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Dec 29

Cross-modality (CT-MRI) prior augmented deep learning for robust lung tumor segmentation from small MR datasets

Lack of large expert annotated MR datasets makes training deep learning models difficult. Therefore, a cross-modality (MR-CT) deep learning segmentation approach that augments training data using pseudo MR images produced by transforming expert-segmented CT images was developed. Eighty-One T2-weighted MRI scans from 28 patients with non-small cell lung cancers were analyzed. Cross-modality prior encoding the transformation of CT to pseudo MR images resembling T2w MRI was learned as a generative adversarial deep learning model. This model augmented training data arising from 6 expert-segmented T2w MR patient scans with 377 pseudo MRI from non-small cell lung cancer CT patient scans with obtained from the Cancer Imaging Archive. A two-dimensional Unet implemented with batch normalization was trained to segment the tumors from T2w MRI. This method was benchmarked against (a) standard data augmentation and two state-of-the art cross-modality pseudo MR-based augmentation and (b) two segmentation networks. Segmentation accuracy was computed using Dice similarity coefficient (DSC), Hausdroff distance metrics, and volume ratio. The proposed approach produced the lowest statistical variability in the intensity distribution between pseudo and T2w MR images measured as Kullback-Leibler divergence of 0.069. This method produced the highest segmentation accuracy with a DSC of 0.75 and the lowest Hausdroff distance on the test dataset. This approach produced highly similar estimations of tumor growth as an expert (P = 0.37). A novel deep learning MR segmentation was developed that overcomes the limitation of learning robust models from small datasets by leveraging learned cross-modality priors to augment training. The results show the feasibility of the approach and the corresponding improvement over the state-of-the-art methods.

  • 7 authors
·
Jan 31, 2019

Cross-Shaped Windows Transformer with Self-supervised Pretraining for Clinically Significant Prostate Cancer Detection in Bi-parametric MRI

Multiparametric magnetic resonance imaging (mpMRI) has demonstrated promising results in prostate cancer (PCa) detection using deep convolutional neural networks (CNNs). Recently, transformers have achieved competitive performance compared to CNNs in computer vision. Large-scale transformers need abundant annotated data for training, which are difficult to obtain in medical imaging. Self-supervised learning can effectively leverage unlabeled data to extract useful semantic representations without annotation and its associated costs. This can improve model performance on downstream tasks with limited labelled data and increase generalizability. We introduce a novel end-to-end Cross-Shaped windows (CSwin) transformer UNet model, CSwin UNet, to detect clinically significant prostate cancer (csPCa) in prostate bi-parametric MR imaging (bpMRI) and demonstrate the effectiveness of our proposed self-supervised pre-training framework. Using a large prostate bpMRI dataset with 1500 patients, we first pre-train CSwin transformer using multi-task self-supervised learning to improve data-efficiency and network generalizability. We then finetuned using lesion annotations to perform csPCa detection. Five-fold cross validation shows that self-supervised CSwin UNet achieves 0.888 AUC and 0.545 Average Precision (AP), significantly outperforming four state-of-the-art models (Swin UNETR, DynUNet, Attention UNet, UNet). Using a separate bpMRI dataset with 158 patients, we evaluated our model robustness to external hold-out data. Self-supervised CSwin UNet achieves 0.79 AUC and 0.45 AP, still outperforming all other comparable methods and demonstrating generalization to a dataset shift.

  • 11 authors
·
Apr 30, 2023

MRSegmentator: Robust Multi-Modality Segmentation of 40 Classes in MRI and CT Sequences

Purpose: To introduce a deep learning model capable of multi-organ segmentation in MRI scans, offering a solution to the current limitations in MRI analysis due to challenges in resolution, standardized intensity values, and variability in sequences. Materials and Methods: he model was trained on 1,200 manually annotated MRI scans from the UK Biobank, 221 in-house MRI scans and 1228 CT scans, leveraging cross-modality transfer learning from CT segmentation models. A human-in-the-loop annotation workflow was employed to efficiently create high-quality segmentations. The model's performance was evaluated on NAKO and the AMOS22 dataset containing 600 and 60 MRI examinations. Dice Similarity Coefficient (DSC) and Hausdorff Distance (HD) was used to assess segmentation accuracy. The model will be open sourced. Results: The model showcased high accuracy in segmenting well-defined organs, achieving Dice Similarity Coefficient (DSC) scores of 0.97 for the right and left lungs, and 0.95 for the heart. It also demonstrated robustness in organs like the liver (DSC: 0.96) and kidneys (DSC: 0.95 left, 0.95 right), which present more variability. However, segmentation of smaller and complex structures such as the portal and splenic veins (DSC: 0.54) and adrenal glands (DSC: 0.65 left, 0.61 right) revealed the need for further model optimization. Conclusion: The proposed model is a robust, tool for accurate segmentation of 40 anatomical structures in MRI and CT images. By leveraging cross-modality learning and interactive annotation, the model achieves strong performance and generalizability across diverse datasets, making it a valuable resource for researchers and clinicians. It is open source and can be downloaded from https://github.com/hhaentze/MRSegmentator.

