Colorectal cancer (CRC), which frequently originates from initially benign polyps, remains a significant contributor to global cancer-related mortality. Early and accurate detection of these polyps via colonoscopy is crucial for CRC prevention. However, traditional colonoscopy methods depend heavily on the operator's experience, leading to suboptimal polyp detection rates. Besides, the public database are limited in polyp size and shape diversity. To enhance the available data for polyp detection, we introduce Consisaug, an innovative and effective methodology to augment data that leverages deep learning. We utilize the constraint that when the image is flipped the class label should be equal and the bonding boxes should be consistent. We implement our Consisaug on five public polyp datasets and at three backbones, and the results show the effectiveness of our method.
Vision-language pre-training for chest X-rays has made significant strides, primarily by utilizing paired radiographs and radiology reports. However, existing approaches often face challenges in encoding medical knowledge effectively. While radiology reports provide insights into the current disease manifestation, medical definitions (as used by contemporary methods) tend to be overly abstract, creating a gap in knowledge. To address this, we propose DeViDe, a novel transformer-based method that leverages radiographic descriptions from the open web. These descriptions outline general visual characteristics of diseases in radiographs, and when combined with abstract definitions and radiology reports, provide a holistic snapshot of knowledge. DeViDe incorporates three key features for knowledge-augmented vision language alignment: First, a large-language model-based augmentation is employed to homogenise medical knowledge from diverse sources. Second, this knowledge is aligned with image information at various levels of granularity. Third, a novel projection layer is proposed to handle the complexity of aligning each image with multiple descriptions arising in a multi-label setting. In zero-shot settings, DeViDe performs comparably to fully supervised models on external datasets and achieves state-of-the-art results on three large-scale datasets. Additionally, fine-tuning DeViDe on four downstream tasks and six segmentation tasks showcases its superior performance across data from diverse distributions.
Both functional and structural magnetic resonance imaging (fMRI and sMRI) are widely used for the diagnosis of mental disorder. However, combining complementary information from these two modalities is challenging due to their heterogeneity. Many existing methods fall short of capturing the interaction between these modalities, frequently defaulting to a simple combination of latent features. In this paper, we propose a novel Cross-Attentive Multi-modal Fusion framework (CAMF), which aims to capture both intra-modal and inter-modal relationships between fMRI and sMRI, enhancing multi-modal data representation. Specifically, our CAMF framework employs self-attention modules to identify interactions within each modality while cross-attention modules identify interactions between modalities. Subsequently, our approach optimizes the integration of latent features from both modalities. This approach significantly improves classification accuracy, as demonstrated by our evaluations on two extensive multi-modal brain imaging datasets, where CAMF consistently outperforms existing methods. Furthermore, the gradient-guided Score-CAM is applied to interpret critical functional networks and brain regions involved in schizophrenia. The bio-markers identified by CAMF align with established research, potentially offering new insights into the diagnosis and pathological endophenotypes of schizophrenia.
Self-supervised learning (SSL) approaches have recently shown substantial success in learning visual representations from unannotated images. Compared with photographic images, medical images acquired with the same imaging protocol exhibit high consistency in anatomy. To exploit this anatomical consistency, this paper introduces a novel SSL approach, called PEAC (patch embedding of anatomical consistency), for medical image analysis. Specifically, in this paper, we propose to learn global and local consistencies via stable grid-based matching, transfer pre-trained PEAC models to diverse downstream tasks, and extensively demonstrate that (1) PEAC achieves significantly better performance than the existing state-of-the-art fully/self-supervised methods, and (2) PEAC captures the anatomical structure consistency across views of the same patient and across patients of different genders, weights, and healthy statuses, which enhances the interpretability of our method for medical image analysis.
