Xiaoying Tang

Pujin Cheng, Li Lin, Junyan Lyu et al.

Contrastive learning based vision-language joint pre-training has emerged as a successful representation learning strategy. In this paper, we present a prototype representation learning framework incorporating both global and local alignment between medical images and reports. In contrast to standard global multi-modality alignment methods, we employ a local alignment module for fine-grained representation. Furthermore, a cross-modality conditional reconstruction module is designed to interchange information across modalities in the training phase by reconstructing masked images and reports. For reconstructing long reports, a sentence-wise prototype memory bank is constructed, enabling the network to focus on low-level localized visual and high-level clinical linguistic features. Additionally, a non-auto-regressive generation paradigm is proposed for reconstructing non-sequential reports. Experimental results on five downstream tasks, including supervised classification, zero-shot classification, image-to-text retrieval, semantic segmentation, and object detection, show the proposed method outperforms other state-of-the-art methods across multiple datasets and under different dataset size settings. The code is available at https://github.com/QtacierP/PRIOR.

Yongxin Guo, Xiaoying Tang, Tao Lin

Federated Learning (FL) is a way for machines to learn from data that is kept locally, in order to protect the privacy of clients. This is typically done using local SGD, which helps to improve communication efficiency. However, such a scheme is currently constrained by slow and unstable convergence due to the variety of data on different clients' devices. In this work, we identify three under-explored phenomena of biased local learning that may explain these challenges caused by local updates in supervised FL. As a remedy, we propose FedBR, a novel unified algorithm that reduces the local learning bias on features and classifiers to tackle these challenges. FedBR has two components. The first component helps to reduce bias in local classifiers by balancing the output of the models. The second component helps to learn local features that are similar to global features, but different from those learned from other data sources. We conducted several experiments to test \algopt and found that it consistently outperforms other SOTA FL methods. Both of its components also individually show performance gains. Our code is available at https://github.com/lins-lab/fedbr.

Puijin Cheng, Li Lin, Yijin Huang et al.

The quality of a fundus image can be compromised by numerous factors, many of which are challenging to be appropriately and mathematically modeled. In this paper, we introduce a novel diffusion model based framework, named Learning Enhancement from Degradation (LED), for enhancing fundus images. Specifically, we first adopt a data-driven degradation framework to learn degradation mappings from unpaired high-quality to low-quality images. We then apply a conditional diffusion model to learn the inverse enhancement process in a paired manner. The proposed LED is able to output enhancement results that maintain clinically important features with better clarity. Moreover, in the inference phase, LED can be easily and effectively integrated with any existing fundus image enhancement framework. We evaluate the proposed LED on several downstream tasks with respect to various clinically-relevant metrics, successfully demonstrating its superiority over existing state-of-the-art methods both quantitatively and qualitatively. The source code is available at https://github.com/QtacierP/LED.

Yuanyuan Wei, Roger Tam, Xiaoying Tang

Recent applications of deep convolutional neural networks in medical imaging raise concerns about their interpretability. While most explainable deep learning applications use post hoc methods (such as GradCAM) to generate feature attribution maps, there is a new type of case-based reasoning models, namely ProtoPNet and its variants, which identify prototypes during training and compare input image patches with those prototypes. We propose the first medical prototype network (MProtoNet) to extend ProtoPNet to brain tumor classification with 3D multi-parametric magnetic resonance imaging (mpMRI) data. To address different requirements between 2D natural images and 3D mpMRIs especially in terms of localizing attention regions, a new attention module with soft masking and online-CAM loss is introduced. Soft masking helps sharpen attention maps, while online-CAM loss directly utilizes image-level labels when training the attention module. MProtoNet achieves statistically significant improvements in interpretability metrics of both correctness and localization coherence (with a best activation precision of $0.713\pm0.058$) without human-annotated labels during training, when compared with GradCAM and several ProtoPNet variants. The source code is available at https://github.com/aywi/mprotonet.

Yongxin Guo, Xiaoying Tang, Tao Lin

Federated Learning (FL) is a machine learning paradigm that safeguards privacy by retaining client data on edge devices. However, optimizing FL in practice can be challenging due to the diverse and heterogeneous nature of the learning system. Though recent research has focused on improving the optimization of FL when distribution shifts occur among clients, ensuring global performance when multiple types of distribution shifts occur simultaneously among clients -- such as feature distribution shift, label distribution shift, and concept shift -- remain under-explored. In this paper, we identify the learning challenges posed by the simultaneous occurrence of diverse distribution shifts and propose a clustering principle to overcome these challenges. Through our research, we find that existing methods fail to address the clustering principle. Therefore, we propose a novel clustering algorithm framework, dubbed as FedRC, which adheres to our proposed clustering principle by incorporating a bi-level optimization problem and a novel objective function. Extensive experiments demonstrate that FedRC significantly outperforms other SOTA cluster-based FL methods. Our code is available at \url{https://github.com/LINs-lab/FedRC}.

Li Lin, Jiewei Wu, Yixiang Liu et al.

