Xiaomeng Li

Wanqin Ma, Huifeng Yao, Yiqun Lin et al.

Developing a deep learning method for medical segmentation tasks heavily relies on a large amount of labeled data. However, the annotations require professional knowledge and are limited in number. Recently, semi-supervised learning has demonstrated great potential in medical segmentation tasks. Most existing methods related to cardiac magnetic resonance images only focus on regular images with similar domains and high image quality. A semi-supervised domain generalization method was developed in [2], which enhances the quality of pseudo labels on varied datasets. In this paper, we follow the strategy in [2] and present a domain generalization method for semi-supervised medical segmentation. Our main goal is to improve the quality of pseudo labels under extreme MRI Analysis with various domains. We perform Fourier transformation on input images to learn low-level statistics and cross-domain information. Then we feed the augmented images as input to the double cross pseudo supervision networks to calculate the variance among pseudo labels. We evaluate our method on the CMRxMotion dataset [1]. With only partially labeled data and without domain labels, our approach consistently generates accurate segmentation results of cardiac magnetic resonance images with different respiratory motions. Code is available at: https://github.com/MAWanqin2002/STACOM2022Ma

Haonan Wang, Qixiang Zhang, Yi Li et al.

Semi-supervised semantic segmentation (SSSS) has been proposed to alleviate the burden of time-consuming pixel-level manual labeling, which leverages limited labeled data along with larger amounts of unlabeled data. Current state-of-the-art methods train the labeled data with ground truths and unlabeled data with pseudo labels. However, the two training flows are separate, which allows labeled data to dominate the training process, resulting in low-quality pseudo labels and, consequently, sub-optimal results. To alleviate this issue, we present AllSpark, which reborns the labeled features from unlabeled ones with the channel-wise cross-attention mechanism. We further introduce a Semantic Memory along with a Channel Semantic Grouping strategy to ensure that unlabeled features adequately represent labeled features. The AllSpark shed new light on the architecture level designs of SSSS rather than framework level, which avoids increasingly complicated training pipeline designs. It can also be regarded as a flexible bottleneck module that can be seamlessly integrated into a general transformer-based segmentation model. The proposed AllSpark outperforms existing methods across all evaluation protocols on Pascal, Cityscapes and COCO benchmarks without bells-and-whistles. Code and model weights are available at: https://github.com/xmed-lab/AllSpark.

Qixiang Zhang, Haonan Wang, Xiaomeng Li

Semi-supervised medical image segmentation (SSMIS) has emerged as a promising solution to tackle the challenges of time-consuming manual labeling in the medical field. However, in practical scenarios, there are often domain variations within the datasets, leading to derivative scenarios like semi-supervised medical domain generalization (Semi-MDG) and unsupervised medical domain adaptation (UMDA). In this paper, we aim to develop a generic framework that masters all three tasks. We notice a critical shared challenge across three scenarios: the explicit semantic knowledge for segmentation performance and rich domain knowledge for generalizability exclusively exist in the labeled set and unlabeled set respectively. Such discrepancy hinders existing methods from effectively comprehending both types of knowledge under semi-supervised settings. To tackle this challenge, we develop a Semantic & Domain Knowledge Messenger (S&D Messenger) which facilitates direct knowledge delivery between the labeled and unlabeled set, and thus allowing the model to comprehend both of them in each individual learning flow. Equipped with our S&D Messenger, a naive pseudo-labeling method can achieve huge improvement on six benchmark datasets for SSMIS (+7.5%), UMDA (+5.6%), and Semi-MDG tasks (+1.14%), compared with state-of-the-art methods designed for specific tasks.

Huihui Xu, Yuanpeng Nie, Hualiang Wang et al.

Medical Image Grounding (MIG), which involves localizing specific regions in medical images based on textual descriptions, requires models to not only perceive regions but also deduce spatial relationships of these regions. Existing Vision-Language Models (VLMs) for MIG often rely on Supervised Fine-Tuning (SFT) with large amounts of Chain-of-Thought (CoT) reasoning annotations, which are expensive and time-consuming to acquire. Recently, DeepSeek-R1 demonstrated that Large Language Models (LLMs) can acquire reasoning abilities through Group Relative Policy Optimization (GRPO) without requiring CoT annotations. In this paper, we adapt the GRPO reinforcement learning framework to VLMs for Medical Image Grounding. We propose the Spatial-Semantic Rewarded Group Relative Policy Optimization to train the model without CoT reasoning annotations. Specifically, we introduce Spatial-Semantic Rewards, which combine spatial accuracy reward and semantic consistency reward to provide nuanced feedback for both spatially positive and negative completions. Additionally, we propose to use the Chain-of-Box template, which integrates visual information of referring bounding boxes into the <think> reasoning process, enabling the model to explicitly reason about spatial regions during intermediate steps. Experiments on three datasets MS-CXR, ChestX-ray8, and M3D-RefSeg demonstrate that our method achieves state-of-the-art performance in Medical Image Grounding. Ablation studies further validate the effectiveness of each component in our approach. Code, checkpoints, and datasets are available at https://github.com/bio-mlhui/MedGround-R1

