Jing Ke

Yiqing Shen, Yulin Luo, Dinggang Shen et al.

Stain variations often decrease the generalization ability of deep learning based approaches in digital histopathology analysis. Two separate proposals, namely stain normalization (SN) and stain augmentation (SA), have been spotlighted to reduce the generalization error, where the former alleviates the stain shift across different medical centers using template image and the latter enriches the accessible stain styles by the simulation of more stain variations. However, their applications are bounded by the selection of template images and the construction of unrealistic styles. To address the problems, we unify SN and SA with a novel RandStainNA scheme, which constrains variable stain styles in a practicable range to train a stain agnostic deep learning model. The RandStainNA is applicable to stain normalization in a collection of color spaces i.e. HED, HSV, LAB. Additionally, we propose a random color space selection scheme to gain extra performance improvement. We evaluate our method by two diagnostic tasks i.e. tissue subtype classification and nuclei segmentation, with various network backbones. The performance superiority over both SA and SN yields that the proposed RandStainNA can consistently improve the generalization ability, that our models can cope with more incoming clinical datasets with unpredicted stain styles. The codes is available at https://github.com/yiqings/RandStainNA.

Zhenqi He, Mathias Unberath, Jing Ke et al.

Nuclei appear small in size, yet, in real clinical practice, the global spatial information and correlation of the color or brightness contrast between nuclei and background, have been considered a crucial component for accurate nuclei segmentation. However, the field of automatic nuclei segmentation is dominated by Convolutional Neural Networks (CNNs), meanwhile, the potential of the recently prevalent Transformers has not been fully explored, which is powerful in capturing local-global correlations. To this end, we make the first attempt at a pure Transformer framework for nuclei segmentation, called TransNuSeg. Different from prior work, we decouple the challenging nuclei segmentation task into an intrinsic multi-task learning task, where a tri-decoder structure is employed for nuclei instance, nuclei edge, and clustered edge segmentation respectively. To eliminate the divergent predictions from different branches in previous work, a novel self distillation loss is introduced to explicitly impose consistency regulation between branches. Moreover, to formulate the high correlation between branches and also reduce the number of parameters, an efficient attention sharing scheme is proposed by partially sharing the self-attention heads amongst the tri-decoders. Finally, a token MLP bottleneck replaces the over-parameterized Transformer bottleneck for a further reduction in model complexity. Experiments on two datasets of different modalities, including MoNuSeg have shown that our methods can outperform state-of-the-art counterparts such as CA2.5-Net by 2-3% Dice with 30% fewer parameters. In conclusion, TransNuSeg confirms the strength of Transformer in the context of nuclei segmentation, which thus can serve as an efficient solution for real clinical practice. Code is available at https://github.com/zhenqi-he/transnuseg.

Zhongying Deng, Cheng Tang, Ziyan Huang et al. · pku

Foundation models have demonstrated remarkable success across diverse domains and tasks, primarily due to the thrive of large-scale, diverse, and high-quality datasets. However, in the field of medical imaging, the curation and assembling of such medical datasets are highly challenging due to the reliance on clinical expertise and strict ethical and privacy constraints, resulting in a scarcity of large-scale unified medical datasets and hindering the development of powerful medical foundation models. In this work, we present the largest survey to date of medical image datasets, covering over 1,000 open-access datasets with a systematic catalog of their modalities, tasks, anatomies, annotations, limitations, and potential for integration. Our analysis exposes a landscape that is modest in scale, fragmented across narrowly scoped tasks, and unevenly distributed across organs and modalities, which in turn limits the utility of existing medical image datasets for developing versatile and robust medical foundation models. To turn fragmentation into scale, we propose a metadata-driven fusion paradigm (MDFP) that integrates public datasets with shared modalities or tasks, thereby transforming multiple small data silos into larger, more coherent resources. Building on MDFP, we release an interactive discovery portal that enables end-to-end, automated medical image dataset integration, and compile all surveyed datasets into a unified, structured table that clearly summarizes their key characteristics and provides reference links, offering the community an accessible and comprehensive repository. By charting the current terrain and offering a principled path to dataset consolidation, our survey provides a practical roadmap for scaling medical imaging corpora, supporting faster data discovery, more principled dataset creation, and more capable medical foundation models.

Chong Wang, Mengyao Li, Junjun He et al.

