Towards Automatic Boundary Detection for Human-AI Collaborative Hybrid Essay in Education

The recent large language models (LLMs), e.g., ChatGPT, have been able to generate human-like and fluent responses when provided with specific instructions. While admitting the convenience brought by technological advancement, educators also have concerns that students might leverage LLMs to complete their writing assignments and pass them off as their original work. Although many AI content detection studies have been conducted as a result of such concerns, most of these prior studies modeled AI content detection as a classification problem, assuming that a text is either entirely human-written or entirely AI-generated. In this study, we investigated AI content detection in a rarely explored yet realistic setting where the text to be detected is collaboratively written by human and generative LLMs (i.e., hybrid text). We first formalized the detection task as identifying the transition points between human-written content and AI-generated content from a given hybrid text (boundary detection). Then we proposed a two-step approach where we (1) separated AI-generated content from human-written content during the encoder training process; and (2) calculated the distances between every two adjacent prototypes and assumed that the boundaries exist between the two adjacent prototypes that have the furthest distance from each other. Through extensive experiments, we observed the following main findings: (1) the proposed approach consistently outperformed the baseline methods across different experiment settings; (2) the encoder training process can significantly boost the performance of the proposed approach; (3) when detecting boundaries for single-boundary hybrid essays, the proposed approach could be enhanced by adopting a relatively large prototype size, leading to a 22% improvement in the In-Domain evaluation and an 18% improvement in the Out-of-Domain evaluation.

Visual Instruction Inversion: Image Editing via Visual Prompting

Text-conditioned image editing has emerged as a powerful tool for editing images. However, in many situations, language can be ambiguous and ineffective in describing specific image edits. When faced with such challenges, visual prompts can be a more informative and intuitive way to convey ideas. We present a method for image editing via visual prompting. Given pairs of example that represent the "before" and "after" images of an edit, our goal is to learn a text-based editing direction that can be used to perform the same edit on new images. We leverage the rich, pretrained editing capabilities of text-to-image diffusion models by inverting visual prompts into editing instructions. Our results show that with just one example pair, we can achieve competitive results compared to state-of-the-art text-conditioned image editing frameworks.

Generate Anything Anywhere in Any Scene

Text-to-image diffusion models have attracted considerable interest due to their wide applicability across diverse fields. However, challenges persist in creating controllable models for personalized object generation. In this paper, we first identify the entanglement issues in existing personalized generative models, and then propose a straightforward and efficient data augmentation training strategy that guides the diffusion model to focus solely on object identity. By inserting the plug-and-play adapter layers from a pre-trained controllable diffusion model, our model obtains the ability to control the location and size of each generated personalized object. During inference, we propose a regionally-guided sampling technique to maintain the quality and fidelity of the generated images. Our method achieves comparable or superior fidelity for personalized objects, yielding a robust, versatile, and controllable text-to-image diffusion model that is capable of generating realistic and personalized images. Our approach demonstrates significant potential for various applications, such as those in art, entertainment, and advertising design.

Leveraging Large Language Models for Scalable Vector Graphics-Driven Image Understanding

Recently, large language models (LLMs) have made significant advancements in natural language understanding and generation. However, their potential in computer vision remains largely unexplored. In this paper, we introduce a new, exploratory approach that enables LLMs to process images using the Scalable Vector Graphics (SVG) format. By leveraging the XML-based textual descriptions of SVG representations instead of raster images, we aim to bridge the gap between the visual and textual modalities, allowing LLMs to directly understand and manipulate images without the need for parameterized visual components. Our method facilitates simple image classification, generation, and in-context learning using only LLM capabilities. We demonstrate the promise of our approach across discriminative and generative tasks, highlighting its (i) robustness against distribution shift, (ii) substantial improvements achieved by tapping into the in-context learning abilities of LLMs, and (iii) image understanding and generation capabilities with human guidance. Our code, data, and models can be found here https://github.com/mu-cai/svg-llm.

