Diff-CXR: Report-to-CXR generation through a disease-knowledge enhanced diffusion model

Text-To-Image (TTI) generation is significant for controlled and diverse image generation with broad potential applications. Although current medical TTI methods have made some progress in report-to-Chest-Xray (CXR) generation, their generation performance may be limited due to the intrinsic characteristics of medical data. In this paper, we propose a novel disease-knowledge enhanced Diffusion-based TTI learning framework, named Diff-CXR, for medical report-to-CXR generation. First, to minimize the negative impacts of noisy data on generation, we devise a Latent Noise Filtering Strategy that gradually learns the general patterns of anomalies and removes them in the latent space. Then, an Adaptive Vision-Aware Textual Learning Strategy is designed to learn concise and important report embeddings in a domain-specific Vision-Language Model, providing textual guidance for Chest-Xray generation. Finally, by incorporating the general disease knowledge into the pretrained TTI model via a delicate control adapter, a disease-knowledge enhanced diffusion model is introduced to achieve realistic and precise report-to-CXR generation. Experimentally, our Diff-CXR outperforms previous SOTA medical TTI methods by 33.4\% / 8.0\% and 23.8\% / 56.4\% in the FID and mAUC score on MIMIC-CXR and IU-Xray, with the lowest computational complexity at 29.641 GFLOPs. Downstream experiments on three thorax disease classification benchmarks and one CXR-report generation benchmark demonstrate that Diff-CXR is effective in improving classical CXR analysis methods. Notably, models trained on the combination of 1\% real data and synthetic data can achieve a competitive mAUC score compared to models trained on all data, presenting promising clinical applications.

GaussianPU: A Hybrid 2D-3D Upsampling Framework for Enhancing Color Point Clouds via 3D Gaussian Splatting

Dense colored point clouds enhance visual perception and are of significant value in various robotic applications. However, existing learning-based point cloud upsampling methods are constrained by computational resources and batch processing strategies, which often require subdividing point clouds into smaller patches, leading to distortions that degrade perceptual quality. To address this challenge, we propose a novel 2D-3D hybrid colored point cloud upsampling framework (GaussianPU) based on 3D Gaussian Splatting (3DGS) for robotic perception. This approach leverages 3DGS to bridge 3D point clouds with their 2D rendered images in robot vision systems. A dual scale rendered image restoration network transforms sparse point cloud renderings into dense representations, which are then input into 3DGS along with precise robot camera poses and interpolated sparse point clouds to reconstruct dense 3D point clouds. We have made a series of enhancements to the vanilla 3DGS, enabling precise control over the number of points and significantly boosting the quality of the upsampled point cloud for robotic scene understanding. Our framework supports processing entire point clouds on a single consumer-grade GPU, such as the NVIDIA GeForce RTX 3090, eliminating the need for segmentation and thus producing high-quality, dense colored point clouds with millions of points for robot navigation and manipulation tasks. Extensive experimental results on generating million-level point cloud data validate the effectiveness of our method, substantially improving the quality of colored point clouds and demonstrating significant potential for applications involving large-scale point clouds in autonomous robotics and human-robot interaction scenarios.

An Explainable Non-local Network for COVID-19 Diagnosis

The CNN has achieved excellent results in the automatic classification of medical images. In this study, we propose a novel deep residual 3D attention non-local network (NL-RAN) to classify CT images included COVID-19, common pneumonia, and normal to perform rapid and explainable COVID-19 diagnosis. We built a deep residual 3D attention non-local network that could achieve end-to-end training. The network is embedded with a nonlocal module to capture global information, while a 3D attention module is embedded to focus on the details of the lesion so that it can directly analyze the 3D lung CT and output the classification results. The output of the attention module can be used as a heat map to increase the interpretability of the model. 4079 3D CT scans were included in this study. Each scan had a unique label (novel coronavirus pneumonia, common pneumonia, and normal). The CT scans cohort was randomly split into a training set of 3263 scans, a validation set of 408 scans, and a testing set of 408 scans. And compare with existing mainstream classification methods, such as CovNet, CBAM, ResNet, etc. Simultaneously compare the visualization results with visualization methods such as CAM. Model performance was evaluated using the Area Under the ROC Curve(AUC), precision, and F1-score. The NL-RAN achieved the AUC of 0.9903, the precision of 0.9473, and the F1-score of 0.9462, surpass all the classification methods compared. The heat map output by the attention module is also clearer than the heat map output by CAM. Our experimental results indicate that our proposed method performs significantly better than existing methods. In addition, the first attention module outputs a heat map containing detailed outline information to increase the interpretability of the model. Our experiments indicate that the inference of our model is fast. It can provide real-time assistance with diagnosis.

