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Medical image segmentation is a critical step in computer-aided diagnosis, and convolutional neural networks are popular segmentation networks nowadays. However, the inherent local operation characteristics make it difficult to focus on the global contextual information of lesions with different positions, shapes, and sizes. Semi-supervised learning can be used to learn from both labeled and unlabeled samples, alleviating the burden of manual labeling. However, obtaining a large number of unlabeled images in medical scenarios remains challenging. To address these issues, we propose a Multi-level Global Context Cross-consistency (MGCC) framework that uses images generated by a Latent Diffusion Model (LDM) as unlabeled images for semi-supervised learning. The framework involves of two stages. In the first stage, a LDM is used to generate synthetic medical images, which reduces the workload of data annotation and addresses privacy concerns associated with collecting medical data. In the second stage, varying levels of global context noise perturbation are added to the input of the auxiliary decoder, and output consistency is maintained between decoders to improve the representation ability. Experiments conducted on open-source breast ultrasound and private thyroid ultrasound datasets demonstrate the effectiveness of our framework in bridging the probability distribution and the semantic representation of the medical image. Our approach enables the effective transfer of probability distribution knowledge to the segmentation network, resulting in improved segmentation accuracy. The code is available at //github.com/FengheTan9/Multi-Level Global-Context-Cross-Consistency.

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Self-supervised contrastive learning (SSCL) has achieved significant milestones in remote sensing image (RSI) understanding. Its essence lies in designing an unsupervised instance discrimination pretext task to extract image features from a large number of unlabeled images that are beneficial for downstream tasks. However, existing instance discrimination based SSCL suffer from two limitations when applied to the RSI semantic segmentation task: 1) Positive sample confounding issue; 2) Feature adaptation bias. It introduces a feature adaptation bias when applied to semantic segmentation tasks that require pixel-level or object-level features. In this study, We observed that the discrimination information can be mapped to specific regions in RSI through the gradient of unsupervised contrastive loss, these specific regions tend to contain singular ground objects. Based on this, we propose contrastive learning with Gradient guided Sampling Strategy (GraSS) for RSI semantic segmentation. GraSS consists of two stages: Instance Discrimination warm-up (ID warm-up) and Gradient guided Sampling contrastive training (GS training). The ID warm-up aims to provide initial discrimination information to the contrastive loss gradients. The GS training stage aims to utilize the discrimination information contained in the contrastive loss gradients and adaptively select regions in RSI patches that contain more singular ground objects, in order to construct new positive and negative samples. Experimental results on three open datasets demonstrate that GraSS effectively enhances the performance of SSCL in high-resolution RSI semantic segmentation. Compared to seven baseline methods from five different types of SSCL, GraSS achieves an average improvement of 1.57\% and a maximum improvement of 3.58\% in terms of mean intersection over the union. The source code is available at //github.com/GeoX-Lab/GraSS

Recently, unsupervised image-to-image translation methods based on contrastive learning have achieved state-of-the-art results in many tasks. However, in the previous work, the negatives are sampled from the input image itself, which inspires us to design a data augmentation method to improve the quality of the selected negatives. Moreover, retaining the content similarity via patch-wise contrastive learning in the embedding space, the previous methods ignore the domain consistency between the generated image and the real images of target domain. In this paper, we propose a novel unsupervised image-to-image translation framework based on multi-crop contrastive learning and domain consistency, called MCDUT. Specifically, we obtain the multi-crop views via the center-crop and the random-crop to generate the negatives, which can increase the quality of the negatives. To constrain the embeddings in the deep feature space, we formulate a new domain consistency loss, which encourages the generated images to be close to the real images in the embedding space of same domain. Furthermore, we present a dual coordinate attention network by embedding positional information into channel attention, which called DCA. We employ the DCA network in the design of generator, which makes the generator capture the horizontal and vertical global information of dependency. In many image-to-image translation tasks, our method achieves state-of-the-art results, and the advantages of our method have been proven through extensive comparison experiments and ablation research.

This paper investigates the performance of diffusion models for video anomaly detection (VAD) within the most challenging but also the most operational scenario in which the data annotations are not used. As being sparse, diverse, contextual, and often ambiguous, detecting abnormal events precisely is a very ambitious task. To this end, we rely only on the information-rich spatio-temporal data, and the reconstruction power of the diffusion models such that a high reconstruction error is utilized to decide the abnormality. Experiments performed on two large-scale video anomaly detection datasets demonstrate the consistent improvement of the proposed method over the state-of-the-art generative models while in some cases our method achieves better scores than the more complex models. This is the first study using a diffusion model and examining its parameters' influence to present guidance for VAD in surveillance scenarios.

Anterior segment optical coherence tomography (AS-OCT) is a non-invasive imaging technique that is highly valuable for ophthalmic diagnosis. However, speckles in AS-OCT images can often degrade the image quality and affect clinical analysis. As a result, removing speckles in AS-OCT images can greatly benefit automatic ophthalmology analysis. Unfortunately, challenges still exist in deploying effective AS-OCT image denoising algorithms, including collecting sufficient paired training data and the requirement to preserve consistent content in medical images. To address these practical issues, we propose an unsupervised AS-OCT despeckling algorithm via Content Preserving Diffusion Model (CPDM) with statistical knowledge. At the training stage, a Markov chain transforms clean images to white Gaussian noise by repeatedly adding random noise and removes the predicted noise in a reverse procedure. At the inference stage, we first analyze the statistical distribution of speckles and convert it into a Gaussian distribution, aiming to match the fast truncated reverse diffusion process. We then explore the posterior distribution of observed images as a fidelity term to ensure content consistency in the iterative procedure. Our experimental results show that CPDM significantly improves image quality compared to competitive methods. Furthermore, we validate the benefits of CPDM for subsequent clinical analysis, including ciliary muscle (CM) segmentation and scleral spur (SS) localization.

