Hongxing Li

Libin Lan, Hongxing Li, Zunhui Xia et al.

Incomplete multi-modal medical image segmentation faces critical challenges from modality imbalance, including imbalanced modality missing rates and heterogeneous modality contributions. Due to their reliance on idealized assumptions of complete modality availability, existing methods fail to dynamically balance contributions and neglect the structural relationships between modalities, resulting in suboptimal performance in real-world clinical scenarios. To address these limitations, we propose a novel model, named Dynamic Modality-Aware Fusion Network (DMAF-Net). The DMAF-Net adopts three key ideas. First, it introduces a Dynamic Modality-Aware Fusion (DMAF) module to suppress missing-modality interference by combining transformer attention with adaptive masking and weight modality contributions dynamically through attention maps. Second, it designs a synergistic Relation Distillation and Prototype Distillation framework to enforce global-local feature alignment via covariance consistency and masked graph attention, while ensuring semantic consistency through cross-modal class-specific prototype alignment. Third, it presents a Dynamic Training Monitoring (DTM) strategy to stabilize optimization under imbalanced missing rates by tracking distillation gaps in real-time, and to balance convergence speeds across modalities by adaptively reweighting losses and scaling gradients. Extensive experiments on BraTS2020 and MyoPS2020 demonstrate that DMAF-Net outperforms existing methods for incomplete multi-modal medical image segmentation. Extensive experiments on BraTS2020 and MyoPS2020 demonstrate that DMAF-Net outperforms existing methods for incomplete multi-modal medical image segmentation. Our code is available at https://github.com/violet-42/DMAF-Net.

Zunhui Xia, Hongxing Li, Libin Lan

In the childbirth process, traditional methods involve invasive vaginal examinations, but research has shown that these methods are both subjective and inaccurate. Ultrasound-assisted diagnosis offers an objective yet effective way to assess fetal head position via two key parameters: Angle of Progression (AoP) and Head-Symphysis Distance (HSD), calculated by segmenting the fetal head (FH) and pubic symphysis (PS), which aids clinicians in ensuring a smooth delivery process. Therefore, accurate segmentation of FH and PS is crucial. In this work, we propose a sparse self-attention network architecture with good performance and high computational efficiency, named DSSAU-Net, for the segmentation of FH and PS. Specifically, we stack varying numbers of Dual Sparse Selection Attention (DSSA) blocks at each stage to form a symmetric U-shaped encoder-decoder network architecture. For a given query, DSSA is designed to explicitly perform one sparse token selection at both the region and pixel levels, respectively, which is beneficial for further reducing computational complexity while extracting the most relevant features. To compensate for the information loss during the upsampling process, skip connections with convolutions are designed. Additionally, multiscale feature fusion is employed to enrich the model's global and local information. The performance of DSSAU-Net has been validated using the Intrapartum Ultrasound Grand Challenge (IUGC) 2024 \textit{test set} provided by the organizer in the MICCAI IUGC 2024 competition\footnote{\href{https://codalab.lisn.upsaclay.fr/competitions/18413\#learn\_the\_details}{https://codalab.lisn.upsaclay.fr/competitions/18413\#learn\_the\_details}}, where we win the fourth place on the tasks of classification and segmentation, demonstrating its effectiveness. The codes will be available at https://github.com/XiaZunhui/DSSAU-Net.