Efficient Domain Adaptation for Endoscopic Visual Odometry

Visual odometry plays a crucial role in endoscopic imaging, yet the scarcity of realistic images with ground truth poses poses a significant challenge. Therefore, domain adaptation offers a promising approach to bridge the pre-operative planning domain with the intra-operative real domain for learning odometry information. However, existing methodologies suffer from inefficiencies in the training time. In this work, an efficient neural style transfer framework for endoscopic visual odometry is proposed, which compresses the time from pre-operative planning to testing phase to less than five minutes. For efficient traing, this work focuses on training modules with only a limited number of real images and we exploit pre-operative prior information to dramatically reduce training duration. Moreover, during the testing phase, we propose a novel Test Time Adaptation (TTA) method to mitigate the gap in lighting conditions between training and testing datasets. Experimental evaluations conducted on two public endoscope datasets showcase that our method achieves state-of-the-art accuracy in visual odometry tasks while boasting the fastest training speeds. These results demonstrate significant promise for intra-operative surgery applications.

RESTORE: Towards Feature Shift for Vision-Language Prompt Learning

Prompt learning is effective for fine-tuning foundation models to improve their generalization across a variety of downstream tasks. However, the prompts that are independently optimized along a single modality path, may sacrifice the vision-language alignment of pre-trained models in return for improved performance on specific tasks and classes, leading to poorer generalization. In this paper, we first demonstrate that prompt tuning along only one single branch of CLIP (e.g., language or vision) is the reason why the misalignment occurs. Without proper regularization across the learnable parameters in different modalities, prompt learning violates the original pre-training constraints inherent in the two-tower architecture. To address such misalignment, we first propose feature shift, which is defined as the variation of embeddings after introducing the learned prompts, to serve as an explanatory tool. We dive into its relation with generalizability and thereafter propose RESTORE, a multi-modal prompt learning method that exerts explicit constraints on cross-modal consistency. To be more specific, to prevent feature misalignment, a feature shift consistency is introduced to synchronize inter-modal feature shifts by measuring and regularizing the magnitude of discrepancy during prompt tuning. In addition, we propose a "surgery" block to avoid short-cut hacking, where cross-modal misalignment can still be severe if the feature shift of each modality varies drastically at the same rate. It is implemented as feed-forward adapters upon both modalities to alleviate the misalignment problem. Extensive experiments on 15 datasets demonstrate that our method outperforms the state-of-the-art prompt tuning methods without compromising feature alignment.

Hunting imaging biomarkers in pulmonary fibrosis: Benchmarks of the AIIB23 challenge

Airway-related quantitative imaging biomarkers are crucial for examination, diagnosis, and prognosis in pulmonary diseases. However, the manual delineation of airway trees remains prohibitively time-consuming. While significant efforts have been made towards enhancing airway modelling, current public-available datasets concentrate on lung diseases with moderate morphological variations. The intricate honeycombing patterns present in the lung tissues of fibrotic lung disease patients exacerbate the challenges, often leading to various prediction errors. To address this issue, the 'Airway-Informed Quantitative CT Imaging Biomarker for Fibrotic Lung Disease 2023' (AIIB23) competition was organized in conjunction with the official 2023 International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI). The airway structures were meticulously annotated by three experienced radiologists. Competitors were encouraged to develop automatic airway segmentation models with high robustness and generalization abilities, followed by exploring the most correlated QIB of mortality prediction. A training set of 120 high-resolution computerised tomography (HRCT) scans were publicly released with expert annotations and mortality status. The online validation set incorporated 52 HRCT scans from patients with fibrotic lung disease and the offline test set included 140 cases from fibrosis and COVID-19 patients. The results have shown that the capacity of extracting airway trees from patients with fibrotic lung disease could be enhanced by introducing voxel-wise weighted general union loss and continuity loss. In addition to the competitive image biomarkers for prognosis, a strong airway-derived biomarker (Hazard ratio>1.5, p<0.0001) was revealed for survival prognostication compared with existing clinical measurements, clinician assessment and AI-based biomarkers.

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.

CAPro: Webly Supervised Learning with Cross-Modality Aligned Prototypes

Webly supervised learning has attracted increasing attention for its effectiveness in exploring publicly accessible data at scale without manual annotation. However, most existing methods of learning with web datasets are faced with challenges from label noise, and they have limited assumptions on clean samples under various noise. For instance, web images retrieved with queries of tiger cat (a cat species) and drumstick (a musical instrument) are almost dominated by images of tigers and chickens, which exacerbates the challenge of fine-grained visual concept learning. In this case, exploiting both web images and their associated texts is a requisite solution to combat real-world noise. In this paper, we propose Cross-modality Aligned Prototypes (CAPro), a unified prototypical contrastive learning framework to learn visual representations with correct semantics. For one thing, we leverage textual prototypes, which stem from the distinct concept definition of classes, to select clean images by text matching and thus disambiguate the formation of visual prototypes. For another, to handle missing and mismatched noisy texts, we resort to the visual feature space to complete and enhance individual texts and thereafter improve text matching. Such semantically aligned visual prototypes are further polished up with high-quality samples, and engaged in both cluster regularization and noise removal. Besides, we propose collective bootstrapping to encourage smoother and wiser label reference from appearance-similar instances in a manner of dictionary look-up. Extensive experiments on WebVision1k and NUS-WIDE (Web) demonstrate that CAPro well handles realistic noise under both single-label and multi-label scenarios. CAPro achieves new state-of-the-art performance and exhibits robustness to open-set recognition. Codes are available at https://github.com/yuleiqin/capro.