Image generation tasks are traditionally undertaken using Convolutional Neural Networks (CNN) or Transformer architectures for feature aggregating and dispatching. Despite the frequent application of convolution and attention structures, these structures are not fundamentally required to solve the problem of instability and the lack of interpretability in image generation. In this paper, we propose a unique image generation process premised on the perspective of converting images into a set of point clouds. In other words, we interpret an image as a set of points. As such, our methodology leverages simple clustering methods named Context Clustering (CoC) to generate images from unordered point sets, which defies the convention of using convolution or attention mechanisms. Hence, we exclusively depend on this clustering technique, combined with the multi-layer perceptron (MLP) in a generative model. Furthermore, we implement the integration of a module termed the 'Point Increaser' for the model. This module is just an MLP tasked with generating additional points for clustering, which are subsequently integrated within the paradigm of the Generative Adversarial Network (GAN). We introduce this model with the novel structure as the Context Clustering Generative Adversarial Network (CoC-GAN), which offers a distinctive viewpoint in the domain of feature aggregating and dispatching. Empirical evaluations affirm that our CoC-GAN, devoid of convolution and attention mechanisms, exhibits outstanding performance. Its interpretability, endowed by the CoC module, also allows for visualization in our experiments. The promising results underscore the feasibility of our method and thus warrant future investigations of applying Context Clustering to more novel and interpretable image generation.
Unsupervised domain adaptation (UDA) has increasingly gained interests for its capacity to transfer the knowledge learned from a labeled source domain to an unlabeled target domain. However, typical UDA methods require concurrent access to both the source and target domain data, which largely limits its application in medical scenarios where source data is often unavailable due to privacy concern. To tackle the source data-absent problem, we present a novel two-stage source-free domain adaptation (SFDA) framework for medical image segmentation, where only a well-trained source segmentation model and unlabeled target data are available during domain adaptation. Specifically, in the prototype-anchored feature alignment stage, we first utilize the weights of the pre-trained pixel-wise classifier as source prototypes, which preserve the information of source features. Then, we introduce the bi-directional transport to align the target features with class prototypes by minimizing its expected cost. On top of that, a contrastive learning stage is further devised to utilize those pixels with unreliable predictions for a more compact target feature distribution. Extensive experiments on a cross-modality medical segmentation task demonstrate the superiority of our method in large domain discrepancy settings compared with the state-of-the-art SFDA approaches and even some UDA methods. Code is available at https://github.com/CSCYQJ/MICCAI23-ProtoContra-SFDA.
Agile quadrotor flight relies on rapidly planning and accurately tracking time-optimal trajectories, a technology critical to their application in the wild. However, the computational burden of computing time-optimal trajectories based on the full quadrotor dynamics (typically on the order of minutes or even hours) can hinder its ability to respond quickly to changing scenarios. Additionally, modeling errors and external disturbances can lead to deviations from the desired trajectory during tracking in real time. This letter proposes a novel approach to computing time-optimal trajectories, by fixing the nodes with waypoint constraints and adopting separate sampling intervals for trajectories between waypoints, which significantly accelerates trajectory planning. Furthermore, the planned paths are tracked via a time-adaptive model predictive control scheme whose allocated tracking time can be adaptively adjusted on-the-fly, therefore enhancing the tracking accuracy and robustness. We evaluate our approach through simulations and experimentally validate its performance in dynamic waypoint scenarios for time-optimal trajectory replanning and trajectory tracking.
Deep-learning-based approaches for retinal lesion segmentation often require an abundant amount of precise pixel-wise annotated data. However, coarse annotations such as circles or ellipses for outlining the lesion area can be six times more efficient than pixel-level annotation. Therefore, this paper proposes an annotation refinement network to convert a coarse annotation into a pixel-level segmentation mask. Our main novelty is the application of the prototype learning paradigm to enhance the generalization ability across different datasets or types of lesions. We also introduce a prototype weighing module to handle challenging cases where the lesion is overly small. The proposed method was trained on the publicly available IDRiD dataset and then generalized to the public DDR and our real-world private datasets. Experiments show that our approach substantially improved the initial coarse mask and outperformed the non-prototypical baseline by a large margin. Moreover, we demonstrate the usefulness of the prototype weighing module in both cross-dataset and cross-class settings.