Micky C Nnamdi

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.

Shuang Zeng, Chee Hong Lee, Micky C Nnamdi et al. · pku

Retinal vessel segmentation is a vital early detection method for several severe ocular diseases. Despite significant progress in retinal vessel segmentation with the advancement of Neural Networks, there are still challenges to overcome. Specifically, retinal vessel segmentation aims to predict the class label for every pixel within a fundus image, with a primary focus on intra-image discrimination, making it vital for models to extract more discriminative features. Nevertheless, existing methods primarily focus on minimizing the difference between the output from the decoder and the label, but ignore fully using feature-level fine-grained representations from the encoder. To address these issues, we propose a novel Attention U-shaped Kolmogorov-Arnold Network named AttUKAN along with a novel Label-guided Pixel-wise Contrastive Loss for retinal vessel segmentation. Specifically, we implement Attention Gates into Kolmogorov-Arnold Networks to enhance model sensitivity by suppressing irrelevant feature activations and model interpretability by non-linear modeling of KAN blocks. Additionally, we also design a novel Label-guided Pixel-wise Contrastive Loss to supervise our proposed AttUKAN to extract more discriminative features by distinguishing between foreground vessel-pixel pairs and background pairs. Experiments are conducted across four public datasets including DRIVE, STARE, CHASE_DB1, HRF and our private dataset. AttUKAN achieves F1 scores of 82.50%, 81.14%, 81.34%, 80.21% and 80.09%, along with MIoU scores of 70.24%, 68.64%, 68.59%, 67.21% and 66.94% in the above datasets, which are the highest compared to 11 networks for retinal vessel segmentation. Quantitative and qualitative results show that our AttUKAN achieves state-of-the-art performance and outperforms existing retinal vessel segmentation methods. Our code will be available at https://github.com/stevezs315/AttUKAN.

Micky C Nnamdi, Wenqi Shi, Cheng Wan et al.

Obstructive sleep apnea (OSA) is a sleep disorder that affects nearly one billion people globally and significantly elevates cardiovascular risk. Traditional diagnosis through polysomnography is resource-intensive and limits widespread access, creating a critical need for accurate and efficient alternatives. In this paper, we introduce KindSleep, a deep learning framework that integrates clinical knowledge with single-channel patient-specific oximetry signals and clinical data for precise OSA diagnosis. KindSleep first learns to identify clinically interpretable concepts, such as desaturation indices and respiratory disturbance events, directly from raw oximetry signals. It then fuses these AI-derived concepts with multimodal clinical data to estimate the Apnea-Hypopnea Index (AHI). We evaluate KindSleep on three large, independent datasets from the National Sleep Research Resource (SHHS, CFS, MrOS; total n = 9,815). KindSleep demonstrates excellent performance in estimating AHI scores (R2 = 0.917, ICC = 0.957) and consistently outperforms existing approaches in classifying OSA severity, achieving weighted F1-scores from 0.827 to 0.941 across diverse populations. By grounding its predictions in a layer of clinically meaningful concepts, KindSleep provides a more transparent and trustworthy diagnostic tool for sleep medicine practices.