Shoujin Huang

Jun Ma, Yao Zhang, Song Gu et al.

Quantitative organ assessment is an essential step in automated abdominal disease diagnosis and treatment planning. Artificial intelligence (AI) has shown great potential to automatize this process. However, most existing AI algorithms rely on many expert annotations and lack a comprehensive evaluation of accuracy and efficiency in real-world multinational settings. To overcome these limitations, we organized the FLARE 2022 Challenge, the largest abdominal organ analysis challenge to date, to benchmark fast, low-resource, accurate, annotation-efficient, and generalized AI algorithms. We constructed an intercontinental and multinational dataset from more than 50 medical groups, including Computed Tomography (CT) scans with different races, diseases, phases, and manufacturers. We independently validated that a set of AI algorithms achieved a median Dice Similarity Coefficient (DSC) of 90.0\% by using 50 labeled scans and 2000 unlabeled scans, which can significantly reduce annotation requirements. The best-performing algorithms successfully generalized to holdout external validation sets, achieving a median DSC of 89.5\%, 90.9\%, and 88.3\% on North American, European, and Asian cohorts, respectively. They also enabled automatic extraction of key organ biology features, which was labor-intensive with traditional manual measurements. This opens the potential to use unlabeled data to boost performance and alleviate annotation shortages for modern AI models.

Shoujin Huang, Guanxiong Luo, Yunlin Zhao et al.

Simultaneous multislice (SMS) imaging is a powerful technique for accelerating magnetic resonance imaging (MRI) acquisitions. However, SMS reconstruction remains challenging due to complex signal interactions between and within the excited slices. In this study, we introduce ROGER, a robust SMS MRI reconstruction method based on deep generative priors. Utilizing denoising diffusion probabilistic models (DDPM), ROGER begins with Gaussian noise and gradually recovers individual slices through reverse diffusion iterations while enforcing data consistency from measured k-space data within the readout concatenation framework. The posterior sampling procedure is designed such that the DDPM training can be performed on single-slice images without requiring modifications for SMS tasks. Additionally, our method incorporates a low-frequency enhancement (LFE) module to address the practical issue that SMS-accelerated fast spin echo (FSE) and echo planar imaging (EPI) sequences cannot easily embed fully-sampled autocalibration signals. Extensive experiments on both retrospectively and prospectively accelerated datasets demonstrate that ROGER consistently outperforms existing methods, enhancing both anatomical and functional imaging with strong out-of-distribution generalization. The source code and sample data for ROGER are available at https://github.com/Solor-pikachu/ROGER.

Shoujin Huang, Guanxiong Luo, Xi Wang et al.

In general, diffusion model-based MRI reconstruction methods incrementally remove artificially added noise while imposing data consistency to reconstruct the underlying images. However, real-world MRI acquisitions already contain inherent noise due to thermal fluctuations. This phenomenon is particularly notable when using ultra-fast, high-resolution imaging sequences for advanced research, or using low-field systems favored by low- and middle-income countries. These common scenarios can lead to sub-optimal performance or complete failure of existing diffusion model-based reconstruction techniques. Specifically, as the artificially added noise is gradually removed, the inherent MRI noise becomes increasingly pronounced, making the actual noise level inconsistent with the predefined denoising schedule and consequently inaccurate image reconstruction. To tackle this problem, we propose a posterior sampling strategy with a novel NoIse Level Adaptive Data Consistency (Nila-DC) operation. Extensive experiments are conducted on two public datasets and an in-house clinical dataset with field strength ranging from 0.3T to 3T, showing that our method surpasses the state-of-the-art MRI reconstruction methods, and is highly robust against various noise levels. The code for Nila is available at https://github.com/Solor-pikachu/Nila.

Guanxiong Luo, Shoujin Huang, Martin Uecker

Magnetic resonance imaging (MRI) is a widely used non-invasive imaging modality. However, a persistent challenge lies in balancing image quality with imaging speed. This trade-off is primarily constrained by k-space measurements, which traverse specific trajectories in the spatial Fourier domain (k-space). These measurements are often undersampled to shorten acquisition times, resulting in image artifacts and compromised quality. Generative models learn image distributions and can be used to reconstruct high-quality images from undersampled k-space data. In this work, we present the autoregressive image diffusion (AID) model for image sequences and use it to sample the posterior for accelerated MRI reconstruction. The algorithm incorporates both undersampled k-space and pre-existing information. Models trained with fastMRI dataset are evaluated comprehensively. The results show that the AID model can robustly generate sequentially coherent image sequences. In MRI applications, the AID can outperform the standard diffusion model and reduce hallucinations, due to the learned inter-image dependencies. The project code is available at https://github.com/mrirecon/aid.

Guanxiong Luo, Shoujin Huang, Yanlong Yang

We propose self-diffusion, a novel framework for solving inverse problems without relying on pretrained generative models. Traditional diffusion-based approaches require training a model on a clean dataset to learn to reverse the forward noising process. This model is then used to sample clean solutions -- corresponding to posterior sampling from a Bayesian perspective -- that are consistent with the observed data under a specific task. In contrast, self-diffusion introduces a self-contained iterative process that alternates between noising and denoising steps to progressively refine its estimate of the solution. At each step of self-diffusion, noise is added to the current estimate, and a self-denoiser, which is a single untrained convolutional network randomly initialized from scratch, is continuously trained for certain iterations via a data fidelity loss to predict the solution from the noisy estimate. Essentially, self-diffusion exploits the spectral bias of neural networks and modulates it through a scheduled noise process. Without relying on pretrained score functions or external denoisers, this approach still remains adaptive to arbitrary forward operators and noisy observations, making it highly flexible and broadly applicable. We demonstrate the effectiveness of our approach on a variety of linear inverse problems, showing that self-diffusion achieves competitive or superior performance compared to other methods.

Weiyi Zhang, Peranut Chotcomwongse, Yinwen Li et al.

Diabetic macular edema (DME) significantly contributes to visual impairment in diabetic patients. Treatment responses to intravitreal therapies vary, highlighting the need for patient stratification to predict therapeutic benefits and enable personalized strategies. To our knowledge, this study is the first to explore pre-treatment stratification for predicting DME treatment responses. To advance this research, we organized the 2nd Asia-Pacific Tele-Ophthalmology Society (APTOS) Big Data Competition in 2021. The competition focused on improving predictive accuracy for anti-VEGF therapy responses using ophthalmic OCT images. We provided a dataset containing tens of thousands of OCT images from 2,000 patients with labels across four sub-tasks. This paper details the competition's structure, dataset, leading methods, and evaluation metrics. The competition attracted strong scientific community participation, with 170 teams initially registering and 41 reaching the final round. The top-performing team achieved an AUC of 80.06%, highlighting the potential of AI in personalized DME treatment and clinical decision-making.