Sucheng Ren, Xiaomeng Li

Vision Transformer shows great superiority in medical image segmentation due to the ability in learning long-range dependency. For medical image segmentation from 3D data, such as computed tomography (CT), existing methods can be broadly classified into 2D-based and 3D-based methods. One key limitation in 2D-based methods is that the intra-slice information is ignored, while the limitation in 3D-based methods is the high computation cost and memory consumption, resulting in a limited feature representation for inner-slice information. During the clinical examination, radiologists primarily use the axial plane and then routinely review both axial and coronal planes to form a 3D understanding of anatomy. Motivated by this fact, our key insight is to design a hybrid model which can first learn fine-grained inner-slice information and then generate a 3D understanding of anatomy by incorporating 3D information. We present a novel \textbf{H}ybrid \textbf{Res}idual trans\textbf{Former} \textbf{(HResFormer)} for 3D medical image segmentation. Building upon standard 2D and 3D Transformer backbones, HResFormer involves two novel key designs: \textbf{(1)} a \textbf{H}ybrid \textbf{L}ocal-\textbf{G}lobal fusion \textbf{M}odule \textbf{(HLGM)} to effectively and adaptively fuse inner-slice information from 2D Transformer and intra-slice information from 3D volumes for 3D Transformer with local fine-grained and global long-range representation. \textbf{(2)} a residual learning of the hybrid model, which can effectively leverage the inner-slice and intra-slice information for better 3D understanding of anatomy. Experiments show that our HResFormer outperforms prior art on widely-used medical image segmentation benchmarks. This paper sheds light on an important but neglected way to design Transformers for 3D medical image segmentation.

Haonan Wang, Jiaji Mao, Lehan Wang et al.

Medical AI assistants support doctors in disease diagnosis, medical image analysis, and report generation. However, they still face significant challenges in clinical use, including limited accuracy with multimodal content and insufficient validation in real-world settings. We propose RCMed, a full-stack AI assistant that improves multimodal alignment in both input and output, enabling precise anatomical delineation, accurate localization, and reliable diagnosis through hierarchical vision-language grounding. A self-reinforcing correlation mechanism allows visual features to inform language context, while language semantics guide pixel-wise attention, forming a closed loop that refines both modalities. This correlation is enhanced by a color region description strategy, translating anatomical structures into semantically rich text to learn shape-location-text relationships across scales. Trained on 20 million image-mask-description triplets, RCMed achieves state-of-the-art precision in contextualizing irregular lesions and subtle anatomical boundaries, excelling in 165 clinical tasks across 9 modalities. It achieved a 23.5% relative improvement in cell segmentation from microscopy images over prior methods. RCMed's strong vision-language alignment enables exceptional generalization, with state-of-the-art performance in external validation across 20 clinically significant cancer types, including novel tasks. This work demonstrates how integrated multimodal models capture fine-grained patterns, enabling human-level interpretation in complex scenarios and advancing human-centric AI healthcare.

Qinghua Chen, Yan Wang, Mengmeng Wang et al.

Corpus-based statistical analysis plays a significant role in linguistic research, and ample evidence has shown that different languages exhibit some common laws. Studies have found that letters in some alphabetic writing languages have strikingly similar statistical usage frequency distributions. Does this hold for Chinese, which employs ideogram writing? We obtained letter frequency data of some alphabetic writing languages and found the common law of the letter distributions. In addition, we collected Chinese literature corpora for different historical periods from the Tang Dynasty to the present, and we dismantled the Chinese written language into three kinds of basic particles: characters, strokes and constructive parts. The results of the statistical analysis showed that, in different historical periods, the intensity of the use of basic particles in Chinese writing varied, but the form of the distribution was consistent. In particular, the distributions of the Chinese constructive parts are certainly consistent with those alphabetic writing languages. This study provides new evidence of the consistency of human languages.