Qijie Wei

Jiazhen Liu, Xirong Li, Qijie Wei et al.

For retinal image matching (RIM), we propose SuperRetina, the first end-to-end method with jointly trainable keypoint detector and descriptor. SuperRetina is trained in a novel semi-supervised manner. A small set of (nearly 100) images are incompletely labeled and used to supervise the network to detect keypoints on the vascular tree. To attack the incompleteness of manual labeling, we propose Progressive Keypoint Expansion to enrich the keypoint labels at each training epoch. By utilizing a keypoint-based improved triplet loss as its description loss, SuperRetina produces highly discriminative descriptors at full input image size. Extensive experiments on multiple real-world datasets justify the viability of SuperRetina. Even with manual labeling replaced by auto labeling and thus making the training process fully manual-annotation free, SuperRetina compares favorably against a number of strong baselines for two RIM tasks, i.e. image registration and identity verification. SuperRetina will be open source.

Qijie Wei, Kaiheng Qian, Xirong Li

Multimodal Large Language Models (MLLMs) have shown significant potential in medical image analysis. However, their capabilities in interpreting fundus images, a critical skill for ophthalmology, remain under-evaluated. Existing benchmarks lack fine-grained task divisions and fail to provide modular analysis of its two key modules, i.e., large language model (LLM) and vision encoder (VE). This paper introduces FunBench, a novel visual question answering (VQA) benchmark designed to comprehensively evaluate MLLMs' fundus reading skills. FunBench features a hierarchical task organization across four levels (modality perception, anatomy perception, lesion analysis, and disease diagnosis). It also offers three targeted evaluation modes: linear-probe based VE evaluation, knowledge-prompted LLM evaluation, and holistic evaluation. Experiments on nine open-source MLLMs plus GPT-4o reveal significant deficiencies in fundus reading skills, particularly in basic tasks such as laterality recognition. The results highlight the limitations of current MLLMs and emphasize the need for domain-specific training and improved LLMs and VEs.

Qijie Wei, Hailan Lin, Xirong Li

Current methods for multimodal medical imaging based disease recognition face two major challenges. First, the prevailing "fusion after unimodal image embedding" paradigm cannot fully leverage the complementary and correlated information in the multimodal data. Second, the scarcity of labeled multimodal medical images, coupled with their significant domain shift from natural images, hinders the use of cutting-edge Vision Foundation Models (VFMs) for medical image embedding. To jointly address the challenges, we propose a novel Early Intervention (EI) framework. Treating one modality as target and the rest as reference, EI harnesses high-level semantic tokens from the reference as intervention tokens to steer the target modality's embedding process at an early stage. Furthermore, we introduce Mixture of Low-varied-Ranks Adaptation (MoR), a parameter-efficient fine-tuning method that employs a set of low-rank adapters with varied ranks and a weight-relaxed router for VFM adaptation. Extensive experiments on three public datasets for retinal disease, skin lesion, and keen anomaly classification verify the effectiveness of the proposed method against a number of competitive baselines.

Hailan Lin, Qijie Wei, Kaibin Tian et al.

Unsupervised Domain Adaptation (UDA) essentially trades a model's performance on a source domain for improving its performance on a target domain. To overcome this, Unsupervised Domain Expansion (UDE) has been introduced, which adapts the model to the target domain while preserving its performance in the source domain. In both UDA and UDE, a model tailored to a given domain is assumed to well handle samples from the given domain. We question the assumption by reporting the existence of cross-domain visual ambiguity: Due to the unclear boundary between the two domains, samples from one domain can be visually close to the other domain. Such sorts of samples are typically in the minority in their host domain, so they tend to be overlooked by the domain-specific model, but can be better handled by a model from the other domain. We exploit this finding by proposing Co-Teaching (CT), which is instantiated with knowledge distillation based CT (kdCT) plus mixup based CT (miCT). Specifically, kdCT leverages a dual-teacher architecture to enhance the student network's ability to handle cross-domain ambiguity. Meanwhile, miCT further enhances the generalization ability of the student. Extensive experiments on image classification and driving-scene segmentation show the viability of CT for UDE.

Yuchuan Deng, Qijie Wei, Kaiheng Qian et al.