  • 11 authors
·
May 10, 2024

VideoLights: Feature Refinement and Cross-Task Alignment Transformer for Joint Video Highlight Detection and Moment Retrieval

Video Highlight Detection and Moment Retrieval (HD/MR) are essential in video analysis. Recent joint prediction transformer models often overlook their cross-task dynamics and video-text alignment and refinement. Moreover, most models typically use limited, uni-directional attention mechanisms, resulting in weakly integrated representations and suboptimal performance in capturing the interdependence between video and text modalities. Although large-language and vision-language models (LLM/LVLMs) have gained prominence across various domains, their application in this field remains relatively underexplored. Here we propose VideoLights, a novel HD/MR framework addressing these limitations through (i) Convolutional Projection and Feature Refinement modules with an alignment loss for better video-text feature alignment, (ii) Bi-Directional Cross-Modal Fusion network for strongly coupled query-aware clip representations, and (iii) Uni-directional joint-task feedback mechanism enhancing both tasks through correlation. In addition, (iv) we introduce hard positive/negative losses for adaptive error penalization and improved learning, and (v) leverage LVLMs like BLIP-2 for enhanced multimodal feature integration and intelligent pretraining using synthetic data generated from LVLMs. Comprehensive experiments on QVHighlights, TVSum, and Charades-STA benchmarks demonstrate state-of-the-art performance. Codes and models are available at https://github.com/dpaul06/VideoLights .

  • 4 authors
·
Dec 2, 2024 2

OThink-MR1: Stimulating multimodal generalized reasoning capabilities via dynamic reinforcement learning

Multimodal Large Language Models (MLLMs) have gained significant traction for their ability to process diverse input data types and generate coherent, contextually relevant outputs across various applications. While supervised fine-tuning (SFT) has been the predominant approach to enhance MLLM capabilities in task-specific optimization, it often falls short in fostering crucial generalized reasoning abilities. Although reinforcement learning (RL) holds great promise in overcoming these limitations, it encounters two significant challenges: (1) its generalized capacities in multimodal tasks remain largely unexplored, and (2) its training constraints, including the constant Kullback-Leibler divergence or the clamp strategy, often result in suboptimal bottlenecks. To address these challenges, we propose OThink-MR1, an advanced MLLM equipped with profound comprehension and reasoning capabilities across multimodal tasks. Specifically, we introduce Group Relative Policy Optimization with a dynamic Kullback-Leibler strategy (GRPO-D), which markedly enhances reinforcement learning (RL) performance. For Qwen2-VL-2B-Instruct, GRPO-D achieves a relative improvement of more than 5.72% over SFT and more than 13.59% over GRPO in same-task evaluation on two adapted datasets. Furthermore, GRPO-D demonstrates remarkable cross-task generalization capabilities, with an average relative improvement of more than 61.63% over SFT in cross-task evaluation. These results highlight that the MLLM trained with GRPO-D on one multimodal task can be effectively transferred to another task, underscoring the superior generalized reasoning capabilities of our proposed OThink-MR1 model.

