Jiaqi Cui

Jiaqi Cui, Pinxian Zeng, Xinyi Zeng et al.

To obtain high-quality positron emission tomography (PET) images while minimizing radiation exposure, various methods have been proposed for reconstructing standard-dose PET (SPET) images from low-dose PET (LPET) sinograms directly. However, current methods often neglect boundaries during sinogram-to-image reconstruction, resulting in high-frequency distortion in the frequency domain and diminished or fuzzy edges in the reconstructed images. Furthermore, the convolutional architectures, which are commonly used, lack the ability to model long-range non-local interactions, potentially leading to inaccurate representations of global structures. To alleviate these problems, we propose a transformer-based model that unites triple domains of sinogram, image, and frequency for direct PET reconstruction, namely TriDo-Former. Specifically, the TriDo-Former consists of two cascaded networks, i.e., a sinogram enhancement transformer (SE-Former) for denoising the input LPET sinograms and a spatial-spectral reconstruction transformer (SSR-Former) for reconstructing SPET images from the denoised sinograms. Different from the vanilla transformer that splits an image into 2D patches, based specifically on the PET imaging mechanism, our SE-Former divides the sinogram into 1D projection view angles to maintain its inner-structure while denoising, preventing the noise in the sinogram from prorogating into the image domain. Moreover, to mitigate high-frequency distortion and improve reconstruction details, we integrate global frequency parsers (GFPs) into SSR-Former. The GFP serves as a learnable frequency filter that globally adjusts the frequency components in the frequency domain, enforcing the network to restore high-frequency details resembling real SPET images. Validations on a clinical dataset demonstrate that our TriDo-Former outperforms the state-of-the-art methods qualitatively and quantitatively.

Jiaqi Cui, Pinxian Zeng, Yuanyuan Xu et al.

To acquire high-quality positron emission tomography (PET) images while reducing the radiation tracer dose, numerous efforts have been devoted to reconstructing standard-dose PET (SPET) images from low-dose PET (LPET). However, the success of current fully-supervised approaches relies on abundant paired LPET and SPET images, which are often unavailable in clinic. Moreover, these methods often mix the dose-invariant content with dose level-related dose-specific details during reconstruction, resulting in distorted images. To alleviate these problems, in this paper, we propose a two-stage Semi-Supervised SPET reconstruction framework, namely S3PET, to accommodate the training of abundant unpaired and limited paired SPET and LPET images. Our S3PET involves an un-supervised pre-training stage (Stage I) to extract representations from unpaired images, and a supervised dose-aware reconstruction stage (Stage II) to achieve LPET-to-SPET reconstruction by transferring the dose-specific knowledge between paired images. Specifically, in stage I, two independent dose-specific masked autoencoders (DsMAEs) are adopted to comprehensively understand the unpaired SPET and LPET images. Then, in Stage II, the pre-trained DsMAEs are further finetuned using paired images. To prevent distortions in both content and details, we introduce two elaborate modules, i.e., a dose knowledge decouple module to disentangle the respective dose-specific and dose-invariant knowledge of LPET and SPET, and a dose-specific knowledge learning module to transfer the dose-specific information from SPET to LPET, thereby achieving high-quality SPET reconstruction from LPET images. Experiments on two datasets demonstrate that our S3PET achieves state-of-the-art performance quantitatively and qualitatively.

Zhenghao Feng, Lu Wen, Binyu Yan et al.

Semi-supervised learning (SSL) has shown notable potential in relieving the heavy demand of dense prediction tasks on large-scale well-annotated datasets, especially for the challenging multi-organ segmentation (MoS). However, the prevailing class-imbalance problem in MoS, caused by the substantial variations in organ size, exacerbates the learning difficulty of the SSL network. To alleviate this issue, we present a two-phase semi-supervised network (BSR-Net) with balanced subclass regularization for MoS. Concretely, in Phase I, we introduce a class-balanced subclass generation strategy based on balanced clustering to effectively generate multiple balanced subclasses from original biased ones according to their pixel proportions. Then, in Phase II, we design an auxiliary subclass segmentation (SCS) task within the multi-task framework of the main MoS task. The SCS task contributes a balanced subclass regularization to the main MoS task and transfers unbiased knowledge to the MoS network, thus alleviating the influence of the class-imbalance problem. Extensive experiments conducted on two publicly available datasets, i.e., the MICCAI FLARE 2022 dataset and the WORD dataset, verify the superior performance of our method compared with other methods.

Jiaqi Cui, Lu Wen, Yuchen Fei et al.

Survival prediction using whole-slide images (WSIs) is crucial in cancer re-search. Despite notable success, existing approaches are limited by their reliance on sparse slide-level labels, which hinders the learning of discriminative repre-sentations from gigapixel WSIs. Recently, vision language (VL) models, which incorporate additional language supervision, have emerged as a promising solu-tion. However, VL-based survival prediction remains largely unexplored due to two key challenges. First, current methods often rely on only one simple lan-guage prompt and basic cosine similarity, which fails to learn fine-grained associ-ations between multi-faceted linguistic information and visual features within WSI, resulting in inadequate vision-language alignment. Second, these methods primarily exploit patch-level information, overlooking the intrinsic hierarchy of WSIs and their interactions, causing ineffective modeling of hierarchical interac-tions. To tackle these problems, we propose a novel Hierarchical vision-Language collaboration (HiLa) framework for improved survival prediction. Specifically, HiLa employs pretrained feature extractors to generate hierarchical visual features from WSIs at both patch and region levels. At each level, a series of language prompts describing various survival-related attributes are constructed and aligned with visual features via Optimal Prompt Learning (OPL). This ap-proach enables the comprehensive learning of discriminative visual features cor-responding to different survival-related attributes from prompts, thereby improv-ing vision-language alignment. Furthermore, we introduce two modules, i.e., Cross-Level Propagation (CLP) and Mutual Contrastive Learning (MCL) to maximize hierarchical cooperation by promoting interactions and consistency be-tween patch and region levels. Experiments on three TCGA datasets demonstrate our SOTA performance.