ECC-PolypDet: Enhanced CenterNet with Contrastive Learning for Automatic Polyp Detection

Accurate polyp detection is critical for early colorectal cancer diagnosis. Although remarkable progress has been achieved in recent years, the complex colon environment and concealed polyps with unclear boundaries still pose severe challenges in this area. Existing methods either involve computationally expensive context aggregation or lack prior modeling of polyps, resulting in poor performance in challenging cases. In this paper, we propose the Enhanced CenterNet with Contrastive Learning (ECC-PolypDet), a two-stage training \& end-to-end inference framework that leverages images and bounding box annotations to train a general model and fine-tune it based on the inference score to obtain a final robust model. Specifically, we conduct Box-assisted Contrastive Learning (BCL) during training to minimize the intra-class difference and maximize the inter-class difference between foreground polyps and backgrounds, enabling our model to capture concealed polyps. Moreover, to enhance the recognition of small polyps, we design the Semantic Flow-guided Feature Pyramid Network (SFFPN) to aggregate multi-scale features and the Heatmap Propagation (HP) module to boost the model's attention on polyp targets. In the fine-tuning stage, we introduce the IoU-guided Sample Re-weighting (ISR) mechanism to prioritize hard samples by adaptively adjusting the loss weight for each sample during fine-tuning. Extensive experiments on six large-scale colonoscopy datasets demonstrate the superiority of our model compared with previous state-of-the-art detectors.

ScribblePolyp: Scribble-Supervised Polyp Segmentation through Dual Consistency Alignment

Automatic polyp segmentation models play a pivotal role in the clinical diagnosis of gastrointestinal diseases. In previous studies, most methods relied on fully supervised approaches, necessitating pixel-level annotations for model training. However, the creation of pixel-level annotations is both expensive and time-consuming, impeding the development of model generalization. In response to this challenge, we introduce ScribblePolyp, a novel scribble-supervised polyp segmentation framework. Unlike fully-supervised models, ScribblePolyp only requires the annotation of two lines (scribble labels) for each image, significantly reducing the labeling cost. Despite the coarse nature of scribble labels, which leave a substantial portion of pixels unlabeled, we propose a two-branch consistency alignment approach to provide supervision for these unlabeled pixels. The first branch employs transformation consistency alignment to narrow the gap between predictions under different transformations of the same input image. The second branch leverages affinity propagation to refine predictions into a soft version, extending additional supervision to unlabeled pixels. In summary, ScribblePolyp is an efficient model that does not rely on teacher models or moving average pseudo labels during training. Extensive experiments on the SUN-SEG dataset underscore the effectiveness of ScribblePolyp, achieving a Dice score of 0.8155, with the potential for a 1.8% improvement in the Dice score through a straightforward self-training strategy.

YONA: You Only Need One Adjacent Reference-frame for Accurate and Fast Video Polyp Detection

Accurate polyp detection is essential for assisting clinical rectal cancer diagnoses. Colonoscopy videos contain richer information than still images, making them a valuable resource for deep learning methods. Great efforts have been made to conduct video polyp detection through multi-frame temporal/spatial aggregation. However, unlike common fixed-camera video, the camera-moving scene in colonoscopy videos can cause rapid video jitters, leading to unstable training for existing video detection models. Additionally, the concealed nature of some polyps and the complex background environment further hinder the performance of existing video detectors. In this paper, we propose the \textbf{YONA} (\textbf{Y}ou \textbf{O}nly \textbf{N}eed one \textbf{A}djacent Reference-frame) method, an efficient end-to-end training framework for video polyp detection. YONA fully exploits the information of one previous adjacent frame and conducts polyp detection on the current frame without multi-frame collaborations. Specifically, for the foreground, YONA adaptively aligns the current frame's channel activation patterns with its adjacent reference frames according to their foreground similarity. For the background, YONA conducts background dynamic alignment guided by inter-frame difference to eliminate the invalid features produced by drastic spatial jitters. Moreover, YONA applies cross-frame contrastive learning during training, leveraging the ground truth bounding box to improve the model's perception of polyp and background. Quantitative and qualitative experiments on three public challenging benchmarks demonstrate that our proposed YONA outperforms previous state-of-the-art competitors by a large margin in both accuracy and speed.

Hierarchical Weight Averaging for Deep Neural Networks

Despite the simplicity, stochastic gradient descent (SGD)-like algorithms are successful in training deep neural networks (DNNs). Among various attempts to improve SGD, weight averaging (WA), which averages the weights of multiple models, has recently received much attention in the literature. Broadly, WA falls into two categories: 1) online WA, which averages the weights of multiple models trained in parallel, is designed for reducing the gradient communication overhead of parallel mini-batch SGD, and 2) offline WA, which averages the weights of one model at different checkpoints, is typically used to improve the generalization ability of DNNs. Though online and offline WA are similar in form, they are seldom associated with each other. Besides, these methods typically perform either offline parameter averaging or online parameter averaging, but not both. In this work, we firstly attempt to incorporate online and offline WA into a general training framework termed Hierarchical Weight Averaging (HWA). By leveraging both the online and offline averaging manners, HWA is able to achieve both faster convergence speed and superior generalization performance without any fancy learning rate adjustment. Besides, we also analyze the issues faced by existing WA methods, and how our HWA address them, empirically. Finally, extensive experiments verify that HWA outperforms the state-of-the-art methods significantly.

APAUNet: Axis Projection Attention UNet for Small Target in 3D Medical Segmentation

In 3D medical image segmentation, small targets segmentation is crucial for diagnosis but still faces challenges. In this paper, we propose the Axis Projection Attention UNet, named APAUNet, for 3D medical image segmentation, especially for small targets. Considering the large proportion of the background in the 3D feature space, we introduce a projection strategy to project the 3D features into three orthogonal 2D planes to capture the contextual attention from different views. In this way, we can filter out the redundant feature information and mitigate the loss of critical information for small lesions in 3D scans. Then we utilize a dimension hybridization strategy to fuse the 3D features with attention from different axes and merge them by a weighted summation to adaptively learn the importance of different perspectives. Finally, in the APA Decoder, we concatenate both high and low resolution features in the 2D projection process, thereby obtaining more precise multi-scale information, which is vital for small lesion segmentation. Quantitative and qualitative experimental results on two public datasets (BTCV and MSD) demonstrate that our proposed APAUNet outperforms the other methods. Concretely, our APAUNet achieves an average dice score of 87.84 on BTCV, 84.48 on MSD-Liver and 69.13 on MSD-Pancreas, and significantly surpass the previous SOTA methods on small targets.