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Huazhu Fu

Huazhu Fu contributes to research discovery and scholarly infrastructure.

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Published work

41 published item(s)

preprint2026arXiv

Plasticine: A Traceable Diffusion Model for Medical Image Translation

Domain gaps arising from variations in imaging devices and population distributions pose significant challenges for machine learning in medical image analysis. Existing image-to-image translation methods primarily aim to learn mappings between domains, often generating diverse synthetic data with variations in anatomical scale and shape, but they usually overlook spatial correspondence during the translation process. For clinical applications, traceability, defined as the ability to provide pixel-level correspondences between original and translated images, is equally important. This property enhances clinical interpretability but has been largely overlooked in previous approaches. To address this gap, we propose Plasticine, which is, to the best of our knowledge, the first end-to-end image-to-image translation framework explicitly designed with traceability as a core objective. Our method combines intensity translation and spatial transformation within a denoising diffusion framework. This design enables the generation of synthetic images with interpretable intensity transitions and spatially coherent deformations, supporting pixel-wise traceability throughout the translation process.

preprint2026arXiv

Thinking in Scales: Accelerating Gigapixel Pathology Image Analysis via Adaptive Continuous Reasoning

Traditional whole slide image (WSI) analysis methods typically rely on the multiple instance learning (MIL) paradigm, which extracts patch-level features at high magnification and aggregates them for slide-level prediction. However, such exhaustive patch-level processing is computationally expensive, severely limiting the efficiency and scalability of WSI analysis. To address this challenge, we propose PathCTM (a Pathology-oriented Continuous Thought Model) that enables token-efficient scale-space continuous reasoning for gigapixel WSIs. PathCTM formulates diagnostic inference as a dynamic sequential information pursuit. It progressively transitions from low-magnification global to high-magnification local inspection, and adaptively terminates inference when sufficient evidence is gathered to effectively bound decision uncertainty. Specifically, it uses conditional computation for dynamic scale switching with attention-guided region pruning, coupled with confidence-aware early stopping. Extensive experiments demonstrate that, compared with standard MIL-based methods, PathCTM reduces the number of required image patches by 95.95% and shortens inference time by approximately 95.62%, while maintaining AUC without degradation. Code is available at https://github.com/JSGe-AI/PathCTM.

preprint2026arXiv

Topology-aware Pathological Consistency Matching for Weakly-Paired IHC Virtual Staining

Immunohistochemical (IHC) staining provides crucial molecular characterization of tissue samples and plays an indispensable role in the clinical examination and diagnosis of cancers. However, compared with the commonly used Hematoxylin and Eosin (H&E) staining, IHC staining involves complex procedures and is both time-consuming and expensive, which limits its widespread clinical use. Virtual staining converts H&E images to IHC images, offering a cost-effective alternative to clinical IHC staining. Nevertheless, using adjacent slides as ground truth often results in weakly-paired data with spatial misalignment and local deformations, hindering effective supervised learning. To address these challenges, we propose a novel topology-aware framework for H&E-to-IHC virtual staining. Specifically, we introduce a Topology-aware Consistency Matching (TACM) mechanism that employs graph contrastive learning and topological perturbations to learn robust matching patterns despite spatial misalignments, ensuring structural consistency. Furthermore, we propose a Topology-constrained Pathological Matching (TCPM) mechanism that aligns pathological positive regions based on node importance to enhance pathological consistency. Extensive experiments on two benchmarks across four staining tasks demonstrate that our method outperforms state-of-the-art approaches, achieving superior generation quality with higher clinical relevance.

preprint2024arXiv

Reliable Joint Segmentation of Retinal Edema Lesions in OCT Images

Focusing on the complicated pathological features, such as blurred boundaries, severe scale differences between symptoms, background noise interference, etc., in the task of retinal edema lesions joint segmentation from OCT images and enabling the segmentation results more reliable. In this paper, we propose a novel reliable multi-scale wavelet-enhanced transformer network, which can provide accurate segmentation results with reliability assessment. Specifically, aiming at improving the model's ability to learn the complex pathological features of retinal edema lesions in OCT images, we develop a novel segmentation backbone that integrates a wavelet-enhanced feature extractor network and a multi-scale transformer module of our newly designed. Meanwhile, to make the segmentation results more reliable, a novel uncertainty segmentation head based on the subjective logical evidential theory is introduced to generate the final segmentation results with a corresponding overall uncertainty evaluation score map. We conduct comprehensive experiments on the public database of AI-Challenge 2018 for retinal edema lesions segmentation, and the results show that our proposed method achieves better segmentation accuracy with a high degree of reliability as compared to other state-of-the-art segmentation approaches. The code will be released on: https://github.com/LooKing9218/ReliableRESeg.

preprint2023arXiv

Medical SAM Adapter: Adapting Segment Anything Model for Medical Image Segmentation

The Segment Anything Model (SAM) has recently gained popularity in the field of image segmentation due to its impressive capabilities in various segmentation tasks and its prompt-based interface. However, recent studies and individual experiments have shown that SAM underperforms in medical image segmentation, since the lack of the medical specific knowledge. This raises the question of how to enhance SAM's segmentation capability for medical images. In this paper, instead of fine-tuning the SAM model, we propose the Medical SAM Adapter (Med-SA), which incorporates domain-specific medical knowledge into the segmentation model using a light yet effective adaptation technique. In Med-SA, we propose Space-Depth Transpose (SD-Trans) to adapt 2D SAM to 3D medical images and Hyper-Prompting Adapter (HyP-Adpt) to achieve prompt-conditioned adaptation. We conduct comprehensive evaluation experiments on 17 medical image segmentation tasks across various image modalities. Med-SA outperforms several state-of-the-art (SOTA) medical image segmentation methods, while updating only 2\% of the parameters. Our code is released at https://github.com/KidsWithTokens/Medical-SAM-Adapter.

preprint2022arXiv

A New Dataset and A Baseline Model for Breast Lesion Detection in Ultrasound Videos

