CTT-Net: A Multi-view Cross-token Transformer for Cataract Postoperative Visual Acuity PredictionJinhong Wang, Jingwen Wang, Tingting Chen et al.
Surgery is the only viable treatment for cataract patients with visual acuity (VA) impairment. Clinically, to assess the necessity of cataract surgery, accurately predicting postoperative VA before surgery by analyzing multi-view optical coherence tomography (OCT) images is crucially needed. Unfortunately, due to complicated fundus conditions, determining postoperative VA remains difficult for medical experts. Deep learning methods for this problem were developed in recent years. Although effective, these methods still face several issues, such as not efficiently exploring potential relations between multi-view OCT images, neglecting the key role of clinical prior knowledge (e.g., preoperative VA value), and using only regression-based metrics which are lacking reference. In this paper, we propose a novel Cross-token Transformer Network (CTT-Net) for postoperative VA prediction by analyzing both the multi-view OCT images and preoperative VA. To effectively fuse multi-view features of OCT images, we develop cross-token attention that could restrict redundant/unnecessary attention flow. Further, we utilize the preoperative VA value to provide more information for postoperative VA prediction and facilitate fusion between views. Moreover, we design an auxiliary classification loss to improve model performance and assess VA recovery more sufficiently, avoiding the limitation by only using the regression metrics. To evaluate CTT-Net, we build a multi-view OCT image dataset collected from our collaborative hospital. A set of extensive experiments validate the effectiveness of our model compared to existing methods in various metrics. Code is available at: https://github.com/wjh892521292/Cataract OCT.
7.8LGJul 5, 2022
Approximating Discontinuous Nash Equilibrial Values of Two-Player General-Sum Differential GamesLei Zhang, Mukesh Ghimire, Wenlong Zhang et al.
Finding Nash equilibrial policies for two-player differential games requires solving Hamilton-Jacobi-Isaacs (HJI) PDEs. Self-supervised learning has been used to approximate solutions of such PDEs while circumventing the curse of dimensionality. However, this method fails to learn discontinuous PDE solutions due to its sampling nature, leading to poor safety performance of the resulting controllers in robotics applications when player rewards are discontinuous. This paper investigates two potential solutions to this problem: a hybrid method that leverages both supervised Nash equilibria and the HJI PDE, and a value-hardening method where a sequence of HJIs are solved with a gradually hardening reward. We compare these solutions using the resulting generalization and safety performance in two vehicle interaction simulation studies with 5D and 9D state spaces, respectively. Results show that with informative supervision (e.g., collision and near-collision demonstrations) and the low cost of self-supervised learning, the hybrid method achieves better safety performance than the supervised, self-supervised, and value hardening approaches on equal computational budget. Value hardening fails to generalize in the higher-dimensional case without informative supervision. Lastly, we show that the neural activation function needs to be continuously differentiable for learning PDEs and its choice can be case dependent.
State-Constrained Zero-Sum Differential Games with One-Sided InformationMukesh Ghimire, Lei Zhang, Zhe Xu et al.
We study zero-sum differential games with state constraints and one-sided information, where the informed player (Player 1) has a categorical payoff type unknown to the uninformed player (Player 2). The goal of Player 1 is to minimize his payoff without violating the constraints, while that of Player 2 is to violate the state constraints if possible, or to maximize the payoff otherwise. One example of the game is a man-to-man matchup in football. Without state constraints, Cardaliaguet (2007) showed that the value of such a game exists and is convex to the common belief of players. Our theoretical contribution is an extension of this result to games with state constraints and the derivation of the primal and dual subdynamic principles necessary for computing behavioral strategies. Different from existing works that are concerned about the scalability of no-regret learning in games with discrete dynamics, our study reveals the underlying structure of strategies for belief manipulation resulting from information asymmetry and state constraints. This structure will be necessary for scalable learning on games with continuous actions and long time windows. We use a simplified football game to demonstrate the utility of this work, where we reveal player positions and belief states in which the attacker should (or should not) play specific random deceptive moves to take advantage of information asymmetry, and compute how the defender should respond.
11.8CVMay 21, 2025
Discovering Pathology Rationale and Token Allocation for Efficient Multimodal Pathology ReasoningZhe Xu, Cheng Jin, Yihui Wang et al.
Multimodal pathological image understanding has garnered widespread interest due to its potential to improve diagnostic accuracy and enable personalized treatment through integrated visual and textual data. However, existing methods exhibit limited reasoning capabilities, which hamper their ability to handle complex diagnostic scenarios. Additionally, the enormous size of pathological images leads to severe computational burdens, further restricting their practical deployment. To address these limitations, we introduce a novel bilateral reinforcement learning framework comprising two synergistic branches. One reinforcement branch enhances the reasoning capability by enabling the model to learn task-specific decision processes, i.e., pathology rationales, directly from labels without explicit reasoning supervision. While the other branch dynamically allocates a tailored number of tokens to different images based on both their visual content and task context, thereby optimizing computational efficiency. We apply our method to various pathological tasks such as visual question answering, cancer subtyping, and lesion detection. Extensive experiments show an average +41.7 absolute performance improvement with 70.3% lower inference costs over the base models, achieving both reasoning accuracy and computational efficiency.
