Xiaoying Tang

Junyan Lyu, Yiqi Zhang, Yijin Huang et al.

Convolutional neural networks have been widely applied to medical image segmentation and have achieved considerable performance. However, the performance may be significantly affected by the domain gap between training data (source domain) and testing data (target domain). To address this issue, we propose a data manipulation based domain generalization method, called Automated Augmentation for Domain Generalization (AADG). Our AADG framework can effectively sample data augmentation policies that generate novel domains and diversify the training set from an appropriate search space. Specifically, we introduce a novel proxy task maximizing the diversity among multiple augmented novel domains as measured by the Sinkhorn distance in a unit sphere space, making automated augmentation tractable. Adversarial training and deep reinforcement learning are employed to efficiently search the objectives. Quantitative and qualitative experiments on 11 publicly-accessible fundus image datasets (four for retinal vessel segmentation, four for optic disc and cup (OD/OC) segmentation and three for retinal lesion segmentation) are comprehensively performed. Two OCTA datasets for retinal vasculature segmentation are further involved to validate cross-modality generalization. Our proposed AADG exhibits state-of-the-art generalization performance and outperforms existing approaches by considerable margins on retinal vessel, OD/OC and lesion segmentation tasks. The learned policies are empirically validated to be model-agnostic and can transfer well to other models. The source code is available at https://github.com/CRazorback/AADG.

Linfeng Liu, Junyan Lyu, Siyu Liu et al.

The prediction of mild cognitive impairment (MCI) conversion to Alzheimer's disease (AD) is important for early treatment to prevent or slow the progression of AD. To accurately predict the MCI conversion to stable MCI or progressive MCI, we propose Triformer, a novel transformer-based framework with three specialized transformers to incorporate multi-model data. Triformer uses I) an image transformer to extract multi-view image features from medical scans, II) a clinical transformer to embed and correlate multi-modal clinical data, and III) a modality fusion transformer that produces an accurate prediction based on fusing the outputs from the image and clinical transformers. Triformer is evaluated on the Alzheimer's Disease Neuroimaging Initiative (ANDI)1 and ADNI2 datasets and outperforms previous state-of-the-art single and multi-modal methods.

Sirui Li, Li Lin, Yijin Huang et al.

In medical contexts, the imbalanced data distribution in long-tailed datasets, due to scarce labels for rare diseases, greatly impairs the diagnostic accuracy of deep learning models. Recent multimodal text-image supervised foundation models offer new solutions to data scarcity through effective representation learning. However, their limited medical-specific pretraining hinders their performance in medical image classification relative to natural images. To address this issue, we propose a novel Text-guided Foundation model Adaptation for Long-Tailed medical image classification (TFA-LT). We adopt a two-stage training strategy, integrating representations from the foundation model using just two linear adapters and a single ensembler for balanced outcomes. Experimental results on two long-tailed medical image datasets validate the simplicity, lightweight and efficiency of our approach: requiring only 6.1% GPU memory usage of the current best-performing algorithm, our method achieves an accuracy improvement of up to 27.1%, highlighting the substantial potential of foundation model adaptation in this area.

Jin Lyu, Tianyi Zhu, Yi Gu et al.

Quantitative analysis of animal behavior and biomechanics requires accurate animal pose and shape estimation across species, and is important for animal welfare and biological research. However, the small network capacity of previous methods and limited multi-species dataset leave this problem underexplored. To this end, this paper presents AniMer to estimate animal pose and shape using family aware Transformer, enhancing the reconstruction accuracy of diverse quadrupedal families. A key insight of AniMer is its integration of a high-capacity Transformer-based backbone and an animal family supervised contrastive learning scheme, unifying the discriminative understanding of various quadrupedal shapes within a single framework. For effective training, we aggregate most available open-sourced quadrupedal datasets, either with 3D or 2D labels. To improve the diversity of 3D labeled data, we introduce CtrlAni3D, a novel large-scale synthetic dataset created through a new diffusion-based conditional image generation pipeline. CtrlAni3D consists of about 10k images with pixel-aligned SMAL labels. In total, we obtain 41.3k annotated images for training and validation. Consequently, the combination of a family aware Transformer network and an expansive dataset enables AniMer to outperform existing methods not only on 3D datasets like Animal3D and CtrlAni3D, but also on out-of-distribution Animal Kingdom dataset. Ablation studies further demonstrate the effectiveness of our network design and CtrlAni3D in enhancing the performance of AniMer for in-the-wild applications. The project page of AniMer is https://luoxue-star.github.io/AniMer_project_page/.

