairs are suitable for Noise2Noise training. In our realistic simulation studies, M2M performs on par with state-of-the-art zero-shot methods under i.i.d. noise, while consistently outperforming them under correlated noise. These findings establish M2M as an efficient, data-free solution for structured noise suppression and mark the first step toward effective zero-shot denoising beyond the strict i.i.d. assumption.