13.0LGAug 29, 2025
PowerGrow: Feasible Co-Growth of Structures and Dynamics for Power Grid SynthesisXinyu He, Chenhan Xiao, Haoran Li et al.
Modern power systems are becoming increasingly dynamic, with changing topologies and time-varying loads driven by renewable energy variability, electric vehicle adoption, and active grid reconfiguration. Despite these changes, publicly available test cases remain scarce, due to security concerns and the significant effort required to anonymize real systems. Such limitations call for generative tools that can jointly synthesize grid structure and nodal dynamics. However, modeling the joint distribution of network topology, branch attributes, bus properties, and dynamic load profiles remains a major challenge, while preserving physical feasibility and avoiding prohibitive computational costs. We present PowerGrow, a co-generative framework that significantly reduces computational overhead while maintaining operational validity. The core idea is dependence decomposition: the complex joint distribution is factorized into a chain of conditional distributions over feasible grid topologies, time-series bus loads, and other system attributes, leveraging their mutual dependencies. By constraining the generation process at each stage, we implement a hierarchical graph beta-diffusion process for structural synthesis, paired with a temporal autoencoder that embeds time-series data into a compact latent space, improving both training stability and sample fidelity. Experiments across benchmark settings show that PowerGrow not only outperforms prior diffusion models in fidelity and diversity but also achieves a 98.9\% power flow convergence rate and improved N-1 contingency resilience. This demonstrates its ability to generate operationally valid and realistic power grid scenarios.
All-Around Real Label Supervision: Cyclic Prototype Consistency Learning for Semi-supervised Medical Image SegmentationZhe Xu, Yixin Wang, Donghuan Lu et al.
Semi-supervised learning has substantially advanced medical image segmentation since it alleviates the heavy burden of acquiring the costly expert-examined annotations. Especially, the consistency-based approaches have attracted more attention for their superior performance, wherein the real labels are only utilized to supervise their paired images via supervised loss while the unlabeled images are exploited by enforcing the perturbation-based \textit{"unsupervised"} consistency without explicit guidance from those real labels. However, intuitively, the expert-examined real labels contain more reliable supervision signals. Observing this, we ask an unexplored but interesting question: can we exploit the unlabeled data via explicit real label supervision for semi-supervised training? To this end, we discard the previous perturbation-based consistency but absorb the essence of non-parametric prototype learning. Based on the prototypical network, we then propose a novel cyclic prototype consistency learning (CPCL) framework, which is constructed by a labeled-to-unlabeled (L2U) prototypical forward process and an unlabeled-to-labeled (U2L) backward process. Such two processes synergistically enhance the segmentation network by encouraging more discriminative and compact features. In this way, our framework turns previous \textit{"unsupervised"} consistency into new \textit{"supervised"} consistency, obtaining the \textit{"all-around real label supervision"} property of our method. Extensive experiments on brain tumor segmentation from MRI and kidney segmentation from CT images show that our CPCL can effectively exploit the unlabeled data and outperform other state-of-the-art semi-supervised medical image segmentation methods.
8.0CVJul 6, 2021
Double-Uncertainty Guided Spatial and Temporal Consistency Regularization Weighting for Learning-based Abdominal RegistrationZhe Xu, Jie Luo, Donghuan Lu et al.
In order to tackle the difficulty associated with the ill-posed nature of the image registration problem, regularization is often used to constrain the solution space. For most learning-based registration approaches, the regularization usually has a fixed weight and only constrains the spatial transformation. Such convention has two limitations: (i) Besides the laborious grid search for the optimal fixed weight, the regularization strength of a specific image pair should be associated with the content of the images, thus the "one value fits all" training scheme is not ideal; (ii) Only spatially regularizing the transformation may neglect some informative clues related to the ill-posedness. In this study, we propose a mean-teacher based registration framework, which incorporates an additional temporal consistency regularization term by encouraging the teacher model's prediction to be consistent with that of the student model. More importantly, instead of searching for a fixed weight, the teacher enables automatically adjusting the weights of the spatial regularization and the temporal consistency regularization by taking advantage of the transformation uncertainty and appearance uncertainty. Extensive experiments on the challenging abdominal CT-MRI registration show that our training strategy can promisingly advance the original learning-based method in terms of efficient hyperparameter tuning and a better tradeoff between accuracy and smoothness.