Shanshan Wang

Weijian Huang, Cheng Li, Hong-Yu Zhou et al.

Recently, multi-modal vision-language foundation models have gained significant attention in the medical field. While these models offer great opportunities, they still face crucial challenges, such as the requirement for fine-grained knowledge understanding in computer-aided diagnosis and the capability of utilizing very limited or even no task-specific labeled data in real-world clinical applications. In this study, we present MaCo, a masked contrastive chest X-ray foundation model that tackles these challenges. MaCo explores masked contrastive learning to simultaneously achieve fine-grained image understanding and zero-shot learning for a variety of medical imaging tasks. It designs a correlation weighting mechanism to adjust the correlation between masked chest X-ray image patches and their corresponding reports, thereby enhancing the model's representation learning capabilities. To evaluate the performance of MaCo, we conducted extensive experiments using 6 well-known open-source X-ray datasets. The experimental results demonstrate the superiority of MaCo over 10 state-of-the-art approaches across tasks such as classification, segmentation, detection, and phrase grounding. These findings highlight the significant potential of MaCo in advancing a wide range of medical image analysis tasks.

Weijian Huang, Hao Yang, Cheng Li et al.

Multi-modal representation methods have achieved advanced performance in medical applications by extracting more robust features from multi-domain data. However, existing methods usually need to train additional branches for downstream tasks, which may increase the model complexities in clinical applications as well as introduce additional human inductive bias. Besides, very few studies exploit the rich clinical knowledge embedded in clinical daily reports. To this end, we propose a novel medical generalist agent, MGA, that can address three kinds of common clinical tasks via clinical reports knowledge transformation. Unlike the existing methods, MGA can easily adapt to different tasks without specific downstream branches when their corresponding annotations are missing. More importantly, we are the first attempt to use medical professional language guidance as a transmission medium to guide the agent's behavior. The proposed method is implemented on four well-known X-ray open-source datasets, MIMIC-CXR, CheXpert, MIMIC-CXR-JPG, and MIMIC-CXR-MS. Promising results are obtained, which validate the effectiveness of our proposed MGA. Code is available at: https://github.com/SZUHvern/MGA

Haojia Lin, Xiawu Zheng, Lijiang Li et al.

Recent advances in 3D point cloud analysis bring a diverse set of network architectures to the field. However, the lack of a unified framework to interpret those networks makes any systematic comparison, contrast, or analysis challenging, and practically limits healthy development of the field. In this paper, we take the initiative to explore and propose a unified framework called PointMeta, to which the popular 3D point cloud analysis approaches could fit. This brings three benefits. First, it allows us to compare different approaches in a fair manner, and use quick experiments to verify any empirical observations or assumptions summarized from the comparison. Second, the big picture brought by PointMeta enables us to think across different components, and revisit common beliefs and key design decisions made by the popular approaches. Third, based on the learnings from the previous two analyses, by doing simple tweaks on the existing approaches, we are able to derive a basic building block, termed PointMetaBase. It shows very strong performance in efficiency and effectiveness through extensive experiments on challenging benchmarks, and thus verifies the necessity and benefits of high-level interpretation, contrast, and comparison like PointMeta. In particular, PointMetaBase surpasses the previous state-of-the-art method by 0.7%/1.4/%2.1% mIoU with only 2%/11%/13% of the computation cost on the S3DIS datasets.

Weijian Huang, Cheng Li, Wenxin Fan et al.

Recovering high-quality images from undersampled measurements is critical for accelerated MRI reconstruction. Recently, various supervised deep learning-based MRI reconstruction methods have been developed. Despite the achieved promising performances, these methods require fully sampled reference data, the acquisition of which is resource-intensive and time-consuming. Self-supervised learning has emerged as a promising solution to alleviate the reliance on fully sampled datasets. However, existing self-supervised methods suffer from reconstruction errors due to the insufficient constraint enforced on the non-sampled data points and the error accumulation happened alongside the iterative image reconstruction process for model-driven deep learning reconstrutions. To address these challenges, we propose K2Calibrate, a K-space adaptation strategy for self-supervised model-driven MR reconstruction optimization. By iteratively calibrating the learned measurements, K2Calibrate can reduce the network's reconstruction deterioration caused by statistically dependent noise. Extensive experiments have been conducted on the open-source dataset FastMRI, and K2Calibrate achieves better results than five state-of-the-art methods. The proposed K2Calibrate is plug-and-play and can be easily integrated with different model-driven deep learning reconstruction methods.

Hao Yang, Weijian Huang, Jiarun Liu et al.

The ability to incrementally learn new classes from limited samples is crucial to the development of artificial intelligence systems for real clinical application. Although existing incremental learning techniques have attempted to address this issue, they still struggle with only few labeled data, particularly when the samples are from varied domains. In this paper, we explore the cross-domain few-shot incremental learning (CDFSCIL) problem. CDFSCIL requires models to learn new classes from very few labeled samples incrementally, and the new classes may be vastly different from the target space. To counteract this difficulty, we propose a cross-domain enhancement constraint and cross-domain data augmentation method. Experiments on MedMNIST show that the classification performance of this method is better than other similar incremental learning methods.

Zongjiang Tu, Chen Jiang, Yu Guan et al.

Decreasing magnetic resonance (MR) image acquisition times can potentially make MR examinations more accessible. Prior arts including the deep learning models have been devoted to solving the problem of long MRI imaging time. Recently, deep generative models have exhibited great potentials in algorithm robustness and usage flexibility. Nevertheless, none of existing schemes can be learned or employed to the k-space measurement directly. Furthermore, how do the deep generative models work well in hybrid domain is also worth being investigated. In this work, by taking advantage of the deep energy-based models, we propose a k-space and image domain collaborative generative model to comprehensively estimate the MR data from under-sampled measurement. Experimental comparisons with the state-of-the-arts demonstrated that the proposed hybrid method has less error in reconstruction accuracy and is more stable under different acceleration factors

Shanshan Wang, Zhumin Chen, Zhaochun Ren et al.

Pre-trained language models (PLM) have demonstrated their effectiveness for a broad range of information retrieval and natural language processing tasks. As the core part of PLM, multi-head self-attention is appealing for its ability to jointly attend to information from different positions. However, researchers have found that PLM always exhibits fixed attention patterns regardless of the input (e.g., excessively paying attention to [CLS] or [SEP]), which we argue might neglect important information in the other positions. In this work, we propose a simple yet effective attention guiding mechanism to improve the performance of PLM by encouraging attention towards the established goals. Specifically, we propose two kinds of attention guiding methods, i.e., map discrimination guiding (MDG) and attention pattern decorrelation guiding (PDG). The former definitely encourages the diversity among multiple self-attention heads to jointly attend to information from different representation subspaces, while the latter encourages self-attention to attend to as many different positions of the input as possible. We conduct experiments with multiple general pre-trained models (i.e., BERT, ALBERT, and Roberta) and domain-specific pre-trained models (i.e., BioBERT, ClinicalBERT, BlueBert, and SciBERT) on three benchmark datasets (i.e., MultiNLI, MedNLI, and Cross-genre-IR). Extensive experimental results demonstrate that our proposed MDG and PDG bring stable performance improvements on all datasets with high efficiency and low cost.