Recent breakthroughs in large language models (LLMs) offer unprecedented natural language understanding and generation capabilities. However, existing surveys on LLMs in biomedicine often focus on specific applications or model architectures, lacking a comprehensive analysis that integrates the latest advancements across various biomedical domains. This review, based on an analysis of 484 publications sourced from databases including PubMed, Web of Science, and arXiv, provides an in-depth examination of the current landscape, applications, challenges, and prospects of LLMs in biomedicine, distinguishing itself by focusing on the practical implications of these models in real-world biomedical contexts. Firstly, we explore the capabilities of LLMs in zero-shot learning across a broad spectrum of biomedical tasks, including diagnostic assistance, drug discovery, and personalized medicine, among others, with insights drawn from 137 key studies. Then, we discuss adaptation strategies of LLMs, including fine-tuning methods for both uni-modal and multi-modal LLMs to enhance their performance in specialized biomedical contexts where zero-shot fails to achieve, such as medical question answering and efficient processing of biomedical literature. Finally, we discuss the challenges that LLMs face in the biomedicine domain including data privacy concerns, limited model interpretability, issues with dataset quality, and ethics due to the sensitive nature of biomedical data, the need for highly reliable model outputs, and the ethical implications of deploying AI in healthcare. To address these challenges, we also identify future research directions of LLM in biomedicine including federated learning methods to preserve data privacy and integrating explainable AI methodologies to enhance the transparency of LLMs.

Yizhu Wen, Kai Yi, Jing Ke et al.

Tabular data plays a crucial role in various domains but often suffers from missing values, thereby curtailing its potential utility. Traditional imputation techniques frequently yield suboptimal results and impose substantial computational burdens, leading to inaccuracies in subsequent modeling tasks. To address these challenges, we propose DiffImpute, a novel Denoising Diffusion Probabilistic Model (DDPM). Specifically, DiffImpute is trained on complete tabular datasets, ensuring that it can produce credible imputations for missing entries without undermining the authenticity of the existing data. Innovatively, it can be applied to various settings of Missing Completely At Random (MCAR) and Missing At Random (MAR). To effectively handle the tabular features in DDPM, we tailor four tabular denoising networks, spanning MLP, ResNet, Transformer, and U-Net. We also propose Harmonization to enhance coherence between observed and imputed data by infusing the data back and denoising them multiple times during the sampling stage. To enable efficient inference while maintaining imputation performance, we propose a refined non-Markovian sampling process that works along with Harmonization. Empirical evaluations on seven diverse datasets underscore the prowess of DiffImpute. Specifically, when paired with the Transformer as the denoising network, it consistently outperforms its competitors, boasting an average ranking of 1.7 and the most minimal standard deviation. In contrast, the next best method lags with a ranking of 2.8 and a standard deviation of 0.9. The code is available at https://github.com/Dendiiiii/DiffImpute.

Yuanjie Lyu, Tong Xu, Zihan Niu et al.

The prosperity of social media platforms has raised the urgent demand for semantic-rich services, e.g., event and storyline attribution. However, most existing research focuses on clip-level event understanding, primarily through basic captioning tasks, without analyzing the causes of events across an entire movie. This is a significant challenge, as even advanced multimodal large language models (MLLMs) struggle with extensive multimodal information due to limited context length. To address this issue, we propose a Two-Stage Prefix-Enhanced MLLM (TSPE) approach for event attribution, i.e., connecting associated events with their causal semantics, in movie videos. In the local stage, we introduce an interaction-aware prefix that guides the model to focus on the relevant multimodal information within a single clip, briefly summarizing the single event. Correspondingly, in the global stage, we strengthen the connections between associated events using an inferential knowledge graph, and design an event-aware prefix that directs the model to focus on associated events rather than all preceding clips, resulting in accurate event attribution. Comprehensive evaluations of two real-world datasets demonstrate that our framework outperforms state-of-the-art methods.

Zhuoran Song, Ru Wang, Dongyu Ru et al.

The training phases of Deep neural network~(DNN) consumes enormous processing time and energy. Compression techniques utilizing the sparsity of DNNs can effectively accelerate the inference phase of DNNs. However, it can be hardly used in the training phase because the training phase involves dense matrix-multiplication using General Purpose Computation on Graphics Processors (GPGPU), which endorse regular and structural data layout. In this paper, we propose the Approximate Random Dropout that replaces the conventional random dropout of neurons and synapses with a regular and predefined patterns to eliminate the unnecessary computation and data access. To compensate the potential performance loss we develop a SGD-based Search Algorithm to produce the distribution of dropout patterns. We prove our approach is statistically equivalent to the previous dropout method. Experiments results on MLP and LSTM using well-known benchmarks show that the proposed Approximate Random Dropout can reduce the training time by $20\%$-$77\%$ ($19\%$-$60\%$) when dropout rate is $0.3$-$0.7$ on MLP (LSTM) with marginal accuracy drop.