Xianjie Liu

Kai Ren, Ke Zou, Xianjie Liu et al.

Classification and segmentation are crucial in medical image analysis as they enable accurate diagnosis and disease monitoring. However, current methods often prioritize the mutual learning features and shared model parameters, while neglecting the reliability of features and performances. In this paper, we propose a novel Uncertainty-informed Mutual Learning (UML) framework for reliable and interpretable medical image analysis. Our UML introduces reliability to joint classification and segmentation tasks, leveraging mutual learning with uncertainty to improve performance. To achieve this, we first use evidential deep learning to provide image-level and pixel-wise confidences. Then, an Uncertainty Navigator Decoder is constructed for better using mutual features and generating segmentation results. Besides, an Uncertainty Instructor is proposed to screen reliable masks for classification. Overall, UML could produce confidence estimation in features and performance for each link (classification and segmentation). The experiments on the public datasets demonstrate that our UML outperforms existing methods in terms of both accuracy and robustness. Our UML has the potential to explore the development of more reliable and explainable medical image analysis models. We will release the codes for reproduction after acceptance.

Xianjie Liu, Keren Fu, Yao Jiang et al.

The Segment Anything Model (SAM) represents a significant breakthrough into foundation models for computer vision, providing a large-scale image segmentation model. However, despite SAM's zero-shot performance, its segmentation masks lack fine-grained details, particularly in accurately delineating object boundaries. Therefore, it is both interesting and valuable to explore whether SAM can be improved towards highly accurate object segmentation, which is known as the dichotomous image segmentation (DIS) task. To address this issue, we propose DIS-SAM, which advances SAM towards DIS with extremely accurate details. DIS-SAM is a framework specifically tailored for highly accurate segmentation, maintaining SAM's promptable design. DIS-SAM employs a two-stage approach, integrating SAM with a modified advanced network that was previously designed to handle the prompt-free DIS task. To better train DIS-SAM, we employ a ground truth enrichment strategy by modifying original mask annotations. Despite its simplicity, DIS-SAM significantly advances the SAM, HQ-SAM, and Pi-SAM ~by 8.5%, ~6.9%, and ~3.7% maximum F-measure. Our code at https://github.com/Tennine2077/DIS-SAM

Ruiyang Li, Fujun Yang, Xianjie Liu et al.

Prosthetic Joint Infection (PJI) is a prevalent and severe complication characterized by high diagnostic challenges. Currently, a unified diagnostic standard incorporating both computed tomography (CT) images and numerical text data for PJI remains unestablished, owing to the substantial noise in CT images and the disparity in data volume between CT images and text data. This study introduces a diagnostic method, HGT, based on deep learning and multimodal techniques. It effectively merges features from CT scan images and patients' numerical text data via a Unidirectional Selective Attention (USA) mechanism and a graph convolutional network (GCN)-based feature fusion network. We evaluated the proposed method on a custom-built multimodal PJI dataset, assessing its performance through ablation experiments and interpretability evaluations. Our method achieved an accuracy (ACC) of 91.4\% and an area under the curve (AUC) of 95.9\%, outperforming recent multimodal approaches by 2.9\% in ACC and 2.2\% in AUC, with a parameter count of only 68M. Notably, the interpretability results highlighted our model's strong focus and localization capabilities at lesion sites. This proposed method could provide clinicians with additional diagnostic tools to enhance accuracy and efficiency in clinical practice.

Xianjie Liu, Hongwei Shi

Postoperative infection diagnosis is a common and serious complication that generally poses a high diagnostic challenge. This study focuses on PJI, a type of postoperative infection. X-ray examination is an imaging examination for suspected PJI patients that can evaluate joint prostheses and adjacent tissues, and detect the cause of pain. Laboratory examination data has high sensitivity and specificity and has significant potential in PJI diagnosis. In this study, we proposed a self-supervised masked autoencoder pre-training strategy and a multimodal fusion diagnostic network MED-NVC, which effectively implements the interaction between two modal features through the feature fusion network of CrossAttention. We tested our proposed method on our collected PJI dataset and evaluated its performance and feasibility through comparison and ablation experiments. The results showed that our method achieved an ACC of 94.71% and an AUC of 98.22%, which is better than the latest method and also reduces the number of parameters. Our proposed method has the potential to provide clinicians with a powerful tool for enhancing accuracy and efficiency.