ESP-MedSAM: Efficient Self-Prompting SAM for Universal Domain-Generalized Medical Image Segmentation

The Segment Anything Model (SAM) has demonstrated outstanding adaptation to medical image segmentation but still faces three major challenges. Firstly, the huge computational costs of SAM limit its real-world applicability. Secondly, SAM depends on manual annotations (e.g., points, boxes) as prompts, which are laborious and impractical in clinical scenarios. Thirdly, SAM handles all segmentation targets equally, which is suboptimal for diverse medical modalities with inherent heterogeneity. To address these issues, we propose an Efficient Self-Prompting SAM for universal medical image segmentation, named ESP-MedSAM. We devise a Multi-Modal Decoupled Knowledge Distillation (MMDKD) strategy to distil common image knowledge and domain-specific medical knowledge from the foundation model to train a lightweight image encoder and a modality controller. Further, they combine with the additionally introduced Self-Patch Prompt Generator (SPPG) and Query-Decoupled Modality Decoder (QDMD) to construct ESP-MedSAM. Specifically, SPPG aims to generate a set of patch prompts automatically and QDMD leverages a one-to-one strategy to provide an independent decoding channel for every modality. Extensive experiments indicate that ESP-MedSAM outperforms state-of-the-arts in diverse medical imaging segmentation takes, displaying superior zero-shot learning and modality transfer ability. Especially, our framework uses only 31.4% parameters compared to SAM-Base.

GTP-4o: Modality-prompted Heterogeneous Graph Learning for Omni-modal Biomedical Representation

Recent advances in learning multi-modal representation have witnessed the success in biomedical domains. While established techniques enable handling multi-modal information, the challenges are posed when extended to various clinical modalities and practical modalitymissing setting due to the inherent modality gaps. To tackle these, we propose an innovative Modality-prompted Heterogeneous Graph for Omnimodal Learning (GTP-4o), which embeds the numerous disparate clinical modalities into a unified representation, completes the deficient embedding of missing modality and reformulates the cross-modal learning with a graph-based aggregation. Specially, we establish a heterogeneous graph embedding to explicitly capture the diverse semantic properties on both the modality-specific features (nodes) and the cross-modal relations (edges). Then, we design a modality-prompted completion that enables completing the inadequate graph representation of missing modality through a graph prompting mechanism, which generates hallucination graphic topologies to steer the missing embedding towards the intact representation. Through the completed graph, we meticulously develop a knowledge-guided hierarchical cross-modal aggregation consisting of a global meta-path neighbouring to uncover the potential heterogeneous neighbors along the pathways driven by domain knowledge, and a local multi-relation aggregation module for the comprehensive cross-modal interaction across various heterogeneous relations. We assess the efficacy of our methodology on rigorous benchmarking experiments against prior state-of-the-arts. In a nutshell, GTP-4o presents an initial foray into the intriguing realm of embedding, relating and perceiving the heterogeneous patterns from various clinical modalities holistically via a graph theory. Project page: https://gtp-4-o.github.io/.

GaussianStego: A Generalizable Stenography Pipeline for Generative 3D Gaussians Splatting

Recent advancements in large generative models and real-time neural rendering using point-based techniques pave the way for a future of widespread visual data distribution through sharing synthesized 3D assets. However, while standardized methods for embedding proprietary or copyright information, either overtly or subtly, exist for conventional visual content such as images and videos, this issue remains unexplored for emerging generative 3D formats like Gaussian Splatting. We present GaussianStego, a method for embedding steganographic information in the rendering of generated 3D assets. Our approach employs an optimization framework that enables the accurate extraction of hidden information from images rendered using Gaussian assets derived from large models, while maintaining their original visual quality. We conduct preliminary evaluations of our method across several potential deployment scenarios and discuss issues identified through analysis. GaussianStego represents an initial exploration into the novel challenge of embedding customizable, imperceptible, and recoverable information within the renders produced by current 3D generative models, while ensuring minimal impact on the rendered content's quality.

