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Zhenxi Zhang

Zhenxi Zhang contributes to research discovery and scholarly infrastructure.

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Computer Vision eess.IV

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preprint2026arXiv

ScribbleDose: Scribble-Guided Dose Prediction in Radiotherapy

Anatomical structure masks are widely adopted in radiotherapy dose prediction, as they provide explicit geometric constraints that facilitate structure-dose coupling. However, conventional manual delineation of these masks requires precise annotation of structure boundaries relevant to radiotherapy, which is time-consuming and labor-intensive. To address these limitations, we propose a scribble-guided dose prediction framework that relies solely on anatomical structures annotated with sparse scribbles. Specifically, we design a Scribble Completion Module (SCM) to generate dense anatomical masks by propagating sparse scribble labels to semantically similar voxels. During the propagation process, a supervoxel-based regularization is introduced to preserve geometric boundary consistency to ensure anatomical plausibility. Furthermore, we propose a Structure-Guided Dose Generation Module (SGDGM) to strengthen the correspondence between sparse structural cues and dose distribution. Herein, the completed dense masks derived from scribbles serve as structural guidance to condition the dose prediction network. This scribble-mask-dose consistency encourages high-dose concentration within target volumes while effectively sparing surrounding organs-at-risk. Extensive experiments on the open-source GDP-HMM dataset demonstrate that the proposed method maintains superior dose prediction performance while substantially reducing annotation cost, providing a practical paradigm for dose prediction under sparse structural annotation. The code and reannotated scribbles are made publicly available at https://github.com/iCherishxixixi/ScribbleDose.

preprint2026arXiv

TopoMamba: Topology-Aware Scanning and Fusion for Segmenting Heterogeneous Medical Visual Media

Visual state-space models (SSMs) have shown strong potential for medical image segmentation, yet their effectiveness is often limited by two practical issues: axis-biased scan ordering weakens the modeling of oblique and curved structures, and naive multi-branch fusion tends to amplify redundant responses. We present TopoMamba, a topology-aware scan-and-fuse framework for segmenting heterogeneous medical visual media. The method combines a diagonal/anti-diagonal TopoA-Scan branch with the standard Cross-Scan branch to provide complementary structural priors, and introduces ScanCache, a device-aware caching mechanism that amortizes explicit scan-index construction across recurring resolutions. To fuse heterogeneous scan features efficiently, we further propose a lightweight HSIC Gate that regulates branch interaction using a dependence-aware scalar gating rule. We also instantiate a volumetric TopoMamba-3D for practical 3D clinical segmentation. Experiments on Synapse CT, ISIC 2017 dermoscopy, and CVC-ClinicDB endoscopy show that TopoMamba consistently improves segmentation quality over strong CNN, Transformer, and SSM baselines, with particularly clear gains on thin or curved targets such as the pancreas and gallbladder, while maintaining favorable deployment efficiency under dynamic input resolutions. These results suggest that topology-aware scan ordering and lightweight dependence-aware fusion form an effective and practical design for medical multimedia segmentation. The code will be made publicly available.

preprint2022arXiv

Mutual- and Self- Prototype Alignment for Semi-supervised Medical Image Segmentation

Semi-supervised learning methods have been explored in medical image segmentation tasks due to the scarcity of pixel-level annotation in the real scenario. Proto-type alignment based consistency constraint is an intuitional and plausible solu-tion to explore the useful information in the unlabeled data. In this paper, we propose a mutual- and self- prototype alignment (MSPA) framework to better utilize the unlabeled data. In specific, mutual-prototype alignment enhances the information interaction between labeled and unlabeled data. The mutual-prototype alignment imposes two consistency constraints in reverse directions between the unlabeled and labeled data, which enables the consistent embedding and model discriminability on unlabeled data. The proposed self-prototype alignment learns more stable region-wise features within unlabeled images, which optimizes the classification margin in semi-supervised segmentation by boosting the intra-class compactness and inter-class separation on the feature space. Extensive experimental results on three medical datasets demonstrate that with a small amount of labeled data, MSPA achieves large improvements by leveraging the unlabeled data. Our method also outperforms seven state-of-the-art semi-supervised segmentation methods on all three datasets.

preprint2022arXiv

PixelGame: Infrared small target segmentation as a Nash equilibrium

A key challenge of infrared small target segmentation (ISTS) is to balance false negative pixels (FNs) and false positive pixels (FPs). Traditional methods combine FNs and FPs into a single objective by weighted sum, and the optimization process is decided by one actor. Minimizing FNs and FPs with the same strategy leads to antagonistic decisions. To address this problem, we propose a competitive game framework (pixelGame) from a novel perspective for ISTS. In pixelGame, FNs and FPs are controlled by different player whose goal is to minimize their own utility function. FNs-player and FPs-player are designed with different strategies: One is to minimize FNs and the other is to minimize FPs. The utility function drives the evolution of the two participants in competition. We consider the Nash equilibrium of pixelGame as the optimal solution. In addition, we propose maximum information modulation (MIM) to highlight the tar-get information. MIM effectively focuses on the salient region including small targets. Extensive experiments on two standard public datasets prove the effectiveness of our method. Compared with other state-of-the-art methods, our method achieves better performance in terms of F1-measure (F1) and the intersection of union (IoU).

preprint2020arXiv

Collaborative Boundary-aware Context Encoding Networks for Error Map Prediction

Medical image segmentation is usually regarded as one of the most important intermediate steps in clinical situations and medical imaging research. Thus, accurately assessing the segmentation quality of the automatically generated predictions is essential for guaranteeing the reliability of the results of the computer-assisted diagnosis (CAD). Many researchers apply neural networks to train segmentation quality regression models to estimate the segmentation quality of a new data cohort without labeled ground truth. Recently, a novel idea is proposed that transforming the segmentation quality assessment (SQA) problem intothe pixel-wise error map prediction task in the form of segmentation. However, the simple application of vanilla segmentation structures in medical image fails to detect some small and thin error regions of the auto-generated masks with complex anatomical structures. In this paper, we propose collaborative boundaryaware context encoding networks called AEP-Net for error prediction task. Specifically, we propose a collaborative feature transformation branch for better feature fusion between images and masks, and precise localization of error regions. Further, we propose a context encoding module to utilize the global predictor from the error map to enhance the feature representation and regularize the networks. We perform experiments on IBSR v2.0 dataset and ACDC dataset. The AEP-Net achieves an average DSC of 0.8358, 0.8164 for error prediction task,and shows a high Pearson correlation coefficient of 0.9873 between the actual segmentation accuracy and the predicted accuracy inferred from the predicted error map on IBSR v2.0 dataset, which verifies the efficacy of our AEP-Net.

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