Federated learning (FL) enables multiple sites to collaboratively train powerful deep models without compromising data privacy and security. The statistical heterogeneity (e.g., non-IID data and domain shifts) is a primary obstacle in FL, impairing the generalization performance of the global model. Weakly supervised segmentation, which uses sparsely-grained (i.e., point-, bounding box-, scribble-, block-wise) supervision, is increasingly being paid attention to due to its great potential of reducing annotation costs. However, there may exist label heterogeneity, i.e., different annotation forms across sites. In this paper, we propose a novel personalized FL framework for medical image segmentation, named FedICRA, which uniformly leverages heterogeneous weak supervision via adaptIve Contrastive Representation and Aggregation. Concretely, to facilitate personalized modeling and to avoid confusion, a channel selection based site contrastive representation module is employed to adaptively cluster intra-site embeddings and separate inter-site ones. To effectively integrate the common knowledge from the global model with the unique knowledge from each local model, an adaptive aggregation module is applied for updating and initializing local models at the element level. Additionally, a weakly supervised objective function that leverages a multiscale tree energy loss and a gated CRF loss is employed to generate more precise pseudo-labels and further boost the segmentation performance. Through extensive experiments on two distinct medical image segmentation tasks of different modalities, the proposed FedICRA demonstrates overwhelming performance over other state-of-the-art personalized FL methods. Its performance even approaches that of fully supervised training on centralized data. Our code and data are available at https://github.com/llmir/FedICRA.

Zhiyuan Cai, Li Lin, Huaqing He et al.

A large-scale labeled dataset is a key factor for the success of supervised deep learning in computer vision. However, a limited number of annotated data is very common, especially in ophthalmic image analysis, since manual annotation is time-consuming and labor-intensive. Self-supervised learning (SSL) methods bring huge opportunities for better utilizing unlabeled data, as they do not need massive annotations. With an attempt to use as many as possible unlabeled ophthalmic images, it is necessary to break the dimension barrier, simultaneously making use of both 2D and 3D images. In this paper, we propose a universal self-supervised Transformer framework, named Uni4Eye, to discover the inherent image property and capture domain-specific feature embedding in ophthalmic images. Uni4Eye can serve as a global feature extractor, which builds its basis on a Masked Image Modeling task with a Vision Transformer (ViT) architecture. We employ a Unified Patch Embedding module to replace the origin patch embedding module in ViT for jointly processing both 2D and 3D input images. Besides, we design a dual-branch multitask decoder module to simultaneously perform two reconstruction tasks on the input image and its gradient map, delivering discriminative representations for better convergence. We evaluate the performance of our pre-trained Uni4Eye encoder by fine-tuning it on six downstream ophthalmic image classification tasks. The superiority of Uni4Eye is successfully established through comparisons to other state-of-the-art SSL pre-training methods.

Yijin Huang, Junyan Lyu, Pujin Cheng et al.

Self-supervised Learning (SSL) has been widely applied to learn image representations through exploiting unlabeled images. However, it has not been fully explored in the medical image analysis field. In this work, Saliency-guided Self-Supervised image Transformer (SSiT) is proposed for Diabetic Retinopathy (DR) grading from fundus images. We novelly introduce saliency maps into SSL, with a goal of guiding self-supervised pre-training with domain-specific prior knowledge. Specifically, two saliency-guided learning tasks are employed in SSiT: (1) Saliency-guided contrastive learning is conducted based on the momentum contrast, wherein fundus images' saliency maps are utilized to remove trivial patches from the input sequences of the momentum-updated key encoder. Thus, the key encoder is constrained to provide target representations focusing on salient regions, guiding the query encoder to capture salient features. (2) The query encoder is trained to predict the saliency segmentation, encouraging the preservation of fine-grained information in the learned representations. To assess our proposed method, four publicly-accessible fundus image datasets are adopted. One dataset is employed for pre-training, while the three others are used to evaluate the pre-trained models' performance on downstream DR grading. The proposed SSiT significantly outperforms other representative state-of-the-art SSL methods on all downstream datasets and under various evaluation settings. For example, SSiT achieves a Kappa score of 81.88% on the DDR dataset under fine-tuning evaluation, outperforming all other ViT-based SSL methods by at least 9.48%.

Yijin Huang, Pujin Cheng, Roger Tam et al.

The success of large-scale pre-trained models has established fine-tuning as a standard method for achieving significant improvements in downstream tasks. However, fine-tuning the entire parameter set of a pre-trained model is costly. Parameter-efficient transfer learning (PETL) has recently emerged as a cost-effective alternative for adapting pre-trained models to downstream tasks. Despite its advantages, the increasing model size and input resolution present challenges for PETL, as the training memory consumption is not reduced as effectively as the parameter usage. In this paper, we introduce Fine-grained Prompt Tuning plus (FPT+), a PETL method designed for high-resolution medical image classification, which significantly reduces the training memory consumption compared to other PETL methods. FPT+ performs transfer learning by training a lightweight side network and accessing pre-trained knowledge from a large pre-trained model (LPM) through fine-grained prompts and fusion modules. Specifically, we freeze the LPM of interest and construct a learnable lightweight side network. The frozen LPM processes high-resolution images to extract fine-grained features, while the side network employs corresponding down-sampled low-resolution images to minimize the memory usage. To enable the side network to leverage pre-trained knowledge, we propose fine-grained prompts and fusion modules, which collaborate to summarize information through the LPM's intermediate activations. We evaluate FPT+ on eight medical image datasets of varying sizes, modalities, and complexities. Experimental results demonstrate that FPT+ outperforms other PETL methods, using only 1.03% of the learnable parameters and 3.18% of the memory required for fine-tuning an entire ViT-B model. Our code is available on https://github.com/YijinHuang/FPT.

Lin Wang, YongXin Guo, Tao Lin et al.

Partial client participation has been widely adopted in Federated Learning (FL) to reduce the communication burden efficiently. However, an inadequate client sampling scheme can lead to the selection of unrepresentative subsets, resulting in significant variance in model updates and slowed convergence. Existing sampling methods are either biased or can be further optimized for faster convergence.In this paper, we present DELTA, an unbiased sampling scheme designed to alleviate these issues. DELTA characterizes the effects of client diversity and local variance, and samples representative clients with valuable information for global model updates. In addition, DELTA is a proven optimal unbiased sampling scheme that minimizes variance caused by partial client participation and outperforms other unbiased sampling schemes in terms of convergence. Furthermore, to address full-client gradient dependence,we provide a practical version of DELTA depending on the available clients' information, and also analyze its convergence. Our results are validated through experiments on both synthetic and real-world datasets.