  • 6 authors
·
Mar 20 3

A multi-path 2.5 dimensional convolutional neural network system for segmenting stroke lesions in brain MRI images

Automatic identification of brain lesions from magnetic resonance imaging (MRI) scans of stroke survivors would be a useful aid in patient diagnosis and treatment planning. We propose a multi-modal multi-path convolutional neural network system for automating stroke lesion segmentation. Our system has nine end-to-end UNets that take as input 2-dimensional (2D) slices and examines all three planes with three different normalizations. Outputs from these nine total paths are concatenated into a 3D volume that is then passed to a 3D convolutional neural network to output a final lesion mask. We trained and tested our method on datasets from three sources: Medical College of Wisconsin (MCW), Kessler Foundation (KF), and the publicly available Anatomical Tracings of Lesions After Stroke (ATLAS) dataset. Cross-study validation results (with independent training and validation datasets) were obtained to compare with previous methods based on naive Bayes, random forests, and three recently published convolutional neural networks. Model performance was quantified in terms of the Dice coefficient. Training on the KF and MCW images and testing on the ATLAS images yielded a mean Dice coefficient of 0.54. This was reliably better than the next best previous model, UNet, at 0.47. Reversing the train and test datasets yields a mean Dice of 0.47 on KF and MCW images, whereas the next best UNet reaches 0.45. With all three datasets combined, the current system compared to previous methods also attained a reliably higher cross-validation accuracy. It also achieved high Dice values for many smaller lesions that existing methods have difficulty identifying. Overall, our system is a clear improvement over previous methods for automating stroke lesion segmentation, bringing us an important step closer to the inter-rater accuracy level of human experts.

  • 7 authors
·
May 26, 2019

CoCoLIT: ControlNet-Conditioned Latent Image Translation for MRI to Amyloid PET Synthesis

Synthesizing amyloid PET scans from the more widely available and accessible structural MRI modality offers a promising, cost-effective approach for large-scale Alzheimer's Disease (AD) screening. This is motivated by evidence that, while MRI does not directly detect amyloid pathology, it may nonetheless encode information correlated with amyloid deposition that can be uncovered through advanced modeling. However, the high dimensionality and structural complexity of 3D neuroimaging data pose significant challenges for existing MRI-to-PET translation methods. Modeling the cross-modality relationship in a lower-dimensional latent space can simplify the learning task and enable more effective translation. As such, we present CoCoLIT (ControlNet-Conditioned Latent Image Translation), a diffusion-based latent generative framework that incorporates three main innovations: (1) a novel Weighted Image Space Loss (WISL) that improves latent representation learning and synthesis quality; (2) a theoretical and empirical analysis of Latent Average Stabilization (LAS), an existing technique used in similar generative models to enhance inference consistency; and (3) the introduction of ControlNet-based conditioning for MRI-to-PET translation. We evaluate CoCoLIT's performance on publicly available datasets and find that our model significantly outperforms state-of-the-art methods on both image-based and amyloid-related metrics. Notably, in amyloid-positivity classification, CoCoLIT outperforms the second-best method with improvements of +10.5% on the internal dataset and +23.7% on the external dataset. The code and models of our approach are available at https://github.com/brAIn-science/CoCoLIT.

  • 6 authors
·
Aug 2

cWDM: Conditional Wavelet Diffusion Models for Cross-Modality 3D Medical Image Synthesis

This paper contributes to the "BraTS 2024 Brain MR Image Synthesis Challenge" and presents a conditional Wavelet Diffusion Model (cWDM) for directly solving a paired image-to-image translation task on high-resolution volumes. While deep learning-based brain tumor segmentation models have demonstrated clear clinical utility, they typically require MR scans from various modalities (T1, T1ce, T2, FLAIR) as input. However, due to time constraints or imaging artifacts, some of these modalities may be missing, hindering the application of well-performing segmentation algorithms in clinical routine. To address this issue, we propose a method that synthesizes one missing modality image conditioned on three available images, enabling the application of downstream segmentation models. We treat this paired image-to-image translation task as a conditional generation problem and solve it by combining a Wavelet Diffusion Model for high-resolution 3D image synthesis with a simple conditioning strategy. This approach allows us to directly apply our model to full-resolution volumes, avoiding artifacts caused by slice- or patch-wise data processing. While this work focuses on a specific application, the presented method can be applied to all kinds of paired image-to-image translation problems, such as CT leftrightarrow MR and MR leftrightarrow PET translation, or mask-conditioned anatomically guided image generation.

