Xiaowei Xu

An Zeng, Chunbiao Wu, Meiping Huang et al.

Cardiovascular disease (CVD) accounts for about half of non-communicable diseases. Vessel stenosis in the coronary artery is considered to be the major risk of CVD. Computed tomography angiography (CTA) is one of the widely used noninvasive imaging modalities in coronary artery diagnosis due to its superior image resolution. Clinically, segmentation of coronary arteries is essential for the diagnosis and quantification of coronary artery disease. Recently, a variety of works have been proposed to address this problem. However, on one hand, most works rely on in-house datasets, and only a few works published their datasets to the public which only contain tens of images. On the other hand, their source code have not been published, and most follow-up works have not made comparison with existing works, which makes it difficult to judge the effectiveness of the methods and hinders the further exploration of this challenging yet critical problem in the community. In this paper, we propose a large-scale dataset for coronary artery segmentation on CTA images. In addition, we have implemented a benchmark in which we have tried our best to implement several typical existing methods. Furthermore, we propose a strong baseline method which combines multi-scale patch fusion and two-stage processing to extract the details of vessels. Comprehensive experiments show that the proposed method achieves better performance than existing works on the proposed large-scale dataset. The benchmark and the dataset are published at https://github.com/XiaoweiXu/ImageCAS-A-Large-Scale-Dataset-and-Benchmark-for-Coronary-Artery-Segmentation-based-on-CT.

Jiewen Yang, Xinpeng Ding, Ziyang Zheng et al.

Echocardiogram video segmentation plays an important role in cardiac disease diagnosis. This paper studies the unsupervised domain adaption (UDA) for echocardiogram video segmentation, where the goal is to generalize the model trained on the source domain to other unlabelled target domains. Existing UDA segmentation methods are not suitable for this task because they do not model local information and the cyclical consistency of heartbeat. In this paper, we introduce a newly collected CardiacUDA dataset and a novel GraphEcho method for cardiac structure segmentation. Our GraphEcho comprises two innovative modules, the Spatial-wise Cross-domain Graph Matching (SCGM) and the Temporal Cycle Consistency (TCC) module, which utilize prior knowledge of echocardiogram videos, i.e., consistent cardiac structure across patients and centers and the heartbeat cyclical consistency, respectively. These two modules can better align global and local features from source and target domains, improving UDA segmentation results. Experimental results showed that our GraphEcho outperforms existing state-of-the-art UDA segmentation methods. Our collected dataset and code will be publicly released upon acceptance. This work will lay a new and solid cornerstone for cardiac structure segmentation from echocardiogram videos. Code and dataset are available at: https://github.com/xmed-lab/GraphEcho

Ziyang Zheng, Jiewen Yang, Xinpeng Ding et al.

Cardiac structure segmentation from echocardiogram videos plays a crucial role in diagnosing heart disease. The combination of multi-view echocardiogram data is essential to enhance the accuracy and robustness of automated methods. However, due to the visual disparity of the data, deriving cross-view context information remains a challenging task, and unsophisticated fusion strategies can even lower performance. In this study, we propose a novel Gobal-Local fusion (GL-Fusion) network to jointly utilize multi-view information globally and locally that improve the accuracy of echocardiogram analysis. Specifically, a Multi-view Global-based Fusion Module (MGFM) is proposed to extract global context information and to explore the cyclic relationship of different heartbeat cycles in an echocardiogram video. Additionally, a Multi-view Local-based Fusion Module (MLFM) is designed to extract correlations of cardiac structures from different views. Furthermore, we collect a multi-view echocardiogram video dataset (MvEVD) to evaluate our method. Our method achieves an 82.29% average dice score, which demonstrates a 7.83% improvement over the baseline method, and outperforms other existing state-of-the-art methods. To our knowledge, this is the first exploration of a multi-view method for echocardiogram video segmentation. Code available at: https://github.com/xmed-lab/GL-Fusion

Yawen Wu, Dewen Zeng, Xiaowei Xu et al.

Many works have shown that deep learning-based medical image classification models can exhibit bias toward certain demographic attributes like race, gender, and age. Existing bias mitigation methods primarily focus on learning debiased models, which may not necessarily guarantee all sensitive information can be removed and usually comes with considerable accuracy degradation on both privileged and unprivileged groups. To tackle this issue, we propose a method, FairPrune, that achieves fairness by pruning. Conventionally, pruning is used to reduce the model size for efficient inference. However, we show that pruning can also be a powerful tool to achieve fairness. Our observation is that during pruning, each parameter in the model has different importance for different groups' accuracy. By pruning the parameters based on this importance difference, we can reduce the accuracy difference between the privileged group and the unprivileged group to improve fairness without a large accuracy drop. To this end, we use the second derivative of the parameters of a pre-trained model to quantify the importance of each parameter with respect to the model accuracy for each group. Experiments on two skin lesion diagnosis datasets over multiple sensitive attributes demonstrate that our method can greatly improve fairness while keeping the average accuracy of both groups as high as possible.

Xinrong Hu, Xiaowei Xu, Yiyu Shi

The emerging scale segmentation model, Segment Anything (SAM), exhibits impressive capabilities in zero-shot segmentation for natural images. However, when applied to medical images, SAM suffers from noticeable performance drop. To make SAM a real ``foundation model" for the computer vision community, it is critical to find an efficient way to customize SAM for medical image dataset. In this work, we propose to freeze SAM encoder and finetune a lightweight task-specific prediction head, as most of weights in SAM are contributed by the encoder. In addition, SAM is a promptable model, while prompt is not necessarily available in all application cases, and precise prompts for multiple class segmentation are also time-consuming. Therefore, we explore three types of prompt-free prediction heads in this work, include ViT, CNN, and linear layers. For ViT head, we remove the prompt tokens in the mask decoder of SAM, which is named AutoSAM. AutoSAM can also generate masks for different classes with one single inference after modification. To evaluate the label-efficiency of our finetuning method, we compare the results of these three prediction heads on a public medical image segmentation dataset with limited labeled data. Experiments demonstrate that finetuning SAM significantly improves its performance on medical image dataset, even with just one labeled volume. Moreover, AutoSAM and CNN prediction head also has better segmentation accuracy than training from scratch and self-supervised learning approaches when there is a shortage of annotations.

Shuhan LI, Xiaomeng Li, Xiaowei Xu et al.

This paper addresses the problem of few-shot skin disease classification by introducing a novel approach called the Sub-Cluster-Aware Network (SCAN) that enhances accuracy in diagnosing rare skin diseases. The key insight motivating the design of SCAN is the observation that skin disease images within a class often exhibit multiple sub-clusters, characterized by distinct variations in appearance. To improve the performance of few-shot learning, we focus on learning a high-quality feature encoder that captures the unique sub-clustered representations within each disease class, enabling better characterization of feature distributions. Specifically, SCAN follows a dual-branch framework, where the first branch learns class-wise features to distinguish different skin diseases, and the second branch aims to learn features which can effectively partition each class into several groups so as to preserve the sub-clustered structure within each class. To achieve the objective of the second branch, we present a cluster loss to learn image similarities via unsupervised clustering. To ensure that the samples in each sub-cluster are from the same class, we further design a purity loss to refine the unsupervised clustering results. We evaluate the proposed approach on two public datasets for few-shot skin disease classification. The experimental results validate that our framework outperforms the state-of-the-art methods by around 2% to 5% in terms of sensitivity, specificity, accuracy, and F1-score on the SD-198 and Derm7pt datasets.

