Multi-Class Segmentation of Aortic Branches and Zones in Computed Tomography Angiography: The AortaSeg24 Challenge

Multi-class segmentation of the aorta in computed tomography angiography (CTA) scans is essential for diagnosing and planning complex endovascular treatments for patients with aortic dissections. However, existing methods reduce aortic segmentation to a binary problem, limiting their ability to measure diameters across different branches and zones. Furthermore, no open-source dataset is currently available to support the development of multi-class aortic segmentation methods. To address this gap, we organized the AortaSeg24 MICCAI Challenge, introducing the first dataset of 100 CTA volumes annotated for 23 clinically relevant aortic branches and zones. This dataset was designed to facilitate both model development and validation. The challenge attracted 121 teams worldwide, with participants leveraging state-of-the-art frameworks such as nnU-Net and exploring novel techniques, including cascaded models, data augmentation strategies, and custom loss functions. We evaluated the submitted algorithms using the Dice Similarity Coefficient (DSC) and Normalized Surface Distance (NSD), highlighting the approaches adopted by the top five performing teams. This paper presents the challenge design, dataset details, evaluation metrics, and an in-depth analysis of the top-performing algorithms. The annotated dataset, evaluation code, and implementations of the leading methods are publicly available to support further research. All resources can be accessed at https://aortaseg24.grand-challenge.org.

A Digitalized Atlas for Pulmonary Airway

In this work, we proposed AirwayAtlas, which is an end-to-end pipeline for automatic extraction of airway anatomies with lobar, segmental and subsegmental labeling. A compact representation, AirwaySign, is generated based on diverse features of airway branches. Experiments on multi-center datasets validated the effectiveness of AirwayAtlas. We also demonstrated that AirwaySign is a powerful tool for correlation analysis on pulmonary diseases.

Diffusion Product Quantization

In this work, we explore the quantization of diffusion models in extreme compression regimes to reduce model size while maintaining performance. We begin by investigating classical vector quantization but find that diffusion models are particularly susceptible to quantization error, with the codebook size limiting generation quality. To address this, we introduce product quantization, which offers improved reconstruction precision and larger capacity -- crucial for preserving the generative capabilities of diffusion models. Furthermore, we propose a method to compress the codebook by evaluating the importance of each vector and removing redundancy, ensuring the model size remaining within the desired range. We also introduce an end-to-end calibration approach that adjusts assignments during the forward pass and optimizes the codebook using the DDPM loss. By compressing the model to as low as 1 bit (resulting in over 24 times reduction in model size), we achieve a balance between compression and quality. We apply our compression method to the DiT model on ImageNet and consistently outperform other quantization approaches, demonstrating competitive generative performance.

Topology-Aware Exploration of Circle of Willis for CTA and MRA: Segmentation, Detection, and Classification

The Circle of Willis (CoW) vessels is critical to connecting major circulations of the brain. The topology of the vascular structure is clinical significance to evaluate the risk, severity of the neuro-vascular diseases. The CoW has two representative angiographic imaging modalities, computed tomography angiography (CTA) and magnetic resonance angiography (MRA). TopCow24 provided 125 paired CTA-MRA dataset for the analysis of CoW. To explore both CTA and MRA images in a unified framework to learn the inherent topology of Cow, we construct the universal dataset via independent intensity preprocess, followed by joint resampling and normarlization. Then, we utilize the topology-aware loss to enhance the topology completeness of the CoW and the discrimination between different classes. A complementary topology-aware refinement is further conducted to enhance the connectivity within the same class. Our method was evaluated on all the three tasks and two modalities, achieving competitive results. In the final test phase of TopCow24 Challenge, we achieved the second place in the CTA-Seg-Task, the third palce in the CTA-Box-Task, the first place in the CTA-Edg-Task, the second place in the MRA-Seg-Task, the third palce in the MRA-Box-Task, the second place in the MRA-Edg-Task.