  • 4 authors
·
Nov 26, 2024

Meningioma segmentation in T1-weighted MRI leveraging global context and attention mechanisms

Meningiomas are the most common type of primary brain tumor, accounting for approximately 30% of all brain tumors. A substantial number of these tumors are never surgically removed but rather monitored over time. Automatic and precise meningioma segmentation is therefore beneficial to enable reliable growth estimation and patient-specific treatment planning. In this study, we propose the inclusion of attention mechanisms over a U-Net architecture: (i) Attention-gated U-Net (AGUNet) and (ii) Dual Attention U-Net (DAUNet), using a 3D MRI volume as input. Attention has the potential to leverage the global context and identify features' relationships across the entire volume. To limit spatial resolution degradation and loss of detail inherent to encoder-decoder architectures, we studied the impact of multi-scale input and deep supervision components. The proposed architectures are trainable end-to-end and each concept can be seamlessly disabled for ablation studies. The validation studies were performed using a 5-fold cross validation over 600 T1-weighted MRI volumes from St. Olavs University Hospital, Trondheim, Norway. For the best performing architecture, an average Dice score of 81.6% was reached for an F1-score of 95.6%. With an almost perfect precision of 98%, meningiomas smaller than 3ml were occasionally missed hence reaching an overall recall of 93%. Leveraging global context from a 3D MRI volume provided the best performances, even if the native volume resolution could not be processed directly. Overall, near-perfect detection was achieved for meningiomas larger than 3ml which is relevant for clinical use. In the future, the use of multi-scale designs and refinement networks should be further investigated to improve the performance. A larger number of cases with meningiomas below 3ml might also be needed to improve the performance for the smallest tumors.

  • 5 authors
·
Jan 19, 2021

Improving the Consistency in Cross-Lingual Cross-Modal Retrieval with 1-to-K Contrastive Learning

Cross-lingual Cross-modal Retrieval (CCR) is an essential task in web search, which aims to break the barriers between modality and language simultaneously and achieves image-text retrieval in the multi-lingual scenario with a single model. In recent years, excellent progress has been made based on cross-lingual cross-modal pre-training; particularly, the methods based on contrastive learning on large-scale data have significantly improved retrieval tasks. However, these methods directly follow the existing pre-training methods in the cross-lingual or cross-modal domain, leading to two problems of inconsistency in CCR: The methods with cross-lingual style suffer from the intra-modal error propagation, resulting in inconsistent recall performance across languages in the whole dataset. The methods with cross-modal style suffer from the inter-modal optimization direction bias, resulting in inconsistent rank across languages within each instance, which cannot be reflected by Recall@K. To solve these problems, we propose a simple but effective 1-to-K contrastive learning method, which treats each language equally and eliminates error propagation and optimization bias. In addition, we propose a new evaluation metric, Mean Rank Variance (MRV), to reflect the rank inconsistency across languages within each instance. Extensive experiments on four CCR datasets show that our method improves both recall rates and MRV with smaller-scale pre-trained data, achieving the new state-of-art.

  • 5 authors
·
Jun 26, 2024

Cross-Modal Attribute Insertions for Assessing the Robustness of Vision-and-Language Learning

The robustness of multimodal deep learning models to realistic changes in the input text is critical for their applicability to important tasks such as text-to-image retrieval and cross-modal entailment. To measure robustness, several existing approaches edit the text data, but do so without leveraging the cross-modal information present in multimodal data. Information from the visual modality, such as color, size, and shape, provide additional attributes that users can include in their inputs. Thus, we propose cross-modal attribute insertions as a realistic perturbation strategy for vision-and-language data that inserts visual attributes of the objects in the image into the corresponding text (e.g., "girl on a chair" to "little girl on a wooden chair"). Our proposed approach for cross-modal attribute insertions is modular, controllable, and task-agnostic. We find that augmenting input text using cross-modal insertions causes state-of-the-art approaches for text-to-image retrieval and cross-modal entailment to perform poorly, resulting in relative drops of 15% in MRR and 20% in F_1 score, respectively. Crowd-sourced annotations demonstrate that cross-modal insertions lead to higher quality augmentations for multimodal data than augmentations using text-only data, and are equivalent in quality to original examples. We release the code to encourage robustness evaluations of deep vision-and-language models: https://github.com/claws-lab/multimodal-robustness-xmai.

