Yen-Wei Chen

Huimin Huang, Shiao Xie1, Lanfen Lin et al.

Recently, a variety of vision transformers have been developed as their capability of modeling long-range dependency. In current transformer-based backbones for medical image segmentation, convolutional layers were replaced with pure transformers, or transformers were added to the deepest encoder to learn global context. However, there are mainly two challenges in a scale-wise perspective: (1) intra-scale problem: the existing methods lacked in extracting local-global cues in each scale, which may impact the signal propagation of small objects; (2) inter-scale problem: the existing methods failed to explore distinctive information from multiple scales, which may hinder the representation learning from objects with widely variable size, shape and location. To address these limitations, we propose a novel backbone, namely ScaleFormer, with two appealing designs: (1) A scale-wise intra-scale transformer is designed to couple the CNN-based local features with the transformer-based global cues in each scale, where the row-wise and column-wise global dependencies can be extracted by a lightweight Dual-Axis MSA. (2) A simple and effective spatial-aware inter-scale transformer is designed to interact among consensual regions in multiple scales, which can highlight the cross-scale dependency and resolve the complex scale variations. Experimental results on different benchmarks demonstrate that our Scale-Former outperforms the current state-of-the-art methods. The code is publicly available at: https://github.com/ZJUGiveLab/ScaleFormer.

Hongyi Wang, Luyang Luo, Fang Wang et al.

Whole Slide Image (WSI) classification remains a challenge due to their extremely high resolution and the absence of fine-grained labels. Presently, WSI classification is usually regarded as a Multiple Instance Learning (MIL) problem when only slide-level labels are available. MIL methods involve a patch embedding module and a bag-level classification module, but they are prohibitively expensive to be trained in an end-to-end manner. Therefore, existing methods usually train them separately, or directly skip the training of the embedder. Such schemes hinder the patch embedder's access to slide-level semantic labels, resulting in inconsistency within the entire MIL pipeline. To overcome this issue, we propose a novel framework called Iteratively Coupled MIL (ICMIL), which bridges the loss back-propagation process from the bag-level classifier to the patch embedder. In ICMIL, we use category information in the bag-level classifier to guide the patch-level fine-tuning of the patch feature extractor. The refined embedder then generates better instance representations for achieving a more accurate bag-level classifier. By coupling the patch embedder and bag classifier at a low cost, our proposed framework enables information exchange between the two modules, benefiting the entire MIL classification model. We tested our framework on two datasets using three different backbones, and our experimental results demonstrate consistent performance improvements over state-of-the-art MIL methods. The code is available at: https://github.com/Dootmaan/ICMIL.

Shurong Chai, Rahul Kumar Jain, Shiyu Teng et al.

Recently, foundation models have been introduced demonstrating various tasks in the field of computer vision. These models such as Segment Anything Model (SAM) are generalized models trained using huge datasets. Currently, ongoing research focuses on exploring the effective utilization of these generalized models for specific domains, such as medical imaging. However, in medical imaging, the lack of training samples due to privacy concerns and other factors presents a major challenge for applying these generalized models to medical image segmentation task. To address this issue, the effective fine tuning of these models is crucial to ensure their optimal utilization. In this study, we propose to combine a complementary Convolutional Neural Network (CNN) along with the standard SAM network for medical image segmentation. To reduce the burden of fine tuning large foundation model and implement cost-efficient trainnig scheme, we focus only on fine-tuning the additional CNN network and SAM decoder part. This strategy significantly reduces trainnig time and achieves competitive results on publicly available dataset. The code is available at https://github.com/11yxk/SAM-LST.

Hao Sun, Hongyi Wang, Jiaqing Liu et al.

Multimodal sentiment analysis and depression estimation are two important research topics that aim to predict human mental states using multimodal data. Previous research has focused on developing effective fusion strategies for exchanging and integrating mind-related information from different modalities. Some MLP-based techniques have recently achieved considerable success in a variety of computer vision tasks. Inspired by this, we explore multimodal approaches with a feature-mixing perspective in this study. To this end, we introduce CubeMLP, a multimodal feature processing framework based entirely on MLP. CubeMLP consists of three independent MLP units, each of which has two affine transformations. CubeMLP accepts all relevant modality features as input and mixes them across three axes. After extracting the characteristics using CubeMLP, the mixed multimodal features are flattened for task predictions. Our experiments are conducted on sentiment analysis datasets: CMU-MOSI and CMU-MOSEI, and depression estimation dataset: AVEC2019. The results show that CubeMLP can achieve state-of-the-art performance with a much lower computing cost.

Shuyi Ouyang, Hongyi Wang, Ziwei Niu et al.

The task of multi-label image classification involves recognizing multiple objects within a single image. Considering both valuable semantic information contained in the labels and essential visual features presented in the image, tight visual-linguistic interactions play a vital role in improving classification performance. Moreover, given the potential variance in object size and appearance within a single image, attention to features of different scales can help to discover possible objects in the image. Recently, Transformer-based methods have achieved great success in multi-label image classification by leveraging the advantage of modeling long-range dependencies, but they have several limitations. Firstly, existing methods treat visual feature extraction and cross-modal fusion as separate steps, resulting in insufficient visual-linguistic alignment in the joint semantic space. Additionally, they only extract visual features and perform cross-modal fusion at a single scale, neglecting objects with different characteristics. To address these issues, we propose a Hierarchical Scale-Aware Vision-Language Transformer (HSVLT) with two appealing designs: (1)~A hierarchical multi-scale architecture that involves a Cross-Scale Aggregation module, which leverages joint multi-modal features extracted from multiple scales to recognize objects of varying sizes and appearances in images. (2)~Interactive Visual-Linguistic Attention, a novel attention mechanism module that tightly integrates cross-modal interaction, enabling the joint updating of visual, linguistic and multi-modal features. We have evaluated our method on three benchmark datasets. The experimental results demonstrate that HSVLT surpasses state-of-the-art methods with lower computational cost.

