Medical visual question answering (Med-VQA) aims to automate the prediction of correct answers for medical images and questions, thereby assisting physicians in reducing repetitive tasks and alleviating their workload. Existing approaches primarily focus on pre-training models using additional and comprehensive datasets, followed by fine-tuning to enhance performance in downstream tasks. However, there is also significant value in exploring existing models to extract clinically relevant information. In this paper, we propose the Latent Prompt Assist model (LaPA) for medical visual question answering. Firstly, we design a latent prompt generation module to generate the latent prompt with the constraint of the target answer. Subsequently, we propose a multi-modal fusion block with latent prompt fusion module that utilizes the latent prompt to extract clinical-relevant information from uni-modal and multi-modal features. Additionally, we introduce a prior knowledge fusion module to integrate the relationship between diseases and organs with the clinical-relevant information. Finally, we combine the final integrated information with image-language cross-modal information to predict the final answers. Experimental results on three publicly available Med-VQA datasets demonstrate that LaPA outperforms the state-of-the-art model ARL, achieving improvements of 1.83%, 0.63%, and 1.80% on VQA-RAD, SLAKE, and VQA-2019, respectively. The code is publicly available at https://github.com/GaryGuTC/LaPA_model.
Shape plays an important role in computer graphics, offering informative features to convey an object's morphology and functionality. Shape analysis in brain imaging can help interpret structural and functionality correlations of the human brain. In this work, we investigate the shape of the brain's 3D white matter connections and its potential predictive relationship to human cognitive function. We reconstruct brain connections as sequences of 3D points using diffusion magnetic resonance imaging (dMRI) tractography. To describe each connection, we extract 12 shape descriptors in addition to traditional dMRI connectivity and tissue microstructure features. We introduce a novel framework, Shape--fused Fiber Cluster Transformer (SFFormer), that leverages a multi-head cross-attention feature fusion module to predict subject-specific language performance based on dMRI tractography. We assess the performance of the method on a large dataset including 1065 healthy young adults. The results demonstrate that both the transformer-based SFFormer model and its inter/intra feature fusion with shape, microstructure, and connectivity are informative, and together, they improve the prediction of subject-specific language performance scores. Overall, our results indicate that the shape of the brain's connections is predictive of human language function.
Machine learning holds tremendous promise for transforming the fundamental practice of scientific discovery by virtue of its data-driven nature. With the ever-increasing stream of research data collection, it would be appealing to autonomously explore patterns and insights from observational data for discovering novel classes of phenotypes and concepts. However, in the biomedical domain, there are several challenges inherently presented in the cumulated data which hamper the progress of novel class discovery. The non-i.i.d. data distribution accompanied by the severe imbalance among different groups of classes essentially leads to ambiguous and biased semantic representations. In this work, we present a geometry-constrained probabilistic modeling treatment to resolve the identified issues. First, we propose to parameterize the approximated posterior of instance embedding as a marginal von MisesFisher distribution to account for the interference of distributional latent bias. Then, we incorporate a suite of critical geometric properties to impose proper constraints on the layout of constructed embedding space, which in turn minimizes the uncontrollable risk for unknown class learning and structuring. Furthermore, a spectral graph-theoretic method is devised to estimate the number of potential novel classes. It inherits two intriguing merits compared to existent approaches, namely high computational efficiency and flexibility for taxonomy-adaptive estimation. Extensive experiments across various biomedical scenarios substantiate the effectiveness and general applicability of our method.
Source-free domain adaptation (SFDA) alleviates the domain discrepancy among data obtained from domains without accessing the data for the awareness of data privacy. However, existing conventional SFDA methods face inherent limitations in medical contexts, where medical data are typically collected from multiple institutions using various equipment. To address this problem, we propose a simple yet effective method, named Uncertainty-aware Adaptive Distillation (UAD) for the multi-source-free unsupervised domain adaptation (MSFDA) setting. UAD aims to perform well-calibrated knowledge distillation from (i) model level to deliver coordinated and reliable base model initialisation and (ii) instance level via model adaptation guided by high-quality pseudo-labels, thereby obtaining a high-performance target domain model. To verify its general applicability, we evaluate UAD on two image-based diagnosis benchmarks among two multi-centre datasets, where our method shows a significant performance gain compared with existing works. The code will be available soon.
