Multi-modal medical image fusion is essential for the precise clinical diagnosis and surgical navigation since it can merge the complementary information in multi-modalities into a single image. The quality of the fused image depends on the extracted single modality features as well as the fusion rules for multi-modal information. Existing deep learning-based fusion methods can fully exploit the semantic features of each modality, they cannot distinguish the effective low and high frequency information of each modality and fuse them adaptively. To address this issue, we propose AdaFuse, in which multimodal image information is fused adaptively through frequency-guided attention mechanism based on Fourier transform. Specifically, we propose the cross-attention fusion (CAF) block, which adaptively fuses features of two modalities in the spatial and frequency domains by exchanging key and query values, and then calculates the cross-attention scores between the spatial and frequency features to further guide the spatial-frequential information fusion. The CAF block enhances the high-frequency features of the different modalities so that the details in the fused images can be retained. Moreover, we design a novel loss function composed of structure loss and content loss to preserve both low and high frequency information. Extensive comparison experiments on several datasets demonstrate that the proposed method outperforms state-of-the-art methods in terms of both visual quality and quantitative metrics. The ablation experiments also validate the effectiveness of the proposed loss and fusion strategy.
The success of deep networks in medical image segmentation relies heavily on massive labeled training data. However, acquiring dense annotations is a time-consuming process. Weakly-supervised methods normally employ less expensive forms of supervision, among which scribbles started to gain popularity lately thanks to its flexibility. However, due to lack of shape and boundary information, it is extremely challenging to train a deep network on scribbles that generalizes on unlabeled pixels. In this paper, we present a straightforward yet effective scribble supervised learning framework. Inspired by recent advances of transformer based segmentation, we create a pluggable spatial self-attention module which could be attached on top of any internal feature layers of arbitrary fully convolutional network (FCN) backbone. The module infuses global interaction while keeping the efficiency of convolutions. Descended from this module, we construct a similarity metric based on normalized and symmetrized attention. This attentive similarity leads to a novel regularization loss that imposes consistency between segmentation prediction and visual affinity. This attentive similarity loss optimizes the alignment of FCN encoders, attention mapping and model prediction. Ultimately, the proposed FCN+Attention architecture can be trained end-to-end guided by a combination of three learning objectives: partial segmentation loss, a customized masked conditional random fields and the proposed attentive similarity loss. Extensive experiments on public datasets (ACDC and CHAOS) showed that our framework not just out-performs existing state-of-the-art, but also delivers close performance to fully-supervised benchmark. Code will be available upon publication.
The ability to accurately predict the trajectory of surrounding vehicles is a critical hurdle to overcome on the journey to fully autonomous vehicles. To address this challenge, we pioneer a novel behavior-aware trajectory prediction model (BAT) that incorporates insights and findings from traffic psychology, human behavior, and decision-making. Our model consists of behavior-aware, interaction-aware, priority-aware, and position-aware modules that perceive and understand the underlying interactions and account for uncertainty and variability in prediction, enabling higher-level learning and flexibility without rigid categorization of driving behavior. Importantly, this approach eliminates the need for manual labeling in the training process and addresses the challenges of non-continuous behavior labeling and the selection of appropriate time windows. We evaluate BAT's performance across the Next Generation Simulation (NGSIM), Highway Drone (HighD), Roundabout Drone (RounD), and Macao Connected Autonomous Driving (MoCAD) datasets, showcasing its superiority over prevailing state-of-the-art (SOTA) benchmarks in terms of prediction accuracy and efficiency. Remarkably, even when trained on reduced portions of the training data (25%), our model outperforms most of the baselines, demonstrating its robustness and efficiency in predicting vehicle trajectories, and the potential to reduce the amount of data required to train autonomous vehicles, especially in corner cases. In conclusion, the behavior-aware model represents a significant advancement in the development of autonomous vehicles capable of predicting trajectories with the same level of proficiency as human drivers. The project page is available at //github.com/Petrichor625/BATraj-Behavior-aware-Model.