Hongyi Wang, Lanfen Lin, Hongjie Hu et al.

High resolution (HR) 3D images are widely used nowadays, such as medical images like Magnetic Resonance Imaging (MRI) and Computed Tomography (CT). However, segmentation of these 3D images remains a challenge due to their high spatial resolution and dimensionality in contrast to currently limited GPU memory. Therefore, most existing 3D image segmentation methods use patch-based models, which have low inference efficiency and ignore global contextual information. To address these problems, we propose a super-resolution (SR) based patch-free 3D image segmentation framework that can realize HR segmentation from a global-wise low-resolution (LR) input. The framework contains two sub-tasks, of which semantic segmentation is the main task and super resolution is an auxiliary task aiding in rebuilding the high frequency information from the LR input. To furthermore balance the information loss with the LR input, we propose a High-Frequency Guidance Module (HGM), and design an efficient selective cropping algorithm to crop an HR patch from the original image as restoration guidance for it. In addition, we also propose a Task-Fusion Module (TFM) to exploit the inter connections between segmentation and SR task, realizing joint optimization of the two tasks. When predicting, only the main segmentation task is needed, while other modules can be removed for acceleration. The experimental results on two different datasets show that our framework has a four times higher inference speed compared to traditional patch-based methods, while its performance also surpasses other patch-based and patch-free models.

Jiahua Dong, Yue Zhang, Qiuli Wang et al.

Medical image segmentation is crucial in the field of medical imaging, aiding in disease diagnosis and surgical planning. Most established segmentation methods rely on supervised deep learning, in which clean and precise labels are essential for supervision and significantly impact the performance of models. However, manually delineated labels often contain noise, such as missing labels and inaccurate boundary delineation, which can hinder networks from correctly modeling target characteristics. In this paper, we propose a deep self-cleansing segmentation framework that can preserve clean labels while cleansing noisy ones in the training phase. To achieve this, we devise a gaussian mixture model-based label filtering module that distinguishes noisy labels from clean labels. Additionally, we develop a label cleansing module to generate pseudo low-noise labels for identified noisy samples. The preserved clean labels and pseudo-labels are then used jointly to supervise the network. Validated on a clinical liver tumor dataset and a public cardiac diagnosis dataset, our method can effectively suppress the interference from noisy labels and achieve prominent segmentation performance.

Xiaoyu Shi, Shurong Chai, Yinhao Li et al.

According to the 2021 World Health Organization (WHO) Classification scheme for gliomas, glioma segmentation is a very important basis for diagnosis and genotype prediction. In general, 3D multimodal brain MRI is an effective diagnostic tool. In the past decade, there has been an increase in the use of machine learning, particularly deep learning, for medical images processing. Thanks to the development of foundation models, models pre-trained with large-scale datasets have achieved better results on a variety of tasks. However, for medical images with small dataset sizes, deep learning methods struggle to achieve better results on real-world image datasets. In this paper, we propose a cross-modality attention adapter based on multimodal fusion to fine-tune the foundation model to accomplish the task of glioma segmentation in multimodal MRI brain images with better results. The effectiveness of the proposed method is validated via our private glioma data set from the First Affiliated Hospital of Zhengzhou University (FHZU) in Zhengzhou, China. Our proposed method is superior to current state-of-the-art methods with a Dice of 88.38% and Hausdorff distance of 10.64, thereby exhibiting a 4% increase in Dice to segment the glioma region for glioma treatment.

Jiahua Dong, Guohua Cheng, Yue Zhang et al.

Multi-organ segmentation, which identifies and separates different organs in medical images, is a fundamental task in medical image analysis. Recently, the immense success of deep learning motivated its wide adoption in multi-organ segmentation tasks. However, due to expensive labor costs and expertise, the availability of multi-organ annotations is usually limited and hence poses a challenge in obtaining sufficient training data for deep learning-based methods. In this paper, we aim to address this issue by combining off-the-shelf single-organ segmentation models to develop a multi-organ segmentation model on the target dataset, which helps get rid of the dependence on annotated data for multi-organ segmentation. To this end, we propose a novel dual-stage method that consists of a Model Adaptation stage and a Model Ensemble stage. The first stage enhances the generalization of each off-the-shelf segmentation model on the target domain, while the second stage distills and integrates knowledge from multiple adapted single-organ segmentation models. Extensive experiments on four abdomen datasets demonstrate that our proposed method can effectively leverage off-the-shelf single-organ segmentation models to obtain a tailored model for multi-organ segmentation with high accuracy.

Yinao Li, Yutaro Iwamoto, Ryousuke Nakamura et al.

Recently, convolutional neural networks (CNN) have obtained promising results in single-image SR for hyperspectral pansharpening. However, enhancing CNNs' representation ability with fewer parameters and a shorter prediction time is a challenging and critical task. In this paper, we propose a novel multi-spectral image fusion method using a combination of the previously proposed 3D CNN model VolumeNet and 2.5D texture transfer method using other modality high resolution (HR) images. Since a multi-spectral (MS) image consists of several bands and each band is a 2D image slice, MS images can be seen as 3D data. Thus, we use the previously proposed VolumeNet to fuse HR panchromatic (PAN) images and bicubic interpolated MS images. Because the proposed 3D VolumeNet can effectively improve the accuracy by expanding the receptive field of the model, and due to its lightweight structure, we can achieve better performance against the existing method without purchasing a large number of remote sensing images for training. In addition, VolumeNet can restore the high-frequency information lost in the HR MR image as much as possible, reducing the difficulty of feature extraction in the following step: 2.5D texture transfer. As one of the latest technologies, deep learning-based texture transfer has been demonstrated to effectively and efficiently improve the visual performance and quality evaluation indicators of image reconstruction. Different from the texture transfer processing of RGB image, we use HR PAN images as the reference images and perform texture transfer for each frequency band of MS images, which is named 2.5D texture transfer. The experimental results show that the proposed method outperforms the existing methods in terms of objective accuracy assessment, method efficiency, and visual subjective evaluation.

