Hongkun Zhang

Bizhe Bai, Yan-Jie Zhou, Yujian Hu et al.

Pulmonary embolism (PE) is a life-threatening condition where rapid and accurate diagnosis is imperative yet difficult due to predominantly atypical symptomatology. Computed tomography pulmonary angiography (CTPA) is acknowledged as the gold standard imaging tool in clinics, yet it can be contraindicated for emergency department (ED) patients and represents an onerous procedure, thus necessitating PE identification through non-contrast CT (NCT) scans. In this work, we explore the feasibility of applying a deep-learning approach to NCT scans for PE identification. We propose a novel Cross-Phase Mutual learNing framework (CPMN) that fosters knowledge transfer from CTPA to NCT, while concurrently conducting embolism segmentation and abnormality classification in a multi-task manner. The proposed CPMN leverages the Inter-Feature Alignment (IFA) strategy that enhances spatial contiguity and mutual learning between the dual-pathway network, while the Intra-Feature Discrepancy (IFD) strategy can facilitate precise segmentation of PE against complex backgrounds for single-pathway networks. For a comprehensive assessment of the proposed approach, a large-scale dual-phase dataset containing 334 PE patients and 1,105 normal subjects has been established. Experimental results demonstrate that CPMN achieves the leading identification performance, which is 95.4\% and 99.6\% in patient-level sensitivity and specificity on NCT scans, indicating the potential of our approach as an economical, accessible, and precise tool for PE identification in clinical practice.

Zhengbin Zhang, Yan Wu, Hongkun Zhang

Collaborative perception has the potential to significantly enhance perceptual accuracy through the sharing of complementary information among agents. However, real-world collaborative perception faces persistent challenges, particularly in balancing perception performance and bandwidth limitations, as well as coping with localization errors. To address these challenges, we propose Fast2comm, a prior knowledge-based collaborative perception framework. Specifically, (1)we propose a prior-supervised confidence feature generation method, that effectively distinguishes foreground from background by producing highly discriminative confidence features; (2)we propose GT Bounding Box-based spatial prior feature selection strategy to ensure that only the most informative prior-knowledge features are selected and shared, thereby minimizing background noise and optimizing bandwidth efficiency while enhancing adaptability to localization inaccuracies; (3)we decouple the feature fusion strategies between model training and testing phases, enabling dynamic bandwidth adaptation. To comprehensively validate our framework, we conduct extensive experiments on both real-world and simulated datasets. The results demonstrate the superior performance of our model and highlight the necessity of the proposed methods. Our code is available at https://github.com/Zhangzhengbin-TJ/Fast2comm.

Ziyu Li, Yujian Hu, Zhengyao Ding et al.

Cardiac Magnetic Resonance (CMR) imaging is a vital non-invasive tool for diagnosing heart diseases and evaluating cardiac health. However, the limited availability of large-scale, high-quality CMR datasets poses a major challenge to the effective application of artificial intelligence (AI) in this domain. Even the amount of unlabeled data and the health status it covers are difficult to meet the needs of model pretraining, which hinders the performance of AI models on downstream tasks. In this study, we present Cardiac Phenotype-Guided CMR Generation (CPGG), a novel approach for generating diverse CMR data that covers a wide spectrum of cardiac health status. The CPGG framework consists of two stages: in the first stage, a generative model is trained using cardiac phenotypes derived from CMR data; in the second stage, a masked autoregressive diffusion model, conditioned on these phenotypes, generates high-fidelity CMR cine sequences that capture both structural and functional features of the heart in a fine-grained manner. We synthesized a massive amount of CMR to expand the pretraining data. Experimental results show that CPGG generates high-quality synthetic CMR data, significantly improving performance on various downstream tasks, including diagnosis and cardiac phenotypes prediction. These gains are demonstrated across both public and private datasets, highlighting the effectiveness of our approach. Code is availabel at https://anonymous.4open.science/r/CPGG.

Weiguo Lu, Gangnan Yuan, Hong-kun Zhang et al.