U-MedSAM: Uncertainty-aware MedSAM for Medical Image Segmentation

Medical Image Foundation Models have proven to be powerful tools for mask prediction across various datasets. However, accurately assessing the uncertainty of their predictions remains a significant challenge. To address this, we propose a new model, U-MedSAM, which integrates the MedSAM model with an uncertainty-aware loss function and the Sharpness-Aware Minimization (SharpMin) optimizer. The uncertainty-aware loss function automatically combines region-based, distribution-based, and pixel-based loss designs to enhance segmentation accuracy and robustness. SharpMin improves generalization by finding flat minima in the loss landscape, thereby reducing overfitting. Our method was evaluated in the CVPR24 MedSAM on Laptop challenge, where U-MedSAM demonstrated promising performance.

ALIF: Low-Cost Adversarial Audio Attacks on Black-Box Speech Platforms using Linguistic Features

Extensive research has revealed that adversarial examples (AE) pose a significant threat to voice-controllable smart devices. Recent studies have proposed black-box adversarial attacks that require only the final transcription from an automatic speech recognition (ASR) system. However, these attacks typically involve many queries to the ASR, resulting in substantial costs. Moreover, AE-based adversarial audio samples are susceptible to ASR updates. In this paper, we identify the root cause of these limitations, namely the inability to construct AE attack samples directly around the decision boundary of deep learning (DL) models. Building on this observation, we propose ALIF, the first black-box adversarial linguistic feature-based attack pipeline. We leverage the reciprocal process of text-to-speech (TTS) and ASR models to generate perturbations in the linguistic embedding space where the decision boundary resides. Based on the ALIF pipeline, we present the ALIF-OTL and ALIF-OTA schemes for launching attacks in both the digital domain and the physical playback environment on four commercial ASRs and voice assistants. Extensive evaluations demonstrate that ALIF-OTL and -OTA significantly improve query efficiency by 97.7% and 73.3%, respectively, while achieving competitive performance compared to existing methods. Notably, ALIF-OTL can generate an attack sample with only one query. Furthermore, our test-of-time experiment validates the robustness of our approach against ASR updates.

Chest-Diffusion: A Light-Weight Text-to-Image Model for Report-to-CXR Generation

Text-to-image generation has important implications for generation of diverse and controllable images. Several attempts have been made to adapt Stable Diffusion (SD) to the medical domain. However, the large distribution difference between medical reports and natural texts, as well as high computational complexity in common stable diffusion limit the authenticity and feasibility of the generated medical images. To solve above problems, we propose a novel light-weight transformer-based diffusion model learning framework, Chest-Diffusion, for report-to-CXR generation. Chest-Diffusion employs a domain-specific text encoder to obtain accurate and expressive text features to guide image generation, improving the authenticity of the generated images. Meanwhile, we introduce a light-weight transformer architecture as the denoising model, reducing the computational complexity of the diffusion model. Experiments demonstrate that our Chest-Diffusion achieves the lowest FID score 24.456, under the computation budget of 118.918 GFLOPs, which is nearly one-third of the computational complexity of SD.