Huaqing He, Li Lin, Zhiyuan Cai et al.

Deep learning-based image segmentation and detection models have largely improved the efficiency of analyzing retinal landmarks such as optic disc (OD), optic cup (OC), and fovea. However, factors including ophthalmic disease-related lesions and low image quality issues may severely complicate automatic OD/OC segmentation and fovea detection. Most existing works treat the identification of each landmark as a single task, and take into account no prior information. To address these issues, we propose a prior guided multi-task transformer framework for joint OD/OC segmentation and fovea detection, named JOINEDTrans. JOINEDTrans effectively combines various spatial features of the fundus images, relieving the structural distortions induced by lesions and other imaging issues. It contains a segmentation branch and a detection branch. To be noted, we employ an encoder pretrained in a vessel segmentation task to effectively exploit the positional relationship among vessel, OD/OC, and fovea, successfully incorporating spatial prior into the proposed JOINEDTrans framework. There are a coarse stage and a fine stage in JOINEDTrans. In the coarse stage, OD/OC coarse segmentation and fovea heatmap localization are obtained through a joint segmentation and detection module. In the fine stage, we crop regions of interest for subsequent refinement and use predictions obtained in the coarse stage to provide additional information for better performance and faster convergence. Experimental results demonstrate that JOINEDTrans outperforms existing state-of-the-art methods on the publicly available GAMMA, REFUGE, and PALM fundus image datasets. We make our code available at https://github.com/HuaqingHe/JOINEDTrans

Pengyi Zhang, Yunxin Zhong, Xiaoying Tang et al.

Radiological image is currently adopted as the visual evidence for COVID-19 diagnosis in clinical. Using deep models to realize automated infection measurement and COVID-19 diagnosis is important for faster examination based on radiological imaging. Unfortunately, collecting large training data systematically in the early stage is difficult. To address this problem, we explore the feasibility of learning deep models for COVID-19 diagnosis from a single radiological image by resorting to synthesizing diverse radiological images. Specifically, we propose a novel conditional generative model, called CoSinGAN, which can be learned from a single radiological image with a given condition, i.e., the annotations of the lung and COVID-19 infection. Our CoSinGAN is able to capture the conditional distribution of visual finds of COVID-19 infection, and further synthesize diverse and high-resolution radiological images that match the input conditions precisely. Both deep classification and segmentation networks trained on synthesized samples from CoSinGAN achieve notable detection accuracy of COVID-19 infection. Such results are significantly better than the counterparts trained on the same extremely small number of real samples (1 or 2 real samples) by using strong data augmentation, and approximate to the counterparts trained on large dataset (2846 real images). It confirms our method can significantly reduce the performance gap between deep models trained on extremely small dataset and on large dataset, and thus has the potential to realize learning COVID-19 diagnosis from few radiological images in the early stage of COVID-19 pandemic. Our codes are made publicly available at https://github.com/PengyiZhang/CoSinGAN.

Pengyi Zhang, Yunxin Zhong, Yulin Deng et al.

The success of deep learning has been witnessed as a promising technique for computer-aided biomedical image analysis, due to end-to-end learning framework and availability of large-scale labelled samples. However, in many cases of biomedical image analysis, deep learning techniques suffer from the small sample learning (SSL) dilemma caused mainly by lack of annotations. To be more practical for biomedical image analysis, in this paper we survey the key SSL techniques that help relieve the suffering of deep learning by combining with the development of related techniques in computer vision applications. In order to accelerate the clinical usage of biomedical image analysis based on deep learning techniques, we intentionally expand this survey to include the explanation methods for deep models that are important to clinical decision making. We survey the key SSL techniques by dividing them into five categories: (1) explanation techniques, (2) weakly supervised learning techniques, (3) transfer learning techniques, (4) active learning techniques, and (5) miscellaneous techniques involving data augmentation, domain knowledge, traditional shallow methods and attention mechanism. These key techniques are expected to effectively support the application of deep learning in clinical biomedical image analysis, and furtherly improve the analysis performance, especially when large-scale annotated samples are not available. We bulid demos at https://github.com/PengyiZhang/MIADeepSSL.