Qing Lu, Xiaowei Xu, Shunjie Dong et al.

Accurately segmenting temporal frames of cine magnetic resonance imaging (MRI) is a crucial step in various real-time MRI guided cardiac interventions. To achieve fast and accurate visual assistance, there are strict requirements on the maximum latency and minimum throughput of the segmentation framework. State-of-the-art neural networks on this task are mostly hand-crafted to satisfy these constraints while achieving high accuracy. On the other hand, while existing literature have demonstrated the power of neural architecture search (NAS) in automatically identifying the best neural architectures for various medical applications, they are mostly guided by accuracy, sometimes with computation complexity, and the importance of real-time constraints are overlooked. A major challenge is that such constraints are non-differentiable and are thus not compatible with the widely used differentiable NAS frameworks. In this paper, we present a strategy that directly handles real-time constraints in a differentiable NAS framework named RT-DNAS. Experiments on extended 2017 MICCAI ACDC dataset show that compared with state-of-the-art manually and automatically designed architectures, RT-DNAS is able to identify ones with better accuracy while satisfying the real-time constraints.

Chenglin Wang, Yucheng Zhou, Guodong Long et al.

With the advance of natural language inference (NLI), a rising demand for NLI is to handle scientific texts. Existing methods depend on pre-trained models (PTM) which lack domain-specific knowledge. To tackle this drawback, we introduce a scientific knowledge graph to generalize PTM to scientific domain. However, existing knowledge graph construction approaches suffer from some drawbacks, i.e., expensive labeled data, failure to apply in other domains, long inference time and difficulty extending to large corpora. Therefore, we propose an unsupervised knowledge graph construction method to build a scientific knowledge graph (SKG) without any labeled data. Moreover, to alleviate noise effect from SKG and complement knowledge in sentences better, we propose an event-centric knowledge infusion method to integrate external knowledge into each event that is a fine-grained semantic unit in sentences. Experimental results show that our method achieves state-of-the-art performance and the effectiveness and reliability of SKG.

Dewen Zeng, Yawen Wu, Xinrong Hu et al.

Contrastive learning with the nearest neighbor has proved to be one of the most efficient self-supervised learning (SSL) techniques by utilizing the similarity of multiple instances within the same class. However, its efficacy is constrained as the nearest neighbor algorithm primarily identifies "easy" positive pairs, where the representations are already closely located in the embedding space. In this paper, we introduce a novel approach called Contrastive Learning with Synthetic Positives (CLSP) that utilizes synthetic images, generated by an unconditional diffusion model, as the additional positives to help the model learn from diverse positives. Through feature interpolation in the diffusion model sampling process, we generate images with distinct backgrounds yet similar semantic content to the anchor image. These images are considered "hard" positives for the anchor image, and when included as supplementary positives in the contrastive loss, they contribute to a performance improvement of over 2% and 1% in linear evaluation compared to the previous NNCLR and All4One methods across multiple benchmark datasets such as CIFAR10, achieving state-of-the-art methods. On transfer learning benchmarks, CLSP outperforms existing SSL frameworks on 6 out of 8 downstream datasets. We believe CLSP establishes a valuable baseline for future SSL studies incorporating synthetic data in the training process.

Huasong Zhou, Xiaowei Xu, Xiaodong Wang et al.

Backdoor attack has emerged as a novel and concerning threat to AI security. These attacks involve the training of Deep Neural Network (DNN) on datasets that contain hidden trigger patterns. Although the poisoned model behaves normally on benign samples, it exhibits abnormal behavior on samples containing the trigger pattern. However, most existing backdoor attacks suffer from two significant drawbacks: their trigger patterns are visible and easy to detect by backdoor defense or even human inspection, and their injection process results in the loss of natural sample features and trigger patterns, thereby reducing the attack success rate and model accuracy. In this paper, we propose a novel backdoor attack named SATBA that overcomes these limitations using spatial attention and an U-net based model. The attack process begins by using spatial attention to extract meaningful data features and generate trigger patterns associated with clean images. Then, an U-shaped model is used to embed these trigger patterns into the original data without causing noticeable feature loss. We evaluate our attack on three prominent image classification DNN across three standard datasets. The results demonstrate that SATBA achieves high attack success rate while maintaining robustness against backdoor defenses. Furthermore, we conduct extensive image similarity experiments to emphasize the stealthiness of our attack strategy. Overall, SATBA presents a promising approach to backdoor attack, addressing the shortcomings of previous methods and showcasing its effectiveness in evading detection and maintaining high attack success rate.

Liming Zhou, Xiaowei Xu, Xiaodong Wang

Sarcasm detection is a binary classification task that aims to determine whether a given utterance is sarcastic. Over the past decade, sarcasm detection has evolved from classical pattern recognition to deep learning approaches, where features such as user profile, punctuation and sentiment words have been commonly employed for sarcasm detection. In real-life sarcastic expressions, behaviors without explicit sentimental cues often serve as carriers of implicit sentimental meanings. Motivated by this observation, we proposed a dual-channel sarcasm detection model named BNS-Net. The model considers behavior and sentence conflicts in two channels. Channel 1: Behavior-level Conflict Channel reconstructs the text based on core verbs while leveraging the modified attention mechanism to highlight conflict information. Channel 2: Sentence-level Conflict Channel introduces external sentiment knowledge to segment the text into explicit and implicit sentences, capturing conflicts between them. To validate the effectiveness of BNS-Net, several comparative and ablation experiments are conducted on three public sarcasm datasets. The analysis and evaluation of experimental results demonstrate that the BNS-Net effectively identifies sarcasm in text and achieves the state-of-the-art performance.

Yi Sheng, Junhuan Yang, Jinyang Li et al.

As Artificial Intelligence (AI) increasingly integrates into our daily lives, fairness has emerged as a critical concern, particularly in medical AI, where datasets often reflect inherent biases due to social factors like the underrepresentation of marginalized communities and socioeconomic barriers to data collection. Traditional approaches to mitigating these biases have focused on data augmentation and the development of fairness-aware training algorithms. However, this paper argues that the architecture of neural networks, a core component of Machine Learning (ML), plays a crucial role in ensuring fairness. We demonstrate that addressing fairness effectively requires a holistic approach that simultaneously considers data, algorithms, and architecture. Utilizing Automated ML (AutoML) technology, specifically Neural Architecture Search (NAS), we introduce a novel framework, BiaslessNAS, designed to achieve fair outcomes in analyzing skin lesion datasets. BiaslessNAS incorporates fairness considerations at every stage of the NAS process, leading to the identification of neural networks that are not only more accurate but also significantly fairer. Our experiments show that BiaslessNAS achieves a 2.55% increase in accuracy and a 65.50% improvement in fairness compared to traditional NAS methods, underscoring the importance of integrating fairness into neural network architecture for better outcomes in medical AI applications.

Jiewen Yang, Yiqun Lin, Bin Pu et al.

