Haoteng Tang

Haoteng Tang, Guixiang Ma, Lei Guo et al.

Recently brain networks have been widely adopted to study brain dynamics, brain development and brain diseases. Graph representation learning techniques on brain functional networks can facilitate the discovery of novel biomarkers for clinical phenotypes and neurodegenerative diseases. However, current graph learning techniques have several issues on brain network mining. Firstly, most current graph learning models are designed for unsigned graph, which hinders the analysis of many signed network data (e.g., brain functional networks). Meanwhile, the insufficiency of brain network data limits the model performance on clinical phenotypes predictions. Moreover, few of current graph learning model is interpretable, which may not be capable to provide biological insights for model outcomes. Here, we propose an interpretable hierarchical signed graph representation learning model to extract graph-level representations from brain functional networks, which can be used for different prediction tasks. In order to further improve the model performance, we also propose a new strategy to augment functional brain network data for contrastive learning. We evaluate this framework on different classification and regression tasks using the data from HCP and OASIS. Our results from extensive experiments demonstrate the superiority of the proposed model compared to several state-of-the-art techniques. Additionally, we use graph saliency maps, derived from these prediction tasks, to demonstrate detection and interpretation of phenotypic biomarkers.

Haoteng Tang, Xiyao Fu, Lei Guo et al.

MRI-based modeling of brain networks has been widely used to understand functional and structural interactions and connections among brain regions, and factors that affect them, such as brain development and disease. Graph mining on brain networks may facilitate the discovery of novel biomarkers for clinical phenotypes and neurodegenerative diseases. Since brain networks derived from functional and structural MRI describe the brain topology from different perspectives, exploring a representation that combines these cross-modality brain networks is non-trivial. Most current studies aim to extract a fused representation of the two types of brain network by projecting the structural network to the functional counterpart. Since the functional network is dynamic and the structural network is static, mapping a static object to a dynamic object is suboptimal. However, mapping in the opposite direction is not feasible due to the non-negativity requirement of current graph learning techniques. Here, we propose a novel graph learning framework, known as Deep Signed Brain Networks (DSBN), with a signed graph encoder that, from an opposite perspective, learns the cross-modality representations by projecting the functional network to the structural counterpart. We validate our framework on clinical phenotype and neurodegenerative disease prediction tasks using two independent, publicly available datasets (HCP and OASIS). The experimental results clearly demonstrate the advantages of our model compared to several state-of-the-art methods.

Diego Adame, Fabian Vazquez, Jose A. Nunez et al.

CNN- and Transformer-based architectures have achieved strong performance in medical image segmentation, but CNNs are limited in modeling long-range dependencies, while Transformers often suffer from quadratic computational and memory complexity. State space models, especially Mamba-based networks, offer an efficient alternative with linear sequence complexity. However, existing Mamba segmentation models still face two limitations: pixel-wise directional scanning can disrupt local 2D spatial structure, and simple summation-based fusion of scan directions cannot adapt well to diverse object sizes, shapes, and boundaries. To address these issues, we propose \textit{Patch-MoE Mamba}, a patch-ordered mixture-of-experts state space architecture for medical image segmentation. It introduces a hierarchical patch-ordered scanning mechanism that preserves local spatial neighborhoods while capturing multi-scale context, and an MoE-based directional fusion module that adaptively combines multiple Mamba scanner outputs using four directional experts, a learnable concatenation expert, and residual directional aggregation. Experiments on five public polyp segmentation benchmarks and the ISIC 2017/2018 skin lesion segmentation datasets demonstrate the effectiveness and generality of Patch-MoE Mamba.

Siyuan Dai, Lunxiao Li, Kun Zhao et al.

