Xiaohan Xing

Heng Li, Yuenan Hou, Xiaohan Xing et al.

Training deep learning models for semantic occupancy prediction is challenging due to factors such as a large number of occupancy cells, severe occlusion, limited visual cues, complicated driving scenarios, etc. Recent methods often adopt transformer-based architectures given their strong capability in learning input-conditioned weights and long-range relationships. However, transformer-based networks are notorious for their quadratic computation complexity, seriously undermining their efficacy and deployment in semantic occupancy prediction. Inspired by the global modeling and linear computation complexity of the Mamba architecture, we present the first Mamba-based network for semantic occupancy prediction, termed OccMamba. Specifically, we first design the hierarchical Mamba module and local context processor to better aggregate global and local contextual information, respectively. Besides, to relieve the inherent domain gap between the linguistic and 3D domains, we present a simple yet effective 3D-to-1D reordering scheme, i.e., height-prioritized 2D Hilbert expansion. It can maximally retain the spatial structure of 3D voxels as well as facilitate the processing of Mamba blocks. Endowed with the aforementioned designs, our OccMamba is capable of directly and efficiently processing large volumes of dense scene grids, achieving state-of-the-art performance across three prevalent occupancy prediction benchmarks, including OpenOccupancy, SemanticKITTI, and SemanticPOSS. Notably, on OpenOccupancy, our OccMamba outperforms the previous state-of-the-art Co-Occ by 5.1% IoU and 4.3% mIoU, respectively. Our implementation is open-sourced and available at: https://github.com/USTCLH/OccMamba.

Meilu Zhu, Zhiwei Wang, Axiu Mao et al.

Federated learning (FL) offers a privacy-preserving paradigm for collaborative medical image analysis without sharing raw data. However, the absence of standardized benchmarks for medical image segmentation hinders fair and comprehensive evaluation of FL methods. To address this gap, we introduce FL-MedSegBench, the first comprehensive benchmark for federated learning on medical image segmentation. Our benchmark encompasses nine segmentation tasks across ten imaging modalities, covering both 2D and 3D formats with realistic clinical heterogeneity. We systematically evaluate eight generic FL (gFL) and five personalized FL (pFL) methods across multiple dimensions: segmentation accuracy, fairness, communication efficiency, convergence behavior, and generalization to unseen domains. Extensive experiments reveal several key insights: (i) pFL methods, particularly those with client-specific batch normalization (\textit{e.g.}, FedBN), consistently outperform generic approaches; (ii) No single method universally dominates, with performance being dataset-dependent; (iii) Communication frequency analysis shows normalization-based personalization methods exhibit remarkable robustness to reduced communication frequency; (iv) Fairness evaluation identifies methods like Ditto and FedRDN that protect underperforming clients; (v) A method's generalization to unseen domains is strongly tied to its ability to perform well across participating clients. We will release an open-source toolkit to foster reproducible research and accelerate clinically applicable FL solutions, providing empirically grounded guidelines for real-world clinical deployment. The source code is available at https://github.com/meiluzhu/FL-MedSegBench.

Li Pan, Yupei Zhang, Qiushi Yang et al.

Recently, multimodal deep learning, which integrates histopathology slides and molecular biomarkers, has achieved a promising performance in glioma grading. Despite great progress, due to the intra-modality complexity and inter-modality heterogeneity, existing studies suffer from inadequate histopathology representation learning and inefficient molecular-pathology knowledge alignment. These two issues hinder existing methods to precisely interpret diagnostic molecular-pathology features, thereby limiting their grading performance. Moreover, the real-world applicability of existing multimodal approaches is significantly restricted as molecular biomarkers are not always available during clinical deployment. To address these problems, we introduce a novel Focus on Focus (FoF) framework with paired pathology-genomic training and applicable pathology-only inference, enhancing molecular-pathology representation effectively. Specifically, we propose a Focus-oriented Representation Learning (FRL) module to encourage the model to identify regions positively or negatively related to glioma grading and guide it to focus on the diagnostic areas with a consistency constraint. To effectively link the molecular biomarkers to morphological features, we propose a Multi-view Cross-modal Alignment (MCA) module that projects histopathology representations into molecular subspaces, aligning morphological features with corresponding molecular biomarker status by supervised contrastive learning. Experiments on the TCGA GBM-LGG dataset demonstrate that our FoF framework significantly improves the glioma grading. Remarkably, our FoF achieves superior performance using only histopathology slides compared to existing multimodal methods. The source code is available at https://github.com/peterlipan/FoF.