Yongxin Guo, Xiaoying Tang, Tao Lin

Federated Learning (FL) is an evolving distributed machine learning approach that safeguards client privacy by keeping data on edge devices. However, the variation in data among clients poses challenges in training models that excel across all local distributions. Recent studies suggest clustering as a solution to address client heterogeneity in FL by grouping clients with distribution shifts into distinct clusters. Nonetheless, the diverse learning frameworks used in current clustered FL methods create difficulties in integrating these methods, leveraging their advantages, and making further enhancements. To this end, this paper conducts a thorough examination of existing clustered FL methods and introduces a four-tier framework, named HCFL, to encompass and extend the existing approaches. Utilizing the HCFL, we identify persistent challenges associated with current clustering methods in each tier and propose an enhanced clustering method called HCFL$^{+}$ to overcome these challenges. Through extensive numerical evaluations, we demonstrate the effectiveness of our clustering framework and the enhanced components. Our code is available at https://github.com/LINs-lab/HCFL.

Ziqi Huang, Li Lin, Pujin Cheng et al.

Multi-modal magnetic resonance (MR) imaging provides great potential for diagnosing and analyzing brain gliomas. In clinical scenarios, common MR sequences such as T1, T2 and FLAIR can be obtained simultaneously in a single scanning process. However, acquiring contrast enhanced modalities such as T1ce requires additional time, cost, and injection of contrast agent. As such, it is clinically meaningful to develop a method to synthesize unavailable modalities which can also be used as additional inputs to downstream tasks (e.g., brain tumor segmentation) for performance enhancing. In this work, we propose an end-to-end framework named Modality-Level Attention Fusion Network (MAF-Net), wherein we innovatively conduct patchwise contrastive learning for extracting multi-modal latent features and dynamically assigning attention weights to fuse different modalities. Through extensive experiments on BraTS2020, our proposed MAF-Net is found to yield superior T1ce synthesis performance (SSIM of 0.8879 and PSNR of 22.78) and accurate brain tumor segmentation (mean Dice scores of 67.9%, 41.8% and 88.0% on segmenting the tumor core, enhancing tumor and whole tumor).

Ziqi Huang, Li Lin, Pujin Cheng et al.

Contrast-enhanced T1 (T1ce) is one of the most essential magnetic resonance imaging (MRI) modalities for diagnosing and analyzing brain tumors, especially gliomas. In clinical practice, common MRI modalities such as T1, T2, and fluid attenuation inversion recovery are relatively easy to access while T1ce is more challenging considering the additional cost and potential risk of allergies to the contrast agent. Therefore, it is of great clinical necessity to develop a method to synthesize T1ce from other common modalities. Current paired image translation methods typically have the issue of requiring a large amount of paired data and do not focus on specific regions of interest, e.g., the tumor region, in the synthesization process. To address these issues, we propose a Difficulty-perceived common-to-T1ce Semi-Supervised multimodal MRI Synthesis network (DS3-Net), involving both paired and unpaired data together with dual-level knowledge distillation. DS3-Net predicts a difficulty map to progressively promote the synthesis task. Specifically, a pixelwise constraint and a patchwise contrastive constraint are guided by the predicted difficulty map. Through extensive experiments on the publiclyavailable BraTS2020 dataset, DS3-Net outperforms its supervised counterpart in each respect. Furthermore, with only 5% paired data, the proposed DS3-Net achieves competitive performance with state-of-theart image translation methods utilizing 100% paired data, delivering an average SSIM of 0.8947 and an average PSNR of 23.60.

Huaqing He, Li Lin, Zhiyuan Cai et al.

Fundus photography has been routinely used to document the presence and severity of various retinal degenerative diseases such as age-related macula degeneration, glaucoma, and diabetic retinopathy, for which the fovea, optic disc (OD), and optic cup (OC) are important anatomical landmarks. Identification of those anatomical landmarks is of great clinical importance. However, the presence of lesions, drusen, and other abnormalities during retinal degeneration severely complicates automatic landmark detection and segmentation. Most existing works treat the identification of each landmark as a single task and typically do not make use of any clinical prior information. In this paper, we present a novel method, named JOINED, for prior guided multi-task learning for joint OD/OC segmentation and fovea detection. An auxiliary branch for distance prediction, in addition to a segmentation branch and a detection branch, is constructed to effectively utilize the distance information from each image pixel to landmarks of interest. Our proposed JOINED pipeline consists of a coarse stage and a fine stage. At the coarse stage, we obtain the OD/OC coarse segmentation and the heatmap localization of fovea through a joint segmentation and detection module. Afterwards, we crop the regions of interest for subsequent fine processing and use predictions obtained at the coarse stage as additional information for better performance and faster convergence. Experimental results reveal that our proposed JOINED outperforms existing state-of-the-art approaches on the publicly-available GAMMA, PALM, and REFUGE datasets of fundus images. Furthermore, JOINED ranked the 5th on the OD/OC segmentation and fovea detection tasks in the GAMMA challenge hosted by the MICCAI2021 workshop OMIA8.

Linkai Peng, Li Lin, Pujin Cheng et al.

