Generative Enhancement for 3D Medical Images

The limited availability of 3D medical image datasets, due to privacy concerns and high collection or annotation costs, poses significant challenges in the field of medical imaging. While a promising alternative is the use of synthesized medical data, there are few solutions for realistic 3D medical image synthesis due to difficulties in backbone design and fewer 3D training samples compared to 2D counterparts. In this paper, we propose GEM-3D, a novel generative approach to the synthesis of 3D medical images and the enhancement of existing datasets using conditional diffusion models. Our method begins with a 2D slice, noted as the informed slice to serve the patient prior, and propagates the generation process using a 3D segmentation mask. By decomposing the 3D medical images into masks and patient prior information, GEM-3D offers a flexible yet effective solution for generating versatile 3D images from existing datasets. GEM-3D can enable dataset enhancement by combining informed slice selection and generation at random positions, along with editable mask volumes to introduce large variations in diffusion sampling. Moreover, as the informed slice contains patient-wise information, GEM-3D can also facilitate counterfactual image synthesis and dataset-level de-enhancement with desired control. Experiments on brain MRI and abdomen CT images demonstrate that GEM-3D is capable of synthesizing high-quality 3D medical images with volumetric consistency, offering a straightforward solution for dataset enhancement during inference. The code is available at https://github.com/HKU-MedAI/GEM-3D.

Deformable Endoscopic Tissues Reconstruction with Gaussian Splatting

Surgical 3D reconstruction is a critical area of research in robotic surgery, with recent works adopting variants of dynamic radiance fields to achieve success in 3D reconstruction of deformable tissues from single-viewpoint videos. However, these methods often suffer from time-consuming optimization or inferior quality, limiting their adoption in downstream tasks. Inspired by 3D Gaussian Splatting, a recent trending 3D representation, we present EndoGS, applying Gaussian Splatting for deformable endoscopic tissue reconstruction. Specifically, our approach incorporates deformation fields to handle dynamic scenes, depth-guided supervision to optimize 3D targets with a single viewpoint, and a spatial-temporal weight mask to mitigate tool occlusion. As a result, EndoGS reconstructs and renders high-quality deformable endoscopic tissues from a single-viewpoint video, estimated depth maps, and labeled tool masks. Experiments on DaVinci robotic surgery videos demonstrate that EndoGS achieves superior rendering quality. Code is available at https://github.com/HKU-MedAI/EndoGS.

CustomVideo: Customizing Text-to-Video Generation with Multiple Subjects

Customized text-to-video generation aims to generate high-quality videos guided by text prompts and subject references. Current approaches designed for single subjects suffer from tackling multiple subjects, which is a more challenging and practical scenario. In this work, we aim to promote multi-subject guided text-to-video customization. We propose CustomVideo, a novel framework that can generate identity-preserving videos with the guidance of multiple subjects. To be specific, firstly, we encourage the co-occurrence of multiple subjects via composing them in a single image. Further, upon a basic text-to-video diffusion model, we design a simple yet effective attention control strategy to disentangle different subjects in the latent space of diffusion model. Moreover, to help the model focus on the specific object area, we segment the object from given reference images and provide a corresponding object mask for attention learning. Also, we collect a multi-subject text-to-video generation dataset as a comprehensive benchmark, with 69 individual subjects and 57 meaningful pairs. Extensive qualitative, quantitative, and user study results demonstrate the superiority of our method, compared with the previous state-of-the-art approaches.

IDRNet: Intervention-Driven Relation Network for Semantic Segmentation

Co-occurrent visual patterns suggest that pixel relation modeling facilitates dense prediction tasks, which inspires the development of numerous context modeling paradigms, \emph{e.g.}, multi-scale-driven and similarity-driven context schemes. Despite the impressive results, these existing paradigms often suffer from inadequate or ineffective contextual information aggregation due to reliance on large amounts of predetermined priors. To alleviate the issues, we propose a novel \textbf{I}ntervention-\textbf{D}riven \textbf{R}elation \textbf{Net}work (\textbf{IDRNet}), which leverages a deletion diagnostics procedure to guide the modeling of contextual relations among different pixels. Specifically, we first group pixel-level representations into semantic-level representations with the guidance of pseudo labels and further improve the distinguishability of the grouped representations with a feature enhancement module. Next, a deletion diagnostics procedure is conducted to model relations of these semantic-level representations via perceiving the network outputs and the extracted relations are utilized to guide the semantic-level representations to interact with each other. Finally, the interacted representations are utilized to augment original pixel-level representations for final predictions. Extensive experiments are conducted to validate the effectiveness of IDRNet quantitatively and qualitatively. Notably, our intervention-driven context scheme brings consistent performance improvements to state-of-the-art segmentation frameworks and achieves competitive results on popular benchmark datasets, including ADE20K, COCO-Stuff, PASCAL-Context, LIP, and Cityscapes. Code is available at \url{https://github.com/SegmentationBLWX/sssegmentation}.

