Xiaoxue Qian

Yunxiang Li, Hua-Chieh Shao, Xiaoxue Qian et al.

Diffusion models have demonstrated significant potential in producing high-quality images in medical image translation to aid disease diagnosis, localization, and treatment. Nevertheless, current diffusion models have limited success in achieving faithful image translations that can accurately preserve the anatomical structures of medical images, especially for unpaired datasets. The preservation of structural and anatomical details is essential to reliable medical diagnosis and treatment planning, as structural mismatches can lead to disease misidentification and treatment errors. In this study, we introduce the Frequency Decoupled Diffusion Model (FDDM) for MR-to-CT conversion. FDDM first obtains the anatomical information of the CT image from the MR image through an initial conversion module. This anatomical information then guides a subsequent diffusion model to generate high-quality CT images. Our diffusion model uses a dual-path reverse diffusion process for low-frequency and high-frequency information, achieving a better balance between image quality and anatomical accuracy. We extensively evaluated FDDM using public datasets for brain MR-to-CT and pelvis MR-to-CT translations, demonstrating its superior performance to other GAN-based, VAE-based, and diffusion-based models. The evaluation metrics included Frechet Inception Distance (FID), Peak Signal-to-Noise Ratio (PSNR), and Structural Similarity Index Measure (SSIM). FDDM achieved the best scores on all metrics for both datasets, particularly excelling in FID, with scores of 25.9 for brain data and 29.2 for pelvis data, significantly outperforming other methods. These results demonstrate that FDDM can generate high-quality target domain images while maintaining the accuracy of translated anatomical structures.

Guoping Xu, Xiaoxue Qian, Hua Chieh Shao et al.

This study introduces SAMatch, a SAM-guided Match-based framework for semi-supervised medical image segmentation, aimed at improving pseudo label quality in data-scarce scenarios. While Match-based frameworks are effective, they struggle with low-quality pseudo labels due to the absence of ground truth. SAM, pre-trained on a large dataset, generalizes well across diverse tasks and assists in generating high-confidence prompts, which are then used to refine pseudo labels via fine-tuned SAM. SAMatch is trained end-to-end, allowing for dynamic interaction between the models. Experiments on the ACDC cardiac MRI, BUSI breast ultrasound, and MRLiver datasets show SAMatch achieving state-of-the-art results, with Dice scores of 89.36%, 77.76%, and 80.04%, respectively, using minimal labeled data. SAMatch effectively addresses challenges in semi-supervised segmentation, offering a powerful tool for segmentation in data-limited environments. Code and data are available at https://github.com/apple1986/SAMatch.