CUPre: Cross-domain Unsupervised Pre-training for Few-Shot Cell Segmentation

While pre-training on object detection tasks, such as Common Objects in Contexts (COCO) [1], could significantly boost the performance of cell segmentation, it still consumes on massive fine-annotated cell images [2] with bounding boxes, masks, and cell types for every cell in every image, to fine-tune the pre-trained model. To lower the cost of annotation, this work considers the problem of pre-training DNN models for few-shot cell segmentation, where massive unlabeled cell images are available but only a small proportion is annotated. Hereby, we propose Cross-domain Unsupervised Pre-training, namely CUPre, transferring the capability of object detection and instance segmentation for common visual objects (learned from COCO) to the visual domain of cells using unlabeled images. Given a standard COCO pre-trained network with backbone, neck, and head modules, CUPre adopts an alternate multi-task pre-training (AMT2) procedure with two sub-tasks -- in every iteration of pre-training, AMT2 first trains the backbone with cell images from multiple cell datasets via unsupervised momentum contrastive learning (MoCo) [3], and then trains the whole model with vanilla COCO datasets via instance segmentation. After pre-training, CUPre fine-tunes the whole model on the cell segmentation task using a few annotated images. We carry out extensive experiments to evaluate CUPre using LIVECell [2] and BBBC038 [4] datasets in few-shot instance segmentation settings. The experiment shows that CUPre can outperform existing pre-training methods, achieving the highest average precision (AP) for few-shot cell segmentation and detection.

MedSyn: Text-guided Anatomy-aware Synthesis of High-Fidelity 3D CT Images

This paper introduces an innovative methodology for producing high-quality 3D lung CT images guided by textual information. While diffusion-based generative models are increasingly used in medical imaging, current state-of-the-art approaches are limited to low-resolution outputs and underutilize radiology reports' abundant information. The radiology reports can enhance the generation process by providing additional guidance and offering fine-grained control over the synthesis of images. Nevertheless, expanding text-guided generation to high-resolution 3D images poses significant memory and anatomical detail-preserving challenges. Addressing the memory issue, we introduce a hierarchical scheme that uses a modified UNet architecture. We start by synthesizing low-resolution images conditioned on the text, serving as a foundation for subsequent generators for complete volumetric data. To ensure the anatomical plausibility of the generated samples, we provide further guidance by generating vascular, airway, and lobular segmentation masks in conjunction with the CT images. The model demonstrates the capability to use textual input and segmentation tasks to generate synthesized images. The results of comparative assessments indicate that our approach exhibits superior performance compared to the most advanced models based on GAN and diffusion techniques, especially in accurately retaining crucial anatomical features such as fissure lines, airways, and vascular structures. This innovation introduces novel possibilities. This study focuses on two main objectives: (1) the development of a method for creating images based on textual prompts and anatomical components, and (2) the capability to generate new images conditioning on anatomical elements. The advancements in image generation can be applied to enhance numerous downstream tasks.

A Generic Fundus Image Enhancement Network Boosted by Frequency Self-supervised Representation Learning

Fundus photography is prone to suffer from image quality degradation that impacts clinical examination performed by ophthalmologists or intelligent systems. Though enhancement algorithms have been developed to promote fundus observation on degraded images, high data demands and limited applicability hinder their clinical deployment. To circumvent this bottleneck, a generic fundus image enhancement network (GFE-Net) is developed in this study to robustly correct unknown fundus images without supervised or extra data. Levering image frequency information, self-supervised representation learning is conducted to learn robust structure-aware representations from degraded images. Then with a seamless architecture that couples representation learning and image enhancement, GFE-Net can accurately correct fundus images and meanwhile preserve retinal structures. Comprehensive experiments are implemented to demonstrate the effectiveness and advantages of GFE-Net. Compared with state-of-the-art algorithms, GFE-Net achieves superior performance in data dependency, enhancement performance, deployment efficiency, and scale generalizability. Follow-up fundus image analysis is also facilitated by GFE-Net, whose modules are respectively verified to be effective for image enhancement.

Semi-Implicit Denoising Diffusion Models (SIDDMs)

Despite the proliferation of generative models, achieving fast sampling during inference without compromising sample diversity and quality remains challenging. Existing models such as Denoising Diffusion Probabilistic Models (DDPM) deliver high-quality, diverse samples but are slowed by an inherently high number of iterative steps. The Denoising Diffusion Generative Adversarial Networks (DDGAN) attempted to circumvent this limitation by integrating a GAN model for larger jumps in the diffusion process. However, DDGAN encountered scalability limitations when applied to large datasets. To address these limitations, we introduce a novel approach that tackles the problem by matching implicit and explicit factors. More specifically, our approach involves utilizing an implicit model to match the marginal distributions of noisy data and the explicit conditional distribution of the forward diffusion. This combination allows us to effectively match the joint denoising distributions. Unlike DDPM but similar to DDGAN, we do not enforce a parametric distribution for the reverse step, enabling us to take large steps during inference. Similar to the DDPM but unlike DDGAN, we take advantage of the exact form of the diffusion process. We demonstrate that our proposed method obtains comparable generative performance to diffusion-based models and vastly superior results to models with a small number of sampling steps.