Unsupervised domain adaptation has been proposed recently to tackle the so-called domain shift between training data and test data with different distributions. However, most of them only focus on single-target domain adaptation and cannot be applied to the scenario with multiple target domains. In this paper, we propose RVms, a novel unsupervised multi-target domain adaptation approach to segment retinal vessels (RVs) from multimodal and multicenter retinal images. RVms mainly consists of a style augmentation and transfer (SAT) module and a dual-teacher knowledge distillation (DTKD) module. SAT augments and clusters images into source-similar domains and source-dissimilar domains via Bezier and Fourier transformations. DTKD utilizes the augmented and transformed data to train two teachers, one for source-similar domains and the other for source-dissimilar domains. Afterwards, knowledge distillation is performed to iteratively distill different domain knowledge from teachers to a generic student. The local relative intensity transformation is employed to characterize RVs in a domain invariant manner and promote the generalizability of teachers and student models. Moreover, we construct a new multimodal and multicenter vascular segmentation dataset from existing publicly-available datasets, which can be used to benchmark various domain adaptation and domain generalization methods. Through extensive experiments, RVms is found to be very close to the target-trained Oracle in terms of segmenting the RVs, largely outperforming other state-of-the-art methods.

Weikai Huang, Yijin Huang, Xiaoying Tang

Due to the high cost of manually annotating medical images, especially for large-scale datasets, anomaly detection has been explored through training models with only normal data. Lacking prior knowledge of true anomalies is the main reason for the limited application of previous anomaly detection methods, especially in the medical image analysis realm. In this work, we propose a one-shot anomaly detection framework, namely LesionPaste, that utilizes true anomalies from a single annotated sample and synthesizes artificial anomalous samples for anomaly detection. First, a lesion bank is constructed by applying augmentation to randomly selected lesion patches. Then, MixUp is adopted to paste patches from the lesion bank at random positions in normal images to synthesize anomalous samples for training. Finally, a classification network is trained using the synthetic abnormal samples and the true normal data. Extensive experiments are conducted on two publicly-available medical image datasets with different types of abnormalities. On both datasets, our proposed LesionPaste largely outperforms several state-of-the-art unsupervised and semi-supervised anomaly detection methods, and is on a par with the fully-supervised counterpart. To note, LesionPaste is even better than the fully-supervised method in detecting early-stage diabetic retinopathy.

Xi Leng, Xiaoying Tang, Yatao Bian

Machine learning algorithms minimizing the average training loss usually suffer from poor generalization performance due to the greedy exploitation of correlations among the training data, which are not stable under distributional shifts. It inspires various works for domain generalization (DG), where a series of methods, such as Causal Matching and FISH, work by pairwise domain operations. They would need $O(n^2)$ pairwise domain operations with $n$ domains, where each one is often highly expensive. Moreover, while a common objective in the DG literature is to learn invariant representations against domain-induced spurious correlations, we highlight the importance of mitigating spurious correlations caused by objects. Based on the observation that diversity helps mitigate spurious correlations, we propose a Diversity boosted twO-level saMplIng framework (DOMI) utilizing Determinantal Point Processes (DPPs) to efficiently sample the most informative ones among large number of domains. We show that DOMI helps train robust models against spurious correlations from both domain-side and object-side, substantially enhancing the performance of the backbone DG algorithms on rotated MNIST, rotated Fashion MNIST, and iwildcam datasets.

Juntao Chen, Li Lin, Pujin Cheng et al.

Medical image quality assessment (MIQA) is a vital prerequisite in various medical image analysis applications. Most existing MIQA algorithms are fully supervised that request a large amount of annotated data. However, annotating medical images is time-consuming and labor-intensive. In this paper, we propose an unsupervised anomaly-aware framework with test-time clustering for optical coherence tomography angiography (OCTA) image quality assessment in a setting wherein only a set of high-quality samples are accessible in the training phase. Specifically, a feature-embedding-based low-quality representation module is proposed to quantify the quality of OCTA images and then to discriminate between outstanding quality and non-outstanding quality. Within the non-outstanding quality class, to further distinguish gradable images from ungradable ones, we perform dimension reduction and clustering of multi-scale image features extracted by the trained OCTA quality representation network. Extensive experiments are conducted on one publicly accessible dataset sOCTA-3*3-10k, with superiority of our proposed framework being successfully established.

Yongxin Guo, Zhenglin Cheng, Xiaoying Tang et al.

The Sparse Mixture of Experts (SMoE) has been widely employed to enhance the efficiency of training and inference for Transformer-based foundational models, yielding promising results.However, the performance of SMoE heavily depends on the choice of hyper-parameters, such as the number of experts and the number of experts to be activated (referred to as top-k), resulting in significant computational overhead due to the extensive model training by searching over various hyper-parameter configurations. As a remedy, we introduce the Dynamic Mixture of Experts (DynMoE) technique. DynMoE incorporates (1) a novel gating method that enables each token to automatically determine the number of experts to activate. (2) An adaptive process automatically adjusts the number of experts during training. Extensive numerical results across Vision, Language, and Vision-Language tasks demonstrate the effectiveness of our approach to achieve competitive performance compared to GMoE for vision and language tasks, and MoE-LLaVA for vision-language tasks, while maintaining efficiency by activating fewer parameters. Our code is available at https://github.com/LINs-lab/DynMoE.

Lin Wang, Yang Chen, Yongxin Guo et al.

Federated Learning (FL) is gaining widespread interest for its ability to share knowledge while preserving privacy and reducing communication costs. Unlike Centralized FL, Decentralized FL (DFL) employs a network architecture that eliminates the need for a central server, allowing direct communication among clients and leading to significant communication resource savings. However, due to data heterogeneity, not all neighboring nodes contribute to enhancing the local client's model performance. In this work, we introduce \textbf{\emph{AFIND+}}, a simple yet efficient algorithm for sampling and aggregating neighbors in DFL, with the aim of leveraging collaboration to improve clients' model performance. AFIND+ identifies helpful neighbors, adaptively adjusts the number of selected neighbors, and strategically aggregates the sampled neighbors' models based on their contributions. Numerical results on real-world datasets with diverse data partitions demonstrate that AFIND+ outperforms other sampling algorithms in DFL and is compatible with most existing DFL optimization algorithms.

