Optimized Vessel Segmentation: A Structure-Agnostic Approach with Small Vessel Enhancement and Morphological Correction

Accurate segmentation of blood vessels is essential for various clinical assessments and postoperative analyses. However, the inherent challenges of vascular imaging, such as sparsity, fine granularity, low contrast, data distribution variability, and the critical need for preserving topological structure, making generalized vessel segmentation particularly complex. While specialized segmentation methods have been developed for specific anatomical regions, their over-reliance on tailored models hinders broader applicability and generalization. General-purpose segmentation models introduced in medical imaging often fail to address critical vascular characteristics, including the connectivity of segmentation results. To overcome these limitations, we propose an optimized vessel segmentation framework: a structure-agnostic approach incorporating small vessel enhancement and morphological correction for multi-modality vessel segmentation. To train and validate this framework, we compiled a comprehensive multi-modality dataset spanning 17 datasets and benchmarked our model against six SAM-based methods and 17 expert models. The results demonstrate that our approach achieves superior segmentation accuracy, generalization, and a 34.6% improvement in connectivity, underscoring its clinical potential. An ablation study further validates the effectiveness of the proposed improvements. We will release the code and dataset at github following the publication of this work.

Swin-UMamba: Mamba-based UNet with ImageNet-based pretraining

Accurate medical image segmentation demands the integration of multi-scale information, spanning from local features to global dependencies. However, it is challenging for existing methods to model long-range global information, where convolutional neural networks (CNNs) are constrained by their local receptive fields, and vision transformers (ViTs) suffer from high quadratic complexity of their attention mechanism. Recently, Mamba-based models have gained great attention for their impressive ability in long sequence modeling. Several studies have demonstrated that these models can outperform popular vision models in various tasks, offering higher accuracy, lower memory consumption, and less computational burden. However, existing Mamba-based models are mostly trained from scratch and do not explore the power of pretraining, which has been proven to be quite effective for data-efficient medical image analysis. This paper introduces a novel Mamba-based model, Swin-UMamba, designed specifically for medical image segmentation tasks, leveraging the advantages of ImageNet-based pretraining. Our experimental results reveal the vital role of ImageNet-based training in enhancing the performance of Mamba-based models. Swin-UMamba demonstrates superior performance with a large margin compared to CNNs, ViTs, and latest Mamba-based models. Notably, on AbdomenMRI, Encoscopy, and Microscopy datasets, Swin-UMamba outperforms its closest counterpart U-Mamba by an average score of 3.58%. The code and models of Swin-UMamba are publicly available at: https://github.com/JiarunLiu/Swin-UMamba

Enhancing the vision-language foundation model with key semantic knowledge-emphasized report refinement

Recently, vision-language representation learning has made remarkable advancements in building up medical foundation models, holding immense potential for transforming the landscape of clinical research and medical care. The underlying hypothesis is that the rich knowledge embedded in radiology reports can effectively assist and guide the learning process, reducing the need for additional labels. However, these reports tend to be complex and sometimes even consist of redundant descriptions that make the representation learning too challenging to capture the key semantic information. This paper develops a novel iterative vision-language representation learning framework by proposing a key semantic knowledge-emphasized report refinement method. Particularly, raw radiology reports are refined to highlight the key information according to a constructed clinical dictionary and two model-optimized knowledge-enhancement metrics. The iterative framework is designed to progressively learn, starting from gaining a general understanding of the patient's condition based on raw reports and gradually refines and extracts critical information essential to the fine-grained analysis tasks. The effectiveness of the proposed framework is validated on various downstream medical image analysis tasks, including disease classification, region-of-interest segmentation, and phrase grounding. Our framework surpasses seven state-of-the-art methods in both fine-tuning and zero-shot settings, demonstrating its encouraging potential for different clinical applications.

Generalizable vision-language pre-training for annotation-free pathology localization

Locating pathologies automatically from medical images aids the understanding of the emergence and progression of diseases, and such an ability can significantly benefit clinical diagnostics. However, existing deep learning models heavily rely on expert annotations and lack generalization capabilities in open clinical environments. In this study, we present a generalizable vision-language pre-training model for Annotation-Free pathology Localization (AFLoc). The core strength of AFLoc lies in its image annotation-free multi-level semantic structure-based contrastive learning, which comprehensively aligns multi-granularity medical concepts from reports with abundant image features, to adapt to the diverse expressions of observed and emerging unseen pathologies. We conducted extensive experimental validation across 4 distinct external datasets, encompassing 11 types of chest pathologies, to verify its generalization ability. The results demonstrate that AFLoc surpasses 6 state-of-the-art methods and even outperforms the human benchmark in locating 5 different pathologies, underscoring its suitability for complex clinical environments.