PALM: Open Fundus Photograph Dataset with Pathologic Myopia Recognition and Anatomical Structure Annotation

Pathologic myopia (PM) is a common blinding retinal degeneration suffered by highly myopic population. Early screening of this condition can reduce the damage caused by the associated fundus lesions and therefore prevent vision loss. Automated diagnostic tools based on artificial intelligence methods can benefit this process by aiding clinicians to identify disease signs or to screen mass populations using color fundus photographs as inputs. This paper provides insights about PALM, our open fundus imaging dataset for pathological myopia recognition and anatomical structure annotation. Our databases comprises 1200 images with associated labels for the pathologic myopia category and manual annotations of the optic disc, the position of the fovea and delineations of lesions such as patchy retinal atrophy (including peripapillary atrophy) and retinal detachment. In addition, this paper elaborates on other details such as the labeling process used to construct the database, the quality and characteristics of the samples and provides other relevant usage notes.

Medical SAM Adapter: Adapting Segment Anything Model for Medical Image Segmentation

The Segment Anything Model (SAM) has recently gained popularity in the field of image segmentation. Thanks to its impressive capabilities in all-round segmentation tasks and its prompt-based interface, SAM has sparked intensive discussion within the community. It is even said by many prestigious experts that image segmentation task has been "finished" by SAM. However, medical image segmentation, although an important branch of the image segmentation family, seems not to be included in the scope of Segmenting "Anything". Many individual experiments and recent studies have shown that SAM performs subpar in medical image segmentation. A natural question is how to find the missing piece of the puzzle to extend the strong segmentation capability of SAM to medical image segmentation. In this paper, instead of fine-tuning the SAM model, we propose Med SAM Adapter, which integrates the medical specific domain knowledge to the segmentation model, by a simple yet effective adaptation technique. Although this work is still one of a few to transfer the popular NLP technique Adapter to computer vision cases, this simple implementation shows surprisingly good performance on medical image segmentation. A medical image adapted SAM, which we have dubbed Medical SAM Adapter (MSA), shows superior performance on 19 medical image segmentation tasks with various image modalities including CT, MRI, ultrasound image, fundus image, and dermoscopic images. MSA outperforms a wide range of state-of-the-art (SOTA) medical image segmentation methods, such as nnUNet, TransUNet, UNetr, MedSegDiff, and also outperforms the fully fine-turned MedSAM with a considerable performance gap. Code will be released at: https://github.com/WuJunde/Medical-SAM-Adapter.

A Fast and Lightweight Network for Low-Light Image Enhancement

Low-light images often suffer from severe noise, low brightness, low contrast, and color deviation. While several low-light image enhancement methods have been proposed, there remains a lack of efficient methods that can simultaneously solve all of these problems. In this paper, we introduce FLW-Net, a Fast and LightWeight Network for low-light image enhancement that significantly improves processing speed and overall effect. To achieve efficient low-light image enhancement, we recognize the challenges of the lack of an absolute reference and the need for a large receptive field to obtain global contrast. Therefore, we propose an efficient global feature information extraction component and design loss functions based on relative information to overcome these challenges. Finally, we conduct comparative experiments to demonstrate the effectiveness of the proposed method, and the results confirm that FLW-Net can significantly reduce the complexity of supervised low-light image enhancement networks while improving processing effect. Code is available at https://github.com/hitzhangyu/FLW-Net

Vessel-Promoted OCT to OCTA Image Translation by Heuristic Contextual Constraints

Optical Coherence Tomography Angiography (OCTA) has become increasingly vital in the clinical screening of fundus diseases due to its ability to capture accurate 3D imaging of blood vessels in a non-contact scanning manner. However, the acquisition of OCTA images remains challenging due to the requirement of exclusive sensors and expensive devices. In this paper, we propose a novel framework, TransPro, that translates 3D Optical Coherence Tomography (OCT) images into exclusive 3D OCTA images using an image translation pattern. Our main objective is to address two issues in existing image translation baselines, namely, the aimlessness in the translation process and incompleteness of the translated object. The former refers to the overall quality of the translated OCTA images being satisfactory, but the retinal vascular quality being low. The latter refers to incomplete objects in translated OCTA images due to the lack of global contexts. TransPro merges a 2D retinal vascular segmentation model and a 2D OCTA image translation model into a 3D image translation baseline for the 2D projection map projected by the translated OCTA images. The 2D retinal vascular segmentation model can improve attention to the retinal vascular, while the 2D OCTA image translation model introduces beneficial heuristic contextual information. Extensive experimental results on two challenging datasets demonstrate that TransPro can consistently outperform existing approaches with minimal computational overhead during training and none during testing.