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Lung cancer is highly lethal, emphasizing the critical need for early detection. However, identifying lung nodules poses significant challenges for radiologists, who rely heavily on their expertise and experience for accurate diagnosis. To address this issue, computer-aided diagnosis systems based on machine learning techniques have emerged to assist doctors in identifying lung nodules from computed tomography (CT) scans. Unfortunately, existing networks in this domain often suffer from computational complexity, leading to high rates of false negatives and false positives, limiting their effectiveness. To address these challenges, we present an innovative model that harnesses the strengths of both convolutional neural networks and vision transformers. Inspired by object detection in videos, we treat each 3D CT image as a video, individual slices as frames, and lung nodules as objects, enabling a time-series application. The primary objective of our work is to overcome hardware limitations during model training, allowing for efficient processing of 2D data while utilizing inter-slice information for accurate identification based on 3D image context. We validated the proposed network by applying a 10-fold cross-validation technique to the publicly available Lung Nodule Analysis 2016 dataset. Our proposed architecture achieves an average sensitivity criterion of 97.84% and a competition performance metrics (CPM) of 96.0% with few parameters. Comparative analysis with state-of-the-art advancements in lung nodule identification demonstrates the significant accuracy achieved by our proposed model.

Deep learning approaches, together with neuroimaging techniques, play an important role in psychiatric disorders classification. Previous studies on psychiatric disorders diagnosis mainly focus on using functional connectivity matrices of resting-state functional magnetic resonance imaging (rs-fMRI) as input, which still needs to fully utilize the rich temporal information of the time series of rs-fMRI data. In this work, we proposed a multi-dimension-embedding-aware modality fusion transformer (MFFormer) for schizophrenia and bipolar disorder classification using rs-fMRI and T1 weighted structural MRI (T1w sMRI). Concretely, to fully utilize the temporal information of rs-fMRI and spatial information of sMRI, we constructed a deep learning architecture that takes as input 2D time series of rs-fMRI and 3D volumes T1w. Furthermore, to promote intra-modality attention and information fusion across different modalities, a fusion transformer module (FTM) is designed through extensive self-attention of hybrid feature maps of multi-modality. In addition, a dimension-up and dimension-down strategy is suggested to properly align feature maps of multi-dimensional from different modalities. Experimental results on our private and public OpenfMRI datasets show that our proposed MFFormer performs better than that using a single modality or multi-modality MRI on schizophrenia and bipolar disorder diagnosis.

Cross-modal medical image translation is an essential task for synthesizing missing modality data for clinical diagnosis. However, current learning-based techniques have limitations in capturing cross-modal and global features, restricting their suitability to specific pairs of modalities. This lack of versatility undermines their practical usefulness, particularly considering that the missing modality may vary for different cases. In this study, we present MedPrompt, a multi-task framework that efficiently translates different modalities. Specifically, we propose the Self-adaptive Prompt Block, which dynamically guides the translation network towards distinct modalities. Within this framework, we introduce the Prompt Extraction Block and the Prompt Fusion Block to efficiently encode the cross-modal prompt. To enhance the extraction of global features across diverse modalities, we incorporate the Transformer model. Extensive experimental results involving five datasets and four pairs of modalities demonstrate that our proposed model achieves state-of-the-art visual quality and exhibits excellent generalization capability.

Medical image segmentation aims to delineate the anatomical or pathological structures of interest, playing a crucial role in clinical diagnosis. A substantial amount of high-quality annotated data is crucial for constructing high-precision deep segmentation models. However, medical annotation is highly cumbersome and time-consuming, especially for medical videos or 3D volumes, due to the huge labeling space and poor inter-frame consistency. Recently, a fundamental task named Moving Object Segmentation (MOS) has made significant advancements in natural images. Its objective is to delineate moving objects from the background within image sequences, requiring only minimal annotations. In this paper, we propose the first foundation model, named iMOS, for MOS in medical images. Extensive experiments on a large multi-modal medical dataset validate the effectiveness of the proposed iMOS. Specifically, with the annotation of only a small number of images in the sequence, iMOS can achieve satisfactory tracking and segmentation performance of moving objects throughout the entire sequence in bi-directions. We hope that the proposed iMOS can help accelerate the annotation speed of experts, and boost the development of medical foundation models.

The application of 3D ViTs to medical image segmentation has seen remarkable strides, somewhat overshadowing the budding advancements in Convolutional Neural Network (CNN)-based models. Large kernel depthwise convolution has emerged as a promising technique, showcasing capabilities akin to hierarchical transformers and facilitating an expansive effective receptive field (ERF) vital for dense predictions. Despite this, existing core operators, ranging from global-local attention to large kernel convolution, exhibit inherent trade-offs and limitations (e.g., global-local range trade-off, aggregating attentional features). We hypothesize that deformable convolution can be an exploratory alternative to combine all advantages from the previous operators, providing long-range dependency, adaptive spatial aggregation and computational efficiency as a foundation backbone. In this work, we introduce 3D DeformUX-Net, a pioneering volumetric CNN model that adeptly navigates the shortcomings traditionally associated with ViTs and large kernel convolution. Specifically, we revisit volumetric deformable convolution in depth-wise setting to adapt long-range dependency with computational efficiency. Inspired by the concepts of structural re-parameterization for convolution kernel weights, we further generate the deformable tri-planar offsets by adapting a parallel branch (starting from $1\times1\times1$ convolution), providing adaptive spatial aggregation across all channels. Our empirical evaluations reveal that the 3D DeformUX-Net consistently outperforms existing state-of-the-art ViTs and large kernel convolution models across four challenging public datasets, spanning various scales from organs (KiTS: 0.680 to 0.720, MSD Pancreas: 0.676 to 0.717, AMOS: 0.871 to 0.902) to vessels (e.g., MSD hepatic vessels: 0.635 to 0.671) in mean Dice.

