Group-On: Boosting One-Shot Segmentation with Supportive Query

One-shot semantic segmentation aims to segment query images given only ONE annotated support image of the same class. This task is challenging because target objects in the support and query images can be largely different in appearance and pose (i.e., intra-class variation). Prior works suggested that incorporating more annotated support images in few-shot settings boosts performances but increases costs due to additional manual labeling. In this paper, we propose a novel approach for ONE-shot semantic segmentation, called Group-On, which packs multiple query images in batches for the benefit of mutual knowledge support within the same category. Specifically, after coarse segmentation masks of the batch of queries are predicted, query-mask pairs act as pseudo support data to enhance mask predictions mutually, under the guidance of a simple Group-On Voting module. Comprehensive experiments on three standard benchmarks show that, in the ONE-shot setting, our Group-On approach significantly outperforms previous works by considerable margins. For example, on the COCO-20i dataset, we increase mIoU scores by 8.21% and 7.46% on ASNet and HSNet baselines, respectively. With only one support image, Group-On can be even competitive with the counterparts using 5 annotated support images.

Multi-rater Prompting for Ambiguous Medical Image Segmentation

Multi-rater annotations commonly occur when medical images are independently annotated by multiple experts (raters). In this paper, we tackle two challenges arisen in multi-rater annotations for medical image segmentation (called ambiguous medical image segmentation): (1) How to train a deep learning model when a group of raters produces a set of diverse but plausible annotations, and (2) how to fine-tune the model efficiently when computation resources are not available for re-training the entire model on a different dataset domain. We propose a multi-rater prompt-based approach to address these two challenges altogether. Specifically, we introduce a series of rater-aware prompts that can be plugged into the U-Net model for uncertainty estimation to handle multi-annotation cases. During the prompt-based fine-tuning process, only 0.3% of learnable parameters are required to be updated comparing to training the entire model. Further, in order to integrate expert consensus and disagreement, we explore different multi-rater incorporation strategies and design a mix-training strategy for comprehensive insight learning. Extensive experiments verify the effectiveness of our new approach for ambiguous medical image segmentation on two public datasets while alleviating the heavy burden of model re-training.

PoCo: A Self-Supervised Approach via Polar Transformation Based Progressive Contrastive Learning for Ophthalmic Disease Diagnosis

Automatic ophthalmic disease diagnosis on fundus images is important in clinical practice. However, due to complex fundus textures and limited annotated data, developing an effective automatic method for this problem is still challenging. In this paper, we present a self-supervised method via polar transformation based progressive contrastive learning, called PoCo, for ophthalmic disease diagnosis. Specifically, we novelly inject the polar transformation into contrastive learning to 1) promote contrastive learning pre-training to be faster and more stable and 2) naturally capture task-free and rotation-related textures, which provides insights into disease recognition on fundus images. Beneficially, simple normal translation-invariant convolution on transformed images can equivalently replace the complex rotation-invariant and sector convolution on raw images. After that, we develop a progressive contrastive learning method to efficiently utilize large unannotated images and a novel progressive hard negative sampling scheme to gradually reduce the negative sample number for efficient training and performance enhancement. Extensive experiments on three public ophthalmic disease datasets show that our PoCo achieves state-of-the-art performance with good generalization ability, validating that our method can reduce annotation efforts and provide reliable diagnosis. Codes are available at \url{https://github.com/wjh892521292/PoCo}.

Large Window-based Mamba UNet for Medical Image Segmentation: Beyond Convolution and Self-attention

In clinical practice, medical image segmentation provides useful information on the contours and dimensions of target organs or tissues, facilitating improved diagnosis, analysis, and treatment. In the past few years, convolutional neural networks (CNNs) and Transformers have dominated this area, but they still suffer from either limited receptive fields or costly long-range modeling. Mamba, a State Space Sequence Model (SSM), recently emerged as a promising paradigm for long-range dependency modeling with linear complexity. In this paper, we introduce a Large Window-based Mamba U}-shape Network, or LMa-UNet, for 2D and 3D medical image segmentation. A distinguishing feature of our LMa-UNet is its utilization of large windows, excelling in locally spatial modeling compared to small kernel-based CNNs and small window-based Transformers, while maintaining superior efficiency in global modeling compared to self-attention with quadratic complexity. Additionally, we design a novel hierarchical and bidirectional Mamba block to further enhance the global and neighborhood spatial modeling capability of Mamba. Comprehensive experiments demonstrate the effectiveness and efficiency of our method and the feasibility of using large window size to achieve large receptive fields. Codes are available at https://github.com/wjh892521292/LMa-UNet.

Efficient approximation of Earth Mover's Distance Based on Nearest Neighbor Search

Earth Mover's Distance (EMD) is an important similarity measure between two distributions, used in computer vision and many other application domains. However, its exact calculation is computationally and memory intensive, which hinders its scalability and applicability for large-scale problems. Various approximate EMD algorithms have been proposed to reduce computational costs, but they suffer lower accuracy and may require additional memory usage or manual parameter tuning. In this paper, we present a novel approach, NNS-EMD, to approximate EMD using Nearest Neighbor Search (NNS), in order to achieve high accuracy, low time complexity, and high memory efficiency. The NNS operation reduces the number of data points compared in each NNS iteration and offers opportunities for parallel processing. We further accelerate NNS-EMD via vectorization on GPU, which is especially beneficial for large datasets. We compare NNS-EMD with both the exact EMD and state-of-the-art approximate EMD algorithms on image classification and retrieval tasks. We also apply NNS-EMD to calculate transport mapping and realize color transfer between images. NNS-EMD can be 44x to 135x faster than the exact EMD implementation, and achieves superior accuracy, speedup, and memory efficiency over existing approximate EMD methods.