EndoSparse: Real-Time Sparse View Synthesis of Endoscopic Scenes using Gaussian Splatting

3D reconstruction of biological tissues from a collection of endoscopic images is a key to unlock various important downstream surgical applications with 3D capabilities. Existing methods employ various advanced neural rendering techniques for photorealistic view synthesis, but they often struggle to recover accurate 3D representations when only sparse observations are available, which is usually the case in real-world clinical scenarios. To tackle this {sparsity} challenge, we propose a framework leveraging the prior knowledge from multiple foundation models during the reconstruction process, dubbed as \textit{EndoSparse}. Experimental results indicate that our proposed strategy significantly improves the geometric and appearance quality under challenging sparse-view conditions, including using only three views. In rigorous benchmarking experiments against state-of-the-art methods, \textit{EndoSparse} achieves superior results in terms of accurate geometry, realistic appearance, and rendering efficiency, confirming the robustness to sparse-view limitations in endoscopic reconstruction. \textit{EndoSparse} signifies a steady step towards the practical deployment of neural 3D reconstruction in real-world clinical scenarios. Project page: https://endo-sparse.github.io/.

LGS: A Light-weight 4D Gaussian Splatting for Efficient Surgical Scene Reconstruction

The advent of 3D Gaussian Splatting (3D-GS) techniques and their dynamic scene modeling variants, 4D-GS, offers promising prospects for real-time rendering of dynamic surgical scenarios. However, the prerequisite for modeling dynamic scenes by a large number of Gaussian units, the high-dimensional Gaussian attributes and the high-resolution deformation fields, all lead to serve storage issues that hinder real-time rendering in resource-limited surgical equipment. To surmount these limitations, we introduce a Lightweight 4D Gaussian Splatting framework (LGS) that can liberate the efficiency bottlenecks of both rendering and storage for dynamic endoscopic reconstruction. Specifically, to minimize the redundancy of Gaussian quantities, we propose Deformation-Aware Pruning by gauging the impact of each Gaussian on deformation. Concurrently, to reduce the redundancy of Gaussian attributes, we simplify the representation of textures and lighting in non-crucial areas by pruning the dimensions of Gaussian attributes. We further resolve the feature field redundancy caused by the high resolution of 4D neural spatiotemporal encoder for modeling dynamic scenes via a 4D feature field condensation. Experiments on public benchmarks demonstrate efficacy of LGS in terms of a compression rate exceeding 9 times while maintaining the pleasing visual quality and real-time rendering efficiency. LGS confirms a substantial step towards its application in robotic surgical services.

U-KAN Makes Strong Backbone for Medical Image Segmentation and Generation

U-Net has become a cornerstone in various visual applications such as image segmentation and diffusion probability models. While numerous innovative designs and improvements have been introduced by incorporating transformers or MLPs, the networks are still limited to linearly modeling patterns as well as the deficient interpretability. To address these challenges, our intuition is inspired by the impressive results of the Kolmogorov-Arnold Networks (KANs) in terms of accuracy and interpretability, which reshape the neural network learning via the stack of non-linear learnable activation functions derived from the Kolmogorov-Anold representation theorem. Specifically, in this paper, we explore the untapped potential of KANs in improving backbones for vision tasks. We investigate, modify and re-design the established U-Net pipeline by integrating the dedicated KAN layers on the tokenized intermediate representation, termed U-KAN. Rigorous medical image segmentation benchmarks verify the superiority of U-KAN by higher accuracy even with less computation cost. We further delved into the potential of U-KAN as an alternative U-Net noise predictor in diffusion models, demonstrating its applicability in generating task-oriented model architectures. These endeavours unveil valuable insights and sheds light on the prospect that with U-KAN, you can make strong backbone for medical image segmentation and generation. Project page: https://yes-ukan.github.io/

Endora: Video Generation Models as Endoscopy Simulators

Generative models hold promise for revolutionizing medical education, robot-assisted surgery, and data augmentation for machine learning. Despite progress in generating 2D medical images, the complex domain of clinical video generation has largely remained untapped.This paper introduces \model, an innovative approach to generate medical videos that simulate clinical endoscopy scenes. We present a novel generative model design that integrates a meticulously crafted spatial-temporal video transformer with advanced 2D vision foundation model priors, explicitly modeling spatial-temporal dynamics during video generation. We also pioneer the first public benchmark for endoscopy simulation with video generation models, adapting existing state-of-the-art methods for this endeavor.Endora demonstrates exceptional visual quality in generating endoscopy videos, surpassing state-of-the-art methods in extensive testing. Moreover, we explore how this endoscopy simulator can empower downstream video analysis tasks and even generate 3D medical scenes with multi-view consistency. In a nutshell, Endora marks a notable breakthrough in the deployment of generative AI for clinical endoscopy research, setting a substantial stage for further advances in medical content generation. For more details, please visit our project page: https://endora-medvidgen.github.io/.