Juan Zou, Cheng Li, Sen Jia et al.

Lately, deep learning has been extensively investigated for accelerating dynamic magnetic resonance (MR) imaging, with encouraging progresses achieved. However, without fully sampled reference data for training, current approaches may have limited abilities in recovering fine details or structures. To address this challenge, this paper proposes a self-supervised collaborative learning framework (SelfCoLearn) for accurate dynamic MR image reconstruction from undersampled k-space data. The proposed framework is equipped with three important components, namely, dual-network collaborative learning, reunderampling data augmentation and a specially designed co-training loss. The framework is flexible to be integrated with both data-driven networks and model-based iterative un-rolled networks. Our method has been evaluated on in-vivo dataset and compared it to four state-of-the-art methods. Results show that our method possesses strong capabilities in capturing essential and inherent representations for direct reconstructions from the undersampled k-space data and thus enables high-quality and fast dynamic MR imaging.

Yousuf Babiker M. Osman, Cheng Li, Weijian Huang et al.

Volumetric magnetic resonance (MR) image segmentation plays an important role in many clinical applications. Deep learning (DL) has recently achieved state-of-the-art or even human-level performance on various image segmentation tasks. Nevertheless, manually annotating volumetric MR images for DL model training is labor-exhaustive and time-consuming. In this work, we aim to train a semi-supervised and self-supervised collaborative learning framework for prostate 3D MR image segmentation while using extremely sparse annotations, for which the ground truth annotations are provided for just the central slice of each volumetric MR image. Specifically, semi-supervised learning and self-supervised learning methods are used to generate two independent sets of pseudo labels. These pseudo labels are then fused by Boolean operation to extract a more confident pseudo label set. The images with either manual or network self-generated labels are then employed to train a segmentation model for target volume extraction. Experimental results on a publicly available prostate MR image dataset demonstrate that, while requiring significantly less annotation effort, our framework generates very encouraging segmentation results. The proposed framework is very useful in clinical applications when training data with dense annotations are difficult to obtain.

Shanshan Wang, Zhen Zeng, Xun Yang et al.

Cognitive diagnosis is a fundamental yet critical research task in the field of intelligent education, which aims to discover the proficiency level of different students on specific knowledge concepts. Despite the effectiveness of existing efforts, previous methods always considered the mastery level on the whole students, so they still suffer from the Long Tail Effect. A large number of students who have sparse data are performed poorly in the model. To relieve the situation, we proposed a Self-supervised Cognitive Diagnosis (SCD) framework which leverages the self-supervised manner to assist the graph-based cognitive diagnosis, then the performance on those students with sparse data can be improved. Specifically, we came up with a graph confusion method that drops edges under some special rules to generate different sparse views of the graph. By maximizing the consistency of the representation on the same node under different views, the model could be more focused on long-tailed students. Additionally, we proposed an importance-based view generation rule to improve the influence of long-tailed students. Extensive experiments on real-world datasets show the effectiveness of our approach, especially on the students with sparse data.

Hui Tao, Haifeng Wang, Shanshan Wang et al.

Parallel imaging is widely used in magnetic resonance imaging as an acceleration technology. Traditional linear reconstruction methods in parallel imaging often suffer from noise amplification. Recently, a non-linear robust artificial-neural-network for k-space interpolation (RAKI) exhibits superior noise resilience over other linear methods. However, RAKI performs poorly at high acceleration rates, and needs a large amount of autocalibration signals as the training samples. In order to tackle these issues, we propose a multi-weight method that implements multiple weighting matrices on the undersampled data, named as MW-RAKI. Enforcing multiple weighted matrices on the measurements can effectively reduce the influence of noise and increase the data constraints. Furthermore, we incorporate the strategy of multiple weighting matrixes into a residual version of RAKI, and form MW-rRAKI.Experimental compari-sons with the alternative methods demonstrated noticeably better reconstruction performances, particularly at high acceleration rates.

Xue Liu, Juan Zou, Xiawu Zheng et al.

Magnetic Resonance Imaging (MRI) has become an important technique in the clinic for the visualization, detection, and diagnosis of various diseases. However, one bottleneck limitation of MRI is the relatively slow data acquisition process. Fast MRI based on k-space undersampling and high-quality image reconstruction has been widely utilized, and many deep learning-based methods have been developed in recent years. Although promising results have been achieved, most existing methods require fully-sampled reference data for training the deep learning models. Unfortunately, fully-sampled MRI data are difficult if not impossible to obtain in real-world applications. To address this issue, we propose a data refinement framework for self-supervised MR image reconstruction. Specifically, we first analyze the reason of the performance gap between self-supervised and supervised methods and identify that the bias in the training datasets between the two is one major factor. Then, we design an effective self-supervised training data refinement method to reduce this data bias. With the data refinement, an enhanced self-supervised MR image reconstruction framework is developed to prompt accurate MR imaging. We evaluate our method on an in-vivo MRI dataset. Experimental results show that without utilizing any fully sampled MRI data, our self-supervised framework possesses strong capabilities in capturing image details and structures at high acceleration factors.

Cheng Li, Yousuf Babiker M. Osman, Weijian Huang et al.

Multi-parametric magnetic resonance (MR) imaging is an indispensable tool in the clinic. Consequently, automatic volume-of-interest segmentation based on multi-parametric MR imaging is crucial for computer-aided disease diagnosis, treatment planning, and prognosis monitoring. Despite the extensive studies conducted in deep learning-based medical image analysis, further investigations are still required to effectively exploit the information provided by different imaging parameters. How to fuse the information is a key question in this field. Here, we propose an uncertainty-aware multi-parametric MR image feature fusion method to fully exploit the information for enhanced 3D image segmentation. Uncertainties in the independent predictions of individual modalities are utilized to guide the fusion of multi-modal image features. Extensive experiments on two datasets, one for brain tissue segmentation and the other for abdominal multi-organ segmentation, have been conducted, and our proposed method achieves better segmentation performance when compared to existing models.

Yeqi Wang, Weijian Huang, Cheng Li et al.