Li Lin, Yixiang Liu, Jiewei Wu et al.

Federated learning (FL) effectively mitigates the data silo challenge brought about by policies and privacy concerns, implicitly harnessing more data for deep model training. However, traditional centralized FL models grapple with diverse multi-center data, especially in the face of significant data heterogeneity, notably in medical contexts. In the realm of medical image segmentation, the growing imperative to curtail annotation costs has amplified the importance of weakly-supervised techniques which utilize sparse annotations such as points, scribbles, etc. A pragmatic FL paradigm shall accommodate diverse annotation formats across different sites, which research topic remains under-investigated. In such context, we propose a novel personalized FL framework with learnable prompt and aggregation (FedLPPA) to uniformly leverage heterogeneous weak supervision for medical image segmentation. In FedLPPA, a learnable universal knowledge prompt is maintained, complemented by multiple learnable personalized data distribution prompts and prompts representing the supervision sparsity. Integrated with sample features through a dual-attention mechanism, those prompts empower each local task decoder to adeptly adjust to both the local distribution and the supervision form. Concurrently, a dual-decoder strategy, predicated on prompt similarity, is introduced for enhancing the generation of pseudo-labels in weakly-supervised learning, alleviating overfitting and noise accumulation inherent to local data, while an adaptable aggregation method is employed to customize the task decoder on a parameter-wise basis. Extensive experiments on four distinct medical image segmentation tasks involving different modalities underscore the superiority of FedLPPA, with its efficacy closely parallels that of fully supervised centralized training. Our code and data will be available.

Lin Wang, Zhichao Wang, Xi Leng et al.

Preserving privacy and reducing communication costs for edge users pose significant challenges in recommendation systems. Although federated learning has proven effective in protecting privacy by avoiding data exchange between clients and servers, it has been shown that the server can infer user ratings based on updated non-zero gradients obtained from two consecutive rounds of user-uploaded gradients. Moreover, federated recommendation systems (FRS) face the challenge of heterogeneity, leading to decreased recommendation performance. In this paper, we propose FedRec+, an ensemble framework for FRS that enhances privacy while addressing the heterogeneity challenge. FedRec+ employs optimal subset selection based on feature similarity to generate near-optimal virtual ratings for pseudo items, utilizing only the user's local information. This approach reduces noise without incurring additional communication costs. Furthermore, we utilize the Wasserstein distance to estimate the heterogeneity and contribution of each client, and derive optimal aggregation weights by solving a defined optimization problem. Experimental results demonstrate the state-of-the-art performance of FedRec+ across various reference datasets.

Dun Zeng, Zenglin Xu, Yu Pan et al.

Federated Learning (FL) is a distributed learning paradigm to train a global model across multiple devices without collecting local data. In FL, a server typically selects a subset of clients for each training round to optimize resource usage. Central to this process is the technique of unbiased client sampling, which ensures a representative selection of clients. Current methods primarily utilize a random sampling procedure which, despite its effectiveness, achieves suboptimal efficiency owing to the loose upper bound caused by the sampling variance. In this work, by adopting an independent sampling procedure, we propose a federated optimization framework focused on adaptive unbiased client sampling, improving the convergence rate via an online variance reduction strategy. In particular, we present the first adaptive client sampler, K-Vib, employing an independent sampling procedure. K-Vib achieves a linear speed-up on the regret bound $\tilde{\mathcal{O}}\big(N^{\frac{1}{3}}T^{\frac{2}{3}}/K^{\frac{4}{3}}\big)$ within a set communication budget $K$. Empirical studies indicate that K-Vib doubles the speed compared to baseline algorithms, demonstrating significant potential in federated optimization.

Yongxin Guo, Wenbo Deng, Zhenglin Cheng et al.

Reinforcement Learning with Verifiable Rewards (RLVR) has markedly enhanced the reasoning abilities of large language models (LLMs). Its success, however, largely depends on strong base models with rich world knowledge, yielding only modest improvements for small-size language models (SLMs). To address this limitation, we investigate Guided GRPO, which injects ground-truth reasoning steps into roll-out trajectories to compensate for SLMs' inherent weaknesses. Through a comprehensive study of various guidance configurations, we find that naively adding guidance delivers limited gains. These insights motivate G$^2$RPO-A, an adaptive algorithm that automatically adjusts guidance strength in response to the model's evolving training dynamics. Experiments on mathematical reasoning and code-generation benchmarks confirm that G$^2$RPO-A substantially outperforms vanilla GRPO. Our code and models are available at https://github.com/T-Lab-CUHKSZ/G2RPO-A.

Fan Liu, Bikang Pan, Zhongyi Wang et al.

Federated instruction tuning of large language models (LLMs) is challenged by significant data heterogeneity across clients, demanding robust personalization. The Mixture of Experts (MoE) architecture, where experts can specialize in distinct data patterns, presents a natural architectural solution to this challenge. The inherent sparsity of the MoE architecture, achieved by selectively activating experts, poses a significant challenge to its integration with federated learning (FL). Conventional FL frameworks, designed for dense models, naively aggregate all expert parameters irrespective of their local activation patterns. This naive approach not only undermines MoE's dynamic sparsity but also risks corrupting the world knowledge within pretrained experts. To address this, we propose FLEx (Federated LLMs with Personalized Experts), a novel framework that leverages pretrained MoE-based LLMs for efficient personalization. By aggregating only the shared non-expert parameters, FLEx significantly reduces communication overhead and preserves the world knowledge stored within the frozen pretrained experts. For personalization, we introduce a novel expert grafting mechanism that leverages dynamic sparsity to construct a client-specific expert from selected components of pretrained experts, tailored to local data. This grafted expert is then fine-tuned locally alongside the gating mechanism. This joint training enables the model to learn when to leverage the shared knowledge from frozen experts and when to employ the personalized one. Evaluations on diverse, non-IID instruction tuning datasets show that FLEx consistently outperforms federated baselines on average, while demonstrating strong knowledge preservation on the knowledge-driven benchmark MMLU. Our code is available at \href{https://anonymous.4open.science/r/FLEx-8F12}{\texttt{https://anonymous.4open.science/r/FLEx-8F12}}.

