Cheng Zhong

Tieyuan Chen, Huabin Liu, Tianyao He et al.

Video causal reasoning aims to achieve a high-level understanding of video content from a causal perspective. However, current video reasoning tasks are limited in scope, primarily executed in a question-answering paradigm and focusing on short videos containing only a single event and simple causal relationships, lacking comprehensive and structured causality analysis for videos with multiple events. To fill this gap, we introduce a new task and dataset, Multi-Event Causal Discovery (MECD). It aims to uncover the causal relationships between events distributed chronologically across long videos. Given visual segments and textual descriptions of events, MECD requires identifying the causal associations between these events to derive a comprehensive, structured event-level video causal diagram explaining why and how the final result event occurred. To address MECD, we devise a novel framework inspired by the Granger Causality method, using an efficient mask-based event prediction model to perform an Event Granger Test, which estimates causality by comparing the predicted result event when premise events are masked versus unmasked. Furthermore, we integrate causal inference techniques such as front-door adjustment and counterfactual inference to address challenges in MECD like causality confounding and illusory causality. Experiments validate the effectiveness of our framework in providing causal relationships in multi-event videos, outperforming GPT-4o and VideoLLaVA by 5.7% and 4.1%, respectively.

Yao Zhang, Jiawei Yang, Jiang Tian et al.

Liver cancer is one of the most common cancers worldwide. Due to inconspicuous texture changes of liver tumor, contrast-enhanced computed tomography (CT) imaging is effective for the diagnosis of liver cancer. In this paper, we focus on improving automated liver tumor segmentation by integrating multi-modal CT images. To this end, we propose a novel mutual learning (ML) strategy for effective and robust multi-modal liver tumor segmentation. Different from existing multi-modal methods that fuse information from different modalities by a single model, with ML, an ensemble of modality-specific models learn collaboratively and teach each other to distill both the characteristics and the commonality between high-level representations of different modalities. The proposed ML not only enables the superiority for multi-modal learning but can also handle missing modalities by transferring knowledge from existing modalities to missing ones. Additionally, we present a modality-aware (MA) module, where the modality-specific models are interconnected and calibrated with attention weights for adaptive information exchange. The proposed modality-aware mutual learning (MAML) method achieves promising results for liver tumor segmentation on a large-scale clinical dataset. Moreover, we show the efficacy and robustness of MAML for handling missing modalities on both the liver tumor and public brain tumor (BRATS 2018) datasets. Our code is available at https://github.com/YaoZhang93/MAML.

Tianyao He, Huabin Liu, Yuxi Li et al.

Video Correlation Learning (VCL), which aims to analyze the relationships between videos, has been widely studied and applied in various general video tasks. However, applying VCL to instructional videos is still quite challenging due to their intrinsic procedural temporal structure. Specifically, procedural knowledge is critical for accurate correlation analyses on instructional videos. Nevertheless, current procedure-learning methods heavily rely on step-level annotations, which are costly and not scalable. To address this problem, we introduce a weakly supervised framework called Collaborative Procedure Alignment (CPA) for procedure-aware correlation learning on instructional videos. Our framework comprises two core modules: collaborative step mining and frame-to-step alignment. The collaborative step mining module enables simultaneous and consistent step segmentation for paired videos, leveraging the semantic and temporal similarity between frames. Based on the identified steps, the frame-to-step alignment module performs alignment between the frames and steps across videos. The alignment result serves as a measurement of the correlation distance between two videos. We instantiate our framework in two distinct instructional video tasks: sequence verification and action quality assessment. Extensive experiments validate the effectiveness of our approach in providing accurate and interpretable correlation analyses for instructional videos.

Yixin Wang, Yang Zhang, Yang Liu et al.

