SDR-Former: A Siamese Dual-Resolution Transformer for Liver Lesion Classification Using 3D Multi-Phase Imaging

Automated classification of liver lesions in multi-phase CT and MR scans is of clinical significance but challenging. This study proposes a novel Siamese Dual-Resolution Transformer (SDR-Former) framework, specifically designed for liver lesion classification in 3D multi-phase CT and MR imaging with varying phase counts. The proposed SDR-Former utilizes a streamlined Siamese Neural Network (SNN) to process multi-phase imaging inputs, possessing robust feature representations while maintaining computational efficiency. The weight-sharing feature of the SNN is further enriched by a hybrid Dual-Resolution Transformer (DR-Former), comprising a 3D Convolutional Neural Network (CNN) and a tailored 3D Transformer for processing high- and low-resolution images, respectively. This hybrid sub-architecture excels in capturing detailed local features and understanding global contextual information, thereby, boosting the SNN's feature extraction capabilities. Additionally, a novel Adaptive Phase Selection Module (APSM) is introduced, promoting phase-specific intercommunication and dynamically adjusting each phase's influence on the diagnostic outcome. The proposed SDR-Former framework has been validated through comprehensive experiments on two clinical datasets: a three-phase CT dataset and an eight-phase MR dataset. The experimental results affirm the efficacy of the proposed framework. To support the scientific community, we are releasing our extensive multi-phase MR dataset for liver lesion analysis to the public. This pioneering dataset, being the first publicly available multi-phase MR dataset in this field, also underpins the MICCAI LLD-MMRI Challenge. The dataset is accessible at:https://bit.ly/3IyYlgN.

Generate to Understand for Representation

In recent years, a significant number of high-quality pretrained models have emerged, greatly impacting Natural Language Understanding (NLU), Natural Language Generation (NLG), and Text Representation tasks. Traditionally, these models are pretrained on custom domain corpora and finetuned for specific tasks, resulting in high costs related to GPU usage and labor. Unfortunately, recent trends in language modeling have shifted towards enhancing performance through scaling, further exacerbating the associated costs. Introducing GUR: a pretraining framework that combines language modeling and contrastive learning objectives in a single training step. We select similar text pairs based on their Longest Common Substring (LCS) from raw unlabeled documents and train the model using masked language modeling and unsupervised contrastive learning. The resulting model, GUR, achieves impressive results without any labeled training data, outperforming all other pretrained baselines as a retriever at the recall benchmark in a zero-shot setting. Additionally, GUR maintains its language modeling ability, as demonstrated in our ablation experiment. Our code is available at \url{https://github.com/laohur/GUR}.

Cluster Entropy: Active Domain Adaptation in Pathological Image Segmentation

The domain shift in pathological segmentation is an important problem, where a network trained by a source domain (collected at a specific hospital) does not work well in the target domain (from different hospitals) due to the different image features. Due to the problems of class imbalance and different class prior of pathology, typical unsupervised domain adaptation methods do not work well by aligning the distribution of source domain and target domain. In this paper, we propose a cluster entropy for selecting an effective whole slide image (WSI) that is used for semi-supervised domain adaptation. This approach can measure how the image features of the WSI cover the entire distribution of the target domain by calculating the entropy of each cluster and can significantly improve the performance of domain adaptation. Our approach achieved competitive results against the prior arts on datasets collected from two hospitals.

Mixing Data Augmentation with Preserving Foreground Regions in Medical Image Segmentation

The development of medical image segmentation using deep learning can significantly support doctors' diagnoses. Deep learning needs large amounts of data for training, which also requires data augmentation to extend diversity for preventing overfitting. However, the existing methods for data augmentation of medical image segmentation are mainly based on models which need to update parameters and cost extra computing resources. We proposed data augmentation methods designed to train a high accuracy deep learning network for medical image segmentation. The proposed data augmentation approaches are called KeepMask and KeepMix, which can create medical images by better identifying the boundary of the organ with no more parameters. Our methods achieved better performance and obtained more precise boundaries for medical image segmentation on datasets. The dice coefficient of our methods achieved 94.15% (3.04% higher than baseline) on CHAOS and 74.70% (5.25% higher than baseline) on MSD spleen with Unet.

Compound Domain Generalization via Meta-Knowledge Encoding

Domain generalization (DG) aims to improve the generalization performance for an unseen target domain by using the knowledge of multiple seen source domains. Mainstream DG methods typically assume that the domain label of each source sample is known a priori, which is challenged to be satisfied in many real-world applications. In this paper, we study a practical problem of compound DG, which relaxes the discrete domain assumption to the mixed source domains setting. On the other hand, current DG algorithms prioritize the focus on semantic invariance across domains (one-vs-one), while paying less attention to the holistic semantic structure (many-vs-many). Such holistic semantic structure, referred to as meta-knowledge here, is crucial for learning generalizable representations. To this end, we present Compound Domain Generalization via Meta-Knowledge Encoding (COMEN), a general approach to automatically discover and model latent domains in two steps. Firstly, we introduce Style-induced Domain-specific Normalization (SDNorm) to re-normalize the multi-modal underlying distributions, thereby dividing the mixture of source domains into latent clusters. Secondly, we harness the prototype representations, the centroids of classes, to perform relational modeling in the embedding space with two parallel and complementary modules, which explicitly encode the semantic structure for the out-of-distribution generalization. Experiments on four standard DG benchmarks reveal that COMEN exceeds the state-of-the-art performance without the need of domain supervision.