Text2Tree: Aligning Text Representation to the Label Tree Hierarchy for Imbalanced Medical Classification

Deep learning approaches exhibit promising performances on various text tasks. However, they are still struggling on medical text classification since samples are often extremely imbalanced and scarce. Different from existing mainstream approaches that focus on supplementary semantics with external medical information, this paper aims to rethink the data challenges in medical texts and present a novel framework-agnostic algorithm called Text2Tree that only utilizes internal label hierarchy in training deep learning models. We embed the ICD code tree structure of labels into cascade attention modules for learning hierarchy-aware label representations. Two new learning schemes, Similarity Surrogate Learning (SSL) and Dissimilarity Mixup Learning (DML), are devised to boost text classification by reusing and distinguishing samples of other labels following the label representation hierarchy, respectively. Experiments on authoritative public datasets and real-world medical records show that our approach stably achieves superior performances over classical and advanced imbalanced classification methods.

Ord2Seq: Regarding Ordinal Regression as Label Sequence Prediction

Ordinal regression refers to classifying object instances into ordinal categories. It has been widely studied in many scenarios, such as medical disease grading, movie rating, etc. Known methods focused only on learning inter-class ordinal relationships, but still incur limitations in distinguishing adjacent categories thus far. In this paper, we propose a simple sequence prediction framework for ordinal regression called Ord2Seq, which, for the first time, transforms each ordinal category label into a special label sequence and thus regards an ordinal regression task as a sequence prediction process. In this way, we decompose an ordinal regression task into a series of recursive binary classification steps, so as to subtly distinguish adjacent categories. Comprehensive experiments show the effectiveness of distinguishing adjacent categories for performance improvement and our new approach exceeds state-of-the-art performances in four different scenarios. Codes are available at https://github.com/wjh892521292/Ord2Seq.

Robust Image Ordinal Regression with Controllable Image Generation

Image ordinal regression has been mainly studied along the line of exploiting the order of categories. However, the issues of class imbalance and category overlap that are very common in ordinal regression were largely overlooked. As a result, the performance on minority categories is often unsatisfactory. In this paper, we propose a novel framework called CIG based on controllable image generation to directly tackle these two issues. Our main idea is to generate extra training samples with specific labels near category boundaries, and the sample generation is biased toward the less-represented categories. To achieve controllable image generation, we seek to separate structural and categorical information of images based on structural similarity, categorical similarity, and reconstruction constraints. We evaluate the effectiveness of our new CIG approach in three different image ordinal regression scenarios. The results demonstrate that CIG can be flexibly integrated with off-the-shelf image encoders or ordinal regression models to achieve improvement, and further, the improvement is more significant for minority categories.

CTT-Net: A Multi-view Cross-token Transformer for Cataract Postoperative Visual Acuity Prediction

Surgery is the only viable treatment for cataract patients with visual acuity (VA) impairment. Clinically, to assess the necessity of cataract surgery, accurately predicting postoperative VA before surgery by analyzing multi-view optical coherence tomography (OCT) images is crucially needed. Unfortunately, due to complicated fundus conditions, determining postoperative VA remains difficult for medical experts. Deep learning methods for this problem were developed in recent years. Although effective, these methods still face several issues, such as not efficiently exploring potential relations between multi-view OCT images, neglecting the key role of clinical prior knowledge (e.g., preoperative VA value), and using only regression-based metrics which are lacking reference. In this paper, we propose a novel Cross-token Transformer Network (CTT-Net) for postoperative VA prediction by analyzing both the multi-view OCT images and preoperative VA. To effectively fuse multi-view features of OCT images, we develop cross-token attention that could restrict redundant/unnecessary attention flow. Further, we utilize the preoperative VA value to provide more information for postoperative VA prediction and facilitate fusion between views. Moreover, we design an auxiliary classification loss to improve model performance and assess VA recovery more sufficiently, avoiding the limitation by only using the regression metrics. To evaluate CTT-Net, we build a multi-view OCT image dataset collected from our collaborative hospital. A set of extensive experiments validate the effectiveness of our model compared to existing methods in various metrics. Code is available at: https://github.com/wjh892521292/Cataract OCT.

Improving Human Sperm Head Morphology Classification with Unsupervised Anatomical Feature Distillation

With rising male infertility, sperm head morphology classification becomes critical for accurate and timely clinical diagnosis. Recent deep learning (DL) morphology analysis methods achieve promising benchmark results, but leave performance and robustness on the table by relying on limited and possibly noisy class labels. To address this, we introduce a new DL training framework that leverages anatomical and image priors from human sperm microscopy crops to extract useful features without additional labeling cost. Our core idea is to distill sperm head information with reliably-generated pseudo-masks and unsupervised spatial prediction tasks. The predicted foreground masks from this distillation step are then leveraged to regularize and reduce image and label noise in the tuning stage. We evaluate our new approach on two public sperm datasets and achieve state-of-the-art performances (e.g. 65.9% SCIAN accuracy and 96.5% HuSHeM accuracy).