GM-LDM: Latent Diffusion Model for Brain Biomarker Identification through Functional Data-Driven Gray Matter Synthesis

Generative models based on deep learning have shown significant potential in medical imaging, particularly for modality transformation and multimodal fusion in MRI-based brain imaging. This study introduces GM-LDM, a novel framework that leverages the latent diffusion model (LDM) to enhance the efficiency and precision of MRI generation tasks. GM-LDM integrates a 3D autoencoder, pre-trained on the large-scale ABCD MRI dataset, achieving statistical consistency through KL divergence loss. We employ a Vision Transformer (ViT)-based encoder-decoder as the denoising network to optimize generation quality. The framework flexibly incorporates conditional data, such as functional network connectivity (FNC) data, enabling personalized brain imaging, biomarker identification, and functional-to-structural information translation for brain diseases like schizophrenia.

Rethinking Multilingual Vision-Language Translation: Dataset, Evaluation, and Adaptation

Vision-Language Translation (VLT) is a challenging task that requires accurately recognizing multilingual text embedded in images and translating it into the target language with the support of visual context. While recent Large Vision-Language Models (LVLMs) have demonstrated strong multilingual and visual understanding capabilities, there is a lack of systematic evaluation and understanding of their performance on VLT. In this work, we present a comprehensive study of VLT from three key perspectives: data quality, model architecture, and evaluation metrics. (1) We identify critical limitations in existing datasets, particularly in semantic and cultural fidelity, and introduce AibTrans -- a multilingual, parallel, human-verified dataset with OCR-corrected annotations. (2) We benchmark 11 commercial LVLMs/LLMs and 6 state-of-the-art open-source models across end-to-end and cascaded architectures, revealing their OCR dependency and contrasting generation versus reasoning behaviors. (3) We propose Density-Aware Evaluation to address metric reliability issues under varying contextual complexity, introducing the DA Score as a more robust measure of translation quality. Building upon these findings, we establish a new evaluation benchmark for VLT. Notably, we observe that fine-tuning LVLMs on high-resource language pairs degrades cross-lingual performance, and we propose a balanced multilingual fine-tuning strategy that effectively adapts LVLMs to VLT without sacrificing their generalization ability.

Score-based Generative Diffusion Models to Synthesize Full-dose FDG Brain PET from MRI in Epilepsy Patients

Fluorodeoxyglucose (FDG) PET to evaluate patients with epilepsy is one of the most common applications for simultaneous PET/MRI, given the need to image both brain structure and metabolism, but is suboptimal due to the radiation dose in this young population. Little work has been done synthesizing diagnostic quality PET images from MRI data or MRI data with ultralow-dose PET using advanced generative AI methods, such as diffusion models, with attention to clinical evaluations tailored for the epilepsy population. Here we compared the performance of diffusion- and non-diffusion-based deep learning models for the MRI-to-PET image translation task for epilepsy imaging using simultaneous PET/MRI in 52 subjects (40 train/2 validate/10 hold-out test). We tested three different models: 2 score-based generative diffusion models (SGM-Karras Diffusion [SGM-KD] and SGM-variance preserving [SGM-VP]) and a Transformer-Unet. We report results on standard image processing metrics as well as clinically relevant metrics, including congruency measures (Congruence Index and Congruency Mean Absolute Error) that assess hemispheric metabolic asymmetry, which is a key part of the clinical analysis of these images. The SGM-KD produced the best qualitative and quantitative results when synthesizing PET purely from T1w and T2 FLAIR images with the least mean absolute error in whole-brain specific uptake value ratio (SUVR) and highest intraclass correlation coefficient. When 1% low-dose PET images are included in the inputs, all models improve significantly and are interchangeable for quantitative performance and visual quality. In summary, SGMs hold great potential for pure MRI-to-PET translation, while all 3 model types can synthesize full-dose FDG-PET accurately using MRI and ultralow-dose PET.

