Yi Lin

Xin Yang, Yi Lin, Zhiwei Wang et al.

In this paper, we propose a bi-modality medical image synthesis approach based on sequential generative adversarial network (GAN) and semi-supervised learning. Our approach consists of two generative modules that synthesize images of the two modalities in a sequential order. A method for measuring the synthesis complexity is proposed to automatically determine the synthesis order in our sequential GAN. Images of the modality with a lower complexity are synthesized first, and the counterparts with a higher complexity are generated later. Our sequential GAN is trained end-to-end in a semi-supervised manner. In supervised training, the joint distribution of bi-modality images are learned from real paired images of the two modalities by explicitly minimizing the reconstruction losses between the real and synthetic images. To avoid overfitting limited training images, in unsupervised training, the marginal distribution of each modality is learned based on unpaired images by minimizing the Wasserstein distance between the distributions of real and fake images. We comprehensively evaluate the proposed model using two synthesis tasks based on three types of evaluate metrics and user studies. Visual and quantitative results demonstrate the superiority of our method to the state-of-the-art methods, and reasonable visual quality and clinical significance. Code is made publicly available at https://github.com/hustlinyi/Multimodal-Medical-Image-Synthesis.

Yi Lin, Zeyu Wang, Dong Zhang et al.

Nuclei segmentation is a fundamental prerequisite in the digital pathology workflow. The development of automated methods for nuclei segmentation enables quantitative analysis of the wide existence and large variances in nuclei morphometry in histopathology images. However, manual annotation of tens of thousands of nuclei is tedious and time-consuming, which requires significant amount of human effort and domain-specific expertise. To alleviate this problem, in this paper, we propose a weakly-supervised nuclei segmentation method that only requires partial point labels of nuclei. Specifically, we propose a novel boundary mining framework for nuclei segmentation, named BoNuS, which simultaneously learns nuclei interior and boundary information from the point labels. To achieve this goal, we propose a novel boundary mining loss, which guides the model to learn the boundary information by exploring the pairwise pixel affinity in a multiple-instance learning manner. Then, we consider a more challenging problem, i.e., partial point label, where we propose a nuclei detection module with curriculum learning to detect the missing nuclei with prior morphological knowledge. The proposed method is validated on three public datasets, MoNuSeg, CPM, and CoNIC datasets. Experimental results demonstrate the superior performance of our method to the state-of-the-art weakly-supervised nuclei segmentation methods. Code: https://github.com/hust-linyi/bonus.

Yun Zhu, Dong Zhang, Yi Lin et al.

Medical image segmentation demands the aggregation of global and local feature representations, posing a challenge for current methodologies in handling both long-range and short-range feature interactions. Recently, vision mamba (ViM) models have emerged as promising solutions for addressing model complexities by excelling in long-range feature iterations with linear complexity. However, existing ViM approaches overlook the importance of preserving short-range local dependencies by directly flattening spatial tokens and are constrained by fixed scanning patterns that limit the capture of dynamic spatial context information. To address these challenges, we introduce a simple yet effective method named context clustering ViM (CCViM), which incorporates a context clustering module within the existing ViM models to segment image tokens into distinct windows for adaptable local clustering. Our method effectively combines long-range and short-range feature interactions, thereby enhancing spatial contextual representations for medical image segmentation tasks. Extensive experimental evaluations on diverse public datasets, i.e., Kumar, CPM17, ISIC17, ISIC18, and Synapse demonstrate the superior performance of our method compared to current state-of-the-art methods. Our code can be found at https://github.com/zymissy/CCViM.

Yi Lin, Dong Zhang, Xiao Fang et al.

Medical image segmentation is a pivotal task within the realms of medical image analysis and computer vision. While current methods have shown promise in accurately segmenting major regions of interest, the precise segmentation of boundary areas remains challenging. In this study, we propose a novel network architecture named CTO, which combines Convolutional Neural Networks (CNNs), Vision Transformer (ViT) models, and explicit edge detection operators to tackle this challenge. CTO surpasses existing methods in terms of segmentation accuracy and strikes a better balance between accuracy and efficiency, without the need for additional data inputs or label injections. Specifically, CTO adheres to the canonical encoder-decoder network paradigm, with a dual-stream encoder network comprising a mainstream CNN stream for capturing local features and an auxiliary StitchViT stream for integrating long-range dependencies. Furthermore, to enhance the model's ability to learn boundary areas, we introduce a boundary-guided decoder network that employs binary boundary masks generated by dedicated edge detection operators to provide explicit guidance during the decoding process. We validate the performance of CTO through extensive experiments conducted on seven challenging medical image segmentation datasets, namely ISIC 2016, PH2, ISIC 2018, CoNIC, LiTS17, and BTCV. Our experimental results unequivocally demonstrate that CTO achieves state-of-the-art accuracy on these datasets while maintaining competitive model complexity. The codes have been released at: https://github.com/xiaofang007/CTO.

Yi Lin, Zhiyong Qu, Hao Chen et al.