Hong Liu, Dong Wei, Donghuan Lu et al.

Layer segmentation is important to quantitative analysis of retinal optical coherence tomography (OCT). Recently, deep learning based methods have been developed to automate this task and yield remarkable performance. However, due to the large spatial gap and potential mismatch between the B-scans of an OCT volume, all of them were based on 2D segmentation of individual B-scans, which may lose the continuity and diagnostic information of the retinal layers in 3D space. Besides, most of these methods required dense annotation of the OCT volumes, which is labor-intensive and expertise-demanding. This work presents a novel framework based on hybrid 2D-3D convolutional neural networks (CNNs) to obtain continuous 3D retinal layer surfaces from OCT volumes, which works well with both full and sparse annotations. The 2D features of individual B-scans are extracted by an encoder consisting of 2D convolutions. These 2D features are then used to produce the alignment displacement vectors and layer segmentation by two 3D decoders coupled via a spatial transformer module. Two losses are proposed to utilize the retinal layers' natural property of being smooth for B-scan alignment and layer segmentation, respectively, and are the key to the semi-supervised learning with sparse annotation. The entire framework is trained end-to-end. To the best of our knowledge, this is the first work that attempts 3D retinal layer segmentation in volumetric OCT images based on CNNs. Experiments on a synthetic dataset and three public clinical datasets show that our framework can effectively align the B-scans for potential motion correction, and achieves superior performance to state-of-the-art 2D deep learning methods in terms of both layer segmentation accuracy and cross-B-scan 3D continuity in both fully and semi-supervised settings, thus offering more clinical values than previous works.

Bikang Pan, Qun Li, Xiaoying Tang et al.

The emergence of vision-language foundation models, such as CLIP, has revolutionized image-text representation, enabling a broad range of applications via prompt learning. Despite its promise, real-world datasets often contain noisy labels that can degrade prompt learning performance. In this paper, we demonstrate that using mean absolute error (MAE) loss in prompt learning, named PromptMAE, significantly enhances robustness against noisy labels while maintaining high accuracy. Though MAE is straightforward and recognized for its robustness, it is rarely used in noisy-label learning due to its slow convergence and poor performance outside prompt learning scenarios. To elucidate the robustness of PromptMAE, we leverage feature learning theory to show that MAE can suppress the influence of noisy samples, thereby improving the signal-to-noise ratio and enhancing overall robustness. Additionally, we introduce PromptOT, a prompt-based optimal transport data purification method to enhance the robustness further. PromptOT employs text features in vision-language models as prototypes to construct an optimal transportation matrix. This matrix effectively partitions datasets into clean and noisy subsets, allowing for the application of cross-entropy loss to the clean subset and MAE loss to the noisy subset. Our Noise-Label Prompt Learning method, named NLPrompt, offers a simple and efficient approach that leverages the expressive representations and precise alignment capabilities of vision-language models for robust prompt learning. We validate NLPrompt through extensive experiments across various noise settings, demonstrating significant performance improvements.

Shiyun Chen, Li Lin, Pujin Cheng et al.

Multimodal learning has been demonstrated to enhance performance across various clinical tasks, owing to the diverse perspectives offered by different modalities of data. However, existing multimodal segmentation methods rely on well-registered multimodal data, which is unrealistic for real-world clinical images, particularly for indistinct and diffuse regions such as liver tumors. In this paper, we introduce Diff4MMLiTS, a four-stage multimodal liver tumor segmentation pipeline: pre-registration of the target organs in multimodal CTs; dilation of the annotated modality's mask and followed by its use in inpainting to obtain multimodal normal CTs without tumors; synthesis of strictly aligned multimodal CTs with tumors using the latent diffusion model based on multimodal CT features and randomly generated tumor masks; and finally, training the segmentation model, thus eliminating the need for strictly aligned multimodal data. Extensive experiments on public and internal datasets demonstrate the superiority of Diff4MMLiTS over other state-of-the-art multimodal segmentation methods.

