HUydra: Full-Range Lung CT Synthesis via Multiple HU Interval Generative Modelling

Currently, a central challenge and bottleneck in the deployment and validation of computer-aided diagnosis (CAD) models within the field of medical imaging is data scarcity. For lung cancer, one of the most prevalent types worldwide, limited datasets can delay diagnosis and have an impact on patient outcome. Generative AI offers a promising solution for this issue, but dealing with the complex distribution of full Hounsfield Unit (HU) range lung CT scans is challenging and remains as a highly computationally demanding task. This paper introduces a novel decomposition strategy that synthesizes CT images one HU interval at a time, rather than modelling the entire HU domain at once. This framework focuses on training generative architectures on individual tissue-focused HU windows, then merges their output into a full-range scan via a learned reconstruction network that effectively reverses the HU-windowing process. We further propose multi-head and multi-decoder models to better capture textures while preserving anatomical consistency, with a multi-head VQVAE achieving the best performance for the generative task. Quantitative evaluation shows this approach significantly outperforms conventional 2D full-range baselines, achieving a 6.2% improvement in FID and superior MMD, Precision, and Recall across all HU intervals. The best performance is achieved by a multi-head VQVAE variant, demonstrating that it is possible to enhance visual fidelity and variability while also reducing model complexity and computational cost. This work establishes a new paradigm for structure-aware medical image synthesis, aligning generative modelling with clinical interpretation.

A Survey on Cell Nuclei Instance Segmentation and Classification: Leveraging Context and Attention

Manually annotating nuclei from the gigapixel Hematoxylin and Eosin (H&E)-stained Whole Slide Images (WSIs) is a laborious and costly task, meaning automated algorithms for cell nuclei instance segmentation and classification could alleviate the workload of pathologists and clinical researchers and at the same time facilitate the automatic extraction of clinically interpretable features. But due to high intra- and inter-class variability of nuclei morphological and chromatic features, as well as H&E-stains susceptibility to artefacts, state-of-the-art algorithms cannot correctly detect and classify instances with the necessary performance. In this work, we hypothesise context and attention inductive biases in artificial neural networks (ANNs) could increase the generalization of algorithms for cell nuclei instance segmentation and classification. We conduct a thorough survey on context and attention methods for cell nuclei instance segmentation and classification from H&E-stained microscopy imaging, while providing a comprehensive discussion of the challenges being tackled with context and attention. Besides, we illustrate some limitations of current approaches and present ideas for future research. As a case study, we extend both a general instance segmentation and classification method (Mask-RCNN) and a tailored cell nuclei instance segmentation and classification model (HoVer-Net) with context- and attention-based mechanisms, and do a comparative analysis on a multi-centre colon nuclei identification and counting dataset. Although pathologists rely on context at multiple levels while paying attention to specific Regions of Interest (RoIs) when analysing and annotating WSIs, our findings suggest translating that domain knowledge into algorithm design is no trivial task, but to fully exploit these mechanisms, the scientific understanding of these methods should be addressed.