Hongyi Wang, Xiuju Du, Jing Liu et al.

The advancement of Spatial Transcriptomics (ST) has facilitated the spatially-aware profiling of gene expressions based on histopathology images. Although ST data offers valuable insights into the micro-environment of tumors, its acquisition cost remains expensive. Therefore, directly predicting the ST expressions from digital pathology images is desired. Current methods usually adopt existing regression backbones along with patch-sampling for this task, which ignores the inherent multi-scale information embedded in the pyramidal data structure of digital pathology images, and wastes the inter-spot visual information crucial for accurate gene expression prediction. To address these limitations, we propose M2OST, a many-to-one regression Transformer that can accommodate the hierarchical structure of the pathology images via a decoupled multi-scale feature extractor. Unlike traditional models that are trained with one-to-one image-label pairs, M2OST uses multiple images from different levels of the digital pathology image to jointly predict the gene expressions in their common corresponding spot. Built upon our many-to-one scheme, M2OST can be easily scaled to fit different numbers of inputs, and its network structure inherently incorporates nearby inter-spot features, enhancing regression performance. We have tested M2OST on three public ST datasets and the experimental results show that M2OST can achieve state-of-the-art performance with fewer parameters and floating-point operations (FLOPs).

Shiyu Teng, Jiaqing Liu, Hao Sun et al.

Depression remains widely underdiagnosed and undertreated because stigma and subjective symptom ratings hinder reliable screening. To address this challenge, we propose a coarse-to-fine, multi-stage framework that leverages large language models (LLMs) for accurate and interpretable detection. The pipeline performs binary screening, five-class severity classification, and continuous regression. At each stage, an LLM produces progressively richer clinical summaries that guide a multimodal fusion module integrating text, audio, and video features, yielding predictions with transparent rationale. The system then consolidates all summaries into a concise, human-readable assessment report. Experiments on the E-DAIC and CMDC datasets show significant improvements over state-of-the-art baselines in both accuracy and interpretability.

Shuyi Ouyang, Jinyang Zhang, Xiangye Lin et al.

In clinical practice, segmenting specific lesions based on the needs of physicians can significantly enhance diagnostic accuracy and treatment efficiency. However, conventional lesion segmentation models lack the flexibility to distinguish lesions according to specific requirements. Given the practical advantages of using text as guidance, we propose a novel model, Language-guided Scale-aware MedSegmentor (LSMS), which segments target lesions in medical images based on given textual expressions. We define this as a new task termed Referring Lesion Segmentation (RLS). To address the lack of suitable benchmarks for RLS, we construct a vision-language medical dataset named Reference Hepatic Lesion Segmentation (RefHL-Seg). LSMS incorporates two key designs: (i) Scale-Aware Vision-Language attention module, which performs visual feature extraction and vision-language alignment in parallel. By leveraging diverse convolutional kernels, this module acquires rich visual representations and interacts closely with linguistic features, thereby enhancing the model's capacity for precise object localization. (ii) Full-Scale Decoder, which globally models multi-modal features across multiple scales and captures complementary information between them to accurately delineate lesion boundaries. Additionally, we design a specialized loss function comprising both segmentation loss and vision-language contrastive loss to better optimize cross-modal learning. We validate the performance of LSMS on RLS as well as on conventional lesion segmentation tasks across multiple datasets. Our LSMS consistently achieves superior performance with significantly lower computational cost. Code and datasets will be released.

Hao Sun, Yu Song, Jiaqing Liu et al.

Large-scale models have exhibited remarkable capabilities across diverse domains, including automated medical services and intelligent customer support. However, as most large models are trained on single-modality corpora, enabling them to effectively process and understand multimodal signals remains a significant challenge. Current research often focuses on designing task-specific or scenario-specific tuning strategies, which limits the scalability and versatility. To address this limitation, we propose a unified framework that concurrently handles multiple tasks and modalities. In this framework, all modalities and tasks are represented as unified tokens and trained using a single, consistent approach. To enable efficient multitask processing, we introduce a novel tuning strategy termed neural tuning, inspired by the concept of sparse distributed representation in the human brain, where only specific subsets of neurons are activated for each task. Furthermore, to advance research in multimodal and multitask learning, we present a new benchmark, MMUD, which includes samples annotated with multiple task labels spanning reasoning segmentation, referring segmentation, image captioning, and text-to-image generation. By applying neural tuning to pretrained large models on the MMUD benchmark, we demonstrate the ability to handle multiple tasks simultaneously in a streamlined and efficient manner. All models, code, and datasets will be released publicly upon publication, fostering further research and innovation in this field.

Ziwei Niu, Shuyi Ouyang, Shiao Xie et al.

Medical Image Analysis (MedIA) has emerged as a crucial tool in computer-aided diagnosis systems, particularly with the advancement of deep learning (DL) in recent years. However, well-trained deep models often experience significant performance degradation when deployed in different medical sites, modalities, and sequences, known as a domain shift issue. In light of this, Domain Generalization (DG) for MedIA aims to address the domain shift challenge by generalizing effectively and performing robustly across unknown data distributions. This paper presents the a comprehensive review of substantial developments in this area. First, we provide a formal definition of domain shift and domain generalization in medical field, and discuss several related settings. Subsequently, we summarize the recent methods from three viewpoints: data manipulation level, feature representation level, and model training level, and present some algorithms in detail for each viewpoints. Furthermore, we introduce the commonly used datasets. Finally, we summarize existing literature and present some potential research topics for the future. For this survey, we also created a GitHub project by collecting the supporting resources, at the link: https://github.com/Ziwei-Niu/DG_for_MedIA

Xin Hong, Xinze Sun, Yinhao Li et al.