  • 3 authors
·
Jun 19, 2023

Compose and Fuse: Revisiting the Foundational Bottlenecks in Multimodal Reasoning

Multimodal large language models (MLLMs) promise enhanced reasoning by integrating diverse inputs such as text, vision, and audio. Yet cross-modal reasoning remains underexplored, with conflicting reports on whether added modalities help or harm performance. These inconsistencies stem from a lack of controlled evaluation frameworks and analysis of models' internals to isolate when and why modality interactions support or undermine reasoning. We address this gap through a logic-grounded evaluation framework that categorizes multimodal reasoning into six interaction patterns, varying how facts are distributed across modalities and logically combined. Empirically, additional modalities enhance reasoning only when they provide independent and sufficient reasoning paths, while redundant or chained entailment support often hurts performance. Moreover, reasoning degrades in three systematic ways: weaker modalities drag down overall performance, conflicts bias preference toward certain modalities, and joint signals from different modalities fail to be integrated effectively. Therefore, we identify two core failures: task-composition bottleneck, where recognition and reasoning cannot be jointly executed in one pass, and fusion bottleneck, where early integration introduces bias. For further investigation, we find that attention patterns fail to encode fact usefulness, but a simple two-step prompting (recognize then reason) restores performance, confirming the task-composition bottleneck. Moreover, modality identity remains recoverable in early layers, and softening attention in early fusion improves reasoning, highlighting biased fusion as another failure mode. Overall, our findings show that integration, not perception, is the main barrier to multimodal reasoning, suggesting composition-aware training and early fusion control as promising directions.

  • 5 authors
·
Sep 28

Bridging the Gap: Exploring the Capabilities of Bridge-Architectures for Complex Visual Reasoning Tasks

In recent times there has been a surge of multi-modal architectures based on Large Language Models, which leverage the zero shot generation capabilities of LLMs and project image embeddings into the text space and then use the auto-regressive capacity to solve tasks such as VQA, captioning, and image retrieval. We name these architectures as "bridge-architectures" as they project from the image space to the text space. These models deviate from the traditional recipe of training transformer based multi-modal models, which involve using large-scale pre-training and complex multi-modal interactions through co or cross attention. However, the capabilities of bridge architectures have not been tested on complex visual reasoning tasks which require fine grained analysis about the image. In this project, we investigate the performance of these bridge-architectures on the NLVR2 dataset, and compare it to state-of-the-art transformer based architectures. We first extend the traditional bridge architectures for the NLVR2 dataset, by adding object level features to faciliate fine-grained object reasoning. Our analysis shows that adding object level features to bridge architectures does not help, and that pre-training on multi-modal data is key for good performance on complex reasoning tasks such as NLVR2. We also demonstrate some initial results on a recently bridge-architecture, LLaVA, in the zero shot setting and analyze its performance.

  • 4 authors
·
Jul 30, 2023

Auditing and Generating Synthetic Data with Controllable Trust Trade-offs

Data collected from the real world tends to be biased, unbalanced, and at risk of exposing sensitive and private information. This reality has given rise to the idea of creating synthetic datasets to alleviate risk, bias, harm, and privacy concerns inherent in the real data. This concept relies on Generative AI models to produce unbiased, privacy-preserving synthetic data while being true to the real data. In this new paradigm, how can we tell if this approach delivers on its promises? We present an auditing framework that offers a holistic assessment of synthetic datasets and AI models trained on them, centered around bias and discrimination prevention, fidelity to the real data, utility, robustness, and privacy preservation. We showcase our framework by auditing multiple generative models on diverse use cases, including education, healthcare, banking, human resources, and across different modalities, from tabular, to time-series, to natural language. Our use cases demonstrate the importance of a holistic assessment in order to ensure compliance with socio-technical safeguards that regulators and policymakers are increasingly enforcing. For this purpose, we introduce the trust index that ranks multiple synthetic datasets based on their prescribed safeguards and their desired trade-offs. Moreover, we devise a trust-index-driven model selection and cross-validation procedure via auditing in the training loop that we showcase on a class of transformer models that we dub TrustFormers, across different modalities. This trust-driven model selection allows for controllable trust trade-offs in the resulting synthetic data. We instrument our auditing framework with workflows that connect different stakeholders from model development to audit and certification via a synthetic data auditing report.