Jialin Li, Yiwei Ren, Kai Pan et al.

Recently, Multi-Contrast MR Reconstruction (MCMR) has emerged as a hot research topic that leverages high-quality auxiliary modalities to reconstruct undersampled target modalities of interest. However, existing methods often struggle to generalize across different k-space undersampling patterns, requiring the training of a separate model for each specific pattern, which limits their practical applicability. To address this challenge, we propose UniFS, a Unified Frequency-Spatial Fusion model designed to handle multiple k-space undersampling patterns for MCMR tasks without any need for retraining. UniFS integrates three key modules: a Cross-Modal Frequency Fusion module, an Adaptive Mask-Based Prompt Learning module, and a Dual-Branch Complementary Refinement module. These modules work together to extract domain-invariant features from diverse k-space undersampling patterns while dynamically adapt to their own variations. Another limitation of existing MCMR methods is their tendency to focus solely on spatial information while neglect frequency characteristics, or extract only shallow frequency features, thus failing to fully leverage complementary cross-modal frequency information. To relieve this issue, UniFS introduces an adaptive prompt-guided frequency fusion module for k-space learning, significantly enhancing the model's generalization performance. We evaluate our model on the BraTS and HCP datasets with various k-space undersampling patterns and acceleration factors, including previously unseen patterns, to comprehensively assess UniFS's generalizability. Experimental results across multiple scenarios demonstrate that UniFS achieves state-of-the-art performance. Our code is available at https://github.com/LIKP0/UniFS.

Li Lin, Linkai Peng, Huaqing He et al.

Weakly-supervised learning (WSL) has been proposed to alleviate the conflict between data annotation cost and model performance through employing sparsely-grained (i.e., point-, box-, scribble-wise) supervision and has shown promising performance, particularly in the image segmentation field. However, it is still a very challenging task due to the limited supervision, especially when only a small number of labeled samples are available. Additionally, almost all existing WSL segmentation methods are designed for star-convex structures which are very different from curvilinear structures such as vessels and nerves. In this paper, we propose a novel sparsely annotated segmentation framework for curvilinear structures, named YoloCurvSeg. A very essential component of YoloCurvSeg is image synthesis. Specifically, a background generator delivers image backgrounds that closely match the real distributions through inpainting dilated skeletons. The extracted backgrounds are then combined with randomly emulated curves generated by a Space Colonization Algorithm-based foreground generator and through a multilayer patch-wise contrastive learning synthesizer. In this way, a synthetic dataset with both images and curve segmentation labels is obtained, at the cost of only one or a few noisy skeleton annotations. Finally, a segmenter is trained with the generated dataset and possibly an unlabeled dataset. The proposed YoloCurvSeg is evaluated on four publicly available datasets (OCTA500, CORN, DRIVE and CHASEDB1) and the results show that YoloCurvSeg outperforms state-of-the-art WSL segmentation methods by large margins. With only one noisy skeleton annotation (respectively 0.14\%, 0.03\%, 1.40\%, and 0.65\% of the full annotation), YoloCurvSeg achieves more than 97\% of the fully-supervised performance on each dataset. Code and datasets will be released at https://github.com/llmir/YoloCurvSeg.

Pengyi Zhang, Yunxin Zhong, Yulin Deng et al.

Automated infection measurement and COVID-19 diagnosis based on Chest X-ray (CXR) imaging is important for faster examination. We propose a novel approach, called DRR4Covid, to learn automated COVID-19 diagnosis and infection segmentation on CXRs from digitally reconstructed radiographs (DRRs). DRR4Covid comprises of an infection-aware DRR generator, a classification and/or segmentation network, and a domain adaptation module. The infection-aware DRR generator is able to produce DRRs with adjustable strength of radiological signs of COVID-19 infection, and generate pixel-level infection annotations that match the DRRs precisely. The domain adaptation module is introduced to reduce the domain discrepancy between DRRs and CXRs by training networks on unlabeled real CXRs and labeled DRRs together.We provide a simple but effective implementation of DRR4Covid by using a domain adaptation module based on Maximum Mean Discrepancy (MMD), and a FCN-based network with a classification header and a segmentation header. Extensive experiment results have confirmed the efficacy of our method; specifically, quantifying the performance by accuracy, AUC and F1-score, our network without using any annotations from CXRs has achieved a classification score of (0.954, 0.989, 0.953) and a segmentation score of (0.957, 0.981, 0.956) on a test set with 794 normal cases and 794 positive cases. Besides, we estimate the sensitive of X-ray images in detecting COVID-19 infection by adjusting the strength of radiological signs of COVID-19 infection in synthetic DRRs. The estimated detection limit of the proportion of infected voxels in the lungs is 19.43%, and the estimated lower bound of the contribution rate of infected voxels is 20.0% for significant radiological signs of COVID-19 infection. Our codes will be made publicly available at https://github.com/PengyiZhang/DRR4Covid.

Shiyun Chen, Li Lin, Pujin Cheng et al.