Synthetic CT Generation from MRI using 3D Transformer-based Denoising Diffusion Model

Magnetic resonance imaging (MRI)-based synthetic computed tomography (sCT) simplifies radiation therapy treatment planning by eliminating the need for CT simulation and error-prone image registration, ultimately reducing patient radiation dose and setup uncertainty. We propose an MRI-to-CT transformer-based denoising diffusion probabilistic model (MC-DDPM) to transform MRI into high-quality sCT to facilitate radiation treatment planning. MC-DDPM implements diffusion processes with a shifted-window transformer network to generate sCT from MRI. The proposed model consists of two processes: a forward process which adds Gaussian noise to real CT scans, and a reverse process in which a shifted-window transformer V-net (Swin-Vnet) denoises the noisy CT scans conditioned on the MRI from the same patient to produce noise-free CT scans. With an optimally trained Swin-Vnet, the reverse diffusion process was used to generate sCT scans matching MRI anatomy. We evaluated the proposed method by generating sCT from MRI on a brain dataset and a prostate dataset. Qualitative evaluation was performed using the mean absolute error (MAE) of Hounsfield unit (HU), peak signal to noise ratio (PSNR), multi-scale Structure Similarity index (MS-SSIM) and normalized cross correlation (NCC) indexes between ground truth CTs and sCTs. MC-DDPM generated brain sCTs with state-of-the-art quantitative results with MAE 43.317 HU, PSNR 27.046 dB, SSIM 0.965, and NCC 0.983. For the prostate dataset, MC-DDPM achieved MAE 59.953 HU, PSNR 26.920 dB, SSIM 0.849, and NCC 0.948. In conclusion, we have developed and validated a novel approach for generating CT images from routine MRIs using a transformer-based DDPM. This model effectively captures the complex relationship between CT and MRI images, allowing for robust and high-quality synthetic CT (sCT) images to be generated in minutes.

BreastSAM: A Study of Segment Anything Model for Breast Tumor Detection in Ultrasound Images

Breast cancer is one of the most common cancers among women worldwide, with early detection significantly increasing survival rates. Ultrasound imaging is a critical diagnostic tool that aids in early detection by providing real-time imaging of the breast tissue. We conducted a thorough investigation of the Segment Anything Model (SAM) for the task of interactive segmentation of breast tumors in ultrasound images. We explored three pre-trained model variants: ViT_h, ViT_l, and ViT_b, among which ViT_l demonstrated superior performance in terms of mean pixel accuracy, Dice score, and IoU score. The significance of prompt interaction in improving the model's segmentation performance was also highlighted, with substantial improvements in performance metrics when prompts were incorporated. The study further evaluated the model's differential performance in segmenting malignant and benign breast tumors, with the model showing exceptional proficiency in both categories, albeit with slightly better performance for benign tumors. Furthermore, we analyzed the impacts of various breast tumor characteristics - size, contrast, aspect ratio, and complexity - on segmentation performance. Our findings reveal that tumor contrast and size positively impact the segmentation result, while complex boundaries pose challenges. The study provides valuable insights for using SAM as a robust and effective algorithm for breast tumor segmentation in ultrasound images.

Cross-Shaped Windows Transformer with Self-supervised Pretraining for Clinically Significant Prostate Cancer Detection in Bi-parametric MRI

