Feng Ming

Jianye Pang, Cheng Jiang, Yihao Chen et al.

Dense prediction in medical volume provides enriched guidance for clinical analysis. CNN backbones have met bottleneck due to lack of long-range dependencies and global context modeling power. Recent works proposed to combine vision transformer with CNN, due to its strong global capture ability and learning capability. However, most works are limited to simply applying pure transformer with several fatal flaws (i.e., lack of inductive bias, heavy computation and little consideration for 3D data). Therefore, designing an elegant and efficient vision transformer learner for dense prediction in medical volume is promising and challenging. In this paper, we propose a novel 3D Shuffle-Mixer network of a new Local Vision Transformer-MLP paradigm for medical dense prediction. In our network, a local vision transformer block is utilized to shuffle and learn spatial context from full-view slices of rearranged volume, a residual axial-MLP is designed to mix and capture remaining volume context in a slice-aware manner, and a MLP view aggregator is employed to project the learned full-view rich context to the volume feature in a view-aware manner. Moreover, an Adaptive Scaled Enhanced Shortcut is proposed for local vision transformer to enhance feature along spatial and channel dimensions adaptively, and a CrossMerge is proposed to skip-connects the multi-scale feature appropriately in the pyramid architecture. Extensive experiments demonstrate the proposed model outperforms other state-of-the-art medical dense prediction methods.

Ming Feng, Kele Xu, Nanhui Wu et al.

Despite remarkable efforts been made, the classification of gigapixels whole-slide image (WSI) is severely restrained from either the constrained computing resources for the whole slides, or limited utilizing of the knowledge from different scales. Moreover, most of the previous attempts lacked of the ability of uncertainty estimation. Generally, the pathologists often jointly analyze WSI from the different magnifications. If the pathologists are uncertain by using single magnification, then they will change the magnification repeatedly to discover various features of the tissues. Motivated by the diagnose process of the pathologists, in this paper, we propose a trusted multi-scale classification framework for the WSI. Leveraging the Vision Transformer as the backbone for multi branches, our framework can jointly classification modeling, estimating the uncertainty of each magnification of a microscope and integrate the evidence from different magnification. Moreover, to exploit discriminative patches from WSIs and reduce the requirement for computation resources, we propose a novel patch selection schema using attention rollout and non-maximum suppression. To empirically investigate the effectiveness of our approach, empirical experiments are conducted on our WSI classification tasks, using two benchmark databases. The obtained results suggest that the trusted framework can significantly improve the WSI classification performance compared with the state-of-the-art methods.

Honghui Liu, Changjian Wang, Kele Xu et al.

Wound image segmentation is a critical component for the clinical diagnosis and in-time treatment of wounds. Recently, deep learning has become the mainstream methodology for wound image segmentation. However, the pre-processing of the wound image, such as the illumination correction, is required before the training phase as the performance can be greatly improved. The correction procedure and the training of deep models are independent of each other, which leads to sub-optimal segmentation performance as the fixed illumination correction may not be suitable for all images. To address aforementioned issues, an end-to-end dual-view segmentation approach was proposed in this paper, by incorporating a learn-able illumination correction module into the deep segmentation models. The parameters of the module can be learned and updated during the training stage automatically, while the dual-view fusion can fully employ the features from both the raw images and the enhanced ones. To demonstrate the effectiveness and robustness of the proposed framework, the extensive experiments are conducted on the benchmark datasets. The encouraging results suggest that our framework can significantly improve the segmentation performance, compared to the state-of-the-art methods.

Hongwei Bran Li, Fernando Navarro, Ivan Ezhov et al.

Uncertainty in medical image segmentation tasks, especially inter-rater variability, arising from differences in interpretations and annotations by various experts, presents a significant challenge in achieving consistent and reliable image segmentation. This variability not only reflects the inherent complexity and subjective nature of medical image interpretation but also directly impacts the development and evaluation of automated segmentation algorithms. Accurately modeling and quantifying this variability is essential for enhancing the robustness and clinical applicability of these algorithms. We report the set-up and summarize the benchmark results of the Quantification of Uncertainties in Biomedical Image Quantification Challenge (QUBIQ), which was organized in conjunction with International Conferences on Medical Image Computing and Computer-Assisted Intervention (MICCAI) 2020 and 2021. The challenge focuses on the uncertainty quantification of medical image segmentation which considers the omnipresence of inter-rater variability in imaging datasets. The large collection of images with multi-rater annotations features various modalities such as MRI and CT; various organs such as the brain, prostate, kidney, and pancreas; and different image dimensions 2D-vs-3D. A total of 24 teams submitted different solutions to the problem, combining various baseline models, Bayesian neural networks, and ensemble model techniques. The obtained results indicate the importance of the ensemble models, as well as the need for further research to develop efficient 3D methods for uncertainty quantification methods in 3D segmentation tasks.

John Taylor, Ming Feng

Sea surface temperature (SST) variability plays a key role in the global weather and climate system, with phenomena such as El Niño-Southern Oscillation regarded as a major source of interannual climate variability at the global scale. The ability to be able to make long-range forecasts of sea surface temperature anomalies, especially those associated with extreme marine heatwave events, has potentially significant economic and societal benefits. We have developed a deep learning time series prediction model (Unet-LSTM) based on more than 70 years (1950-2021) of ECMWF ERA5 monthly mean sea surface temperature and 2-metre air temperature data. The Unet-LSTM model is able to learn the underlying physics driving the temporal evolution of the 2-dimensional global sea surface temperatures. The model accurately predicts sea surface temperatures over a 24 month period with a root mean square error remaining below 0.75$^\circ$C for all predicted months. We have also investigated the ability of the model to predict sea surface temperature anomalies in the Niño3.4 region, as well as a number of marine heatwave hot spots over the past decade. Model predictions of the Niño3.4 index allow us to capture the strong 2010-11 La Niña, 2009-10 El Nino and the 2015-16 extreme El Niño up to 24 months in advance. It also shows long lead prediction skills for the northeast Pacific marine heatwave, the Blob. However, the prediction of the marine heatwaves in the southeast Indian Ocean, the Ningaloo Niño, shows limited skill. These results indicate the significant potential of data driven methods to yield long-range predictions of sea surface temperature anomalies.

Cheng Jiang, Yihao Chen, Jianbo Chang et al.

Doctors often make diagonostic decisions based on patient's image scans, such as magnetic resonance imaging (MRI), and patient's electronic health records (EHR) such as age, gender, blood pressure and so on. Despite a lot of automatic methods have been proposed for either image or text analysis in computer vision or natural language research areas, much fewer studies have been developed for the fusion of medical image and EHR data for medical problems. Among existing early or intermediate fusion methods, concatenation of features from both modalities is still a mainstream. For a better exploiting of image and EHR data, we propose a multi-modal attention module which use EHR data to help the selection of important regions during image feature extraction process conducted by traditional CNN. Moreover, we propose to incorporate multi-head machnism to gated multimodal unit (GMU) to make it able to parallelly fuse image and EHR features in different subspaces. With the help of the two modules, existing CNN architecture can be enhanced using both modalities. Experiments on predicting Glasgow outcome scale (GOS) of intracerebral hemorrhage patients and classifying Alzheimer's Disease showed the proposed method can automatically focus on task-related areas and achieve better results by making better use of image and EHR features.