Chengyu Wu

Yaqi Wang, Zhi Li, Chengyu Wu et al.

Cone-Beam Computed Tomography (CBCT) and Intraoral Scanning (IOS) are essential for digital dentistry, but annotated data scarcity limits automated solutions for pulp canal segmentation and cross-modal registration. To benchmark semi-supervised learning (SSL) in this domain, we organized the STSR 2025 Challenge at MICCAI 2025, featuring two tasks: (1) semi-supervised segmentation of teeth and pulp canals in CBCT, and (2) semi-supervised rigid registration of CBCT and IOS. We provided 60 labeled and 640 unlabeled IOS samples, plus 30 labeled and 250 unlabeled CBCT scans with varying resolutions and fields of view. The challenge attracted strong community participation, with top teams submitting open-source deep learning-based SSL solutions. For segmentation, leading methods used nnU-Net and Mamba-like State Space Models with pseudo-labeling and consistency regularization, achieving a Dice score of 0.967 and Instance Affinity of 0.738 on the hidden test set. For registration, effective approaches combined PointNetLK with differentiable SVD and geometric augmentation to handle modality gaps; hybrid neural-classical refinement enabled accurate alignment despite limited labels. All data and code are publicly available at https://github.com/ricoleehduu/STS-Challenge-2025 to ensure reproducibility.

Yaqi Wang, Yifan Zhang, Xiaodiao Chen et al.

Computer-aided design (CAD) tools are increasingly popular in modern dental practice, particularly for treatment planning or comprehensive prognosis evaluation. In particular, the 2D panoramic X-ray image efficiently detects invisible caries, impacted teeth and supernumerary teeth in children, while the 3D dental cone beam computed tomography (CBCT) is widely used in orthodontics and endodontics due to its low radiation dose. However, there is no open-access 2D public dataset for children's teeth and no open 3D dental CBCT dataset, which limits the development of automatic algorithms for segmenting teeth and analyzing diseases. The Semi-supervised Teeth Segmentation (STS) Challenge, a pioneering event in tooth segmentation, was held as a part of the MICCAI 2023 ToothFairy Workshop on the Alibaba Tianchi platform. This challenge aims to investigate effective semi-supervised tooth segmentation algorithms to advance the field of dentistry. In this challenge, we provide two modalities including the 2D panoramic X-ray images and the 3D CBCT tooth volumes. In Task 1, the goal was to segment tooth regions in panoramic X-ray images of both adult and pediatric teeth. Task 2 involved segmenting tooth sections using CBCT volumes. Limited labelled images with mostly unlabelled ones were provided in this challenge prompt using semi-supervised algorithms for training. In the preliminary round, the challenge received registration and result submission by 434 teams, with 64 advancing to the final round. This paper summarizes the diverse methods employed by the top-ranking teams in the STS MICCAI 2023 Challenge.

Xiang Feng, Chengkai Wang, Chengyu Wu et al.

Precise Tooth Cone Beam Computed Tomography (CBCT) image segmentation is crucial for orthodontic treatment planning. In this paper, we propose FDNet, a Feature Decoupled Segmentation Network, to excel in the face of the variable dental conditions encountered in CBCT scans, such as complex artifacts and indistinct tooth boundaries. The Low-Frequency Wavelet Transform (LF-Wavelet) is employed to enrich the semantic content by emphasizing the global structural integrity of the teeth, while the SAM encoder is leveraged to refine the boundary delineation, thus improving the contrast between adjacent dental structures. By integrating these dual aspects, FDNet adeptly addresses the semantic gap, providing a detailed and accurate segmentation. The framework's effectiveness is validated through rigorous benchmarks, achieving the top Dice and IoU scores of 85.28% and 75.23%, respectively. This innovative decoupling of semantic and boundary features capitalizes on the unique strengths of each element to elevate the quality of segmentation performance.

Chengyu Wu, Chengkai Wang, Yaqi Wang et al.