Echocardiogram video plays a crucial role in analysing cardiac function and diagnosing cardiac diseases. Current deep neural network methods primarily aim to enhance diagnosis accuracy by incorporating prior knowledge, such as segmenting cardiac structures or lesions annotated by human experts. However, diagnosing the inconsistent behaviours of the heart, which exist across both spatial and temporal dimensions, remains extremely challenging. For instance, the analysis of cardiac motion acquires both spatial and temporal information from the heartbeat cycle. To address this issue, we propose a novel reconstruction-based approach named CardiacNet to learn a better representation of local cardiac structures and motion abnormalities through echocardiogram videos. CardiacNet is accompanied by the Consistency Deformation Codebook (CDC) and the Consistency Deformed-Discriminator (CDD) to learn the commonalities across abnormal and normal samples by incorporating cardiac prior knowledge. In addition, we propose benchmark datasets named CardiacNet-PAH and CardiacNet-ASD to evaluate the effectiveness of cardiac disease assessment. In experiments, our CardiacNet can achieve state-of-the-art results in three different cardiac disease assessment tasks on public datasets CAMUS, EchoNet, and our datasets. The code and dataset are available at: https://github.com/xmed-lab/CardiacNet.

Gheorghe Comanici, Eric Bieber, Mike Schaekermann et al. · amazon-science, baidu

In this report, we introduce the Gemini 2.X model family: Gemini 2.5 Pro and Gemini 2.5 Flash, as well as our earlier Gemini 2.0 Flash and Flash-Lite models. Gemini 2.5 Pro is our most capable model yet, achieving SoTA performance on frontier coding and reasoning benchmarks. In addition to its incredible coding and reasoning skills, Gemini 2.5 Pro is a thinking model that excels at multimodal understanding and it is now able to process up to 3 hours of video content. Its unique combination of long context, multimodal and reasoning capabilities can be combined to unlock new agentic workflows. Gemini 2.5 Flash provides excellent reasoning abilities at a fraction of the compute and latency requirements and Gemini 2.0 Flash and Flash-Lite provide high performance at low latency and cost. Taken together, the Gemini 2.X model generation spans the full Pareto frontier of model capability vs cost, allowing users to explore the boundaries of what is possible with complex agentic problem solving.

Yang Chen, Xiaowei Xu, Shuai Wang et al.

Normalizing Flows (NFs) are a class of generative models distinguished by a mathematically invertible architecture, where the forward pass transforms data into a latent space for density estimation, and the reverse pass generates new samples from this space. This characteristic creates an intrinsic synergy between representation learning and data generation. However, the generative quality of standard NFs is limited by poor semantic representations from log-likelihood optimization. To remedy this, we propose a novel alignment strategy that creatively leverages the invertibility of NFs: instead of regularizing the forward pass, we align the intermediate features of the generative (reverse) pass with representations from a powerful vision foundation model, demonstrating superior effectiveness over naive alignment. We also introduce a novel training-free, test-time optimization algorithm for classification, which provides a more intrinsic evaluation of the NF's embedded semantic knowledge. Comprehensive experiments demonstrate that our approach accelerates the training of NFs by over 3.3$\times$, while simultaneously delivering significant improvements in both generative quality and classification accuracy. New state-of-the-art results for NFs are established on ImageNet 64$\times$64 and 256$\times$256. Our code is available at https://github.com/MCG-NJU/FlowBack.

Zi Wang, Xingqiao Wang, Sangah Lee et al.

The rapid expansion of scholarly literature presents significant challenges in synthesizing comprehensive, high-quality academic surveys. Recent advancements in agentic systems offer considerable promise for automating tasks that traditionally require human expertise, including literature review, synthesis, and iterative refinement. However, existing automated survey-generation solutions often suffer from inadequate quality control, poor formatting, and limited adaptability to iterative feedback, which are core elements intrinsic to scholarly writing. To address these limitations, we introduce ARISE, an Agentic Rubric-guided Iterative Survey Engine designed for automated generation and continuous refinement of academic survey papers. ARISE employs a modular architecture composed of specialized large language model agents, each mirroring distinct scholarly roles such as topic expansion, citation curation, literature summarization, manuscript drafting, and peer-review-based evaluation. Central to ARISE is a rubric-guided iterative refinement loop in which multiple reviewer agents independently assess manuscript drafts using a structured, behaviorally anchored rubric, systematically enhancing the content through synthesized feedback. Evaluating ARISE against state-of-the-art automated systems and recent human-written surveys, our experimental results demonstrate superior performance, achieving an average rubric-aligned quality score of 92.48. ARISE consistently surpasses baseline methods across metrics of comprehensiveness, accuracy, formatting, and overall scholarly rigor. All code, evaluation rubrics, and generated outputs are provided openly at https://github.com/ziwang11112/ARISE

Ye Zhang, Yu Zhou, Jingwen Qi et al.

Deep learning based automated pathological diagnosis has markedly improved diagnostic efficiency and reduced variability between observers, yet its clinical adoption remains limited by opaque model decisions and a lack of traceable rationale. To address this, recent multimodal visual reasoning architectures provide a unified framework that generates segmentation masks at the pixel level alongside semantically aligned textual explanations. By localizing lesion regions and producing expert style diagnostic narratives, these models deliver the transparent and interpretable insights necessary for dependable AI assisted pathology. Building on these advancements, we propose PathMR, a cell-level Multimodal visual Reasoning framework for Pathological image analysis. Given a pathological image and a textual query, PathMR generates expert-level diagnostic explanations while simultaneously predicting cell distribution patterns. To benchmark its performance, we evaluated our approach on the publicly available PathGen dataset as well as on our newly developed GADVR dataset. Extensive experiments on these two datasets demonstrate that PathMR consistently outperforms state-of-the-art visual reasoning methods in text generation quality, segmentation accuracy, and cross-modal alignment. These results highlight the potential of PathMR for improving interpretability in AI-driven pathological diagnosis. The code will be publicly available in https://github.com/zhangye-zoe/PathMR.

Chu Han, Jiatai Lin, Jinhai Mai et al.

Tissue-level semantic segmentation is a vital step in computational pathology. Fully-supervised models have already achieved outstanding performance with dense pixel-level annotations. However, drawing such labels on the giga-pixel whole slide images is extremely expensive and time-consuming. In this paper, we use only patch-level classification labels to achieve tissue semantic segmentation on histopathology images, finally reducing the annotation efforts. We proposed a two-step model including a classification and a segmentation phases. In the classification phase, we proposed a CAM-based model to generate pseudo masks by patch-level labels. In the segmentation phase, we achieved tissue semantic segmentation by our proposed Multi-Layer Pseudo-Supervision. Several technical novelties have been proposed to reduce the information gap between pixel-level and patch-level annotations. As a part of this paper, we introduced a new weakly-supervised semantic segmentation (WSSS) dataset for lung adenocarcinoma (LUAD-HistoSeg). We conducted several experiments to evaluate our proposed model on two datasets. Our proposed model outperforms two state-of-the-art WSSS approaches. Note that we can achieve comparable quantitative and qualitative results with the fully-supervised model, with only around a 2\% gap for MIoU and FwIoU. By comparing with manual labeling, our model can greatly save the annotation time from hours to minutes. The source code is available at: \url{https://github.com/ChuHan89/WSSS-Tissue}.

Dongxu Wei, Xiaowei Xu, Haibin Shen et al.

