ScarNet: A Novel Foundation Model for Automated Myocardial Scar Quantification from LGE in Cardiac MRI

Background: Late Gadolinium Enhancement (LGE) imaging is the gold standard for assessing myocardial fibrosis and scarring, with left ventricular (LV) LGE extent predicting major adverse cardiac events (MACE). Despite its importance, routine LGE-based LV scar quantification is hindered by labor-intensive manual segmentation and inter-observer variability. Methods: We propose ScarNet, a hybrid model combining a transformer-based encoder from the Medical Segment Anything Model (MedSAM) with a convolution-based U-Net decoder, enhanced by tailored attention blocks. ScarNet was trained on 552 ischemic cardiomyopathy patients with expert segmentations of myocardial and scar boundaries and tested on 184 separate patients. Results: ScarNet achieved robust scar segmentation in 184 test patients, yielding a median Dice score of 0.912 (IQR: 0.863--0.944), significantly outperforming MedSAM (median Dice = 0.046, IQR: 0.043--0.047) and nnU-Net (median Dice = 0.638, IQR: 0.604--0.661). ScarNet demonstrated lower bias (-0.63%) and coefficient of variation (4.3%) compared to MedSAM (bias: -13.31%, CoV: 130.3%) and nnU-Net (bias: -2.46%, CoV: 20.3%). In Monte Carlo simulations with noise perturbations, ScarNet achieved significantly higher scar Dice (0.892 \pm 0.053, CoV = 5.9%) than MedSAM (0.048 \pm 0.112, CoV = 233.3%) and nnU-Net (0.615 \pm 0.537, CoV = 28.7%). Conclusion: ScarNet outperformed MedSAM and nnU-Net in accurately segmenting myocardial and scar boundaries in LGE images. The model exhibited robust performance across diverse image qualities and scar patterns.

Sm: enhanced localization in Multiple Instance Learning for medical imaging classification

Multiple Instance Learning (MIL) is widely used in medical imaging classification to reduce the labeling effort. While only bag labels are available for training, one typically seeks predictions at both bag and instance levels (classification and localization tasks, respectively). Early MIL methods treated the instances in a bag independently. Recent methods account for global and local dependencies among instances. Although they have yielded excellent results in classification, their performance in terms of localization is comparatively limited. We argue that these models have been designed to target the classification task, while implications at the instance level have not been deeply investigated. Motivated by a simple observation -- that neighboring instances are likely to have the same label -- we propose a novel, principled, and flexible mechanism to model local dependencies. It can be used alone or combined with any mechanism to model global dependencies (e.g., transformers). A thorough empirical validation shows that our module leads to state-of-the-art performance in localization while being competitive or superior in classification. Our code is at https://github.com/Franblueee/SmMIL.

DRL-STNet: Unsupervised Domain Adaptation for Cross-modality Medical Image Segmentation via Disentangled Representation Learning

Unsupervised domain adaptation (UDA) is essential for medical image segmentation, especially in cross-modality data scenarios. UDA aims to transfer knowledge from a labeled source domain to an unlabeled target domain, thereby reducing the dependency on extensive manual annotations. This paper presents DRL-STNet, a novel framework for cross-modality medical image segmentation that leverages generative adversarial networks (GANs), disentangled representation learning (DRL), and self-training (ST). Our method leverages DRL within a GAN to translate images from the source to the target modality. Then, the segmentation model is initially trained with these translated images and corresponding source labels and then fine-tuned iteratively using a combination of synthetic and real images with pseudo-labels and real labels. The proposed framework exhibits superior performance in abdominal organ segmentation on the FLARE challenge dataset, surpassing state-of-the-art methods by 11.4% in the Dice similarity coefficient and by 13.1% in the Normalized Surface Dice metric, achieving scores of 74.21% and 80.69%, respectively. The average running time is 41 seconds, and the area under the GPU memory-time curve is 11,292 MB. These results indicate the potential of DRL-STNet for enhancing cross-modality medical image segmentation tasks.

RN-SDEs: Limited-Angle CT Reconstruction with Residual Null-Space Diffusion Stochastic Differential Equations

Computed tomography is a widely used imaging modality with applications ranging from medical imaging to material analysis. One major challenge arises from the lack of scanning information at certain angles, leading to distorted CT images with artifacts. This results in an ill-posed problem known as the Limited Angle Computed Tomography (LACT) reconstruction problem. To address this problem, we propose Residual Null-Space Diffusion Stochastic Differential Equations (RN-SDEs), which are a variant of diffusion models that characterize the diffusion process with mean-reverting (MR) stochastic differential equations. To demonstrate the generalizability of RN-SDEs, our experiments are conducted on two different LACT datasets, i.e., ChromSTEM and C4KC-KiTS. Through extensive experiments, we show that by leveraging learned Mean-Reverting SDEs as a prior and emphasizing data consistency using Range-Null Space Decomposition (RNSD) based rectification, RN-SDEs can restore high-quality images from severe degradation and achieve state-of-the-art performance in most LACT tasks. Additionally, we present a quantitative comparison of computational complexity and runtime efficiency, highlighting the superior effectiveness of our proposed approach.

VDPI: Video Deblurring with Pseudo-inverse Modeling

Video deblurring is a challenging task that aims to recover sharp sequences from blur and noisy observations. The image-formation model plays a crucial role in traditional model-based methods, constraining the possible solutions. However, this is only the case for some deep learning-based methods. Despite deep-learning models achieving better results, traditional model-based methods remain widely popular due to their flexibility. An increasing number of scholars combine the two to achieve better deblurring performance. This paper proposes introducing knowledge of the image-formation model into a deep learning network by using the pseudo-inverse of the blur. We use a deep network to fit the blurring and estimate pseudo-inverse. Then, we use this estimation, combined with a variational deep-learning network, to deblur the video sequence. Notably, our experimental results demonstrate that such modifications can significantly improve the performance of deep learning models for video deblurring. Furthermore, our experiments on different datasets achieved notable performance improvements, proving that our proposed method can generalize to different scenarios and cameras.

