Chest X-ray Foundation Model with Global and Local Representations Integration

Chest X-ray (CXR) is the most frequently ordered imaging test, supporting diverse clinical tasks from thoracic disease detection to postoperative monitoring. However, task-specific classification models are limited in scope, require costly labeled data, and lack generalizability to out-of-distribution datasets. To address these challenges, we introduce CheXFound, a self-supervised vision foundation model that learns robust CXR representations and generalizes effectively across a wide range of downstream tasks. We pretrain CheXFound on a curated CXR-1M dataset, comprising over one million unique CXRs from publicly available sources. We propose a Global and Local Representations Integration (GLoRI) module for downstream adaptations, by incorporating disease-specific local features with global image features for enhanced performance in multilabel classification. Our experimental results show that CheXFound outperforms state-of-the-art models in classifying 40 disease findings across different prevalence levels on the CXR-LT 24 dataset and exhibits superior label efficiency on downstream tasks with limited training data. Additionally, CheXFound achieved significant improvements on new tasks with out-of-distribution datasets, including opportunistic cardiovascular disease risk estimation and mortality prediction. These results highlight CheXFound's strong generalization capabilities, enabling diverse adaptations with improved label efficiency. The project source code is publicly available at https://github.com/RPIDIAL/CheXFound.

Poisson Flow Joint Model for Multiphase contrast-enhanced CT

In clinical practice, multiphase contrast-enhanced CT (MCCT) is important for physiological and pathological imaging with contrast injection, which undergoes non-contrast, venous, and delayed phases. Inevitably, the accumulated radiation dose to a patient is higher for multiphase scans than for a plain CT scan. Low-dose CECT is thus highly desirable, but it often leads to suboptimal image quality due to reduced radiation dose. Recently, a generalized Poisson flow generative model (PFGM++) was proposed to unify the diffusion model and the Poisson flow generative models (PFGM), and outperform either of them with an optimized dimensionality of the augmentation data space, holding a significant promise for generic or conditional image generation. In this paper, we propose a Poisson flow joint model (PFJM) for low-dose MCCT to suppress image noise and preserve clinical features. Our model is built on the PFGM++ architecture to transform the multiphase imaging problem into learning the joint distribution of routine-dose MCCT images by optimizing a task-specific generation path with respect to the dimensionality D of the augmented data space. Then, our PFJM model takes the joint low-dose MCCT images as the condition and robustly drives the generative trajectory towards the solution in the routine-dose MCCT domain. Extensive experiments demonstrate that our model is favorably compared with competing models, with MAE of 8.99 HU, SSIM of 98.75% and PSNR of 48.24db, as averaged over all the phases.

XRF V2: A Dataset for Action Summarization with Wi-Fi Signals, and IMUs in Phones, Watches, Earbuds, and Glasses

Human Action Recognition (HAR) plays a crucial role in applications such as health monitoring, smart home automation, and human-computer interaction. While HAR has been extensively studied, action summarization, which involves identifying and summarizing continuous actions, remains an emerging task. This paper introduces the novel XRF V2 dataset, designed for indoor daily activity Temporal Action Localization (TAL) and action summarization. XRF V2 integrates multimodal data from Wi-Fi signals, IMU sensors (smartphones, smartwatches, headphones, and smart glasses), and synchronized video recordings, offering a diverse collection of indoor activities from 16 volunteers across three distinct environments. To tackle TAL and action summarization, we propose the XRFMamba neural network, which excels at capturing long-term dependencies in untrimmed sensory sequences and outperforms state-of-the-art methods, such as ActionFormer and WiFiTAD. We envision XRF V2 as a valuable resource for advancing research in human action localization, action forecasting, pose estimation, multimodal foundation models pre-training, synthetic data generation, and more.