With the rapid progress of large language models (LLMs), advanced multimodal large language models (MLLMs) have demonstrated impressive zero-shot capabilities on vision-language tasks. In the biomedical domain, however, even state-of-the-art MLLMs struggle with basic Medical Decision Making (MDM) tasks. We investigate this limitation using two challenging datasets: (1) three-stage Alzheimer's disease (AD) classification (normal, mild cognitive impairment, dementia), where category differences are visually subtle, and (2) MIMIC-CXR chest radiograph classification with 14 non-mutually exclusive conditions. Our empirical study shows that text-only reasoning consistently outperforms vision-only or vision-text settings, with multimodal inputs often performing worse than text alone. To mitigate this, we explore three strategies: (1) in-context learning with reason-annotated exemplars, (2) vision captioning followed by text-only inference, and (3) few-shot fine-tuning of the vision tower with classification supervision. These findings reveal that current MLLMs lack grounded visual understanding and point to promising directions for improving multimodal decision making in healthcare.

Kun Zhao, Siyuan Dai, Yingying Zhang et al.

Early detection of Alzheimer's disease (AD) requires models capable of integrating macro-scale neuroanatomical alterations with micro-scale genetic susceptibility, yet existing multimodal approaches struggle to align these heterogeneous signals. We introduce R-GenIMA, an interpretable multimodal large language model that couples a novel ROI-wise vision transformer with genetic prompting to jointly model structural MRI and single nucleotide polymorphisms (SNPs) variations. By representing each anatomically parcellated brain region as a visual token and encoding SNP profiles as structured text, the framework enables cross-modal attention that links regional atrophy patterns to underlying genetic factors. Applied to the ADNI cohort, R-GenIMA achieves state-of-the-art performance in four-way classification across normal cognition (NC), subjective memory concerns (SMC), mild cognitive impairment (MCI), and AD. Beyond predictive accuracy, the model yields biologically meaningful explanations by identifying stage-specific brain regions and gene signatures, as well as coherent ROI-Gene association patterns across the disease continuum. Attention-based attribution revealed genes consistently enriched for established GWAS-supported AD risk loci, including APOE, BIN1, CLU, and RBFOX1. Stage-resolved neuroanatomical signatures identified shared vulnerability hubs across disease stages alongside stage-specific patterns: striatal involvement in subjective decline, frontotemporal engagement during prodromal impairment, and consolidated multimodal network disruption in AD. These results demonstrate that interpretable multimodal AI can synthesize imaging and genetics to reveal mechanistic insights, providing a foundation for clinically deployable tools that enable earlier risk stratification and inform precision therapeutic strategies in Alzheimer's disease.

Yang Du, Siyuan Dai, Yonghao Song et al.

Neural visual decoding is a central problem in brain computer interface research, aiming to reconstruct human visual perception and to elucidate the structure of neural representations. However, existing approaches overlook a fundamental granularity mismatch between human and machine vision, where deep vision models emphasize semantic invariance by suppressing local texture information, whereas neural signals preserve an intricate mixture of low-level visual attributes and high-level semantic content. To address this mismatch, we propose Shallow Alignment, a novel contrastive learning strategy that aligns neural signals with intermediate representations of visual encoders rather than their final outputs, thereby striking a better balance between low-level texture details and high-level semantic features. Extensive experiments across multiple benchmarks demonstrate that Shallow Alignment significantly outperforms standard final-layer alignment, with performance gains ranging from 22% to 58% across diverse vision backbones. Notably, our approach effectively unlocks the scaling law in neural visual decoding, enabling decoding performance to scale predictably with the capacity of pre-trained vision backbones. We further conduct systematic empirical analyses to shed light on the mechanisms underlying the observed performance gains.

Pengfei Gu, Huimin Li, Haoteng Tang et al.

Modern deep neural networks have shown remarkable performance in medical image classification. However, such networks either emphasize pixel-intensity features instead of fundamental anatomical structures (e.g., those encoded by topological invariants), or they capture only simple topological features via single-parameter persistence. In this paper, we propose a new topology-guided classification framework that extracts multi-scale and multi-filtration persistent topological features and integrates them into vision classification backbones. For an input image, we first compute cubical persistence diagrams (PDs) across multiple image resolutions/scales. We then develop a ``vineyard'' algorithm that consolidates these PDs into a single, stable diagram capturing signatures at varying granularities, from global anatomy to subtle local irregularities that may indicate early-stage disease. To further exploit richer topological representations produced by multiple filtrations, we design a cross-attention-based neural network that directly processes the consolidated final PDs. The resulting topological embeddings are fused with feature maps from CNNs or Transformers. By integrating multi-scale and multi-filtration topologies into an end-to-end architecture, our approach enhances the model's capacity to recognize complex anatomical structures. Evaluations on three public datasets show consistent, considerable improvements over strong baselines and state-of-the-art methods, demonstrating the value of our comprehensive topological perspective for robust and interpretable medical image classification.

