Large Language Model based Multi-Agents: A Survey of Progress and Challenges

Large Language Models (LLMs) have achieved remarkable success across a wide array of tasks. Due to the impressive planning and reasoning abilities of LLMs, they have been used as autonomous agents to do many tasks automatically. Recently, based on the development of using one LLM as a single planning or decision-making agent, LLM-based multi-agent systems have achieved considerable progress in complex problem-solving and world simulation. To provide the community with an overview of this dynamic field, we present this survey to offer an in-depth discussion on the essential aspects of multi-agent systems based on LLMs, as well as the challenges. Our goal is for readers to gain substantial insights on the following questions: What domains and environments do LLM-based multi-agents simulate? How are these agents profiled and how do they communicate? What mechanisms contribute to the growth of agents' capacities? For those interested in delving into this field of study, we also summarize the commonly used datasets or benchmarks for them to have convenient access. To keep researchers updated on the latest studies, we maintain an open-source GitHub repository, dedicated to outlining the research on LLM-based multi-agent systems.

PMP-Swin: Multi-Scale Patch Message Passing Swin Transformer for Retinal Disease Classification

Retinal disease is one of the primary causes of visual impairment, and early diagnosis is essential for preventing further deterioration. Nowadays, many works have explored Transformers for diagnosing diseases due to their strong visual representation capabilities. However, retinal diseases exhibit milder forms and often present with overlapping signs, which pose great difficulties for accurate multi-class classification. Therefore, we propose a new framework named Multi-Scale Patch Message Passing Swin Transformer for multi-class retinal disease classification. Specifically, we design a Patch Message Passing (PMP) module based on the Message Passing mechanism to establish global interaction for pathological semantic features and to exploit the subtle differences further between different diseases. Moreover, considering the various scale of pathological features we integrate multiple PMP modules for different patch sizes. For evaluation, we have constructed a new dataset, named OPTOS dataset, consisting of 1,033 high-resolution fundus images photographed by Optos camera and conducted comprehensive experiments to validate the efficacy of our proposed method. And the results on both the public dataset and our dataset demonstrate that our method achieves remarkable performance compared to state-of-the-art methods.

MSE-Nets: Multi-annotated Semi-supervised Ensemble Networks for Improving Segmentation of Medical Image with Ambiguous Boundaries

Medical image segmentation annotations exhibit variations among experts due to the ambiguous boundaries of segmented objects and backgrounds in medical images. Although using multiple annotations for each image in the fully-supervised has been extensively studied for training deep models, obtaining a large amount of multi-annotated data is challenging due to the substantial time and manpower costs required for segmentation annotations, resulting in most images lacking any annotations. To address this, we propose Multi-annotated Semi-supervised Ensemble Networks (MSE-Nets) for learning segmentation from limited multi-annotated and abundant unannotated data. Specifically, we introduce the Network Pairwise Consistency Enhancement (NPCE) module and Multi-Network Pseudo Supervised (MNPS) module to enhance MSE-Nets for the segmentation task by considering two major factors: (1) to optimize the utilization of all accessible multi-annotated data, the NPCE separates (dis)agreement annotations of multi-annotated data at the pixel level and handles agreement and disagreement annotations in different ways, (2) to mitigate the introduction of imprecise pseudo-labels, the MNPS extends the training data by leveraging consistent pseudo-labels from unannotated data. Finally, we improve confidence calibration by averaging the predictions of base networks. Experiments on the ISIC dataset show that we reduced the demand for multi-annotated data by 97.75\% and narrowed the gap with the best fully-supervised baseline to just a Jaccard index of 4\%. Furthermore, compared to other semi-supervised methods that rely only on a single annotation or a combined fusion approach, the comprehensive experimental results on ISIC and RIGA datasets demonstrate the superior performance of our proposed method in medical image segmentation with ambiguous boundaries.

