PET Image Denoising via Text-Guided Diffusion: Integrating Anatomical Priors through Text Prompts

Low-dose Positron Emission Tomography (PET) imaging presents a significant challenge due to increased noise and reduced image quality, which can compromise its diagnostic accuracy and clinical utility. Denoising diffusion probabilistic models (DDPMs) have demonstrated promising performance for PET image denoising. However, existing DDPM-based methods typically overlook valuable metadata such as patient demographics, anatomical information, and scanning parameters, which should further enhance the denoising performance if considered. Recent advances in vision-language models (VLMs), particularly the pre-trained Contrastive Language-Image Pre-training (CLIP) model, have highlighted the potential of incorporating text-based information into visual tasks to improve downstream performance. In this preliminary study, we proposed a novel text-guided DDPM for PET image denoising that integrated anatomical priors through text prompts. Anatomical text descriptions were encoded using a pre-trained CLIP text encoder to extract semantic guidance, which was then incorporated into the diffusion process via the cross-attention mechanism. Evaluations based on paired 1/20 low-dose and normal-dose 18F-FDG PET datasets demonstrated that the proposed method achieved better quantitative performance than conventional UNet and standard DDPM methods at both the whole-body and organ levels. These results underscored the potential of leveraging VLMs to integrate rich metadata into the diffusion framework to enhance the image quality of low-dose PET scans.

Paleoinspired Vision: From Exploring Colour Vision Evolution to Inspiring Camera Design

The evolution of colour vision is captivating, as it reveals the adaptive strategies of extinct species while simultaneously inspiring innovations in modern imaging technology. In this study, we present a simplified model of visual transduction in the retina, introducing a novel opsin layer. We quantify evolutionary pressures by measuring machine vision recognition accuracy on colour images shaped by specific opsins. Building on this, we develop an evolutionary conservation optimisation algorithm to reconstruct the spectral sensitivity of opsins, enabling mutation-driven adaptations to to more effectively spot fruits or predators. This model condenses millions of years of evolution within seconds on GPU, providing an experimental framework to test long-standing hypotheses in evolutionary biology , such as vision of early mammals, primate trichromacy from gene duplication, retention of colour blindness, blue-shift of fish rod and multiple rod opsins with bioluminescence. Moreover, the model enables speculative explorations of hypothetical species, such as organisms with eyes adapted to the conditions on Mars. Our findings suggest a minimalist yet effective approach to task-specific camera filter design, optimising the spectral response function to meet application-driven demands. The code will be made publicly available upon acceptance.

A Comprehensive Survey of Foundation Models in Medicine

Foundation models (FMs) are large-scale deep-learning models trained on extensive datasets using self-supervised techniques. These models serve as a base for various downstream tasks, including healthcare. FMs have been adopted with great success across various domains within healthcare, including natural language processing (NLP), computer vision, graph learning, biology, and omics. Existing healthcare-based surveys have not yet included all of these domains. Therefore, this survey provides a comprehensive overview of FMs in healthcare. We focus on the history, learning strategies, flagship models, applications, and challenges of FMs. We explore how FMs such as the BERT and GPT families are reshaping various healthcare domains, including clinical large language models, medical image analysis, and omics data. Furthermore, we provide a detailed taxonomy of healthcare applications facilitated by FMs, such as clinical NLP, medical computer vision, graph learning, and other biology-related tasks. Despite the promising opportunities FMs provide, they also have several associated challenges, which are explained in detail. We also outline potential future directions to provide researchers and practitioners with insights into the potential and limitations of FMs in healthcare to advance their deployment and mitigate associated risks.

BrainFounder: Towards Brain Foundation Models for Neuroimage Analysis

The burgeoning field of brain health research increasingly leverages artificial intelligence (AI) to interpret and analyze neurological data. This study introduces a novel approach towards the creation of medical foundation models by integrating a large-scale multi-modal magnetic resonance imaging (MRI) dataset derived from 41,400 participants in its own. Our method involves a novel two-stage pretraining approach using vision transformers. The first stage is dedicated to encoding anatomical structures in generally healthy brains, identifying key features such as shapes and sizes of different brain regions. The second stage concentrates on spatial information, encompassing aspects like location and the relative positioning of brain structures. We rigorously evaluate our model, BrainFounder, using the Brain Tumor Segmentation (BraTS) challenge and Anatomical Tracings of Lesions After Stroke v2.0 (ATLAS v2.0) datasets. BrainFounder demonstrates a significant performance gain, surpassing the achievements of the previous winning solutions using fully supervised learning. Our findings underscore the impact of scaling up both the complexity of the model and the volume of unlabeled training data derived from generally healthy brains, which enhances the accuracy and predictive capabilities of the model in complex neuroimaging tasks with MRI. The implications of this research provide transformative insights and practical applications in healthcare and make substantial steps towards the creation of foundation models for Medical AI. Our pretrained models and training code can be found at https://github.com/lab-smile/GatorBrain.

Morphological Profiling for Drug Discovery in the Era of Deep Learning

Morphological profiling is a valuable tool in phenotypic drug discovery. The advent of high-throughput automated imaging has enabled the capturing of a wide range of morphological features of cells or organisms in response to perturbations at the single-cell resolution. Concurrently, significant advances in machine learning and deep learning, especially in computer vision, have led to substantial improvements in analyzing large-scale high-content images at high-throughput. These efforts have facilitated understanding of compound mechanism-of-action (MOA), drug repurposing, characterization of cell morphodynamics under perturbation, and ultimately contributing to the development of novel therapeutics. In this review, we provide a comprehensive overview of the recent advances in the field of morphological profiling. We summarize the image profiling analysis workflow, survey a broad spectrum of analysis strategies encompassing feature engineering- and deep learning-based approaches, and introduce publicly available benchmark datasets. We place a particular emphasis on the application of deep learning in this pipeline, covering cell segmentation, image representation learning, and multimodal learning. Additionally, we illuminate the application of morphological profiling in phenotypic drug discovery and highlight potential challenges and opportunities in this field.