Image generation can provide physicians with an imaging diagnosis basis in the prediction of Alzheimer's Disease (AD). Recent research has shown that long-term AD predictions by image generation often face difficulties maintaining disease-related characteristics when dealing with irregular time intervals in sequential data. Considering that the time-related aspects of the distribution can reflect changes in disease-related characteristics when images are distributed unevenly, this research proposes a model to estimate the temporal parameter within the Normal Inverse Gamma Distribution (T-NIG) to assist in generating images over the long term. The T-NIG model employs brain images from two different time points to create intermediate brain images, forecast future images, and predict the disease. T-NIG is designed by identifying features using coordinate neighborhoods. It incorporates a time parameter into the normal inverse gamma distribution to understand how features change in brain imaging sequences that have varying time intervals. Additionally, T-NIG utilizes uncertainty estimation to reduce both epistemic and aleatoric uncertainties in the model, which arise from insufficient temporal data. In particular, the T-NIG model demonstrates state-of-the-art performance in both short-term and long-term prediction tasks within the dataset. Experimental results indicate that T-NIG is proficient in forecasting disease progression while maintaining disease-related characteristics, even when faced with an irregular temporal data distribution.

Haoyang Hu, Masataka Seo, Yen-Wei Chen

Diffusion-based point editing methods have gained significant traction in image editing tasks due to their ability to manipulate image semantics and fine details by applying localized perturbations on the manifold of noise latent. However, these approaches face several limitations. Traditional point-based editing relies on pairs of handle and target points to define motion trajectories, which can introduce ambiguity or unnecessary alterations. Furthermore, when the distance between the handle and target points is large, the accumulated perturbations often cause the noise latent deviation from inversion score trajectory, resulting in unnatural artifacts. To address these issues in global editing tasks, we introduce a CLIP-based model to evaluate and guide intermediate editing steps, ensuring that the generated results remain both semantically aligned. Additionally, we propose a prior-preservation loss that constrains the optimized latent code to stay within the sampling space of the diffusion prior, improving consistency with the original data distribution, to ensure the model generates images along a familiar score trajectory. For fine-grained tasks, we present a directionally-weighted point tracking mechanism that steers the editing process toward the target direction within similar feature regions. This improves both the tracking accuracy and generation quality, while also reducing the editing time.

Shurong Chai, Rahul Kumar JAIN, Rui Xu et al.

Deep learning relies heavily on data augmentation to mitigate limited data, especially in medical imaging. Recent multimodal learning integrates text and images for segmentation, known as referring or text-guided image segmentation. However, common augmentations like rotation and flipping disrupt spatial alignment between image and text, weakening performance. To address this, we propose an early fusion framework that combines text and visual features before augmentation, preserving spatial consistency. We also design a lightweight generator that projects text embeddings into visual space, bridging semantic gaps. Visualization of generated pseudo-images shows accurate region localization. Our method is evaluated on three medical imaging tasks and four segmentation frameworks, achieving state-of-the-art results. Code is publicly available on GitHub: https://github.com/11yxk/MedSeg_EarlyFusion.

Xiaoyu Shi, Rahul Kumar Jain, Yinhao Li et al.

Deep learning has demonstrated remarkable success in medical image segmentation and computer-aided diagnosis. In particular, numerous advanced methods have achieved state-of-the-art performance in brain tumor segmentation from MRI scans. While recent studies in other medical imaging domains have revealed that integrating textual reports with visual data can enhance segmentation accuracy, the field of brain tumor analysis lacks a comprehensive dataset that combines radiological images with corresponding textual annotations. This limitation has hindered the exploration of multimodal approaches that leverage both imaging and textual data. To bridge this critical gap, we introduce the TextBraTS dataset, the first publicly available volume-level multimodal dataset that contains paired MRI volumes and rich textual annotations, derived from the widely adopted BraTS2020 benchmark. Building upon this novel dataset, we propose a novel baseline framework and sequential cross-attention method for text-guided volumetric medical image segmentation. Through extensive experiments with various text-image fusion strategies and templated text formulations, our approach demonstrates significant improvements in brain tumor segmentation accuracy, offering valuable insights into effective multimodal integration techniques. Our dataset, implementation code, and pre-trained models are publicly available at https://github.com/Jupitern52/TextBraTS.

Hongyi Wang, Xiuju Du, Jing Liu et al.

The advancement of Spatial Transcriptomics (ST) has facilitated the spatially-aware profiling of gene expressions based on histopathology images. Although ST data offers valuable insights into the micro-environment of tumors, its acquisition cost remains expensive. Therefore, directly predicting the ST expressions from digital pathology images is desired. Current methods usually adopt existing regression backbones for this task, which ignore the inherent multi-scale hierarchical data structure of digital pathology images. To address this limit, we propose M2ORT, a many-to-one regression Transformer that can accommodate the hierarchical structure of the pathology images through a decoupled multi-scale feature extractor. Different from traditional models that are trained with one-to-one image-label pairs, M2ORT accepts multiple pathology images of different magnifications at a time to jointly predict the gene expressions at their corresponding common ST spot, aiming at learning a many-to-one relationship through training. We have tested M2ORT on three public ST datasets and the experimental results show that M2ORT can achieve state-of-the-art performance with fewer parameters and floating-point operations (FLOPs). The code is available at: https://github.com/Dootmaan/M2ORT/.

Hongyi Wang, Shiao Xie, Lanfen Lin et al.

