Consistency-guided Meta-Learning for Bootstrapping Semi-Supervised Medical Image Segmentation

Medical imaging has witnessed remarkable progress but usually requires a large amount of high-quality annotated data which is time-consuming and costly to obtain. To alleviate this burden, semi-supervised learning has garnered attention as a potential solution. In this paper, we present Meta-Learning for Bootstrapping Medical Image Segmentation (MLB-Seg), a novel method for tackling the challenge of semi-supervised medical image segmentation. Specifically, our approach first involves training a segmentation model on a small set of clean labeled images to generate initial labels for unlabeled data. To further optimize this bootstrapping process, we introduce a per-pixel weight mapping system that dynamically assigns weights to both the initialized labels and the model's own predictions. These weights are determined using a meta-process that prioritizes pixels with loss gradient directions closer to those of clean data, which is based on a small set of precisely annotated images. To facilitate the meta-learning process, we additionally introduce a consistency-based Pseudo Label Enhancement (PLE) scheme that improves the quality of the model's own predictions by ensembling predictions from various augmented versions of the same input. In order to improve the quality of the weight maps obtained through multiple augmentations of a single input, we introduce a mean teacher into the PLE scheme. This method helps to reduce noise in the weight maps and stabilize its generation process. Our extensive experimental results on public atrial and prostate segmentation datasets demonstrate that our proposed method achieves state-of-the-art results under semi-supervision. Our code is available at https://github.com/aijinrjinr/MLB-Seg.

MicroSegNet: A Deep Learning Approach for Prostate Segmentation on Micro-Ultrasound Images

Micro-ultrasound (micro-US) is a novel 29-MHz ultrasound technique that provides 3-4 times higher resolution than traditional ultrasound, delivering comparable accuracy for diagnosing prostate cancer to MRI but at a lower cost. Accurate prostate segmentation is crucial for prostate volume measurement, cancer diagnosis, prostate biopsy, and treatment planning. This paper proposes a deep learning approach for automated, fast, and accurate prostate segmentation on micro-US images. Prostate segmentation on micro-US is challenging due to artifacts and indistinct borders between the prostate, bladder, and urethra in the midline. We introduce MicroSegNet, a multi-scale annotation-guided Transformer UNet model to address this challenge. During the training process, MicroSegNet focuses more on regions that are hard to segment (challenging regions), where expert and non-expert annotations show discrepancies. We achieve this by proposing an annotation-guided cross entropy loss that assigns larger weight to pixels in hard regions and lower weight to pixels in easy regions. We trained our model using micro-US images from 55 patients, followed by evaluation on 20 patients. Our MicroSegNet model achieved a Dice coefficient of 0.942 and a Hausdorff distance of 2.11 mm, outperforming several state-of-the-art segmentation methods, as well as three human annotators with different experience levels. We will make our code and dataset publicly available to promote transparency and collaboration in research.

Image Registration of In Vivo Micro-Ultrasound and Ex Vivo Pseudo-Whole Mount Histopathology Images of the Prostate: A Proof-of-Concept Study

Early diagnosis of prostate cancer significantly improves a patient's 5-year survival rate. Biopsy of small prostate cancers is improved with image-guided biopsy. MRI-ultrasound fusion-guided biopsy is sensitive to smaller tumors but is underutilized due to the high cost of MRI and fusion equipment. Micro-ultrasound (micro-US), a novel high-resolution ultrasound technology, provides a cost-effective alternative to MRI while delivering comparable diagnostic accuracy. However, the interpretation of micro-US is challenging due to subtle gray scale changes indicating cancer vs normal tissue. This challenge can be addressed by training urologists with a large dataset of micro-US images containing the ground truth cancer outlines. Such a dataset can be mapped from surgical specimens (histopathology) onto micro-US images via image registration. In this paper, we present a semi-automated pipeline for registering in vivo micro-US images with ex vivo whole-mount histopathology images. Our pipeline begins with the reconstruction of pseudo-whole-mount histopathology images and a 3D micro-US volume. Each pseudo-whole-mount histopathology image is then registered with the corresponding axial micro-US slice using a two-stage approach that estimates an affine transformation followed by a deformable transformation. We evaluated our registration pipeline using micro-US and histopathology images from 18 patients who underwent radical prostatectomy. The results showed a Dice coefficient of 0.94 and a landmark error of 2.7 mm, indicating the accuracy of our registration pipeline. This proof-of-concept study demonstrates the feasibility of accurately aligning micro-US and histopathology images. To promote transparency and collaboration in research, we will make our code and dataset publicly available.

