Xiaobing Yu

Weiwei Ma, Xiaobing Yu, Peijie Qiu et al.

In clinical practice, medical segmentation datasets are often limited and heterogeneous, with variations in modalities, protocols, and anatomical targets across institutions. Existing deep learning models struggle to jointly learn from such diverse data, often sacrificing either generalization or domain-specific knowledge. To overcome these challenges, we propose a joint training method called Universal Harmonization (U-Harmony), which can be integrated into deep learning-based architectures with a domain-gated head, enabling a single segmentation model to learn from heterogeneous datasets simultaneously. By integrating U-Harmony, our approach sequentially normalizes and then denormalizes feature distributions to mitigate domain-specific variations while preserving original dataset-specific knowledge. More appealingly, our framework also supports universal modality adaptation, allowing the seamless learning of new imaging modalities and anatomical classes. Extensive experiments on cross-institutional brain lesion datasets demonstrate the effectiveness of our approach, establishing a new benchmark for robust and adaptable 3D medical image segmentation models in real-world clinical settings.

Jin Yang, Xiaobing Yu, Peijie Qiu

Convolutional neural networks are widely used in various segmentation tasks in medical images. However, they are challenged to learn global features adaptively due to the inherent locality of convolutional operations. In contrast, MLP Mixers are proposed as a backbone to learn global information across channels with low complexity. However, they cannot capture spatial features efficiently. Additionally, they lack effective mechanisms to fuse and mix features adaptively. To tackle these limitations, we propose a novel Dynamic Decomposed Mixer module. It is designed to employ novel Mixers to extract features and aggregate information across different spatial locations and channels. Additionally, it employs novel dynamic mixing mechanisms to model inter-dependencies between channel and spatial feature representations and to fuse them adaptively. Subsequently, we incorporate it into a U-shaped Transformer-based architecture to generate a novel network, termed the Dynamic Decomposed MLP Mixer. We evaluated it for medical image segmentation on two datasets, and it achieved superior segmentation performance than other state-of-the-art methods.