HQG-Net: Unpaired Medical Image Enhancement with High-Quality Guidance

Unpaired Medical Image Enhancement (UMIE) aims to transform a low-quality (LQ) medical image into a high-quality (HQ) one without relying on paired images for training. While most existing approaches are based on Pix2Pix/CycleGAN and are effective to some extent, they fail to explicitly use HQ information to guide the enhancement process, which can lead to undesired artifacts and structural distortions. In this paper, we propose a novel UMIE approach that avoids the above limitation of existing methods by directly encoding HQ cues into the LQ enhancement process in a variational fashion and thus model the UMIE task under the joint distribution between the LQ and HQ domains. Specifically, we extract features from an HQ image and explicitly insert the features, which are expected to encode HQ cues, into the enhancement network to guide the LQ enhancement with the variational normalization module. We train the enhancement network adversarially with a discriminator to ensure the generated HQ image falls into the HQ domain. We further propose a content-aware loss to guide the enhancement process with wavelet-based pixel-level and multi-encoder-based feature-level constraints. Additionally, as a key motivation for performing image enhancement is to make the enhanced images serve better for downstream tasks, we propose a bi-level learning scheme to optimize the UMIE task and downstream tasks cooperatively, helping generate HQ images both visually appealing and favorable for downstream tasks. Experiments on three medical datasets, including two newly collected datasets, verify that the proposed method outperforms existing techniques in terms of both enhancement quality and downstream task performance. We will make the code and the newly collected datasets publicly available for community study.

Weakly-Supervised Concealed Object Segmentation with SAM-based Pseudo Labeling and Multi-scale Feature Grouping

Weakly-Supervised Concealed Object Segmentation (WSCOS) aims to segment objects well blended with surrounding environments using sparsely-annotated data for model training. It remains a challenging task since (1) it is hard to distinguish concealed objects from the background due to the intrinsic similarity and (2) the sparsely-annotated training data only provide weak supervision for model learning. In this paper, we propose a new WSCOS method to address these two challenges. To tackle the intrinsic similarity challenge, we design a multi-scale feature grouping module that first groups features at different granularities and then aggregates these grouping results. By grouping similar features together, it encourages segmentation coherence, helping obtain complete segmentation results for both single and multiple-object images. For the weak supervision challenge, we utilize the recently-proposed vision foundation model, Segment Anything Model (SAM), and use the provided sparse annotations as prompts to generate segmentation masks, which are used to train the model. To alleviate the impact of low-quality segmentation masks, we further propose a series of strategies, including multi-augmentation result ensemble, entropy-based pixel-level weighting, and entropy-based image-level selection. These strategies help provide more reliable supervision to train the segmentation model. We verify the effectiveness of our method on various WSCOS tasks, and experiments demonstrate that our method achieves state-of-the-art performance on these tasks.