  • 14 authors
·
Apr 21, 2023

Adapters for Enhanced Modeling of Multilingual Knowledge and Text

Large language models appear to learn facts from the large text corpora they are trained on. Such facts are encoded implicitly within their many parameters, making it difficult to verify or manipulate what knowledge has been learned. Language models have recently been extended to multilingual language models (MLLMs), enabling knowledge to be learned across hundreds of languages. Meanwhile, knowledge graphs contain facts in an explicit triple format, which require careful and costly curation and are only available in a few high-resource languages, restricting their research and application. To address these issues, we propose to enhance MLLMs with knowledge from multilingual knowledge graphs (MLKGs) so as to tackle language and knowledge graph tasks across many languages, including low-resource ones. Specifically, we introduce a lightweight adapter set to enhance MLLMs with cross-lingual entity alignment and facts from MLKGs for many languages. Experiments on common benchmarks show that such enhancement benefits both MLLMs and MLKGs, achieving: (1) comparable or improved performance for knowledge graph completion and entity alignment relative to baselines, especially for low-resource languages (for which knowledge graphs are unavailable); and (2) improved MLLM performance on language understanding tasks that require multilingual factual knowledge; all while maintaining performance on other general language tasks.

  • 6 authors
·
Oct 24, 2022

VideoRewardBench: Comprehensive Evaluation of Multimodal Reward Models for Video Understanding

Multimodal reward models (MRMs) play a crucial role in the training, inference, and evaluation of Large Vision Language Models (LVLMs) by assessing response quality. However, existing benchmarks for evaluating MRMs in the video domain suffer from a limited number and diversity of questions, a lack of comprehensive evaluation dimensions, and inadequate evaluation of diverse types of MRMs. To address these gaps, we introduce VideoRewardBench, the first comprehensive benchmark covering four core aspects of video understanding: perception, knowledge, reasoning, and safety. Through our AI-assisted data pipeline, we curate a high-quality preference dataset of 1,563 annotated samples, including 1,482 unique videos and 1,559 distinct questions--15 times the number found in the most question-rich prior benchmark. Each sample is a triplet consisting of a video-text prompt, a chosen response, and a rejected response. We also conduct a comprehensive evaluation across 28 multimodal reward models spanning three categories: generative, discriminative, and semi-scalar. Results show that even the top-performing model GPT-4o achieves only 57.0% overall accuracy, and the state-of-the-art open-source model Qwen2.5-VL-72B reaches merely 53.3%. Our analysis further reveals three key insights: (i) MRMs trained with reinforcement learning (RL) do not necessarily exhibit stronger cross-modal generalization than those trained without RL; (ii) except for discriminative MRMs, other types of MRMs across varying model capacities can benefit from inference-time scaling; and (iii) variations in input video frame count have different effects on different types of MRMs. We believe VideoRewardBench offers a challenging and valuable benchmark for advancing the evaluation and development of MRMs in the video domain.

  • 7 authors
·
Aug 30

UPL-SFDA: Uncertainty-aware Pseudo Label Guided Source-Free Domain Adaptation for Medical Image Segmentation

Domain Adaptation (DA) is important for deep learning-based medical image segmentation models to deal with testing images from a new target domain. As the source-domain data are usually unavailable when a trained model is deployed at a new center, Source-Free Domain Adaptation (SFDA) is appealing for data and annotation-efficient adaptation to the target domain. However, existing SFDA methods have a limited performance due to lack of sufficient supervision with source-domain images unavailable and target-domain images unlabeled. We propose a novel Uncertainty-aware Pseudo Label guided (UPL) SFDA method for medical image segmentation. Specifically, we propose Target Domain Growing (TDG) to enhance the diversity of predictions in the target domain by duplicating the pre-trained model's prediction head multiple times with perturbations. The different predictions in these duplicated heads are used to obtain pseudo labels for unlabeled target-domain images and their uncertainty to identify reliable pseudo labels. We also propose a Twice Forward pass Supervision (TFS) strategy that uses reliable pseudo labels obtained in one forward pass to supervise predictions in the next forward pass. The adaptation is further regularized by a mean prediction-based entropy minimization term that encourages confident and consistent results in different prediction heads. UPL-SFDA was validated with a multi-site heart MRI segmentation dataset, a cross-modality fetal brain segmentation dataset, and a 3D fetal tissue segmentation dataset. It improved the average Dice by 5.54, 5.01 and 6.89 percentage points for the three tasks compared with the baseline, respectively, and outperformed several state-of-the-art SFDA methods.