Qiming Guo, Jinwen Tang, Wenbo Sun et al.

Mental health issues significantly impact individuals' daily lives, yet many do not receive the help they need even with available online resources. This study aims to provide diverse, accessible, stigma-free, personalized, and real-time mental health support through cutting-edge AI technologies. It makes the following contributions: (1) Conducting an extensive survey of recent mental health support methods to identify prevalent functionalities and unmet needs. (2) Introducing SouLLMate, an adaptive LLM-driven system that integrates LLM technologies, Chain, Retrieval-Augmented Generation (RAG), prompt engineering, and domain knowledge. This system offers advanced features such as Risk Detection and Proactive Guidance Dialogue, and utilizes RAG for personalized profile uploads and Conversational Information Extraction. (3) Developing novel evaluation approaches for preliminary assessments and risk detection via professionally annotated interview data and real-life suicide tendency data. (4) Proposing the Key Indicator Summarization (KIS), Proactive Questioning Strategy (PQS), and Stacked Multi-Model Reasoning (SMMR) methods to enhance model performance and usability through context-sensitive response adjustments, semantic coherence evaluations, and enhanced accuracy of long-context reasoning in language models. This study contributes to advancing mental health support technologies, potentially improving the accessibility and effectiveness of mental health care globally.

Siyuan Dai, Kai Ye, Guodong Liu et al.

Medical image segmentation has achieved remarkable success through the continuous advancement of UNet-based and Transformer-based foundation backbones. However, clinical diagnosis in the real world often requires integrating domain knowledge, especially textual information. Conducting multimodal learning involves visual and text modalities shown as a solution, but collecting paired vision-language datasets is expensive and time-consuming, posing significant challenges. Inspired by the superior ability in numerous cross-modal tasks for Large Language Models (LLMs), we proposed a novel Vision-LLM union framework to address the issues. Specifically, we introduce frozen LLMs for zero-shot instruction generation based on corresponding medical images, imitating the radiology scanning and report generation process. {To better approximate real-world diagnostic processes}, we generate more precise text instruction from multimodal radiology images (e.g., T1-w or T2-w MRI and CT). Based on the impressive ability of semantic understanding and rich knowledge of LLMs. This process emphasizes extracting special features from different modalities and reunion the information for the ultimate clinical diagnostic. With generated text instruction, our proposed union segmentation framework can handle multimodal segmentation without prior collected vision-language datasets. To evaluate our proposed method, we conduct comprehensive experiments with influential baselines, the statistical results and the visualized case study demonstrate the superiority of our novel method.}

Siyuan Dai, Kai Ye, Kun Zhao et al.

Representation learning constitutes a pivotal cornerstone in contemporary deep learning paradigms, offering a conduit to elucidate distinctive features within the latent space and interpret the deep models. Nevertheless, the inherent complexity of anatomical patterns and the random nature of lesion distribution in medical image segmentation pose significant challenges to the disentanglement of representations and the understanding of salient features. Methods guided by the maximization of mutual information, particularly within the framework of contrastive learning, have demonstrated remarkable success and superiority in decoupling densely intertwined representations. However, the effectiveness of contrastive learning highly depends on the quality of the positive and negative sample pairs, i.e. the unselected average mutual information among multi-views would obstruct the learning strategy so the selection of the views is vital. In this work, we introduce a novel approach predicated on representation distance-based mutual information (MI) maximization for measuring the significance of different views, aiming at conducting more efficient contrastive learning and representation disentanglement. Additionally, we introduce an MI re-ranking strategy for representation selection, benefiting both the continuous MI estimating and representation significance distance measuring. Specifically, we harness multi-view representations extracted from the frequency domain, re-evaluating their significance based on mutual information across varying frequencies, thereby facilitating a multifaceted contrastive learning approach to bolster semantic comprehension. The statistical results under the five metrics demonstrate that our proposed framework proficiently constrains the MI maximization-driven representation selection and steers the multi-view contrastive learning process.