LNQ 2023 challenge: Benchmark of weakly-supervised techniques for mediastinal lymph node quantification

Accurate assessment of lymph node size in 3D CT scans is crucial for cancer staging, therapeutic management, and monitoring treatment response. Existing state-of-the-art segmentation frameworks in medical imaging often rely on fully annotated datasets. However, for lymph node segmentation, these datasets are typically small due to the extensive time and expertise required to annotate the numerous lymph nodes in 3D CT scans. Weakly-supervised learning, which leverages incomplete or noisy annotations, has recently gained interest in the medical imaging community as a potential solution. Despite the variety of weakly-supervised techniques proposed, most have been validated only on private datasets or small publicly available datasets. To address this limitation, the Mediastinal Lymph Node Quantification (LNQ) challenge was organized in conjunction with the 26th International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI 2023). This challenge aimed to advance weakly-supervised segmentation methods by providing a new, partially annotated dataset and a robust evaluation framework. A total of 16 teams from 5 countries submitted predictions to the validation leaderboard, and 6 teams from 3 countries participated in the evaluation phase. The results highlighted both the potential and the current limitations of weakly-supervised approaches. On one hand, weakly-supervised approaches obtained relatively good performance with a median Dice score of $61.0\%$. On the other hand, top-ranked teams, with a median Dice score exceeding $70\%$, boosted their performance by leveraging smaller but fully annotated datasets to combine weak supervision and full supervision. This highlights both the promise of weakly-supervised methods and the ongoing need for high-quality, fully annotated data to achieve higher segmentation performance.

Similarity is Not All You Need: Endowing Retrieval Augmented Generation with Multi Layered Thoughts

In recent years, large language models (LLMs) have made remarkable achievements in various domains. However, the untimeliness and cost of knowledge updates coupled with hallucination issues of LLMs have curtailed their applications in knowledge intensive tasks, where retrieval augmented generation (RAG) can be of help. Nevertheless, existing retrieval augmented models typically use similarity as a bridge between queries and documents and follow a retrieve then read procedure. In this work, we argue that similarity is not always the panacea and totally relying on similarity would sometimes degrade the performance of retrieval augmented generation. To this end, we propose MetRag, a Multi layEred Thoughts enhanced Retrieval Augmented Generation framework. To begin with, beyond existing similarity oriented thought, we embrace a small scale utility model that draws supervision from an LLM for utility oriented thought and further come up with a smarter model by comprehensively combining the similarity and utility oriented thoughts. Furthermore, given the fact that the retrieved document set tends to be huge and using them in isolation makes it difficult to capture the commonalities and characteristics among them, we propose to make an LLM as a task adaptive summarizer to endow retrieval augmented generation with compactness-oriented thought. Finally, with multi layered thoughts from the precedent stages, an LLM is called for knowledge augmented generation. Extensive experiments on knowledge-intensive tasks have demonstrated the superiority of MetRag.

Dense Vision Transformer Compression with Few Samples

Few-shot model compression aims to compress a large model into a more compact one with only a tiny training set (even without labels). Block-level pruning has recently emerged as a leading technique in achieving high accuracy and low latency in few-shot CNN compression. But, few-shot compression for Vision Transformers (ViT) remains largely unexplored, which presents a new challenge. In particular, the issue of sparse compression exists in traditional CNN few-shot methods, which can only produce very few compressed models of different model sizes. This paper proposes a novel framework for few-shot ViT compression named DC-ViT. Instead of dropping the entire block, DC-ViT selectively eliminates the attention module while retaining and reusing portions of the MLP module. DC-ViT enables dense compression, which outputs numerous compressed models that densely populate the range of model complexity. DC-ViT outperforms state-of-the-art few-shot compression methods by a significant margin of 10 percentage points, along with lower latency in the compression of ViT and its variants.

