Yu Fu

Yanyan Huang, Weiqin Zhao, Yihang Chen et al.

Whole slide image (WSI) analysis is gaining prominence within the medical imaging field. Recent advances in pathology foundation models have shown the potential to extract powerful feature representations from WSIs for downstream tasks. However, these foundation models are usually designed for general-purpose pathology image analysis and may not be optimal for specific downstream tasks or cancer types. In this work, we present Concept Anchor-guided Task-specific Feature Enhancement (CATE), an adaptable paradigm that can boost the expressivity and discriminativeness of pathology foundation models for specific downstream tasks. Based on a set of task-specific concepts derived from the pathology vision-language model with expert-designed prompts, we introduce two interconnected modules to dynamically calibrate the generic image features extracted by foundation models for certain tasks or cancer types. Specifically, we design a Concept-guided Information Bottleneck module to enhance task-relevant characteristics by maximizing the mutual information between image features and concept anchors while suppressing superfluous information. Moreover, a Concept-Feature Interference module is proposed to utilize the similarity between calibrated features and concept anchors to further generate discriminative task-specific features. The extensive experiments on public WSI datasets demonstrate that CATE significantly enhances the performance and generalizability of MIL models. Additionally, heatmap and umap visualization results also reveal the effectiveness and interpretability of CATE. The source code is available at https://github.com/HKU-MedAI/CATE.

Yu Fu, Shunjie Dong, Yi Liao et al.

18F-fluorodeoxyglucose (18F-FDG) Positron Emission Tomography (PET) imaging usually needs a full-dose radioactive tracer to obtain satisfactory diagnostic results, which raises concerns about the potential health risks of radiation exposure, especially for pediatric patients. Reconstructing the low-dose PET (L-PET) images to the high-quality full-dose PET (F-PET) ones is an effective way that both reduces the radiation exposure and remains diagnostic accuracy. In this paper, we propose a resource-efficient deep learning framework for L-PET reconstruction and analysis, referred to as transGAN-SDAM, to generate F-PET from corresponding L-PET, and quantify the standard uptake value ratios (SUVRs) of these generated F-PET at whole brain. The transGAN-SDAM consists of two modules: a transformer-encoded Generative Adversarial Network (transGAN) and a Spatial Deformable Aggregation Module (SDAM). The transGAN generates higher quality F-PET images, and then the SDAM integrates the spatial information of a sequence of generated F-PET slices to synthesize whole-brain F-PET images. Experimental results demonstrate the superiority and rationality of our approach.

Shunjie Dong, Qianqian Yang, Yu Fu et al.

The novel 2019 Coronavirus (COVID-19) infection has spread world widely and is currently a major healthcare challenge around the world. Chest Computed Tomography (CT) and X-ray images have been well recognized to be two effective techniques for clinical COVID-19 disease diagnoses. Due to faster imaging time and considerably lower cost than CT, detecting COVID-19 in chest X-ray (CXR) images is preferred for efficient diagnosis, assessment and treatment. However, considering the similarity between COVID-19 and pneumonia, CXR samples with deep features distributed near category boundaries are easily misclassified by the hyper-planes learned from limited training data. Moreover, most existing approaches for COVID-19 detection focus on the accuracy of prediction and overlook the uncertainty estimation, which is particularly important when dealing with noisy datasets. To alleviate these concerns, we propose a novel deep network named {\em RCoNet$^k_s$} for robust COVID-19 detection which employs {\em Deformable Mutual Information Maximization} (DeIM), {\em Mixed High-order Moment Feature} (MHMF) and {\em Multi-expert Uncertainty-aware Learning} (MUL). With DeIM, the mutual information (MI) between input data and the corresponding latent representations can be well estimated and maximized to capture compact and disentangled representational characteristics. Meanwhile, MHMF can fully explore the benefits of using high-order statistics and extract discriminative features of complex distributions in medical imaging. Finally, MUL creates multiple parallel dropout networks for each CXR image to evaluate uncertainty and thus prevent performance degradation caused by the noise in the data.