Robustly Optimized Deep Feature Decoupling Network for Fatty Liver Diseases Detection

Current medical image classification efforts mainly aim for higher average performance, often neglecting the balance between different classes. This can lead to significant differences in recognition accuracy between classes and obvious recognition weaknesses. Without the support of massive data, deep learning faces challenges in fine-grained classification of fatty liver. In this paper, we propose an innovative deep learning framework that combines feature decoupling and adaptive adversarial training. Firstly, we employ two iteratively compressed decouplers to supervised decouple common features and specific features related to fatty liver in abdominal ultrasound images. Subsequently, the decoupled features are concatenated with the original image after transforming the color space and are fed into the classifier. During adversarial training, we adaptively adjust the perturbation and balance the adversarial strength by the accuracy of each class. The model will eliminate recognition weaknesses by correctly classifying adversarial samples, thus improving recognition robustness. Finally, the accuracy of our method improved by 4.16%, achieving 82.95%. As demonstrated by extensive experiments, our method is a generalized learning framework that can be directly used to eliminate the recognition weaknesses of any classifier while improving its average performance. Code is available at https://github.com/HP-ML/MICCAI2024.

MVP-Shot: Multi-Velocity Progressive-Alignment Framework for Few-Shot Action Recognition

Recent few-shot action recognition (FSAR) methods achieve promising performance by performing semantic matching on learned discriminative features. However, most FSAR methods focus on single-scale (e.g., frame-level, segment-level, \etc) feature alignment, which ignores that human actions with the same semantic may appear at different velocities. To this end, we develop a novel Multi-Velocity Progressive-alignment (MVP-Shot) framework to progressively learn and align semantic-related action features at multi-velocity levels. Concretely, a Multi-Velocity Feature Alignment (MVFA) module is designed to measure the similarity between features from support and query videos with different velocity scales and then merge all similarity scores in a residual fashion. To avoid the multiple velocity features deviating from the underlying motion semantic, our proposed Progressive Semantic-Tailored Interaction (PSTI) module injects velocity-tailored text information into the video feature via feature interaction on channel and temporal domains at different velocities. The above two modules compensate for each other to predict query categories more accurately under the few-shot settings. Experimental results show our method outperforms current state-of-the-art methods on multiple standard few-shot benchmarks (i.e., HMDB51, UCF101, Kinetics, and SSv2-small).

Ultrasound Nodule Segmentation Using Asymmetric Learning with Simple Clinical Annotation

Recent advances in deep learning have greatly facilitated the automated segmentation of ultrasound images, which is essential for nodule morphological analysis. Nevertheless, most existing methods depend on extensive and precise annotations by domain experts, which are labor-intensive and time-consuming. In this study, we suggest using simple aspect ratio annotations directly from ultrasound clinical diagnoses for automated nodule segmentation. Especially, an asymmetric learning framework is developed by extending the aspect ratio annotations with two types of pseudo labels, i.e., conservative labels and radical labels, to train two asymmetric segmentation networks simultaneously. Subsequently, a conservative-radical-balance strategy (CRBS) strategy is proposed to complementally combine radical and conservative labels. An inconsistency-aware dynamically mixed pseudo-labels supervision (IDMPS) module is introduced to address the challenges of over-segmentation and under-segmentation caused by the two types of labels. To further leverage the spatial prior knowledge provided by clinical annotations, we also present a novel loss function namely the clinical anatomy prior loss. Extensive experiments on two clinically collected ultrasound datasets (thyroid and breast) demonstrate the superior performance of our proposed method, which can achieve comparable and even better performance than fully supervised methods using ground truth annotations.

Phoneme-Based Proactive Anti-Eavesdropping with Controlled Recording Privilege

The widespread smart devices raise people's concerns of being eavesdropped on. To enhance voice privacy, recent studies exploit the nonlinearity in microphone to jam audio recorders with inaudible ultrasound. However, existing solutions solely rely on energetic masking. Their simple-form noise leads to several problems, such as high energy requirements and being easily removed by speech enhancement techniques. Besides, most of these solutions do not support authorized recording, which restricts their usage scenarios. In this paper, we design an efficient yet robust system that can jam microphones while preserving authorized recording. Specifically, we propose a novel phoneme-based noise with the idea of informational masking, which can distract both machines and humans and is resistant to denoising techniques. Besides, we optimize the noise transmission strategy for broader coverage and implement a hardware prototype of our system. Experimental results show that our system can reduce the recognition accuracy of recordings to below 50\% under all tested speech recognition systems, which is much better than existing solutions.