BiomedGPT: A Unified and Generalist Biomedical Generative Pre-trained Transformer for Vision, Language, and Multimodal Tasks

In this paper, we introduce a unified and generalist Biomedical Generative Pre-trained Transformer (BiomedGPT) model, which leverages self-supervision on large and diverse datasets to accept multi-modal inputs and perform a range of downstream tasks. Our experiments demonstrate that BiomedGPT delivers expansive and inclusive representations of biomedical data, outperforming the majority of preceding state-of-the-art models across five distinct tasks with 20 public datasets spanning over 15 unique biomedical modalities. Through the ablation study, we also showcase the efficacy of our multi-modal and multi-task pretraining approach in transferring knowledge to previously unseen data. Overall, our work presents a significant step forward in developing unified and generalist models for biomedicine, with far-reaching implications for improving healthcare outcomes.

Distribution Aligned Diffusion and Prototype-guided network for Unsupervised Domain Adaptive Segmentation

The Diffusion Probabilistic Model (DPM) has emerged as a highly effective generative model in the field of computer vision. Its intermediate latent vectors offer rich semantic information, making it an attractive option for various downstream tasks such as segmentation and detection. In order to explore its potential further, we have taken a step forward and considered a more complex scenario in the medical image domain, specifically, under an unsupervised adaptation condition. To this end, we propose a Diffusion-based and Prototype-guided network (DP-Net) for unsupervised domain adaptive segmentation. Concretely, our DP-Net consists of two stages: 1) Distribution Aligned Diffusion (DADiff), which involves training a domain discriminator to minimize the difference between the intermediate features generated by the DPM, thereby aligning the inter-domain distribution; and 2) Prototype-guided Consistency Learning (PCL), which utilizes feature centroids as prototypes and applies a prototype-guided loss to ensure that the segmentor learns consistent content from both source and target domains. Our approach is evaluated on fundus datasets through a series of experiments, which demonstrate that the performance of the proposed method is reliable and outperforms state-of-the-art methods. Our work presents a promising direction for using DPM in complex medical image scenarios, opening up new possibilities for further research in medical imaging.

Unleashing the Power of Visual Prompting At the Pixel Level

This paper presents a simple and effective visual prompting method for adapting pre-trained models to downstream recognition tasks. Our method includes two key designs. First, rather than directly adding together the prompt and the image, we treat the prompt as an extra and independent learnable component. We show that the strategy of reconciling the prompt and the image matters, and find that warping the prompt around a properly shrinked image empirically works the best. Second, we re-introduce two "old tricks" commonly used in building transferable adversarial examples, i.e., input diversity and gradient normalization, into visual prompting. These techniques improve optimization and enable the prompt to generalize better. We provide extensive experimental results to demonstrate the effectiveness of our method. Using a CLIP model, our prompting method sets a new record of 82.8% average accuracy across 12 popular classification datasets, substantially surpassing the prior art by +5.6%. It is worth noting that this prompting performance already outperforms linear probing by +2.1% and can even match fully fine-tuning in certain datasets. In addition, our prompting method shows competitive performance across different data scales and against distribution shifts. The code is publicly available at https://github.com/UCSC-VLAA/EVP.

