Kshitij Sharad Jadhav

Saeel Sandeep Nachane, Ojas Gramopadhye, Prateek Chanda et al. · ibm-research

In this paper, we propose a modified version of the MedQA-USMLE dataset, named MEDQA-OPEN, which contains open-ended medical questions without options to mimic clinical scenarios, along with clinician-approved reasoned answers. Additionally, we implement a prompt driven by Chain of Thought (CoT) reasoning, CLINICR, to mirror the prospective process of incremental reasoning, reaching a correct response to medical questions. We empirically demonstrate how CLINICR outperforms the state-of-the-art 5-shot CoT-based prompt (Liévin et al., 2022). We also present an approach that mirrors real-life clinical practice by first exploring multiple differential diagnoses through MCQ-CLINICR and subsequently narrowing down to a final diagnosis using MCQ-ELIMINATIVE. Finally, emphasizing the importance of response verification in medical settings, we utilize a reward model mechanism, replacing the elimination process performed by MCQ-ELIMINATIVE.

Navyansh Mahla, Annie D'souza, Shubh Gupta et al.

The application of large-scale models in medical image segmentation demands substantial quantities of meticulously annotated data curated by experts along with high computational resources, both of which are challenges in resource-poor settings. In this study, we present the Medical Segment Anything Model with Galore MedSAGa where we adopt the Segment Anything Model (SAM) to achieve memory-efficient, few-shot medical image segmentation by applying Gradient Low-Rank Projection GaLore to the parameters of the image encoder of SAM. Meanwhile, the weights of the prompt encoder and mask decoder undergo full parameter fine-tuning using standard optimizers. We further assess MedSAGa's few-shot learning capabilities, reporting on its memory efficiency and segmentation performance across multiple standard medical image segmentation datasets. We compare it with several baseline models, including LoRA fine-tuned SAM (SAMed) and DAE-Former. Experiments across multiple datasets and these baseline models with different number of images for fine tuning demonstrated that the GPU memory consumption of MedSAGa is significantly less than that of the baseline models, achieving an average memory efficiency of 66% more than current state-of-the-art (SOTA) models for medical image segmentation. The combination of substantially lower memory requirements and comparable to SOTA results in few-shot learning for medical image segmentation positions MedSAGa as an optimal solution for deployment in resource-constrained settings.

Charulkumar Chodvadiya, Navyansh Mahla, Kinshuk Gaurav Singh et al.

Medical image segmentation is a critical process in the field of medical imaging, playing a pivotal role in diagnosis, treatment, and research. It involves partitioning of an image into multiple regions, representing distinct anatomical or pathological structures. Conventional methods often grapple with the challenge of balancing spatial precision and comprehensive feature representation due to their reliance on traditional loss functions. To overcome this, we propose Feature-Enhanced Spatial Segmentation Loss (FESS Loss), that integrates the benefits of contrastive learning (which extracts intricate features, particularly in the nuanced domain of medical imaging) with the spatial accuracy inherent in the Dice loss. The objective is to augment both spatial precision and feature-based representation in the segmentation of medical images. FESS Loss signifies a notable advancement, offering a more accurate and refined segmentation process, ultimately contributing to heightened precision in the analysis of medical images. Further, FESS loss demonstrates superior performance in limited annotated data availability scenarios often present in the medical domain.