Breast lesion detection in ultrasound is critical for breast cancer diagnosis. Existing methods mainly rely on individual 2D ultrasound images or combine unlabeled video and labeled 2D images to train models for breast lesion detection. In this paper, we first collect and annotate an ultrasound video dataset (188 videos) for breast lesion detection. Moreover, we propose a clip-level and video-level feature aggregated network (CVA-Net) for addressing breast lesion detection in ultrasound videos by aggregating video-level lesion classification features and clip-level temporal features. The clip-level temporal features encode local temporal information of ordered video frames and global temporal information of shuffled video frames. In our CVA-Net, an inter-video fusion module is devised to fuse local features from original video frames and global features from shuffled video frames, and an intra-video fusion module is devised to learn the temporal information among adjacent video frames. Moreover, we learn video-level features to classify the breast lesions of the original video as benign or malignant lesions to further enhance the final breast lesion detection performance in ultrasound videos. Experimental results on our annotated dataset demonstrate that our CVA-Net clearly outperforms state-of-the-art methods. The corresponding code and dataset are publicly available at \url{https://github.com/jhl-Det/CVA-Net}.

preprint2022arXiv

ADAM Challenge: Detecting Age-related Macular Degeneration from Fundus Images

Age-related macular degeneration (AMD) is the leading cause of visual impairment among elderly in the world. Early detection of AMD is of great importance, as the vision loss caused by this disease is irreversible and permanent. Color fundus photography is the most cost-effective imaging modality to screen for retinal disorders. Cutting edge deep learning based algorithms have been recently developed for automatically detecting AMD from fundus images. However, there are still lack of a comprehensive annotated dataset and standard evaluation benchmarks. To deal with this issue, we set up the Automatic Detection challenge on Age-related Macular degeneration (ADAM), which was held as a satellite event of the ISBI 2020 conference. The ADAM challenge consisted of four tasks which cover the main aspects of detecting and characterizing AMD from fundus images, including detection of AMD, detection and segmentation of optic disc, localization of fovea, and detection and segmentation of lesions. As part of the challenge, we have released a comprehensive dataset of 1200 fundus images with AMD diagnostic labels, pixel-wise segmentation masks for both optic disc and AMD-related lesions (drusen, exudates, hemorrhages and scars, among others), as well as the coordinates corresponding to the location of the macular fovea. A uniform evaluation framework has been built to make a fair comparison of different models using this dataset. During the challenge, 610 results were submitted for online evaluation, with 11 teams finally participating in the onsite challenge. This paper introduces the challenge, the dataset and the evaluation methods, as well as summarizes the participating methods and analyzes their results for each task. In particular, we observed that the ensembling strategy and the incorporation of clinical domain knowledge were the key to improve the performance of the deep learning models.

preprint2022arXiv

Boosting RGB-D Saliency Detection by Leveraging Unlabeled RGB Images

Training deep models for RGB-D salient object detection (SOD) often requires a large number of labeled RGB-D images. However, RGB-D data is not easily acquired, which limits the development of RGB-D SOD techniques. To alleviate this issue, we present a Dual-Semi RGB-D Salient Object Detection Network (DS-Net) to leverage unlabeled RGB images for boosting RGB-D saliency detection. We first devise a depth decoupling convolutional neural network (DDCNN), which contains a depth estimation branch and a saliency detection branch. The depth estimation branch is trained with RGB-D images and then used to estimate the pseudo depth maps for all unlabeled RGB images to form the paired data. The saliency detection branch is used to fuse the RGB feature and depth feature to predict the RGB-D saliency. Then, the whole DDCNN is assigned as the backbone in a teacher-student framework for semi-supervised learning. Moreover, we also introduce a consistency loss on the intermediate attention and saliency maps for the unlabeled data, as well as a supervised depth and saliency loss for labeled data. Experimental results on seven widely-used benchmark datasets demonstrate that our DDCNN outperforms state-of-the-art methods both quantitatively and qualitatively. We also demonstrate that our semi-supervised DS-Net can further improve the performance, even when using an RGB image with the pseudo depth map.

preprint2022arXiv

Can You Spot the Chameleon? Adversarially Camouflaging Images from Co-Salient Object Detection

Co-salient object detection (CoSOD) has recently achieved significant progress and played a key role in retrieval-related tasks. However, it inevitably poses an entirely new safety and security issue, i.e., highly personal and sensitive content can potentially be extracting by powerful CoSOD methods. In this paper, we address this problem from the perspective of adversarial attacks and identify a novel task: adversarial co-saliency attack. Specially, given an image selected from a group of images containing some common and salient objects, we aim to generate an adversarial version that can mislead CoSOD methods to predict incorrect co-salient regions. Note that, compared with general white-box adversarial attacks for classification, this new task faces two additional challenges: (1) low success rate due to the diverse appearance of images in the group; (2) low transferability across CoSOD methods due to the considerable difference between CoSOD pipelines. To address these challenges, we propose the very first black-box joint adversarial exposure and noise attack (Jadena), where we jointly and locally tune the exposure and additive perturbations of the image according to a newly designed high-feature-level contrast-sensitive loss function. Our method, without any information on the state-of-the-art CoSOD methods, leads to significant performance degradation on various co-saliency detection datasets and makes the co-salient objects undetectable. This can have strong practical benefits in properly securing the large number of personal photos currently shared on the Internet. Moreover, our method is potential to be utilized as a metric for evaluating the robustness of CoSOD methods.

preprint2022arXiv

Consistency and Diversity induced Human Motion Segmentation

Subspace clustering is a classical technique that has been widely used for human motion segmentation and other related tasks. However, existing segmentation methods often cluster data without guidance from prior knowledge, resulting in unsatisfactory segmentation results. To this end, we propose a novel Consistency and Diversity induced human Motion Segmentation (CDMS) algorithm. Specifically, our model factorizes the source and target data into distinct multi-layer feature spaces, in which transfer subspace learning is conducted on different layers to capture multi-level information. A multi-mutual consistency learning strategy is carried out to reduce the domain gap between the source and target data. In this way, the domain-specific knowledge and domain-invariant properties can be explored simultaneously. Besides, a novel constraint based on the Hilbert Schmidt Independence Criterion (HSIC) is introduced to ensure the diversity of multi-level subspace representations, which enables the complementarity of multi-level representations to be explored to boost the transfer learning performance. Moreover, to preserve the temporal correlations, an enhanced graph regularizer is imposed on the learned representation coefficients and the multi-level representations of the source data. The proposed model can be efficiently solved using the Alternating Direction Method of Multipliers (ADMM) algorithm. Extensive experimental results on public human motion datasets demonstrate the effectiveness of our method against several state-of-the-art approaches.