Human video motion transfer (HVMT) aims to synthesize videos that one person imitates other persons' actions. Although existing GAN-based HVMT methods have achieved great success, they either fail to preserve appearance details due to the loss of spatial consistency between synthesized and exemplary images, or generate incoherent video results due to the lack of temporal consistency among video frames. In this paper, we propose Coarse-to-Fine Flow Warping Network (C2F-FWN) for spatial-temporal consistent HVMT. Particularly, C2F-FWN utilizes coarse-to-fine flow warping and Layout-Constrained Deformable Convolution (LC-DConv) to improve spatial consistency, and employs Flow Temporal Consistency (FTC) Loss to enhance temporal consistency. In addition, provided with multi-source appearance inputs, C2F-FWN can support appearance attribute editing with great flexibility and efficiency. Besides public datasets, we also collected a large-scale HVMT dataset named SoloDance for evaluation. Extensive experiments conducted on our SoloDance dataset and the iPER dataset show that our approach outperforms state-of-art HVMT methods in terms of both spatial and temporal consistency. Source code and the SoloDance dataset are available at https://github.com/wswdx/C2F-FWN.

Jiang Wang, Haibin Wei, Xiaowei Xu et al.

On-demand Food Delivery (OFD) services have become very common around the world. For example, on the Ele.me platform, users place more than 15 million food orders every day. Predicting the Real-time Pressure Signal (RPS) is crucial for OFD services, as it is primarily used to measure the current status of pressure on the logistics system. When RPS rises, the pressure increases, and the platform needs to quickly take measures to prevent the logistics system from being overloaded. Usually, the average delivery time for all orders within a business district is used to represent RPS. Existing research on OFD services primarily focuses on predicting the delivery time of orders, while relatively less attention has been given to the study of the RPS. Previous research directly applies general models such as DeepFM, RNN, and GNN for prediction, but fails to adequately utilize the unique temporal and spatial characteristics of OFD services, and faces issues with insufficient sensitivity during sudden severe weather conditions or peak periods. To address these problems, this paper proposes a new method based on Spatio-Temporal Transformer and Memory Network (STTM). Specifically, we use a novel Spatio-Temporal Transformer structure to learn logistics features across temporal and spatial dimensions and encode the historical information of a business district and its neighbors, thereby learning both temporal and spatial information. Additionally, a Memory Network is employed to increase sensitivity to abnormal events. Experimental results on the real-world dataset show that STTM significantly outperforms previous methods in both offline experiments and the online A/B test, demonstrating the effectiveness of this method.

Rick Rejeleene, Xiaowei Xu, John Talburt

Large language models (LLM) are generating information at a rapid pace, requiring users to increasingly rely and trust the data. Despite remarkable advances of LLM, Information generated by LLM is not completely trustworthy, due to challenges in information quality. Specifically, integrity of Information quality decreases due to unreliable, biased, tokenization during pre-training of LLM. Moreover, due to decreased information quality issues, has led towards hallucination, fabricated information. Unreliable information can lead towards flawed decisions in businesses, which impacts economic activity. In this work, we introduce novel mathematical information quality evaluation of LLM, we furthermore analyze and highlight information quality challenges, scaling laws to systematically scale language models.

Wenxuan Li, Pedro R. A. S. Bassi, Tianyu Lin et al.

Building trusted datasets is critical for transparent and responsible Medical AI (MAI) research, but creating even small, high-quality datasets can take years of effort from multidisciplinary teams. This process often delays AI benefits, as human-centric data creation and AI-centric model development are treated as separate, sequential steps. To overcome this, we propose ScaleMAI, an agent of AI-integrated data curation and annotation, allowing data quality and AI performance to improve in a self-reinforcing cycle and reducing development time from years to months. We adopt pancreatic tumor detection as an example. First, ScaleMAI progressively creates a dataset of 25,362 CT scans, including per-voxel annotations for benign/malignant tumors and 24 anatomical structures. Second, through progressive human-in-the-loop iterations, ScaleMAI provides Flagship AI Model that can approach the proficiency of expert annotators (30-year experience) in detecting pancreatic tumors. Flagship Model significantly outperforms models developed from smaller, fixed-quality datasets, with substantial gains in tumor detection (+14%), segmentation (+5%), and classification (72%) on three prestigious benchmarks. In summary, ScaleMAI transforms the speed, scale, and reliability of medical dataset creation, paving the way for a variety of impactful, data-driven applications.

Xueyang Li, Han Xiao, Weixiang Weng et al.

Colorectal cancer is a prevalent form of cancer, and many patients develop colorectal cancer liver metastasis (CRLM) as a result. Early detection of CRLM is critical for improving survival rates. Radiologists usually rely on a series of multi-phase contrast-enhanced computed tomography (CECT) scans done during follow-up visits to perform early detection of the potential CRLM. These scans form unique five-dimensional data (time, phase, and axial, sagittal, and coronal planes in 3D CT). Most of the existing deep learning models can readily handle four-dimensional data (e.g., time-series 3D CT images) and it is not clear how well they can be extended to handle the additional dimension of phase. In this paper, we build a dataset of time-series CECT scans to aid in the early diagnosis of CRLM, and build upon state-of-the-art deep learning techniques to evaluate how to best predict CRLM. Our experimental results show that a multi-plane architecture based on 3D bi-directional LSTM, which we call MPBD-LSTM, works best, achieving an area under curve (AUC) of 0.79. On the other hand, analysis of the results shows that there is still great room for further improvement.

Wenmin Chen, Xiaowei Xu

With the widespread application of deep learning across various domains, concerns about its security have grown significantly. Among these, backdoor attacks pose a serious security threat to deep neural networks (DNNs). In recent years, backdoor attacks on neural networks have become increasingly sophisticated, aiming to compromise the security and trustworthiness of models by implanting hidden, unauthorized functionalities or triggers, leading to misleading predictions or behaviors. To make triggers less perceptible and imperceptible, various invisible backdoor attacks have been proposed. However, most of them only consider invisibility in the spatial domain, making it easy for recent defense methods to detect the generated toxic images.To address these challenges, this paper proposes an invisible backdoor attack called DEBA. DEBA leverages the mathematical properties of Singular Value Decomposition (SVD) to embed imperceptible backdoors into models during the training phase, thereby causing them to exhibit predefined malicious behavior under specific trigger conditions. Specifically, we first perform SVD on images, and then replace the minor features of trigger images with those of clean images, using them as triggers to ensure the effectiveness of the attack. As minor features are scattered throughout the entire image, the major features of clean images are preserved, making poisoned images visually indistinguishable from clean ones. Extensive experimental evaluations demonstrate that DEBA is highly effective, maintaining high perceptual quality and a high attack success rate for poisoned images. Furthermore, we assess the performance of DEBA under existing defense measures, showing that it is robust and capable of significantly evading and resisting the effects of these defense measures.

Jiewen Yang, Taoran Huang, Shangwei Ding et al.