Emotion recognition in conversations (ERC) is a rapidly evolving task within the natural language processing community, which aims to detect the emotions expressed by speakers during a conversation. Recently, a growing number of ERC methods have focused on leveraging supervised contrastive learning (SCL) to enhance the robustness and generalizability of learned features. However, current SCL-based approaches in ERC are impeded by the constraint of large batch sizes and the lack of compatibility with most existing ERC models. To address these challenges, we propose an efficient and model-agnostic SCL framework named Supervised Sample-Label Contrastive Learning with Soft-HGR Maximal Correlation (SSLCL), which eliminates the need for a large batch size and can be seamlessly integrated with existing ERC models without introducing any model-specific assumptions. Specifically, we introduce a novel perspective on utilizing label representations by projecting discrete labels into dense embeddings through a shallow multilayer perceptron, and formulate the training objective to maximize the similarity between sample features and their corresponding ground-truth label embeddings, while minimizing the similarity between sample features and label embeddings of disparate classes. Moreover, we innovatively adopt the Soft-HGR maximal correlation as a measure of similarity between sample features and label embeddings, leading to significant performance improvements over conventional similarity measures. Additionally, multimodal cues of utterances are effectively leveraged by SSLCL as data augmentations to boost model performances. Extensive experiments on two ERC benchmark datasets, IEMOCAP and MELD, demonstrate the compatibility and superiority of our proposed SSLCL framework compared to existing state-of-the-art SCL methods. Our code is available at \url{//github.com/TaoShi1998/SSLCL}.
Digital Imaging and Communication System (DICOM) is widely used throughout the public health sector for portability in medical imaging. However, these DICOM files have vulnerabilities present in the preamble section. Successful exploitation of these vulnerabilities can allow attackers to embed executable codes in the 128-Byte preamble of DICOM files. Embedding the malicious executable will not interfere with the readability or functionality of DICOM imagery. However, it will affect the underline system silently upon viewing these files. This paper shows the infiltration of Windows malware executables into DICOM files. On viewing the files, the malicious DICOM will get executed and eventually infect the entire hospital network through the radiologist's workstation. The code injection process of executing malware in DICOM files affects the hospital networks and workstations' memory. Memory forensics for the infected radiologist's workstation is crucial as it can detect which malware disrupts the hospital environment, and future detection methods can be deployed. In this paper, we consider the machine learning (ML) algorithms to conduct memory forensics on three memory dump categories: Trojan, Spyware, and Ransomware, taken from the CIC-MalMem-2022 dataset. We obtain the highest accuracy of 75% with the Random Forest model. For estimating the feature importance for ML model prediction, we leveraged the concept of Shapley values.
OpenAI's latest large vision-language model (LVLM), GPT-4V(ision), has piqued considerable interest for its potential in medical applications. Despite its promise, recent studies and internal reviews highlight its underperformance in specialized medical tasks. This paper explores the boundary of GPT-4V's capabilities in medicine, particularly in processing complex imaging data from endoscopies, CT scans, and MRIs etc. Leveraging open-source datasets, we assessed its foundational competencies, identifying substantial areas for enhancement. Our research emphasizes prompt engineering, an often-underutilized strategy for improving AI responsiveness. Through iterative testing, we refined the model's prompts, significantly improving its interpretative accuracy and relevance in medical imaging. From our comprehensive evaluations, we distilled 10 effective prompt engineering techniques, each fortifying GPT-4V's medical acumen. These methodical enhancements facilitate more reliable, precise, and clinically valuable insights from GPT-4V, advancing its operability in critical healthcare environments. Our findings are pivotal for those employing AI in medicine, providing clear, actionable guidance on harnessing GPT-4V's full diagnostic potential.
Multivariate time-series data in numerous real-world applications (e.g., healthcare and industry) are informative but challenging due to the lack of labels and high dimensionality. Recent studies in self-supervised learning have shown their potential in learning rich representations without relying on labels, yet they fall short in learning disentangled embeddings and addressing issues of inductive bias (e.g., transformation-invariance). To tackle these challenges, we propose TimeDRL, a generic multivariate time-series representation learning framework with disentangled dual-level embeddings. TimeDRL is characterized by three novel features: (i) disentangled derivation of timestamp-level and instance-level embeddings from patched time-series data using a [CLS] token strategy; (ii) utilization of timestamp-predictive and instance-contrastive tasks for disentangled representation learning, with the former optimizing timestamp-level embeddings with predictive loss, and the latter optimizing instance-level embeddings with contrastive loss; and (iii) avoidance of augmentation methods to eliminate inductive biases, such as transformation-invariance from cropping and masking. Comprehensive experiments on 6 time-series forecasting datasets and 5 time-series classification datasets have shown that TimeDRL consistently surpasses existing representation learning approaches, achieving an average improvement of forecasting by 57.98% in MSE and classification by 1.25% in accuracy. Furthermore, extensive ablation studies confirmed the relative contribution of each component in TimeDRL's architecture, and semi-supervised learning evaluations demonstrated its effectiveness in real-world scenarios, even with limited labeled data.
