Xiangkai Wang

Dongyi He, Xiangkai Wang, Binbing Xu et al.

Few-shot brain tumor segmentation remains challenging due to noisy support masks, inter-patient variations between support and query images, and the lack of pixel-wise confidence estimation. This study proposes RUFNet, a Hybrid Mamba-based few-shot framework that combines support mask refinement with uncertainty-aware posterior fusion. To preserve support-query dependencies with manageable cost, RUFNet adopts a Hybrid Mamba interaction backbone with linear complexity. To reduce support-mask noise, an Attention-Guided Mask Refinement module (AGMR) uses query features to recalibrate support masks and improve prototype consistency. To handle ambiguous predictions, an Uncertainty-Aware Posterior Fusion module (UAPF) estimates pixel-wise variance and adaptively balances few-shot predictions with query-aligned priors. On the Brain Tumor Segmentation Challenge (BraTS) 2020 dataset, RUFNet achieves Dice coefficients of 84.3% and 86.1% in the 1-way 1-shot and 1-way 5-shot settings, respectively, outperforming the compared state-of-the-art methods. These results suggest that Hybrid Mamba interaction, mask refinement and uncertainty modelling can improve the robustness of few-shot medical image segmentation. The official implementation code is available at https://github.com/hdy6438/RUFNet.

Xiangkai Wang, Yun Zhao, Dongyi He et al.

Motor imagery electroencephalography (MI-EEG) decoding offers a non-invasive route for post-stroke rehabilitation, but cross-patient use remains difficult because pathological neural reorganization changes task-related EEG dynamics, aperiodic activity, local excitability, cross-regional coordination, and trial-level brain-state context. This makes source-learned MI representations unreliable for unseen patients. To address this problem, we propose CFSPMNet, a cross-patient adaptation framework that models post-stroke MI-EEG as latent neural-state organization. CFSPMNet combines a Fourier-Reorganized State Mamba Network (FRSM) with Shared-Private Prototype Matching (SPPM). FRSM represents each trial as a latent physiological token sequence, reorganizes token states in the Fourier domain, and uses Fourier-derived trial context to guide Mamba state-space propagation. SPPM improves target pseudo-label updating by combining semantic confidence with shared-private physiological consistency, filtering confident but physiologically inconsistent target predictions. Leave-one-subject-out experiments on two stroke MI-EEG datasets show that CFSPMNet outperforms representative CNN-, Transformer-, Mamba-, and adaptation-based baselines, achieving average accuracies of 68.23% on XW-Stroke and 73.33% on 2019-Stroke, with gains of 5.63 and 8.25 percentage points over the strongest competitors. Ablation, sensitivity, feature-alignment, pseudo-label selection, and neurophysiological visualization analyses further support the roles of Fourier-domain token-state reorganization and calibrated pseudo-label updating. These results suggest that latent neural-state modeling can improve rehabilitation-oriented cross-patient BCI decoding. Code is available at https://github.com/wxk1224/CFSPMNet.

Xiangkai Wang, Yun Zhao, Dongyi He et al.

Stroke patient cross-subject electroencephalography (EEG) decoding of motor imagery (MI) brain-computer interface (BCI) is essential for motor rehabilitation, yet lesion-related abnormal temporal dynamics and pronounced inter-patient heterogeneity often undermine generalization. Existing adaptation methods are easily misled by pathological slow-wave activity and unstable target-domain pseudo-labels. To address this challenge, we propose PA-TCNet, a pathology-aware temporal calibration framework with physiology-guided target refinement for stroke motor imagery decoding. PA-TCNet integrates two coordinated components. The Pathology-aware Rhythmic State Mamba (PRSM) module decomposes EEG spatiotemporal features into slowly varying rhythmic context and fast transient perturbations, injecting the fused pathological context into selective state propagation to more effectively capture abnormal temporal dynamics. The Physiology-Guided Target Calibration (PGTC) module constructs source-domain sensorimotor region-of-interest templates, imposing physiological consistency constraints and dynamically refining target-domain pseudo-labels, thereby improving adaptation reliability. Leave-one-subject-out experiments on two independent stroke EEG datasets, XW-Stroke and 2019-Stroke, yielded mean accuracies of 66.56\% and 72.75\%, respectively, outperforming state-of-the-art baselines. These results indicate that jointly modeling pathological temporal dynamics and physiology-constrained pseudo-supervision can provide more robust cross-subject initialization for personalized post-stroke MI-BCI rehabilitation. The implemented code is available at https://github.com/wxk1224/PA-TCNet.