Echocardiographers can detect pulmonary hypertension using Doppler echocardiography; however, accurately assessing its progression often proves challenging. Right heart catheterization (RHC), the gold standard for precise evaluation, is invasive and unsuitable for routine use, limiting its practicality for timely diagnosis and monitoring of pulmonary hypertension progression. Here, we propose MePH, a multi-view, multi-modal vision-language model to accurately assess pulmonary hypertension progression using non-invasive echocardiography. We constructed a large dataset comprising paired standardized echocardiogram videos, spectral images and RHC data, covering 1,237 patient cases from 12 medical centers. For the first time, MePH precisely models the correlation between non-invasive multi-view, multi-modal echocardiography and the pressure and resistance obtained via RHC. We show that MePH significantly outperforms echocardiographers' assessments using echocardiography, reducing the mean absolute error in estimating mean pulmonary arterial pressure (mPAP) and pulmonary vascular resistance (PVR) by 49.73% and 43.81%, respectively. In eight independent external hospitals, MePH achieved a mean absolute error of 3.147 for PVR assessment. Furthermore, MePH achieved an area under the curve of 0.921, surpassing echocardiographers (area under the curve of 0.842) in accurately predicting the severity of pulmonary hypertension, whether mild or severe. A prospective study demonstrated that MePH can predict treatment efficacy for patients. Our work provides pulmonary hypertension patients with a non-invasive and timely method for monitoring disease progression, improving the accuracy and efficiency of pulmonary hypertension management while enabling earlier interventions and more personalized treatment decisions.

Xiaowei Xu, Justin Sonneck, Hongxiao Wang et al.

Autonomous migration is essential for the function of immune cells such as neutrophils and plays a pivotal role in diverse diseases. Recently, we introduced ComplexEye, a multi-lens array microscope comprising 16 independent aberration-corrected glass lenses arranged at the pitch of a 96-well plate, capable of capturing high-resolution movies of migrating cells. This architecture enables high-throughput live-cell video microscopy for migration analysis, supporting routine quantification of autonomous motility with strong potential for clinical translation. However, ComplexEye and similar high-throughput imaging platforms generate data at an exponential rate, imposing substantial burdens on storage and transmission. To address this challenge, we present FlowRoI, a fast optical-flow-based region of interest (RoI) extraction framework designed for high-throughput image compression in immune cell migration studies. FlowRoI estimates optical flow between consecutive frames and derives RoI masks that reliably cover nearly all migrating cells. The raw image and its corresponding RoI mask are then jointly encoded using JPEG2000 to enable RoI-aware compression. FlowRoI operates with high computational efficiency, achieving runtimes comparable to standard JPEG2000 and reaching an average throughput of about 30 frames per second on a modern laptop equipped with an Intel i7-1255U CPU. In terms of image quality, FlowRoI yields higher peak signal-to-noise ratio (PSNR) in cellular regions and achieves 2.0-2.2x higher compression rates at matched PSNR compared to standard JPEG2000.

Jiacheng Shi, Haibin Wei, Jiang Wang et al.

Logistical demand-supply forecasting that evaluates the alignment between projected supply and anticipated demand, is essential for the efficiency and quality of on-demand food delivery platforms and serves as a key indicator for scheduling decisions. Future order distribution information, which reflects the distribution of orders in on-demand food delivery, is crucial for the performance of logistical demand-supply forecasting. Current studies utilize spatial-temporal analysis methods to model future order distribution information from serious time slices. However, learning future order distribution in online delivery platform is a time-series-insensitive problem with strong randomness. These approaches often struggle to effectively capture this information while remaining efficient. This paper proposes an innovative spatiotemporal learning model that utilizes only two graphs (ongoing and global) to learn future order distribution information, achieving superior performance compared to traditional spatial-temporal long-series methods. The main contributions are as follows: (1) The introduction of ongoing and global graphs in logistical demand-supply pressure forecasting compared to traditional long time series significantly enhances forecasting performance. (2) An innovative graph learning network framework using adaptive future graph learning and innovative cross attention mechanism (ACA-Net) is proposed to extract future order distribution information, effectively learning a robust future graph that substantially improves logistical demand-supply pressure forecasting outcomes. (3) The effectiveness of the proposed method is validated in real-world production environments.

Junxuan Yu, Yaofei Duan, Yuhao Huang et al.

Echocardiography is routine for cardiac examination. However, 2D ultrasound (US) struggles with accurate metric calculation and direct observation of 3D cardiac structures. Moreover, 3D US is limited by low resolution, small field of view and scarce availability in practice. Constructing the cardiac anatomical twin from 2D images is promising to provide precise treatment planning and clinical quantification. However, it remains challenging due to the rare paired data, complex structures, and US noises. In this study, we introduce a novel generative framework UltraTwin, to obtain cardiac anatomical twin from sparse multi-view 2D US. Our contribution is three-fold. First, pioneered the construction of a real-world and high-quality dataset containing strictly paired multi-view 2D US and CT, and pseudo-paired data. Second, we propose a coarse-to-fine scheme to achieve hierarchical reconstruction optimization. Last, we introduce an implicit autoencoder for topology-aware constraints. Extensive experiments show that UltraTwin reconstructs high-quality anatomical twins versus strong competitors. We believe it advances anatomical twin modeling for potential applications in personalized cardiac care.

Dewen Zeng, Xinrong Hu, Yu-Jen Chen et al.

Weakly supervised semantic segmentation (WSSS) methods using class labels often rely on class activation maps (CAMs) to localize objects. However, traditional CAM-based methods struggle with partial activations and imprecise object boundaries due to optimization discrepancies between classification and segmentation. Recently, the conditional diffusion model (CDM) has been used as an alternative for generating segmentation masks in WSSS, leveraging its strong image generation capabilities tailored to specific class distributions. By modifying or perturbing the condition during diffusion sampling, the related objects can be highlighted in the generated images. Yet, the saliency maps generated by CDMs are prone to noise from background alterations during reverse diffusion. To alleviate the problem, we introduce Contrastive Learning with Diffusion Features (CLDF), a novel method that uses contrastive learning to train a pixel decoder to map the diffusion features from a frozen CDM to a low-dimensional embedding space for segmentation. Specifically, we integrate gradient maps generated from CDM external classifier with CAMs to identify foreground and background pixels with fewer false positives/negatives for contrastive learning, enabling robust pixel embedding learning. Experimental results on four segmentation tasks from two public medical datasets demonstrate that our method significantly outperforms existing baselines.

Xiaowei Xu, Bi T. Foua, Xingqiao Wang et al.

In this paper, the authors propose TriBERTa, a supervised entity resolution system that utilizes a pre-trained large language model and a triplet loss function to learn representations for entity matching. The system consists of two steps: first, name entity records are fed into a Sentence Bidirectional Encoder Representations from Transformers (SBERT) model to generate vector representations, which are then fine-tuned using contrastive learning based on a triplet loss function. Fine-tuned representations are used as input for entity matching tasks, and the results show that the proposed approach outperforms state-of-the-art representations, including SBERT without fine-tuning and conventional Term Frequency-Inverse Document Frequency (TF-IDF), by a margin of 3 - 19%. Additionally, the representations generated by TriBERTa demonstrated increased robustness, maintaining consistently higher performance across a range of datasets. The authors also discussed the importance of entity resolution in today's data-driven landscape and the challenges that arise when identifying and reconciling duplicate data across different sources. They also described the ER process, which involves several crucial steps, including blocking, entity matching, and clustering.

Dewen Zeng, Yawen Wu, Xinrong Hu et al.

