Med3DInsight: Enhancing 3D Medical Image Understanding with 2D Multi-Modal Large Language Models

Understanding 3D medical image volumes is a critical task in the medical domain. However, existing 3D convolution and transformer-based methods have limited semantic understanding of an image volume and also need a large set of volumes for training. Recent advances in multi-modal large language models (MLLMs) provide a new and promising way to understand images with the help of text descriptions. However, most current MLLMs are designed for 2D natural images. To enhance the 3D medical image understanding with 2D MLLMs, we propose a novel pre-training framework called Med3DInsight, which marries existing 3D image encoders with 2D MLLMs and bridges them via a designed Plane-Slice-Aware Transformer (PSAT) module. Extensive experiments demonstrate our SOTA performance on two downstream segmentation and classification tasks, including three public datasets with CT and MRI modalities and comparison to more than ten baselines. Med3DInsight can be easily integrated into any current 3D medical image understanding network and improves its performance by a good margin.

AliFuse: Aligning and Fusing Multi-modal Medical Data for Computer-Aided Diagnosis

Medical data collected for making a diagnostic decision are typically multi-modal and provide complementary perspectives of a subject. A computer-aided diagnosis system welcomes multi-modal inputs; however, how to effectively fuse such multi-modal data is a challenging task and attracts a lot of attention in the medical research field. In this paper, we propose a transformer-based framework, called Alifuse, for aligning and fusing multi-modal medical data. Specifically, we convert images and unstructured and structured texts into vision and language tokens, and use intramodal and intermodal attention mechanisms to learn holistic representations of all imaging and non-imaging data for classification. We apply Alifuse to classify Alzheimer's disease and obtain state-of-the-art performance on five public datasets, by outperforming eight baselines. The source code will be available online later.

Volumetric Medical Image Segmentation via Scribble Annotations and Shape Priors

Recently, weakly-supervised image segmentation using weak annotations like scribbles has gained great attention in computer vision and medical image analysis, since such annotations are much easier to obtain compared to time-consuming and labor-intensive labeling at the pixel/voxel level. However, due to a lack of structure supervision on regions of interest (ROIs), existing scribble-based methods suffer from poor boundary localization. Furthermore, most current methods are designed for 2D image segmentation, which do not fully leverage the volumetric information if directly applied to each image slice. In this paper, we propose a scribble-based volumetric image segmentation, Scribble2D5, which tackles 3D anisotropic image segmentation and aims to its improve boundary prediction. To achieve this, we augment a 2.5D attention UNet with a proposed label propagation module to extend semantic information from scribbles and use a combination of static and active boundary prediction to learn ROI's boundary and regularize its shape. Also, we propose an optional add-on component, which incorporates the shape prior information from unpaired segmentation masks to further improve model accuracy. Extensive experiments on three public datasets and one private dataset demonstrate our Scribble2D5 achieves state-of-the-art performance on volumetric image segmentation using scribbles and shape prior if available.

MedBLIP: Bootstrapping Language-Image Pre-training from 3D Medical Images and Texts

Vision-language pre-training (VLP) models have been demonstrated to be effective in many computer vision applications. In this paper, we consider developing a VLP model in the medical domain for making computer-aided diagnoses (CAD) based on image scans and text descriptions in electronic health records, as done in practice. To achieve our goal, we present a lightweight CAD system MedBLIP, a new paradigm for bootstrapping VLP from off-the-shelf frozen pre-trained image encoders and frozen large language models. We design a MedQFormer module to bridge the gap between 3D medical images and 2D pre-trained image encoders and language models as well. To evaluate the effectiveness of our MedBLIP, we collect more than 30,000 image volumes from five public Alzheimer's disease (AD) datasets, i.e., ADNI, NACC, OASIS, AIBL, and MIRIAD. On this largest AD dataset we know, our model achieves the SOTA performance on the zero-shot classification of healthy, mild cognitive impairment (MCI), and AD subjects, and shows its capability of making medical visual question answering (VQA). The code and pre-trained models is available online: https://github.com/Qybc/MedBLIP.

Longformer: Longitudinal Transformer for Alzheimer's Disease Classification with Structural MRIs

Structural magnetic resonance imaging (sMRI) is widely used for brain neurological disease diagnosis; while longitudinal MRIs are often collected to monitor and capture disease progression, as clinically used in diagnosing Alzheimer's disease (AD). However, most current methods neglect AD's progressive nature and only take a single sMRI for recognizing AD. In this paper, we consider the problem of leveraging the longitudinal MRIs of a subject for AD identification. To capture longitudinal changes in sMRIs, we propose a novel model Longformer, a spatiotemporal transformer network that performs attention mechanisms spatially on sMRIs at each time point and integrates brain region features over time to obtain longitudinal embeddings for classification. Our Longformer achieves state-of-the-art performance on two binary classification tasks of separating different stages of AD using the ADNI dataset. Our source code is available at https://github.com/Qybc/LongFormer.

Scribble2D5: Weakly-Supervised Volumetric Image Segmentation via Scribble Annotations

Recently, weakly-supervised image segmentation using weak annotations like scribbles has gained great attention, since such annotations are much easier to obtain compared to time-consuming and label-intensive labeling at the pixel/voxel level. However, because scribbles lack structure information of region of interest (ROI), existing scribble-based methods suffer from poor boundary localization. Furthermore, most current methods are designed for 2D image segmentation, which do not fully leverage the volumetric information if directly applied to image slices. In this paper, we propose a scribble-based volumetric image segmentation, Scribble2D5, which tackles 3D anisotropic image segmentation and improves boundary prediction. To achieve this, we augment a 2.5D attention UNet with a proposed label propagation module to extend semantic information from scribbles and a combination of static and active boundary prediction to learn ROI's boundary and regularize its shape. Extensive experiments on three public datasets demonstrate Scribble2D5 significantly outperforms current scribble-based methods and approaches the performance of fully-supervised ones. Our code is available online.