Jiaxiang Liu

Jiaxiang Liu, Tianxiang Hu, Yan Zhang et al.

Zero-shot medical image classification is a critical process in real-world scenarios where we have limited access to all possible diseases or large-scale annotated data. It involves computing similarity scores between a query medical image and possible disease categories to determine the diagnostic result. Recent advances in pretrained vision-language models (VLMs) such as CLIP have shown great performance for zero-shot natural image recognition and exhibit benefits in medical applications. However, an explainable zero-shot medical image recognition framework with promising performance is yet under development. In this paper, we propose a novel CLIP-based zero-shot medical image classification framework supplemented with ChatGPT for explainable diagnosis, mimicking the diagnostic process performed by human experts. The key idea is to query large language models (LLMs) with category names to automatically generate additional cues and knowledge, such as disease symptoms or descriptions other than a single category name, to help provide more accurate and explainable diagnosis in CLIP. We further design specific prompts to enhance the quality of generated texts by ChatGPT that describe visual medical features. Extensive results on one private dataset and four public datasets along with detailed analysis demonstrate the effectiveness and explainability of our training-free zero-shot diagnosis pipeline, corroborating the great potential of VLMs and LLMs for medical applications.

Jiaxiang Liu, Tianxiang Hu, Yang Feng et al.

In computer-assisted orthodontics, three-dimensional tooth models are required for many medical treatments. Tooth segmentation from cone-beam computed tomography (CBCT) images is a crucial step in constructing the models. However, CBCT image quality problems such as metal artifacts and blurring caused by shooting equipment and patients' dental conditions make the segmentation difficult. In this paper, we propose ToothSegNet, a new framework which acquaints the segmentation model with generated degraded images during training. ToothSegNet merges the information of high and low quality images from the designed degradation simulation module using channel-wise cross fusion to reduce the semantic gap between encoder and decoder, and also refines the shape of tooth prediction through a structural constraint loss. Experimental results suggest that ToothSegNet produces more precise segmentation and outperforms the state-of-the-art medical image segmentation methods.

Peiran Wang, Linjie Tong, Jiaxiang Liu et al.

Fairness is a fundamental principle in medical ethics. Vision Language Models (VLMs) have shown significant potential in the medical field due to their ability to leverage both visual and linguistic contexts, reducing the need for large datasets and enabling the performance of complex tasks. However, the exploration of fairness within VLM applications remains limited. Applying VLMs without a comprehensive analysis of fairness could lead to concerns about equal treatment opportunities and diminish public trust in medical deep learning models. To build trust in medical VLMs, we propose Fair-MoE, a model specifically designed to ensure both fairness and effectiveness. Fair-MoE comprises two key components: \textit{the Fairness-Oriented Mixture of Experts (FO-MoE)} and \textit{the Fairness-Oriented Loss (FOL)}. FO-MoE is designed to leverage the expertise of various specialists to filter out biased patch embeddings and use an ensemble approach to extract more equitable information relevant to specific tasks. FOL is a novel fairness-oriented loss function that not only minimizes the distances between different attributes but also optimizes the differences in the dispersion of various attributes' distributions. Extended experiments demonstrate the effectiveness and fairness of Fair-MoE. Tested on the Harvard-FairVLMed dataset, Fair-MoE showed improvements in both fairness and accuracy across all four attributes. Code will be publicly available.

Yujing Xue, Jiaxiang Liu, Jiawei Du et al.

Recently, polar coordinate-based representations have shown promise for 3D perceptual tasks. Compared to Cartesian methods, polar grids provide a viable alternative, offering better detail preservation in nearby spaces while covering larger areas. However, they face feature distortion due to non-uniform division. To address these issues, we introduce the Polar Voxel Occupancy Predictor (PVP), a novel 3D multi-modal predictor that operates in polar coordinates. PVP features two key design elements to overcome distortion: a Global Represent Propagation (GRP) module that integrates global spatial data into 3D volumes, and a Plane Decomposed Convolution (PD-Conv) that simplifies 3D distortions into 2D convolutions. These innovations enable PVP to outperform existing methods, achieving significant improvements in mIoU and IoU metrics on the OpenOccupancy dataset.