Wenbo Xiao

Ruxue Wen, Hangjie Yuan, Dong Ni et al.

In medical image segmentation, domain generalization poses a significant challenge due to domain shifts caused by variations in data acquisition devices and other factors. These shifts are particularly pronounced in the most common scenario, which involves only single-source domain data due to privacy concerns. To address this, we draw inspiration from the self-supervised learning paradigm that effectively discourages overfitting to the source domain. We propose the Denoising Y-Net (DeY-Net), a novel approach incorporating an auxiliary denoising decoder into the basic U-Net architecture. The auxiliary decoder aims to perform denoising training, augmenting the domain-invariant representation that facilitates domain generalization. Furthermore, this paradigm provides the potential to utilize unlabeled data. Building upon denoising training, we propose Denoising Test Time Adaptation (DeTTA) that further: (i) adapts the model to the target domain in a sample-wise manner, and (ii) adapts to the noise-corrupted input. Extensive experiments conducted on widely-adopted liver segmentation benchmarks demonstrate significant domain generalization improvements over our baseline and state-of-the-art results compared to other methods. Code is available at https://github.com/WenRuxue/DeTTA.

Zhuhao Wang, Fang Chen, Chaohui Yu et al.

CT interpretation requires radiologists to review hundreds of volumetric slices per examination, making reporting time-consuming and highly expertise-dependent. Automated CT report generation offers a promising route to improving clinical efficiency, yet the field still lacks a generalizable CT report generation foundation model that supports multi-region reporting and remains robust across external real-world cohorts. Intrinsic inconsistencies in reporting style and diagnostic terminology across cohorts make naive joint training prone to noisy textual supervision, thereby limiting model generalizability. Here we present Astra, a generalizable CT report generation foundation model trained on 90,678 thoracoabdominal CT-report pairs (CTRgDB) with 353,671 abnormalities spanning eight organ systems. By harmonizing report style and further refining diagnostic consistency via reinforcement learning, Astra achieves style-consistent and diagnostically accurate report generation across diverse anatomical regions and institutions. Evaluating on CTRgDB and six external cohorts, Astra achieves state-of-the-art performance with a 44.1% average improvement in fine-grained diagnostic metrics (P<0.001). In real-world clinical workflows, Astra assistance accelerates chest report drafting by 29.6% and improves abdominal report completeness by 11.3% (P<0.001). Furthermore, Astra also demonstrates broad utility as a foundation for CT AI development, improving downstream diagnostic performance and scaling vision-language pretrain through high-quality report synthesis. Overall, Astra serves as a broadly accessible clinical assistant and a pivotal infrastructure for the next generation of AI-powered healthcare.

Wenbo Xiao, Qiannan Han, Gang Shu et al.

Accurate body dimension and weight measurements are critical for optimizing poultry management, health assessment, and economic efficiency. This study introduces an innovative deep learning-based model leveraging multimodal data-2D RGB images from different views, depth images, and 3D point clouds-for the non-invasive estimation of duck body dimensions and weight. A dataset of 1,023 Linwu ducks, comprising over 5,000 samples with diverse postures and conditions, was collected to support model training. The proposed method innovatively employs PointNet++ to extract key feature points from point clouds, extracts and computes corresponding 3D geometric features, and fuses them with multi-view convolutional 2D features. A Transformer encoder is then utilized to capture long-range dependencies and refine feature interactions, thereby enhancing prediction robustness. The model achieved a mean absolute percentage error (MAPE) of 6.33% and an R2 of 0.953 across eight morphometric parameters, demonstrating strong predictive capability. Unlike conventional manual measurements, the proposed model enables high-precision estimation while eliminating the necessity for physical handling, thereby reducing animal stress and broadening its application scope. This study marks the first application of deep learning techniques to poultry body dimension and weight estimation, providing a valuable reference for the intelligent and precise management of the livestock industry with far-reaching practical significance.

Xin Zhong, Weiwei Ling, Kejia Pan et al.