preprint2022arXiv

Dataset and Evaluation algorithm design for GOALS Challenge

Glaucoma causes irreversible vision loss due to damage to the optic nerve, and there is no cure for glaucoma.OCT imaging modality is an essential technique for assessing glaucomatous damage since it aids in quantifying fundus structures. To promote the research of AI technology in the field of OCT-assisted diagnosis of glaucoma, we held a Glaucoma OCT Analysis and Layer Segmentation (GOALS) Challenge in conjunction with the International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI) 2022 to provide data and corresponding annotations for researchers studying layer segmentation from OCT images and the classification of glaucoma. This paper describes the released 300 circumpapillary OCT images, the baselines of the two sub-tasks, and the evaluation methodology. The GOALS Challenge is accessible at https://aistudio.baidu.com/aistudio/competition/detail/230.

preprint2022arXiv

Exploring Separable Attention for Multi-Contrast MR Image Super-Resolution

Super-resolving the Magnetic Resonance (MR) image of a target contrast under the guidance of the corresponding auxiliary contrast, which provides additional anatomical information, is a new and effective solution for fast MR imaging. However, current multi-contrast super-resolution (SR) methods tend to concatenate different contrasts directly, ignoring their relationships in different clues, e.g., in the high-intensity and low-intensity regions. In this study, we propose a separable attention network (comprising high-intensity priority attention and low-intensity separation attention), named SANet. Our SANet could explore the areas of high-intensity and low-intensity regions in the "forward" and "reverse" directions with the help of the auxiliary contrast, while learning clearer anatomical structure and edge information for the SR of a target-contrast MR image. SANet provides three appealing benefits: (1) It is the first model to explore a separable attention mechanism that uses the auxiliary contrast to predict the high-intensity and low-intensity regions regions, diverting more attention to refining any uncertain details between these regions and correcting the fine areas in the reconstructed results. (2) A multi-stage integration module is proposed to learn the response of multi-contrast fusion at multiple stages, get the dependency between the fused representations, and boost their representation ability. (3) Extensive experiments with various state-of-the-art multi-contrast SR methods on fastMRI and clinical \textit{in vivo} datasets demonstrate the superiority of our model.

preprint2022arXiv

Global-and-Local Collaborative Learning for Co-Salient Object Detection

The goal of co-salient object detection (CoSOD) is to discover salient objects that commonly appear in a query group containing two or more relevant images. Therefore, how to effectively extract inter-image correspondence is crucial for the CoSOD task. In this paper, we propose a global-and-local collaborative learning architecture, which includes a global correspondence modeling (GCM) and a local correspondence modeling (LCM) to capture comprehensive inter-image corresponding relationship among different images from the global and local perspectives. Firstly, we treat different images as different time slices and use 3D convolution to integrate all intra features intuitively, which can more fully extract the global group semantics. Secondly, we design a pairwise correlation transformation (PCT) to explore similarity correspondence between pairwise images and combine the multiple local pairwise correspondences to generate the local inter-image relationship. Thirdly, the inter-image relationships of the GCM and LCM are integrated through a global-and-local correspondence aggregation (GLA) module to explore more comprehensive inter-image collaboration cues. Finally, the intra- and inter-features are adaptively integrated by an intra-and-inter weighting fusion (AEWF) module to learn co-saliency features and predict the co-saliency map. The proposed GLNet is evaluated on three prevailing CoSOD benchmark datasets, demonstrating that our model trained on a small dataset (about 3k images) still outperforms eleven state-of-the-art competitors trained on some large datasets (about 8k-200k images).

preprint2022arXiv

Multi-Modal Transformer for Accelerated MR Imaging

Accelerated multi-modal magnetic resonance (MR) imaging is a new and effective solution for fast MR imaging, providing superior performance in restoring the target modality from its undersampled counterpart with guidance from an auxiliary modality. However, existing works simply combine the auxiliary modality as prior information, lacking in-depth investigations on the potential mechanisms for fusing different modalities. Further, they usually rely on the convolutional neural networks (CNNs), which is limited by the intrinsic locality in capturing the long-distance dependency. To this end, we propose a multi-modal transformer (MTrans), which is capable of transferring multi-scale features from the target modality to the auxiliary modality, for accelerated MR imaging. To capture deep multi-modal information, our MTrans utilizes an improved multi-head attention mechanism, named cross attention module, which absorbs features from the auxiliary modality that contribute to the target modality. Our framework provides three appealing benefits: (i) Our MTrans use an improved transformers for multi-modal MR imaging, affording more global information compared with existing CNN-based methods. (ii) A new cross attention module is proposed to exploit the useful information in each modality at different scales. The small patch in the target modality aims to keep more fine details, the large patch in the auxiliary modality aims to obtain high-level context features from the larger region and supplement the target modality effectively. (iii) We evaluate MTrans with various accelerated multi-modal MR imaging tasks, e.g., MR image reconstruction and super-resolution, where MTrans outperforms state-of-the-art methods on fastMRI and real-world clinical datasets.

preprint2022arXiv

Progressive Multi-scale Consistent Network for Multi-class Fundus Lesion Segmentation

Effectively integrating multi-scale information is of considerable significance for the challenging multi-class segmentation of fundus lesions because different lesions vary significantly in scales and shapes. Several methods have been proposed to successfully handle the multi-scale object segmentation. However, two issues are not considered in previous studies. The first is the lack of interaction between adjacent feature levels, and this will lead to the deviation of high-level features from low-level features and the loss of detailed cues. The second is the conflict between the low-level and high-level features, this occurs because they learn different scales of features, thereby confusing the model and decreasing the accuracy of the final prediction. In this paper, we propose a progressive multi-scale consistent network (PMCNet) that integrates the proposed progressive feature fusion (PFF) block and dynamic attention block (DAB) to address the aforementioned issues. Specifically, PFF block progressively integrates multi-scale features from adjacent encoding layers, facilitating feature learning of each layer by aggregating fine-grained details and high-level semantics. As features at different scales should be consistent, DAB is designed to dynamically learn the attentive cues from the fused features at different scales, thus aiming to smooth the essential conflicts existing in multi-scale features. The two proposed PFF and DAB blocks can be integrated with the off-the-shelf backbone networks to address the two issues of multi-scale and feature inconsistency in the multi-class segmentation of fundus lesions, which will produce better feature representation in the feature space. Experimental results on three public datasets indicate that the proposed method is more effective than recent state-of-the-art methods.