Multi-contrast magnetic resonance imaging (MRI)-based automatic auxiliary glioma diagnosis plays an important role in the clinic. Contrast-enhanced MRI sequences (e.g., contrast-enhanced T1-weighted imaging) were utilized in most of the existing relevant studies, in which remarkable diagnosis results have been reported. Nevertheless, acquiring contrast-enhanced MRI data is sometimes not feasible due to the patients physiological limitations. Furthermore, it is more time-consuming and costly to collect contrast-enhanced MRI data in the clinic. In this paper, we propose an adaptive PromptNet to address these issues. Specifically, a PromptNet for glioma grading utilizing only non-enhanced MRI data has been constructed. PromptNet receives constraints from features of contrast-enhanced MR data during training through a designed prompt loss. To further boost the performance, an adaptive strategy is designed to dynamically weight the prompt loss in a sample-based manner. As a result, PromptNet is capable of dealing with more difficult samples. The effectiveness of our method is evaluated on a widely-used BraTS2020 dataset, and competitive glioma grading performance on NE-MRI data is achieved.

Jiarun Liu, Hao Yang, Hong-Yu Zhou et al.

Accurate medical image segmentation demands the integration of multi-scale information, spanning from local features to global dependencies. However, it is challenging for existing methods to model long-range global information, where convolutional neural networks (CNNs) are constrained by their local receptive fields, and vision transformers (ViTs) suffer from high quadratic complexity of their attention mechanism. Recently, Mamba-based models have gained great attention for their impressive ability in long sequence modeling. Several studies have demonstrated that these models can outperform popular vision models in various tasks, offering higher accuracy, lower memory consumption, and less computational burden. However, existing Mamba-based models are mostly trained from scratch and do not explore the power of pretraining, which has been proven to be quite effective for data-efficient medical image analysis. This paper introduces a novel Mamba-based model, Swin-UMamba, designed specifically for medical image segmentation tasks, leveraging the advantages of ImageNet-based pretraining. Our experimental results reveal the vital role of ImageNet-based training in enhancing the performance of Mamba-based models. Swin-UMamba demonstrates superior performance with a large margin compared to CNNs, ViTs, and latest Mamba-based models. Notably, on AbdomenMRI, Encoscopy, and Microscopy datasets, Swin-UMamba outperforms its closest counterpart U-Mamba_Enc by an average score of 2.72%.

Alou Diakite, Cheng Li, Lei Xie et al.

Recent research has shown the potential of deep learning in multi-parametric MRI-based visual pathway (VP) segmentation. However, obtaining labeled data for training is laborious and time-consuming. Therefore, it is crucial to develop effective algorithms in situations with limited labeled samples. In this work, we propose a label-efficient deep learning method with self-ensembling (LESEN). LESEN incorporates supervised and unsupervised losses, enabling the student and teacher models to mutually learn from each other, forming a self-ensembling mean teacher framework. Additionally, we introduce a reliable unlabeled sample selection (RUSS) mechanism to further enhance LESEN's effectiveness. Our experiments on the human connectome project (HCP) dataset demonstrate the superior performance of our method when compared to state-of-the-art techniques, advancing multimodal VP segmentation for comprehensive analysis in clinical and research settings. The implementation code will be available at: https://github.com/aldiak/Semi-Supervised-Multimodal-Visual-Pathway- Delineation.

Chen Hu, Cheng Li, Haifeng Wang et al.

Image reconstruction from undersampled k-space data plays an important role in accelerating the acquisition of MR data, and a lot of deep learning-based methods have been exploited recently. Despite the achieved inspiring results, the optimization of these methods commonly relies on the fully-sampled reference data, which are time-consuming and difficult to collect. To address this issue, we propose a novel self-supervised learning method. Specifically, during model optimization, two subsets are constructed by randomly selecting part of k-space data from the undersampled data and then fed into two parallel reconstruction networks to perform information recovery. Two reconstruction losses are defined on all the scanned data points to enhance the network's capability of recovering the frequency information. Meanwhile, to constrain the learned unscanned data points of the network, a difference loss is designed to enforce consistency between the two parallel networks. In this way, the reconstruction model can be properly trained with only the undersampled data. During the model evaluation, the undersampled data are treated as the inputs and either of the two trained networks is expected to reconstruct the high-quality results. The proposed method is flexible and can be employed in any existing deep learning-based method. The effectiveness of the method is evaluated on an open brain MRI dataset. Experimental results demonstrate that the proposed self-supervised method can achieve competitive reconstruction performance compared to the corresponding supervised learning method at high acceleration rates (4 and 8). The code is publicly available at \url{https://github.com/chenhu96/Self-Supervised-MRI-Reconstruction}.

Shanshan Wang, Cheng Li, Rongpin Wang et al.

Automatic medical image segmentation plays a critical role in scientific research and medical care. Existing high-performance deep learning methods typically rely on large training datasets with high-quality manual annotations, which are difficult to obtain in many clinical applications. Here, we introduce Annotation-effIcient Deep lEarning (AIDE), an open-source framework to handle imperfect training datasets. Methodological analyses and empirical evaluations are conducted, and we demonstrate that AIDE surpasses conventional fully-supervised models by presenting better performance on open datasets possessing scarce or noisy annotations. We further test AIDE in a real-life case study for breast tumor segmentation. Three datasets containing 11,852 breast images from three medical centers are employed, and AIDE, utilizing 10% training annotations, consistently produces segmentation maps comparable to those generated by fully-supervised counterparts or provided by independent radiologists. The 10-fold enhanced efficiency in utilizing expert labels has the potential to promote a wide range of biomedical applications.

Hao Yang, Weijian Huang, Kehan Qi et al.

Segmenting stroke lesions from T1-weighted MR images is of great value for large-scale stroke rehabilitation neuroimaging analyses. Nevertheless, there are great challenges with this task, such as large range of stroke lesion scales and the tissue intensity similarity. The famous encoder-decoder convolutional neural network, which although has made great achievements in medical image segmentation areas, may fail to address these challenges due to the insufficient uses of multi-scale features and context information. To address these challenges, this paper proposes a Cross-Level fusion and Context Inference Network (CLCI-Net) for the chronic stroke lesion segmentation from T1-weighted MR images. Specifically, a Cross-Level feature Fusion (CLF) strategy was developed to make full use of different scale features across different levels; Extending Atrous Spatial Pyramid Pooling (ASPP) with CLF, we have enriched multi-scale features to handle the different lesion sizes; In addition, convolutional long short-term memory (ConvLSTM) is employed to infer context information and thus capture fine structures to address the intensity similarity issue. The proposed approach was evaluated on an open-source dataset, the Anatomical Tracings of Lesions After Stroke (ATLAS) with the results showing that our network outperforms five state-of-the-art methods. We make our code and models available at https://github.com/YH0517/CLCI_Net.

Kehan Qi, Hao Yang, Cheng Li et al.

The morbidity of brain stroke increased rapidly in the past few years. To help specialists in lesion measurements and treatment planning, automatic segmentation methods are critically required for clinical practices. Recently, approaches based on deep learning and methods for contextual information extraction have served in many image segmentation tasks. However, their performances are limited due to the insufficient training of a large number of parameters, which sometimes fail in capturing long-range dependencies. To address these issues, we propose a depthwise separable convolution based X-Net that designs a nonlocal operation namely Feature Similarity Module (FSM) to capture long-range dependencies. The adopted depthwise convolution allows to reduce the network size, while the developed FSM provides a more effective, dense contextual information extraction and thus facilitates better segmentation. The effectiveness of X-Net was evaluated on an open dataset Anatomical Tracings of Lesions After Stroke (ATLAS) with superior performance achieved compared to other six state-of-the-art approaches. We make our code and models available at https://github.com/Andrewsher/X-Net.