DiffuLT: How to Make Diffusion Model Useful for Long-tail Recognition

This paper proposes a new pipeline for long-tail (LT) recognition. Instead of re-weighting or re-sampling, we utilize the long-tailed dataset itself to generate a balanced proxy that can be optimized through cross-entropy (CE). Specifically, a randomly initialized diffusion model, trained exclusively on the long-tailed dataset, is employed to synthesize new samples for underrepresented classes. Then, we utilize the inherent information in the original dataset to filter out harmful samples and keep the useful ones. Our strategy, Diffusion model for Long-Tail recognition (DiffuLT), represents a pioneering utilization of generative models in long-tail recognition. DiffuLT achieves state-of-the-art results on CIFAR10-LT, CIFAR100-LT, and ImageNet-LT, surpassing the best competitors with non-trivial margins. Abundant ablations make our pipeline interpretable, too. The whole generation pipeline is done without any external data or pre-trained model weights, making it highly generalizable to real-world long-tailed settings.

M2-Encoder: Advancing Bilingual Image-Text Understanding by Large-scale Efficient Pretraining

Vision-language foundation models like CLIP have revolutionized the field of artificial intelligence. Nevertheless, VLM models supporting multi-language, e.g., in both Chinese and English, have lagged due to the relative scarcity of large-scale pretraining datasets. Toward this end, we introduce a comprehensive bilingual (Chinese-English) dataset BM-6B with over 6 billion image-text pairs, aimed at enhancing multimodal foundation models to well understand images in both languages. To handle such a scale of dataset, we propose a novel grouped aggregation approach for image-text contrastive loss computation, which reduces the communication overhead and GPU memory demands significantly, facilitating a 60% increase in training speed. We pretrain a series of bilingual image-text foundation models with an enhanced fine-grained understanding ability on BM-6B, the resulting models, dubbed as $M^2$-Encoders (pronounced "M-Square"), set new benchmarks in both languages for multimodal retrieval and classification tasks. Notably, Our largest $M^2$-Encoder-10B model has achieved top-1 accuracies of 88.5% on ImageNet and 80.7% on ImageNet-CN under a zero-shot classification setting, surpassing previously reported SoTA methods by 2.2% and 21.1%, respectively. The $M^2$-Encoder series represents one of the most comprehensive bilingual image-text foundation models to date, so we are making it available to the research community for further exploration and development.

Hunting imaging biomarkers in pulmonary fibrosis: Benchmarks of the AIIB23 challenge

Airway-related quantitative imaging biomarkers are crucial for examination, diagnosis, and prognosis in pulmonary diseases. However, the manual delineation of airway trees remains prohibitively time-consuming. While significant efforts have been made towards enhancing airway modelling, current public-available datasets concentrate on lung diseases with moderate morphological variations. The intricate honeycombing patterns present in the lung tissues of fibrotic lung disease patients exacerbate the challenges, often leading to various prediction errors. To address this issue, the 'Airway-Informed Quantitative CT Imaging Biomarker for Fibrotic Lung Disease 2023' (AIIB23) competition was organized in conjunction with the official 2023 International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI). The airway structures were meticulously annotated by three experienced radiologists. Competitors were encouraged to develop automatic airway segmentation models with high robustness and generalization abilities, followed by exploring the most correlated QIB of mortality prediction. A training set of 120 high-resolution computerised tomography (HRCT) scans were publicly released with expert annotations and mortality status. The online validation set incorporated 52 HRCT scans from patients with fibrotic lung disease and the offline test set included 140 cases from fibrosis and COVID-19 patients. The results have shown that the capacity of extracting airway trees from patients with fibrotic lung disease could be enhanced by introducing voxel-wise weighted general union loss and continuity loss. In addition to the competitive image biomarkers for prognosis, a strong airway-derived biomarker (Hazard ratio>1.5, p<0.0001) was revealed for survival prognostication compared with existing clinical measurements, clinician assessment and AI-based biomarkers.