preprint2022arXiv

REFUGE2 Challenge: A Treasure Trove for Multi-Dimension Analysis and Evaluation in Glaucoma Screening

With the rapid development of artificial intelligence (AI) in medical image processing, deep learning in color fundus photography (CFP) analysis is also evolving. Although there are some open-source, labeled datasets of CFPs in the ophthalmology community, large-scale datasets for screening only have labels of disease categories, and datasets with annotations of fundus structures are usually small in size. In addition, labeling standards are not uniform across datasets, and there is no clear information on the acquisition device. Here we release a multi-annotation, multi-quality, and multi-device color fundus image dataset for glaucoma analysis on an original challenge -- Retinal Fundus Glaucoma Challenge 2nd Edition (REFUGE2). The REFUGE2 dataset contains 2000 color fundus images with annotations of glaucoma classification, optic disc/cup segmentation, as well as fovea localization. Meanwhile, the REFUGE2 challenge sets three sub-tasks of automatic glaucoma diagnosis and fundus structure analysis and provides an online evaluation framework. Based on the characteristics of multi-device and multi-quality data, some methods with strong generalizations are provided in the challenge to make the predictions more robust. This shows that REFUGE2 brings attention to the characteristics of real-world multi-domain data, bridging the gap between scientific research and clinical application.

preprint2022arXiv

RSCFed: Random Sampling Consensus Federated Semi-supervised Learning

Federated semi-supervised learning (FSSL) aims to derive a global model by training fully-labeled and fully-unlabeled clients or training partially labeled clients. The existing approaches work well when local clients have independent and identically distributed (IID) data but fail to generalize to a more practical FSSL setting, i.e., Non-IID setting. In this paper, we present a Random Sampling Consensus Federated learning, namely RSCFed, by considering the uneven reliability among models from fully-labeled clients, fully-unlabeled clients or partially labeled clients. Our key motivation is that given models with large deviations from either labeled clients or unlabeled clients, the consensus could be reached by performing random sub-sampling over clients. To achieve it, instead of directly aggregating local models, we first distill several sub-consensus models by random sub-sampling over clients and then aggregating the sub-consensus models to the global model. To enhance the robustness of sub-consensus models, we also develop a novel distance-reweighted model aggregation method. Experimental results show that our method outperforms state-of-the-art methods on three benchmarked datasets, including both natural and medical images. The code is available at https://github.com/XMed-Lab/RSCFed.

preprint2022arXiv

Specificity-Preserving Federated Learning for MR Image Reconstruction

Federated learning (FL) can be used to improve data privacy and efficiency in magnetic resonance (MR) image reconstruction by enabling multiple institutions to collaborate without needing to aggregate local data. However, the domain shift caused by different MR imaging protocols can substantially degrade the performance of FL models. Recent FL techniques tend to solve this by enhancing the generalization of the global model, but they ignore the domain-specific features, which may contain important information about the device properties and be useful for local reconstruction. In this paper, we propose a specificity-preserving FL algorithm for MR image reconstruction (FedMRI). The core idea is to divide the MR reconstruction model into two parts: a globally shared encoder to obtain a generalized representation at the global level, and a client-specific decoder to preserve the domain-specific properties of each client, which is important for collaborative reconstruction when the clients have unique distribution. Such scheme is then executed in the frequency space and the image space respectively, allowing exploration of generalized representation and client-specific properties simultaneously in different spaces. Moreover, to further boost the convergence of the globally shared encoder when a domain shift is present, a weighted contrastive regularization is introduced to directly correct any deviation between the client and server during optimization. Extensive experiments demonstrate that our FedMRI's reconstructed results are the closest to the ground-truth for multi-institutional data, and that it outperforms state-of-the-art FL methods.

preprint2022arXiv

Specificity-preserving RGB-D Saliency Detection

Salient object detection (SOD) on RGB and depth images has attracted more and more research interests, due to its effectiveness and the fact that depth cues can now be conveniently captured. Existing RGB-D SOD models usually adopt different fusion strategies to learn a shared representation from the two modalities (\ie, RGB and depth), while few methods explicitly consider how to preserve modality-specific characteristics. In this study, we propose a novel framework, termed SPNet} (Specificity-preserving network), which benefits SOD performance by exploring both the shared information and modality-specific properties (\eg, specificity). Specifically, we propose to adopt two modality-specific networks and a shared learning network to generate individual and shared saliency prediction maps, respectively. To effectively fuse cross-modal features in the shared learning network, we propose a cross-enhanced integration module (CIM) and then propagate the fused feature to the next layer for integrating cross-level information. Moreover, to capture rich complementary multi-modal information for boosting the SOD performance, we propose a multi-modal feature aggregation (MFA) module to integrate the modality-specific features from each individual decoder into the shared decoder. By using a skip connection, the hierarchical features between the encoder and decoder layers can be fully combined. Extensive experiments demonstrate that our~\ours~outperforms cutting-edge approaches on six popular RGB-D SOD and three camouflaged object detection benchmarks. The project is publicly available at: https://github.com/taozh2017/SPNet.

preprint2022arXiv

Structure-consistent Restoration Network for Cataract Fundus Image Enhancement

Fundus photography is a routine examination in clinics to diagnose and monitor ocular diseases. However, for cataract patients, the fundus image always suffers quality degradation caused by the clouding lens. The degradation prevents reliable diagnosis by ophthalmologists or computer-aided systems. To improve the certainty in clinical diagnosis, restoration algorithms have been proposed to enhance the quality of fundus images. Unfortunately, challenges remain in the deployment of these algorithms, such as collecting sufficient training data and preserving retinal structures. In this paper, to circumvent the strict deployment requirement, a structure-consistent restoration network (SCR-Net) for cataract fundus images is developed from synthesized data that shares an identical structure. A cataract simulation model is firstly designed to collect synthesized cataract sets (SCS) formed by cataract fundus images sharing identical structures. Then high-frequency components (HFCs) are extracted from the SCS to constrain structure consistency such that the structure preservation in SCR-Net is enforced. The experiments demonstrate the effectiveness of SCR-Net in the comparison with state-of-the-art methods and the follow-up clinical applications. The code is available at https://github.com/liamheng/ArcNet-Medical-Image-Enhancement.