  • 9 authors
·
Sep 18, 2023

M3Ret: Unleashing Zero-shot Multimodal Medical Image Retrieval via Self-Supervision

Medical image retrieval is essential for clinical decision-making and translational research, relying on discriminative visual representations. Yet, current methods remain fragmented, relying on separate architectures and training strategies for 2D, 3D, and video-based medical data. This modality-specific design hampers scalability and inhibits the development of unified representations. To enable unified learning, we curate a large-scale hybrid-modality dataset comprising 867,653 medical imaging samples, including 2D X-rays and ultrasounds, RGB endoscopy videos, and 3D CT scans. Leveraging this dataset, we train M3Ret, a unified visual encoder without any modality-specific customization. It successfully learns transferable representations using both generative (MAE) and contrastive (SimDINO) self-supervised learning (SSL) paradigms. Our approach sets a new state-of-the-art in zero-shot image-to-image retrieval across all individual modalities, surpassing strong baselines such as DINOv3 and the text-supervised BMC-CLIP. More remarkably, strong cross-modal alignment emerges without paired data, and the model generalizes to unseen MRI tasks, despite never observing MRI during pretraining, demonstrating the generalizability of purely visual self-supervision to unseen modalities. Comprehensive analyses further validate the scalability of our framework across model and data sizes. These findings deliver a promising signal to the medical imaging community, positioning M3Ret as a step toward foundation models for visual SSL in multimodal medical image understanding.

MoME: Mixture of Matryoshka Experts for Audio-Visual Speech Recognition

Large language models (LLMs) have recently shown strong potential in audio-visual speech recognition (AVSR), but their high computational demands and sensitivity to token granularity limit their practicality in resource-constrained settings. Token compression methods can reduce inference cost, but they require fixing a compression rate in advance and produce a single fixed-length output, offering no flexibility to balance information density and efficiency at inference time. Matryoshka representation learning (MRL) addresses this by enabling a single model to operate across multiple token granularities, allowing compression rates to be adjusted dynamically. However, current MRL-based methods treat each scale independently during training, limiting cross-scale generalization, robustness at high compression, and interpretability. To overcome these limitations, we propose MoME (Mixture of Matryoshka Experts), a novel framework that integrates sparse Mixture-of-Experts (MoE) into MRL-based LLMs for AVSR. MoME augments a frozen LLM with top-k routed and shared experts, allowing dynamic capacity allocation across scales and modalities. A shared router promotes consistent expert activation across granularities, enabling compressed sequences to benefit from representations learned at lower compression. Experiments on LRS2 and LRS3 demonstrate that MoME achieves state-of-the-art performance across AVSR, ASR, and VSR tasks, while requiring significantly fewer parameters and maintaining robustness under noise. MoME unifies the adaptability of MRL with the efficiency of MoE, offering a scalable and interpretable solution for resource-aware speech recognition.

TextBraTS: Text-Guided Volumetric Brain Tumor Segmentation with Innovative Dataset Development and Fusion Module Exploration

Deep learning has demonstrated remarkable success in medical image segmentation and computer-aided diagnosis. In particular, numerous advanced methods have achieved state-of-the-art performance in brain tumor segmentation from MRI scans. While recent studies in other medical imaging domains have revealed that integrating textual reports with visual data can enhance segmentation accuracy, the field of brain tumor analysis lacks a comprehensive dataset that combines radiological images with corresponding textual annotations. This limitation has hindered the exploration of multimodal approaches that leverage both imaging and textual data. To bridge this critical gap, we introduce the TextBraTS dataset, the first publicly available volume-level multimodal dataset that contains paired MRI volumes and rich textual annotations, derived from the widely adopted BraTS2020 benchmark. Building upon this novel dataset, we propose a novel baseline framework and sequential cross-attention method for text-guided volumetric medical image segmentation. Through extensive experiments with various text-image fusion strategies and templated text formulations, our approach demonstrates significant improvements in brain tumor segmentation accuracy, offering valuable insights into effective multimodal integration techniques. Our dataset, implementation code, and pre-trained models are publicly available at https://github.com/Jupitern52/TextBraTS.