This paper presents a new way to identify additional positive pairs for BYOL, a state-of-the-art (SOTA) self-supervised learning framework, to improve its representation learning ability. Unlike conventional BYOL which relies on only one positive pair generated by two augmented views of the same image, we argue that information from different images with the same label can bring more diversity and variations to the target features, thus benefiting representation learning. To identify such pairs without any label, we investigate TracIn, an instance-based and computationally efficient influence function, for BYOL training. Specifically, TracIn is a gradient-based method that reveals the impact of a training sample on a test sample in supervised learning. We extend it to the self-supervised learning setting and propose an efficient batch-wise per-sample gradient computation method to estimate the pairwise TracIn to represent the similarity of samples in the mini-batch during training. For each image, we select the most similar sample from other images as the additional positive and pull their features together with BYOL loss. Experimental results on two public medical datasets (i.e., ISIC 2019 and ChestX-ray) demonstrate that the proposed method can improve the classification performance compared to other competitive baselines in both semi-supervised and transfer learning settings.

Zhenge Jia, Dawei Li, Cong Liu et al.

The first ACM/IEEE TinyML Design Contest (TDC) held at the 41st International Conference on Computer-Aided Design (ICCAD) in 2022 is a challenging, multi-month, research and development competition. TDC'22 focuses on real-world medical problems that require the innovation and implementation of artificial intelligence/machine learning (AI/ML) algorithms on implantable devices. The challenge problem of TDC'22 is to develop a novel AI/ML-based real-time detection algorithm for life-threatening ventricular arrhythmia over low-power microcontrollers utilized in Implantable Cardioverter-Defibrillators (ICDs). The dataset contains more than 38,000 5-second intracardiac electrograms (IEGMs) segments over 8 different types of rhythm from 90 subjects. The dedicated hardware platform is NUCLEO-L432KC manufactured by STMicroelectronics. TDC'22, which is open to multi-person teams world-wide, attracted more than 150 teams from over 50 organizations. This paper first presents the medical problem, dataset, and evaluation procedure in detail. It further demonstrates and discusses the designs developed by the leading teams as well as representative results. This paper concludes with the direction of improvement for the future TinyML design for health monitoring applications.

Xinpeng Ding, Xinjian Yan, Zixun Wang et al.

Surgical phase recognition is a fundamental task in computer-assisted surgery systems. Most existing works are under the supervision of expensive and time-consuming full annotations, which require the surgeons to repeat watching videos to find the precise start and end time for a surgical phase. In this paper, we introduce timestamp supervision for surgical phase recognition to train the models with timestamp annotations, where the surgeons are asked to identify only a single timestamp within the temporal boundary of a phase. This annotation can significantly reduce the manual annotation cost compared to the full annotations. To make full use of such timestamp supervisions, we propose a novel method called uncertainty-aware temporal diffusion (UATD) to generate trustworthy pseudo labels for training. Our proposed UATD is motivated by the property of surgical videos, i.e., the phases are long events consisting of consecutive frames. To be specific, UATD diffuses the single labelled timestamp to its corresponding high confident ( i.e., low uncertainty) neighbour frames in an iterative way. Our study uncovers unique insights of surgical phase recognition with timestamp supervisions: 1) timestamp annotation can reduce 74% annotation time compared with the full annotation, and surgeons tend to annotate those timestamps near the middle of phases; 2) extensive experiments demonstrate that our method can achieve competitive results compared with full supervision methods, while reducing manual annotation cost; 3) less is more in surgical phase recognition, i.e., less but discriminative pseudo labels outperform full but containing ambiguous frames; 4) the proposed UATD can be used as a plug and play method to clean ambiguous labels near boundaries between phases, and improve the performance of the current surgical phase recognition methods.

Yu-Jen Chen, Yen-Jung Chang, Shao-Cheng Wen et al.

Medical images may contain various types of artifacts with different patterns and mixtures, which depend on many factors such as scan setting, machine condition, patients' characteristics, surrounding environment, etc. However, existing deep-learning-based artifact reduction methods are restricted by their training set with specific predetermined artifact types and patterns. As such, they have limited clinical adoption. In this paper, we introduce One-Shot medical image Artifact Reduction (OSAR), which exploits the power of deep learning but without using pre-trained general networks. Specifically, we train a light-weight image-specific artifact reduction network using data synthesized from the input image at test-time. Without requiring any prior large training data set, OSAR can work with almost any medical images that contain varying additive artifacts which are not in any existing data sets. In addition, Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) are used as vehicles and show that the proposed method can reduce artifacts better than state-of-the-art both qualitatively and quantitatively using shorter test time.

Xinrong Hu, Dewen Zeng, Xiaowei Xu et al.

The success of deep learning methods in medical image segmentation tasks heavily depends on a large amount of labeled data to supervise the training. On the other hand, the annotation of biomedical images requires domain knowledge and can be laborious. Recently, contrastive learning has demonstrated great potential in learning latent representation of images even without any label. Existing works have explored its application to biomedical image segmentation where only a small portion of data is labeled, through a pre-training phase based on self-supervised contrastive learning without using any labels followed by a supervised fine-tuning phase on the labeled portion of data only. In this paper, we establish that by including the limited label in formation in the pre-training phase, it is possible to boost the performance of contrastive learning. We propose a supervised local contrastive loss that leverages limited pixel-wise annotation to force pixels with the same label to gather around in the embedding space. Such loss needs pixel-wise computation which can be expensive for large images, and we further propose two strategies, downsampling and block division, to address the issue. We evaluate our methods on two public biomedical image datasets of different modalities. With different amounts of labeled data, our methods consistently outperform the state-of-the-art contrast-based methods and other semi-supervised learning techniques.

Dewen Zeng, Yukun Ding, Haiyun Yuan et al.

Automatic myocardial segmentation of contrast echocardiography has shown great potential in the quantification of myocardial perfusion parameters. Segmentation quality control is an important step to ensure the accuracy of segmentation results for quality research as well as its clinical application. Usually, the segmentation quality control happens after the data acquisition. At the data acquisition time, the operator could not know the quality of the segmentation results. On-the-fly segmentation quality control could help the operator to adjust the ultrasound probe or retake data if the quality is unsatisfied, which can greatly reduce the effort of time-consuming manual correction. However, it is infeasible to deploy state-of-the-art DNN-based models because the segmentation module and quality control module must fit in the limited hardware resource on the ultrasound machine while satisfying strict latency constraints. In this paper, we propose a hardware-aware neural architecture search framework for automatic myocardial segmentation and quality control of contrast echocardiography. We explicitly incorporate the hardware latency as a regularization term into the loss function during training. The proposed method searches the best neural network architecture for the segmentation module and quality prediction module with strict latency.

Zeyang Yao, Jiawei Zhang, Hailong Qiu et al.

Type-B Aortic Dissection (TBAD) is one of the most serious cardiovascular events characterized by a growing yearly incidence,and the severity of disease prognosis. Currently, computed tomography angiography (CTA) has been widely adopted for the diagnosis and prognosis of TBAD. Accurate segmentation of true lumen (TL), false lumen (FL), and false lumen thrombus (FLT) in CTA are crucial for the precise quantification of anatomical features. However, existing works only focus on only TL and FL without considering FLT. In this paper, we propose ImageTBAD, the first 3D computed tomography angiography (CTA) image dataset of TBAD with annotation of TL, FL, and FLT. The proposed dataset contains 100 TBAD CTA images, which is of decent size compared with existing medical imaging datasets. As FLT can appear almost anywhere along the aorta with irregular shapes, segmentation of FLT presents a wide class of segmentation problems where targets exist in a variety of positions with irregular shapes. We further propose a baseline method for automatic segmentation of TBAD. Results show that the baseline method can achieve comparable results with existing works on aorta and TL segmentation. However, the segmentation accuracy of FLT is only 52%, which leaves large room for improvement and also shows the challenge of our dataset. To facilitate further research on this challenging problem, our dataset and codes are released to the public.