EndoGaussian: Gaussian Splatting for Deformable Surgical Scene Reconstruction

Reconstructing deformable tissues from endoscopic stereo videos is essential in many downstream surgical applications. However, existing methods suffer from slow inference speed, which greatly limits their practical use. In this paper, we introduce EndoGaussian, a real-time surgical scene reconstruction framework that builds on 3D Gaussian Splatting. Our framework represents dynamic surgical scenes as canonical Gaussians and a time-dependent deformation field, which predicts Gaussian deformations at novel timestamps. Due to the efficient Gaussian representation and parallel rendering pipeline, our framework significantly accelerates the rendering speed compared to previous methods. In addition, we design the deformation field as the combination of a lightweight encoding voxel and an extremely tiny MLP, allowing for efficient Gaussian tracking with a minor rendering burden. Furthermore, we design a holistic Gaussian initialization method to fully leverage the surface distribution prior, achieved by searching informative points from across the input image sequence. Experiments on public endoscope datasets demonstrate that our method can achieve real-time rendering speed (195 FPS real-time, 100$\times$ gain) while maintaining the state-of-the-art reconstruction quality (35.925 PSNR) and the fastest training speed (within 2 min/scene), showing significant promise for intraoperative surgery applications. Code is available at: \url{https://yifliu3.github.io/EndoGaussian/}.

ADCNet: a unified framework for predicting the activity of antibody-drug conjugates

Antibody-drug conjugate (ADC) has revolutionized the field of cancer treatment in the era of precision medicine due to their ability to precisely target cancer cells and release highly effective drug. Nevertheless, the realization of rational design of ADC is very difficult because the relationship between their structures and activities is difficult to understand. In the present study, we introduce a unified deep learning framework called ADCNet to help design potential ADCs. The ADCNet highly integrates the protein representation learning language model ESM-2 and small-molecule representation learning language model FG-BERT models to achieve activity prediction through learning meaningful features from antigen and antibody protein sequences of ADC, SMILES strings of linker and payload, and drug-antibody ratio (DAR) value. Based on a carefully designed and manually tailored ADC data set, extensive evaluation results reveal that ADCNet performs best on the test set compared to baseline machine learning models across all evaluation metrics. For example, it achieves an average prediction accuracy of 87.12%, a balanced accuracy of 0.8689, and an area under receiver operating characteristic curve of 0.9293 on the test set. In addition, cross-validation, ablation experiments, and external independent testing results further prove the stability, advancement, and robustness of the ADCNet architecture. For the convenience of the community, we develop the first online platform (https://ADCNet.idruglab.cn) for the prediction of ADCs activity based on the optimal ADCNet model, and the source code is publicly available at https://github.com/idrugLab/ADCNet.

Attribute-Aware Representation Rectification for Generalized Zero-Shot Learning

Generalized Zero-shot Learning (GZSL) has yielded remarkable performance by designing a series of unbiased visual-semantics mappings, wherein, the precision relies heavily on the completeness of extracted visual features from both seen and unseen classes. However, as a common practice in GZSL, the pre-trained feature extractor may easily exhibit difficulty in capturing domain-specific traits of the downstream tasks/datasets to provide fine-grained discriminative features, i.e., domain bias, which hinders the overall recognition performance, especially for unseen classes. Recent studies partially address this issue by fine-tuning feature extractors, while may inevitably incur catastrophic forgetting and overfitting issues. In this paper, we propose a simple yet effective Attribute-Aware Representation Rectification framework for GZSL, dubbed $\mathbf{(AR)^{2}}$, to adaptively rectify the feature extractor to learn novel features while keeping original valuable features. Specifically, our method consists of two key components, i.e., Unseen-Aware Distillation (UAD) and Attribute-Guided Learning (AGL). During training, UAD exploits the prior knowledge of attribute texts that are shared by both seen/unseen classes with attention mechanisms to detect and maintain unseen class-sensitive visual features in a targeted manner, and meanwhile, AGL aims to steer the model to focus on valuable features and suppress them to fit noisy elements in the seen classes by attribute-guided representation learning. Extensive experiments on various benchmark datasets demonstrate the effectiveness of our method.