TTMFN: Two-stream Transformer-based Multimodal Fusion Network for Survival Prediction

Survival prediction plays a crucial role in assisting clinicians with the development of cancer treatment protocols. Recent evidence shows that multimodal data can help in the diagnosis of cancer disease and improve survival prediction. Currently, deep learning-based approaches have experienced increasing success in survival prediction by integrating pathological images and gene expression data. However, most existing approaches overlook the intra-modality latent information and the complex inter-modality correlations. Furthermore, existing modalities do not fully exploit the immense representational capabilities of neural networks for feature aggregation and disregard the importance of relationships between features. Therefore, it is highly recommended to address these issues in order to enhance the prediction performance by proposing a novel deep learning-based method. We propose a novel framework named Two-stream Transformer-based Multimodal Fusion Network for survival prediction (TTMFN), which integrates pathological images and gene expression data. In TTMFN, we present a two-stream multimodal co-attention transformer module to take full advantage of the complex relationships between different modalities and the potential connections within the modalities. Additionally, we develop a multi-head attention pooling approach to effectively aggregate the feature representations of the two modalities. The experiment results on four datasets from The Cancer Genome Atlas demonstrate that TTMFN can achieve the best performance or competitive results compared to the state-of-the-art methods in predicting the overall survival of patients.

DEFN: Dual-Encoder Fourier Group Harmonics Network for Three-Dimensional Macular Hole Reconstruction with Stochastic Retinal Defect Augmentation and Dynamic Weight Composition

The spatial and quantitative parameters of macular holes are vital for diagnosis, surgical choices, and post-op monitoring. Macular hole diagnosis and treatment rely heavily on spatial and quantitative data, yet the scarcity of such data has impeded the progress of deep learning techniques for effective segmentation and real-time 3D reconstruction. To address this challenge, we assembled the world's largest macular hole dataset, Retinal OCTfor Macular Hole Enhancement (ROME-3914), and a Comprehensive Archive for Retinal Segmentation (CARS-30k), both expertly annotated. In addition, we developed an innovative 3D segmentation network, the Dual-Encoder FuGH Network (DEFN), which integrates three innovative modules: Fourier Group Harmonics (FuGH), Simplified 3D Spatial Attention (S3DSA) and Harmonic Squeeze-and-Excitation Module (HSE). These three modules synergistically filter noise, reduce computational complexity, emphasize detailed features, and enhance the network's representation ability. We also proposed a novel data augmentation method, Stochastic Retinal Defect Injection (SRDI), and a network optimization strategy DynamicWeightCompose (DWC), to further improve the performance of DEFN. Compared with 13 baselines, our DEFN shows the best performance. We also offer precise 3D retinal reconstruction and quantitative metrics, bringing revolutionary diagnostic and therapeutic decision-making tools for ophthalmologists, and is expected to completely reshape the diagnosis and treatment patterns of difficult-to-treat macular degeneration. The source code is publicly available at: https://github.com/IIPL-HangzhouDianUniversity/DEFN-Pytorch.

CTooth+: A Large-scale Dental Cone Beam Computed Tomography Dataset and Benchmark for Tooth Volume Segmentation

Accurate tooth volume segmentation is a prerequisite for computer-aided dental analysis. Deep learning-based tooth segmentation methods have achieved satisfying performances but require a large quantity of tooth data with ground truth. The dental data publicly available is limited meaning the existing methods can not be reproduced, evaluated and applied in clinical practice. In this paper, we establish a 3D dental CBCT dataset CTooth+, with 22 fully annotated volumes and 146 unlabeled volumes. We further evaluate several state-of-the-art tooth volume segmentation strategies based on fully-supervised learning, semi-supervised learning and active learning, and define the performance principles. This work provides a new benchmark for the tooth volume segmentation task, and the experiment can serve as the baseline for future AI-based dental imaging research and clinical application development.

DU-Net based Unsupervised Contrastive Learning for Cancer Segmentation in Histology Images

In this paper, we introduce an unsupervised cancer segmentation framework for histology images. The framework involves an effective contrastive learning scheme for extracting distinctive visual representations for segmentation. The encoder is a Deep U-Net (DU-Net) structure that contains an extra fully convolution layer compared to the normal U-Net. A contrastive learning scheme is developed to solve the problem of lacking training sets with high-quality annotations on tumour boundaries. A specific set of data augmentation techniques are employed to improve the discriminability of the learned colour features from contrastive learning. Smoothing and noise elimination are conducted using convolutional Conditional Random Fields. The experiments demonstrate competitive performance in segmentation even better than some popular supervised networks.