Information-Maximized Soft Variable Discretization for Self-Supervised Image Representation Learning

Self-supervised learning (SSL) has emerged as a crucial technique in image processing, encoding, and understanding, especially for developing today's vision foundation models that utilize large-scale datasets without annotations to enhance various downstream tasks. This study introduces a novel SSL approach, Information-Maximized Soft Variable Discretization (IMSVD), for image representation learning. Specifically, IMSVD softly discretizes each variable in the latent space, enabling the estimation of their probability distributions over training batches and allowing the learning process to be directly guided by information measures. Motivated by the MultiView assumption, we propose an information-theoretic objective function to learn transform-invariant, non-travail, and redundancy-minimized representation features. We then derive a joint-cross entropy loss function for self-supervised image representation learning, which theoretically enjoys superiority over the existing methods in reducing feature redundancy. Notably, our non-contrastive IMSVD method statistically performs contrastive learning. Extensive experimental results demonstrate the effectiveness of IMSVD on various downstream tasks in terms of both accuracy and efficiency. Thanks to our variable discretization, the embedding features optimized by IMSVD offer unique explainability at the variable level. IMSVD has the potential to be adapted to other learning paradigms. Our code is publicly available at https://github.com/niuchuangnn/IMSVD.

A Generalizable 3D Diffusion Framework for Low-Dose and Few-View Cardiac SPECT

Myocardial perfusion imaging using SPECT is widely utilized to diagnose coronary artery diseases, but image quality can be negatively affected in low-dose and few-view acquisition settings. Although various deep learning methods have been introduced to improve image quality from low-dose or few-view SPECT data, previous approaches often fail to generalize across different acquisition settings, limiting their applicability in reality. This work introduced DiffSPECT-3D, a diffusion framework for 3D cardiac SPECT imaging that effectively adapts to different acquisition settings without requiring further network re-training or fine-tuning. Using both image and projection data, a consistency strategy is proposed to ensure that diffusion sampling at each step aligns with the low-dose/few-view projection measurements, the image data, and the scanner geometry, thus enabling generalization to different low-dose/few-view settings. Incorporating anatomical spatial information from CT and total variation constraint, we proposed a 2.5D conditional strategy to allow the DiffSPECT-3D to observe 3D contextual information from the entire image volume, addressing the 3D memory issues in diffusion model. We extensively evaluated the proposed method on 1,325 clinical 99mTc tetrofosmin stress/rest studies from 795 patients. Each study was reconstructed into 5 different low-count and 5 different few-view levels for model evaluations, ranging from 1% to 50% and from 1 view to 9 view, respectively. Validated against cardiac catheterization results and diagnostic comments from nuclear cardiologists, the presented results show the potential to achieve low-dose and few-view SPECT imaging without compromising clinical performance. Additionally, DiffSPECT-3D could be directly applied to full-dose SPECT images to further improve image quality, especially in a low-dose stress-first cardiac SPECT imaging protocol.

ECG-SleepNet: Deep Learning-Based Comprehensive Sleep Stage Classification Using ECG Signals

Accurate sleep stage classification is essential for understanding sleep disorders and improving overall health. This study proposes a novel three-stage approach for sleep stage classification using ECG signals, offering a more accessible alternative to traditional methods that often rely on complex modalities like EEG. In Stages 1 and 2, we initialize the weights of two networks, which are then integrated in Stage 3 for comprehensive classification. In the first phase, we estimate key features using Feature Imitating Networks (FINs) to achieve higher accuracy and faster convergence. The second phase focuses on identifying the N1 sleep stage through the time-frequency representation of ECG signals. Finally, the third phase integrates models from the previous stages and employs a Kolmogorov-Arnold Network (KAN) to classify five distinct sleep stages. Additionally, data augmentation techniques, particularly SMOTE, are used in enhancing classification capabilities for underrepresented stages like N1. Our results demonstrate significant improvements in the classification performance, with an overall accuracy of 80.79% an overall kappa of 0.73. The model achieves specific accuracies of 86.70% for Wake, 60.36% for N1, 83.89% for N2, 84.85% for N3, and 87.16% for REM. This study emphasizes the importance of weight initialization and data augmentation in optimizing sleep stage classification with ECG signals.

