Yingkai Wang

Linjie Fu, Xia Li, Xiuding Cai et al.

Radiation therapy serves as an effective and standard method for cancer treatment. Excellent radiation therapy plans always rely on high-quality dose distribution maps obtained through repeated trial and error by experienced experts. However, due to individual differences and complex clinical situations, even seasoned expert teams may need help to achieve the best treatment plan every time quickly. Many automatic dose distribution prediction methods have been proposed recently to accelerate the radiation therapy planning process and have achieved good results. However, these results suffer from over-smoothing issues, with the obtained dose distribution maps needing more high-frequency details, limiting their clinical application. To address these limitations, we propose a dose prediction diffusion model based on SwinTransformer and a projector, SP-DiffDose. To capture the direct correlation between anatomical structure and dose distribution maps, SP-DiffDose uses a structural encoder to extract features from anatomical images, then employs a conditional diffusion process to blend noise and anatomical images at multiple scales and gradually map them to dose distribution maps. To enhance the dose prediction distribution for organs at risk, SP-DiffDose utilizes SwinTransformer in the deeper layers of the network to capture features at different scales in the image. To learn good representations from the fused features, SP-DiffDose passes the fused features through a designed projector, improving dose prediction accuracy. Finally, we evaluate SP-DiffDose on an internal dataset. The results show that SP-DiffDose outperforms existing methods on multiple evaluation metrics, demonstrating the superiority and generalizability of our method.

Yingkai Wang, Yaoyao Zhu, Xiuding Cai et al.

Medical image segmentation plays a crucial role in clinical workflows, but domain shift often leads to performance degradation when models are applied to unseen clinical domains. This challenge arises due to variations in imaging conditions, scanner types, and acquisition protocols, limiting the practical deployment of segmentation models. Unlike natural images, medical images typically exhibit consistent anatomical structures across patients, with domain-specific variations mainly caused by imaging conditions. This unique characteristic makes medical image segmentation particularly challenging. To address this challenge, we propose a domain generalization framework tailored for medical image segmentation. Our approach improves robustness to domain-specific variations by introducing implicit feature perturbations guided by domain statistics. Specifically, we employ a learnable semantic direction selector and a covariance-based semantic intensity sampler to modulate domain-variant features while preserving task-relevant anatomical consistency. Furthermore, we design an adaptive consistency constraint that is selectively applied only when feature adjustment leads to degraded segmentation performance. This constraint encourages the adjusted features to align with the original predictions, thereby stabilizing feature selection and improving the reliability of the segmentation. Extensive experiments on two public multi-center benchmarks show that our framework consistently outperforms existing domain generalization approaches, achieving robust and generalizable segmentation performance across diverse clinical domains.