preprint2022arXiv

TBraTS: Trusted Brain Tumor Segmentation

Despite recent improvements in the accuracy of brain tumor segmentation, the results still exhibit low levels of confidence and robustness. Uncertainty estimation is one effective way to change this situation, as it provides a measure of confidence in the segmentation results. In this paper, we propose a trusted brain tumor segmentation network which can generate robust segmentation results and reliable uncertainty estimations without excessive computational burden and modification of the backbone network. In our method, uncertainty is modeled explicitly using subjective logic theory, which treats the predictions of backbone neural network as subjective opinions by parameterizing the class probabilities of the segmentation as a Dirichlet distribution. Meanwhile, the trusted segmentation framework learns the function that gathers reliable evidence from the feature leading to the final segmentation results. Overall, our unified trusted segmentation framework endows the model with reliability and robustness to out-of-distribution samples. To evaluate the effectiveness of our model in robustness and reliability, qualitative and quantitative experiments are conducted on the BraTS 2019 dataset.

preprint2022arXiv

Transformers in Medical Imaging: A Survey

Following unprecedented success on the natural language tasks, Transformers have been successfully applied to several computer vision problems, achieving state-of-the-art results and prompting researchers to reconsider the supremacy of convolutional neural networks (CNNs) as {de facto} operators. Capitalizing on these advances in computer vision, the medical imaging field has also witnessed growing interest for Transformers that can capture global context compared to CNNs with local receptive fields. Inspired from this transition, in this survey, we attempt to provide a comprehensive review of the applications of Transformers in medical imaging covering various aspects, ranging from recently proposed architectural designs to unsolved issues. Specifically, we survey the use of Transformers in medical image segmentation, detection, classification, reconstruction, synthesis, registration, clinical report generation, and other tasks. In particular, for each of these applications, we develop taxonomy, identify application-specific challenges as well as provide insights to solve them, and highlight recent trends. Further, we provide a critical discussion of the field's current state as a whole, including the identification of key challenges, open problems, and outlining promising future directions. We hope this survey will ignite further interest in the community and provide researchers with an up-to-date reference regarding applications of Transformer models in medical imaging. Finally, to cope with the rapid development in this field, we intend to regularly update the relevant latest papers and their open-source implementations at \url{https://github.com/fahadshamshad/awesome-transformers-in-medical-imaging}.

preprint2022arXiv

Trusted Multi-View Classification with Dynamic Evidential Fusion

Existing multi-view classification algorithms focus on promoting accuracy by exploiting different views, typically integrating them into common representations for follow-up tasks. Although effective, it is also crucial to ensure the reliability of both the multi-view integration and the final decision, especially for noisy, corrupted and out-of-distribution data. Dynamically assessing the trustworthiness of each view for different samples could provide reliable integration. This can be achieved through uncertainty estimation. With this in mind, we propose a novel multi-view classification algorithm, termed trusted multi-view classification (TMC), providing a new paradigm for multi-view learning by dynamically integrating different views at an evidence level. The proposed TMC can promote classification reliability by considering evidence from each view. Specifically, we introduce the variational Dirichlet to characterize the distribution of the class probabilities, parameterized with evidence from different views and integrated with the Dempster-Shafer theory. The unified learning framework induces accurate uncertainty and accordingly endows the model with both reliability and robustness against possible noise or corruption. Both theoretical and experimental results validate the effectiveness of the proposed model in accuracy, robustness and trustworthiness.

preprint2022arXiv

Trustworthy Long-Tailed Classification

Classification on long-tailed distributed data is a challenging problem, which suffers from serious class-imbalance and accordingly unpromising performance especially on tail classes. Recently, the ensembling based methods achieve the state-of-the-art performance and show great potential. However, there are two limitations for current methods. First, their predictions are not trustworthy for failure-sensitive applications. This is especially harmful for the tail classes where the wrong predictions is basically frequent. Second, they assign unified numbers of experts to all samples, which is redundant for easy samples with excessive computational cost. To address these issues, we propose a Trustworthy Long-tailed Classification (TLC) method to jointly conduct classification and uncertainty estimation to identify hard samples in a multi-expert framework. Our TLC obtains the evidence-based uncertainty (EvU) and evidence for each expert, and then combines these uncertainties and evidences under the Dempster-Shafer Evidence Theory (DST). Moreover, we propose a dynamic expert engagement to reduce the number of engaged experts for easy samples and achieve efficiency while maintaining promising performances. Finally, we conduct comprehensive experiments on the tasks of classification, tail detection, OOD detection and failure prediction. The experimental results show that the proposed TLC outperforms existing methods and is trustworthy with reliable uncertainty.

preprint2021arXiv

Applications of Deep Learning in Fundus Images: A Review

The use of fundus images for the early screening of eye diseases is of great clinical importance. Due to its powerful performance, deep learning is becoming more and more popular in related applications, such as lesion segmentation, biomarkers segmentation, disease diagnosis and image synthesis. Therefore, it is very necessary to summarize the recent developments in deep learning for fundus images with a review paper. In this review, we introduce 143 application papers with a carefully designed hierarchy. Moreover, 33 publicly available datasets are presented. Summaries and analyses are provided for each task. Finally, limitations common to all tasks are revealed and possible solutions are given. We will also release and regularly update the state-of-the-art results and newly-released datasets at https://github.com/nkicsl/Fundus Review to adapt to the rapid development of this field.

