Multi-modal and Multi-view Fundus Image Fusion for Retinopathy Diagnosis via Multi-scale Cross-attention and Shifted Window Self-attention

The joint interpretation of multi-modal and multi-view fundus images is critical for retinopathy prevention, as different views can show the complete 3D eyeball field and different modalities can provide complementary lesion areas. Compared with single images, the sequence relationships in multi-modal and multi-view fundus images contain long-range dependencies in lesion features. By modeling the long-range dependencies in these sequences, lesion areas can be more comprehensively mined, and modality-specific lesions can be detected. To learn the long-range dependency relationship and fuse complementary multi-scale lesion features between different fundus modalities, we design a multi-modal fundus image fusion method based on multi-scale cross-attention, which solves the static receptive field problem in previous multi-modal medical fusion methods based on attention. To capture multi-view relative positional relationships between different views and fuse comprehensive lesion features between different views, we design a multi-view fundus image fusion method based on shifted window self-attention, which also solves the computational complexity of the multi-view fundus fusion method based on self-attention is quadratic to the size and number of multi-view fundus images. Finally, we design a multi-task retinopathy diagnosis framework to help ophthalmologists reduce workload and improve diagnostic accuracy by combining the proposed two fusion methods. The experimental results of retinopathy classification and report generation tasks indicate our method's potential to improve the efficiency and reliability of retinopathy diagnosis in clinical practice, achieving a classification accuracy of 82.53\% and a report generation BlEU-1 of 0.543.

Multi-Modal Brain Tumor Segmentation via 3D Multi-Scale Self-attention and Cross-attention

Due to the success of CNN-based and Transformer-based models in various computer vision tasks, recent works study the applicability of CNN-Transformer hybrid architecture models in 3D multi-modality medical segmentation tasks. Introducing Transformer brings long-range dependent information modeling ability in 3D medical images to hybrid models via the self-attention mechanism. However, these models usually employ fixed receptive fields of 3D volumetric features within each self-attention layer, ignoring the multi-scale volumetric lesion features. To address this issue, we propose a CNN-Transformer hybrid 3D medical image segmentation model, named TMA-TransBTS, based on an encoder-decoder structure. TMA-TransBTS realizes simultaneous extraction of multi-scale 3D features and modeling of long-distance dependencies by multi-scale division and aggregation of 3D tokens in a self-attention layer. Furthermore, TMA-TransBTS proposes a 3D multi-scale cross-attention module to establish a link between the encoder and the decoder for extracting rich volume representations by exploiting the mutual attention mechanism of cross-attention and multi-scale aggregation of 3D tokens. Extensive experimental results on three public 3D medical segmentation datasets show that TMA-TransBTS achieves higher averaged segmentation results than previous state-of-the-art CNN-based 3D methods and CNN-Transform hybrid 3D methods for the segmentation of 3D multi-modality brain tumors.