Efficient MedSAMs: Segment Anything in Medical Images on Laptop

Promptable segmentation foundation models have emerged as a transformative approach to addressing the diverse needs in medical images, but most existing models require expensive computing, posing a big barrier to their adoption in clinical practice. In this work, we organized the first international competition dedicated to promptable medical image segmentation, featuring a large-scale dataset spanning nine common imaging modalities from over 20 different institutions. The top teams developed lightweight segmentation foundation models and implemented an efficient inference pipeline that substantially reduced computational requirements while maintaining state-of-the-art segmentation accuracy. Moreover, the post-challenge phase advanced the algorithms through the design of performance booster and reproducibility tasks, resulting in improved algorithms and validated reproducibility of the winning solution. Furthermore, the best-performing algorithms have been incorporated into the open-source software with a user-friendly interface to facilitate clinical adoption. The data and code are publicly available to foster the further development of medical image segmentation foundation models and pave the way for impactful real-world applications.

Adaptive Interactive Segmentation for Multimodal Medical Imaging via Selection Engine

In medical image analysis, achieving fast, efficient, and accurate segmentation is essential for automated diagnosis and treatment. Although recent advancements in deep learning have significantly improved segmentation accuracy, current models often face challenges in adaptability and generalization, particularly when processing multi-modal medical imaging data. These limitations stem from the substantial variations between imaging modalities and the inherent complexity of medical data. To address these challenges, we propose the Strategy-driven Interactive Segmentation Model (SISeg), built on SAM2, which enhances segmentation performance across various medical imaging modalities by integrating a selection engine. To mitigate memory bottlenecks and optimize prompt frame selection during the inference of 2D image sequences, we developed an automated system, the Adaptive Frame Selection Engine (AFSE). This system dynamically selects the optimal prompt frames without requiring extensive prior medical knowledge and enhances the interpretability of the model's inference process through an interactive feedback mechanism. We conducted extensive experiments on 10 datasets covering 7 representative medical imaging modalities, demonstrating the SISeg model's robust adaptability and generalization in multi-modal tasks. The project page and code will be available at: [URL].

SRSA: A Cost-Efficient Strategy-Router Search Agent for Real-world Human-Machine Interactions

Recently, as Large Language Models (LLMs) have shown impressive emerging capabilities and gained widespread popularity, research on LLM-based search agents has proliferated. In real-world situations, users often input contextual and highly personalized queries to chatbots, challenging LLMs to capture context and generate appropriate answers. However, much of the prior research has not focused specifically on authentic human-machine dialogue scenarios. It also ignores the important balance between response quality and computational cost by forcing all queries to follow the same agent process. To address these gaps, we propose a Strategy-Router Search Agent (SRSA), routing different queries to appropriate search strategies and enabling fine-grained serial searches to obtain high-quality results at a relatively low cost. To evaluate our work, we introduce a new dataset, Contextual Query Enhancement Dataset (CQED), comprising contextual queries to simulate authentic and daily interactions between humans and chatbots. Using LLM-based automatic evaluation metrics, we assessed SRSA's performance in terms of informativeness, completeness, novelty, and actionability. To conclude, SRSA provides an approach that resolves the issue of simple serial searches leading to degenerate answers for lengthy and contextual queries, effectively and efficiently parses complex user queries, and generates more comprehensive and informative responses without fine-tuning an LLM.

Multi-modal Intermediate Feature Interaction AutoEncoder for Overall Survival Prediction of Esophageal Squamous Cell Cancer

Survival prediction for esophageal squamous cell cancer (ESCC) is crucial for doctors to assess a patient's condition and tailor treatment plans. The application and development of multi-modal deep learning in this field have attracted attention in recent years. However, the prognostically relevant features between cross-modalities have not been further explored in previous studies, which could hinder the performance of the model. Furthermore, the inherent semantic gap between different modal feature representations is also ignored. In this work, we propose a novel autoencoder-based deep learning model to predict the overall survival of the ESCC. Two novel modules were designed for multi-modal prognosis-related feature reinforcement and modeling ability enhancement. In addition, a novel joint loss was proposed to make the multi-modal feature representations more aligned. Comparison and ablation experiments demonstrated that our model can achieve satisfactory results in terms of discriminative ability, risk stratification, and the effectiveness of the proposed modules.

Class-balanced Open-set Semi-supervised Object Detection for Medical Images

Medical image datasets in the real world are often unlabeled and imbalanced, and Semi-Supervised Object Detection (SSOD) can utilize unlabeled data to improve an object detector. However, existing approaches predominantly assumed that the unlabeled data and test data do not contain out-of-distribution (OOD) classes. The few open-set semi-supervised object detection methods have two weaknesses: first, the class imbalance is not considered; second, the OOD instances are distinguished and simply discarded during pseudo-labeling. In this paper, we consider the open-set semi-supervised object detection problem which leverages unlabeled data that contain OOD classes to improve object detection for medical images. Our study incorporates two key innovations: Category Control Embed (CCE) and out-of-distribution Detection Fusion Classifier (OODFC). CCE is designed to tackle dataset imbalance by constructing a Foreground information Library, while OODFC tackles open-set challenges by integrating the ``unknown'' information into basic pseudo-labels. Our method outperforms the state-of-the-art SSOD performance, achieving a 4.25 mAP improvement on the public Parasite dataset.

