Jiangdong Cai

Jiangdong Cai, Honglin Xiong, Maosong Cao et al.

Vulvovaginal candidiasis (VVC) is the most prevalent human candidal infection, estimated to afflict approximately 75% of all women at least once in their lifetime. It will lead to several symptoms including pruritus, vaginal soreness, and so on. Automatic whole slide image (WSI) classification is highly demanded, for the huge burden of disease control and prevention. However, the WSI-based computer-aided VCC screening method is still vacant due to the scarce labeled data and unique properties of candida. Candida in WSI is challenging to be captured by conventional classification models due to its distinctive elongated shape, the small proportion of their spatial distribution, and the style gap from WSIs. To make the model focus on the candida easier, we propose an attention-guided method, which can obtain a robust diagnosis classification model. Specifically, we first use a pre-trained detection model as prior instruction to initialize the classification model. Then we design a Skip Self-Attention module to refine the attention onto the fined-grained features of candida. Finally, we use a contrastive learning method to alleviate the overfitting caused by the style gap of WSIs and suppress the attention to false positive regions. Our experimental results demonstrate that our framework achieves state-of-the-art performance. Code and example data are available at https://github.com/cjdbehumble/MICCAI2023-VVC-Screening.

Jiaming Li, Junlei Wu, Sheng Wang et al.

Widespread clinical deployment of computer-aided diagnosis (CAD) systems is hindered by the challenge of integrating with existing hospital IT infrastructure. Here, we introduce VisionCAD, a vision-based radiological assistance framework that circumvents this barrier by capturing medical images directly from displays using a camera system. The framework operates through an automated pipeline that detects, restores, and analyzes on-screen medical images, transforming camera-captured visual data into diagnostic-quality images suitable for automated analysis and report generation. We validated VisionCAD across diverse medical imaging datasets, demonstrating that our modular architecture can flexibly utilize state-of-the-art diagnostic models for specific tasks. The system achieves diagnostic performance comparable to conventional CAD systems operating on original digital images, with an F1-score degradation typically less than 2\% across classification tasks, while natural language generation metrics for automated reports remain within 1\% of those derived from original images. By requiring only a camera device and standard computing resources, VisionCAD offers an accessible approach for AI-assisted diagnosis, enabling the deployment of diagnostic capabilities in diverse clinical settings without modifications to existing infrastructure.

Yan Kong, Sheng Wang, Jiangdong Cai et al.

Accurate detection of vulvovaginal candidiasis is critical for women's health, yet its sparse distribution and visually ambiguous characteristics pose significant challenges for accurate identification by pathologists and neural networks alike. Our eye-tracking data reveals that areas garnering sustained attention - yet not marked by experts after deliberation - are often aligned with false positives of neural networks. Leveraging this finding, we introduce Gaze-DETR, a pioneering method that integrates gaze data to enhance neural network precision by diminishing false positives. Gaze-DETR incorporates a universal gaze-guided warm-up protocol applicable across various detection methods and a gaze-guided rectification strategy specifically designed for DETR-based models. Our comprehensive tests confirm that Gaze-DETR surpasses existing leading methods, showcasing remarkable improvements in detection accuracy and generalizability.

Zhenrong Shen, Manman Fei, Xin Wang et al.

Automatic thin-prep cytologic test (TCT) screening can assist pathologists in finding cervical abnormality towards accurate and efficient cervical cancer diagnosis. Current automatic TCT screening systems mostly involve abnormal cervical cell detection, which generally requires large-scale and diverse training data with high-quality annotations to achieve promising performance. Pathological image synthesis is naturally raised to minimize the efforts in data collection and annotation. However, it is challenging to generate realistic large-size cytopathological images while simultaneously synthesizing visually plausible appearances for small-size abnormal cervical cells. In this paper, we propose a two-stage image synthesis framework to create synthetic data for augmenting cervical abnormality screening. In the first Global Image Generation stage, a Normal Image Generator is designed to generate cytopathological images full of normal cervical cells. In the second Local Cell Editing stage, normal cells are randomly selected from the generated images and then are converted to different types of abnormal cells using the proposed Abnormal Cell Synthesizer. Both Normal Image Generator and Abnormal Cell Synthesizer are built upon Stable Diffusion, a pre-trained foundation model for image synthesis, via parameter-efficient fine-tuning methods for customizing cytopathological image contents and extending spatial layout controllability, respectively. Our experiments demonstrate the synthetic image quality, diversity, and controllability of the proposed synthesis framework, and validate its data augmentation effectiveness in enhancing the performance of abnormal cervical cell detection.