  • 10 authors
·
Jun 20

Enhancing Spatiotemporal Disease Progression Models via Latent Diffusion and Prior Knowledge

In this work, we introduce Brain Latent Progression (BrLP), a novel spatiotemporal disease progression model based on latent diffusion. BrLP is designed to predict the evolution of diseases at the individual level on 3D brain MRIs. Existing deep generative models developed for this task are primarily data-driven and face challenges in learning disease progressions. BrLP addresses these challenges by incorporating prior knowledge from disease models to enhance the accuracy of predictions. To implement this, we propose to integrate an auxiliary model that infers volumetric changes in various brain regions. Additionally, we introduce Latent Average Stabilization (LAS), a novel technique to improve spatiotemporal consistency of the predicted progression. BrLP is trained and evaluated on a large dataset comprising 11,730 T1-weighted brain MRIs from 2,805 subjects, collected from three publicly available, longitudinal Alzheimer's Disease (AD) studies. In our experiments, we compare the MRI scans generated by BrLP with the actual follow-up MRIs available from the subjects, in both cross-sectional and longitudinal settings. BrLP demonstrates significant improvements over existing methods, with an increase of 22% in volumetric accuracy across AD-related brain regions and 43% in image similarity to the ground-truth scans. The ability of BrLP to generate conditioned 3D scans at the subject level, along with the novelty of integrating prior knowledge to enhance accuracy, represents a significant advancement in disease progression modeling, opening new avenues for precision medicine. The code of BrLP is available at the following link: https://github.com/LemuelPuglisi/BrLP.

  • 3 authors
·
May 6, 2024

Enabling Weak LLMs to Judge Response Reliability via Meta Ranking

Despite the strong performance of large language models (LLMs) across a wide range of tasks, they still have reliability issues. Previous studies indicate that strong LLMs like GPT-4-turbo excel in evaluating the reliability of responses from LLMs, but face efficiency and local deployment issues. Thus, to enable weak LLMs to effectively assess the reliability of LLM responses, we propose a novel cross-query-comparison-based method called Meta Ranking (MR). Unlike previous few-shot methods that solely based on in-context learning capabilities in LLMs, MR assesses reliability by pairwisely ranking the target query-response pair with multiple reference query-response pairs. We found that MR is highly effective in error detection for LLM responses, where weak LLMs, such as Phi-2, could surpass strong baselines like GPT-3.5-turbo, requiring only five reference samples and significantly improving efficiency. We further demonstrate that MR can enhance strong LLMs' performance in two practical applications: model cascading and instruction tuning. In model cascading, we combine open- and closed-source LLMs to achieve performance comparable to GPT-4-turbo with lower costs. In instruction tuning, we use MR for iterative training data filtering, significantly reducing data processing time and enabling LLaMA-7B and Phi-2 to surpass Alpaca-13B with fewer training tokens. These results underscore the high potential of MR in both efficiency and effectiveness.

  • 7 authors
·
Feb 19, 2024

Rethinking Brain Tumor Segmentation from the Frequency Domain Perspective

Precise segmentation of brain tumors, particularly contrast-enhancing regions visible in post-contrast MRI (areas highlighted by contrast agent injection), is crucial for accurate clinical diagnosis and treatment planning but remains challenging. However, current methods exhibit notable performance degradation in segmenting these enhancing brain tumor areas, largely due to insufficient consideration of MRI-specific tumor features such as complex textures and directional variations. To address this, we propose the Harmonized Frequency Fusion Network (HFF-Net), which rethinks brain tumor segmentation from a frequency-domain perspective. To comprehensively characterize tumor regions, we develop a Frequency Domain Decomposition (FDD) module that separates MRI images into low-frequency components, capturing smooth tumor contours and high-frequency components, highlighting detailed textures and directional edges. To further enhance sensitivity to tumor boundaries, we introduce an Adaptive Laplacian Convolution (ALC) module that adaptively emphasizes critical high-frequency details using dynamically updated convolution kernels. To effectively fuse tumor features across multiple scales, we design a Frequency Domain Cross-Attention (FDCA) integrating semantic, positional, and slice-specific information. We further validate and interpret frequency-domain improvements through visualization, theoretical reasoning, and experimental analyses. Extensive experiments on four public datasets demonstrate that HFF-Net achieves an average relative improvement of 4.48\% (ranging from 2.39\% to 7.72\%) in the mean Dice scores across the three major subregions, and an average relative improvement of 7.33% (ranging from 5.96% to 8.64%) in the segmentation of contrast-enhancing tumor regions, while maintaining favorable computational efficiency and clinical applicability. Code: https://github.com/VinyehShaw/HFF.

  • 8 authors
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Jun 11