Jiarun Liu, Hong-Yu Zhou, Cheng Li et al.

Existing contrastive language-image pre-training aims to learn a joint representation by matching abundant image-text pairs. However, the number of image-text pairs in medical datasets is usually orders of magnitude smaller than that in natural datasets. Besides, medical image-text pairs often involve numerous complex fine-grained correspondences. This paper aims to enhance the data efficiency by introducing multiple-to-multiple local relationship modeling to capture denser supervisions. More specifically, we propose a Medical Language-Image Pre-training (MLIP) framework, which exploits the limited image-text medical data more efficiently through patch-sentence matching. Furthermore, we introduce a masked contrastive learning strategy with semantic integrity estimation to reduce redundancy in images while preserving the underlying semantics. Our evaluation results show that MLIP outperforms previous work in zero/few-shot classification and few-shot segmentation tasks by a large margin.

Yousuf Babiker M. Osman, Cheng Li, Weijian Huang et al.

Background: Deep learning has presented great potential in accurate MR image segmentation when enough labeled data are provided for network optimization. However, manually annotating 3D MR images is tedious and time-consuming, requiring experts with rich domain knowledge and experience. Purpose: To build a deep learning method exploring sparse annotations, namely only a single 2D slice label for each 3D training MR image. Population: 3D MR images of 150 subjects from two publicly available datasets were included. Among them, 50 (1,377 image slices) are for prostate segmentation. The other 100 (8,800 image slices) are for left atrium segmentation. Five-fold cross-validation experiments were carried out utilizing the first dataset. For the second dataset, 80 subjects were used for training and 20 were used for testing. Assessment: A collaborative learning method by integrating the strengths of semi-supervised and self-supervised learning schemes was developed. The method was trained using labeled central slices and unlabeled non-central slices. Segmentation performance on testing set was reported quantitatively and qualitatively. Results: Compared to FS-LCS, MT, UA-MT, DCT-Seg, ICT, and AC-MT, the proposed method achieved a substantial improvement in segmentation accuracy, increasing the mean B-IoU significantly by more than 10.0% for prostate segmentation (proposed method B-IoU: 70.3% vs. ICT B-IoU: 60.3%) and by more than 6.0% for left atrium segmentation (proposed method B-IoU: 66.1% vs. ICT B-IoU: 60.1%).

Hua Han, Cheng Li, Lei Xie et al.

Accurate segmentation of the retinogeniculate visual pathway (RGVP) aids in the diagnosis and treatment of visual disorders by identifying disruptions or abnormalities within the pathway. However, the complex anatomical structure and connectivity of RGVP make it challenging to achieve accurate segmentation. In this study, we propose a novel Modality Exchange Network (ME-Net) that effectively utilizes multi-modal magnetic resonance (MR) imaging information to enhance RGVP segmentation. Our ME-Net has two main contributions. Firstly, we introduce an effective multi-modal soft-exchange technique. Specifically, we design a channel and spatially mixed attention module to exchange modality information between T1-weighted and fractional anisotropy MR images. Secondly, we propose a cross-fusion module that further enhances the fusion of information between the two modalities. Experimental results demonstrate that our method outperforms existing state-of-the-art approaches in terms of RGVP segmentation performance.

Yanning Hou, Yanran Ruan, Junfa Li et al.

Enhancing the alignment between text and image features in the CLIP model is a critical challenge in zero-shot industrial anomaly detection tasks. Recent studies predominantly utilize specific category prompts during pretraining, which can cause overfitting to the training categories and limit model generalization. To address this, we propose a method that transforms category names through multicategory name stacking to create stacked prompts, forming the basis of our StackCLIP model. Our approach introduces two key components. The Clustering-Driven Stacked Prompts (CSP) module constructs generic prompts by stacking semantically analogous categories, while utilizing multi-object textual feature fusion to amplify discriminative anomalies among similar objects. The Ensemble Feature Alignment (EFA) module trains knowledge-specific linear layers tailored for each stack cluster and adaptively integrates them based on the attributes of test categories. These modules work together to deliver superior training speed, stability, and convergence, significantly boosting anomaly segmentation performance. Additionally, our stacked prompt framework offers robust generalization across classification tasks. To further improve performance, we introduce the Regulating Prompt Learning (RPL) module, which leverages the generalization power of stacked prompts to refine prompt learning, elevating results in anomaly detection classification tasks. Extensive testing on seven industrial anomaly detection datasets demonstrates that our method achieves state-of-the-art performance in both zero-shot anomaly detection and segmentation tasks.

Hao Yang, Xinlong Liang, Zhang Li et al.

Deep learning offers transformative potential in medical imaging, yet its clinical adoption is frequently hampered by challenges such as data scarcity, distribution shifts, and the need for robust task generalization. Prompt-based methodologies have emerged as a pivotal strategy to guide deep learning models, providing flexible, domain-specific adaptations that significantly enhance model performance and adaptability without extensive retraining. This systematic review critically examines the burgeoning landscape of prompt engineering in medical imaging. We dissect diverse prompt modalities, including textual instructions, visual prompts, and learnable embeddings, and analyze their integration for core tasks such as image generation, segmentation, and classification. Our synthesis reveals how these mechanisms improve task-specific outcomes by enhancing accuracy, robustness, and data efficiency and reducing reliance on manual feature engineering while fostering greater model interpretability by making the model's guidance explicit. Despite substantial advancements, we identify persistent challenges, particularly in prompt design optimization, data heterogeneity, and ensuring scalability for clinical deployment. Finally, this review outlines promising future trajectories, including advanced multimodal prompting and robust clinical integration, underscoring the critical role of prompt-driven AI in accelerating the revolution of diagnostics and personalized treatment planning in medicine.

Hao Yang, Hong-Yu Zhou, Jiarun Liu et al.

Existing deep learning models for defining pathology from clinical imaging data rely on expert annotations and lack generalization capabilities in open clinical environments. Here, we present a generalizable vision-language model for Annotation-Free pathology Localization (AFLoc). The core strength of AFLoc is extensive multi-level semantic structure-based contrastive learning, which comprehensively aligns multi-granularity medical concepts with abundant image features to adapt to the diverse expressions of pathologies without the reliance on expert image annotations. We conduct primary experiments on a dataset of 220K pairs of image-report chest X-ray images and perform validation across eight external datasets encompassing 34 types of chest pathologies. The results demonstrate that AFLoc outperforms state-of-the-art methods in both annotation-free localization and classification tasks. Additionally, we assess the generalizability of AFLoc on other modalities, including histopathology and retinal fundus images. We show that AFLoc exhibits robust generalization capabilities, even surpassing human benchmarks in localizing five different types of pathological images. These results highlight the potential of AFLoc in reducing annotation requirements and its applicability in complex clinical environments.