Large Language Models (LLMs) have shown promise in the autonomous driving sector, particularly in generalization and interpretability. We introduce a unique object-level multimodal LLM architecture that merges vectorized numeric modalities with a pre-trained LLM to improve context understanding in driving situations. We also present a new dataset of 160k QA pairs derived from 10k driving scenarios, paired with high quality control commands collected with RL agent and question answer pairs generated by teacher LLM (GPT-3.5). A distinct pretraining strategy is devised to align numeric vector modalities with static LLM representations using vector captioning language data. We also introduce an evaluation metric for Driving QA and demonstrate our LLM-driver's proficiency in interpreting driving scenarios, answering questions, and decision-making. Our findings highlight the potential of LLM-based driving action generation in comparison to traditional behavioral cloning. We make our benchmark, datasets, and model available for further exploration.

Diabetic Retinopathy (DR), a prevalent and severe complication of diabetes, affects millions of individuals globally, underscoring the need for accurate and timely diagnosis. Recent advancements in imaging technologies, such as Ultra-WideField Color Fundus Photography (UWF-CFP) imaging and Optical Coherence Tomography Angiography (OCTA), provide opportunities for the early detection of DR but also pose significant challenges given the disparate nature of the data they produce. This study introduces a novel multimodal approach that leverages these imaging modalities to notably enhance DR classification. Our approach integrates 2D UWF-CFP images and 3D high-resolution 6x6 mm$^3$ OCTA (both structure and flow) images using a fusion of ResNet50 and 3D-ResNet50 models, with Squeeze-and-Excitation (SE) blocks to amplify relevant features. Additionally, to increase the model's generalization capabilities, a multimodal extension of Manifold Mixup, applied to concatenated multimodal features, is implemented. Experimental results demonstrate a remarkable enhancement in DR classification performance with the proposed multimodal approach compared to methods relying on a single modality only. The methodology laid out in this work holds substantial promise for facilitating more accurate, early detection of DR, potentially improving clinical outcomes for patients.

Pretraining CNN models (i.e., UNet) through self-supervision has become a powerful approach to facilitate medical image segmentation under low annotation regimes. Recent contrastive learning methods encourage similar global representations when the same image undergoes different transformations, or enforce invariance across different image/patch features that are intrinsically correlated. However, CNN-extracted global and local features are limited in capturing long-range spatial dependencies that are essential in biological anatomy. To this end, we present a keypoint-augmented fusion layer that extracts representations preserving both short- and long-range self-attention. In particular, we augment the CNN feature map at multiple scales by incorporating an additional input that learns long-range spatial self-attention among localized keypoint features. Further, we introduce both global and local self-supervised pretraining for the framework. At the global scale, we obtain global representations from both the bottleneck of the UNet, and by aggregating multiscale keypoint features. These global features are subsequently regularized through image-level contrastive objectives. At the local scale, we define a distance-based criterion to first establish correspondences among keypoints and encourage similarity between their features. Through extensive experiments on both MRI and CT segmentation tasks, we demonstrate the architectural advantages of our proposed method in comparison to both CNN and Transformer-based UNets, when all architectures are trained with randomly initialized weights. With our proposed pretraining strategy, our method further outperforms existing SSL methods by producing more robust self-attention and achieving state-of-the-art segmentation results. The code is available at //github.com/zshyang/kaf.git.

The agility of animals, particularly in complex activities such as running, turning, jumping, and backflipping, stands as an exemplar for robotic system design. Transferring this suite of behaviors to legged robotic systems introduces essential inquiries: How can a robot be trained to learn multiple locomotion behaviors simultaneously? How can the robot execute these tasks with a smooth transition? And what strategies allow for the integrated application of these skills? This paper introduces the Versatile Instructable Motion prior (VIM) - a Reinforcement Learning framework designed to incorporate a range of agile locomotion tasks suitable for advanced robotic applications. Our framework enables legged robots to learn diverse agile low-level skills by imitating animal motions and manually designed motions with Functionality reward and Stylization reward. While the Functionality reward guides the robot's ability to adopt varied skills, the Stylization reward ensures performance alignment with reference motions. Our evaluations of the VIM framework span both simulation environments and real-world deployment. To our understanding, this is the first work that allows a robot to concurrently learn diverse agile locomotion tasks using a singular controller. Further details and supportive media can be found at our project site: //rchalyang.github.io/VIM .

Medical image segmentation is a fundamental and critical step in many image-guided clinical approaches. Recent success of deep learning-based segmentation methods usually relies on a large amount of labeled data, which is particularly difficult and costly to obtain especially in the medical imaging domain where only experts can provide reliable and accurate annotations. Semi-supervised learning has emerged as an appealing strategy and been widely applied to medical image segmentation tasks to train deep models with limited annotations. In this paper, we present a comprehensive review of recently proposed semi-supervised learning methods for medical image segmentation and summarized both the technical novelties and empirical results. Furthermore, we analyze and discuss the limitations and several unsolved problems of existing approaches. We hope this review could inspire the research community to explore solutions for this challenge and further promote the developments in medical image segmentation field.