Modeling and Simulation of Charge-Induced Signals in Photon-Counting CZT Detectors for Medical Imaging Applications

Photon-counting detectors based on CZT are essential in nuclear medical imaging, particularly for SPECT applications. Although CZT detectors are known for their precise energy resolution, defects within the CZT crystals significantly impact their performance. These defects result in inhomogeneous material properties throughout the bulk of the detector. The present work introduces an efficient computational model that simulates the operation of semiconductor detectors, accounting for the spatial variability of the crystal properties. Our simulator reproduces the charge-induced pulse signals generated after the X/gamma-rays interact with the detector. The performance evaluation of the model shows an RMSE in the signal below 0.70%. Our simulator can function as a digital twin to accurately replicate the operation of actual detectors. Thus, it can be used to mitigate and compensate for adverse effects arising from crystal impurities.

Brighteye: Glaucoma Screening with Color Fundus Photographs based on Vision Transformer

Differences in image quality, lighting conditions, and patient demographics pose challenges to automated glaucoma detection from color fundus photography. Brighteye, a method based on Vision Transformer, is proposed for glaucoma detection and glaucomatous feature classification. Brighteye learns long-range relationships among pixels within large fundus images using a self-attention mechanism. Prior to being input into Brighteye, the optic disc is localized using YOLOv8, and the region of interest (ROI) around the disc center is cropped to ensure alignment with clinical practice. Optic disc detection improves the sensitivity at 95% specificity from 79.20% to 85.70% for glaucoma detection and the Hamming distance from 0.2470 to 0.1250 for glaucomatous feature classification. In the developmental stage of the Justified Referral in AI Glaucoma Screening (JustRAIGS) challenge, the overall outcome secured the fifth position out of 226 entries.

Cross-Temporal Spectrogram Autoencoder (CTSAE): Unsupervised Dimensionality Reduction for Clustering Gravitational Wave Glitches

The advancement of The Laser Interferometer Gravitational-Wave Observatory (LIGO) has significantly enhanced the feasibility and reliability of gravitational wave detection. However, LIGO's high sensitivity makes it susceptible to transient noises known as glitches, which necessitate effective differentiation from real gravitational wave signals. Traditional approaches predominantly employ fully supervised or semi-supervised algorithms for the task of glitch classification and clustering. In the future task of identifying and classifying glitches across main and auxiliary channels, it is impractical to build a dataset with manually labeled ground-truth. In addition, the patterns of glitches can vary with time, generating new glitches without manual labels. In response to this challenge, we introduce the Cross-Temporal Spectrogram Autoencoder (CTSAE), a pioneering unsupervised method for the dimensionality reduction and clustering of gravitational wave glitches. CTSAE integrates a novel four-branch autoencoder with a hybrid of Convolutional Neural Networks (CNN) and Vision Transformers (ViT). To further extract features across multi-branches, we introduce a novel multi-branch fusion method using the CLS (Class) token. Our model, trained and evaluated on the GravitySpy O3 dataset on the main channel, demonstrates superior performance in clustering tasks when compared to state-of-the-art semi-supervised learning methods. To the best of our knowledge, CTSAE represents the first unsupervised approach tailored specifically for clustering LIGO data, marking a significant step forward in the field of gravitational wave research. The code of this paper is available at https://github.com/Zod-L/CTSAE

Focused Active Learning for Histopathological Image Classification

Active Learning (AL) has the potential to solve a major problem of digital pathology: the efficient acquisition of labeled data for machine learning algorithms. However, existing AL methods often struggle in realistic settings with artifacts, ambiguities, and class imbalances, as commonly seen in the medical field. The lack of precise uncertainty estimations leads to the acquisition of images with a low informative value. To address these challenges, we propose Focused Active Learning (FocAL), which combines a Bayesian Neural Network with Out-of-Distribution detection to estimate different uncertainties for the acquisition function. Specifically, the weighted epistemic uncertainty accounts for the class imbalance, aleatoric uncertainty for ambiguous images, and an OoD score for artifacts. We perform extensive experiments to validate our method on MNIST and the real-world Panda dataset for the classification of prostate cancer. The results confirm that other AL methods are 'distracted' by ambiguities and artifacts which harm the performance. FocAL effectively focuses on the most informative images, avoiding ambiguities and artifacts during acquisition. For both experiments, FocAL outperforms existing AL approaches, reaching a Cohen's kappa of 0.764 with only 0.69% of the labeled Panda data.

A General Method to Incorporate Spatial Information into Loss Functions for GAN-based Super-resolution Models

Generative Adversarial Networks (GANs) have shown great performance on super-resolution problems since they can generate more visually realistic images and video frames. However, these models often introduce side effects into the outputs, such as unexpected artifacts and noises. To reduce these artifacts and enhance the perceptual quality of the results, in this paper, we propose a general method that can be effectively used in most GAN-based super-resolution (SR) models by introducing essential spatial information into the training process. We extract spatial information from the input data and incorporate it into the training loss, making the corresponding loss a spatially adaptive (SA) one. After that, we utilize it to guide the training process. We will show that the proposed approach is independent of the methods used to extract the spatial information and independent of the SR tasks and models. This method consistently guides the training process towards generating visually pleasing SR images and video frames, substantially mitigating artifacts and noise, ultimately leading to enhanced perceptual quality.