DOMINO++: Domain-aware Loss Regularization for Deep Learning Generalizability

Out-of-distribution (OOD) generalization poses a serious challenge for modern deep learning (DL). OOD data consists of test data that is significantly different from the model's training data. DL models that perform well on in-domain test data could struggle on OOD data. Overcoming this discrepancy is essential to the reliable deployment of DL. Proper model calibration decreases the number of spurious connections that are made between model features and class outputs. Hence, calibrated DL can improve OOD generalization by only learning features that are truly indicative of the respective classes. Previous work proposed domain-aware model calibration (DOMINO) to improve DL calibration, but it lacks designs for model generalizability to OOD data. In this work, we propose DOMINO++, a dual-guidance and dynamic domain-aware loss regularization focused on OOD generalizability. DOMINO++ integrates expert-guided and data-guided knowledge in its regularization. Unlike DOMINO which imposed a fixed scaling and regularization rate, DOMINO++ designs a dynamic scaling factor and an adaptive regularization rate. Comprehensive evaluations compare DOMINO++ with DOMINO and the baseline model for head tissue segmentation from magnetic resonance images (MRIs) on OOD data. The OOD data consists of synthetic noisy and rotated datasets, as well as real data using a different MRI scanner from a separate site. DOMINO++'s superior performance demonstrates its potential to improve the trustworthy deployment of DL on real clinical data.

Deep Learning Predicts Prevalent and Incident Parkinson's Disease From UK Biobank Fundus Imaging

Parkinson's disease is the world's fastest growing neurological disorder. Research to elucidate the mechanisms of Parkinson's disease and automate diagnostics would greatly improve the treatment of patients with Parkinson's disease. Current diagnostic methods are expensive with limited availability. Considering the long progression time of Parkinson's disease, a desirable screening should be diagnostically accurate even before the onset of symptoms to allow medical intervention. We promote attention for retinal fundus imaging, often termed a window to the brain, as a diagnostic screening modality for Parkinson's disease. We conduct a systematic evaluation of conventional machine learning and deep learning techniques to classify Parkinson's disease from UK Biobank fundus imaging. Our results suggest Parkinson's disease individuals can be differentiated from age and gender matched healthy subjects with 71% accuracy. This accuracy is maintained when predicting either prevalent or incident Parkinson's disease. Explainability and trustworthiness is enhanced by visual attribution maps of localized biomarkers and quantified metrics of model robustness to data perturbations.

DOMINO: Domain-aware Loss for Deep Learning Calibration

Deep learning has achieved the state-of-the-art performance across medical imaging tasks; however, model calibration is often not considered. Uncalibrated models are potentially dangerous in high-risk applications since the user does not know when they will fail. Therefore, this paper proposes a novel domain-aware loss function to calibrate deep learning models. The proposed loss function applies a class-wise penalty based on the similarity between classes within a given target domain. Thus, the approach improves the calibration while also ensuring that the model makes less risky errors even when incorrect. The code for this software is available at https://github.com/lab-smile/DOMINO.

LAVA: Granular Neuron-Level Explainable AI for Alzheimer's Disease Assessment from Fundus Images

Alzheimer's Disease (AD) is a progressive neurodegenerative disease and the leading cause of dementia. Early diagnosis is critical for patients to benefit from potential intervention and treatment. The retina has been hypothesized as a diagnostic site for AD detection owing to its anatomical connection with the brain. Developed AI models for this purpose have yet to provide a rational explanation about the decision and neither infer the stage of disease's progression. Along this direction, we propose a novel model-agnostic explainable-AI framework, called Granular Neuron-level Explainer (LAVA), an interpretation prototype that probes into intermediate layers of the Convolutional Neural Network (CNN) models to assess the AD continuum directly from the retinal imaging without longitudinal or clinical evaluation. This method is applied to validate the retinal vasculature as a biomarker and diagnostic modality for Alzheimer's Disease (AD) evaluation. UK Biobank cognitive tests and vascular morphological features suggest LAVA shows strong promise and effectiveness in identifying AD stages across the progression continuum.

FedTiny: Pruned Federated Learning Towards Specialized Tiny Models

Neural network pruning has been a well-established compression technique to enable deep learning models on resource-constrained devices. The pruned model is usually specialized to meet specific hardware platforms and training tasks (defined as deployment scenarios). However, existing pruning approaches rely heavily on training data to trade off model size, efficiency, and accuracy, which becomes ineffective for federated learning (FL) over distributed and confidential datasets. Moreover, the memory- and compute-intensive pruning process of most existing approaches cannot be handled by most FL devices with resource limitations. In this paper, we develop FedTiny, a novel distributed pruning framework for FL, to obtain specialized tiny models for memory- and computing-constrained participating devices with confidential local data. To alleviate biased pruning due to unseen heterogeneous data over devices, FedTiny introduces an adaptive batch normalization (BN) selection module to adaptively obtain an initially pruned model to fit deployment scenarios. Besides, to further improve the initial pruning, FedTiny develops a lightweight progressive pruning module for local finer pruning under tight memory and computational budgets, where the pruning policy for each layer is gradually determined rather than evaluating the overall deep model structure. Extensive experimental results demonstrate the effectiveness of FedTiny, which outperforms state-of-the-art baseline approaches, especially when compressing deep models to extremely sparse tiny models.