A Continual Learning-driven Model for Accurate and Generalizable Segmentation of Clinically Comprehensive and Fine-grained Whole-body Anatomies in CT

Precision medicine in the quantitative management of chronic diseases and oncology would be greatly improved if the Computed Tomography (CT) scan of any patient could be segmented, parsed and analyzed in a precise and detailed way. However, there is no such fully annotated CT dataset with all anatomies delineated for training because of the exceptionally high manual cost, the need for specialized clinical expertise, and the time required to finish the task. To this end, we proposed a novel continual learning-driven CT model that can segment complete anatomies presented using dozens of previously partially labeled datasets, dynamically expanding its capacity to segment new ones without compromising previously learned organ knowledge. Existing multi-dataset approaches are not able to dynamically segment new anatomies without catastrophic forgetting and would encounter optimization difficulty or infeasibility when segmenting hundreds of anatomies across the whole range of body regions. Our single unified CT segmentation model, CL-Net, can highly accurately segment a clinically comprehensive set of 235 fine-grained whole-body anatomies. Composed of a universal encoder, multiple optimized and pruned decoders, CL-Net is developed using 13,952 CT scans from 20 public and 16 private high-quality partially labeled CT datasets of various vendors, different contrast phases, and pathologies. Extensive evaluation demonstrates that CL-Net consistently outperforms the upper limit of an ensemble of 36 specialist nnUNets trained per dataset with the complexity of 5% model size and significantly surpasses the segmentation accuracy of recent leading Segment Anything-style medical image foundation models by large margins. Our continual learning-driven CL-Net model would lay a solid foundation to facilitate many downstream tasks of oncology and chronic diseases using the most widely adopted CT imaging.

From Slices to Sequences: Autoregressive Tracking Transformer for Cohesive and Consistent 3D Lymph Node Detection in CT Scans

Lymph node (LN) assessment is an essential task in the routine radiology workflow, providing valuable insights for cancer staging, treatment planning and beyond. Identifying scatteredly-distributed and low-contrast LNs in 3D CT scans is highly challenging, even for experienced clinicians. Previous lesion and LN detection methods demonstrate effectiveness of 2.5D approaches (i.e, using 2D network with multi-slice inputs), leveraging pretrained 2D model weights and showing improved accuracy as compared to separate 2D or 3D detectors. However, slice-based 2.5D detectors do not explicitly model inter-slice consistency for LN as a 3D object, requiring heuristic post-merging steps to generate final 3D LN instances, which can involve tuning a set of parameters for each dataset. In this work, we formulate 3D LN detection as a tracking task and propose LN-Tracker, a novel LN tracking transformer, for joint end-to-end detection and 3D instance association. Built upon DETR-based detector, LN-Tracker decouples transformer decoder's query into the track and detection groups, where the track query autoregressively follows previously tracked LN instances along the z-axis of a CT scan. We design a new transformer decoder with masked attention module to align track query's content to the context of current slice, meanwhile preserving detection query's high accuracy in current slice. An inter-slice similarity loss is introduced to encourage cohesive LN association between slices. Extensive evaluation on four lymph node datasets shows LN-Tracker's superior performance, with at least 2.7% gain in average sensitivity when compared to other top 3D/2.5D detectors. Further validation on public lung nodule and prostate tumor detection tasks confirms the generalizability of LN-Tracker as it achieves top performance on both tasks. Datasets will be released upon acceptance.

MotionStone: Decoupled Motion Intensity Modulation with Diffusion Transformer for Image-to-Video Generation

The image-to-video (I2V) generation is conditioned on the static image, which has been enhanced recently by the motion intensity as an additional control signal. These motion-aware models are appealing to generate diverse motion patterns, yet there lacks a reliable motion estimator for training such models on large-scale video set in the wild. Traditional metrics, e.g., SSIM or optical flow, are hard to generalize to arbitrary videos, while, it is very tough for human annotators to label the abstract motion intensity neither. Furthermore, the motion intensity shall reveal both local object motion and global camera movement, which has not been studied before. This paper addresses the challenge with a new motion estimator, capable of measuring the decoupled motion intensities of objects and cameras in video. We leverage the contrastive learning on randomly paired videos and distinguish the video with greater motion intensity. Such a paradigm is friendly for annotation and easy to scale up to achieve stable performance on motion estimation. We then present a new I2V model, named MotionStone, developed with the decoupled motion estimator. Experimental results demonstrate the stability of the proposed motion estimator and the state-of-the-art performance of MotionStone on I2V generation. These advantages warrant the decoupled motion estimator to serve as a general plug-in enhancer for both data processing and video generation training.

Mimir: Improving Video Diffusion Models for Precise Text Understanding

Text serves as the key control signal in video generation due to its narrative nature. To render text descriptions into video clips, current video diffusion models borrow features from text encoders yet struggle with limited text comprehension. The recent success of large language models (LLMs) showcases the power of decoder-only transformers, which offers three clear benefits for text-to-video (T2V) generation, namely, precise text understanding resulting from the superior scalability, imagination beyond the input text enabled by next token prediction, and flexibility to prioritize user interests through instruction tuning. Nevertheless, the feature distribution gap emerging from the two different text modeling paradigms hinders the direct use of LLMs in established T2V models. This work addresses this challenge with Mimir, an end-to-end training framework featuring a carefully tailored token fuser to harmonize the outputs from text encoders and LLMs. Such a design allows the T2V model to fully leverage learned video priors while capitalizing on the text-related capability of LLMs. Extensive quantitative and qualitative results demonstrate the effectiveness of Mimir in generating high-quality videos with excellent text comprehension, especially when processing short captions and managing shifting motions. Project page: https://lucaria-academy.github.io/Mimir/