Traditional three-dimensional magnetotelluric (MT) numerical forward modeling methods, such as the finite element method (FEM) and finite volume method (FVM), suffer from high computational costs and low efficiency due to limitations in mesh refinement and computational resources. We propose a novel neural network architecture named MTAGU-Net, which integrates an attention gating mechanism for 3D MT forward modeling. Specifically, a dual-path attention gating module is designed based on forward response data images and embedded in the skip connections between the encoder and decoder. This module enables the fusion of critical anomaly information from shallow feature maps during the decoding of deep feature maps, significantly enhancing the network's capability to extract features from anomalous regions. Furthermore, we introduce a synthetic model generation method utilizing 3D Gaussian random field (GRF), which accurately replicates the electrical structures of real-world geological scenarios with high fidelity. Numerical experiments demonstrate that MTAGU-Net outperforms conventional 3D U-Net in terms of convergence stability and prediction accuracy, with the structural similarity index (SSIM) of the forward response data consistently exceeding 0.98. Moreover, the network can accurately predict forward response data on previously unseen datasets models, demonstrating its strong generalization ability and validating the feasibility and effectiveness of this method in practical applications.

Wenbo Xiao, Zhihao Xu, Guiping Liang et al.

Semi-supervised medical image segmentation aims to leverage minimal expert annotations, yet remains confronted by challenges in maintaining high-quality consistency learning. Excessive perturbations can degrade alignment and hinder precise decision boundaries, especially in regions with uncertain predictions. In this paper, we introduce Confidence-Aware Adaptive Displacement (CAD), a framework that selectively identifies and replaces the largest low-confidence regions with high-confidence patches. By dynamically adjusting both the maximum allowable replacement size and the confidence threshold throughout training, CAD progressively refines the segmentation quality without overwhelming the learning process. Experimental results on public medical datasets demonstrate that CAD effectively enhances segmentation quality, establishing new state-of-the-art accuracy in this field. The source code will be released after the paper is published.

Yujian Hu, Yilang Xiang, Yan-Jie Zhou et al.

The accurate and timely diagnosis of acute aortic syndromes (AAS) in patients presenting with acute chest pain remains a clinical challenge. Aortic CT angiography (CTA) is the imaging protocol of choice in patients with suspected AAS. However, due to economic and workflow constraints in China, the majority of suspected patients initially undergo non-contrast CT as the initial imaging testing, and CTA is reserved for those at higher risk. In this work, we present an artificial intelligence-based warning system, iAorta, using non-contrast CT for AAS identification in China, which demonstrates remarkably high accuracy and provides clinicians with interpretable warnings. iAorta was evaluated through a comprehensive step-wise study. In the multi-center retrospective study (n = 20,750), iAorta achieved a mean area under the receiver operating curve (AUC) of 0.958 (95% CI 0.950-0.967). In the large-scale real-world study (n = 137,525), iAorta demonstrated consistently high performance across various non-contrast CT protocols, achieving a sensitivity of 0.913-0.942 and a specificity of 0.991-0.993. In the prospective comparative study (n = 13,846), iAorta demonstrated the capability to significantly shorten the time to correct diagnostic pathway. For the prospective pilot deployment that we conducted, iAorta correctly identified 21 out of 22 patients with AAS among 15,584 consecutive patients presenting with acute chest pain and under non-contrast CT protocol in the emergency department (ED) and enabled the average diagnostic time of these 21 AAS positive patients to be 102.1 (75-133) mins. Last, the iAorta can help avoid delayed or missed diagnosis of AAS in settings where non-contrast CT remains the unavoidable the initial or only imaging test in resource-constrained regions and in patients who cannot or did not receive intravenous contrast.

Chuanfei Hu, Tianyi Xia, Ying Cui et al.

Multi-phase liver contrast-enhanced computed tomography (CECT) images convey the complementary multi-phase information for liver tumor segmentation (LiTS), which are crucial to assist the diagnosis of liver cancer clinically. However, the performances of existing multi-phase liver tumor segmentation (MPLiTS)-based methods suffer from redundancy and weak interpretability, % of the fused result, resulting in the implicit unreliability of clinical applications. In this paper, we propose a novel trustworthy multi-phase liver tumor segmentation (TMPLiTS), which is a unified framework jointly conducting segmentation and uncertainty estimation. The trustworthy results could assist the clinicians to make a reliable diagnosis. Specifically, Dempster-Shafer Evidence Theory (DST) is introduced to parameterize the segmentation and uncertainty as evidence following Dirichlet distribution. The reliability of segmentation results among multi-phase CECT images is quantified explicitly. Meanwhile, a multi-expert mixture scheme (MEMS) is proposed to fuse the multi-phase evidences, which can guarantee the effect of fusion procedure based on theoretical analysis. Experimental results demonstrate the superiority of TMPLiTS compared with the state-of-the-art methods. Meanwhile, the robustness of TMPLiTS is verified, where the reliable performance can be guaranteed against the perturbations.