STS MICCAI 2023 Challenge: Grand challenge on 2D and 3D semi-supervised tooth segmentation

Computer-aided design (CAD) tools are increasingly popular in modern dental practice, particularly for treatment planning or comprehensive prognosis evaluation. In particular, the 2D panoramic X-ray image efficiently detects invisible caries, impacted teeth and supernumerary teeth in children, while the 3D dental cone beam computed tomography (CBCT) is widely used in orthodontics and endodontics due to its low radiation dose. However, there is no open-access 2D public dataset for children's teeth and no open 3D dental CBCT dataset, which limits the development of automatic algorithms for segmenting teeth and analyzing diseases. The Semi-supervised Teeth Segmentation (STS) Challenge, a pioneering event in tooth segmentation, was held as a part of the MICCAI 2023 ToothFairy Workshop on the Alibaba Tianchi platform. This challenge aims to investigate effective semi-supervised tooth segmentation algorithms to advance the field of dentistry. In this challenge, we provide two modalities including the 2D panoramic X-ray images and the 3D CBCT tooth volumes. In Task 1, the goal was to segment tooth regions in panoramic X-ray images of both adult and pediatric teeth. Task 2 involved segmenting tooth sections using CBCT volumes. Limited labelled images with mostly unlabelled ones were provided in this challenge prompt using semi-supervised algorithms for training. In the preliminary round, the challenge received registration and result submission by 434 teams, with 64 advancing to the final round. This paper summarizes the diverse methods employed by the top-ranking teams in the STS MICCAI 2023 Challenge.

Multi-Level Feature Fusion Network for Lightweight Stereo Image Super-Resolution

Stereo image super-resolution utilizes the cross-view complementary information brought by the disparity effect of left and right perspective images to reconstruct higher-quality images. Cascading feature extraction modules and cross-view feature interaction modules to make use of the information from stereo images is the focus of numerous methods. However, this adds a great deal of network parameters and structural redundancy. To facilitate the application of stereo image super-resolution in downstream tasks, we propose an efficient Multi-Level Feature Fusion Network for Lightweight Stereo Image Super-Resolution (MFFSSR). Specifically, MFFSSR utilizes the Hybrid Attention Feature Extraction Block (HAFEB) to extract multi-level intra-view features. Using the channel separation strategy, HAFEB can efficiently interact with the embedded cross-view interaction module. This structural configuration can efficiently mine features inside the view while improving the efficiency of cross-view information sharing. Hence, reconstruct image details and textures more accurately. Abundant experiments demonstrate the effectiveness of MFFSSR. We achieve superior performance with fewer parameters. The source code is available at https://github.com/KarosLYX/MFFSSR.

NTIRE 2024 Challenge on Low Light Image Enhancement: Methods and Results

This paper reviews the NTIRE 2024 low light image enhancement challenge, highlighting the proposed solutions and results. The aim of this challenge is to discover an effective network design or solution capable of generating brighter, clearer, and visually appealing results when dealing with a variety of conditions, including ultra-high resolution (4K and beyond), non-uniform illumination, backlighting, extreme darkness, and night scenes. A notable total of 428 participants registered for the challenge, with 22 teams ultimately making valid submissions. This paper meticulously evaluates the state-of-the-art advancements in enhancing low-light images, reflecting the significant progress and creativity in this field.

Enhancing Policy Gradient with the Polyak Step-Size Adaption

Policy gradient is a widely utilized and foundational algorithm in the field of reinforcement learning (RL). Renowned for its convergence guarantees and stability compared to other RL algorithms, its practical application is often hindered by sensitivity to hyper-parameters, particularly the step-size. In this paper, we introduce the integration of the Polyak step-size in RL, which automatically adjusts the step-size without prior knowledge. To adapt this method to RL settings, we address several issues, including unknown f* in the Polyak step-size. Additionally, we showcase the performance of the Polyak step-size in RL through experiments, demonstrating faster convergence and the attainment of more stable policies.

Prior Frequency Guided Diffusion Model for Limited Angle (LA)-CBCT Reconstruction

Cone-beam computed tomography (CBCT) is widely used in image-guided radiotherapy. Reconstructing CBCTs from limited-angle acquisitions (LA-CBCT) is highly desired for improved imaging efficiency, dose reduction, and better mechanical clearance. LA-CBCT reconstruction, however, suffers from severe under-sampling artifacts, making it a highly ill-posed inverse problem. Diffusion models can generate data/images by reversing a data-noising process through learned data distributions; and can be incorporated as a denoiser/regularizer in LA-CBCT reconstruction. In this study, we developed a diffusion model-based framework, prior frequency-guided diffusion model (PFGDM), for robust and structure-preserving LA-CBCT reconstruction. PFGDM uses a conditioned diffusion model as a regularizer for LA-CBCT reconstruction, and the condition is based on high-frequency information extracted from patient-specific prior CT scans which provides a strong anatomical prior for LA-CBCT reconstruction. Specifically, we developed two variants of PFGDM (PFGDM-A and PFGDM-B) with different conditioning schemes. PFGDM-A applies the high-frequency CT information condition until a pre-optimized iteration step, and drops it afterwards to enable both similar and differing CT/CBCT anatomies to be reconstructed. PFGDM-B, on the other hand, continuously applies the prior CT information condition in every reconstruction step, while with a decaying mechanism, to gradually phase out the reconstruction guidance from the prior CT scans. The two variants of PFGDM were tested and compared with current available LA-CBCT reconstruction solutions, via metrics including PSNR and SSIM. PFGDM outperformed all traditional and diffusion model-based methods. PFGDM reconstructs high-quality LA-CBCTs under very-limited gantry angles, allowing faster and more flexible CBCT scans with dose reductions.