Qi Chen, Xiaohan Xing, Zhen Chen et al.

To accelerate Magnetic Resonance (MR) imaging procedures, Multi-Contrast MR Reconstruction (MCMR) has become a prevalent trend that utilizes an easily obtainable modality as an auxiliary to support high-quality reconstruction of the target modality with under-sampled k-space measurements. The exploration of global dependency and complementary information across different modalities is essential for MCMR. However, existing methods either struggle to capture global dependency due to the limited receptive field or suffer from quadratic computational complexity. To tackle this dilemma, we propose a novel Frequency and Spatial Mutual Learning Network (FSMNet), which efficiently explores global dependencies across different modalities. Specifically, the features for each modality are extracted by the Frequency-Spatial Feature Extraction (FSFE) module, featuring a frequency branch and a spatial branch. Benefiting from the global property of the Fourier transform, the frequency branch can efficiently capture global dependency with an image-size receptive field, while the spatial branch can extract local features. To exploit complementary information from the auxiliary modality, we propose a Cross-Modal Selective fusion (CMS-fusion) module that selectively incorporate the frequency and spatial features from the auxiliary modality to enhance the corresponding branch of the target modality. To further integrate the enhanced global features from the frequency branch and the enhanced local features from the spatial branch, we develop a Frequency-Spatial fusion (FS-fusion) module, resulting in a comprehensive feature representation for the target modality. Extensive experiments on the BraTS and fastMRI datasets demonstrate that the proposed FSMNet achieves state-of-the-art performance for the MCMR task with different acceleration factors. The code is available at: https://github.com/qic999/FSMNet.

Fan Bai, Xiaohan Xing, Yutian Shen et al.

Weakly supervised methods, such as class activation maps (CAM) based, have been applied to achieve bleeding segmentation with low annotation efforts in Wireless Capsule Endoscopy (WCE) images. However, the CAM labels tend to be extremely noisy, and there is an irreparable gap between CAM labels and ground truths for medical images. This paper proposes a new Discrepancy-basEd Active Learning (DEAL) approach to bridge the gap between CAMs and ground truths with a few annotations. Specifically, to liberate labor, we design a novel discrepancy decoder model and a CAMPUS (CAM, Pseudo-label and groUnd-truth Selection) criterion to replace the noisy CAMs with accurate model predictions and a few human labels. The discrepancy decoder model is trained with a unique scheme to generate standard, coarse and fine predictions. And the CAMPUS criterion is proposed to predict the gaps between CAMs and ground truths based on model divergence and CAM divergence. We evaluate our method on the WCE dataset and results show that our method outperforms the state-of-the-art active learning methods and reaches comparable performance to those trained with full annotated datasets with only 10% of the training data labeled.

Rui Yan, Xiaohan Xing, Xun Wang et al.

Cellular identity and function are linked to both their intrinsic genomic makeup and extrinsic spatial context within the tissue microenvironment. Spatial transcriptomics (ST) offers an unprecedented opportunity to study this, providing in situ gene expression profiles at single-cell resolution and illuminating the spatial and functional organization of cells within tissues. However, a significant hurdle remains: ST data is inherently noisy, large, and structurally complex. This complexity makes it intractable for existing computational methods to effectively capture the interplay between spatial interactions and intrinsic genomic relationships, thus limiting our ability to discern critical biological patterns. Here, we present CellScape, a deep learning framework designed to overcome these limitations for high-performance ST data analysis and pattern discovery. CellScape jointly models cellular interactions in tissue space and genomic relationships among cells, producing comprehensive representations that seamlessly integrate spatial signals with underlying gene regulatory mechanisms. This technique uncovers biologically informative patterns that improve spatial domain segmentation and supports comprehensive spatial cellular analyses across diverse transcriptomics datasets, offering an accurate and versatile framework for deep analysis and interpretation of ST data.w

Yuci Liang, Xinheng Lyu, Wenting Chen et al.