Annotation scarcity and cross-modality/stain data distribution shifts are two major obstacles hindering the application of deep learning models for nuclei analysis, which holds a broad spectrum of potential applications in digital pathology. Recently, unsupervised domain adaptation (UDA) methods have been proposed to mitigate the distributional gap between different imaging modalities for unsupervised nuclei segmentation in histopathology images. However, existing UDA methods are built upon the assumption that data distributions within each domain should be uniform. Based on the over-simplified supposition, they propose to align the histopathology target domain with the source domain integrally, neglecting severe intra-domain discrepancy over subpartitions incurred by mixed cancer types and sampling organs. In this paper, for the first time, we propose to explicitly consider the heterogeneity within the histopathology domain and introduce open compound domain adaptation (OCDA) to resolve the crux. In specific, a two-stage disentanglement framework is proposed to acquire domain-invariant feature representations at both image and instance levels. The holistic design addresses the limitations of existing OCDA approaches which struggle to capture instance-wise variations. Two regularization strategies are specifically devised herein to leverage the rich subpartition-specific characteristics in histopathology images and facilitate subdomain decomposition. Moreover, we propose a dual-branch nucleus shape and structure preserving module to prevent nucleus over-generation and deformation in the synthesized images. Experimental results on both cross-modality and cross-stain scenarios over a broad range of diverse datasets demonstrate the superiority of our method compared with state-of-the-art UDA and OCDA methods.
The goal of automatic report generation is to generate a clinically accurate and coherent phrase from a single given X-ray image, which could alleviate the workload of traditional radiology reporting. However, in a real-world scenario, radiologists frequently face the challenge of producing extensive reports derived from numerous medical images, thereby medical report generation from multi-image perspective is needed. In this paper, we propose the Complex Organ Mask Guided (termed as COMG) report generation model, which incorporates masks from multiple organs (e.g., bones, lungs, heart, and mediastinum), to provide more detailed information and guide the model's attention to these crucial body regions. Specifically, we leverage prior knowledge of the disease corresponding to each organ in the fusion process to enhance the disease identification phase during the report generation process. Additionally, cosine similarity loss is introduced as target function to ensure the convergence of cross-modal consistency and facilitate model optimization.Experimental results on two public datasets show that COMG achieves a 11.4% and 9.7% improvement in terms of BLEU@4 scores over the SOTA model KiUT on IU-Xray and MIMIC, respectively. The code is publicly available at https://github.com/GaryGuTC/COMG_model.
Monocular 3D object detection (M3OD) is a significant yet inherently challenging task in autonomous driving due to absence of explicit depth cues in a single RGB image. In this paper, we strive to boost currently underperforming monocular 3D object detectors by leveraging an abundance of unlabelled data via semi-supervised learning. Our proposed ODM3D framework entails cross-modal knowledge distillation at various levels to inject LiDAR-domain knowledge into a monocular detector during training. By identifying foreground sparsity as the main culprit behind existing methods' suboptimal training, we exploit the precise localisation information embedded in LiDAR points to enable more foreground-attentive and efficient distillation via the proposed BEV occupancy guidance mask, leading to notably improved knowledge transfer and M3OD performance. Besides, motivated by insights into why existing cross-modal GT-sampling techniques fail on our task at hand, we further design a novel cross-modal object-wise data augmentation strategy for effective RGB-LiDAR joint learning. Our method ranks 1st in both KITTI validation and test benchmarks, significantly surpassing all existing monocular methods, supervised or semi-supervised, on both BEV and 3D detection metrics.
