Siyu Liu

Linfeng Liu, Siyu Liu, Lu Zhang et al.

Accurate medical classification requires a large number of multi-modal data, and in many cases, different feature types. Previous studies have shown promising results when using multi-modal data, outperforming single-modality models when classifying diseases such as Alzheimer's Disease (AD). However, those models are usually not flexible enough to handle missing modalities. Currently, the most common workaround is discarding samples with missing modalities which leads to considerable data under-utilization. Adding to the fact that labeled medical images are already scarce, the performance of data-driven methods like deep learning can be severely hampered. Therefore, a multi-modal method that can handle missing data in various clinical settings is highly desirable. In this paper, we present Multi-Modal Mixing Transformer (3MAT), a disease classification transformer that not only leverages multi-modal data but also handles missing data scenarios. In this work, we test 3MT for AD and Cognitively normal (CN) classification and mild cognitive impairment (MCI) conversion prediction to progressive MCI (pMCI) or stable MCI (sMCI) using clinical and neuroimaging data. The model uses a novel Cascaded Modality Transformer architecture with cross-attention to incorporate multi-modal information for more informed predictions. We propose a novel modality dropout mechanism to ensure an unprecedented level of modality independence and robustness to handle missing data scenarios. The result is a versatile network that enables the mixing of arbitrary numbers of modalities with different feature types and also ensures full data utilization missing data scenarios. The model is trained and evaluated on the ADNI dataset with the SOTRA performance and further evaluated with the AIBL dataset with missing data.

Linhao Qu, Siyu Liu, Xiaoyu Liu et al.

Histopathological images contain abundant phenotypic information and pathological patterns, which are the gold standards for disease diagnosis and essential for the prediction of patient prognosis and treatment outcome. In recent years, computer-automated analysis techniques for histopathological images have been urgently required in clinical practice, and deep learning methods represented by convolutional neural networks have gradually become the mainstream in the field of digital pathology. However, obtaining large numbers of fine-grained annotated data in this field is a very expensive and difficult task, which hinders the further development of traditional supervised algorithms based on large numbers of annotated data. More recent studies have started to liberate from the traditional supervised paradigm, and the most representative ones are the studies on weakly supervised learning paradigm based on weak annotation, semi-supervised learning paradigm based on limited annotation, and self-supervised learning paradigm based on pathological image representation learning. These new methods have led a new wave of automatic pathological image diagnosis and analysis targeted at annotation efficiency. With a survey of over 130 papers, we present a comprehensive and systematic review of the latest studies on weakly supervised learning, semi-supervised learning, and self-supervised learning in the field of computational pathology from both technical and methodological perspectives. Finally, we present the key challenges and future trends for these techniques.

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.

Siyu Liu, Linfeng Liu, Xuan Vinh et al.

In medical image analysis, the subtle visual characteristics of many diseases are challenging to discern, particularly due to the lack of paired data. For example, in mild Alzheimer's Disease (AD), brain tissue atrophy can be difficult to observe from pure imaging data, especially without paired AD and Cognitively Normal ( CN ) data for comparison. This work presents Disease Discovery GAN ( DiDiGAN), a weakly-supervised style-based framework for discovering and visualising subtle disease features. DiDiGAN learns a disease manifold of AD and CN visual characteristics, and the style codes sampled from this manifold are imposed onto an anatomical structural "blueprint" to synthesise paired AD and CN magnetic resonance images (MRIs). To suppress non-disease-related variations between the generated AD and CN pairs, DiDiGAN leverages a structural constraint with cycle consistency and anti-aliasing to enforce anatomical correspondence. When tested on the Alzheimer's Disease Neuroimaging Initiative ( ADNI) dataset, DiDiGAN showed key AD characteristics (reduced hippocampal volume, ventricular enlargement, and atrophy of cortical structures) through synthesising paired AD and CN scans. The qualitative results were backed up by automated brain volume analysis, where systematic pair-wise reductions in brain tissue structures were also measured

Wei Dai, Siyu Liu, Craig B. Engstrom et al.

Semantic medical image segmentation using deep learning has recently achieved high accuracy, making it appealing to clinical problems such as radiation therapy. However, the lack of high-quality semantically labelled data remains a challenge leading to model brittleness to small shifts to input data. Most works require extra data for semi-supervised learning and lack the interpretability of the boundaries of the training data distribution during training, which is essential for model deployment in clinical practice. We propose a fully supervised generative framework that can achieve generalisable segmentation with only limited labelled data by simultaneously constructing an explorable manifold during training. The proposed approach creates medical image style paired with a segmentation task driven discriminator incorporating end-to-end adversarial training. The discriminator is generalised to small domain shifts as much as permissible by the training data, and the generator automatically diversifies the training samples using a manifold of input features learnt during segmentation. All the while, the discriminator guides the manifold learning by supervising the semantic content and fine-grained features separately during the image diversification. After training, visualisation of the learnt manifold from the generator is available to interpret the model limits. Experiments on a fully semantic, publicly available pelvis dataset demonstrated that our method is more generalisable to shifts than other state-of-the-art methods while being more explainable using an explorable manifold.

