Zhuonan Liang

Jieyun Bai, Yitong Tang, Zihao Zhou et al.

Accurate segmentation of cervical structures in transvaginal ultrasound (TVS) is critical for assessing the risk of spontaneous preterm birth (PTB), yet the scarcity of labeled data limits the performance of supervised learning approaches. This paper introduces the Fetal Ultrasound Grand Challenge (FUGC), the first benchmark for semi-supervised learning in cervical segmentation, hosted at ISBI 2025. FUGC provides a dataset of 890 TVS images, including 500 training images, 90 validation images, and 300 test images. Methods were evaluated using the Dice Similarity Coefficient (DSC), Hausdorff Distance (HD), and runtime (RT), with a weighted combination of 0.4/0.4/0.2. The challenge attracted 10 teams with 82 participants submitting innovative solutions. The best-performing methods for each individual metric achieved 90.26\% mDSC, 38.88 mHD, and 32.85 ms RT, respectively. FUGC establishes a standardized benchmark for cervical segmentation, demonstrates the efficacy of semi-supervised methods with limited labeled data, and provides a foundation for AI-assisted clinical PTB risk assessment.

Zhuonan Liang, Wei Guo, Jie Gan et al.

Foundation vision models are increasingly adopted in medical image analysis. Due to domain shift, these pretrained models misalign with medical image segmentation needs without being fully fine-tuned or lightly adapted. We introduce GuiDINO, a framework that repositions native foundation model to acting as a visual guidance generator for downstream segmentation. GuiDINO extracts visual feature representation from DINOv3 and converts them into a spatial guide mask via a lightweight TokenBook mechanism, which aggregates token-prototype similarities. This guide mask gates feature activations in multiple segmentation backbones, thereby injecting foundation-model priors while preserving the inductive biases and efficiency of medical dedicated architectures. Training relies on a guide supervision objective loss that aligns the guide mask to ground-truth regions, optionally augmented by a boundary-focused hinge loss to sharpen fine structures. GuiDINO also supports parameter-efficient adaptation through LoRA on the DINOv3 guide backbone. Across diverse medical datasets and nnUNet-style inference, GuiDINO consistently improves segmentation quality and boundary robustness, suggesting a practical alternative to fine-tuning and offering a new perspective on how foundation models can best serve medical vision. Code is available at https://github.com/Hi-FishU/GuiDINO

Jieyun Bai, Zihao Zhou, Yitong Tang et al.

A substantial proportion (45\%) of maternal deaths, neonatal deaths, and stillbirths occur during the intrapartum phase, with a particularly high burden in low- and middle-income countries. Intrapartum biometry plays a critical role in monitoring labor progression; however, the routine use of ultrasound in resource-limited settings is hindered by a shortage of trained sonographers. To address this challenge, the Intrapartum Ultrasound Grand Challenge (IUGC), co-hosted with MICCAI 2024, was launched. The IUGC introduces a clinically oriented multi-task automatic measurement framework that integrates standard plane classification, fetal head-pubic symphysis segmentation, and biometry, enabling algorithms to exploit complementary task information for more accurate estimation. Furthermore, the challenge releases the largest multi-center intrapartum ultrasound video dataset to date, comprising 774 videos (68,106 frames) collected from three hospitals, providing a robust foundation for model training and evaluation. In this study, we present a comprehensive overview of the challenge design, review the submissions from eight participating teams, and analyze their methods from five perspectives: preprocessing, data augmentation, learning strategy, model architecture, and post-processing. In addition, we perform a systematic analysis of the benchmark results to identify key bottlenecks, explore potential solutions, and highlight open challenges for future research. Although encouraging performance has been achieved, our findings indicate that the field remains at an early stage, and further in-depth investigation is required before large-scale clinical deployment. All benchmark solutions and the complete dataset have been publicly released to facilitate reproducible research and promote continued advances in automatic intrapartum ultrasound biometry.