Neural networks in general, from MLPs and CNNs to attention-based Transformers, are constructed from layers of linear combinations followed by nonlinear operations such as ReLU, Sigmoid, or Softmax. Despite their strength, these conventional designs are often limited in introducing non-linearity by the choice of activation functions. In this work, we introduce Gaussian Mixture-Inspired Nonlinear Modules (GMNM), a new class of differentiable modules that draw on the universal density approximation Gaussian mixture models (GMMs) and distance properties (metric space) of Gaussian kernal. By relaxing probabilistic constraints and adopting a flexible parameterization of Gaussian projections, GMNM can be seamlessly integrated into diverse neural architectures and trained end-to-end with gradient-based methods. Our experiments demonstrate that incorporating GMNM into architectures such as MLPs, CNNs, attention mechanisms, and LSTMs consistently improves performance over standard baselines. These results highlight GMNM's potential as a powerful and flexible module for enhancing efficiency and accuracy across a wide range of machine learning applications.

Zhengyao Ding, Ziyu Li, Yujian Hu et al.

Cardiovascular diseases (CVDs) are the leading cause of global mortality, necessitating accessible and accurate diagnostic tools. While cardiac magnetic resonance imaging (CMR) provides gold-standard insights into cardiac structure and function, its clinical utility is limited by high cost and complexity. In contrast, electrocardiography (ECG) is inexpensive and widely available but lacks the granularity of CMR. We propose CardioNets, a deep learning framework that translates 12-lead ECG signals into CMR-level functional parameters and synthetic images, enabling scalable cardiac assessment. CardioNets integrates cross-modal contrastive learning and generative pretraining, aligning ECG with CMR-derived cardiac phenotypes and synthesizing high-resolution CMR images via a masked autoregressive model. Trained on 159,819 samples from five cohorts, including the UK Biobank (n=42,483) and MIMIC-IV-ECG (n=164,550), and externally validated on independent clinical datasets (n=3,767), CardioNets achieved strong performance across disease screening and phenotype estimation tasks. In the UK Biobank, it improved cardiac phenotype regression R2 by 24.8% and cardiomyopathy AUC by up to 39.3% over baseline models. In MIMIC, it increased AUC for pulmonary hypertension detection by 5.6%. Generated CMR images showed 36.6% higher SSIM and 8.7% higher PSNR than prior approaches. In a reader study, ECG-only CardioNets achieved 13.9% higher accuracy than human physicians using both ECG and real CMR. These results suggest that CardioNets offers a promising, low-cost alternative to CMR for large-scale CVD screening, particularly in resource-limited settings. Future efforts will focus on clinical deployment and regulatory validation of ECG-based synthetic imaging.

Yujian Hu, Yilang Xiang, Yan-Jie Zhou et al.

The accurate and timely diagnosis of acute aortic syndromes (AAS) in patients presenting with acute chest pain remains a clinical challenge. Aortic CT angiography (CTA) is the imaging protocol of choice in patients with suspected AAS. However, due to economic and workflow constraints in China, the majority of suspected patients initially undergo non-contrast CT as the initial imaging testing, and CTA is reserved for those at higher risk. In this work, we present an artificial intelligence-based warning system, iAorta, using non-contrast CT for AAS identification in China, which demonstrates remarkably high accuracy and provides clinicians with interpretable warnings. iAorta was evaluated through a comprehensive step-wise study. In the multi-center retrospective study (n = 20,750), iAorta achieved a mean area under the receiver operating curve (AUC) of 0.958 (95% CI 0.950-0.967). In the large-scale real-world study (n = 137,525), iAorta demonstrated consistently high performance across various non-contrast CT protocols, achieving a sensitivity of 0.913-0.942 and a specificity of 0.991-0.993. In the prospective comparative study (n = 13,846), iAorta demonstrated the capability to significantly shorten the time to correct diagnostic pathway. For the prospective pilot deployment that we conducted, iAorta correctly identified 21 out of 22 patients with AAS among 15,584 consecutive patients presenting with acute chest pain and under non-contrast CT protocol in the emergency department (ED) and enabled the average diagnostic time of these 21 AAS positive patients to be 102.1 (75-133) mins. Last, the iAorta can help avoid delayed or missed diagnosis of AAS in settings where non-contrast CT remains the unavoidable the initial or only imaging test in resource-constrained regions and in patients who cannot or did not receive intravenous contrast.