Recent advancements in computational pathology have produced patch-level Multi-modal Large Language Models (MLLMs), but these models are limited by their inability to analyze whole slide images (WSIs) comprehensively and their tendency to bypass crucial morphological features that pathologists rely on for diagnosis. To address these challenges, we first introduce WSI-Bench, a large-scale morphology-aware benchmark containing 180k VQA pairs from 9,850 WSIs across 30 cancer types, designed to evaluate MLLMs' understanding of morphological characteristics crucial for accurate diagnosis. Building upon this benchmark, we present WSI-LLaVA, a novel framework for gigapixel WSI understanding that employs a three-stage training approach: WSI-text alignment, feature space alignment, and task-specific instruction tuning. To better assess model performance in pathological contexts, we develop two specialized WSI metrics: WSI-Precision and WSI-Relevance. Experimental results demonstrate that WSI-LLaVA outperforms existing models across all capability dimensions, with a significant improvement in morphological analysis, establishing a clear correlation between morphological understanding and diagnostic accuracy.

Jiaqi Yang, Wenting Chen, Xiaohan Xing et al.

Multimodal learning that integrates histopathology images and genomic data holds great promise for cancer survival prediction. However, existing methods face key limitations: 1) They rely on multimodal mapping and metrics in Euclidean space, which cannot fully capture the hierarchical structures in histopathology (among patches from different resolutions) and genomics data (from genes to pathways). 2) They discretize survival time into independent risk intervals, which ignores its continuous and ordinal nature and fails to achieve effective optimization. 3) They treat censorship as a binary indicator, excluding censored samples from model optimization and not making full use of them. To address these challenges, we propose HySurvPred, a novel framework for survival prediction that integrates three key modules: Multimodal Hyperbolic Mapping (MHM), Angle-aware Ranking-based Contrastive Loss (ARCL) and Censor-Conditioned Uncertainty Constraint (CUC). Instead of relying on Euclidean space, we design the MHM module to explore the inherent hierarchical structures within each modality in hyperbolic space. To better integrate multimodal features in hyperbolic space, we introduce the ARCL module, which uses ranking-based contrastive learning to preserve the ordinal nature of survival time, along with the CUC module to fully explore the censored data. Extensive experiments demonstrate that our method outperforms state-of-the-art methods on five benchmark datasets. The source code is to be released.

Guolin Huang, Wenting Chen, Jiaqi Yang et al.

Survival analysis is critical for cancer prognosis and treatment planning, yet existing methods lack the transparency essential for clinical adoption. While recent pathology agents have demonstrated explainability in diagnostic tasks, they face three limitations for survival prediction: inability to integrate multimodal data, ineffective region-of-interest exploration, and failure to leverage experiential learning from historical cases. We introduce SurvAgent, the first hierarchical chain-of-thought (CoT)-enhanced multi-agent system for multimodal survival prediction. SurvAgent consists of two stages: (1) WSI-Gene CoT-Enhanced Case Bank Construction employs hierarchical analysis through Low-Magnification Screening, Cross-Modal Similarity-Aware Patch Mining, and Confidence-Aware Patch Mining for pathology images, while Gene-Stratified analysis processes six functional gene categories. Both generate structured reports with CoT reasoning, storing complete analytical processes for experiential learning. (2) Dichotomy-Based Multi-Expert Agent Inference retrieves similar cases via RAG and integrates multimodal reports with expert predictions through progressive interval refinement. Extensive experiments on five TCGA cohorts demonstrate SurvAgent's superority over conventional methods, proprietary MLLMs, and medical agents, establishing a new paradigm for explainable AI-driven survival prediction in precision oncology.

Xinyu Mao, Xiaohan Xing, Fei Meng et al.

Polyp segmentation is vital for early colorectal cancer detection, yet traditional fully supervised methods struggle with morphological variability and domain shifts, requiring frequent retraining. Additionally, reliance on large-scale annotations is a major bottleneck due to the time-consuming and error-prone nature of polyp boundary labeling. Recently, vision foundation models like Segment Anything Model (SAM) have demonstrated strong generalizability and fine-grained boundary detection with sparse prompts, effectively addressing key polyp segmentation challenges. However, SAM's prompt-dependent nature limits automation in medical applications, since manually inputting prompts for each image is labor-intensive and time-consuming. We propose OP-SAM, a One-shot Polyp segmentation framework based on SAM that automatically generates prompts from a single annotated image, ensuring accurate and generalizable segmentation without additional annotation burdens. Our method introduces Correlation-based Prior Generation (CPG) for semantic label transfer and Scale-cascaded Prior Fusion (SPF) to adapt to polyp size variations as well as filter out noisy transfers. Instead of dumping all prompts at once, we devise Euclidean Prompt Evolution (EPE) for iterative prompt refinement, progressively enhancing segmentation quality. Extensive evaluations across five datasets validate OP-SAM's effectiveness. Notably, on Kvasir, it achieves 76.93% IoU, surpassing the state-of-the-art by 11.44%.