Though U-Net has achieved tremendous success in medical image segmentation tasks, it lacks the ability to explicitly model long-range dependencies. Therefore, Vision Transformers have emerged as alternative segmentation structures recently, for their innate ability of capturing long-range correlations through Self-Attention (SA). However, Transformers usually rely on large-scale pre-training and have high computational complexity. Furthermore, SA can only model self-affinities within a single sample, ignoring the potential correlations of the overall dataset. To address these problems, we propose a novel Transformer module named Mixed Transformer Module (MTM) for simultaneous inter- and intra- affinities learning. MTM first calculates self-affinities efficiently through our well-designed Local-Global Gaussian-Weighted Self-Attention (LGG-SA). Then, it mines inter-connections between data samples through External Attention (EA). By using MTM, we construct a U-shaped model named Mixed Transformer U-Net (MT-UNet) for accurate medical image segmentation. We test our method on two different public datasets, and the experimental results show that the proposed method achieves better performance over other state-of-the-art methods. The code is available at: https://github.com/Dootmaan/MT-UNet.

Huimin Huang, Lanfen Lin, Ruofeng Tong et al.

Recently, a growing interest has been seen in deep learning-based semantic segmentation. UNet, which is one of deep learning networks with an encoder-decoder architecture, is widely used in medical image segmentation. Combining multi-scale features is one of important factors for accurate segmentation. UNet++ was developed as a modified Unet by designing an architecture with nested and dense skip connections. However, it does not explore sufficient information from full scales and there is still a large room for improvement. In this paper, we propose a novel UNet 3+, which takes advantage of full-scale skip connections and deep supervisions. The full-scale skip connections incorporate low-level details with high-level semantics from feature maps in different scales; while the deep supervision learns hierarchical representations from the full-scale aggregated feature maps. The proposed method is especially benefiting for organs that appear at varying scales. In addition to accuracy improvements, the proposed UNet 3+ can reduce the network parameters to improve the computation efficiency. We further propose a hybrid loss function and devise a classification-guided module to enhance the organ boundary and reduce the over-segmentation in a non-organ image, yielding more accurate segmentation results. The effectiveness of the proposed method is demonstrated on two datasets. The code is available at: github.com/ZJUGiveLab/UNet-Version

Shiyu Teng, Jiaqing Liu, Rahul Kumar Jain et al.

Depression is one of the leading causes of disability worldwide, posing a severe burden on individuals, healthcare systems, and society at large. Recent advancements in Large Language Models (LLMs) have shown promise in addressing mental health challenges, including the detection of depression through text-based analysis. However, current LLM-based methods often struggle with nuanced symptom identification and lack a transparent, step-by-step reasoning process, making it difficult to accurately classify and explain mental health conditions. To address these challenges, we propose a Chain-of-Thought Prompting approach that enhances both the performance and interpretability of LLM-based depression detection. Our method breaks down the detection process into four stages: (1) sentiment analysis, (2) binary depression classification, (3) identification of underlying causes, and (4) assessment of severity. By guiding the model through these structured reasoning steps, we improve interpretability and reduce the risk of overlooking subtle clinical indicators. We validate our method on the E-DAIC dataset, where we test multiple state-of-the-art large language models. Experimental results indicate that our Chain-of-Thought Prompting technique yields superior performance in both classification accuracy and the granularity of diagnostic insights, compared to baseline approaches.

Mrinmay Sen, A. K. Qin, Gayathri C et al.

This paper introduces a new stochastic optimization method based on the regularized Fisher information matrix (FIM), named SOFIM, which can efficiently utilize the FIM to approximate the Hessian matrix for finding Newton's gradient update in large-scale stochastic optimization of machine learning models. It can be viewed as a variant of natural gradient descent, where the challenge of storing and calculating the full FIM is addressed through making use of the regularized FIM and directly finding the gradient update direction via Sherman-Morrison matrix inversion. Additionally, like the popular Adam method, SOFIM uses the first moment of the gradient to address the issue of non-stationary objectives across mini-batches due to heterogeneous data. The utilization of the regularized FIM and Sherman-Morrison matrix inversion leads to the improved convergence rate with the same space and time complexities as stochastic gradient descent (SGD) with momentum. The extensive experiments on training deep learning models using several benchmark image classification datasets demonstrate that the proposed SOFIM outperforms SGD with momentum and several state-of-the-art Newton optimization methods in term of the convergence speed for achieving the pre-specified objectives of training and test losses as well as test accuracy.

Xin Hong, Ying Shi, Yinhao Li et al.

The uncertainty of clinical examinations frequently leads to irregular observation intervals in longitudinal imaging data, posing challenges for modeling disease progression.Most existing imaging-based disease prediction models operate in Euclidean space, which assumes a flat representation of data and fails to fully capture the intrinsic continuity and nonlinear geometric structure of irregularly sampled longitudinal images. To address the challenge of modeling Alzheimers disease (AD) progression from irregularly sampled longitudinal structural Magnetic Resonance Imaging (sMRI) data, we propose a Riemannian manifold mapping, a Time-aware manifold Neural ordinary differential equation, and an Attention-based riemannian Gated recurrent unit (R-TNAG) framework. Our approach first projects features extracted from high-dimensional sMRI into a manifold space to preserve the intrinsic geometry of disease progression. On this representation, a time-aware Neural Ordinary Differential Equation (TNODE) models the continuous evolution of latent states between observations, while an Attention-based Riemannian Gated Recurrent Unit (ARGRU) adaptively integrates historical and current information to handle irregular intervals. This joint design improves temporal consistency and yields robust AD trajectory prediction under irregular sampling.Experimental results demonstrate that the proposed method consistently outperforms state-of-the-art models in both disease status prediction and cognitive score regression. Ablation studies verify the contributions of each module, highlighting their complementary roles in enhancing predictive accuracy. Moreover, the model exhibits stable performance across varying sequence lengths and missing data rates, indicating strong temporal generalizability. Cross-dataset validation further confirms its robustness and applicability in diverse clinical settings.

Ruibo Hou, Shiyu Teng, Jiaqing Liu et al.