preprint2021arXiv

Deep Triplet Hashing Network for Case-based Medical Image Retrieval

Deep hashing methods have been shown to be the most efficient approximate nearest neighbor search techniques for large-scale image retrieval. However, existing deep hashing methods have a poor small-sample ranking performance for case-based medical image retrieval. The top-ranked images in the returned query results may be as a different class than the query image. This ranking problem is caused by classification, regions of interest (ROI), and small-sample information loss in the hashing space. To address the ranking problem, we propose an end-to-end framework, called Attention-based Triplet Hashing (ATH) network, to learn low-dimensional hash codes that preserve the classification, ROI, and small-sample information. We embed a spatial-attention module into the network structure of our ATH to focus on ROI information. The spatial-attention module aggregates the spatial information of feature maps by utilizing max-pooling, element-wise maximum, and element-wise mean operations jointly along the channel axis. The triplet cross-entropy loss can help to map the classification information of images and similarity between images into the hash codes. Extensive experiments on two case-based medical datasets demonstrate that our proposed ATH can further improve the retrieval performance compared to the state-of-the-art deep hashing methods and boost the ranking performance for small samples. Compared to the other loss methods, the triplet cross-entropy loss can enhance the classification performance and hash code-discriminability

preprint2021arXiv

Salient Object Detection in the Deep Learning Era: An In-Depth Survey

As an essential problem in computer vision, salient object detection (SOD) has attracted an increasing amount of research attention over the years. Recent advances in SOD are predominantly led by deep learning-based solutions (named deep SOD). To enable in-depth understanding of deep SOD, in this paper, we provide a comprehensive survey covering various aspects, ranging from algorithm taxonomy to unsolved issues. In particular, we first review deep SOD algorithms from different perspectives, including network architecture, level of supervision, learning paradigm, and object-/instance-level detection. Following that, we summarize and analyze existing SOD datasets and evaluation metrics. Then, we benchmark a large group of representative SOD models, and provide detailed analyses of the comparison results. Moreover, we study the performance of SOD algorithms under different attribute settings, which has not been thoroughly explored previously, by constructing a novel SOD dataset with rich attribute annotations covering various salient object types, challenging factors, and scene categories. We further analyze, for the first time in the field, the robustness of SOD models to random input perturbations and adversarial attacks. We also look into the generalization and difficulty of existing SOD datasets. Finally, we discuss several open issues of SOD and outline future research directions.

preprint2021arXiv

Trusted Multi-View Classification

Multi-view classification (MVC) generally focuses on improving classification accuracy by using information from different views, typically integrating them into a unified comprehensive representation for downstream tasks. However, it is also crucial to dynamically assess the quality of a view for different samples in order to provide reliable uncertainty estimations, which indicate whether predictions can be trusted. To this end, we propose a novel multi-view classification method, termed trusted multi-view classification, which provides a new paradigm for multi-view learning by dynamically integrating different views at an evidence level. The algorithm jointly utilizes multiple views to promote both classification reliability and robustness by integrating evidence from each view. To achieve this, the Dirichlet distribution is used to model the distribution of the class probabilities, parameterized with evidence from different views and integrated with the Dempster-Shafer theory. The unified learning framework induces accurate uncertainty and accordingly endows the model with both reliability and robustness for out-of-distribution samples. Extensive experimental results validate the effectiveness of the proposed model in accuracy, reliability and robustness.

preprint2020arXiv

A Thorough Comparison Study on Adversarial Attacks and Defenses for Common Thorax Disease Classification in Chest X-rays

Recently, deep neural networks (DNNs) have made great progress on automated diagnosis with chest X-rays images. However, DNNs are vulnerable to adversarial examples, which may cause misdiagnoses to patients when applying the DNN based methods in disease detection. Recently, there is few comprehensive studies exploring the influence of attack and defense methods on disease detection, especially for the multi-label classification problem. In this paper, we aim to review various adversarial attack and defense methods on chest X-rays. First, the motivations and the mathematical representations of attack and defense methods are introduced in details. Second, we evaluate the influence of several state-of-the-art attack and defense methods for common thorax disease classification in chest X-rays. We found that the attack and defense methods have poor performance with excessive iterations and large perturbations. To address this, we propose a new defense method that is robust to different degrees of perturbations. This study could provide new insights into methodological development for the community.

preprint2020arXiv

AGE Challenge: Angle Closure Glaucoma Evaluation in Anterior Segment Optical Coherence Tomography

Angle closure glaucoma (ACG) is a more aggressive disease than open-angle glaucoma, where the abnormal anatomical structures of the anterior chamber angle (ACA) may cause an elevated intraocular pressure and gradually lead to glaucomatous optic neuropathy and eventually to visual impairment and blindness. Anterior Segment Optical Coherence Tomography (AS-OCT) imaging provides a fast and contactless way to discriminate angle closure from open angle. Although many medical image analysis algorithms have been developed for glaucoma diagnosis, only a few studies have focused on AS-OCT imaging. In particular, there is no public AS-OCT dataset available for evaluating the existing methods in a uniform way, which limits progress in the development of automated techniques for angle closure detection and assessment. To address this, we organized the Angle closure Glaucoma Evaluation challenge (AGE), held in conjunction with MICCAI 2019. The AGE challenge consisted of two tasks: scleral spur localization and angle closure classification. For this challenge, we released a large dataset of 4800 annotated AS-OCT images from 199 patients, and also proposed an evaluation framework to benchmark and compare different models. During the AGE challenge, over 200 teams registered online, and more than 1100 results were submitted for online evaluation. Finally, eight teams participated in the onsite challenge. In this paper, we summarize these eight onsite challenge methods and analyze their corresponding results for the two tasks. We further discuss limitations and future directions. In the AGE challenge, the top-performing approach had an average Euclidean Distance of 10 pixels (10um) in scleral spur localization, while in the task of angle closure classification, all the algorithms achieved satisfactory performances, with two best obtaining an accuracy rate of 100%.

preprint2020arXiv

Colonoscopy Polyp Detection: Domain Adaptation From Medical Report Images to Real-time Videos

Automatic colorectal polyp detection in colonoscopy video is a fundamental task, which has received a lot of attention. Manually annotating polyp region in a large scale video dataset is time-consuming and expensive, which limits the development of deep learning techniques. A compromise is to train the target model by using labeled images and infer on colonoscopy videos. However, there are several issues between the image-based training and video-based inference, including domain differences, lack of positive samples, and temporal smoothness. To address these issues, we propose an Image-video-joint polyp detection network (Ivy-Net) to address the domain gap between colonoscopy images from historical medical reports and real-time videos. In our Ivy-Net, a modified mixup is utilized to generate training data by combining the positive images and negative video frames at the pixel level, which could learn the domain adaptive representations and augment the positive samples. Simultaneously, a temporal coherence regularization (TCR) is proposed to introduce the smooth constraint on feature-level in adjacent frames and improve polyp detection by unlabeled colonoscopy videos. For evaluation, a new large colonoscopy polyp dataset is collected, which contains 3056 images from historical medical reports of 889 positive patients and 7.5-hour videos of 69 patients (28 positive). The experiments on the collected dataset demonstrate that our Ivy-Net achieves the state-of-the-art result on colonoscopy video.

