Qingsong Yang

Hao Li, Han Liu, Heinrich von Busch et al.

Our hypothesis is that UDA using diffusion-weighted images, generated with a unified model, offers a promising and reliable strategy for enhancing the performance of supervised learning models in multi-site prostate lesion detection, especially when various b-values are present. This retrospective study included data from 5,150 patients (14,191 samples) collected across nine different imaging centers. A novel UDA method using a unified generative model was developed for multi-site PCa detection. This method translates diffusion-weighted imaging (DWI) acquisitions, including apparent diffusion coefficient (ADC) and individual DW images acquired using various b-values, to align with the style of images acquired using b-values recommended by Prostate Imaging Reporting and Data System (PI-RADS) guidelines. The generated ADC and DW images replace the original images for PCa detection. An independent set of 1,692 test cases (2,393 samples) was used for evaluation. The area under the receiver operating characteristic curve (AUC) was used as the primary metric, and statistical analysis was performed via bootstrapping. For all test cases, the AUC values for baseline SL and UDA methods were 0.73 and 0.79 (p<.001), respectively, for PI-RADS>=3, and 0.77 and 0.80 (p<.001) for PI-RADS>=4 PCa lesions. In the 361 test cases under the most unfavorable image acquisition setting, the AUC values for baseline SL and UDA were 0.49 and 0.76 (p<.001) for PI-RADS>=3, and 0.50 and 0.77 (p<.001) for PI-RADS>=4 PCa lesions. The results indicate the proposed UDA with generated images improved the performance of SL methods in multi-site PCa lesion detection across datasets with various b values, especially for images acquired with significant deviations from the PI-RADS recommended DWI protocol (e.g. with an extremely high b-value).

Wenrui Zhou, Mohamed Hendy, Shu Yang et al.

As video large language models (Video-LLMs) become increasingly integrated into real-world applications that demand grounded multimodal reasoning, ensuring their factual consistency and reliability is of critical importance. However, sycophancy, the tendency of these models to align with user input even when it contradicts the visual evidence, undermines their trustworthiness in such contexts. Current sycophancy research has largely overlooked its specific manifestations in the video-language domain, resulting in a notable absence of systematic benchmarks and targeted evaluations to understand how Video-LLMs respond under misleading user input. To fill this gap, we propose VISE (Video-LLM Sycophancy Benchmarking and Evaluation), the first benchmark designed to evaluate sycophantic behavior in state-of-the-art Video-LLMs across diverse question formats, prompt biases, and visual reasoning tasks. Specifically, VISE pioneeringly brings linguistic perspectives on sycophancy into the video domain, enabling fine-grained analysis across multiple sycophancy types and interaction patterns. Furthermore, we propose two potential training-free mitigation strategies, revealing potential paths for reducing sycophantic bias: (i) enhancing visual grounding through interpretable key-frame selection and (ii) steering model behavior away from sycophancy via targeted, inference-time intervention on its internal neural representations. Our code is available at https://github.com/William030422/Video-Sycophancy.

Qingsong Yang, Binglan Wu, Xuwei Liu et al.

Nuclear Magnetic Resonance (NMR) spectroscopy is a central characterization method for molecular structure elucidation, yet interpreting NMR spectra to deduce molecular structures remains challenging due to the complexity of spectral data and the vastness of the chemical space. In this work, we introduce DiffNMR, a novel end-to-end framework that leverages a conditional discrete diffusion model for de novo molecular structure elucidation from NMR spectra. DiffNMR refines molecular graphs iteratively through a diffusion-based generative process, ensuring global consistency and mitigating error accumulation inherent in autoregressive methods. The framework integrates a two-stage pretraining strategy that aligns spectral and molecular representations via diffusion autoencoder (Diff-AE) and contrastive learning, the incorporation of retrieval initialization and similarity filtering during inference, and a specialized NMR encoder with radial basis function (RBF) encoding for chemical shifts, preserving continuity and chemical correlation. Experimental results demonstrate that DiffNMR achieves competitive performance for NMR-based structure elucidation, offering an efficient and robust solution for automated molecular analysis.