Doctor Approved: Generating Medically Accurate Skin Disease Images through AI-Expert Feedback

Paucity of medical data severely limits the generalizability of diagnostic ML models, as the full spectrum of disease variability can not be represented by a small clinical dataset. To address this, diffusion models (DMs) have been considered as a promising avenue for synthetic image generation and augmentation. However, they frequently produce medically inaccurate images, deteriorating the model performance. Expert domain knowledge is critical for synthesizing images that correctly encode clinical information, especially when data is scarce and quality outweighs quantity. Existing approaches for incorporating human feedback, such as reinforcement learning (RL) and Direct Preference Optimization (DPO), rely on robust reward functions or demand labor-intensive expert evaluations. Recent progress in Multimodal Large Language Models (MLLMs) reveals their strong visual reasoning capabilities, making them adept candidates as evaluators. In this work, we propose a novel framework, coined MAGIC (Medically Accurate Generation of Images through AI-Expert Collaboration), that synthesizes clinically accurate skin disease images for data augmentation. Our method creatively translates expert-defined criteria into actionable feedback for image synthesis of DMs, significantly improving clinical accuracy while reducing the direct human workload. Experiments demonstrate that our method greatly improves the clinical quality of synthesized skin disease images, with outputs aligning with dermatologist assessments. Additionally, augmenting training data with these synthesized images improves diagnostic accuracy by +9.02% on a challenging 20-condition skin disease classification task, and by +13.89% in the few-shot setting.

Optimal Transport Driven Asymmetric Image-to-Image Translation for Nuclei Segmentation of Histological Images

Segmentation of nuclei regions from histological images enables morphometric analysis of nuclei structures, which in turn helps in the detection and diagnosis of diseases under consideration. To develop a nuclei segmentation algorithm, applicable to different types of target domain representations, image-to-image translation networks can be considered as they are invariant to target domain image representations. One of the important issues with image-to-image translation models is that they fail miserably when the information content between two image domains are asymmetric in nature. In this regard, the paper introduces a new deep generative model for segmenting nuclei structures from histological images. The proposed model considers an embedding space for handling information-disparity between information-rich histological image space and information-poor segmentation map domain. Integrating judiciously the concepts of optimal transport and measure theory, the model develops an invertible generator, which provides an efficient optimization framework with lower network complexity. The concept of invertible generator automatically eliminates the need of any explicit cycle-consistency loss. The proposed model also introduces a spatially-constrained squeeze operation within the framework of invertible generator to maintain spatial continuity within the image patches. The model provides a better trade-off between network complexity and model performance compared to other existing models having complex network architectures. The performance of the proposed deep generative model, along with a comparison with state-of-the-art nuclei segmentation methods, is demonstrated on publicly available histological image data sets.

MetricHMR: Metric Human Mesh Recovery from Monocular Images

We introduce MetricHMR (Metric Human Mesh Recovery), an approach for metric human mesh recovery with accurate global translation from monocular images. In contrast to existing HMR methods that suffer from severe scale and depth ambiguity, MetricHMR is able to produce geometrically reasonable body shape and global translation in the reconstruction results. To this end, we first systematically analyze previous HMR methods on camera models to emphasize the critical role of the standard perspective projection model in enabling metric-scale HMR. We then validate the acceptable ambiguity range of metric HMR under the standard perspective projection model. Finally, we contribute a novel approach that introduces a ray map based on the standard perspective projection to jointly encode bounding-box information, camera parameters, and geometric cues for End2End metric HMR without any additional metric-regularization modules. Extensive experiments demonstrate that our method achieves state-of-the-art performance, even compared with sequential HMR methods, in metric pose, shape, and global translation estimation across both indoor and in-the-wild scenarios.

PLD: A Choice-Theoretic List-Wise Knowledge Distillation

Knowledge distillation is a model compression technique in which a compact "student" network is trained to replicate the predictive behavior of a larger "teacher" network. In logit-based knowledge distillation it has become the de facto approach to augment cross-entropy with a distillation term. Typically this term is either a KL divergence-matching marginal probabilities or a correlation-based loss capturing intra- and inter-class relationships but in every case it sits as an add-on to cross-entropy with its own weight that must be carefully tuned. In this paper we adopt a choice-theoretic perspective and recast knowledge distillation under the Plackett-Luce model by interpreting teacher logits as "worth" scores. We introduce Plackett-Luce Distillation (PLD), a weighted list-wise ranking loss in which the teacher model transfers knowledge of its full ranking of classes, weighting each ranked choice by its own confidence. PLD directly optimizes a single teacher-optimal ranking of the true label first, followed by the remaining classes in descending teacher confidence, yielding a convex, translation-invariant surrogate that subsumes weighted cross-entropy. Empirically on standard image classification benchmarks, PLD improves Top-1 accuracy by an average of +0.42% over DIST (arXiv:2205.10536) and +1.04% over KD (arXiv:1503.02531) in homogeneous settings and by +0.48% and +1.09% over DIST and KD, respectively, in heterogeneous settings.