Evaluating Automated Radiology Report Quality through Fine-Grained Phrasal Grounding of Clinical Findings

Several evaluation metrics have been developed recently to automatically assess the quality of generative AI reports for chest radiographs based only on textual information using lexical, semantic, or clinical named entity recognition methods. In this paper, we develop a new method of report quality evaluation by first extracting fine-grained finding patterns capturing the location, laterality, and severity of a large number of clinical findings. We then performed phrasal grounding to localize their associated anatomical regions on chest radiograph images. The textual and visual measures are then combined to rate the quality of the generated reports. We present results that compare this evaluation metric with other textual metrics on a gold standard dataset derived from the MIMIC collection and show its robustness and sensitivity to factual errors.

Pan-protein Design Learning Enables Task-adaptive Generalization for Low-resource Enzyme Design

Computational protein design (CPD) offers transformative potential for bioengineering, but current deep CPD models, focused on universal domains, struggle with function-specific designs. This work introduces a novel CPD paradigm tailored for functional design tasks, particularly for enzymes-a key protein class often lacking specific application efficiency. To address structural data scarcity, we present CrossDesign, a domain-adaptive framework that leverages pretrained protein language models (PPLMs). By aligning protein structures with sequences, CrossDesign transfers pretrained knowledge to structure models, overcoming the limitations of limited structural data. The framework combines autoregressive (AR) and non-autoregressive (NAR) states in its encoder-decoder architecture, applying it to enzyme datasets and pan-proteins. Experimental results highlight CrossDesign's superior performance and robustness, especially with out-of-domain enzymes. Additionally, the model excels in fitness prediction when tested on large-scale mutation data, showcasing its stability.

Enhancing Low Dose Computed Tomography Images Using Consistency Training Techniques

Diffusion models have significant impact on wide range of generative tasks, especially on image inpainting and restoration. Although the improvements on aiming for decreasing number of function evaluations (NFE), the iterative results are still computationally expensive. Consistency models are as a new family of generative models, enable single-step sampling of high quality data without the need for adversarial training. In this paper, we introduce the beta noise distribution, which provides flexibility in adjusting noise levels. This is combined with a sinusoidal curriculum that enhances the learning of the trajectory between the noise distribution and the posterior distribution of interest, allowing High Noise Improved Consistency Training (HN-iCT) to be trained in a supervised fashion. Additionally, High Noise Improved Consistency Training with Image Condition (HN-iCT-CN) architecture is introduced, enables to take Low Dose images as a condition for extracting significant features by Weighted Attention Gates (WAG).Our results indicate that unconditional image generation using HN-iCT significantly outperforms basic CT and iCT training techniques with NFE=1 on the CIFAR10 and CelebA datasets. Moreover, our image-conditioned model demonstrates exceptional performance in enhancing low-dose (LD) CT scans.

LAMA: Stable Dual-Domain Deep Reconstruction For Sparse-View CT

Inverse problems arise in many applications, especially tomographic imaging. We develop a Learned Alternating Minimization Algorithm (LAMA) to solve such problems via two-block optimization by synergizing data-driven and classical techniques with proven convergence. LAMA is naturally induced by a variational model with learnable regularizers in both data and image domains, parameterized as composite functions of neural networks trained with domain-specific data. We allow these regularizers to be nonconvex and nonsmooth to extract features from data effectively. We minimize the overall objective function using Nesterov's smoothing technique and residual learning architecture. It is demonstrated that LAMA reduces network complexity, improves memory efficiency, and enhances reconstruction accuracy, stability, and interpretability. Extensive experiments show that LAMA significantly outperforms state-of-the-art methods on popular benchmark datasets for Computed Tomography.