Jing Yang, Jian Cheng, Cheng Li et al.

Diffusion Magnetic Resonance Imaging (dMRI) plays a crucial role in the noninvasive investigation of tissue microstructural properties and structural connectivity in the \textit{in vivo} human brain. However, to effectively capture the intricate characteristics of water diffusion at various directions and scales, it is important to employ comprehensive q-space sampling. Unfortunately, this requirement leads to long scan times, limiting the clinical applicability of dMRI. To address this challenge, we propose SSOR, a Simultaneous q-Space sampling Optimization and Reconstruction framework. We jointly optimize a subset of q-space samples using a continuous representation of spherical harmonic functions and a reconstruction network. Additionally, we integrate the unique properties of diffusion magnetic resonance imaging (dMRI) in both the q-space and image domains by applying $l1$-norm and total-variation regularization. The experiments conducted on HCP data demonstrate that SSOR has promising strengths both quantitatively and qualitatively and exhibits robustness to noise.

Xuanru Zhou, Cheng Li, Shuqiang Wang et al.

Generative artificial intelligence (AI) is rapidly transforming medical imaging by enabling capabilities such as data synthesis, image enhancement, modality translation, and spatiotemporal modeling. This review presents a comprehensive and forward-looking synthesis of recent advances in generative modeling including generative adversarial networks (GANs), variational autoencoders (VAEs), diffusion models, and emerging multimodal foundation architectures and evaluates their expanding roles across the clinical imaging continuum. We systematically examine how generative AI contributes to key stages of the imaging workflow, from acquisition and reconstruction to cross-modality synthesis, diagnostic support, and treatment planning. Emphasis is placed on both retrospective and prospective clinical scenarios, where generative models help address longstanding challenges such as data scarcity, standardization, and integration across modalities. To promote rigorous benchmarking and translational readiness, we propose a three-tiered evaluation framework encompassing pixel-level fidelity, feature-level realism, and task-level clinical relevance. We also identify critical obstacles to real-world deployment, including generalization under domain shift, hallucination risk, data privacy concerns, and regulatory hurdles. Finally, we explore the convergence of generative AI with large-scale foundation models, highlighting how this synergy may enable the next generation of scalable, reliable, and clinically integrated imaging systems. By charting technical progress and translational pathways, this review aims to guide future research and foster interdisciplinary collaboration at the intersection of AI, medicine, and biomedical engineering.

Xuanru Zhou, Jiarun Liu, Shoujun Yu et al.

In medical imaging, 4D MRI enables dynamic 3D visualization, yet the trade-off between spatial and temporal resolution requires prolonged scan time that can compromise temporal fidelity--especially during rapid, large-amplitude motion. Traditional approaches typically rely on registration-based interpolation to generate intermediate frames. However, these methods struggle with large deformations, resulting in misregistration, artifacts, and diminished spatial consistency. To address these challenges, we propose TSSC-Net, a novel framework that generates intermediate frames while preserving spatial consistency. To improve temporal fidelity under fast motion, our diffusion-based temporal super-resolution network generates intermediate frames using the start and end frames as key references, achieving 6x temporal super-resolution in a single inference step. Additionally, we introduce a novel tri-directional Mamba-based module that leverages long-range contextual information to effectively resolve spatial inconsistencies arising from cross-slice misalignment, thereby enhancing volumetric coherence and correcting cross-slice errors. Extensive experiments were performed on the public ACDC cardiac MRI dataset and a real-world dynamic 4D knee joint dataset. The results demonstrate that TSSC-Net can generate high-resolution dynamic MRI from fast-motion data while preserving structural fidelity and spatial consistency.

Mengzhu Wang, Jiao Li, Shanshan Wang et al.

Semi-supervised learning (SSL) has achieved significant progress in medical image segmentation (SSMIS) through effective utilization of limited labeled data. While current SSL methods for medical images predominantly rely on consistency regularization and pseudo-labeling, they often overlook transferable semantic relationships across different clinical domains and imaging modalities. To address this, we propose TransMedSeg, a novel transferable semantic framework for semi-supervised medical image segmentation. Our approach introduces a Transferable Semantic Augmentation (TSA) module, which implicitly enhances feature representations by aligning domain-invariant semantics through cross-domain distribution matching and intra-domain structural preservation. Specifically, TransMedSeg constructs a unified feature space where teacher network features are adaptively augmented towards student network semantics via a lightweight memory module, enabling implicit semantic transformation without explicit data generation. Interestingly, this augmentation is implicitly realized through an expected transferable cross-entropy loss computed over the augmented teacher distribution. An upper bound of the expected loss is theoretically derived and minimized during training, incurring negligible computational overhead. Extensive experiments on medical image datasets demonstrate that TransMedSeg outperforms existing semi-supervised methods, establishing a new direction for transferable representation learning in medical image analysis.

Jiarun Liu, Hong-Yu Zhou, Weijian Huang et al.

Scaling up model and data size have demonstrated impressive performance improvement over a wide range of tasks. Despite extensive studies on scaling behaviors for general-purpose tasks, medical images exhibit substantial differences from natural data. It remains unclear the key factors in developing medical vision foundation models at scale due to the absence of an extensive understanding of scaling behavior in the medical domain. In this paper, we explored the scaling behavior across model sizes, training algorithms, data sizes, and imaging modalities in developing scalable medical vision foundation models by self-supervised learning. To support scalable pretraining, we introduce BioVFM-21M, a large-scale biomedical image dataset encompassing a wide range of biomedical image modalities and anatomies. We observed that scaling up does provide benefits but varies across tasks. Additional analysis reveals several factors correlated with scaling benefits. Finally, we propose BioVFM, a large-scale medical vision foundation model pretrained on 21 million biomedical images, which outperforms the previous state-of-the-art foundation models across 12 medical benchmarks. Our results highlight that while scaling up is beneficial for pursuing better performance, task characteristics, data diversity, pretraining methods, and computational efficiency remain critical considerations for developing scalable medical foundation models.

Taohui Xiao, Jian Cheng, Wenxin Fan et al.