SETTP: Style Extraction and Tunable Inference via Dual-level Transferable Prompt Learning

Text style transfer, an important research direction in natural language processing, aims to adapt the text to various preferences but often faces challenges with limited resources. In this work, we introduce a novel method termed Style Extraction and Tunable Inference via Dual-level Transferable Prompt Learning (SETTP) for effective style transfer in low-resource scenarios. First, SETTP learns source style-level prompts containing fundamental style characteristics from high-resource style transfer. During training, the source style-level prompts are transferred through an attention module to derive a target style-level prompt for beneficial knowledge provision in low-resource style transfer. Additionally, we propose instance-level prompts obtained by clustering the target resources based on the semantic content to reduce semantic bias. We also propose an automated evaluation approach of style similarity based on alignment with human evaluations using ChatGPT-4. Our experiments across three resourceful styles show that SETTP requires only 1/20th of the data volume to achieve performance comparable to state-of-the-art methods. In tasks involving scarce data like writing style and role style, SETTP outperforms previous methods by 16.24\%.

STS MICCAI 2023 Challenge: Grand challenge on 2D and 3D semi-supervised tooth segmentation

Computer-aided design (CAD) tools are increasingly popular in modern dental practice, particularly for treatment planning or comprehensive prognosis evaluation. In particular, the 2D panoramic X-ray image efficiently detects invisible caries, impacted teeth and supernumerary teeth in children, while the 3D dental cone beam computed tomography (CBCT) is widely used in orthodontics and endodontics due to its low radiation dose. However, there is no open-access 2D public dataset for children's teeth and no open 3D dental CBCT dataset, which limits the development of automatic algorithms for segmenting teeth and analyzing diseases. The Semi-supervised Teeth Segmentation (STS) Challenge, a pioneering event in tooth segmentation, was held as a part of the MICCAI 2023 ToothFairy Workshop on the Alibaba Tianchi platform. This challenge aims to investigate effective semi-supervised tooth segmentation algorithms to advance the field of dentistry. In this challenge, we provide two modalities including the 2D panoramic X-ray images and the 3D CBCT tooth volumes. In Task 1, the goal was to segment tooth regions in panoramic X-ray images of both adult and pediatric teeth. Task 2 involved segmenting tooth sections using CBCT volumes. Limited labelled images with mostly unlabelled ones were provided in this challenge prompt using semi-supervised algorithms for training. In the preliminary round, the challenge received registration and result submission by 434 teams, with 64 advancing to the final round. This paper summarizes the diverse methods employed by the top-ranking teams in the STS MICCAI 2023 Challenge.

MMFusion: Multi-modality Diffusion Model for Lymph Node Metastasis Diagnosis in Esophageal Cancer

Esophageal cancer is one of the most common types of cancer worldwide and ranks sixth in cancer-related mortality. Accurate computer-assisted diagnosis of cancer progression can help physicians effectively customize personalized treatment plans. Currently, CT-based cancer diagnosis methods have received much attention for their comprehensive ability to examine patients' conditions. However, multi-modal based methods may likely introduce information redundancy, leading to underperformance. In addition, efficient and effective interactions between multi-modal representations need to be further explored, lacking insightful exploration of prognostic correlation in multi-modality features. In this work, we introduce a multi-modal heterogeneous graph-based conditional feature-guided diffusion model for lymph node metastasis diagnosis based on CT images as well as clinical measurements and radiomics data. To explore the intricate relationships between multi-modal features, we construct a heterogeneous graph. Following this, a conditional feature-guided diffusion approach is applied to eliminate information redundancy. Moreover, we propose a masked relational representation learning strategy, aiming to uncover the latent prognostic correlations and priorities of primary tumor and lymph node image representations. Various experimental results validate the effectiveness of our proposed method. The code is available at https://github.com/wuchengyu123/MMFusion.

Large Language Model based Multi-Agents: A Survey of Progress and Challenges

Large Language Models (LLMs) have achieved remarkable success across a wide array of tasks. Due to the impressive planning and reasoning abilities of LLMs, they have been used as autonomous agents to do many tasks automatically. Recently, based on the development of using one LLM as a single planning or decision-making agent, LLM-based multi-agent systems have achieved considerable progress in complex problem-solving and world simulation. To provide the community with an overview of this dynamic field, we present this survey to offer an in-depth discussion on the essential aspects of multi-agent systems based on LLMs, as well as the challenges. Our goal is for readers to gain substantial insights on the following questions: What domains and environments do LLM-based multi-agents simulate? How are these agents profiled and how do they communicate? What mechanisms contribute to the growth of agents' capacities? For those interested in delving into this field of study, we also summarize the commonly used datasets or benchmarks for them to have convenient access. To keep researchers updated on the latest studies, we maintain an open-source GitHub repository, dedicated to outlining the research on LLM-based multi-agent systems.

PMP-Swin: Multi-Scale Patch Message Passing Swin Transformer for Retinal Disease Classification

Retinal disease is one of the primary causes of visual impairment, and early diagnosis is essential for preventing further deterioration. Nowadays, many works have explored Transformers for diagnosing diseases due to their strong visual representation capabilities. However, retinal diseases exhibit milder forms and often present with overlapping signs, which pose great difficulties for accurate multi-class classification. Therefore, we propose a new framework named Multi-Scale Patch Message Passing Swin Transformer for multi-class retinal disease classification. Specifically, we design a Patch Message Passing (PMP) module based on the Message Passing mechanism to establish global interaction for pathological semantic features and to exploit the subtle differences further between different diseases. Moreover, considering the various scale of pathological features we integrate multiple PMP modules for different patch sizes. For evaluation, we have constructed a new dataset, named OPTOS dataset, consisting of 1,033 high-resolution fundus images photographed by Optos camera and conducted comprehensive experiments to validate the efficacy of our proposed method. And the results on both the public dataset and our dataset demonstrate that our method achieves remarkable performance compared to state-of-the-art methods.