LumiSculpt: A Consistency Lighting Control Network for Video Generation

Lighting plays a pivotal role in ensuring the naturalness of video generation, significantly influencing the aesthetic quality of the generated content. However, due to the deep coupling between lighting and the temporal features of videos, it remains challenging to disentangle and model independent and coherent lighting attributes, limiting the ability to control lighting in video generation. In this paper, inspired by the established controllable T2I models, we propose LumiSculpt, which, for the first time, enables precise and consistent lighting control in T2V generation models.LumiSculpt equips the video generation with strong interactive capabilities, allowing the input of custom lighting reference image sequences. Furthermore, the core learnable plug-and-play module of LumiSculpt facilitates remarkable control over lighting intensity, position, and trajectory in latent video diffusion models based on the advanced DiT backbone.Additionally, to effectively train LumiSculpt and address the issue of insufficient lighting data, we construct LumiHuman, a new lightweight and flexible dataset for portrait lighting of images and videos. Experimental results demonstrate that LumiSculpt achieves precise and high-quality lighting control in video generation.

Animate-X: Universal Character Image Animation with Enhanced Motion Representation

Character image animation, which generates high-quality videos from a reference image and target pose sequence, has seen significant progress in recent years. However, most existing methods only apply to human figures, which usually do not generalize well on anthropomorphic characters commonly used in industries like gaming and entertainment. Our in-depth analysis suggests to attribute this limitation to their insufficient modeling of motion, which is unable to comprehend the movement pattern of the driving video, thus imposing a pose sequence rigidly onto the target character. To this end, this paper proposes Animate-X, a universal animation framework based on LDM for various character types (collectively named X), including anthropomorphic characters. To enhance motion representation, we introduce the Pose Indicator, which captures comprehensive motion pattern from the driving video through both implicit and explicit manner. The former leverages CLIP visual features of a driving video to extract its gist of motion, like the overall movement pattern and temporal relations among motions, while the latter strengthens the generalization of LDM by simulating possible inputs in advance that may arise during inference. Moreover, we introduce a new Animated Anthropomorphic Benchmark (A^2Bench) to evaluate the performance of Animate-X on universal and widely applicable animation images. Extensive experiments demonstrate the superiority and effectiveness of Animate-X compared to state-of-the-art methods.

3DGAUnet: 3D generative adversarial networks with a 3D U-Net based generator to achieve the accurate and effective synthesis of clinical tumor image data for pancreatic cancer

Pancreatic ductal adenocarcinoma (PDAC) presents a critical global health challenge, and early detection is crucial for improving the 5-year survival rate. Recent medical imaging and computational algorithm advances offer potential solutions for early diagnosis. Deep learning, particularly in the form of convolutional neural networks (CNNs), has demonstrated success in medical image analysis tasks, including classification and segmentation. However, the limited availability of clinical data for training purposes continues to provide a significant obstacle. Data augmentation, generative adversarial networks (GANs), and cross-validation are potential techniques to address this limitation and improve model performance, but effective solutions are still rare for 3D PDAC, where contrast is especially poor owing to the high heterogeneity in both tumor and background tissues. In this study, we developed a new GAN-based model, named 3DGAUnet, for generating realistic 3D CT images of PDAC tumors and pancreatic tissue, which can generate the interslice connection data that the existing 2D CT image synthesis models lack. Our innovation is to develop a 3D U-Net architecture for the generator to improve shape and texture learning for PDAC tumors and pancreatic tissue. Our approach offers a promising path to tackle the urgent requirement for creative and synergistic methods to combat PDAC. The development of this GAN-based model has the potential to alleviate data scarcity issues, elevate the quality of synthesized data, and thereby facilitate the progression of deep learning models to enhance the accuracy and early detection of PDAC tumors, which could profoundly impact patient outcomes. Furthermore, this model has the potential to be adapted to other types of solid tumors, hence making significant contributions to the field of medical imaging in terms of image processing models.

Accurate Airway Tree Segmentation in CT Scans via Anatomy-aware Multi-class Segmentation and Topology-guided Iterative Learning

Intrathoracic airway segmentation in computed tomography (CT) is a prerequisite for various respiratory disease analyses such as chronic obstructive pulmonary disease (COPD), asthma and lung cancer. Unlike other organs with simpler shapes or topology, the airway's complex tree structure imposes an unbearable burden to generate the "ground truth" label (up to 7 or 3 hours of manual or semi-automatic annotation on each case). Most of the existing airway datasets are incompletely labeled/annotated, thus limiting the completeness of computer-segmented airway. In this paper, we propose a new anatomy-aware multi-class airway segmentation method enhanced by topology-guided iterative self-learning. Based on the natural airway anatomy, we formulate a simple yet highly effective anatomy-aware multi-class segmentation task to intuitively handle the severe intra-class imbalance of the airway. To solve the incomplete labeling issue, we propose a tailored self-iterative learning scheme to segment toward the complete airway tree. For generating pseudo-labels to achieve higher sensitivity , we introduce a novel breakage attention map and design a topology-guided pseudo-label refinement method by iteratively connecting breaking branches commonly existed from initial pseudo-labels. Extensive experiments have been conducted on four datasets including two public challenges. The proposed method ranked 1st in both EXACT'09 challenge using average score and ATM'22 challenge on weighted average score. In a public BAS dataset and a private lung cancer dataset, our method significantly improves previous leading approaches by extracting at least (absolute) 7.5% more detected tree length and 4.0% more tree branches, while maintaining similar precision.