Zhihao Chen

Zhiyu Ma, Chen Li, Tianming Du et al.

Methods: In this study, a benchmark \emph{Abdominal Adipose Tissue CT Image Dataset} (AATTCT-IDS) containing 300 subjects is prepared and published. AATTCT-IDS publics 13,732 raw CT slices, and the researchers individually annotate the subcutaneous and visceral adipose tissue regions of 3,213 of those slices that have the same slice distance to validate denoising methods, train semantic segmentation models, and study radiomics. For different tasks, this paper compares and analyzes the performance of various methods on AATTCT-IDS by combining the visualization results and evaluation data. Thus, verify the research potential of this data set in the above three types of tasks. Results: In the comparative study of image denoising, algorithms using a smoothing strategy suppress mixed noise at the expense of image details and obtain better evaluation data. Methods such as BM3D preserve the original image structure better, although the evaluation data are slightly lower. The results show significant differences among them. In the comparative study of semantic segmentation of abdominal adipose tissue, the segmentation results of adipose tissue by each model show different structural characteristics. Among them, BiSeNet obtains segmentation results only slightly inferior to U-Net with the shortest training time and effectively separates small and isolated adipose tissue. In addition, the radiomics study based on AATTCT-IDS reveals three adipose distributions in the subject population. Conclusion: AATTCT-IDS contains the ground truth of adipose tissue regions in abdominal CT slices. This open-source dataset can attract researchers to explore the multi-dimensional characteristics of abdominal adipose tissue and thus help physicians and patients in clinical practice. AATCT-IDS is freely published for non-commercial purpose at: \url{https://figshare.com/articles/dataset/AATTCT-IDS/23807256}.

Zhihao Chen, Qi Gao, Yi Zhang et al.

While various deep learning methods have been proposed for low-dose computed tomography (CT) denoising, most of them leverage the normal-dose CT images as the ground-truth to supervise the denoising process. These methods typically ignore the inherent correlation within a single CT image, especially the anatomical semantics of human tissues, and lack the interpretability on the denoising process. In this paper, we propose a novel Anatomy-aware Supervised CONtrastive learning framework, termed ASCON, which can explore the anatomical semantics for low-dose CT denoising while providing anatomical interpretability. The proposed ASCON consists of two novel designs: an efficient self-attention-based U-Net (ESAU-Net) and a multi-scale anatomical contrastive network (MAC-Net). First, to better capture global-local interactions and adapt to the high-resolution input, an efficient ESAU-Net is introduced by using a channel-wise self-attention mechanism. Second, MAC-Net incorporates a patch-wise non-contrastive module to capture inherent anatomical information and a pixel-wise contrastive module to maintain intrinsic anatomical consistency. Extensive experimental results on two public low-dose CT denoising datasets demonstrate superior performance of ASCON over state-of-the-art models. Remarkably, our ASCON provides anatomical interpretability for low-dose CT denoising for the first time. Source code is available at https://github.com/hao1635/ASCON.

Zhihao Chen, Tao Chen, Chenhui Wang et al.

While various deep learning methods were proposed for low-dose computed tomography (CT) denoising, they often suffer from over-smoothing, blurring, and lack of explainability. To alleviate these issues, we propose a plug-and-play Language-Engaged Dual-space Alignment loss (LEDA) to optimize low-dose CT denoising models. Our idea is to leverage large language models (LLMs) to align denoised CT and normal dose CT images in both the continuous perceptual space and discrete semantic space, which is the first LLM-based scheme for low-dose CT denoising. LEDA involves two steps: the first is to pretrain an LLM-guided CT autoencoder, which can encode a CT image into continuous high-level features and quantize them into a token space to produce semantic tokens derived from the LLM's vocabulary; and the second is to minimize the discrepancy between the denoised CT images and normal dose CT in terms of both encoded high-level features and quantized token embeddings derived by the LLM-guided CT autoencoder. Extensive experimental results on two public LDCT denoising datasets demonstrate that our LEDA can enhance existing denoising models in terms of quantitative metrics and qualitative evaluation, and also provide explainability through language-level image understanding. Source code is available at https://github.com/hao1635/LEDA.

Zhihao Chen, Bin Hu, Chuang Niu et al.

Large language models (LLMs), such as ChatGPT, have demonstrated impressive capabilities in various tasks and attracted an increasing interest as a natural language interface across many domains. Recently, large vision-language models (VLMs) like BLIP-2 and GPT-4 have been intensively investigated, which learn rich vision-language correlation from image-text pairs. However, despite these developments, the application of LLMs and VLMs in image quality assessment (IQA), particularly in medical imaging, remains to be explored, which is valuable for objective performance evaluation and potential supplement or even replacement of radiologists' opinions. To this end, this paper introduces IQAGPT, an innovative image quality assessment system integrating an image quality captioning VLM with ChatGPT for generating quality scores and textual reports. First, we build a CT-IQA dataset for training and evaluation, comprising 1,000 CT slices with diverse quality levels professionally annotated. To better leverage the capabilities of LLMs, we convert annotated quality scores into semantically rich text descriptions using a prompt template. Second, we fine-tune the image quality captioning VLM on the CT-IQA dataset to generate quality descriptions. The captioning model fuses the image and text features through cross-modal attention. Third, based on the quality descriptions, users can talk with ChatGPT to rate image quality scores or produce a radiological quality report. Our preliminary results demonstrate the feasibility of assessing image quality with large models. Remarkably, our IQAGPT outperforms GPT-4 and CLIP-IQA, as well as the multi-task classification and regression models that solely rely on images.

Alain Lalande, Zhihao Chen, Thibaut Pommier et al.

A key factor for assessing the state of the heart after myocardial infarction (MI) is to measure whether the myocardium segment is viable after reperfusion or revascularization therapy. Delayed enhancement-MRI or DE-MRI, which is performed several minutes after injection of the contrast agent, provides high contrast between viable and nonviable myocardium and is therefore a method of choice to evaluate the extent of MI. To automatically assess myocardial status, the results of the EMIDEC challenge that focused on this task are presented in this paper. The challenge's main objectives were twofold. First, to evaluate if deep learning methods can distinguish between normal and pathological cases. Second, to automatically calculate the extent of myocardial infarction. The publicly available database consists of 150 exams divided into 50 cases with normal MRI after injection of a contrast agent and 100 cases with myocardial infarction (and then with a hyperenhanced area on DE-MRI), whatever their inclusion in the cardiac emergency department. Along with MRI, clinical characteristics are also provided. The obtained results issued from several works show that the automatic classification of an exam is a reachable task (the best method providing an accuracy of 0.92), and the automatic segmentation of the myocardium is possible. However, the segmentation of the diseased area needs to be improved, mainly due to the small size of these areas and the lack of contrast with the surrounding structures.