Liver tumor segmentation is essential for computer-aided diagnosis, surgical planning, and prognosis evaluation. However, obtaining and maintaining a large-scale dataset with dense annotations is challenging. Semi-Supervised Learning (SSL) is a common technique to address these challenges. Recently, Segment Anything Model (SAM) has shown promising performance in some medical image segmentation tasks, but it performs poorly for liver tumor segmentation. In this paper, we propose a novel semi-supervised framework, named ASLseg, which can effectively adapt the SAM to the SSL setting and combine both domain-specific and general knowledge of liver tumors. Specifically, the segmentation model trained with a specific SSL paradigm provides the generated pseudo-labels as prompts to the fine-tuned SAM. An adaptation network is then used to refine the SAM-predictions and generate higher-quality pseudo-labels. Finally, the reliable pseudo-labels are selected to expand the labeled set for iterative training. Extensive experiments on the LiTS dataset demonstrate overwhelming performance of our ASLseg.

Yijin Huang, Pujin Cheng, Roger Tam et al.

Parameter-efficient transfer learning (PETL) is proposed as a cost-effective way to transfer pre-trained models to downstream tasks, avoiding the high cost of updating entire large-scale pre-trained models (LPMs). In this work, we present Fine-grained Prompt Tuning (FPT), a novel PETL method for medical image classification. FPT significantly reduces memory consumption compared to other PETL methods, especially in high-resolution input contexts. To achieve this, we first freeze the weights of the LPM and construct a learnable lightweight side network. The frozen LPM takes high-resolution images as input to extract fine-grained features, while the side network is fed low-resolution images to reduce memory usage. To allow the side network to access pre-trained knowledge, we introduce fine-grained prompts that summarize information from the LPM through a fusion module. Important tokens selection and preloading techniques are employed to further reduce training cost and memory requirements. We evaluate FPT on four medical datasets with varying sizes, modalities, and complexities. Experimental results demonstrate that FPT achieves comparable performance to fine-tuning the entire LPM while using only 1.8% of the learnable parameters and 13% of the memory costs of an encoder ViT-B model with a 512 x 512 input resolution.

Xinpeng Wang, Rong Zhou, Han Xie et al.

Multimodal Federated Learning (MFL) has emerged as a promising approach for collaboratively training multimodal models across distributed clients, particularly in healthcare domains. In the context of brain imaging analysis, modality incompleteness presents a significant challenge, where some institutions may lack specific imaging modalities (e.g., PET, MRI, or CT) due to privacy concerns, device limitations, or data availability issues. While existing work typically assumes modality completeness or oversimplifies missing-modality scenarios, we simulate a more realistic setting by considering both client-level and instance-level modality incompleteness in this study. Building on this realistic simulation, we propose ClusMFL, a novel MFL framework that leverages feature clustering for cross-institutional brain imaging analysis under modality incompleteness. Specifically, ClusMFL utilizes the FINCH algorithm to construct a pool of cluster centers for the feature embeddings of each modality-label pair, effectively capturing fine-grained data distributions. These cluster centers are then used for feature alignment within each modality through supervised contrastive learning, while also acting as proxies for missing modalities, allowing cross-modal knowledge transfer. Furthermore, ClusMFL employs a modality-aware aggregation strategy, further enhancing the model's performance in scenarios with severe modality incompleteness. We evaluate the proposed framework on the ADNI dataset, utilizing structural MRI and PET scans. Extensive experimental results demonstrate that ClusMFL achieves state-of-the-art performance compared to various baseline methods across varying levels of modality incompleteness, providing a scalable solution for cross-institutional brain imaging analysis.

Zhe Kong, Wentian Zhang, Tao Wang et al.

Face recognition systems have raised concerns due to their vulnerability to different presentation attacks, and system security has become an increasingly critical concern. Although many face anti-spoofing (FAS) methods perform well in intra-dataset scenarios, their generalization remains a challenge. To address this issue, some methods adopt domain adversarial training (DAT) to extract domain-invariant features. However, the competition between the encoder and the domain discriminator can cause the network to be difficult to train and converge. In this paper, we propose a domain adversarial attack (DAA) method to mitigate the training instability problem by adding perturbations to the input images, which makes them indistinguishable across domains and enables domain alignment. Moreover, since models trained on limited data and types of attacks cannot generalize well to unknown attacks, we propose a dual perceptual and generative knowledge distillation framework for face anti-spoofing that utilizes pre-trained face-related models containing rich face priors. Specifically, we adopt two different face-related models as teachers to transfer knowledge to the target student model. The pre-trained teacher models are not from the task of face anti-spoofing but from perceptual and generative tasks, respectively, which implicitly augment the data. By combining both DAA and dual-teacher knowledge distillation, we develop a dual teacher knowledge distillation with domain alignment framework (DTDA) for face anti-spoofing. The advantage of our proposed method has been verified through extensive ablation studies and comparison with state-of-the-art methods on public datasets across multiple protocols.

Junde Wu, Huihui Fang, Fei Li et al.

Color fundus photography and Optical Coherence Tomography (OCT) are the two most cost-effective tools for glaucoma screening. Both two modalities of images have prominent biomarkers to indicate glaucoma suspected. Clinically, it is often recommended to take both of the screenings for a more accurate and reliable diagnosis. However, although numerous algorithms are proposed based on fundus images or OCT volumes in computer-aided diagnosis, there are still few methods leveraging both of the modalities for the glaucoma assessment. Inspired by the success of Retinal Fundus Glaucoma Challenge (REFUGE) we held previously, we set up the Glaucoma grAding from Multi-Modality imAges (GAMMA) Challenge to encourage the development of fundus \& OCT-based glaucoma grading. The primary task of the challenge is to grade glaucoma from both the 2D fundus images and 3D OCT scanning volumes. As part of GAMMA, we have publicly released a glaucoma annotated dataset with both 2D fundus color photography and 3D OCT volumes, which is the first multi-modality dataset for glaucoma grading. In addition, an evaluation framework is also established to evaluate the performance of the submitted methods. During the challenge, 1272 results were submitted, and finally, top-10 teams were selected to the final stage. We analysis their results and summarize their methods in the paper. Since all these teams submitted their source code in the challenge, a detailed ablation study is also conducted to verify the effectiveness of the particular modules proposed. We find many of the proposed techniques are practical for the clinical diagnosis of glaucoma. As the first in-depth study of fundus \& OCT multi-modality glaucoma grading, we believe the GAMMA Challenge will be an essential starting point for future research.