Accurate segmentation of brain tumors from magnetic resonance imaging (MRI) is clinically relevant in diagnoses, prognoses and surgery treatment, which requires multiple modalities to provide complementary morphological and physiopathologic information. However, missing modality commonly occurs due to image corruption, artifacts, different acquisition protocols or allergies to certain contrast agents in clinical practice. Though existing efforts demonstrate the possibility of a unified model for all missing situations, most of them perform poorly when more than one modality is missing. In this paper, we propose a novel Adversarial Co-training Network (ACN) to solve this issue, in which a series of independent yet related models are trained dedicated to each missing situation with significantly better results. Specifically, ACN adopts a novel co-training network, which enables a coupled learning process for both full modality and missing modality to supplement each other's domain and feature representations, and more importantly, to recover the `missing' information of absent modalities. Then, two unsupervised modules, i.e., entropy and knowledge adversarial learning modules are proposed to minimize the domain gap while enhancing prediction reliability and encouraging the alignment of latent representations, respectively. We also adapt modality-mutual information knowledge transfer learning to ACN to retain the rich mutual information among modalities. Extensive experiments on BraTS2018 dataset show that our proposed method significantly outperforms all state-of-the-art methods under any missing situation.

Yao Zhang, Jiawei Yang, Feng Hou et al.

Accurate segmentation of cardiac structures can assist doctors to diagnose diseases, and to improve treatment planning, which is highly demanded in the clinical practice. However, the shortage of annotation and the variance of the data among different vendors and medical centers restrict the performance of advanced deep learning methods. In this work, we present a fully automatic method to segment cardiac structures including the left (LV) and right ventricle (RV) blood pools, as well as for the left ventricular myocardium (MYO) in MRI volumes. Specifically, we design a semi-supervised learning method to leverage unlabelled MRI sequence timeframes by label propagation. Then we exploit style transfer to reduce the variance among different centers and vendors for more robust cardiac image segmentation. We evaluate our method in the M&Ms challenge 7 , ranking 2nd place among 14 competitive teams.

Yixin Wang, Yao Zhang, Jiang Tian et al.

Though deep learning has achieved advanced performance recently, it remains a challenging task in the field of medical imaging, as obtaining reliable labeled training data is time-consuming and expensive. In this paper, we propose a double-uncertainty weighted method for semi-supervised segmentation based on the teacher-student model. The teacher model provides guidance for the student model by penalizing their inconsistent prediction on both labeled and unlabeled data. We train the teacher model using Bayesian deep learning to obtain double-uncertainty, i.e. segmentation uncertainty and feature uncertainty. It is the first to extend segmentation uncertainty estimation to feature uncertainty, which reveals the capability to capture information among channels. A learnable uncertainty consistency loss is designed for the unsupervised learning process in an interactive manner between prediction and uncertainty. With no ground-truth for supervision, it can still incentivize more accurate teacher's predictions and facilitate the model to reduce uncertain estimations. Furthermore, our proposed double-uncertainty serves as a weight on each inconsistency penalty to balance and harmonize supervised and unsupervised training processes. We validate the proposed feature uncertainty and loss function through qualitative and quantitative analyses. Experimental results show that our method outperforms the state-of-the-art uncertainty-based semi-supervised methods on two public medical datasets.

Yixin Wang, Yao Zhang, Feng Hou et al.

Automatic brain tumor segmentation from multi-modality Magnetic Resonance Images (MRI) using deep learning methods plays an important role in assisting the diagnosis and treatment of brain tumor. However, previous methods mostly ignore the latent relationship among different modalities. In this work, we propose a novel end-to-end Modality-Pairing learning method for brain tumor segmentation. Paralleled branches are designed to exploit different modality features and a series of layer connections are utilized to capture complex relationships and abundant information among modalities. We also use a consistency loss to minimize the prediction variance between two branches. Besides, learning rate warmup strategy is adopted to solve the problem of the training instability and early over-fitting. Lastly, we use average ensemble of multiple models and some post-processing techniques to get final results. Our method is tested on the BraTS 2020 online testing dataset, obtaining promising segmentation performance, with average dice scores of 0.891, 0.842, 0.816 for the whole tumor, tumor core and enhancing tumor, respectively. We won the second place of the BraTS 2020 Challenge for the tumor segmentation task.

Yixin Wang, Yao Zhang, Yang Liu et al.