Haoteng Tang, Guodong Liu, Siyuan Dai et al.

The MRI-derived brain network serves as a pivotal instrument in elucidating both the structural and functional aspects of the brain, encompassing the ramifications of diseases and developmental processes. However, prevailing methodologies, often focusing on synchronous BOLD signals from functional MRI (fMRI), may not capture directional influences among brain regions and rarely tackle temporal functional dynamics. In this study, we first construct the brain-effective network via the dynamic causal model. Subsequently, we introduce an interpretable graph learning framework termed Spatio-Temporal Embedding ODE (STE-ODE). This framework incorporates specifically designed directed node embedding layers, aiming at capturing the dynamic interplay between structural and effective networks via an ordinary differential equation (ODE) model, which characterizes spatial-temporal brain dynamics. Our framework is validated on several clinical phenotype prediction tasks using two independent publicly available datasets (HCP and OASIS). The experimental results clearly demonstrate the advantages of our model compared to several state-of-the-art methods.

Diego Adame, Jose A. Nunez, Fabian Vazquez et al.

Convolutional neural network (CNN) and Transformer-based architectures are two dominant deep learning models for polyp segmentation. However, CNNs have limited capability for modeling long-range dependencies, while Transformers incur quadratic computational complexity. Recently, State Space Models such as Mamba have been recognized as a promising approach for polyp segmentation because they not only model long-range interactions effectively but also maintain linear computational complexity. However, Mamba-based architectures still struggle to capture topological features (e.g., connected components, loops, voids), leading to inaccurate boundary delineation and polyp segmentation. To address these limitations, we propose a new approach called Topo-VM-UNetV2, which encodes topological features into the Mamba-based state-of-the-art polyp segmentation model, VM-UNetV2. Our method consists of two stages: Stage 1: VM-UNetV2 is used to generate probability maps (PMs) for the training and test images, which are then used to compute topology attention maps. Specifically, we first compute persistence diagrams of the PMs, then we generate persistence score maps by assigning persistence values (i.e., the difference between death and birth times) of each topological feature to its birth location, finally we transform persistence scores into attention weights using the sigmoid function. Stage 2: These topology attention maps are integrated into the semantics and detail infusion (SDI) module of VM-UNetV2 to form a topology-guided semantics and detail infusion (Topo-SDI) module for enhancing the segmentation results. Extensive experiments on five public polyp segmentation datasets demonstrate the effectiveness of our proposed method. The code will be made publicly available.

Islam Akef Ebeid, Haoteng Tang, Pengfei Gu

Introduction Accurate prediction of protein-protein interactions (PPIs) is crucial for understanding cellular functions and advancing drug development. Existing in-silico methods use direct sequence embeddings from Protein Language Models (PLMs). Others use Graph Neural Networks (GNNs) for 3D protein structures. This study explores less computationally intensive alternatives. We introduce a novel framework for downstream PPI prediction through link prediction. Methods We introduce a two-stage graph representation learning framework, ProtGram-DirectGCN. First, we developed ProtGram. This approach models a protein's primary structure as a hierarchy of globally inferred n-gram graphs. In these graphs, residue transition probabilities define edge weights. Each edge connects a pair of residues in a directed graph. The probabilities are aggregated from a large corpus of sequences. Second, we propose DirectGCN, a custom directed graph convolutional neural network. This model features a unique convolutional layer. It processes information through separate path-specific transformations: incoming, outgoing, and undirected. A shared transformation is also applied. These paths are combined via a learnable gating mechanism. We apply DirectGCN to ProtGram graphs to learn residue-level embeddings. These embeddings are pooled via attention to generate protein-level embeddings for prediction. Results We first established the efficacy of DirectGCN on standard node classification benchmarks. Its performance matches established methods on general datasets. The model excels at complex, directed graphs with dense, heterophilic structures. When applied to PPI prediction, the full ProtGram-DirectGCN framework delivers robust predictive power. This strong performance holds even with limited training data.