Multiparametric magnetic resonance imaging (mpMRI) has demonstrated promising results in prostate cancer (PCa) detection using deep convolutional neural networks (CNNs). Recently, transformers have achieved competitive performance compared to CNNs in computer vision. Large-scale transformers need abundant annotated data for training, which are difficult to obtain in medical imaging. Self-supervised learning can effectively leverage unlabeled data to extract useful semantic representations without annotation and its associated costs. This can improve model performance on downstream tasks with limited labelled data and increase generalizability. We introduce a novel end-to-end Cross-Shaped windows (CSwin) transformer UNet model, CSwin UNet, to detect clinically significant prostate cancer (csPCa) in prostate bi-parametric MR imaging (bpMRI) and demonstrate the effectiveness of our proposed self-supervised pre-training framework. Using a large prostate bpMRI dataset with 1500 patients, we first pre-train CSwin transformer using multi-task self-supervised learning to improve data-efficiency and network generalizability. We then finetuned using lesion annotations to perform csPCa detection. Five-fold cross validation shows that self-supervised CSwin UNet achieves 0.888 AUC and 0.545 Average Precision (AP), significantly outperforming four state-of-the-art models (Swin UNETR, DynUNet, Attention UNet, UNet). Using a separate bpMRI dataset with 158 patients, we evaluated our model robustness to external hold-out data. Self-supervised CSwin UNet achieves 0.79 AUC and 0.45 AP, still outperforming all other comparable methods and demonstrating generalization to a dataset shift.

Polyp-SAM: Transfer SAM for Polyp Segmentation

Colon polyps are considered important precursors for colorectal cancer. Automatic segmentation of colon polyps can significantly reduce the misdiagnosis of colon cancer and improve physician annotation efficiency. While many methods have been proposed for polyp segmentation, training large-scale segmentation networks with limited colonoscopy data remains a challenge. Recently, the Segment Anything Model (SAM) has recently gained much attention in both natural and medical image segmentation. SAM demonstrates superior performance in several image benchmarks and therefore shows great potential for medical image segmentation. In this study, we propose Poly-SAM, a finetuned SAM model for polyp segmentation, and compare its performance to several state-of-the-art polyp segmentation models. We also compare two transfer learning strategies of SAM with and without finetuning its encoders. Evaluated on five public datasets, our Polyp-SAM achieves state-of-the-art performance on two datasets and impressive performance on three datasets, with dice scores all above 88%. This study demonstrates the great potential of adapting SAM to medical image segmentation tasks. We plan to release the code and model weights for this paper at: https://github.com/ricklisz/Polyp-SAM.

SkinSAM: Empowering Skin Cancer Segmentation with Segment Anything Model

Skin cancer is a prevalent and potentially fatal disease that requires accurate and efficient diagnosis and treatment. Although manual tracing is the current standard in clinics, automated tools are desired to reduce human labor and improve accuracy. However, developing such tools is challenging due to the highly variable appearance of skin cancers and complex objects in the background. In this paper, we present SkinSAM, a fine-tuned model based on the Segment Anything Model that showed outstanding segmentation performance. The models are validated on HAM10000 dataset which includes 10015 dermatoscopic images. While larger models (ViT_L, ViT_H) performed better than the smaller one (ViT_b), the finetuned model (ViT_b_finetuned) exhibited the greatest improvement, with a Mean pixel accuracy of 0.945, Mean dice score of 0.8879, and Mean IoU score of 0.7843. Among the lesion types, vascular lesions showed the best segmentation results. Our research demonstrates the great potential of adapting SAM to medical image segmentation tasks.

Advancing Medical Imaging with Language Models: A Journey from N-grams to ChatGPT

In this paper, we aimed to provide a review and tutorial for researchers in the field of medical imaging using language models to improve their tasks at hand. We began by providing an overview of the history and concepts of language models, with a special focus on large language models. We then reviewed the current literature on how language models are being used to improve medical imaging, emphasizing different applications such as image captioning, report generation, report classification, finding extraction, visual question answering, interpretable diagnosis, and more for various modalities and organs. The ChatGPT was specially highlighted for researchers to explore more potential applications. We covered the potential benefits of accurate and efficient language models for medical imaging analysis, including improving clinical workflow efficiency, reducing diagnostic errors, and assisting healthcare professionals in providing timely and accurate diagnoses. Overall, our goal was to bridge the gap between language models and medical imaging and inspire new ideas and innovations in this exciting area of research. We hope that this review paper will serve as a useful resource for researchers in this field and encourage further exploration of the possibilities of language models in medical imaging.