Coronavirus disease 2019 (COVID-19) is a highly contagious virus spreading all around the world. Deep learning has been adopted as an effective technique to aid COVID-19 detection and segmentation from computed tomography (CT) images. The major challenge lies in the inadequate public COVID-19 datasets. Recently, transfer learning has become a widely used technique that leverages the knowledge gained while solving one problem and applying it to a different but related problem. However, it remains unclear whether various non-COVID19 lung lesions could contribute to segmenting COVID-19 infection areas and how to better conduct this transfer procedure. This paper provides a way to understand the transferability of non-COVID19 lung lesions. Based on a publicly available COVID-19 CT dataset and three public non-COVID19 datasets, we evaluate four transfer learning methods using 3D U-Net as a standard encoder-decoder method. The results reveal the benefits of transferring knowledge from non-COVID19 lung lesions, and learning from multiple lung lesion datasets can extract more general features, leading to accurate and robust pre-trained models. We further show the capability of the encoder to learn feature representations of lung lesions, which improves segmentation accuracy and facilitates training convergence. In addition, our proposed Hybrid-encoder learning method incorporates transferred lung lesion features from non-COVID19 datasets effectively and achieves significant improvement. These findings promote new insights into transfer learning for COVID-19 CT image segmentation, which can also be further generalized to other medical tasks.

Nicholas Heller, Fabian Isensee, Klaus H. Maier-Hein et al.

There is a large body of literature linking anatomic and geometric characteristics of kidney tumors to perioperative and oncologic outcomes. Semantic segmentation of these tumors and their host kidneys is a promising tool for quantitatively characterizing these lesions, but its adoption is limited due to the manual effort required to produce high-quality 3D segmentations of these structures. Recently, methods based on deep learning have shown excellent results in automatic 3D segmentation, but they require large datasets for training, and there remains little consensus on which methods perform best. The 2019 Kidney and Kidney Tumor Segmentation challenge (KiTS19) was a competition held in conjunction with the 2019 International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI) which sought to address these issues and stimulate progress on this automatic segmentation problem. A training set of 210 cross sectional CT images with kidney tumors was publicly released with corresponding semantic segmentation masks. 106 teams from five continents used this data to develop automated systems to predict the true segmentation masks on a test set of 90 CT images for which the corresponding ground truth segmentations were kept private. These predictions were scored and ranked according to their average So rensen-Dice coefficient between the kidney and tumor across all 90 cases. The winning team achieved a Dice of 0.974 for kidney and 0.851 for tumor, approaching the inter-annotator performance on kidney (0.983) but falling short on tumor (0.923). This challenge has now entered an "open leaderboard" phase where it serves as a challenging benchmark in 3D semantic segmentation.

Yao Zhang, Cheng Zhong, Yang Zhang et al.

Liver tumor segmentation plays an important role in hepatocellular carcinoma diagnosis and surgical planning. In this paper, we propose a novel Semantic Feature Attention Network (SFAN) for liver tumor segmentation from Computed Tomography (CT) volumes, which exploits the impact of both low-level and high-level features. In the SFAN, a Semantic Attention Transmission (SAT) module is designed to select discriminative low-level localization details with the guidance of neighboring high-level semantic information. Furthermore, a Global Context Attention (GCA) module is proposed to effectively fuse the multi-level features with the guidance of global context. Our experiments are based on 2 challenging databases, the public Liver Tumor Segmentation (LiTS) Challenge database and a large-scale in-house clinical database with 912 CT volumes. Experimental results show that our proposed framework can not only achieve the state-of-the-art performance with the Dice per case on liver tumor segmentation in LiTS database, but also outperform some widely used segmentation algorithms in the large-scale clinical database.

Yao Zhang, Yixin Wang, Feng Hou et al.

Automated segmentation of kidney and tumor from 3D CT scans is necessary for the diagnosis, monitoring, and treatment planning of the disease. In this paper, we describe a two-stage framework for kidney and tumor segmentation based on 3D fully convolutional network (FCN). The first stage preliminarily locate the kidney and cut off the irrelevant background to reduce class imbalance and computation cost. Then the second stage precisely segment the kidney and tumor on the cropped patch. The proposed method ranks the 4th place out of 105 competitive teams in MICCAI 2019 KiTS Challenge with a Composite Dice of 90.24%.

Jinyi Zou, Xiao Ma, Cheng Zhong et al.

This short paper reports the algorithms we used and the evaluation performances for ISIC Challenge 2018. Our team participates in all the tasks in this challenge. In lesion segmentation task, the pyramid scene parsing network (PSPNet) is modified to segment the lesions. In lesion attribute detection task, the modified PSPNet is also adopted in a multi-label way. In disease classification task, the DenseNet-169 is adopted for multi-class classification.