Liang An, Jin Lyu, Li Lin et al.

In the era of foundation models, achieving a unified understanding of different dynamic objects through a single network has the potential to empower stronger spatial intelligence. Moreover, accurate estimation of animal pose and shape across diverse species is essential for quantitative analysis in biological research. However, this topic remains underexplored due to the limited network capacity of previous methods and the scarcity of comprehensive multi-species datasets. To address these limitations, we introduce AniMer+, an extended version of our scalable AniMer framework. In this paper, we focus on a unified approach for reconstructing mammals (mammalia) and birds (aves). A key innovation of AniMer+ is its high-capacity, family-aware Vision Transformer (ViT) incorporating a Mixture-of-Experts (MoE) design. Its architecture partitions network layers into taxa-specific components (for mammalia and aves) and taxa-shared components, enabling efficient learning of both distinct and common anatomical features within a single model. To overcome the critical shortage of 3D training data, especially for birds, we introduce a diffusion-based conditional image generation pipeline. This pipeline produces two large-scale synthetic datasets: CtrlAni3D for quadrupeds and CtrlAVES3D for birds. To note, CtrlAVES3D is the first large-scale, 3D-annotated dataset for birds, which is crucial for resolving single-view depth ambiguities. Trained on an aggregated collection of 41.3k mammalian and 12.4k avian images (combining real and synthetic data), our method demonstrates superior performance over existing approaches across a wide range of benchmarks, including the challenging out-of-domain Animal Kingdom dataset. Ablation studies confirm the effectiveness of both our novel network architecture and the generated synthetic datasets in enhancing real-world application performance.

Tianyunxi Wei, Yijin Huang, Li Lin et al.

Medical image datasets often exhibit long-tailed distributions due to the inherent challenges in medical data collection and annotation. In long-tailed contexts, some common disease categories account for most of the data, while only a few samples are available in the rare disease categories, resulting in poor performance of deep learning methods. To address this issue, previous approaches have employed class re-sampling or re-weighting techniques, which often encounter challenges such as overfitting to tail classes or difficulties in optimization during training. In this work, we propose a novel approach, namely \textbf{S}aliency-guided and \textbf{P}atch-based \textbf{Mix}up (SPMix) for long-tailed skin cancer image classification. Specifically, given a tail-class image and a head-class image, we generate a new tail-class image by mixing them under the guidance of saliency mapping, which allows for preserving and augmenting the discriminative features of the tail classes without any interference of the head-class features. Extensive experiments are conducted on the ISIC2018 dataset, demonstrating the superiority of SPMix over existing state-of-the-art methods.

Yongxin Guo, Tao Lin, Xiaoying Tang

Federated Learning (FL) is a learning paradigm that protects privacy by keeping client data on edge devices. However, optimizing FL in practice can be difficult due to the diversity and heterogeneity of the learning system. Despite recent research efforts to improve the optimization of heterogeneous data, the impact of time-evolving heterogeneous data in real-world scenarios, such as changing client data or intermittent clients joining or leaving during training, has not been studied well. In this work, we propose Continual Federated Learning (CFL), a flexible framework for capturing the time-evolving heterogeneity of FL. CFL can handle complex and realistic scenarios, which are difficult to evaluate in previous FL formulations, by extracting information from past local data sets and approximating local objective functions. We theoretically demonstrate that CFL methods have a faster convergence rate than FedAvg in time-evolving scenarios, with the benefit depending on approximation quality. Through experiments, we show that our numerical findings match the convergence analysis and that CFL methods significantly outperform other state-of-the-art FL baselines.

Huilin Yang, Junyan Lyu, Pujin Cheng et al.