Wei Guo, Shunqi Mao, Zhuonan Liang et al.

Observing certain patches in an image reduces the uncertainty of others. Their realization lowers the distribution entropy of each remaining patch feature, analogous to collapsing a particle's wave function in quantum mechanics. This phenomenon can intuitively be called patch collapse. To identify which patches are most relied on during a target region's collapse, we learn an autoencoder that softly selects a subset of patches to reconstruct each target patch. Graphing these learned dependencies for each patch's PageRank score reveals the optimal patch order to realize an image. We show that respecting this order benefits various masked image modeling methods. First, autoregressive image generation can be boosted by retraining the state-of-the-art model MAR. Next, we introduce a new setup for image classification by exposing Vision Transformers only to high-rank patches in the collapse order. Seeing 22\% of such patches is sufficient to achieve high accuracy. With these experiments, we propose patch collapse as a novel image modeling perspective that promotes vision efficiency. Our project is available at https://github.com/wguo-ai/CoP .

Zhuonan Liang, Dongnan Liu, Jianan Fan et al.

Object counting models suffer when deployed across domains with differing density variety, since density shifts are inherently task-relevant and violate standard domain adaptation assumptions. To address this, we propose a theoretical framework of conditional feature alignment and provide a straightforward implementation. By theoretical analysis, our framework is feasible to achieve superior cross-domain generalization for counting. In the presented network, the features related to density are explicitly preserved across domains. Theoretically, we formalize the notion of conditional divergence by partitioning each domain into subsets and measuring divergences per condition. We then derive a joint error bound showing that, under discrete label spaces treated as condition sets, aligning distributions conditionally leads to tighter bounds on the combined source-target decision error than unconditional alignment. Empirically, we demonstrate the effectiveness of our approach through extensive experiments on multiple counting datasets with varying density distributions. The results show that our method outperforms existing unsupervised domain adaptation methods, empirically validating the theoretical insights on conditional feature alignment.

Jie Gan, Zhuonan Liang, Jianan Fan et al.

The intrapartum ultrasound guideline established by ISUOG highlights the Angle of Progression (AoP) and Head Symphysis Distance (HSD) as pivotal metrics for assessing fetal head descent and predicting delivery outcomes. Accurate measurement of the AoP and HSD requires a structured process. This begins with identifying standardized ultrasound planes, followed by the detection of specific anatomical landmarks within the regions of the pubic symphysis and fetal head that correlate with the delivery parameters AoP and HSD. Finally, these measurements are derived based on the identified anatomical landmarks. Addressing the clinical demands and standard operation process outlined in the ISUOG guideline, we introduce the Sequential Spatial-Temporal Network (SSTN), the first interpretable model specifically designed for the video of intrapartum ultrasound analysis. The SSTN operates by first identifying ultrasound planes, then segmenting anatomical structures such as the pubic symphysis and fetal head, and finally detecting key landmarks for precise measurement of HSD and AoP. Furthermore, the cohesive framework leverages task-related information to improve accuracy and reliability. Experimental evaluations on clinical datasets demonstrate that SSTN significantly surpasses existing models, reducing the mean absolute error by 18% for AoP and 22% for HSD.

Zhuonan Liang, Ziheng Liu, Huaze Shi et al.

Recent years have witnessed the rapid growth of Small Private Online Courses (SPOC) which is able to highly customized and personalized to adapt variable educational requests, in which machine learning techniques are explored to summarize and predict the learner's performance, mostly focus on the final grade. However, the problem is that the final grade of learners on SPOC is generally seriously imbalance which handicaps the training of prediction model. To solve this problem, a sampling batch normalization embedded deep neural network (SBNEDNN) method is developed in this paper. First, a combined indicator is defined to measure the distribution of the data, then a rule is established to guide the sampling process. Second, the batch normalization (BN) modified layers are embedded into full connected neural network to solve the data imbalanced problem. Experimental results with other three deep learning methods demonstrates the superiority of the proposed method.