Multimodal deep learning has shown promise in depression detection by integrating text, audio, and video signals. Recent work leverages sentiment analysis to enhance emotional understanding, yet suffers from high computational cost, domain mismatch, and static knowledge limitations. To address these issues, we propose a novel Retrieval-Augmented Generation (RAG) framework. Given a depression-related text, our method retrieves semantically relevant emotional content from a sentiment dataset and uses a Large Language Model (LLM) to generate an Emotion Prompt as an auxiliary modality. This prompt enriches emotional representation and improves interpretability. Experiments on the AVEC 2019 dataset show our approach achieves state-of-the-art performance with CCC of 0.593 and MAE of 3.95, surpassing previous transfer learning and multi-task learning baselines.

Hongyi Wang, Zhengjie Zhu, Jiabo Ma et al.

The rapid digitization of histopathology slides has opened up new possibilities for computational tools in clinical and research workflows. Among these, content-based slide retrieval stands out, enabling pathologists to identify morphologically and semantically similar cases, thereby supporting precise diagnoses, enhancing consistency across observers, and assisting example-based education. However, effective retrieval of whole slide images (WSIs) remains challenging due to their gigapixel scale and the difficulty of capturing subtle semantic differences amid abundant irrelevant content. To overcome these challenges, we present PathSearch, a retrieval framework that unifies fine-grained attentive mosaic representations with global-wise slide embeddings aligned through vision-language contrastive learning. Trained on a corpus of 6,926 slide-report pairs, PathSearch captures both fine-grained morphological cues and high-level semantic patterns to enable accurate and flexible retrieval. The framework supports two key functionalities: (1) mosaic-based image-to-image retrieval, ensuring accurate and efficient slide research; and (2) multi-modal retrieval, where text queries can directly retrieve relevant slides. PathSearch was rigorously evaluated on four public pathology datasets and three in-house cohorts, covering tasks including anatomical site retrieval, tumor subtyping, tumor vs. non-tumor discrimination, and grading across diverse organs such as breast, lung, kidney, liver, and stomach. External results show that PathSearch outperforms traditional image-to-image retrieval frameworks. A multi-center reader study further demonstrates that PathSearch improves diagnostic accuracy, boosts confidence, and enhances inter-observer agreement among pathologists in real clinical scenarios. These results establish PathSearch as a scalable and generalizable retrieval solution for digital pathology.

Xinyao Yu, Hao Sun, Zeyu Ling et al.

In recent years, large-scale pre-trained multimodal models (LMMs) generally emerge to integrate the vision and language modalities, achieving considerable success in multimodal tasks, such as text-image classification. The growing size of LMMs, however, results in a significant computational cost for fine-tuning these models for downstream tasks. Hence, prompt-based interaction strategy is studied to align modalities more efficiently. In this context, we propose a novel efficient prompt-based multimodal interaction strategy, namely Efficient Prompt Interaction for text-image Classification (EPIC). Specifically, we utilize temporal prompts on intermediate layers, and integrate different modalities with similarity-based prompt interaction, to leverage sufficient information exchange between modalities. Utilizing this approach, our method achieves reduced computational resource consumption and fewer trainable parameters (about 1\% of the foundation model) compared to other fine-tuning strategies. Furthermore, it demonstrates superior performance on the UPMC-Food101 and SNLI-VE datasets, while achieving comparable performance on the MM-IMDB dataset.

Yu Song, Tatsuaki Goh, Yinhao Li et al.

Arabidopsis is a widely used model plant to gain basic knowledge on plant physiology and development. Live imaging is an important technique to visualize and quantify elemental processes in plant development. To uncover novel theories underlying plant growth and cell division, accurate cell tracking on live imaging is of utmost importance. The commonly used cell tracking software, TrackMate, adopts tracking-by-detection fashion, which applies Laplacian of Gaussian (LoG) for blob detection, and Linear Assignment Problem (LAP) tracker for tracking. However, they do not perform sufficiently when cells are densely arranged. To alleviate the problems mentioned above, we propose an accurate tracking method based on Genetic algorithm (GA) using knowledge of Arabidopsis root cellular patterns and spatial relationship among volumes. Our method can be described as a coarse-to-fine method, in which we first conducted relatively easy line-level tracking of cell nuclei, then performed complicated nuclear tracking based on known linear arrangement of cell files and their spatial relationship between nuclei. Our method has been evaluated on a long-time live imaging dataset of Arabidopsis root tips, and with minor manual rectification, it accurately tracks nuclei. To the best of our knowledge, this research represents the first successful attempt to address a long-standing problem in the field of time-lapse microscopy in the root meristem by proposing an accurate tracking method for Arabidopsis root nuclei.

Shiao Xie, Hongyi Wang, Ziwei Niu et al.

Semi-supervised learning (SSL) for medical image segmentation is a challenging yet highly practical task, which reduces reliance on large-scale labeled dataset by leveraging unlabeled samples. Among SSL techniques, the weak-to-strong consistency framework, popularized by FixMatch, has emerged as a state-of-the-art method in classification tasks. Notably, such a simple pipeline has also shown competitive performance in medical image segmentation. However, two key limitations still persist, impeding its efficient adaptation: (1) the neglect of contextual dependencies results in inconsistent predictions for similar semantic features, leading to incomplete object segmentation; (2) the lack of exploitation of semantic similarity between labeled and unlabeled data induces considerable class-distribution discrepancy. To address these limitations, we propose a novel semi-supervised framework based on FixMatch, named SemSim, powered by two appealing designs from semantic similarity perspective: (1) rectifying pixel-wise prediction by reasoning about the intra-image pair-wise affinity map, thus integrating contextual dependencies explicitly into the final prediction; (2) bridging labeled and unlabeled data via a feature querying mechanism for compact class representation learning, which fully considers cross-image anatomical similarities. As the reliable semantic similarity extraction depends on robust features, we further introduce an effective spatial-aware fusion module (SFM) to explore distinctive information from multiple scales. Extensive experiments show that SemSim yields consistent improvements over the state-of-the-art methods across three public segmentation benchmarks.