Liang Qiu, Wenhao Chi, Xiaohan Xing et al.

Precision therapy for liver cancer necessitates accurately delineating liver sub-regions to protect healthy tissue while targeting tumors, which is essential for reducing recurrence and improving survival rates. However, the segmentation of hepatic segments, known as Couinaud segmentation, is challenging due to indistinct sub-region boundaries and the need for extensive annotated datasets. This study introduces LiverFormer, a novel Couinaud segmentation model that effectively integrates global context with low-level local features based on a 3D hybrid CNN-Transformer architecture. Additionally, a registration-based data augmentation strategy is equipped to enhance the segmentation performance with limited labeled data. Evaluated on CT images from 123 patients, LiverFormer demonstrated high accuracy and strong concordance with expert annotations across various metrics, allowing for enhanced treatment planning for surgery and radiation therapy. It has great potential to reduces complications and minimizes potential damages to surrounding tissue, leading to improved outcomes for patients undergoing complex liver cancer treatments.

Jing Zou, Lanqing Liu, Qi Chen et al.

Multi-modal MRI offers valuable complementary information for diagnosis and treatment; however, its utility is limited by prolonged scanning times. To accelerate the acquisition process, a practical approach is to reconstruct images of the target modality, which requires longer scanning times, from under-sampled k-space data using the fully-sampled reference modality with shorter scanning times as guidance. The primary challenge of this task is comprehensively and efficiently integrating complementary information from different modalities to achieve high-quality reconstruction. Existing methods struggle with this: 1) convolution-based models fail to capture long-range dependencies; 2) transformer-based models, while excelling in global feature modeling, struggle with quadratic computational complexity. To address this, we propose MMR-Mamba, a novel framework that thoroughly and efficiently integrates multi-modal features for MRI reconstruction, leveraging Mamba's capability to capture long-range dependencies with linear computational complexity while exploiting global properties of the Fourier domain. Specifically, we first design a Target modality-guided Cross Mamba (TCM) module in the spatial domain, which maximally restores the target modality information by selectively incorporating relevant information from the reference modality. Then, we introduce a Selective Frequency Fusion (SFF) module to efficiently integrate global information in the Fourier domain and recover high-frequency signals for the reconstruction of structural details. Furthermore, we devise an Adaptive Spatial-Frequency Fusion (ASFF) module, which mutually enhances the spatial and frequency domains by supplementing less informative channels from one domain with corresponding channels from the other.

Xiaohan Xing, Yuenan Hou, Hang Li et al.

The amount of medical images for training deep classification models is typically very scarce, making these deep models prone to overfit the training data. Studies showed that knowledge distillation (KD), especially the mean-teacher framework which is more robust to perturbations, can help mitigate the over-fitting effect. However, directly transferring KD from computer vision to medical image classification yields inferior performance as medical images suffer from higher intra-class variance and class imbalance. To address these issues, we propose a novel Categorical Relation-preserving Contrastive Knowledge Distillation (CRCKD) algorithm, which takes the commonly used mean-teacher model as the supervisor. Specifically, we propose a novel Class-guided Contrastive Distillation (CCD) module to pull closer positive image pairs from the same class in the teacher and student models, while pushing apart negative image pairs from different classes. With this regularization, the feature distribution of the student model shows higher intra-class similarity and inter-class variance. Besides, we propose a Categorical Relation Preserving (CRP) loss to distill the teacher's relational knowledge in a robust and class-balanced manner. With the contribution of the CCD and CRP, our CRCKD algorithm can distill the relational knowledge more comprehensively. Extensive experiments on the HAM10000 and APTOS datasets demonstrate the superiority of the proposed CRCKD method.