Savas Ozdemir

Ziqian Huang, Boxiao Yu, Siqi Li et al.

Dynamic PET enables the quantitative estimation of physiology-related parameters and is widely utilized in research and increasingly adopted in clinical settings. Parametric imaging in dynamic PET requires kinetic modeling to estimate voxel-wise physiological parameters based on specific kinetic models. However, parametric images estimated through kinetic model fitting often suffer from low image quality due to the inherently ill-posed nature of the fitting process and the limited counts resulting from non-continuous data acquisition across multiple bed positions in whole-body PET. In this work, we proposed a diffusion model-based kinetic modeling framework for parametric image estimation, using the Patlak model as an example. The score function of the diffusion model was pre-trained on static total-body PET images and served as a prior for both Patlak slope and intercept images by leveraging their patch-wise similarity. During inference, the kinetic model was incorporated as a data-consistency constraint to guide the parametric image estimation. The proposed framework was evaluated on total-body dynamic PET datasets with different dose levels, demonstrating the feasibility and promising performance of the proposed framework in improving parametric image quality.

Yang Xing, Jiong Wu, Savas Ozdemir et al.

Recent progress in medical vision-language models (VLMs) has achieved strong performance on image-level text-centric tasks such as report generation and visual question answering (VQA). However, achieving fine-grained visual grounding and volumetric spatial reasoning in 3D medical VLMs remains challenging, particularly when aiming to unify these capabilities within a single, generalizable framework. To address this challenge, we proposed MedVL-SAM2, a unified 3D medical multimodal model that concurrently supports report generation, VQA, and multi-paradigm segmentation, including semantic, referring, and interactive segmentation. MedVL-SAM2 integrates image-level reasoning and pixel-level perception through a cohesive architecture tailored for 3D medical imaging, and incorporates a SAM2-based volumetric segmentation module to enable precise multi-granular spatial reasoning. The model is trained in a multi-stage pipeline: it is first pre-trained on a large-scale corpus of 3D CT image-text pairs to align volumetric visual features with radiology-language embeddings. It is then jointly optimized with both language-understanding and segmentation objectives using a comprehensive 3D CT segmentation dataset. This joint training enables flexible interaction via language, point, or box prompts, thereby unifying high-level visual reasoning with spatially precise localization. Our unified architecture delivers state-of-the-art performance across report generation, VQA, and multiple 3D segmentation tasks. Extensive analyses further show that the model provides reliable 3D visual grounding, controllable interactive segmentation, and robust cross-modal reasoning, demonstrating that high-level semantic reasoning and precise 3D localization can be jointly achieved within a unified 3D medical VLM.