Cheap Lunch for Medical Image Segmentation by Fine-tuning SAM on Few Exemplars

The Segment Anything Model (SAM) has demonstrated remarkable capabilities of scaled-up segmentation models, enabling zero-shot generalization across a variety of domains. By leveraging large-scale foundational models as pre-trained models, it is a natural progression to fine-tune SAM for specific domains to further enhance performances. However, the adoption of foundational models in the medical domain presents a challenge due to the difficulty and expense of labeling sufficient data for adaptation within hospital systems. In this paper, we introduce an efficient and practical approach for fine-tuning SAM using a limited number of exemplars, making it suitable for such scenarios. Our approach combines two established techniques from the literature: an exemplar-guided synthesis module and the widely recognized Low-Rank Adaptation (LoRA) fine-tuning strategy, serving as data-level and model-level attempts respectively. Interestingly, our empirical findings suggest that SAM can be effectively aligned within the medical domain even with few labeled data. We validate our approach through experiments on brain tumor segmentation (BraTS) and multi-organ CT segmentation (Synapse). The comprehensive results underscore the feasibility and effectiveness of such an approach, paving the way for the practical application of SAM in the medical domain.

Make-A-Volume: Leveraging Latent Diffusion Models for Cross-Modality 3D Brain MRI Synthesis

Cross-modality medical image synthesis is a critical topic and has the potential to facilitate numerous applications in the medical imaging field. Despite recent successes in deep-learning-based generative models, most current medical image synthesis methods rely on generative adversarial networks and suffer from notorious mode collapse and unstable training. Moreover, the 2D backbone-driven approaches would easily result in volumetric inconsistency, while 3D backbones are challenging and impractical due to the tremendous memory cost and training difficulty. In this paper, we introduce a new paradigm for volumetric medical data synthesis by leveraging 2D backbones and present a diffusion-based framework, Make-A-Volume, for cross-modality 3D medical image synthesis. To learn the cross-modality slice-wise mapping, we employ a latent diffusion model and learn a low-dimensional latent space, resulting in high computational efficiency. To enable the 3D image synthesis and mitigate volumetric inconsistency, we further insert a series of volumetric layers in the 2D slice-mapping model and fine-tune them with paired 3D data. This paradigm extends the 2D image diffusion model to a volumetric version with a slightly increasing number of parameters and computation, offering a principled solution for generic cross-modality 3D medical image synthesis. We showcase the effectiveness of our Make-A-Volume framework on an in-house SWI-MRA brain MRI dataset and a public T1-T2 brain MRI dataset. Experimental results demonstrate that our framework achieves superior synthesis results with volumetric consistency.

Taming Diffusion Models for Audio-Driven Co-Speech Gesture Generation

Animating virtual avatars to make co-speech gestures facilitates various applications in human-machine interaction. The existing methods mainly rely on generative adversarial networks (GANs), which typically suffer from notorious mode collapse and unstable training, thus making it difficult to learn accurate audio-gesture joint distributions. In this work, we propose a novel diffusion-based framework, named Diffusion Co-Speech Gesture (DiffGesture), to effectively capture the cross-modal audio-to-gesture associations and preserve temporal coherence for high-fidelity audio-driven co-speech gesture generation. Specifically, we first establish the diffusion-conditional generation process on clips of skeleton sequences and audio to enable the whole framework. Then, a novel Diffusion Audio-Gesture Transformer is devised to better attend to the information from multiple modalities and model the long-term temporal dependency. Moreover, to eliminate temporal inconsistency, we propose an effective Diffusion Gesture Stabilizer with an annealed noise sampling strategy. Benefiting from the architectural advantages of diffusion models, we further incorporate implicit classifier-free guidance to trade off between diversity and gesture quality. Extensive experiments demonstrate that DiffGesture achieves state-of-theart performance, which renders coherent gestures with better mode coverage and stronger audio correlations. Code is available at https://github.com/Advocate99/DiffGesture.