Jielin Song, Siyu Liu, Bin Zhu et al.

As large language models (LLMs) continue to advance, instruction tuning has become critical for improving their ability to generate accurate and contextually appropriate responses. Although numerous instruction-tuning datasets have been developed to enhance LLM performance, selecting high-quality instruction data from large source datasets typically demands significant human effort. In this work, we introduce $\textbf{IterSelectTune}$, an efficient, cost-effective iterative training policy for selecting high-quality instruction data with no human involvement and limited reliance on GPT-4. By fine-tuning on approximately 20\% of the source data, our method consistently outperforms models fine-tuned on the full dataset across multiple benchmarks and public test datasets. These results highlight the effectiveness of our approach in enhancing LLM performance while reducing the computational resources required for instruction tuning.

Wei Dai, Boyeong Woo, Siyu Liu et al.

Direct automatic segmentation of objects from 3D medical imaging, such as magnetic resonance (MR) imaging, is challenging as it often involves accurately identifying a number of individual objects with complex geometries within a large volume under investigation. To address these challenges, most deep learning approaches typically enhance their learning capability by substantially increasing the complexity or the number of trainable parameters within their models. Consequently, these models generally require long inference time on standard workstations operating clinical MR systems and are restricted to high-performance computing hardware due to their large memory requirement. Further, to fit 3D dataset through these large models using limited computer memory, trade-off techniques such as patch-wise training are often used which sacrifice the fine-scale geometric information from input images which could be clinically significant for diagnostic purposes. To address these challenges, we present a compact convolutional neural network with a shallow memory footprint to efficiently reduce the number of model parameters required for state-of-art performance. This is critical for practical employment as most clinical environments only have low-end hardware with limited computing power and memory. The proposed network can maintain data integrity by directly processing large full-size 3D input volumes with no patches required and significantly reduces the computational time required for both training and inference. We also propose a novel loss function with extra shape constraint to improve the accuracy for imbalanced classes in 3D MR images.

Siyu Liu, Jason A. Dowling, Craig Engstrom et al.

Medical image translation (e.g. CT to MR) is a challenging task as it requires I) faithful translation of domain-invariant features (e.g. shape information of anatomical structures) and II) realistic synthesis of target-domain features (e.g. tissue appearance in MR). In this work, we propose Manifold Disentanglement Generative Adversarial Network (MDGAN), a novel image translation framework that explicitly models these two types of features. It employs a fully convolutional generator to model domain-invariant features, and it uses style codes to separately model target-domain features as a manifold. This design aims to explicitly disentangle domain-invariant features and domain-specific features while gaining individual control of both. The image translation process is formulated as a stylisation task, where the input is "stylised" (translated) into diverse target-domain images based on style codes sampled from the learnt manifold. We test MDGAN for multi-modal medical image translation, where we create two domain-specific manifold clusters on the manifold to translate segmentation maps into pseudo-CT and pseudo-MR images, respectively. We show that by traversing a path across the MR manifold cluster, the target output can be manipulated while still retaining the shape information from the input.

Siyu Liu, Wei Dai, Craig Engstrom et al.

Data scarcity is common in deep learning models for medical image segmentation. Previous works proposed multi-dataset learning, either simultaneously or via transfer learning to expand training sets. However, medical image datasets have diverse-sized images and features, and developing a model simultaneously for multiple datasets is challenging. This work proposes Fabric Image Representation Encoding Network (FIRENet), a universal architecture for simultaneous multi-dataset segmentation and transfer learning involving arbitrary numbers of dataset(s). To handle different-sized image and feature, a 3D fabric module is used to encapsulate many multi-scale sub-architectures. An optimal combination of these sub-architectures can be implicitly learnt to best suit the target dataset(s). For diverse-scale feature extraction, a 3D extension of atrous spatial pyramid pooling (ASPP3D) is used in each fabric node for a fine-grained coverage of rich-scale image features. In the first experiment, FIRENet performed 3D universal bone segmentation of multiple musculoskeletal datasets of the human knee, shoulder and hip joints and exhibited excellent simultaneous multi-dataset segmentation performance. When tested for transfer learning, FIRENet further exhibited excellent single dataset performance (when pre-training on a prostate dataset), as well as significantly improved universal bone segmentation performance. The following experiment involves the simultaneous segmentation of the 10 Medical Segmentation Decathlon (MSD) challenge datasets. FIRENet demonstrated good multi-dataset segmentation results and inter-dataset adaptability of highly diverse image sizes. In both experiments, FIRENet's streamlined multi-dataset learning with one unified network that requires no hyper-parameter tuning.