Nuclei segmentation is a crucial task for whole slide image analysis in digital pathology. Generally, the segmentation performance of fully-supervised learning heavily depends on the amount and quality of the annotated data. However, it is time-consuming and expensive for professional pathologists to provide accurate pixel-level ground truth, while it is much easier to get coarse labels such as point annotations. In this paper, we propose a weakly-supervised learning method for nuclei segmentation that only requires point annotations for training. First, coarse pixel-level labels are derived from the point annotations based on the Voronoi diagram and the k-means clustering method to avoid overfitting. Second, a co-training strategy with an exponential moving average method is designed to refine the incomplete supervision of the coarse labels. Third, a self-supervised visual representation learning method is tailored for nuclei segmentation of pathology images that transforms the hematoxylin component images into the H&E stained images to gain better understanding of the relationship between the nuclei and cytoplasm. We comprehensively evaluate the proposed method using two public datasets. Both visual and quantitative results demonstrate the superiority of our method to the state-of-the-art methods, and its competitive performance compared to the fully-supervised methods. Code: https://github.com/hust-linyi/SC-Net

Qingsong Yao, Zecheng He, Yuexiang Li et al. · tencent-ai

Deep learning based methods for medical images can be easily compromised by adversarial examples (AEs), posing a great security flaw in clinical decision-making. It has been discovered that conventional adversarial attacks like PGD which optimize the classification logits, are easy to distinguish in the feature space, resulting in accurate reactive defenses. To better understand this phenomenon and reassess the reliability of the reactive defenses for medical AEs, we thoroughly investigate the characteristic of conventional medical AEs. Specifically, we first theoretically prove that conventional adversarial attacks change the outputs by continuously optimizing vulnerable features in a fixed direction, thereby leading to outlier representations in the feature space. Then, a stress test is conducted to reveal the vulnerability of medical images, by comparing with natural images. Interestingly, this vulnerability is a double-edged sword, which can be exploited to hide AEs. We then propose a simple-yet-effective hierarchical feature constraint (HFC), a novel add-on to conventional white-box attacks, which assists to hide the adversarial feature in the target feature distribution. The proposed method is evaluated on three medical datasets, both 2D and 3D, with different modalities. The experimental results demonstrate the superiority of HFC, \emph{i.e.,} it bypasses an array of state-of-the-art adversarial medical AE detectors more efficiently than competing adaptive attacks, which reveals the deficiencies of medical reactive defense and allows to develop more robust defenses in future.

Dongyue Guo, Jianwei Zhang, Bo Yang et al.

Automatic spoken instruction understanding (SIU) of the controller-pilot conversations in the air traffic control (ATC) requires not only recognizing the words and semantics of the speech but also determining the role of the speaker. However, few of the published works on the automatic understanding systems in air traffic communication focus on speaker role identification (SRI). In this paper, we formulate the SRI task of controller-pilot communication as a binary classification problem. Furthermore, the text-based, speech-based, and speech and text based multi-modal methods are proposed to achieve a comprehensive comparison of the SRI task. To ablate the impacts of the comparative approaches, various advanced neural network architectures are applied to optimize the implementation of text-based and speech-based methods. Most importantly, a multi-modal speaker role identification network (MMSRINet) is designed to achieve the SRI task by considering both the speech and textual modality features. To aggregate modality features, the modal fusion module is proposed to fuse and squeeze acoustic and textual representations by modal attention mechanism and self-attention pooling layer, respectively. Finally, the comparative approaches are validated on the ATCSpeech corpus collected from a real-world ATC environment. The experimental results demonstrate that all the comparative approaches are worked for the SRI task, and the proposed MMSRINet shows the competitive performance and robustness than the other methods on both seen and unseen data, achieving 98.56%, and 98.08% accuracy, respectively.

Zhiwei Wang, Yi Lin, Kwang-Ting Cheng et al.

In this paper, we address the problem of synthesizing multi-parameter magnetic resonance imaging (mp-MRI) data, i.e. Apparent Diffusion Coefficients (ADC) and T2-weighted (T2w), containing clinically significant (CS) prostate cancer (PCa) via semi-supervised adversarial learning. Specifically, our synthesizer generates mp-MRI data in a sequential manner: first generating ADC maps from 128-d latent vectors, followed by translating them to the T2w images. The synthesizer is trained in a semisupervised manner. In the supervised training process, a limited amount of paired ADC-T2w images and the corresponding ADC encodings are provided and the synthesizer learns the paired relationship by explicitly minimizing the reconstruction losses between synthetic and real images. To avoid overfitting limited ADC encodings, an unlimited amount of random latent vectors and unpaired ADC-T2w Images are utilized in the unsupervised training process for learning the marginal image distributions of real images. To improve the robustness of synthesizing, we decompose the difficult task of generating full-size images into several simpler tasks which generate sub-images only. A StitchLayer is then employed to fuse sub-images together in an interlaced manner into a full-size image. To enforce the synthetic images to indeed contain distinguishable CS PCa lesions, we propose to also maximize an auxiliary distance of Jensen-Shannon divergence (JSD) between CS and nonCS images. Experimental results show that our method can effectively synthesize a large variety of mpMRI images which contain meaningful CS PCa lesions, display a good visual quality and have the correct paired relationship. Compared to the state-of-the-art synthesis methods, our method achieves a significant improvement in terms of both visual and quantitative evaluation metrics.