Dewen Zeng, Mingqi Li, Yukun Ding et al.

Most existing deep learning-based frameworks for image segmentation assume that a unique ground truth is known and can be used for performance evaluation. This is true for many applications, but not all. Myocardial segmentation of Myocardial Contrast Echocardiography (MCE), a critical task in automatic myocardial perfusion analysis, is an example. Due to the low resolution and serious artifacts in MCE data, annotations from different cardiologists can vary significantly, and it is hard to tell which one is the best. In this case, how can we find a good way to evaluate segmentation performance and how do we train the neural network? In this paper, we address the first problem by proposing a new extended Dice to effectively evaluate the segmentation performance when multiple accepted ground truth is available. Then based on our proposed metric, we solve the second problem by further incorporating the new metric into a loss function that enables neural networks to flexibly learn general features of myocardium. Experiment results on our clinical MCE data set demonstrate that the neural network trained with the proposed loss function outperforms those existing ones that try to obtain a unique ground truth from multiple annotations, both quantitatively and qualitatively. Finally, our grading study shows that using extended Dice as an evaluation metric can better identify segmentation results that need manual correction compared with using Dice.

Dewen Zeng, Yawen Wu, Xinrong Hu et al.

The success of deep learning heavily depends on the availability of large labeled training sets. However, it is hard to get large labeled datasets in medical image domain because of the strict privacy concern and costly labeling efforts. Contrastive learning, an unsupervised learning technique, has been proved powerful in learning image-level representations from unlabeled data. The learned encoder can then be transferred or fine-tuned to improve the performance of downstream tasks with limited labels. A critical step in contrastive learning is the generation of contrastive data pairs, which is relatively simple for natural image classification but quite challenging for medical image segmentation due to the existence of the same tissue or organ across the dataset. As a result, when applied to medical image segmentation, most state-of-the-art contrastive learning frameworks inevitably introduce a lot of false-negative pairs and result in degraded segmentation quality. To address this issue, we propose a novel positional contrastive learning (PCL) framework to generate contrastive data pairs by leveraging the position information in volumetric medical images. Experimental results on CT and MRI datasets demonstrate that the proposed PCL method can substantially improve the segmentation performance compared to existing methods in both semi-supervised setting and transfer learning setting.

Tianchen Wang, Zhihe Li, Meiping Huang et al.

Patent foramen ovale (PFO) is a potential separation between the septum, primum and septum secundum located in the anterosuperior portion of the atrial septum. PFO is one of the main factors causing cryptogenic stroke which is the fifth leading cause of death in the United States. For PFO diagnosis, contrast transthoracic echocardiography (cTTE) is preferred as being a more robust method compared with others. However, the current PFO diagnosis through cTTE is extremely slow as it is proceeded manually by sonographers on echocardiography videos. Currently there is no publicly available dataset for this important topic in the community. In this paper, we present EchoCP, as the first echocardiography dataset in cTTE targeting PFO diagnosis. EchoCP consists of 30 patients with both rest and Valsalva maneuver videos which covers various PFO grades. We further establish an automated baseline method for PFO diagnosis based on the state-of-the-art cardiac chamber segmentation technique, which achieves 0.89 average mean Dice score, but only 0.60/0.67 mean accuracies for PFO diagnosis, leaving large room for improvement. We hope that the challenging EchoCP dataset can stimulate further research and lead to innovative and generic solutions that would have an impact in multiple domains. Our dataset is released.

Jiawei Zhang, Yanchun Zhang, Xiaowei Xu

Retinal blood vessel can assist doctors in diagnosis of eye-related diseases such as diabetes and hypertension, and its segmentation is particularly important for automatic retinal image analysis. However, it is challenging to segment these vessels structures, especially the thin capillaries from the color retinal image due to low contrast and ambiguousness. In this paper, we propose pyramid U-Net for accurate retinal vessel segmentation. In pyramid U-Net, the proposed pyramid-scale aggregation blocks (PSABs) are employed in both the encoder and decoder to aggregate features at higher, current and lower levels. In this way, coarse-to-fine context information is shared and aggregated in each block thus to improve the location of capillaries. To further improve performance, two optimizations including pyramid inputs enhancement and deep pyramid supervision are applied to PSABs in the encoder and decoder, respectively. For PSABs in the encoder, scaled input images are added as extra inputs. While for PSABs in the decoder, scaled intermediate outputs are supervised by the scaled segmentation labels. Extensive evaluations show that our pyramid U-Net outperforms the current state-of-the-art methods on the public DRIVE and CHASE-DB1 datasets.

Jiawei Zhang, Yanchun Zhang, Xiaowei Xu

Semantic image segmentation aims to obtain object labels with precise boundaries, which usually suffers from overfitting. Recently, various data augmentation strategies like regional dropout and mix strategies have been proposed to address the problem. These strategies have proved to be effective for guiding the model to attend on less discriminative parts. However, current strategies operate at the image level, and objects and the background are coupled. Thus, the boundaries are not well augmented due to the fixed semantic scenario. In this paper, we propose ObjectAug to perform object-level augmentation for semantic image segmentation. ObjectAug first decouples the image into individual objects and the background using the semantic labels. Next, each object is augmented individually with commonly used augmentation methods (e.g., scaling, shifting, and rotation). Then, the black area brought by object augmentation is further restored using image inpainting. Finally, the augmented objects and background are assembled as an augmented image. In this way, the boundaries can be fully explored in the various semantic scenarios. In addition, ObjectAug can support category-aware augmentation that gives various possibilities to objects in each category, and can be easily combined with existing image-level augmentation methods to further boost performance. Comprehensive experiments are conducted on both natural image and medical image datasets. Experiment results demonstrate that our ObjectAug can evidently improve segmentation performance.

Xiaowei Xu, Tianchen Wang, Jian Zhuang et al.

Congenital heart disease (CHD) is the most common type of birth defect, which occurs 1 in every 110 births in the United States. CHD usually comes with severe variations in heart structure and great artery connections that can be classified into many types. Thus highly specialized domain knowledge and the time-consuming human process is needed to analyze the associated medical images. On the other hand, due to the complexity of CHD and the lack of dataset, little has been explored on the automatic diagnosis (classification) of CHDs. In this paper, we present ImageCHD, the first medical image dataset for CHD classification. ImageCHD contains 110 3D Computed Tomography (CT) images covering most types of CHD, which is of decent size Classification of CHDs requires the identification of large structural changes without any local tissue changes, with limited data. It is an example of a larger class of problems that are quite difficult for current machine-learning-based vision methods to solve. To demonstrate this, we further present a baseline framework for the automatic classification of CHD, based on a state-of-the-art CHD segmentation method. Experimental results show that the baseline framework can only achieve a classification accuracy of 82.0\% under a selective prediction scheme with 88.4\% coverage, leaving big room for further improvement. We hope that ImageCHD can stimulate further research and lead to innovative and generic solutions that would have an impact in multiple domains. Our dataset is released to the public compared with existing medical imaging datasets.

