Xiaoqian Zhou

Xiaoqian Zhou, Zhen Huang, Heqin Zhu et al.

Anatomical landmark detection (ALD) from a medical image is crucial for a wide array of clinical applications. While existing methods achieve quite some success in ALD, they often struggle to balance global context with computational efficiency, particularly with high-resolution images, thereby leading to the rise of a natural question: where is the performance limit of ALD? In this paper, we aim to forge performant ALD by proposing a {\bf HY}brid {\bf ATT}ention {\bf Net}work (HYATT-Net) with the following designs: (i) A novel hybrid architecture that integrates CNNs and Transformers. Its core is the BiFormer module, utilizing Bi-Level Routing Attention for efficient attention to relevant image regions. This, combined with Attention Residual Module(ARM), enables precise local feature refinement guided by the global context. (ii) A Feature Fusion Correction Module that aggregates multi-scale features and thus mitigates a resolution loss. Deep supervision with a mean-square error loss on multi-resolution heatmaps optimizes the model. Experiments on five diverse datasets demonstrate state-of-the-art performance, surpassing existing methods in accuracy, robustness, and efficiency. The HYATT-Net provides a promising solution for accurate and efficient ALD in complex medical images. Our codes and data are already released at: \url{https://github.com/ECNUACRush/HYATT-Net}.

Xu He, Zhen Huang, Qingsong Yao et al.

Landmark detection plays a crucial role in medical imaging applications such as disease diagnosis, bone age estimation, and therapy planning. However, training models for detecting multiple landmarks simultaneously often encounters the "seesaw phenomenon", where improvements in detecting certain landmarks lead to declines in detecting others. Yet, training a separate model for each landmark increases memory usage and computational overhead. To address these challenges, we propose a novel approach based on the belief that "landmarks are distinct" by training models with pseudo-labels and template data updated continuously during the training process, where each model is dedicated to detecting a single landmark to achieve high accuracy. Furthermore, grounded on the belief that "landmarks are also alike", we introduce an adapter-based fusion model, combining shared weights with landmark-specific weights, to efficiently share model parameters while allowing flexible adaptation to individual landmarks. This approach not only significantly reduces memory and computational resource requirements but also effectively mitigates the seesaw phenomenon in multi-landmark training. Experimental results on publicly available medical image datasets demonstrate that the single-landmark models significantly outperform traditional multi-point joint training models in detecting individual landmarks. Although our adapter-based fusion model shows slightly lower performance compared to the combined results of all single-landmark models, it still surpasses the current state-of-the-art methods while achieving a notable improvement in resource efficiency.