Xinyao Yu, Hao Sun, Ziwei Niu et al.

In recent years, large-scale pre-trained multimodal models (LMM) generally emerge to integrate the vision and language modalities, achieving considerable success in various natural language processing and computer vision tasks. The growing size of LMMs, however, results in a significant computational cost for fine-tuning these models for downstream tasks. Hence, prompt-based interaction strategy is studied to align modalities more efficiently. In this contex, we propose a novel prompt-based multimodal interaction strategy inspired by human memory strategy, namely Memory-Inspired Temporal Prompt Interaction (MITP). Our proposed method involves in two stages as in human memory strategy: the acquiring stage, and the consolidation and activation stage. We utilize temporal prompts on intermediate layers to imitate the acquiring stage, leverage similarity-based prompt interaction to imitate memory consolidation, and employ prompt generation strategy to imitate memory activation. The main strength of our paper is that we interact the prompt vectors on intermediate layers to leverage sufficient information exchange between modalities, with compressed trainable parameters and memory usage. We achieve competitive results on several datasets with relatively small memory usage and 2.0M of trainable parameters (about 1% of the pre-trained foundation model).

Xu Ma, Junkun Yuan, Yen-wei Chen et al.

Unsupervised domain adaptation (UDA) aims to learn transferable knowledge from a labeled source domain and adapts a trained model to an unlabeled target domain. To bridge the gap between source and target domains, one prevailing strategy is to minimize the distribution discrepancy by aligning their semantic features extracted by deep models. The existing alignment-based methods mainly focus on reducing domain divergence in the same model layer. However, the same level of semantic information could distribute across model layers due to the domain shifts. To further boost model adaptation performance, we propose a novel method called Attention-based Cross-layer Domain Alignment (ACDA), which captures the semantic relationship between the source and target domains across model layers and calibrates each level of semantic information automatically through a dynamic attention mechanism. An elaborate attention mechanism is designed to reweight each cross-layer pair based on their semantic similarity for precise domain alignment, effectively matching each level of semantic information during model adaptation. Extensive experiments on multiple benchmark datasets consistently show that the proposed method ACDA yields state-of-the-art performance.

Yue Zhang, Chengtao Peng, Liying Peng et al.

Multi-phase computed tomography (CT) images provide crucial complementary information for accurate liver tumor segmentation (LiTS). State-of-the-art multi-phase LiTS methods usually fused cross-phase features through phase-weighted summation or channel-attention based concatenation. However, these methods ignored the spatial (pixel-wise) relationships between different phases, hence leading to insufficient feature integration. In addition, the performance of existing methods remains subject to the uncertainty in segmentation, which is particularly acute in tumor boundary regions. In this work, we propose a novel LiTS method to adequately aggregate multi-phase information and refine uncertain region segmentation. To this end, we introduce a spatial aggregation module (SAM), which encourages per-pixel interactions between different phases, to make full use of cross-phase information. Moreover, we devise an uncertain region inpainting module (URIM) to refine uncertain pixels using neighboring discriminative features. Experiments on an in-house multi-phase CT dataset of focal liver lesions (MPCT-FLLs) demonstrate that our method achieves promising liver tumor segmentation and outperforms state-of-the-arts.

Panyanat Aonpong, Yutaro Iwamoto, Xian-Hua Han et al.

Non-small cell lung cancer (NSCLC) is a serious disease and has a high recurrence rate after the surgery. Recently, many machine learning methods have been proposed for recurrence prediction. The methods using gene data have high prediction accuracy but require high cost. Although the radiomics signatures using only CT image are not expensive, its accuracy is relatively low. In this paper, we propose a genotype-guided radiomics method (GGR) for obtaining high prediction accuracy with low cost. We used a public radiogenomics dataset of NSCLC, which includes CT images and gene data. The proposed method is a two-step method, which consists of two models. The first model is a gene estimation model, which is used to estimate the gene expression from radiomics features and deep features extracted from computer tomography (CT) image. The second model is used to predict the recurrence using the estimated gene expression data. The proposed GGR method designed based on hybrid features which is combination of handcrafted-based and deep learning-based. The experiments demonstrated that the prediction accuracy can be improved significantly from 78.61% (existing radiomics method) and 79.14% (deep learning method) to 83.28% by the proposed GGR.

Huimin Huang, Ming Cai, Lanfen Lin et al.

Coronavirus Disease 2019 (COVID-19) has rapidly spread in 2020, emerging a mass of studies for lung infection segmentation from CT images. Though many methods have been proposed for this issue, it is a challenging task because of infections of various size appearing in different lobe zones. To tackle these issues, we propose a Graph-based Pyramid Global Context Reasoning (Graph-PGCR) module, which is capable of modeling long-range dependencies among disjoint infections as well as adapt size variation. We first incorporate graph convolution to exploit long-term contextual information from multiple lobe zones. Different from previous average pooling or maximum object probability, we propose a saliency-aware projection mechanism to pick up infection-related pixels as a set of graph nodes. After graph reasoning, the relation-aware features are reversed back to the original coordinate space for the down-stream tasks. We further construct multiple graphs with different sampling rates to handle the size variation problem. To this end, distinct multi-scale long-range contextual patterns can be captured. Our Graph-PGCR module is plug-and-play, which can be integrated into any architecture to improve its performance. Experiments demonstrated that the proposed method consistently boost the performance of state-of-the-art backbone architectures on both of public and our private COVID-19 datasets.

Yingying Xu, Ming Cai, Lanfen Lin et al.