preprint2020arXiv

Evaluation of Retinal Image Quality Assessment Networks in Different Color-spaces

Retinal image quality assessment (RIQA) is essential for controlling the quality of retinal imaging and guaranteeing the reliability of diagnoses by ophthalmologists or automated analysis systems. Existing RIQA methods focus on the RGB color-space and are developed based on small datasets with binary quality labels (i.e., `Accept' and `Reject'). In this paper, we first re-annotate an Eye-Quality (EyeQ) dataset with 28,792 retinal images from the EyePACS dataset, based on a three-level quality grading system (i.e., `Good', `Usable' and `Reject') for evaluating RIQA methods. Our RIQA dataset is characterized by its large-scale size, multi-level grading, and multi-modality. Then, we analyze the influences on RIQA of different color-spaces, and propose a simple yet efficient deep network, named Multiple Color-space Fusion Network (MCF-Net), which integrates the different color-space representations at both a feature-level and prediction-level to predict image quality grades. Experiments on our EyeQ dataset show that our MCF-Net obtains a state-of-the-art performance, outperforming the other deep learning methods. Furthermore, we also evaluate diabetic retinopathy (DR) detection methods on images of different quality, and demonstrate that the performances of automated diagnostic systems are highly dependent on image quality.

preprint2020arXiv

Hi-Net: Hybrid-fusion Network for Multi-modal MR Image Synthesis

Magnetic resonance imaging (MRI) is a widely used neuroimaging technique that can provide images of different contrasts (i.e., modalities). Fusing this multi-modal data has proven particularly effective for boosting model performance in many tasks. However, due to poor data quality and frequent patient dropout, collecting all modalities for every patient remains a challenge. Medical image synthesis has been proposed as an effective solution to this, where any missing modalities are synthesized from the existing ones. In this paper, we propose a novel Hybrid-fusion Network (Hi-Net) for multi-modal MR image synthesis, which learns a mapping from multi-modal source images (i.e., existing modalities) to target images (i.e., missing modalities). In our Hi-Net, a modality-specific network is utilized to learn representations for each individual modality, and a fusion network is employed to learn the common latent representation of multi-modal data. Then, a multi-modal synthesis network is designed to densely combine the latent representation with hierarchical features from each modality, acting as a generator to synthesize the target images. Moreover, a layer-wise multi-modal fusion strategy is presented to effectively exploit the correlations among multiple modalities, in which a Mixed Fusion Block (MFB) is proposed to adaptively weight different fusion strategies (i.e., element-wise summation, product, and maximization). Extensive experiments demonstrate that the proposed model outperforms other state-of-the-art medical image synthesis methods.

preprint2020arXiv

Inf-Net: Automatic COVID-19 Lung Infection Segmentation from CT Images

Coronavirus Disease 2019 (COVID-19) spread globally in early 2020, causing the world to face an existential health crisis. Automated detection of lung infections from computed tomography (CT) images offers a great potential to augment the traditional healthcare strategy for tackling COVID-19. However, segmenting infected regions from CT slices faces several challenges, including high variation in infection characteristics, and low intensity contrast between infections and normal tissues. Further, collecting a large amount of data is impractical within a short time period, inhibiting the training of a deep model. To address these challenges, a novel COVID-19 Lung Infection Segmentation Deep Network (Inf-Net) is proposed to automatically identify infected regions from chest CT slices. In our Inf-Net, a parallel partial decoder is used to aggregate the high-level features and generate a global map. Then, the implicit reverse attention and explicit edge-attention are utilized to model the boundaries and enhance the representations. Moreover, to alleviate the shortage of labeled data, we present a semi-supervised segmentation framework based on a randomly selected propagation strategy, which only requires a few labeled images and leverages primarily unlabeled data. Our semi-supervised framework can improve the learning ability and achieve a higher performance. Extensive experiments on our COVID-SemiSeg and real CT volumes demonstrate that the proposed Inf-Net outperforms most cutting-edge segmentation models and advances the state-of-the-art performance.

preprint2020arXiv

M2Net: Multi-modal Multi-channel Network for Overall Survival Time Prediction of Brain Tumor Patients

Early and accurate prediction of overall survival (OS) time can help to obtain better treatment planning for brain tumor patients. Although many OS time prediction methods have been developed and obtain promising results, there are still several issues. First, conventional prediction methods rely on radiomic features at the local lesion area of a magnetic resonance (MR) volume, which may not represent the full image or model complex tumor patterns. Second, different types of scanners (i.e., multi-modal data) are sensitive to different brain regions, which makes it challenging to effectively exploit the complementary information across multiple modalities and also preserve the modality-specific properties. Third, existing methods focus on prediction models, ignoring complex data-to-label relationships. To address the above issues, we propose an end-to-end OS time prediction model; namely, Multi-modal Multi-channel Network (M2Net). Specifically, we first project the 3D MR volume onto 2D images in different directions, which reduces computational costs, while preserving important information and enabling pre-trained models to be transferred from other tasks. Then, we use a modality-specific network to extract implicit and high-level features from different MR scans. A multi-modal shared network is built to fuse these features using a bilinear pooling model, exploiting their correlations to provide complementary information. Finally, we integrate the outputs from each modality-specific network and the multi-modal shared network to generate the final prediction result. Experimental results demonstrate the superiority of our M2Net model over other methods.

preprint2020arXiv

NuI-Go: Recursive Non-Local Encoder-Decoder Network for Retinal Image Non-Uniform Illumination Removal