Neurite Orientation Dispersion and Density Imaging (NODDI) microstructure estimation from diffusion magnetic resonance imaging (dMRI) is of great significance for the discovery and treatment of various neurological diseases. Current deep learning-based methods accelerate the speed of NODDI parameter estimation and improve the accuracy. However, most methods require the number and coordinates of gradient directions during testing and training to remain strictly consistent, significantly limiting the generalization and robustness of these models in NODDI parameter estimation. In this paper, we propose a q-space sampling augmentation-based continuous representation learning framework (SamRobNODDI) to achieve robust and generalized NODDI. Specifically, a continuous representation learning method based on q-space sampling augmentation is introduced to fully explore the information between different gradient directions in q-space. Furthermore, we design a sampling consistency loss to constrain the outputs of different sampling schemes, ensuring that the outputs remain as consistent as possible, thereby further enhancing performance and robustness to varying q-space sampling schemes. SamRobNODDI is also a flexible framework that can be applied to different backbone networks. To validate the effectiveness of the proposed method, we compared it with 7 state-of-the-art methods across 18 different q-space sampling schemes, demonstrating that the proposed SamRobNODDI has better performance, robustness, generalization, and flexibility.

Mianxin Liu, Jinru Ding, Jie Xu et al.

Ensuring the general efficacy and goodness for human beings from medical large language models (LLM) before real-world deployment is crucial. However, a widely accepted and accessible evaluation process for medical LLM, especially in the Chinese context, remains to be established. In this work, we introduce "MedBench", a comprehensive, standardized, and reliable benchmarking system for Chinese medical LLM. First, MedBench assembles the currently largest evaluation dataset (300,901 questions) to cover 43 clinical specialties and performs multi-facet evaluation on medical LLM. Second, MedBench provides a standardized and fully automatic cloud-based evaluation infrastructure, with physical separations for question and ground truth. Third, MedBench implements dynamic evaluation mechanisms to prevent shortcut learning and answer remembering. Applying MedBench to popular general and medical LLMs, we observe unbiased, reproducible evaluation results largely aligning with medical professionals' perspectives. This study establishes a significant foundation for preparing the practical applications of Chinese medical LLMs. MedBench is publicly accessible at https://medbench.opencompass.org.cn.

Shanshan Wang, Ruoyou Wu, Cheng Li et al.

With the successful application of deep learning to magnetic resonance (MR) imaging, parallel imaging techniques based on neural networks have attracted wide attention. However, in the absence of high-quality, fully sampled datasets for training, the performance of these methods is limited. And the interpretability of models is not strong enough. To tackle this issue, this paper proposes a Physics-bAsed unsupeRvised Contrastive rEpresentation Learning (PARCEL) method to speed up parallel MR imaging. Specifically, PARCEL has a parallel framework to contrastively learn two branches of model-based unrolling networks from augmented undersampled multi-coil k-space data. A sophisticated co-training loss with three essential components has been designed to guide the two networks in capturing the inherent features and representations for MR images. And the final MR image is reconstructed with the trained contrastive networks. PARCEL was evaluated on two vivo datasets and compared to five state-of-the-art methods. The results show that PARCEL is able to learn essential representations for accurate MR reconstruction without relying on fully sampled datasets.

Wanqing Zhu, Bing Guan, Shanshan Wang et al.

The integration of compressed sensing and parallel imaging (CS-PI) provides a robust mechanism for accelerating MRI acquisitions. However, most such strategies require the explicit formation of either coil sensitivity profiles or a cross-coil correlation operator, and as a result reconstruction corresponds to solving a challenging bilinear optimization problem. In this work, we present an unsupervised deep learning framework for calibration-free parallel MRI, coined universal generative modeling for parallel imaging (UGM-PI). More precisely, we make use of the merits of both wavelet transform and the adaptive iteration strategy in a unified framework. We train a powerful noise conditional score network by forming wavelet tensor as the network input at the training phase. Experimental results on both physical phantom and in vivo datasets implied that the proposed method is comparable and even superior to state-of-the-art CS-PI reconstruction approaches.

Xianghao Liao, Shanshan Wang, Lanlan Tu et al.

A large number of coils are able to provide enhanced signal-to-noise ratio and improve imaging performance in parallel imaging. Nevertheless, the increasing growth of coil number simultaneously aggravates the drawbacks of data storage and reconstruction speed, especially in some iterative reconstructions. Coil compression addresses these issues by generating fewer virtual coils. In this work, a novel variable augmentation network for invertible coil compression termed VAN-ICC is presented. It utilizes inherent reversibility of normalizing flow-based models for high-precision compression and invertible recovery. By employing the variable augmentation technology to image/k-space variables from multi-coils, VAN-ICC trains invertible networks by finding an invertible and bijective function, which can map the original data to the compressed counterpart and vice versa. Experiments conducted on both fully-sampled and under-sampled data verified the effectiveness and flexibility of VAN-ICC. Quantitative and qualitative comparisons with traditional non-deep learning-based approaches demonstrated that VAN-ICC can carry much higher compression effects. Additionally, its performance is not susceptible to different number of virtual coils.

Yeqi Wang, Longfei Li, Cheng Li et al.

Radiomics and deep learning have shown high popularity in automatic glioma grading. Radiomics can extract hand-crafted features that quantitatively describe the expert knowledge of glioma grades, and deep learning is powerful in extracting a large number of high-throughput features that facilitate the final classification. However, the performance of existing methods can still be improved as their complementary strengths have not been sufficiently investigated and integrated. Furthermore, lesion maps are usually needed for the final prediction at the testing phase, which is very troublesome. In this paper, we propose an expert knowledge-guided geometric representation learning (ENROL) framework . Geometric manifolds of hand-crafted features and learned features are constructed to mine the implicit relationship between deep learning and radiomics, and therefore to dig mutual consent and essential representation for the glioma grades. With a specially designed manifold discrepancy measurement, the grading model can exploit the input image data and expert knowledge more effectively in the training phase and get rid of the requirement of lesion segmentation maps at the testing phase. The proposed framework is flexible regarding deep learning architectures to be utilized. Three different architectures have been evaluated and five models have been compared, which show that our framework can always generate promising results.

Longfei Li, Rui Yang, Xin Chen et al.

Prostate Imaging Reporting and Data System (PI-RADS) based on multi-parametric MRI classiêes patients into 5 categories (PI-RADS 1-5) for routine clinical diagnosis guidance. However, there is no consensus on whether PI-RADS 3 patients should go through biopsies. Mining features from these hard samples (HS) is meaningful for physicians to achieve accurate diagnoses. Currently, the mining of HS biomarkers is insuìcient, and the eéectiveness and robustness of HS biomarkers for prostate cancer diagnosis have not been explored. In this study, biomarkers from diéerent data distributions are constructed. Results show that HS biomarkers can achieve better performances in diéerent data distributions.

Zijie Chen, Cheng Li, Junjun He et al.

