Multi-Class Segmentation of Aortic Branches and Zones in Computed Tomography Angiography: The AortaSeg24 Challenge

Multi-class segmentation of the aorta in computed tomography angiography (CTA) scans is essential for diagnosing and planning complex endovascular treatments for patients with aortic dissections. However, existing methods reduce aortic segmentation to a binary problem, limiting their ability to measure diameters across different branches and zones. Furthermore, no open-source dataset is currently available to support the development of multi-class aortic segmentation methods. To address this gap, we organized the AortaSeg24 MICCAI Challenge, introducing the first dataset of 100 CTA volumes annotated for 23 clinically relevant aortic branches and zones. This dataset was designed to facilitate both model development and validation. The challenge attracted 121 teams worldwide, with participants leveraging state-of-the-art frameworks such as nnU-Net and exploring novel techniques, including cascaded models, data augmentation strategies, and custom loss functions. We evaluated the submitted algorithms using the Dice Similarity Coefficient (DSC) and Normalized Surface Distance (NSD), highlighting the approaches adopted by the top five performing teams. This paper presents the challenge design, dataset details, evaluation metrics, and an in-depth analysis of the top-performing algorithms. The annotated dataset, evaluation code, and implementations of the leading methods are publicly available to support further research. All resources can be accessed at https://aortaseg24.grand-challenge.org.

Topology-Aware Exploration of Circle of Willis for CTA and MRA: Segmentation, Detection, and Classification

The Circle of Willis (CoW) vessels is critical to connecting major circulations of the brain. The topology of the vascular structure is clinical significance to evaluate the risk, severity of the neuro-vascular diseases. The CoW has two representative angiographic imaging modalities, computed tomography angiography (CTA) and magnetic resonance angiography (MRA). TopCow24 provided 125 paired CTA-MRA dataset for the analysis of CoW. To explore both CTA and MRA images in a unified framework to learn the inherent topology of Cow, we construct the universal dataset via independent intensity preprocess, followed by joint resampling and normarlization. Then, we utilize the topology-aware loss to enhance the topology completeness of the CoW and the discrimination between different classes. A complementary topology-aware refinement is further conducted to enhance the connectivity within the same class. Our method was evaluated on all the three tasks and two modalities, achieving competitive results. In the final test phase of TopCow24 Challenge, we achieved the second place in the CTA-Seg-Task, the third palce in the CTA-Box-Task, the first place in the CTA-Edg-Task, the second place in the MRA-Seg-Task, the third palce in the MRA-Box-Task, the second place in the MRA-Edg-Task.

PASS:Test-Time Prompting to Adapt Styles and Semantic Shapes in Medical Image Segmentation

Test-time adaptation (TTA) has emerged as a promising paradigm to handle the domain shifts at test time for medical images from different institutions without using extra training data. However, existing TTA solutions for segmentation tasks suffer from (1) dependency on modifying the source training stage and access to source priors or (2) lack of emphasis on shape-related semantic knowledge that is crucial for segmentation tasks.Recent research on visual prompt learning achieves source-relaxed adaptation by extended parameter space but still neglects the full utilization of semantic features, thus motivating our work on knowledge-enriched deep prompt learning. Beyond the general concern of image style shifts, we reveal that shape variability is another crucial factor causing the performance drop. To address this issue, we propose a TTA framework called PASS (Prompting to Adapt Styles and Semantic shapes), which jointly learns two types of prompts: the input-space prompt to reformulate the style of the test image to fit into the pretrained model and the semantic-aware prompts to bridge high-level shape discrepancy across domains. Instead of naively imposing a fixed prompt, we introduce an input decorator to generate the self-regulating visual prompt conditioned on the input data. To retrieve the knowledge representations and customize target-specific shape prompts for each test sample, we propose a cross-attention prompt modulator, which performs interaction between target representations and an enriched shape prompt bank. Extensive experiments demonstrate the superior performance of PASS over state-of-the-art methods on multiple medical image segmentation datasets. The code is available at https://github.com/EndoluminalSurgicalVision-IMR/PASS.

SLoRD: Structural Low-Rank Descriptors for Shape Consistency in Vertebrae Segmentation

Automatic and precise segmentation of vertebrae from CT images is crucial for various clinical applications. However, due to a lack of explicit and strict constraints, existing methods especially for single-stage methods, still suffer from the challenge of intra-vertebrae segmentation inconsistency, which refers to multiple label predictions inside a singular vertebra. For multi-stage methods, vertebrae detection serving as the first step, is affected by the pathology and mental implants. Thus, incorrect detections cause biased patches before segmentation, then lead to inconsistent labeling and segmentation. In our work, motivated by the perspective of instance segmentation, we try to label individual and complete binary masks to address this limitation. Specifically, a contour-based network is proposed based on Structural Low-Rank Descriptors for shape consistency, termed SLoRD. These contour descriptors are acquired in a data-driven manner in advance. For a more precise representation of contour descriptors, we adopt the spherical coordinate system and devise the spherical centroid. Besides, the contour loss is designed to impose explicit consistency constraints, facilitating regressed contour points close to vertebral boundaries. Quantitative and qualitative evaluations on VerSe 2019 demonstrate the superior performance of our framework over other single-stage and multi-stage state-of-the-art (SOTA) methods.