Esophageal cancer is one of the most common types of cancer worldwide and ranks sixth in cancer-related mortality. Accurate computer-assisted diagnosis of cancer progression can help physicians effectively customize personalized treatment plans. Currently, CT-based cancer diagnosis methods have received much attention for their comprehensive ability to examine patients' conditions. However, multi-modal based methods may likely introduce information redundancy, leading to underperformance. In addition, efficient and effective interactions between multi-modal representations need to be further explored, lacking insightful exploration of prognostic correlation in multi-modality features. In this work, we introduce a multi-modal heterogeneous graph-based conditional feature-guided diffusion model for lymph node metastasis diagnosis based on CT images as well as clinical measurements and radiomics data. To explore the intricate relationships between multi-modal features, we construct a heterogeneous graph. Following this, a conditional feature-guided diffusion approach is applied to eliminate information redundancy. Moreover, we propose a masked relational representation learning strategy, aiming to uncover the latent prognostic correlations and priorities of primary tumor and lymph node image representations. Various experimental results validate the effectiveness of our proposed method. The code is available at https://github.com/wuchengyu123/MMFusion.

Chengyu Wu, Yatao Zhang, Yaqi Wang et al.

Survival prediction for esophageal squamous cell cancer (ESCC) is crucial for doctors to assess a patient's condition and tailor treatment plans. The application and development of multi-modal deep learning in this field have attracted attention in recent years. However, the prognostically relevant features between cross-modalities have not been further explored in previous studies, which could hinder the performance of the model. Furthermore, the inherent semantic gap between different modal feature representations is also ignored. In this work, we propose a novel autoencoder-based deep learning model to predict the overall survival of the ESCC. Two novel modules were designed for multi-modal prognosis-related feature reinforcement and modeling ability enhancement. In addition, a novel joint loss was proposed to make the multi-modal feature representations more aligned. Comparison and ablation experiments demonstrated that our model can achieve satisfactory results in terms of discriminative ability, risk stratification, and the effectiveness of the proposed modules.

Yaqi Wang, Zhi Li, Chengyu Wu et al.

Orthopantomogram (OPGs) and Cone-Beam Computed Tomography (CBCT) are vital for dentistry, but creating large datasets for automated tooth segmentation is hindered by the labor-intensive process of manual instance-level annotation. This research aimed to benchmark and advance semi-supervised learning (SSL) as a solution for this data scarcity problem. We organized the 2nd Semi-supervised Teeth Segmentation (STS 2024) Challenge at MICCAI 2024. We provided a large-scale dataset comprising over 90,000 2D images and 3D axial slices, which includes 2,380 OPG images and 330 CBCT scans, all featuring detailed instance-level FDI annotations on part of the data. The challenge attracted 114 (OPG) and 106 (CBCT) registered teams. To ensure algorithmic excellence and full transparency, we rigorously evaluated the valid, open-source submissions from the top 10 (OPG) and top 5 (CBCT) teams, respectively. All successful submissions were deep learning-based SSL methods. The winning semi-supervised models demonstrated impressive performance gains over a fully-supervised nnU-Net baseline trained only on the labeled data. For the 2D OPG track, the top method improved the Instance Affinity (IA) score by over 44 percentage points. For the 3D CBCT track, the winning approach boosted the Instance Dice score by 61 percentage points. This challenge confirms the substantial benefit of SSL for complex, instance-level medical image segmentation tasks where labeled data is scarce. The most effective approaches consistently leveraged hybrid semi-supervised frameworks that combined knowledge from foundational models like SAM with multi-stage, coarse-to-fine refinement pipelines. Both the challenge dataset and the participants' submitted code have been made publicly available on GitHub (https://github.com/ricoleehduu/STS-Challenge-2024), ensuring transparency and reproducibility.

Zhiwei Wang, Jun Huang, Longhua Ma et al.

In visual tasks, large teacher models capture essential features and deep information, enhancing performance. However, distilling this information into smaller student models often leads to performance loss due to structural differences and capacity limitations. To tackle this, we propose a distillation framework based on graph knowledge, including a multi-level feature alignment strategy and an attention-guided mechanism to provide a targeted learning trajectory for the student model. We emphasize spectral embedding (SE) as a key technique in our distillation process, which merges the student's feature space with the relational knowledge and structural complexities similar to the teacher network. This method captures the teacher's understanding in a graph-based representation, enabling the student model to more accurately mimic the complex structural dependencies present in the teacher model. Compared to methods that focus only on specific distillation areas, our strategy not only considers key features within the teacher model but also endeavors to capture the relationships and interactions among feature sets, encoding these complex pieces of information into a graph structure to understand and utilize the dynamic relationships among these pieces of information from a global perspective. Experiments show that our method outperforms previous feature distillation methods on the CIFAR-100, MS-COCO, and Pascal VOC datasets, proving its efficiency and applicability.