Yunhao Bai

Duowen Chen, Yunhao Bai, Wei Shen et al.

We propose a novel teacher-student model for semi-supervised multi-organ segmentation. In teacher-student model, data augmentation is usually adopted on unlabeled data to regularize the consistent training between teacher and student. We start from a key perspective that fixed relative locations and variable sizes of different organs can provide distribution information where a multi-organ CT scan is drawn. Thus, we treat the prior anatomy as a strong tool to guide the data augmentation and reduce the mismatch between labeled and unlabeled images for semi-supervised learning. More specifically, we propose a data augmentation strategy based on partition-and-recovery N$^3$ cubes cross- and within- labeled and unlabeled images. Our strategy encourages unlabeled images to learn organ semantics in relative locations from the labeled images (cross-branch) and enhances the learning ability for small organs (within-branch). For within-branch, we further propose to refine the quality of pseudo labels by blending the learned representations from small cubes to incorporate local attributes. Our method is termed as MagicNet, since it treats the CT volume as a magic-cube and N$^3$-cube partition-and-recovery process matches with the rule of playing a magic-cube. Extensive experiments on two public CT multi-organ datasets demonstrate the effectiveness of MagicNet, and noticeably outperforms state-of-the-art semi-supervised medical image segmentation approaches, with +7% DSC improvement on MACT dataset with 10% labeled images. Code is available at https://github.com/DeepMed-Lab-ECNU/MagicNet.

Yunhao Bai, Boxiang Yun, Zeli Chen et al.

The Segment Anything Model 2 (SAM2) has recently demonstrated exceptional performance in zero-shot prompt segmentation for natural images and videos. However, when the propagation mechanism of SAM2 is applied to medical images, it often results in spatial inconsistencies, leading to significantly different segmentation outcomes for very similar images. In this paper, we introduce RevSAM2, a simple yet effective self-correction framework that enables SAM2 to achieve superior performance in unseen 3D medical image segmentation tasks without the need for fine-tuning. Specifically, to segment a 3D query volume using a limited number of support image-label pairs that define a new segmentation task, we propose reverse propagation strategy as a query information selection mechanism. Instead of simply maintaining a first-in-first-out (FIFO) queue of memories to predict query slices sequentially, reverse propagation selects high-quality query information by leveraging support images to evaluate the quality of each predicted query slice mask. The selected high-quality masks are then used as prompts to propagate across the entire query volume, thereby enhancing generalization to unseen tasks. Notably, we are the first to explore the potential of SAM2 in label-efficient medical image segmentation without fine-tuning. Compared to fine-tuning on large labeled datasets, the label-efficient scenario provides a cost-effective alternative for medical segmentation tasks, particularly for rare diseases or when dealing with unseen classes. Experiments on four public datasets demonstrate the superiority of RevSAM2 in scenarios with limited labels, surpassing state-of-the-arts by 12.18% in Dice. The code will be released.

Muhammad Shaban, Yuzhou Chang, Huaying Qiu et al.

Foundation models have begun to transform image analysis by acting as pretrained generalist backbones that can be adapted to many tasks even when post-training data are limited, yet their impact on spatial proteomics, imaging that maps proteins at single-cell resolution, remains limited. Here, we introduce KRONOS, a foundation model built for spatial proteomics. KRONOS was trained in a self-supervised manner on over 47 million image patches covering 175 protein markers, 16 tissue types, and 8 fluorescence-based imaging platforms. We introduce key architectural adaptations to address the high-dimensional, multi-channel, and heterogeneous nature of multiplex imaging. We demonstrate that KRONOS learns biologically meaningful representations across multiple scales, ranging from cellular and microenvironment to tissue levels, enabling it to address diverse downstream tasks, including cell phenotyping, region classification, and patient stratification. Evaluated across 11 independent cohorts, KRONOS achieves state-of-the-art performance across cell phenotyping, treatment response prediction, and retrieval tasks, and is highly data-efficient. KRONOS also introduces the paradigm of segmentation-free patch-level processing for efficient and scalable spatial proteomics analysis, allowing cross-institutional comparisons, and as an image reverse search engine for spatial patterns. Together, these results position KRONOS as a flexible and scalable tool for spatial proteomics. The model is publicly accessible at https://github.com/mahmoodlab/KRONOS.

Xiangyuan Wang, Honghao Cai, Yunhao Bai et al.

High-quality training triplets (source-target image pairs with precise editing instructions) are a critical bottleneck for scaling instruction-guided image editing models. Vision-language models (VLMs) are widely used for automated instruction synthesis, but we identify three systematic failure modes in image-pair settings: orientation inconsistency (e.g., left/right confusion), viewpoint ambiguity, and insufficient fine-grained attribute description. Human evaluation shows that over 47% of instructions from strong baseline VLMs contain critical errors unusable for downstream training. We propose EditCaption, a scalable two-stage post-training pipeline for VLM-based instruction synthesis. Stage 1 builds a 100K supervised fine-tuning (SFT) dataset by combining GLM automatic annotation, EditScore-based filtering, and human refinement for spatial, directional, and attribute-level accuracy. Stage 2 collects 10K human preference pairs targeting the three failure modes and applies direct preference optimization (DPO) for alignment beyond SFT alone. On Eval-400, ByteMorph-Bench, and HQ-Edit, fine-tuned Qwen3-VL models outperform open-source baselines; the 235B model reaches 4.712 on Eval-400 (vs. Gemini-3-Pro 4.706, GPT-4.1 4.220, Kimi-K2.5 4.111) and 4.588 on ByteMorph-Bench (vs. Gemini-3-Pro 4.522, GPT-4.1 3.412). Human evaluation shows critical errors falling from 47.75% to 23% and correctness rising from 41.75% to 66%. The work offers a practical path to scalable, human-aligned instruction synthesis for image editing data.