Yutian Chen, Xiaowei Xu, Dewen Zeng et al.

Coronary artery disease (CAD) is the most common cause of death globally, and its diagnosis is usually based on manual myocardial segmentation of Magnetic Resonance Imaging (MRI) sequences. As the manual segmentation is tedious, time-consuming and with low applicability, automatic myocardial segmentation using machine learning techniques has been widely explored recently. However, almost all the existing methods treat the input MRI sequences independently, which fails to capture the temporal information between sequences, e.g., the shape and location information of the myocardium in sequences along time. In this paper, we propose a myocardial segmentation framework for sequence of cardiac MRI (CMR) scanning images of left ventricular cavity, right ventricular cavity, and myocardium. Specifically, we propose to combine conventional networks and recurrent networks to incorporate temporal information between sequences to ensure temporal consistent. We evaluated our framework on the Automated Cardiac Diagnosis Challenge (ACDC) dataset. Experiment results demonstrate that our framework can improve the segmentation accuracy by up to 2% in Dice coefficient.

Jiahua Dong, Yang Cong, Gan Sun et al.

Weakly-supervised learning has attracted growing research attention on medical lesions segmentation due to significant saving in pixel-level annotation cost. However, 1) most existing methods require effective prior and constraints to explore the intrinsic lesions characterization, which only generates incorrect and rough prediction; 2) they neglect the underlying semantic dependencies among weakly-labeled target enteroscopy diseases and fully-annotated source gastroscope lesions, while forcefully utilizing untransferable dependencies leads to the negative performance. To tackle above issues, we propose a new weakly-supervised lesions transfer framework, which can not only explore transferable domain-invariant knowledge across different datasets, but also prevent the negative transfer of untransferable representations. Specifically, a Wasserstein quantified transferability framework is developed to highlight widerange transferable contextual dependencies, while neglecting the irrelevant semantic characterizations. Moreover, a novel selfsupervised pseudo label generator is designed to equally provide confident pseudo pixel labels for both hard-to-transfer and easyto-transfer target samples. It inhibits the enormous deviation of false pseudo pixel labels under the self-supervision manner. Afterwards, dynamically-searched feature centroids are aligned to narrow category-wise distribution shift. Comprehensive theoretical analysis and experiments show the superiority of our model on the endoscopic dataset and several public datasets.

Shao-Cheng Wen, Yu-Jen Chen, Zihao Liu et al.

Deep learning had already demonstrated its power in medical images, including denoising, classification, segmentation, etc. All these applications are proposed to automatically analyze medical images beforehand, which brings more information to radiologists during clinical assessment for accuracy improvement. Recently, many medical denoising methods had shown their significant artifact reduction result and noise removal both quantitatively and qualitatively. However, those existing methods are developed around human-vision, i.e., they are designed to minimize the noise effect that can be perceived by human eyes. In this paper, we introduce an application-guided denoising framework, which focuses on denoising for the following neural networks. In our experiments, we apply the proposed framework to different datasets, models, and use cases. Experimental results show that our proposed framework can achieve a better result than human-vision denoising network.

Jiahua Dong, Yang Cong, Gan Sun et al.

Unsupervised domain adaptation without consuming annotation process for unlabeled target data attracts appealing interests in semantic segmentation. However, 1) existing methods neglect that not all semantic representations across domains are transferable, which cripples domain-wise transfer with untransferable knowledge; 2) they fail to narrow category-wise distribution shift due to category-agnostic feature alignment. To address above challenges, we develop a new Critical Semantic-Consistent Learning (CSCL) model, which mitigates the discrepancy of both domain-wise and category-wise distributions. Specifically, a critical transfer based adversarial framework is designed to highlight transferable domain-wise knowledge while neglecting untransferable knowledge. Transferability-critic guides transferability-quantizer to maximize positive transfer gain under reinforcement learning manner, although negative transfer of untransferable knowledge occurs. Meanwhile, with the help of confidence-guided pseudo labels generator of target samples, a symmetric soft divergence loss is presented to explore inter-class relationships and facilitate category-wise distribution alignment. Experiments on several datasets demonstrate the superiority of our model.

Dewen Zeng, Weiwen Jiang, Tianchen Wang et al.

Real-time cardiac magnetic resonance imaging (MRI) plays an increasingly important role in guiding various cardiac interventions. In order to provide better visual assistance, the cine MRI frames need to be segmented on-the-fly to avoid noticeable visual lag. In addition, considering reliability and patient data privacy, the computation is preferably done on local hardware. State-of-the-art MRI segmentation methods mostly focus on accuracy only, and can hardly be adopted for real-time application or on local hardware. In this work, we present the first hardware-aware multi-scale neural architecture search (NAS) framework for real-time 3D cardiac cine MRI segmentation. The proposed framework incorporates a latency regularization term into the loss function to handle real-time constraints, with the consideration of underlying hardware. In addition, the formulation is fully differentiable with respect to the architecture parameters, so that stochastic gradient descent (SGD) can be used for optimization to reduce the computation cost while maintaining optimization quality. Experimental results on ACDC MICCAI 2017 dataset demonstrate that our hardware-aware multi-scale NAS framework can reduce the latency by up to 3.5 times and satisfy the real-time constraints, while still achieving competitive segmentation accuracy, compared with the state-of-the-art NAS segmentation framework.

Tianchen Wang, Xiaowei Xu, Jinjun Xiong et al.

Real-time cine magnetic resonance imaging (MRI) plays an increasingly important role in various cardiac interventions. In order to enable fast and accurate visual assistance, the temporal frames need to be segmented on-the-fly. However, state-of-the-art MRI segmentation methods are used either offline because of their high computation complexity, or in real-time but with significant accuracy loss and latency increase (causing visually noticeable lag). As such, they can hardly be adopted to assist visual guidance. In this work, inspired by a new interpretation of Independent Component Analysis (ICA) for learning, we propose a novel ICA-UNet for real-time 3D cardiac cine MRI segmentation. Experiments using the MICCAI ACDC 2017 dataset show that, compared with the state-of-the-arts, ICA-UNet not only achieves higher Dice scores, but also meets the real-time requirements for both throughput and latency (up to 12.6X reduction), enabling real-time guidance for cardiac interventions without visual lag.

Song Bian, Xiaowei Xu, Weiwen Jiang et al.

The strict security requirements placed on medical records by various privacy regulations become major obstacles in the age of big data. To ensure efficient machine learning as a service schemes while protecting data confidentiality, in this work, we propose blind UNET (BUNET), a secure protocol that implements privacy-preserving medical image segmentation based on the UNET architecture. In BUNET, we efficiently utilize cryptographic primitives such as homomorphic encryption and garbled circuits (GC) to design a complete secure protocol for the UNET neural architecture. In addition, we perform extensive architectural search in reducing the computational bottleneck of GC-based secure activation protocols with high-dimensional input data. In the experiment, we thoroughly examine the parameter space of our protocol, and show that we can achieve up to 14x inference time reduction compared to the-state-of-the-art secure inference technique on a baseline architecture with negligible accuracy degradation.