We innovatively propose a flexible and consistent face alignment framework, LDDMM-Face, the key contribution of which is a deformation layer that naturally embeds facial geometry in a diffeomorphic way. Instead of predicting facial landmarks via heatmap or coordinate regression, we formulate this task in a diffeomorphic registration manner and predict momenta that uniquely parameterize the deformation between initial boundary and true boundary, and then perform large deformation diffeomorphic metric mapping (LDDMM) simultaneously for curve and landmark to localize the facial landmarks. Due to the embedding of LDDMM into a deep network, LDDMM-Face can consistently annotate facial landmarks without ambiguity and flexibly handle various annotation schemes, and can even predict dense annotations from sparse ones. Our method can be easily integrated into various face alignment networks. We extensively evaluate LDDMM-Face on four benchmark datasets: 300W, WFLW, HELEN and COFW-68. LDDMM-Face is comparable or superior to state-of-the-art methods for traditional within-dataset and same-annotation settings, but truly distinguishes itself with outstanding performance when dealing with weakly-supervised learning (partial-to-full), challenging cases (e.g., occluded faces), and different training and prediction datasets. In addition, LDDMM-Face shows promising results on the most challenging task of predicting across datasets with different annotation schemes.

Yijin Huang, Li Lin, Pujin Cheng et al.

Manually annotating medical images is extremely expensive, especially for large-scale datasets. Self-supervised contrastive learning has been explored to learn feature representations from unlabeled images. However, unlike natural images, the application of contrastive learning to medical images is relatively limited. In this work, we propose a self-supervised framework, namely lesion-based contrastive learning for automated diabetic retinopathy (DR) grading. Instead of taking entire images as the input in the common contrastive learning scheme, lesion patches are employed to encourage the feature extractor to learn representations that are highly discriminative for DR grading. We also investigate different data augmentation operations in defining our contrastive prediction task. Extensive experiments are conducted on the publicly-accessible dataset EyePACS, demonstrating that our proposed framework performs outstandingly on DR grading in terms of both linear evaluation and transfer capacity evaluation.

Li Lin, Zhonghua Wang, Jiewei Wu et al.

Optical coherence tomography angiography (OCTA) is a novel non-invasive imaging technique that allows visualizations of vasculature and foveal avascular zone (FAZ) across retinal layers. Clinical researches suggest that the morphology and contour irregularity of FAZ are important biomarkers of various ocular pathologies. Therefore, precise segmentation of FAZ has great clinical interest. Also, there is no existing research reporting that FAZ features can improve the performance of deep diagnostic classification networks. In this paper, we propose a novel multi-level boundary shape and distance aware joint learning framework, named BSDA-Net, for FAZ segmentation and diagnostic classification from OCTA images. Two auxiliary branches, namely boundary heatmap regression and signed distance map reconstruction branches, are constructed in addition to the segmentation branch to improve the segmentation performance, resulting in more accurate FAZ contours and fewer outliers. Moreover, both low-level and high-level features from the aforementioned three branches, including shape, size, boundary, and signed directional distance map of FAZ, are fused hierarchically with features from the diagnostic classifier. Through extensive experiments, the proposed BSDA-Net is found to yield state-of-the-art segmentation and classification results on the OCTA-500, OCTAGON, and FAZID datasets.

Jiong Wu, Xiaoying Tang

In this study, we proposed and validated a multi-atlas guided 3D fully convolutional network (FCN) ensemble model (M-FCN) for segmenting brain regions of interest (ROIs) from structural magnetic resonance images (MRIs). One major limitation of existing state-of-the-art 3D FCN segmentation models is that they often apply image patches of fixed size throughout training and testing, which may miss some complex tissue appearance patterns of different brain ROIs. To address this limitation, we trained a 3D FCN model for each ROI using patches of adaptive size and embedded outputs of the convolutional layers in the deconvolutional layers to further capture the local and global context patterns. In addition, with an introduction of multi-atlas based guidance in M-FCN, our segmentation was generated by combining the information of images and labels, which is highly robust. To reduce over-fitting of the FCN model on the training data, we adopted an ensemble strategy in the learning procedure. Evaluation was performed on two brain MRI datasets, aiming respectively at segmenting 14 subcortical and ventricular structures and 54 brain ROIs. The segmentation results of the proposed method were compared with those of a state-of-the-art multi-atlas based segmentation method and an existing 3D FCN segmentation model. Our results suggested that the proposed method had a superior segmentation performance.