Linkai Peng, Li Lin, Pujin Cheng et al.

Various deep learning models have been developed to segment anatomical structures from medical images, but they typically have poor performance when tested on another target domain with different data distribution. Recently, unsupervised domain adaptation methods have been proposed to alleviate this so-called domain shift issue, but most of them are designed for scenarios with relatively small domain shifts and are likely to fail when encountering a large domain gap. In this paper, we propose DCDA, a novel cross-modality unsupervised domain adaptation framework for tasks with large domain shifts, e.g., segmenting retinal vessels from OCTA and OCT images. DCDA mainly consists of a disentangling representation style transfer (DRST) module and a collaborative consistency learning (CCL) module. DRST decomposes images into content components and style codes and performs style transfer and image reconstruction. CCL contains two segmentation models, one for source domain and the other for target domain. The two models use labeled data (together with the corresponding transferred images) for supervised learning and perform collaborative consistency learning on unlabeled data. Each model focuses on the corresponding single domain and aims to yield an expertized domain-specific segmentation model. Through extensive experiments on retinal vessel segmentation, our framework achieves Dice scores close to target-trained oracle both from OCTA to OCT and from OCT to OCTA, significantly outperforming other state-of-the-art methods.

Zhiyuan Cai, Li Lin, Huaqing He et al.

Glaucoma is one of the ophthalmic diseases that may cause blindness, for which early detection and treatment are very important. Fundus images and optical coherence tomography (OCT) images are both widely-used modalities in diagnosing glaucoma. However, existing glaucoma grading approaches mainly utilize a single modality, ignoring the complementary information between fundus and OCT. In this paper, we propose an efficient multi-modality supervised contrastive learning framework, named COROLLA, for glaucoma grading. Through layer segmentation as well as thickness calculation and projection, retinal thickness maps are extracted from the original OCT volumes and used as a replacing modality, resulting in more efficient calculations with less memory usage. Given the high structure and distribution similarities across medical image samples, we employ supervised contrastive learning to increase our models' discriminative power with better convergence. Moreover, feature-level fusion of paired fundus image and thickness map is conducted for enhanced diagnosis accuracy. On the GAMMA dataset, our COROLLA framework achieves overwhelming glaucoma grading performance compared to state-of-the-art methods.

Pinyuan Zhong, Yue Zhang, Xiaoying Tang

In this paper, we proposed and validated a fully automatic pipeline for hippocampal surface generation via 3D U-net coupled with active shape modeling (ASM). Principally, the proposed pipeline consisted of three steps. In the beginning, for each magnetic resonance image, a 3D U-net was employed to obtain the automatic hippocampus segmentation at each hemisphere. Secondly, ASM was performed on a group of pre-obtained template surfaces to generate mean shape and shape variation parameters through principal component analysis. Ultimately, hybrid particle swarm optimization was utilized to search for the optimal shape variation parameters that best match the segmentation. The hippocampal surface was then generated from the mean shape and the shape variation parameters. The proposed pipeline was observed to provide hippocampal surfaces at both hemispheres with high accuracy, correct anatomical topology, and sufficient smoothness.

Yue Zhang, Wanli Chen, Yifan Chen et al.

White matter hyperintensity (WMH) is commonly found in elder individuals and appears to be associated with brain diseases. U-net is a convolutional network that has been widely used for biomedical image segmentation. Recently, U-net has been successfully applied to WMH segmentation. Random initialization is usally used to initialize the model weights in the U-net. However, the model may coverage to different local optima with different randomly initialized weights. We find a combination of thresholding and averaging the outputs of U-nets with different random initializations can largely improve the WMH segmentation accuracy. Based on this observation, we propose a post-processing technique concerning the way how averaging and thresholding are conducted. Specifically, we first transfer the score maps from three U-nets to binary masks via thresholding and then average those binary masks to obtain the final WMH segmentation. Both quantitative analysis (via the Dice similarity coefficient) and qualitative analysis (via visual examinations) reveal the superior performance of the proposed method. This post-processing technique is independent of the model used. As such, it can also be applied to situations where other deep learning models are employed, especially when random initialization is adopted and pre-training is unavailable.

Wanli Chen, Yue Zhang, Junjun He et al.

In this paper, we focus on three problems in deep learning based medical image segmentation. Firstly, U-net, as a popular model for medical image segmentation, is difficult to train when convolutional layers increase even though a deeper network usually has a better generalization ability because of more learnable parameters. Secondly, the exponential ReLU (ELU), as an alternative of ReLU, is not much different from ReLU when the network of interest gets deep. Thirdly, the Dice loss, as one of the pervasive loss functions for medical image segmentation, is not effective when the prediction is close to ground truth and will cause oscillation during training. To address the aforementioned three problems, we propose and validate a deeper network that can fit medical image datasets that are usually small in the sample size. Meanwhile, we propose a new loss function to accelerate the learning process and a combination of different activation functions to improve the network performance. Our experimental results suggest that our network is comparable or superior to state-of-the-art methods.