Radiation therapy (RT) is widely employed in the clinic for the treatment of head and neck (HaN) cancers. An essential step of RT planning is the accurate segmentation of various organs-at-risks (OARs) in HaN CT images. Nevertheless, segmenting OARs manually is time-consuming, tedious, and error-prone considering that typical HaN CT images contain tens to hundreds of slices. Automated segmentation algorithms are urgently required. Recently, convolutional neural networks (CNNs) have been extensively investigated on this task. Particularly, 3D CNNs are frequently adopted to process 3D HaN CT images. There are two issues with naïve 3D CNNs. First, the depth resolution of 3D CT images is usually several times lower than the in-plane resolution. Direct employment of 3D CNNs without distinguishing this difference can lead to the extraction of distorted image features and influence the final segmentation performance. Second, a severe class imbalance problem exists, and large organs can be orders of times larger than small organs. It is difficult to simultaneously achieve accurate segmentation for all the organs. To address these issues, we propose a novel hybrid CNN that fuses 2D and 3D convolutions to combat the different spatial resolutions and extract effective edge and semantic features from 3D HaN CT images. To accommodate large and small organs, our final model, named OrganNet2.5D, consists of only two instead of the classic four downsampling operations, and hybrid dilated convolutions are introduced to maintain the respective field. Experiments on the MICCAI 2015 challenge dataset demonstrate that OrganNet2.5D achieves promising performance compared to state-of-the-art methods.

Junjun He, Jin Ye, Cheng Li et al.

Recent studies have witnessed the effectiveness of 3D convolutions on segmenting volumetric medical images. Compared with the 2D counterparts, 3D convolutions can capture the spatial context in three dimensions. Nevertheless, models employing 3D convolutions introduce more trainable parameters and are more computationally complex, which may lead easily to model overfitting especially for medical applications with limited available training data. This paper aims to improve the effectiveness and efficiency of 3D convolutions by introducing a novel Group Shift Pointwise Convolution (GSP-Conv). GSP-Conv simplifies 3D convolutions into pointwise ones with 1x1x1 kernels, which dramatically reduces the number of model parameters and FLOPs (e.g. 27x fewer than 3D convolutions with 3x3x3 kernels). Naïve pointwise convolutions with limited receptive fields cannot make full use of the spatial image context. To address this problem, we propose a parameter-free operation, Group Shift (GS), which shifts the feature maps along with different spatial directions in an elegant way. With GS, pointwise convolutions can access features from different spatial locations, and the limited receptive fields of pointwise convolutions can be compensated. We evaluate the proposed methods on two datasets, PROMISE12 and BraTS18. Results show that our method, with substantially decreased model complexity, achieves comparable or even better performance than models employing 3D convolutions.

Yu Guan, Zongjiang Tu, Shanshan Wang et al.

Purpose: Although recent deep energy-based generative models (EBMs) have shown encouraging results in many image generation tasks, how to take advantage of the self-adversarial cogitation in deep EBMs to boost the performance of Magnetic Resonance Imaging (MRI) reconstruction is still desired. Methods: With the successful application of deep learning in a wide range of MRI reconstruction, a line of emerging research involves formulating an optimization-based reconstruction method in the space of a generative model. Leveraging this, a novel regularization strategy is introduced in this article which takes advantage of self-adversarial cogitation of the deep energy-based model. More precisely, we advocate for alternative learning a more powerful energy-based model with maximum likelihood estimation to obtain the deep energy-based information, represented as image prior. Simultaneously, implicit inference with Langevin dynamics is a unique property of re-construction. In contrast to other generative models for reconstruction, the proposed method utilizes deep energy-based information as the image prior in reconstruction to improve the quality of image. Results: Experiment results that imply the proposed technique can obtain remarkable performance in terms of high reconstruction accuracy that is competitive with state-of-the-art methods, and does not suffer from mode collapse. Conclusion: Algorithmically, an iterative approach was presented to strengthen EBM training with the gradient of energy network. The robustness and the reproducibility of the algorithm were also experimentally validated. More importantly, the proposed reconstruction framework can be generalized for most MRI reconstruction scenarios.

Shanshan Wang, Pengjie Ren, Zhumin Chen et al.

Electronic health record (EHR) coding is the task of assigning ICD codes to each EHR. Most previous studies either only focus on the frequent ICD codes or treat rare and frequent ICD codes in the same way. These methods perform well on frequent ICD codes but due to the extremely unbalanced distribution of ICD codes, the performance on rare ones is far from satisfactory. We seek to improve the performance for both frequent and rare ICD codes by using a contrastive graph-based EHR coding framework, CoGraph, which re-casts EHR coding as a few-shot learning task. First, we construct a heterogeneous EHR word-entity (HEWE) graph for each EHR, where the words and entities extracted from an EHR serve as nodes and the relations between them serve as edges. Then, CoGraph learns similarities and dissimilarities between HEWE graphs from different ICD codes so that information can be transferred among them. In a few-shot learning scenario, the model only has access to frequent ICD codes during training, which might force it to encode features that are useful for frequent ICD codes only. To mitigate this risk, CoGraph devises two graph contrastive learning schemes, GSCL and GECL, that exploit the HEWE graph structures so as to encode transferable features. GSCL utilizes the intra-correlation of different sub-graphs sampled from HEWE graphs while GECL exploits the inter-correlation among HEWE graphs at different clinical stages. Experiments on the MIMIC-III benchmark dataset show that CoGraph significantly outperforms state-of-the-art methods on EHR coding, not only on frequent ICD codes, but also on rare codes, in terms of several evaluation indicators. On frequent ICD codes, GSCL and GECL improve the classification accuracy and F1 by 1.31% and 0.61%, respectively, and on rare ICD codes CoGraph has more obvious improvements by 2.12% and 2.95%.

Zhen Wang, Shan-Shan Wang, Lan Bai et al.

In semi-supervised fuzzy clustering, this paper extends the traditional pairwise constraint (i.e., must-link or cannot-link) to fuzzy pairwise constraint. The fuzzy pairwise constraint allows a supervisor to provide the grade of similarity or dissimilarity between the implicit fuzzy vectors of a pair of samples. This constraint can present more complicated relationship between the pair of samples and avoid eliminating the fuzzy characteristics. We propose a fuzzy discriminant clustering model (FDC) to fuse the fuzzy pairwise constraints. The nonconvex optimization problem in our FDC is solved by a modified expectation-maximization algorithm, involving to solve several indefinite quadratic programming problems (IQPPs). Further, a diagonal block coordinate decent (DBCD) algorithm is proposed for these IQPPs, whose stationary points are guaranteed, and the global solutions can be obtained under certain conditions. To suit for different applications, the FDC is extended into various metric spaces, e.g., the Reproducing Kernel Hilbert Space. Experimental results on several benchmark datasets and facial expression database demonstrate the outperformance of our FDC compared with some state-of-the-art clustering models.

Kehan Qi, Yu Gong, Xinfeng Liu et al.