Yunhao Bai, Duowen Chen, Qingli Li et al.

In semi-supervised medical image segmentation, there exist empirical mismatch problems between labeled and unlabeled data distribution. The knowledge learned from the labeled data may be largely discarded if treating labeled and unlabeled data separately or in an inconsistent manner. We propose a straightforward method for alleviating the problem - copy-pasting labeled and unlabeled data bidirectionally, in a simple Mean Teacher architecture. The method encourages unlabeled data to learn comprehensive common semantics from the labeled data in both inward and outward directions. More importantly, the consistent learning procedure for labeled and unlabeled data can largely reduce the empirical distribution gap. In detail, we copy-paste a random crop from a labeled image (foreground) onto an unlabeled image (background) and an unlabeled image (foreground) onto a labeled image (background), respectively. The two mixed images are fed into a Student network and supervised by the mixed supervisory signals of pseudo-labels and ground-truth. We reveal that the simple mechanism of copy-pasting bidirectionally between labeled and unlabeled data is good enough and the experiments show solid gains (e.g., over 21% Dice improvement on ACDC dataset with 5% labeled data) compared with other state-of-the-arts on various semi-supervised medical image segmentation datasets. Code is available at https://github.com/DeepMed-Lab-ECNU/BCP}.

Tony C. W. Mok, Zi Li, Yunhao Bai et al.

Establishing dense anatomical correspondence across distinct imaging modalities is a foundational yet challenging procedure for numerous medical image analysis studies and image-guided radiotherapy. Existing multi-modality image registration algorithms rely on statistical-based similarity measures or local structural image representations. However, the former is sensitive to locally varying noise, while the latter is not discriminative enough to cope with complex anatomical structures in multimodal scans, causing ambiguity in determining the anatomical correspondence across scans with different modalities. In this paper, we propose a modality-agnostic structural representation learning method, which leverages Deep Neighbourhood Self-similarity (DNS) and anatomy-aware contrastive learning to learn discriminative and contrast-invariance deep structural image representations (DSIR) without the need for anatomical delineations or pre-aligned training images. We evaluate our method on multiphase CT, abdomen MR-CT, and brain MR T1w-T2w registration. Comprehensive results demonstrate that our method is superior to the conventional local structural representation and statistical-based similarity measures in terms of discriminability and accuracy.

Honghao Cai, Xiangyuan Wang, Yunhao Bai et al.

Large diffusion transformers (DiTs) follow global editing instructions well but consistently leak local edits into unrelated regions, because joint-attention architectures offer no explicit channel telling the network where to apply the edit. We introduce REDEdit, a co-trained, instruction- and region-aware adapter framework that retrofits a frozen DiT into a precise local editor without modifying its backbone weights. A lightweight Block Adapter at every transformer block injects a structured condition stream that factorizes what to edit (instruction semantics) from where to edit (spatial mask); a learned SpatialGate routes the adapter signal selectively into the edit region while keeping the rest of the image near-identical to the source; and a Region-Aware Loss focuses the training objective on the changing pixels. Because these components make the backbone's internal representation mask-aware end-to-end, a thin MaskPredictor head trained jointly with the editor can ground the edit region directly from the instruction and source image eliminating any user-mask requirement at deployment. We evaluate on two complementary benchmarks: MagicBrush (paired ground-truth targets) to measure pixel-level preservation and edit accuracy, and Emu-Edit Test (no ground-truth images, 9 diverse edit categories) to stress-test instruction following and generalization across edit types. On both, REDEdit achieves state-of-the-art results, simultaneously outperforming mask-free and oracle-mask baselines. A seven-variant ablation cleanly isolates the contribution of each component.

Weikun Lin, Yunhao Bai, Yan Wang

Training-free one-shot segmentation offers a scalable alternative to expert annotations where knowledge is often transferred from support images and foundation models. But existing methods often treat all pixels in support images and query response intensities models in a homogeneous way. They ignore the regional heterogeity in support images and response heterogeity in query.To resolve this, we propose RPG-SAM, a framework that systematically tackles these heterogeneity gaps. Specifically, to address regional heterogeneity, we introduce Reliability-Weighted Prototype Mining (RWPM) to prioritize high-fidelity support features while utilizing background anchors as contrastive references for noise suppression. To address response heterogeneity, we develop Geometric Adaptive Selection (GAS) to dynamically recalibrate binarization thresholds by evaluating the morphological consensus of candidates. Finally, an iterative refinement loop method is designed to polishes anatomical boundaries. By accounting for multi-layered information heterogeneity, RPG-SAM achieves a 5.56\% mIoU improvement on the Kvasir dataset. Code will be released.