C^2M-DoT: Cross-modal consistent multi-view medical report generation with domain transfer network

In clinical scenarios, multiple medical images with different views are usually generated simultaneously, and these images have high semantic consistency. However, most existing medical report generation methods only consider single-view data. The rich multi-view mutual information of medical images can help generate more accurate reports, however, the dependence of multi-view models on multi-view data in the inference stage severely limits their application in clinical practice. In addition, word-level optimization based on numbers ignores the semantics of reports and medical images, and the generated reports often cannot achieve good performance. Therefore, we propose a cross-modal consistent multi-view medical report generation with a domain transfer network (C^2M-DoT). Specifically, (i) a semantic-based multi-view contrastive learning medical report generation framework is adopted to utilize cross-view information to learn the semantic representation of lesions; (ii) a domain transfer network is further proposed to ensure that the multi-view report generation model can still achieve good inference performance under single-view input; (iii) meanwhile, optimization using a cross-modal consistency loss facilitates the generation of textual reports that are semantically consistent with medical images. Extensive experimental studies on two public benchmark datasets demonstrate that C^2M-DoT substantially outperforms state-of-the-art baselines in all metrics. Ablation studies also confirmed the validity and necessity of each component in C^2M-DoT.

AMLP:Adaptive Masking Lesion Patches for Self-supervised Medical Image Segmentation

Self-supervised masked image modeling has shown promising results on natural images. However, directly applying such methods to medical images remains challenging. This difficulty stems from the complexity and distinct characteristics of lesions compared to natural images, which impedes effective representation learning. Additionally, conventional high fixed masking ratios restrict reconstructing fine lesion details, limiting the scope of learnable information. To tackle these limitations, we propose a novel self-supervised medical image segmentation framework, Adaptive Masking Lesion Patches (AMLP). Specifically, we design a Masked Patch Selection (MPS) strategy to identify and focus learning on patches containing lesions. Lesion regions are scarce yet critical, making their precise reconstruction vital. To reduce misclassification of lesion and background patches caused by unsupervised clustering in MPS, we introduce an Attention Reconstruction Loss (ARL) to focus on hard-to-reconstruct patches likely depicting lesions. We further propose a Category Consistency Loss (CCL) to refine patch categorization based on reconstruction difficulty, strengthening distinction between lesions and background. Moreover, we develop an Adaptive Masking Ratio (AMR) strategy that gradually increases the masking ratio to expand reconstructible information and improve learning. Extensive experiments on two medical segmentation datasets demonstrate AMLP's superior performance compared to existing self-supervised approaches. The proposed strategies effectively address limitations in applying masked modeling to medical images, tailored to capturing fine lesion details vital for segmentation tasks.

MvCo-DoT:Multi-View Contrastive Domain Transfer Network for Medical Report Generation

In clinical scenarios, multiple medical images with different views are usually generated at the same time, and they have high semantic consistency. However, the existing medical report generation methods cannot exploit the rich multi-view mutual information of medical images. Therefore, in this work, we propose the first multi-view medical report generation model, called MvCo-DoT. Specifically, MvCo-DoT first propose a multi-view contrastive learning (MvCo) strategy to help the deep reinforcement learning based model utilize the consistency of multi-view inputs for better model learning. Then, to close the performance gaps of using multi-view and single-view inputs, a domain transfer network is further proposed to ensure MvCo-DoT achieve almost the same performance as multi-view inputs using only single-view inputs.Extensive experiments on the IU X-Ray public dataset show that MvCo-DoT outperforms the SOTA medical report generation baselines in all metrics.

MPS-AMS: Masked Patches Selection and Adaptive Masking Strategy Based Self-Supervised Medical Image Segmentation

Existing self-supervised learning methods based on contrastive learning and masked image modeling have demonstrated impressive performances. However, current masked image modeling methods are mainly utilized in natural images, and their applications in medical images are relatively lacking. Besides, their fixed high masking strategy limits the upper bound of conditional mutual information, and the gradient noise is considerable, making less the learned representation information. Motivated by these limitations, in this paper, we propose masked patches selection and adaptive masking strategy based self-supervised medical image segmentation method, named MPS-AMS. We leverage the masked patches selection strategy to choose masked patches with lesions to obtain more lesion representation information, and the adaptive masking strategy is utilized to help learn more mutual information and improve performance further. Extensive experiments on three public medical image segmentation datasets (BUSI, Hecktor, and Brats2018) show that our proposed method greatly outperforms the state-of-the-art self-supervised baselines.