Chenyu You, Qingsong Yang, Hongming Shan et al.

Computed tomography (CT) is a popular medical imaging modality in clinical applications. At the same time, the x-ray radiation dose associated with CT scans raises public concerns due to its potential risks to the patients. Over the past years, major efforts have been dedicated to the development of Low-Dose CT (LDCT) methods. However, the radiation dose reduction compromises the signal-to-noise ratio (SNR), leading to strong noise and artifacts that down-grade CT image quality. In this paper, we propose a novel 3D noise reduction method, called Structure-sensitive Multi-scale Generative Adversarial Net (SMGAN), to improve the LDCT image quality. Specifically, we incorporate three-dimensional (3D) volumetric information to improve the image quality. Also, different loss functions for training denoising models are investigated. Experiments show that the proposed method can effectively preserve structural and texture information from normal-dose CT (NDCT) images, and significantly suppress noise and artifacts. Qualitative visual assessments by three experienced radiologists demonstrate that the proposed method retrieves more detailed information, and outperforms competing methods.

Qingsong Yang, Pingkun Yan, Yanbo Zhang et al.

In this paper, we introduce a new CT image denoising method based on the generative adversarial network (GAN) with Wasserstein distance and perceptual similarity. The Wasserstein distance is a key concept of the optimal transform theory, and promises to improve the performance of the GAN. The perceptual loss compares the perceptual features of a denoised output against those of the ground truth in an established feature space, while the GAN helps migrate the data noise distribution from strong to weak. Therefore, our proposed method transfers our knowledge of visual perception to the image denoising task, is capable of not only reducing the image noise level but also keeping the critical information at the same time. Promising results have been obtained in our experiments with clinical CT images.

Wenxiang Cong, Ge Wang, Qingsong Yang et al.

Regularization methods are commonly used in X-ray CT image reconstruction. Different regularization methods reflect the characterization of different prior knowledge of images. In a recent work, a new regularization method called a low-dimensional manifold model (LDMM) is investigated to characterize the low-dimensional patch manifold structure of natural images, where the manifold dimensionality characterizes structural information of an image. In this paper, we propose a CT image reconstruction method based on the prior knowledge of the low-dimensional manifold of CT image. Using the clinical raw projection data from GE clinic, we conduct comparisons for the CT image reconstruction among the proposed method, the simultaneous algebraic reconstruction technique (SART) with the total variation (TV) regularization, and the filtered back projection (FBP) method. Results show that the proposed method can successfully recover structural details of an imaging object, and achieve higher spatial and contrast resolution of the reconstructed image than counterparts of FBP and SART with TV.

Qingsong Yang, Pingkun Yan, Mannudeep K. Kalra et al.

Increasing use of CT in modern medical practice has raised concerns over associated radiation dose. Reduction of radiation dose associated with CT can increase noise and artifacts, which can adversely affect diagnostic confidence. Denoising of low-dose CT images on the other hand can help improve diagnostic confidence, which however is a challenging problem due to its ill-posed nature, since one noisy image patch may correspond to many different output patches. In the past decade, machine learning based approaches have made quite impressive progress in this direction. However, most of those methods, including the recently popularized deep learning techniques, aim for minimizing mean-squared-error (MSE) between a denoised CT image and the ground truth, which results in losing important structural details due to over-smoothing, although the PSNR based performance measure looks great. In this work, we introduce a new perceptual similarity measure as the objective function for a deep convolutional neural network to facilitate CT image denoising. Instead of directly computing MSE for pixel-to-pixel intensity loss, we compare the perceptual features of a denoised output against those of the ground truth in a feature space. Therefore, our proposed method is capable of not only reducing the image noise levels, but also keeping the critical structural information at the same time. Promising results have been obtained in our experiments with a large number of CT images.