Monocular 3D object detection (M3OD) is a significant yet inherently challenging task in autonomous driving due to absence of implicit depth cues in a single RGB image. In this paper, we strive to boost currently underperforming monocular 3D object detectors by leveraging an abundance of unlabelled data via semi-supervised learning. Our proposed ODM3D framework entails cross-modal knowledge distillation at various levels to inject LiDAR-domain knowledge into a monocular detector during training. By identifying foreground sparsity as the main culprit behind existing methods' suboptimal training, we exploit the precise localisation information embedded in LiDAR points to enable more foreground-attentive and efficient distillation via the proposed BEV occupancy guidance mask, leading to notably improved knowledge transfer and M3OD performance. Besides, motivated by insights into why existing cross-modal GT-sampling techniques fail on our task at hand, we further design a novel cross-modal object-wise data augmentation strategy for effective RGB-LiDAR joint learning. Our method ranks 1st in both KITTI validation and test benchmarks, significantly surpassing all existing monocular methods, supervised or semi-supervised, on both BEV and 3D detection metrics.
Accurately measuring the evolution of Multiple Sclerosis (MS) with magnetic resonance imaging (MRI) critically informs understanding of disease progression and helps to direct therapeutic strategy. Deep learning models have shown promise for automatically segmenting MS lesions, but the scarcity of accurately annotated data hinders progress in this area. Obtaining sufficient data from a single clinical site is challenging and does not address the heterogeneous need for model robustness. Conversely, the collection of data from multiple sites introduces data privacy concerns and potential label noise due to varying annotation standards. To address this dilemma, we explore the use of the federated learning framework while considering label noise. Our approach enables collaboration among multiple clinical sites without compromising data privacy under a federated learning paradigm that incorporates a noise-robust training strategy based on label correction. Specifically, we introduce a Decoupled Hard Label Correction (DHLC) strategy that considers the imbalanced distribution and fuzzy boundaries of MS lesions, enabling the correction of false annotations based on prediction confidence. We also introduce a Centrally Enhanced Label Correction (CELC) strategy, which leverages the aggregated central model as a correction teacher for all sites, enhancing the reliability of the correction process. Extensive experiments conducted on two multi-site datasets demonstrate the effectiveness and robustness of our proposed methods, indicating their potential for clinical applications in multi-site collaborations.
Training an image captioner without annotated image-sentence pairs has gained traction in recent years. Previous approaches can be categorized into two strategies: crawling sentences from mismatching corpora and aligning them with the given images as pseudo annotations, or pre-training the captioner using external image-text pairs. However, the aligning setting seems to reach its performance limit due to the quality problem of pairs, and pre-training requires significant computational resources. To address these challenges, we propose a new strategy ``LPM + retrieval-augmented learning" where the prior knowledge from large pre-trained models (LPMs) is leveraged as supervision, and a retrieval process is integrated to further reinforce its effectiveness. Specifically, we introduce Retrieval-augmented Pseudo Sentence Generation (RaPSG), which adopts an efficient approach to retrieve highly relevant short region descriptions from the mismatching corpora and use them to generate a variety of pseudo sentences with distinct representations as well as high quality via LPMs. In addition, a fluency filter and a CLIP-guided training objective are further introduced to facilitate model optimization. Experimental results demonstrate that our method surpasses the SOTA pre-training model (Flamingo3B) by achieving a CIDEr score of 78.1 (+5.1) while utilizing only 0.3% of its trainable parameters (1.3B VS 33M). Importantly, our approach eliminates the need of computationally expensive pre-training processes on external datasets (e.g., the requirement of 312M image-text pairs for Flamingo3B). We further show that with a simple extension, the generated pseudo sentences can be deployed as weak supervision to boost the 1% semi-supervised image caption benchmark up to 93.4 CIDEr score (+8.9) which showcases the versatility and effectiveness of our approach.