MedCLIP-SAM: Bridging Text and Image Towards Universal Medical Image Segmentation

Medical image segmentation of anatomical structures and pathology is crucial in modern clinical diagnosis, disease study, and treatment planning. To date, great progress has been made in deep learning-based segmentation techniques, but most methods still lack data efficiency, generalizability, and interactability. Consequently, the development of new, precise segmentation methods that demand fewer labeled datasets is of utmost importance in medical image analysis. Recently, the emergence of foundation models, such as CLIP and Segment-Anything-Model (SAM), with comprehensive cross-domain representation opened the door for interactive and universal image segmentation. However, exploration of these models for data-efficient medical image segmentation is still limited, but is highly necessary. In this paper, we propose a novel framework, called MedCLIP-SAM that combines CLIP and SAM models to generate segmentation of clinical scans using text prompts in both zero-shot and weakly supervised settings. To achieve this, we employed a new Decoupled Hard Negative Noise Contrastive Estimation (DHN-NCE) loss to fine-tune the BiomedCLIP model and the recent gScoreCAM to generate prompts to obtain segmentation masks from SAM in a zero-shot setting. Additionally, we explored the use of zero-shot segmentation labels in a weakly supervised paradigm to improve the segmentation quality further. By extensively testing three diverse segmentation tasks and medical image modalities (breast tumor ultrasound, brain tumor MRI, and lung X-ray), our proposed framework has demonstrated excellent accuracy.

Deep Ultrasound Denoising Using Diffusion Probabilistic Models

Ultrasound images are widespread in medical diagnosis for musculoskeletal, cardiac, and obstetrical imaging due to the efficiency and non-invasiveness of the acquisition methodology. However, the acquired images are degraded by acoustic (e.g. reverberation and clutter) and electronic sources of noise. To improve the Peak Signal to Noise Ratio (PSNR) of the images, previous denoising methods often remove the speckles, which could be informative for radiologists and also for quantitative ultrasound. Herein, a method based on the recent Denoising Diffusion Probabilistic Models (DDPM) is proposed. It iteratively enhances the image quality by eliminating the noise while preserving the speckle texture. It is worth noting that the proposed method is trained in a completely unsupervised manner, and no annotated data is required. The experimental blind test results show that our method outperforms the previous nonlocal means denoising methods in terms of PSNR and Generalized Contrast to Noise Ratio (GCNR) while preserving speckles.