Answering complex questions about images is an ambitious goal for machine intelligence, which requires a joint understanding of images, text, and commonsense knowledge, as well as a strong reasoning ability. Recently, multimodal Transformers have made great progress in the task of Visual Commonsense Reasoning (VCR), by jointly understanding visual objects and text tokens through layers of cross-modality attention. However, these approaches do not utilize the rich structure of the scene and the interactions between objects which are essential in answering complex commonsense questions. We propose a Scene Graph Enhanced Image-Text Learning (SGEITL) framework to incorporate visual scene graphs in commonsense reasoning. To exploit the scene graph structure, at the model structure level, we propose a multihop graph transformer for regularizing attention interaction among hops. As for pre-training, a scene-graph-aware pre-training method is proposed to leverage structure knowledge extracted in the visual scene graph. Moreover, we introduce a method to train and generate domain-relevant visual scene graphs using textual annotations in a weakly-supervised manner. Extensive experiments on VCR and other tasks show a significant performance boost compared with the state-of-the-art methods and prove the efficacy of each proposed component.
Human doctors with well-structured medical knowledge can diagnose a disease merely via a few conversations with patients about symptoms. In contrast, existing knowledge-grounded dialogue systems often require a large number of dialogue instances to learn as they fail to capture the correlations between different diseases and neglect the diagnostic experience shared among them. To address this issue, we propose a more natural and practical paradigm, i.e., low-resource medical dialogue generation, which can transfer the diagnostic experience from source diseases to target ones with a handful of data for adaptation. It is capitalized on a commonsense knowledge graph to characterize the prior disease-symptom relations. Besides, we develop a Graph-Evolving Meta-Learning (GEML) framework that learns to evolve the commonsense graph for reasoning disease-symptom correlations in a new disease, which effectively alleviates the needs of a large number of dialogues. More importantly, by dynamically evolving disease-symptom graphs, GEML also well addresses the real-world challenges that the disease-symptom correlations of each disease may vary or evolve along with more diagnostic cases. Extensive experiment results on the CMDD dataset and our newly-collected Chunyu dataset testify the superiority of our approach over state-of-the-art approaches. Besides, our GEML can generate an enriched dialogue-sensitive knowledge graph in an online manner, which could benefit other tasks grounded on knowledge graph.
Applying artificial intelligence techniques in medical imaging is one of the most promising areas in medicine. However, most of the recent success in this area highly relies on large amounts of carefully annotated data, whereas annotating medical images is a costly process. In this paper, we propose a novel method, called FocalMix, which, to the best of our knowledge, is the first to leverage recent advances in semi-supervised learning (SSL) for 3D medical image detection. We conducted extensive experiments on two widely used datasets for lung nodule detection, LUNA16 and NLST. Results show that our proposed SSL methods can achieve a substantial improvement of up to 17.3% over state-of-the-art supervised learning approaches with 400 unlabeled CT scans.
We propose a novel attention gate (AG) model for medical imaging that automatically learns to focus on target structures of varying shapes and sizes. Models trained with AGs implicitly learn to suppress irrelevant regions in an input image while highlighting salient features useful for a specific task. This enables us to eliminate the necessity of using explicit external tissue/organ localisation modules of cascaded convolutional neural networks (CNNs). AGs can be easily integrated into standard CNN architectures such as the U-Net model with minimal computational overhead while increasing the model sensitivity and prediction accuracy. The proposed Attention U-Net architecture is evaluated on two large CT abdominal datasets for multi-class image segmentation. Experimental results show that AGs consistently improve the prediction performance of U-Net across different datasets and training sizes while preserving computational efficiency. The code for the proposed architecture is publicly available.