Yiwei Yang

Zheyuan Liu, Munan Ning, Qihui Zhang et al.

Current text-to-image (T2I) generation models struggle to align spatial composition with the input text, especially in complex scenes. Even layout-based approaches yield suboptimal spatial control, as their generation process is decoupled from layout planning, making it difficult to refine the layout during synthesis. We present CoT-Diff, a framework that brings step-by-step CoT-style reasoning into T2I generation by tightly integrating Multimodal Large Language Model (MLLM)-driven 3D layout planning with the diffusion process. CoT-Diff enables layout-aware reasoning inline within a single diffusion round: at each denoising step, the MLLM evaluates intermediate predictions, dynamically updates the 3D scene layout, and continuously guides the generation process. The updated layout is converted into semantic conditions and depth maps, which are fused into the diffusion model via a condition-aware attention mechanism, enabling precise spatial control and semantic injection. Experiments on 3D Scene benchmarks show that CoT-Diff significantly improves spatial alignment and compositional fidelity, and outperforms the state-of-the-art method by 34.7% in complex scene spatial accuracy, thereby validating the effectiveness of this entangled generation paradigm.

Yunhe Gao, Rui Huang, Yiwei Yang et al.

Radiotherapy is a treatment where radiation is used to eliminate cancer cells. The delineation of organs-at-risk (OARs) is a vital step in radiotherapy treatment planning to avoid damage to healthy organs. For nasopharyngeal cancer, more than 20 OARs are needed to be precisely segmented in advance. The challenge of this task lies in complex anatomical structure, low-contrast organ contours, and the extremely imbalanced size between large and small organs. Common segmentation methods that treat them equally would generally lead to inaccurate small-organ labeling. We propose a novel two-stage deep neural network, FocusNetv2, to solve this challenging problem by automatically locating, ROI-pooling, and segmenting small organs with specifically designed small-organ localization and segmentation sub-networks while maintaining the accuracy of large organ segmentation. In addition to our original FocusNet, we employ a novel adversarial shape constraint on small organs to ensure the consistency between estimated small-organ shapes and organ shape prior knowledge. Our proposed framework is extensively tested on both self-collected dataset of 1,164 CT scans and the MICCAI Head and Neck Auto Segmentation Challenge 2015 dataset, which shows superior performance compared with state-of-the-art head and neck OAR segmentation methods.

Yunhe Gao, Rui Huang, Ming Chen et al.

In this paper, we propose an end-to-end deep neural network for solving the problem of imbalanced large and small organ segmentation in head and neck (HaN) CT images. To conduct radiotherapy planning for nasopharyngeal cancer, more than 10 organs-at-risk (normal organs) need to be precisely segmented in advance. However, the size ratio between large and small organs in the head could reach hundreds. Directly using such imbalanced organ annotations to train deep neural networks generally leads to inaccurate small-organ label maps. We propose a novel end-to-end deep neural network to solve this challenging problem by automatically locating, ROI-pooling, and segmenting small organs with specifically designed small-organ sub-networks while maintaining the accuracy of large organ segmentation. A strong main network with densely connected atrous spatial pyramid pooling and squeeze-and-excitation modules is used for segmenting large organs, where large organs' label maps are directly output. For small organs, their probabilistic locations instead of label maps are estimated by the main network. High-resolution and multi-scale feature volumes for each small organ are ROI-pooled according to their locations and are fed into small-organ networks for accurate segmenting small organs. Our proposed network is extensively tested on both collected real data and the \emph{MICCAI Head and Neck Auto Segmentation Challenge 2015} dataset, and shows superior performance compared with state-of-the-art segmentation methods.