Retinal images have been widely used by clinicians for early diagnosis of ocular diseases. However, the quality of retinal images is often clinically unsatisfactory due to eye lesions and imperfect imaging process. One of the most challenging quality degradation issues in retinal images is non-uniform which hinders the pathological information and further impairs the diagnosis of ophthalmologists and computer-aided analysis.To address this issue, we propose a non-uniform illumination removal network for retinal image, called NuI-Go, which consists of three Recursive Non-local Encoder-Decoder Residual Blocks (NEDRBs) for enhancing the degraded retinal images in a progressive manner. Each NEDRB contains a feature encoder module that captures the hierarchical feature representations, a non-local context module that models the context information, and a feature decoder module that recovers the details and spatial dimension. Additionally, the symmetric skip-connections between the encoder module and the decoder module provide long-range information compensation and reuse. Extensive experiments demonstrate that the proposed method can effectively remove the non-uniform illumination on retinal images while well preserving the image details and color. We further demonstrate the advantages of the proposed method for improving the accuracy of retinal vessel segmentation.

preprint2020arXiv

Open-Narrow-Synechiae Anterior Chamber Angle Classification in AS-OCT Sequences

Anterior chamber angle (ACA) classification is a key step in the diagnosis of angle-closure glaucoma in Anterior Segment Optical Coherence Tomography (AS-OCT). Existing automated analysis methods focus on a binary classification system (i.e., open angle or angle-closure) in a 2D AS-OCT slice. However, clinical diagnosis requires a more discriminating ACA three-class system (i.e., open, narrow, or synechiae angles) for the benefit of clinicians who seek better to understand the progression of the spectrum of angle-closure glaucoma types. To address this, we propose a novel sequence multi-scale aggregation deep network (SMA-Net) for open-narrow-synechiae ACA classification based on an AS-OCT sequence. In our method, a Multi-Scale Discriminative Aggregation (MSDA) block is utilized to learn the multi-scale representations at slice level, while a ConvLSTM is introduced to study the temporal dynamics of these representations at sequence level. Finally, a multi-level loss function is used to combine the slice-based and sequence-based losses. The proposed method is evaluated across two AS-OCT datasets. The experimental results show that the proposed method outperforms existing state-of-the-art methods in applicability, effectiveness, and accuracy. We believe this work to be the first attempt to classify ACAs into open, narrow, or synechia types grading using AS-OCT sequences.

preprint2020arXiv

PraNet: Parallel Reverse Attention Network for Polyp Segmentation

Colonoscopy is an effective technique for detecting colorectal polyps, which are highly related to colorectal cancer. In clinical practice, segmenting polyps from colonoscopy images is of great importance since it provides valuable information for diagnosis and surgery. However, accurate polyp segmentation is a challenging task, for two major reasons: (i) the same type of polyps has a diversity of size, color and texture; and (ii) the boundary between a polyp and its surrounding mucosa is not sharp. To address these challenges, we propose a parallel reverse attention network (PraNet) for accurate polyp segmentation in colonoscopy images. Specifically, we first aggregate the features in high-level layers using a parallel partial decoder (PPD). Based on the combined feature, we then generate a global map as the initial guidance area for the following components. In addition, we mine the boundary cues using a reverse attention (RA) module, which is able to establish the relationship between areas and boundary cues. Thanks to the recurrent cooperation mechanism between areas and boundaries, our PraNet is capable of calibrating any misaligned predictions, improving the segmentation accuracy. Quantitative and qualitative evaluations on five challenging datasets across six metrics show that our PraNet improves the segmentation accuracy significantly, and presents a number of advantages in terms of generalizability, and real-time segmentation efficiency.

preprint2020arXiv

Reconstruction and Quantification of 3D Iris Surface for Angle-Closure Glaucoma Detection in Anterior Segment OCT

Precise characterization and analysis of iris shape from Anterior Segment OCT (AS-OCT) are of great importance in facilitating diagnosis of angle-closure-related diseases. Existing methods focus solely on analyzing structural properties identified from the 2D slice, while accurate characterization of morphological changes of iris shape in 3D AS-OCT may be able to reveal in addition the risk of disease progression. In this paper, we propose a novel framework for reconstruction and quantification of 3D iris surface from AS-OCT imagery. We consider it to be the first work to detect angle-closure glaucoma by means of 3D representation. An iris segmentation network with wavelet refinement block (WRB) is first proposed to generate the initial shape of the iris from single AS-OCT slice. The 3D iris surface is then reconstructed using a guided optimization method with Poisson-disk sampling. Finally, a set of surface-based features are extracted, which are used in detecting of angle-closure glaucoma. Experimental results demonstrate that our method is highly effective in iris segmentation and surface reconstruction. Moreover, we show that 3D-based representation achieves better performance in angle-closure glaucoma detection than does 2D-based feature.

preprint2020arXiv

Retinal Image Segmentation with a Structure-Texture Demixing Network

Retinal image segmentation plays an important role in automatic disease diagnosis. This task is very challenging because the complex structure and texture information are mixed in a retinal image, and distinguishing the information is difficult. Existing methods handle texture and structure jointly, which may lead biased models toward recognizing textures and thus results in inferior segmentation performance. To address it, we propose a segmentation strategy that seeks to separate structure and texture components and significantly improve the performance. To this end, we design a structure-texture demixing network (STD-Net) that can process structures and textures differently and better. Extensive experiments on two retinal image segmentation tasks (i.e., blood vessel segmentation, optic disc and cup segmentation) demonstrate the effectiveness of the proposed method.

preprint2020arXiv

Sparse-GAN: Sparsity-constrained Generative Adversarial Network for Anomaly Detection in Retinal OCT Image

With the development of convolutional neural network, deep learning has shown its success for retinal disease detection from optical coherence tomography (OCT) images. However, deep learning often relies on large scale labelled data for training, which is oftentimes challenging especially for disease with low occurrence. Moreover, a deep learning system trained from data-set with one or a few diseases is unable to detect other unseen diseases, which limits the practical usage of the system in disease screening. To address the limitation, we propose a novel anomaly detection framework termed Sparsity-constrained Generative Adversarial Network (Sparse-GAN) for disease screening where only healthy data are available in the training set. The contributions of Sparse-GAN are two-folds: 1) The proposed Sparse-GAN predicts the anomalies in latent space rather than image-level; 2) Sparse-GAN is constrained by a novel Sparsity Regularization Net. Furthermore, in light of the role of lesions for disease screening, we present to leverage on an anomaly activation map to show the heatmap of lesions. We evaluate our proposed Sparse-GAN on a publicly available dataset, and the results show that the proposed method outperforms the state-of-the-art methods.