Enhancing the medical foundation model with multi-scale and cross-modality feature learning

The development of multi-modal medical foundation models has attracted significant attention in the field of medicine and healthcare due to their promising prospects in various clinical applications. One area of focus in this research direction is the extractions of features at different scales. While previous studies have explored feature learning at individual scales, investigation on integrating the diverse scales and modalities of information is lacking, which may hinder the potential for mutual reinforcement among these features. This paper aims to bridge this gap by proposing a method that effectively exploits multi-scale and cross-modality information to enhance the performance of medical foundation models. The proposed method simultaneously exploit features at the local, instance, modality and global aspects, facilitating comprehensive representation learning within the models. We evaluate the effectiveness of the proposed method on six open-source datasets across different clinical tasks, demonstrating its ability to enhance the performance of medical foundation models.

Multimodal self-supervised learning for lesion localization

Multimodal deep learning utilizing imaging and diagnostic reports has made impressive progress in the field of medical imaging diagnostics, demonstrating a particularly strong capability for auxiliary diagnosis in cases where sufficient annotation information is lacking. Nonetheless, localizing diseases accurately without detailed positional annotations remains a challenge. Although existing methods have attempted to utilize local information to achieve fine-grained semantic alignment, their capability in extracting the fine-grained semantics of the comprehensive contextual within reports is limited. To solve this problem, we introduce a new method that takes full sentences from textual reports as the basic units for local semantic alignment. Our approach combines chest X-ray images with their corresponding textual reports, performing contrastive learning at both global and local levels. The leading results obtained by our method on multiple datasets confirm its efficacy in the task of lesion localization.

MLIP: Medical Language-Image Pre-training with Masked Local Representation Learning

Existing contrastive language-image pre-training aims to learn a joint representation by matching abundant image-text pairs. However, the number of image-text pairs in medical datasets is usually orders of magnitude smaller than that in natural datasets. Besides, medical image-text pairs often involve numerous complex fine-grained correspondences. This paper aims to enhance the data efficiency by introducing multiple-to-multiple local relationship modeling to capture denser supervisions. More specifically, we propose a Medical Language-Image Pre-training (MLIP) framework, which exploits the limited image-text medical data more efficiently through patch-sentence matching. Furthermore, we introduce a masked contrastive learning strategy with semantic integrity estimation to reduce redundancy in images while preserving the underlying semantics. Our evaluation results show that MLIP outperforms previous work in zero/few-shot classification and few-shot segmentation tasks by a large margin.

AllTogether: Investigating the Efficacy of Spliced Prompt for Web Navigation using Large Language Models

Large Language Models (LLMs) have emerged as promising agents for web navigation tasks, interpreting objectives and interacting with web pages. However, the efficiency of spliced prompts for such tasks remains underexplored. We introduces AllTogether, a standardized prompt template that enhances task context representation, thereby improving LLMs' performance in HTML-based web navigation. We evaluate the efficacy of this approach through prompt learning and instruction finetuning based on open-source Llama-2 and API-accessible GPT models. Our results reveal that models like GPT-4 outperform smaller models in web navigation tasks. Additionally, we find that the length of HTML snippet and history trajectory significantly influence performance, and prior step-by-step instructions prove less effective than real-time environmental feedback. Overall, we believe our work provides valuable insights for future research in LLM-driven web agents.

Enhancing Representation in Radiography-Reports Foundation Model: A Granular Alignment Algorithm Using Masked Contrastive Learning

Recently, multi-modal vision-language foundation models have gained significant attention in the medical field. While these models offer great opportunities, they still face a number of challenges, such as the requirement for fine-grained knowledge understanding in computer-aided diagnosis and capability of utilizing very limited or no task-specific labeled data in real-world clinical applications. In this study, we present MaCo, a novel multi-modal medical foundation model that explores masked contrastive learning to achieve granular alignment and zero-shot learning for a variety of medical imaging tasks. MaCo incorporates a correlation weighting mechanism to adjust the correlation between masked image patches and their corresponding reports, thereby enhancing the representation learning capabilities. We evaluate MaCo on six well-known open-source X-ray datasets, and the experimental results show it outperforms seven state-of-the-art approaches for classification, segmentation, and zero-shot phase grounding, demonstrating its great potential to promote a wide range of medical image analysis tasks.

Meta-DM: Applications of Diffusion Models on Few-Shot Learning

In the field of few-shot learning (FSL), extensive research has focused on improving network structures and training strategies. However, the role of data processing modules has not been fully explored. Therefore, in this paper, we propose Meta-DM, a generalized data processing module for FSL problems based on diffusion models. Meta-DM is a simple yet effective module that can be easily integrated with existing FSL methods, leading to significant performance improvements in both supervised and unsupervised settings. We provide a theoretical analysis of Meta-DM and evaluate its performance on several algorithms. Our experiments show that combining Meta-DM with certain methods achieves state-of-the-art results.