Kun Zhao, Bohao Yang, Chen Tang et al.

Large Language Models (LLMs) excel at many tasks but struggle with ambiguous scenarios where multiple valid responses exist, often yielding unreliable results. Conversely, Small Language Models (SLMs) demonstrate robustness in such scenarios but are susceptible to misleading or adversarial inputs. We observed that LLMs handle negative examples effectively, while SLMs excel with positive examples. To leverage their complementary strengths, we introduce SLIDE (Small and Large Integrated for Dialogue Evaluation), a method integrating SLMs and LLMs via adaptive weighting. Building on SLIDE, we further propose a Dual-Refinement Evaluation (DRE) method to enhance SLM-LLM integration: (1) SLM-generated insights guide the LLM to produce initial evaluations; (2) SLM-derived adjustments refine the LLM's scores for improved accuracy. Experiments demonstrate that DRE outperforms existing methods, showing stronger alignment with human judgment across diverse benchmarks. This work illustrates how combining small and large models can yield more reliable evaluation tools, particularly for open-ended tasks such as dialogue evaluation.

Pengfei Gu, Haoteng Tang, Islam A. Ebeid et al.

Recent advancements in foundation models, such as the Segment Anything Model (SAM), have shown strong performance in various vision tasks, particularly image segmentation, due to their impressive zero-shot segmentation capabilities. However, effectively adapting such models for medical image classification is still a less explored topic. In this paper, we introduce a new framework to adapt SAM for medical image classification. First, we utilize the SAM image encoder as a feature extractor to capture segmentation-based features that convey important spatial and contextual details of the image, while freezing its weights to avoid unnecessary overhead during training. Next, we propose a novel Spatially Localized Channel Attention (SLCA) mechanism to compute spatially localized attention weights for the feature maps. The features extracted from SAM's image encoder are processed through SLCA to compute attention weights, which are then integrated into deep learning classification models to enhance their focus on spatially relevant or meaningful regions of the image, thus improving classification performance. Experimental results on three public medical image classification datasets demonstrate the effectiveness and data-efficiency of our approach.

Kun Zhao, Chenghao Xiao, Sixing Yan et al.

Radiology Report Generation (RRG) has advanced considerably with the development of multimodal generative models. Despite the progress, the field still faces significant challenges in evaluation, as existing metrics lack robustness and fairness. We reveal that, RRG with high performance on existing lexical-based metrics (e.g. BLEU) might be more of a mirage - a model can get a high BLEU only by learning the template of reports. This has become a pressing issue for RRG due to the highly patternized nature of these reports. In addition, standard radiology reports are often highly technical. Helping patients understand these reports is crucial from a patient's perspective, yet this has been largely overlooked in previous work. In this work, we un-intuitively approach these problems by proposing the Layman's RRG framework that can systematically improve RRG with day-to-day language. Specifically, our framework first contributes a translated Layman's terms dataset. Building upon the dataset, we then propose a semantics-based evaluation method, which is effective in mitigating the inflated numbers of BLEU and provides more robust evaluation. We show that training on the layman's terms dataset encourages models to focus on the semantics of the reports, as opposed to overfitting to learning the report templates. Last, we reveal a promising scaling law between the number of training examples and semantics gain provided by our dataset, compared to the inverse pattern brought by the original formats.

Haozhe Jia, Haoteng Tang, Guixiang Ma et al.