Generalized Policy Learning for Smart Grids: FL TRPO Approach

The smart grid domain requires bolstering the capabilities of existing energy management systems; Federated Learning (FL) aligns with this goal as it demonstrates a remarkable ability to train models on heterogeneous datasets while maintaining data privacy, making it suitable for smart grid applications, which often involve disparate data distributions and interdependencies among features that hinder the suitability of linear models. This paper introduces a framework that combines FL with a Trust Region Policy Optimization (FL TRPO) aiming to reduce energy-associated emissions and costs. Our approach reveals latent interconnections and employs personalized encoding methods to capture unique insights, understanding the relationships between features and optimal strategies, allowing our model to generalize to previously unseen data. Experimental results validate the robustness of our approach, affirming its proficiency in effectively learning policy models for smart grid challenges.

FDDM: Unsupervised Medical Image Translation with a Frequency-Decoupled Diffusion Model

Diffusion models have demonstrated significant potential in producing high-quality images for medical image translation to aid disease diagnosis, localization, and treatment. Nevertheless, current diffusion models have limited success in achieving faithful image translations that can accurately preserve the anatomical structures of medical images, especially for unpaired datasets. The preservation of structural and anatomical details is essential to reliable medical diagnosis and treatment planning, as structural mismatches can lead to disease misidentification and treatment errors. In this study, we introduced a frequency-decoupled diffusion model (FDDM), a novel framework that decouples the frequency components of medical images in the Fourier domain during the translation process, to allow structure-preserved high-quality image conversion. FDDM applies an unsupervised frequency conversion module to translate the source medical images into frequency-specific outputs and then uses the frequency-specific information to guide a following diffusion model for final source-to-target image translation. We conducted extensive evaluations of FDDM using a public brain MR-to-CT translation dataset, showing its superior performance against other GAN-, VAE-, and diffusion-based models. Metrics including the Frechet inception distance (FID), the peak signal-to-noise ratio (PSNR), and the structural similarity index measure (SSIM) were assessed. FDDM achieves an FID of 29.88, less than half of the second best. These results demonstrated FDDM's prowess in generating highly-realistic target-domain images while maintaining the faithfulness of translated anatomical structures.

FDNet: Feature Decoupled Segmentation Network for Tooth CBCT Image

Precise Tooth Cone Beam Computed Tomography (CBCT) image segmentation is crucial for orthodontic treatment planning. In this paper, we propose FDNet, a Feature Decoupled Segmentation Network, to excel in the face of the variable dental conditions encountered in CBCT scans, such as complex artifacts and indistinct tooth boundaries. The Low-Frequency Wavelet Transform (LF-Wavelet) is employed to enrich the semantic content by emphasizing the global structural integrity of the teeth, while the SAM encoder is leveraged to refine the boundary delineation, thus improving the contrast between adjacent dental structures. By integrating these dual aspects, FDNet adeptly addresses the semantic gap, providing a detailed and accurate segmentation. The framework's effectiveness is validated through rigorous benchmarks, achieving the top Dice and IoU scores of 85.28% and 75.23%, respectively. This innovative decoupling of semantic and boundary features capitalizes on the unique strengths of each element to significantly elevate the quality of segmentation performance.

nnSAM: Plug-and-play Segment Anything Model Improves nnUNet Performance

The recent developments of foundation models in computer vision, especially the Segment Anything Model (SAM), allow scalable and domain-agnostic image segmentation to serve as a general-purpose segmentation tool. In parallel, the field of medical image segmentation has benefited significantly from specialized neural networks like the nnUNet, which is trained on domain-specific datasets and can automatically configure the network to tailor to specific segmentation challenges. To combine the advantages of foundation models and domain-specific models, we present nnSAM, which synergistically integrates the SAM model with the nnUNet model to achieve more accurate and robust medical image segmentation. The nnSAM model leverages the powerful and robust feature extraction capabilities of SAM, while harnessing the automatic configuration capabilities of nnUNet to promote dataset-tailored learning. Our comprehensive evaluation of nnSAM model on different sizes of training samples shows that it allows few-shot learning, which is highly relevant for medical image segmentation where high-quality, annotated data can be scarce and costly to obtain. By melding the strengths of both its predecessors, nnSAM positions itself as a potential new benchmark in medical image segmentation, offering a tool that combines broad applicability with specialized efficiency. The code is available at https://github.com/Kent0n-Li/Medical-Image-Segmentation.

Learning from Noisy Labels Generated by Extremely Point Annotations for OCT Fluid Segmentation

Automatic segmentation of fluid in OCT (Optical Coherence Tomography) images is beneficial for ophthalmologists to make an accurate diagnosis. Currently, data-driven convolutional neural networks (CNNs) have achieved great success in OCT fluid segmentation. However, obtaining pixel-level masks of OCT images is time-consuming and requires expertise. The popular weakly-supervised strategy is to generate noisy pseudo-labels from weak annotations, but the noise information introduced may mislead the model training. To address this issue, (i) we propose a superpixel-guided method for generating noisy labels from weak point annotations, called Point to Noisy by Superpixel (PNS), which limits the network from over-fitting noise by assigning low confidence to suspiciously noisy label pixels, and (ii) we propose a Two-Stage Mean-Teacher-assisted Confident Learning (2SMTCL) method based on MTCL for multi-category OCT fluid segmentation, which alleviates the uncertainty and computing power consumption introduced by the real-time characterization noise of MTCL. For evaluation, we have constructed a 2D OCT fluid segmentation dataset. Compared with other state-of-art label-denoising methods, comprehensive experimental results demonstrate that the proposed method can achieve excellent performance in OCT fluid segmentation as well as label denoising. Our study provides an efficient, accurate, and practical solution for fluid segmentation of OCT images, which is expected to have a positive impact on the diagnosis and treatment of patients in the field of ophthalmology.