Multi-Granularity Cross-modal Alignment for Generalized Medical Visual Representation Learning

Learning medical visual representations directly from paired radiology reports has become an emerging topic in representation learning. However, existing medical image-text joint learning methods are limited by instance or local supervision analysis, ignoring disease-level semantic correspondences. In this paper, we present a novel Multi-Granularity Cross-modal Alignment (MGCA) framework for generalized medical visual representation learning by harnessing the naturally exhibited semantic correspondences between medical image and radiology reports at three different levels, i.e., pathological region-level, instance-level, and disease-level. Specifically, we first incorporate the instance-wise alignment module by maximizing the agreement between image-report pairs. Further, for token-wise alignment, we introduce a bidirectional cross-attention strategy to explicitly learn the matching between fine-grained visual tokens and text tokens, followed by contrastive learning to align them. More important, to leverage the high-level inter-subject relationship semantic (e.g., disease) correspondences, we design a novel cross-modal disease-level alignment paradigm to enforce the cross-modal cluster assignment consistency. Extensive experimental results on seven downstream medical image datasets covering image classification, object detection, and semantic segmentation tasks demonstrate the stable and superior performance of our framework.

Bag of Tricks for FGSM Adversarial Training

Adversarial training (AT) with samples generated by Fast Gradient Sign Method (FGSM), also known as FGSM-AT, is a computationally simple method to train robust networks. However, during its training procedure, an unstable mode of "catastrophic overfitting" has been identified in arXiv:2001.03994 [cs.LG], where the robust accuracy abruptly drops to zero within a single training step. Existing methods use gradient regularizers or random initialization tricks to attenuate this issue, whereas they either take high computational cost or lead to lower robust accuracy. In this work, we provide the first study, which thoroughly examines a collection of tricks from three perspectives: Data Initialization, Network Structure, and Optimization, to overcome the catastrophic overfitting in FGSM-AT. Surprisingly, we find that simple tricks, i.e., a) masking partial pixels (even without randomness), b) setting a large convolution stride and smooth activation functions, or c) regularizing the weights of the first convolutional layer, can effectively tackle the overfitting issue. Extensive results on a range of network architectures validate the effectiveness of each proposed trick, and the combinations of tricks are also investigated. For example, trained with PreActResNet-18 on CIFAR-10, our method attains 49.8% accuracy against PGD-50 attacker and 46.4% accuracy against AutoAttack, demonstrating that pure FGSM-AT is capable of enabling robust learners. The code and models are publicly available at https://github.com/UCSC-VLAA/Bag-of-Tricks-for-FGSM-AT.

Masked Autoencoders Enable Efficient Knowledge Distillers

This paper studies the potential of distilling knowledge from pre-trained models, especially Masked Autoencoders. Our approach is simple: in addition to optimizing the pixel reconstruction loss on masked inputs, we minimize the distance between the intermediate feature map of the teacher model and that of the student model. This design leads to a computationally efficient knowledge distillation framework, given 1) only a small visible subset of patches is used, and 2) the (cumbersome) teacher model only needs to be partially executed, \ie, forward propagate inputs through the first few layers, for obtaining intermediate feature maps. Compared to directly distilling fine-tuned models, distilling pre-trained models substantially improves downstream performance. For example, by distilling the knowledge from an MAE pre-trained ViT-L into a ViT-B, our method achieves 84.0% ImageNet top-1 accuracy, outperforming the baseline of directly distilling a fine-tuned ViT-L by 1.2%. More intriguingly, our method can robustly distill knowledge from teacher models even with extremely high masking ratios: e.g., with 95% masking ratio where merely TEN patches are visible during distillation, our ViT-B competitively attains a top-1 ImageNet accuracy of 83.6%; surprisingly, it can still secure 82.4% top-1 ImageNet accuracy by aggressively training with just FOUR visible patches (98% masking ratio). The code and models are publicly available at https://github.com/UCSC-VLAA/DMAE.