Automated and accurate segmentation of the infected regions in computed tomography (CT) images is critical for the prediction of the pathological stage and treatment response of COVID-19. Several deep convolutional neural networks (DCNNs) have been designed for this task, whose performance, however, tends to be suppressed by their limited local receptive fields and insufficient global reasoning ability. In this paper, we propose a pixel-wise sparse graph reasoning (PSGR) module and insert it into a segmentation network to enhance the modeling of long-range dependencies for COVID-19 infected region segmentation in CT images. In the PSGR module, a graph is first constructed by projecting each pixel on a node based on the features produced by the segmentation backbone, and then converted into a sparsely-connected graph by keeping only K strongest connections to each uncertain pixel. The long-range information reasoning is performed on the sparsely-connected graph to generate enhanced features. The advantages of this module are two-fold: (1) the pixel-wise mapping strategy not only avoids imprecise pixel-to-node projections but also preserves the inherent information of each pixel for global reasoning; and (2) the sparsely-connected graph construction results in effective information retrieval and reduction of the noise propagation. The proposed solution has been evaluated against four widely-used segmentation models on three public datasets. The results show that the segmentation model equipped with our PSGR module can effectively segment COVID-19 infected regions in CT images, outperforming all other competing models.

Haoteng Tang, Haozhe Jia, Weidong Cai et al.

In this paper, we propose a Boundary-aware Graph Reasoning (BGR) module to learn long-range contextual features for semantic segmentation. Rather than directly construct the graph based on the backbone features, our BGR module explores a reasonable way to combine segmentation erroneous regions with the graph construction scenario. Motivated by the fact that most hard-to-segment pixels broadly distribute on boundary regions, our BGR module uses the boundary score map as prior knowledge to intensify the graph node connections and thereby guide the graph reasoning focus on boundary regions. In addition, we employ an efficient graph convolution implementation to reduce the computational cost, which benefits the integration of our BGR module into current segmentation backbones. Extensive experiments on three challenging segmentation benchmarks demonstrate the effectiveness of our proposed BGR module for semantic segmentation.

Haoteng Tang, Guixiang Ma, Lifang He et al.

Recent years have witnessed the emergence and flourishing of hierarchical graph pooling neural networks (HGPNNs) which are effective graph representation learning approaches for graph level tasks such as graph classification. However, current HGPNNs do not take full advantage of the graph's intrinsic structures (e.g., community structure). Moreover, the pooling operations in existing HGPNNs are difficult to be interpreted. In this paper, we propose a new interpretable graph pooling framework - CommPOOL, that can capture and preserve the hierarchical community structure of graphs in the graph representation learning process. Specifically, the proposed community pooling mechanism in CommPOOL utilizes an unsupervised approach for capturing the inherent community structure of graphs in an interpretable manner. CommPOOL is a general and flexible framework for hierarchical graph representation learning that can further facilitate various graph-level tasks. Evaluations on five public benchmark datasets and one synthetic dataset demonstrate the superior performance of CommPOOL in graph representation learning for graph classification compared to the state-of-the-art baseline methods, and its effectiveness in capturing and preserving the community structure of graphs.

Haoteng Tang, Guixiang Ma, Yurong Chen et al.

Recent years have witnessed the emergence and development of graph neural networks (GNNs), which have been shown as a powerful approach for graph representation learning in many tasks, such as node classification and graph classification. The research on the robustness of these models has also started to attract attentions in the machine learning field. However, most of the existing work in this area focus on the GNNs for node-level tasks, while little work has been done to study the robustness of the GNNs for the graph classification task. In this paper, we aim to explore the vulnerability of the Hierarchical Graph Pooling (HGP) Neural Networks, which are advanced GNNs that perform very well in the graph classification in terms of prediction accuracy. We propose an adversarial attack framework for this task. Specifically, we design a surrogate model that consists of convolutional and pooling operators to generate adversarial samples to fool the hierarchical GNN-based graph classification models. We set the preserved nodes by the pooling operator as our attack targets, and then we perturb the attack targets slightly to fool the pooling operator in hierarchical GNNs so that they will select the wrong nodes to preserve. We show the adversarial samples generated from multiple datasets by our surrogate model have enough transferability to attack current state-of-art graph classification models. Furthermore, we conduct the robust train on the target models and demonstrate that the retrained graph classification models are able to better defend against the attack from the adversarial samples. To the best of our knowledge, this is the first work on the adversarial attack against hierarchical GNN-based graph classification models.