In this paper, we propose a phase attention residual network (PA-ResSeg) to model multi-phase features for accurate liver tumor segmentation, in which a phase attention (PA) is newly proposed to additionally exploit the images of arterial (ART) phase to facilitate the segmentation of portal venous (PV) phase. The PA block consists of an intra-phase attention (Intra-PA) module and an inter-phase attention (Inter-PA) module to capture channel-wise self-dependencies and cross-phase interdependencies, respectively. Thus it enables the network to learn more representative multi-phase features by refining the PV features according to the channel dependencies and recalibrating the ART features based on the learned interdependencies between phases. We propose a PA-based multi-scale fusion (MSF) architecture to embed the PA blocks in the network at multiple levels along the encoding path to fuse multi-scale features from multi-phase images. Moreover, a 3D boundary-enhanced loss (BE-loss) is proposed for training to make the network more sensitive to boundaries. To evaluate the performance of our proposed PA-ResSeg, we conducted experiments on a multi-phase CT dataset of focal liver lesions (MPCT-FLLs). Experimental results show the effectiveness of the proposed method by achieving a dice per case (DPC) of 0.77.87, a dice global (DG) of 0.8682, a volumetric overlap error (VOE) of 0.3328 and a relative volume difference (RVD) of 0.0443 on the MPCT-FLLs. Furthermore, to validate the effectiveness and robustness of PA-ResSeg, we conducted extra experiments on another multi-phase liver tumor dataset and obtained a DPC of 0.8290, a DG of 0.9132, a VOE of 0.2637 and a RVD of 0.0163. The proposed method shows its robustness and generalization capability in different datasets and different backbones.

Yinhao Li, Yutaro Iwamoto, Lanfen Lin et al.

Deep learning-based super-resolution (SR) techniques have generally achieved excellent performance in the computer vision field. Recently, it has been proven that three-dimensional (3D) SR for medical volumetric data delivers better visual results than conventional two-dimensional (2D) processing. However, deepening and widening 3D networks increases training difficulty significantly due to the large number of parameters and small number of training samples. Thus, we propose a 3D convolutional neural network (CNN) for SR of medical volumetric data called ParallelNet using parallel connections. We construct a parallel connection structure based on the group convolution and feature aggregation to build a 3D CNN that is as wide as possible with few parameters. As a result, the model thoroughly learns more feature maps with larger receptive fields. In addition, to further improve accuracy, we present an efficient version of ParallelNet (called VolumeNet), which reduces the number of parameters and deepens ParallelNet using a proposed lightweight building block module called the Queue module. Unlike most lightweight CNNs based on depthwise convolutions, the Queue module is primarily constructed using separable 2D cross-channel convolutions. As a result, the number of network parameters and computational complexity can be reduced significantly while maintaining accuracy due to full channel fusion. Experimental results demonstrate that the proposed VolumeNet significantly reduces the number of model parameters and achieves high precision results compared to state-of-the-art methods.

Yutaro Iwamoto, Kyohei Takeda, Yinhao Li et al.

Deep learning techniques have led to state-of-the-art image super resolution with natural images. Normally, pairs of high-resolution and low-resolution images are used to train the deep learning models. These techniques have also been applied to medical image super-resolution. The characteristics of medical images differ significantly from natural images in several ways. First, it is difficult to obtain high-resolution images for training in real clinical applications due to the limitations of imaging systems and clinical requirements. Second, other modal high-resolution images are available (e.g., high-resolution T1-weighted images are available for enhancing low-resolution T2-weighted images). In this paper, we propose an unsupervised image super-resolution technique based on simple prior knowledge of the human anatomy. This technique does not require target T2WI high-resolution images for training. Furthermore, we present a guided residual dense network, which incorporates a residual dense network with a guided deep convolutional neural network for enhancing the resolution of low-resolution images by referring to different modal high-resolution images of the same subject. Experiments on a publicly available brain MRI database showed that our proposed method achieves better performance than the state-of-the-art methods.

Titinunt Kitrungrotsakul, Iwamoto Yutaro, Lanfen Lin et al.

Deep learning techniques have successfully been employed in numerous computer vision tasks including image segmentation. The techniques have also been applied to medical image segmentation, one of the most critical tasks in computer-aided diagnosis. Compared with natural images, the medical image is a gray-scale image with low-contrast (even with some invisible parts). Because some organs have similar intensity and texture with neighboring organs, there is usually a need to refine automatic segmentation results. In this paper, we propose an interactive deep refinement framework to improve the traditional semantic segmentation networks such as U-Net and fully convolutional network. In the proposed framework, we added a refinement network to traditional segmentation network to refine the segmentation results.Experimental results with public dataset revealed that the proposed method could achieve higher accuracy than other state-of-the-art methods.

Rui Xu, Tiantian Liu, Xinchen Ye et al.

Many deep learning based methods have been proposed for retinal vessel segmentation, however few of them focus on the connectivity of segmented vessels, which is quite important for a practical computer-aided diagnosis system on retinal images. In this paper, we propose an efficient network to address this problem. A U-shape network is enhanced by introducing a semantics-guided module, which integrates the enriched semantics information to shallow layers for guiding the network to explore more powerful features. Besides, a recursive refinement iteratively applies the same network over the previous segmentation results for progressively boosting the performance while increasing no extra network parameters. The carefully designed recursive semantics-guided network has been extensively evaluated on several public datasets. Experimental results have shown the efficiency of the proposed method.

Titinunt Kitrungrotsakul, Xian-Hau Han, Yutaro Iwamoto et al.

In recent years, intravital skin imaging has been increasingly used in mammalian skin research to investigate cell behaviors. A fundamental step of the investigation is mitotic cell (cell division) detection. Because of the complex backgrounds (normal cells), the majority of the existing methods cause several false positives. In this paper, we proposed a 2.5D cascaded end-to-end convolutional neural network (CasDetNet) with temporal information to accurately detect automatic mitotic cell in 4D microscopic images with few training data. The CasDetNet consists of two 2.5D networks. The first one is used for detecting candidate cells with only volume information and the second one, containing temporal information, for reducing false positive and adding mitotic cells that were missed in the first step. The experimental results show that our CasDetNet can achieve higher precision and recall compared to other state-of-the-art methods.