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.

What matters for contrastive learning? We argue that contrastive learning heavily relies on informative features, or "hard" (positive or negative) features. Early works include more informative features by applying complex data augmentations and large batch size or memory bank, and recent works design elaborate sampling approaches to explore informative features. The key challenge toward exploring such features is that the source multi-view data is generated by applying random data augmentations, making it infeasible to always add useful information in the augmented data. Consequently, the informativeness of features learned from such augmented data is limited. In response, we propose to directly augment the features in latent space, thereby learning discriminative representations without a large amount of input data. We perform a meta learning technique to build the augmentation generator that updates its network parameters by considering the performance of the encoder. However, insufficient input data may lead the encoder to learn collapsed features and therefore malfunction the augmentation generator. A new margin-injected regularization is further added in the objective function to avoid the encoder learning a degenerate mapping. To contrast all features in one gradient back-propagation step, we adopt the proposed optimization-driven unified contrastive loss instead of the conventional contrastive loss. Empirically, our method achieves state-of-the-art results on several benchmark datasets.

Deep learning-based semi-supervised learning (SSL) algorithms have led to promising results in medical images segmentation and can alleviate doctors' expensive annotations by leveraging unlabeled data. However, most of the existing SSL algorithms in literature tend to regularize the model training by perturbing networks and/or data. Observing that multi/dual-task learning attends to various levels of information which have inherent prediction perturbation, we ask the question in this work: can we explicitly build task-level regularization rather than implicitly constructing networks- and/or data-level perturbation-and-transformation for SSL? To answer this question, we propose a novel dual-task-consistency semi-supervised framework for the first time. Concretely, we use a dual-task deep network that jointly predicts a pixel-wise segmentation map and a geometry-aware level set representation of the target. The level set representation is converted to an approximated segmentation map through a differentiable task transform layer. Simultaneously, we introduce a dual-task consistency regularization between the level set-derived segmentation maps and directly predicted segmentation maps for both labeled and unlabeled data. Extensive experiments on two public datasets show that our method can largely improve the performance by incorporating the unlabeled data. Meanwhile, our framework outperforms the state-of-the-art semi-supervised medical image segmentation methods. Code is available at: //github.com/Luoxd1996/DTC

A key requirement for the success of supervised deep learning is a large labeled dataset - a condition that is difficult to meet in medical image analysis. Self-supervised learning (SSL) can help in this regard by providing a strategy to pre-train a neural network with unlabeled data, followed by fine-tuning for a downstream task with limited annotations. Contrastive learning, a particular variant of SSL, is a powerful technique for learning image-level representations. In this work, we propose strategies for extending the contrastive learning framework for segmentation of volumetric medical images in the semi-supervised setting with limited annotations, by leveraging domain-specific and problem-specific cues. Specifically, we propose (1) novel contrasting strategies that leverage structural similarity across volumetric medical images (domain-specific cue) and (2) a local version of the contrastive loss to learn distinctive representations of local regions that are useful for per-pixel segmentation (problem-specific cue). We carry out an extensive evaluation on three Magnetic Resonance Imaging (MRI) datasets. In the limited annotation setting, the proposed method yields substantial improvements compared to other self-supervision and semi-supervised learning techniques. When combined with a simple data augmentation technique, the proposed method reaches within 8% of benchmark performance using only two labeled MRI volumes for training, corresponding to only 4% (for ACDC) of the training data used to train the benchmark.

Medical image segmentation requires consensus ground truth segmentations to be derived from multiple expert annotations. A novel approach is proposed that obtains consensus segmentations from experts using graph cuts (GC) and semi supervised learning (SSL). Popular approaches use iterative Expectation Maximization (EM) to estimate the final annotation and quantify annotator's performance. Such techniques pose the risk of getting trapped in local minima. We propose a self consistency (SC) score to quantify annotator consistency using low level image features. SSL is used to predict missing annotations by considering global features and local image consistency. The SC score also serves as the penalty cost in a second order Markov random field (MRF) cost function optimized using graph cuts to derive the final consensus label. Graph cut obtains a global maximum without an iterative procedure. Experimental results on synthetic images, real data of Crohn's disease patients and retinal images show our final segmentation to be accurate and more consistent than competing methods.

Image segmentation is considered to be one of the critical tasks in hyperspectral remote sensing image processing. Recently, convolutional neural network (CNN) has established itself as a powerful model in segmentation and classification by demonstrating excellent performances. The use of a graphical model such as a conditional random field (CRF) contributes further in capturing contextual information and thus improving the segmentation performance. In this paper, we propose a method to segment hyperspectral images by considering both spectral and spatial information via a combined framework consisting of CNN and CRF. We use multiple spectral cubes to learn deep features using CNN, and then formulate deep CRF with CNN-based unary and pairwise potential functions to effectively extract the semantic correlations between patches consisting of three-dimensional data cubes. Effective piecewise training is applied in order to avoid the computationally expensive iterative CRF inference. Furthermore, we introduce a deep deconvolution network that improves the segmentation masks. We also introduce a new dataset and experimented our proposed method on it along with several widely adopted benchmark datasets to evaluate the effectiveness of our method. By comparing our results with those from several state-of-the-art models, we show the promising potential of our method.

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