APTOS-2024 challenge report: Generation of synthetic 3D OCT images from fundus photographs

Optical Coherence Tomography (OCT) provides high-resolution, 3D, and non-invasive visualization of retinal layers in vivo, serving as a critical tool for lesion localization and disease diagnosis. However, its widespread adoption is limited by equipment costs and the need for specialized operators. In comparison, 2D color fundus photography offers faster acquisition and greater accessibility with less dependence on expensive devices. Although generative artificial intelligence has demonstrated promising results in medical image synthesis, translating 2D fundus images into 3D OCT images presents unique challenges due to inherent differences in data dimensionality and biological information between modalities. To advance generative models in the fundus-to-3D-OCT setting, the Asia Pacific Tele-Ophthalmology Society (APTOS-2024) organized a challenge titled Artificial Intelligence-based OCT Generation from Fundus Images. This paper details the challenge framework (referred to as APTOS-2024 Challenge), including: the benchmark dataset, evaluation methodology featuring two fidelity metrics-image-based distance (pixel-level OCT B-scan similarity) and video-based distance (semantic-level volumetric consistency), and analysis of top-performing solutions. The challenge attracted 342 participating teams, with 42 preliminary submissions and 9 finalists. Leading methodologies incorporated innovations in hybrid data preprocessing or augmentation (cross-modality collaborative paradigms), pre-training on external ophthalmic imaging datasets, integration of vision foundation models, and model architecture improvement. The APTOS-2024 Challenge is the first benchmark demonstrating the feasibility of fundus-to-3D-OCT synthesis as a potential solution for improving ophthalmic care accessibility in under-resourced healthcare settings, while helping to expedite medical research and clinical applications.

Unsupervised risk factor identification across cancer types and data modalities via explainable artificial intelligence

Risk stratification is a key tool in clinical decision-making, yet current approaches often fail to translate sophisticated survival analysis into actionable clinical criteria. We present a novel method for unsupervised machine learning that directly optimizes for survival heterogeneity across patient clusters through a differentiable adaptation of the multivariate logrank statistic. Unlike most existing methods that rely on proxy metrics, our approach represents novel methodology for training any neural network architecture on any data modality to identify prognostically distinct patient groups. We thoroughly evaluate the method in simulation experiments and demonstrate its utility in practice by applying it to two distinct cancer types: analyzing laboratory parameters from multiple myeloma patients and computed tomography images from non-small cell lung cancer patients, identifying prognostically distinct patient subgroups with significantly different survival outcomes in both cases. Post-hoc explainability analyses uncover clinically meaningful features determining the group assignments which align well with established risk factors and thus lend strong weight to the methods utility. This pan-cancer, model-agnostic approach represents a valuable advancement in clinical risk stratification, enabling the discovery of novel prognostic signatures across diverse data types while providing interpretable results that promise to complement treatment personalization and clinical decision-making in oncology and beyond.

Normalized Radon Cumulative Distribution Transforms for Invariance and Robustness in Optimal Transport Based Image Classification

The Radon cumulative distribution transform (R-CDT), is an easy-to-compute feature extractor that facilitates image classification tasks especially in the small data regime. It is closely related to the sliced Wasserstein distance and provably guaranties the linear separability of image classes that emerge from translations or scalings. In many real-world applications, like the recognition of watermarks in filigranology, however, the data is subject to general affine transformations originating from the measurement process. To overcome this issue, we recently introduced the so-called max-normalized R-CDT that only requires elementary operations and guaranties the separability under arbitrary affine transformations. The aim of this paper is to continue our study of the max-normalized R-CDT especially with respect to its robustness against non-affine image deformations. Our sensitivity analysis shows that its separability properties are stable provided the Wasserstein-infinity distance between the samples can be controlled. Since the Wasserstein-infinity distance only allows small local image deformations, we moreover introduce a mean-normalized version of the R-CDT. In this case, robustness relates to the Wasserstein-2 distance and also covers image deformations caused by impulsive noise for instance. Our theoretical results are supported by numerical experiments showing the effectiveness of our novel feature extractors as well as their robustness against local non-affine deformations and impulsive noise.