CTooth: A Fully Annotated 3D Dataset and Benchmark for Tooth Volume Segmentation on Cone Beam Computed Tomography Images

3D tooth segmentation is a prerequisite for computer-aided dental diagnosis and treatment. However, segmenting all tooth regions manually is subjective and time-consuming. Recently, deep learning-based segmentation methods produce convincing results and reduce manual annotation efforts, but it requires a large quantity of ground truth for training. To our knowledge, there are few tooth data available for the 3D segmentation study. In this paper, we establish a fully annotated cone beam computed tomography dataset CTooth with tooth gold standard. This dataset contains 22 volumes (7363 slices) with fine tooth labels annotated by experienced radiographic interpreters. To ensure a relative even data sampling distribution, data variance is included in the CTooth including missing teeth and dental restoration. Several state-of-the-art segmentation methods are evaluated on this dataset. Afterwards, we further summarise and apply a series of 3D attention-based Unet variants for segmenting tooth volumes. This work provides a new benchmark for the tooth volume segmentation task. Experimental evidence proves that attention modules of the 3D UNet structure boost responses in tooth areas and inhibit the influence of background and noise. The best performance is achieved by 3D Unet with SKNet attention module, of 88.04 \% Dice and 78.71 \% IOU, respectively. The attention-based Unet framework outperforms other state-of-the-art methods on the CTooth dataset. The codebase and dataset are released.

CDNet: Contrastive Disentangled Network for Fine-Grained Image Categorization of Ocular B-Scan Ultrasound

Precise and rapid categorization of images in the B-scan ultrasound modality is vital for diagnosing ocular diseases. Nevertheless, distinguishing various diseases in ultrasound still challenges experienced ophthalmologists. Thus a novel contrastive disentangled network (CDNet) is developed in this work, aiming to tackle the fine-grained image categorization (FGIC) challenges of ocular abnormalities in ultrasound images, including intraocular tumor (IOT), retinal detachment (RD), posterior scleral staphyloma (PSS), and vitreous hemorrhage (VH). Three essential components of CDNet are the weakly-supervised lesion localization module (WSLL), contrastive multi-zoom (CMZ) strategy, and hyperspherical contrastive disentangled loss (HCD-Loss), respectively. These components facilitate feature disentanglement for fine-grained recognition in both the input and output aspects. The proposed CDNet is validated on our ZJU Ocular Ultrasound Dataset (ZJUOUSD), consisting of 5213 samples. Furthermore, the generalization ability of CDNet is validated on two public and widely-used chest X-ray FGIC benchmarks. Quantitative and qualitative results demonstrate the efficacy of our proposed CDNet, which achieves state-of-the-art performance in the FGIC task. Code is available at: https://github.com/ZeroOneGame/CDNet-for-OUS-FGIC .

Source-free Domain Adaptation for Multi-site and Lifespan Brain Skull Stripping

Skull stripping is a crucial prerequisite step in the analysis of brain magnetic resonance (MR) images. Although many excellent works or tools have been proposed, they suffer from low generalization capability. For instance, the model trained on a dataset with specific imaging parameters (source domain) cannot be well applied to other datasets with different imaging parameters (target domain). Especially, for the lifespan datasets, the model trained on an adult dataset is not applicable to an infant dataset due to the large domain difference. To address this issue, numerous domain adaptation (DA) methods have been proposed to align the extracted features between the source and target domains, requiring concurrent access to the input images of both domains. Unfortunately, it is problematic to share the images due to privacy. In this paper, we design a source-free domain adaptation framework (SDAF) for multi-site and lifespan skull stripping that can accomplish domain adaptation without access to source domain images. Our method only needs to share the source labels as shape dictionaries and the weights trained on the source data, without disclosing private information from source domain subjects. To deal with the domain shift between multi-site lifespan datasets, we take advantage of the brain shape prior which is invariant to imaging parameters and ages. Experiments demonstrate that our framework can significantly outperform the state-of-the-art methods on multi-site lifespan datasets.