Noises, artifacts, and loss of information caused by the magnetic resonance (MR) reconstruction may compromise the final performance of the downstream applications. In this paper, we develop a re-weighted multi-task deep learning method to learn prior knowledge from the existing big dataset and then utilize them to assist simultaneous MR reconstruction and segmentation from the under-sampled k-space data. The multi-task deep learning framework is equipped with two network sub-modules, which are integrated and trained by our designed iterative teacher forcing scheme (ITFS) under the dynamic re-weighted loss constraint (DRLC). The ITFS is designed to avoid error accumulation by injecting the fully-sampled data into the training process. The DRLC is proposed to dynamically balance the contributions from the reconstruction and segmentation sub-modules so as to co-prompt the multi-task accuracy. The proposed method has been evaluated on two open datasets and one in vivo in-house dataset and compared to six state-of-the-art methods. Results show that the proposed method possesses encouraging capabilities for simultaneous and accurate MR reconstruction and segmentation.

Cong Quan, Jinjie Zhou, Yuanzheng Zhu et al.

Deep learning, particularly the generative model, has demonstrated tremendous potential to significantly speed up image reconstruction with reduced measurements recently. Rather than the existing generative models that often optimize the density priors, in this work, by taking advantage of the denoising score matching, homotopic gradients of generative density priors (HGGDP) are proposed for magnetic resonance imaging (MRI) reconstruction. More precisely, to tackle the low-dimensional manifold and low data density region issues in generative density prior, we estimate the target gradients in higher-dimensional space. We train a more powerful noise conditional score network by forming high-dimensional tensor as the network input at the training phase. More artificial noise is also injected in the embedding space. At the reconstruction stage, a homotopy method is employed to pursue the density prior, such as to boost the reconstruction performance. Experiment results imply the remarkable performance of HGGDP in terms of high reconstruction accuracy; only 10% of the k-space data can still generate images of high quality as effectively as standard MRI reconstruction with the fully sampled data.

Weijian Huang, Hao Yang, Xinfeng Liu et al.

Multi-contrast magnetic resonance (MR) image registration is useful in the clinic to achieve fast and accurate imaging-based disease diagnosis and treatment planning. Nevertheless, the efficiency and performance of the existing registration algorithms can still be improved. In this paper, we propose a novel unsupervised learning-based framework to achieve accurate and efficient multi-contrast MR image registrations. Specifically, an end-to-end coarse-to-fine network architecture consisting of affine and deformable transformations is designed to improve the robustness and achieve end-to-end registration. Furthermore, a dual consistency constraint and a new prior knowledge-based loss function are developed to enhance the registration performances. The proposed method has been evaluated on a clinical dataset containing 555 cases, and encouraging performances have been achieved. Compared to the commonly utilized registration methods, including VoxelMorph, SyN, and LT-Net, the proposed method achieves better registration performance with a Dice score of 0.8397 in identifying stroke lesions. With regards to the registration speed, our method is about 10 times faster than the most competitive method of SyN (Affine) when testing on a CPU. Moreover, we prove that our method can still perform well on more challenging tasks with lacking scanning information data, showing high robustness for the clinical application.

Yiling Liu, Qiegen Liu, Minghui Zhang et al.

To improve the compressive sensing MRI (CS-MRI) approaches in terms of fine structure loss under high acceleration factors, we have proposed an iterative feature refinement model (IFR-CS), equipped with fixed transforms, to restore the meaningful structures and details. Nevertheless, the proposed IFR-CS still has some limitations, such as the selection of hyper-parameters, a lengthy reconstruction time, and the fixed sparsifying transform. To alleviate these issues, we unroll the iterative feature refinement procedures in IFR-CS to a supervised model-driven network, dubbed IFR-Net. Equipped with training data pairs, both regularization parameter and the utmost feature refinement operator in IFR-CS become trainable. Additionally, inspired by the powerful representation capability of convolutional neural network (CNN), CNN-based inversion blocks are explored in the sparsity-promoting denoising module to generalize the sparsity-enforcing operator. Extensive experiments on both simulated and in vivo MR datasets have shown that the proposed network possesses a strong capability to capture image details and preserve well the structural information with fast reconstruction speed.

Shanshan Wang, Yanxia Chen, Taohui Xiao et al.

This paper proposes to learn analysis transform network for dynamic magnetic resonance imaging (LANTERN) with small dataset. Integrating the strength of CS-MRI and deep learning, the proposed framework is highlighted in three components: (i) The spatial and temporal domains are sparsely constrained by using adaptively trained CNN. (ii) We introduce an end-to-end framework to learn the parameters in LANTERN to solve the difficulty of parameter selection in traditional methods. (iii) Compared to existing deep learning reconstruction methods, our reconstruction accuracy is better when the amount of data is limited. Our model is able to fully exploit the redundancy in spatial and temporal of dynamic MR images. We performed quantitative and qualitative analysis of cardiac datasets at different acceleration factors (2x-11x) and different undersampling modes. In comparison with state-of-the-art methods, extensive experiments show that our method achieves consistent better reconstruction performance on the MRI reconstruction in terms of three quantitative metrics (PSNR, SSIM and HFEN) under different undersamling patterns and acceleration factors.

Yongjin Zhou, Weijian Huang, Pei Dong et al.

Assessing the location and extent of lesions caused by chronic stroke is critical for medical diagnosis, surgical planning, and prognosis. In recent years, with the rapid development of 2D and 3D convolutional neural networks (CNN), the encoder-decoder structure has shown great potential in the field of medical image segmentation. However, the 2D CNN ignores the 3D information of medical images, while the 3D CNN suffers from high computational resource demands. This paper proposes a new architecture called dimension-fusion-UNet (D-UNet), which combines 2D and 3D convolution innovatively in the encoding stage. The proposed architecture achieves a better segmentation performance than 2D networks, while requiring significantly less computation time in comparison to 3D networks. Furthermore, to alleviate the data imbalance issue between positive and negative samples for the network training, we propose a new loss function called Enhance Mixing Loss (EML). This function adds a weighted focal coefficient and combines two traditional loss functions. The proposed method has been tested on the ATLAS dataset and compared to three state-of-the-art methods. The results demonstrate that the proposed method achieves the best quality performance in terms of DSC = 0.5349+0.2763 and precision = 0.6331+0.295).

Yanxia Chen, Taohui Xiao, Cheng Li et al.

Parallel imaging has been an essential technique to accelerate MR imaging. Nevertheless, the acceleration rate is still limited due to the ill-condition and challenges associated with the undersampled reconstruction. In this paper, we propose a model-based convolutional de-aliasing network with adaptive parameter learning to achieve accurate reconstruction from multi-coil undersampled k-space data. Three main contributions have been made: a de-aliasing reconstruction model was proposed to accelerate parallel MR imaging with deep learning exploring both spatial redundancy and multi-coil correlations; a split Bregman iteration algorithm was developed to solve the model efficiently; and unlike most existing parallel imaging methods which rely on the accuracy of the estimated multi-coil sensitivity, the proposed method can perform parallel reconstruction from undersampled data without explicit sensitivity calculation. Evaluations were conducted on \emph{in vivo} brain dataset with a variety of undersampling patterns and different acceleration factors. Our results demonstrated that this method could achieve superior performance in both quantitative and qualitative analysis, compared to three state-of-the-art methods.