PnPNet: Pull-and-Push Networks for Volumetric Segmentation with Boundary Confusion

Precise boundary segmentation of volumetric images is a critical task for image-guided diagnosis and computer-assisted intervention, especially for boundary confusion in clinical practice. However, U-shape networks cannot effectively resolve this challenge due to the lack of boundary shape constraints. Besides, existing methods of refining boundaries overemphasize the slender structure, which results in the overfitting phenomenon due to networks' limited abilities to model tiny objects. In this paper, we reconceptualize the mechanism of boundary generation by encompassing the interaction dynamics with adjacent regions. Moreover, we propose a unified network termed PnPNet to model shape characteristics of the confused boundary region. Core ingredients of PnPNet contain the pushing and pulling branches. Specifically, based on diffusion theory, we devise the semantic difference module (SDM) from the pushing branch to squeeze the boundary region. Explicit and implicit differential information inside SDM significantly boost representation abilities for inter-class boundaries. Additionally, motivated by the K-means algorithm, the class clustering module (CCM) from the pulling branch is introduced to stretch the intersected boundary region. Thus, pushing and pulling branches will shrink and enlarge the boundary uncertainty respectively. They furnish two adversarial forces to promote models to output a more precise delineation of boundaries. We carry out experiments on three challenging public datasets and one in-house dataset, containing three types of boundary confusion in model predictions. Experimental results demonstrate the superiority of PnPNet over other segmentation networks, especially on evaluation metrics of HD and ASSD. Besides, pushing and pulling branches can serve as plug-and-play modules to enhance classic U-shape baseline models. Codes are available.

Implicit Shape Modeling for Anatomical Structure Refinement of Volumetric Medical Images

Shape modeling of volumetric medical images is a critical task for quantitative analysis and surgical plans in computer-aided diagnosis. To relieve the burden of expert clinicians, the reconstructed shapes are widely acquired from deep learning models, e.g. Convolutional Neural Networks (CNNs), followed by marching cube algorithm. However, automatically obtaining reconstructed shapes can not always achieve perfect results due to the limited resolution of images and lack of shape prior constraints. In this paper, we design a unified framework for the refinement of medical image segmentation on top of an implicit neural network. Specifically, To learn a sharable shape prior from different instances within the same category in the training phase, the physical information of volumetric medical images are firstly utilized to construct the Physical-Informed Continuous Coordinate Transform (PICCT). PICCT transforms the input data in an aligned manner fed into the implicit shape modeling. To better learn shape representation, we introduce implicit shape constraints on top of the signed distance function (SDF) into the implicit shape modeling of both instances and latent template. For the inference phase, a template interaction module (TIM) is proposed to refine initial results produced by CNNs via deforming deep implicit templates with latent codes. Experimental results on three datasets demonstrated the superiority of our approach in shape refinement. The Chamfer Distance/Earth Mover's Distance achieved by the proposed method are 0.232/0.087 on the Liver dataset, 0.128/0.069 on the Pancreas dataset, and 0.417/0.100 on the Lung Lobe dataset.

Learning with Explicit Shape Priors for Medical Image Segmentation

Medical image segmentation is considered as the basic step for medical image analysis and surgical intervention. And many previous works attempted to incorporate shape priors for designing segmentation models, which is beneficial to attain finer masks with anatomical shape information. Here in our work, we detailedly discuss three types of segmentation models with shape priors, which consist of atlas-based models, statistical-based models and UNet-based models. On the ground that the former two kinds of methods show a poor generalization ability, UNet-based models have dominated the field of medical image segmentation in recent years. However, existing UNet-based models tend to employ implicit shape priors, which do not have a good interpretability and generalization ability on different organs with distinctive shapes. Thus, we proposed a novel shape prior module (SPM), which could explicitly introduce shape priors to promote the segmentation performance of UNet-based models. To evaluate the effectiveness of SPM, we conduct experiments on three challenging public datasets. And our proposed model achieves state-of-the-art performance. Furthermore, SPM shows an outstanding generalization ability on different classic convolution-neural-networks (CNNs) and recent Transformer-based backbones, which can serve as a plug-and-play structure for the segmentation task of different datasets.

The Deep Learning Compiler: A Comprehensive Survey

The difficulty of deploying various deep learning (DL) models on diverse DL hardware has boosted the research and development of DL compilers in the community. Several DL compilers have been proposed from both industry and academia such as Tensorflow XLA and TVM. Similarly, the DL compilers take the DL models described in different DL frameworks as input, and then generate optimized codes for diverse DL hardware as output. However, none of the existing survey has analyzed the unique design of the DL compilers comprehensively. In this paper, we perform a comprehensive survey of existing DL compilers by dissecting the commonly adopted design in details, with emphasis on the DL oriented multi-level IRs, and frontend/backend optimizations. Specifically, we provide a comprehensive comparison among existing DL compilers from various aspects. In addition, we present detailed analysis of the multi-level IR design and compiler optimization techniques. Finally, several insights are highlighted as the potential research directions of DL compiler. This is the first survey paper focusing on the unique design of DL compiler, which we hope can pave the road for future research towards the DL compiler.

swCaffe: a Parallel Framework for Accelerating Deep Learning Applications on Sunway TaihuLight

This paper reports our efforts on swCaffe, a highly efficient parallel framework for accelerating deep neural networks (DNNs) training on Sunway TaihuLight, the current fastest supercomputer in the world that adopts a unique many-core heterogeneous architecture, with 40,960 SW26010 processors connected through a customized communication network. First, we point out some insightful principles to fully exploit the performance of the innovative many-core architecture. Second, we propose a set of optimization strategies for redesigning a variety of neural network layers based on Caffe. Third, we put forward a topology-aware parameter synchronization scheme to scale the synchronous Stochastic Gradient Descent (SGD) method to multiple processors efficiently. We evaluate our framework by training a variety of widely used neural networks with the ImageNet dataset. On a single node, swCaffe can achieve 23\%\~{}119\% overall performance compared with Caffe running on K40m GPU. As compared with the Caffe on CPU, swCaffe runs 3.04\~{}7.84x faster on all the networks. Finally, we present the scalability of swCaffe for the training of ResNet-50 and AlexNet on the scale of 1024 nodes.