Identification of Pediatric Respiratory Diseases Using Fine-grained Diagnosis System

Respiratory diseases, including asthma, bronchitis, pneumonia, and upper respiratory tract infection (RTI), are among the most common diseases in clinics. The similarities among the symptoms of these diseases precludes prompt diagnosis upon the patients' arrival. In pediatrics, the patients' limited ability in expressing their situation makes precise diagnosis even harder. This becomes worse in primary hospitals, where the lack of medical imaging devices and the doctors' limited experience further increase the difficulty of distinguishing among similar diseases. In this paper, a pediatric fine-grained diagnosis-assistant system is proposed to provide prompt and precise diagnosis using solely clinical notes upon admission, which would assist clinicians without changing the diagnostic process. The proposed system consists of two stages: a test result structuralization stage and a disease identification stage. The first stage structuralizes test results by extracting relevant numerical values from clinical notes, and the disease identification stage provides a diagnosis based on text-form clinical notes and the structured data obtained from the first stage. A novel deep learning algorithm was developed for the disease identification stage, where techniques including adaptive feature infusion and multi-modal attentive fusion were introduced to fuse structured and text data together. Clinical notes from over 12000 patients with respiratory diseases were used to train a deep learning model, and clinical notes from a non-overlapping set of about 1800 patients were used to evaluate the performance of the trained model. The average precisions (AP) for pneumonia, RTI, bronchitis and asthma are 0.878, 0.857, 0.714, and 0.825, respectively, achieving a mean AP (mAP) of 0.819.

A Structure-Aware Relation Network for Thoracic Diseases Detection and Segmentation

Instance level detection and segmentation of thoracic diseases or abnormalities are crucial for automatic diagnosis in chest X-ray images. Leveraging on constant structure and disease relations extracted from domain knowledge, we propose a structure-aware relation network (SAR-Net) extending Mask R-CNN. The SAR-Net consists of three relation modules: 1. the anatomical structure relation module encoding spatial relations between diseases and anatomical parts. 2. the contextual relation module aggregating clues based on query-key pair of disease RoI and lung fields. 3. the disease relation module propagating co-occurrence and causal relations into disease proposals. Towards making a practical system, we also provide ChestX-Det, a chest X-Ray dataset with instance-level annotations (boxes and masks). ChestX-Det is a subset of the public dataset NIH ChestX-ray14. It contains ~3500 images of 13 common disease categories labeled by three board-certified radiologists. We evaluate our SAR-Net on it and another dataset DR-Private. Experimental results show that it can enhance the strong baseline of Mask R-CNN with significant improvements. The ChestX-Det is released at https://github.com/Deepwise-AILab/ChestX-Det-Dataset.

Adaptive noise imitation for image denoising

The effectiveness of existing denoising algorithms typically relies on accurate pre-defined noise statistics or plenty of paired data, which limits their practicality. In this work, we focus on denoising in the more common case where noise statistics and paired data are unavailable. Considering that denoising CNNs require supervision, we develop a new \textbf{adaptive noise imitation (ADANI)} algorithm that can synthesize noisy data from naturally noisy images. To produce realistic noise, a noise generator takes unpaired noisy/clean images as input, where the noisy image is a guide for noise generation. By imposing explicit constraints on the type, level and gradient of noise, the output noise of ADANI will be similar to the guided noise, while keeping the original clean background of the image. Coupling the noisy data output from ADANI with the corresponding ground-truth, a denoising CNN is then trained in a fully-supervised manner. Experiments show that the noisy data produced by ADANI are visually and statistically similar to real ones so that the denoising CNN in our method is competitive to other networks trained with external paired data.

GASNet: Weakly-supervised Framework for COVID-19 Lesion Segmentation

Segmentation of infected areas in chest CT volumes is of great significance for further diagnosis and treatment of COVID-19 patients. Due to the complex shapes and varied appearances of lesions, a large number of voxel-level labeled samples are generally required to train a lesion segmentation network, which is a main bottleneck for developing deep learning based medical image segmentation algorithms. In this paper, we propose a weakly-supervised lesion segmentation framework by embedding the Generative Adversarial training process into the Segmentation Network, which is called GASNet. GASNet is optimized to segment the lesion areas of a COVID-19 CT by the segmenter, and to replace the abnormal appearance with a generated normal appearance by the generator, so that the restored CT volumes are indistinguishable from healthy CT volumes by the discriminator. GASNet is supervised by chest CT volumes of many healthy and COVID-19 subjects without voxel-level annotations. Experiments on three public databases show that when using as few as one voxel-level labeled sample, the performance of GASNet is comparable to fully-supervised segmentation algorithms trained on dozens of voxel-level labeled samples.