Fundus imaging such as CFP, OCT and UWF is crucial for the early detection of retinal anomalies and diseases. Fundus image understanding, due to its knowledge-intensive nature, poses a challenging vision-language task. An emerging approach to addressing the task is to post-train a generic multimodal large language model (MLLM), either by supervised finetuning (SFT) or by reinforcement learning with verifiable rewards (RLVR), on a considerable amount of in-house samples paired with high-quality clinical reports. However, these valuable samples are not publicly accessible, which not only hinders reproducibility but also practically limits research to few players. To overcome the barrier, we make a novel attempt to train a reasoning-enhanced fundus-reading MLLM, which we term Fundus-R1, using exclusively public datasets, wherein over 94\% of the data are annotated with only image-level labels. Our technical contributions are two-fold. First, we propose a RAG-based method for composing image-specific, knowledge-aware reasoning traces. Such auto-generated traces link visual findings identified by a generic MLLM to the image labels in terms of ophthalmic knowledge. Second, we enhance RLVR with a process reward that encourages self-consistency of the generated reasoning trace in each rollout. Extensive experiments on three fundus-reading benchmarks, i.e., FunBench, Omni-Fundus and GMAI-Fundus, show that Fundus-R1 clearly outperforms multiple baselines, including its generic counterpart (Qwen2.5-VL) and a stronger edition post-trained without using the generated traces. This work paves the way for training powerful fundus-reading MLLMs with publicly available data.

Hongyang Li, Junyi Tao, Qijie Wei et al.

Previous work on cross-modal fundus image registration (CMFIR) assumes small cross-modal Field-of-View (FoV) disparity. By contrast, this paper is targeted at a more challenging scenario with large FoV disparity, to which directly applying current methods fails. We propose Crop and Alignment for cross-modal fundus image Registration(CARe), a very simple yet effective method. Specifically, given an OCTA with smaller FoV as a source image and a wide-field color fundus photograph (wfCFP) as a target image, our Crop operation exploits the physiological structure of the retina to crop from the target image a sub-image with its FoV roughly aligned with that of the source. This operation allows us to re-purpose the previous small-FoV-disparity oriented methods for subsequent image registration. Moreover, we improve spatial transformation by a double-fitting based Alignment module that utilizes the classical RANSAC algorithm and polynomial-based coordinate fitting in a sequential manner. Extensive experiments on a newly developed test set of 60 OCTA-wfCFP pairs verify the viability of CARe for CMFIR.

Qijie Wei, Weihong Yu, Xirong Li

Previous research on retinal vessel segmentation is targeted at a specific image domain, mostly color fundus photography (CFP). In this paper we make a brave attempt to attack a more challenging task of broad-domain retinal vessel segmentation (BD-RVS), which is to develop a unified model applicable to varied domains including CFP, SLO, UWF, OCTA and FFA. To that end, we propose Dual Convoltuional Prompting (DCP) that learns to extract domain-specific features by localized prompting along both position and channel dimensions. DCP is designed as a plug-in module that can effectively turn a R2AU-Net based vessel segmentation network to a unified model, yet without the need of modifying its network structure. For evaluation we build a broad-domain set using five public domain-specific datasets including ROSSA, FIVES, IOSTAR, PRIME-FP20 and VAMPIRE. In order to benchmark BD-RVS on the broad-domain dataset, we re-purpose a number of existing methods originally developed in other contexts, producing eight baseline methods in total. Extensive experiments show the the proposed method compares favorably against the baselines for BD-RVS.

Qijie Wei, Jingyuan Yang, Bo Wang et al.

This paper addresses the emerging task of recognizing multiple retinal diseases from wide-field (WF) and ultra-wide-field (UWF) fundus images. For an effective use of existing large amount of labeled color fundus photo (CFP) data and the relatively small amount of WF and UWF data, we propose a supervised domain adaptation method named Cross-domain Collaborative Learning (CdCL). Inspired by the success of fixed-ratio based mixup in unsupervised domain adaptation, we re-purpose this strategy for the current task. Due to the intrinsic disparity between the field-of-view of CFP and WF/UWF images, a scale bias naturally exists in a mixup sample that the anatomic structure from a CFP image will be considerably larger than its WF/UWF counterpart. The CdCL method resolves the issue by Scale-bias Correction, which employs Transformers for producing scale-invariant features. As demonstrated by extensive experiments on multiple datasets covering both WF and UWF images, the proposed method compares favorably against a number of competitive baselines.

Qijie Wei, Xirong Li, Weihong Yu et al.

Towards automated retinal screening, this paper makes an endeavor to simultaneously achieve pixel-level retinal lesion segmentation and image-level disease classification. Such a multi-task approach is crucial for accurate and clinically interpretable disease diagnosis. Prior art is insufficient due to three challenges, i.e., lesions lacking objective boundaries, clinical importance of lesions irrelevant to their size, and the lack of one-to-one correspondence between lesion and disease classes. This paper attacks the three challenges in the context of diabetic retinopathy (DR) grading. We propose Lesion-Net, a new variant of fully convolutional networks, with its expansive path re-designed to tackle the first challenge. A dual Dice loss that leverages both semantic segmentation and image classification losses is introduced to resolve the second challenge. Lastly, we build a multi-task network that employs Lesion-Net as a side-attention branch for both DR grading and result interpretation. A set of 12K fundus images is manually segmented by 45 ophthalmologists for 8 DR-related lesions, resulting in 290K manual segments in total. Extensive experiments on this large-scale dataset show that our proposed approach surpasses the prior art for multiple tasks including lesion segmentation, lesion classification and DR grading