Image and Video Processing (eess.IV)

Abstract: Complex scenario of ultrasound image, in which adjacent tissues (i.e., background) share similar intensity with and even contain richer texture patterns than lesion region (i.e., foreground), brings a unique challenge for accurate lesion segmentation. This work presents a decomposition-coupling network, called DC-Net, to deal with this challenge in a (foreground-background) saliency map disentanglement-fusion manner. The DC-Net consists of decomposition and coupling subnets, and the former preliminarily disentangles original image into foreground and background saliency maps, followed by the latter for accurate segmentation under the assistance of saliency prior fusion. The coupling subnet involves three aspects of fusion strategies, including: 1) regional feature aggregation (via differentiable context pooling operator in the encoder) to adaptively preserve local contextual details with the larger receptive field during dimension reduction; 2) relation-aware representation fusion (via cross-correlation fusion module in the decoder) to efficiently fuse low-level visual characteristics and high-level semantic features during resolution restoration; 3) dependency-aware prior incorporation (via coupler) to reinforce foreground-salient representation with the complementary information derived from background representation. Furthermore, a harmonic loss function is introduced to encourage the network to focus more attention on low-confidence and hard samples. The proposed method is evaluated on two ultrasound lesion segmentation tasks, which demonstrates the remarkable performance improvement over existing state-of-the-art methods.

Abstract: Recent years have witnessed a surge in deep generative models for accelerated MRI reconstruction. Diffusion priors in particular have gained traction with their superior representational fidelity and diversity. Instead of the target transformation from undersampled to fully-sampled data, common diffusion priors are trained to learn a multi-step transformation from Gaussian noise onto fully-sampled data. During inference, data-fidelity projections are injected in between reverse diffusion steps to reach a compromise solution within the span of both the diffusion prior and the imaging operator. Unfortunately, suboptimal solutions can arise as the normality assumption of the diffusion prior causes divergence between learned and target transformations. To address this limitation, here we introduce the first diffusion bridge for accelerated MRI reconstruction. The proposed Fourier-constrained diffusion bridge (FDB) leverages a generalized process to transform between undersampled and fully-sampled data via random noise addition and random frequency removal as degradation operators. Unlike common diffusion priors that use an asymptotic endpoint based on Gaussian noise, FDB captures a transformation between finite endpoints where the initial endpoint is based on moderate degradation of fully-sampled data. Demonstrations on brain MRI indicate that FDB outperforms state-of-the-art reconstruction methods including conventional diffusion priors.

Abstract: Medical image classification models are frequently trained using training datasets derived from multiple data sources. While leveraging multiple data sources is crucial for achieving model generalization, it is important to acknowledge that the diverse nature of these sources inherently introduces unintended confounders and other challenges that can impact both model accuracy and transparency. A notable confounding factor in medical image classification, particularly in musculoskeletal image classification, is skeletal maturation-induced bone growth observed during adolescence. We train a deep learning model using a Covid-19 chest X-ray dataset and we showcase how this dataset can lead to spurious correlations due to unintended confounding regions. eXplanation Based Learning (XBL) is a deep learning approach that goes beyond interpretability by utilizing model explanations to interactively unlearn spurious correlations. This is achieved by integrating interactive user feedback, specifically feature annotations. In our study, we employed two non-demanding manual feedback mechanisms to implement an XBL-based approach for effectively eliminating these spurious correlations. Our results underscore the promising potential of XBL in constructing robust models even in the presence of confounding factors.

Abstract: Lung cancer and covid-19 have one of the highest morbidity and mortality rates in the world. For physicians, the identification of lesions is difficult in the early stages of the disease and time-consuming. Therefore, multi-task learning is an approach to extracting important features, such as lesions, from small amounts of medical data because it learns to generalize better. We propose a novel multi-task framework for classification, segmentation, reconstruction, and detection. To the best of our knowledge, we are the first ones who added detection to the multi-task solution. Additionally, we checked the possibility of using two different backbones and different loss functions in the segmentation task.

Abstract: Purpose: To develop and evaluate a novel dynamic-convolution-based method called FlexDTI for high-efficient diffusion tensor reconstruction with flexible diffusion encoding gradient schemes. Methods: FlexDTI was developed to achieve high-quality DTI parametric mapping with flexible number and directions of diffusion encoding gradients. The proposed method used dynamic convolution kernels to embed diffusion gradient direction information into feature maps of the corresponding diffusion signal. Besides, our method realized the generalization of a flexible number of diffusion gradient directions by setting the maximum number of input channels of the network. The network was trained and tested using data sets from the Human Connectome Project and a local hospital. Results from FlexDTI and other advanced tensor parameter estimation methods were compared. Results: Compared to other methods, FlexDTI successfully achieves high-quality diffusion tensor-derived variables even if the number and directions of diffusion encoding gradients are variable. It increases peak signal-to-noise ratio (PSNR) by about 10 dB on Fractional Anisotropy (FA) and Mean Diffusivity (MD), compared with the state-of-the-art deep learning method with flexible diffusion encoding gradient schemes. Conclusion: FlexDTI can well learn diffusion gradient direction information to achieve generalized DTI reconstruction with flexible diffusion gradient schemes. Both flexibility and reconstruction quality can be taken into account in this network.

Abstract: The U-shaped architecture has emerged as a crucial paradigm in the design of medical image segmentation networks. However, due to the inherent local limitations of convolution, a fully convolutional segmentation network with U-shaped architecture struggles to effectively extract global context information, which is vital for the precise localization of lesions. While hybrid architectures combining CNNs and Transformers can address these issues, their application in real medical scenarios is limited due to the computational resource constraints imposed by the environment and edge devices. In addition, the convolutional inductive bias in lightweight networks adeptly fits the scarce medical data, which is lacking in the Transformer based network. In order to extract global context information while taking advantage of the inductive bias, we propose CMUNeXt, an efficient fully convolutional lightweight medical image segmentation network, which enables fast and accurate auxiliary diagnosis in real scene scenarios. CMUNeXt leverages large kernel and inverted bottleneck design to thoroughly mix distant spatial and location information, efficiently extracting global context information. We also introduce the Skip-Fusion block, designed to enable smooth skip-connections and ensure ample feature fusion. Experimental results on multiple medical image datasets demonstrate that CMUNeXt outperforms existing heavyweight and lightweight medical image segmentation networks in terms of segmentation performance, while offering a faster inference speed, lighter weights, and a reduced computational cost. The code is available at https://github.com/FengheTan9/CMUNeXt.