Unleashing the Power of Depth and Pose Estimation Neural Networks by Designing Compatible Endoscopic Images

Deep learning models have witnessed depth and pose estimation framework on unannotated datasets as a effective pathway to succeed in endoscopic navigation. Most current techniques are dedicated to developing more advanced neural networks to improve the accuracy. However, existing methods ignore the special properties of endoscopic images, resulting in an inability to fully unleash the power of neural networks. In this study, we conduct a detail analysis of the properties of endoscopic images and improve the compatibility of images and neural networks, to unleash the power of current neural networks. First, we introcude the Mask Image Modelling (MIM) module, which inputs partial image information instead of complete image information, allowing the network to recover global information from partial pixel information. This enhances the network' s ability to perceive global information and alleviates the phenomenon of local overfitting in convolutional neural networks due to local artifacts. Second, we propose a lightweight neural network to enhance the endoscopic images, to explicitly improve the compatibility between images and neural networks. Extensive experiments are conducted on the three public datasets and one inhouse dataset, and the proposed modules improve baselines by a large margin. Furthermore, the enhanced images we proposed, which have higher network compatibility, can serve as an effective data augmentation method and they are able to extract more stable feature points in traditional feature point matching tasks and achieve outstanding performance.

A-Eval: A Benchmark for Cross-Dataset Evaluation of Abdominal Multi-Organ Segmentation

Although deep learning have revolutionized abdominal multi-organ segmentation, models often struggle with generalization due to training on small, specific datasets. With the recent emergence of large-scale datasets, some important questions arise: \textbf{Can models trained on these datasets generalize well on different ones? If yes/no, how to further improve their generalizability?} To address these questions, we introduce A-Eval, a benchmark for the cross-dataset Evaluation ('Eval') of Abdominal ('A') multi-organ segmentation. We employ training sets from four large-scale public datasets: FLARE22, AMOS, WORD, and TotalSegmentator, each providing extensive labels for abdominal multi-organ segmentation. For evaluation, we incorporate the validation sets from these datasets along with the training set from the BTCV dataset, forming a robust benchmark comprising five distinct datasets. We evaluate the generalizability of various models using the A-Eval benchmark, with a focus on diverse data usage scenarios: training on individual datasets independently, utilizing unlabeled data via pseudo-labeling, mixing different modalities, and joint training across all available datasets. Additionally, we explore the impact of model sizes on cross-dataset generalizability. Through these analyses, we underline the importance of effective data usage in enhancing models' generalization capabilities, offering valuable insights for assembling large-scale datasets and improving training strategies. The code and pre-trained models are available at \href{https://github.com/uni-medical/A-Eval}{https://github.com/uni-medical/A-Eval}.

AC-Norm: Effective Tuning for Medical Image Analysis via Affine Collaborative Normalization

Driven by the latest trend towards self-supervised learning (SSL), the paradigm of "pretraining-then-finetuning" has been extensively explored to enhance the performance of clinical applications with limited annotations. Previous literature on model finetuning has mainly focused on regularization terms and specific policy models, while the misalignment of channels between source and target models has not received sufficient attention. In this work, we revisited the dynamics of batch normalization (BN) layers and observed that the trainable affine parameters of BN serve as sensitive indicators of domain information. Therefore, Affine Collaborative Normalization (AC-Norm) is proposed for finetuning, which dynamically recalibrates the channels in the target model according to the cross-domain channel-wise correlations without adding extra parameters. Based on a single-step backpropagation, AC-Norm can also be utilized to measure the transferability of pretrained models. We evaluated AC-Norm against the vanilla finetuning and state-of-the-art fine-tuning methods on transferring diverse pretrained models to the diabetic retinopathy grade classification, retinal vessel segmentation, CT lung nodule segmentation/classification, CT liver-tumor segmentation and MRI cardiac segmentation tasks. Extensive experiments demonstrate that AC-Norm unanimously outperforms the vanilla finetuning by up to 4% improvement, even under significant domain shifts where the state-of-the-art methods bring no gains. We also prove the capability of AC-Norm in fast transferability estimation. Our code is available at https://github.com/EndoluminalSurgicalVision-IMR/ACNorm.

Pick the Best Pre-trained Model: Towards Transferability Estimation for Medical Image Segmentation

Transfer learning is a critical technique in training deep neural networks for the challenging medical image segmentation task that requires enormous resources. With the abundance of medical image data, many research institutions release models trained on various datasets that can form a huge pool of candidate source models to choose from. Hence, it's vital to estimate the source models' transferability (i.e., the ability to generalize across different downstream tasks) for proper and efficient model reuse. To make up for its deficiency when applying transfer learning to medical image segmentation, in this paper, we therefore propose a new Transferability Estimation (TE) method. We first analyze the drawbacks of using the existing TE algorithms for medical image segmentation and then design a source-free TE framework that considers both class consistency and feature variety for better estimation. Extensive experiments show that our method surpasses all current algorithms for transferability estimation in medical image segmentation. Code is available at https://github.com/EndoluminalSurgicalVision-IMR/CCFV