Search

Medical artificial intelligence (AI) is revolutionizing the interpretation of chest X-ray (CXR) images by providing robust tools for disease diagnosis. However, the effectiveness of these AI models is often limited by their reliance on large amounts of task-specific labeled data and their inability to generalize across diverse clinical settings. To address these challenges, we introduce CXRBase, a foundational model designed to learn versatile representations from unlabelled CXR images, facilitating efficient adaptation to various clinical tasks. CXRBase is initially trained on a substantial dataset of 1.04 million unlabelled CXR images using self-supervised learning methods. This approach allows the model to discern meaningful patterns without the need for explicit labels. After this initial phase, CXRBase is fine-tuned with labeled data to enhance its performance in disease detection, enabling accurate classification of chest diseases. CXRBase provides a generalizable solution to improve model performance and alleviate the annotation workload of experts to enable broad clinical AI applications from chest imaging.

Medicine is inherently multimodal and multitask, with diverse data modalities spanning text, imaging. However, most models in medical field are unimodal single tasks and lack good generalizability and explainability. In this study, we introduce MedViLaM, a unified vision-language model towards a generalist model for medical data that can flexibly encode and interpret various forms of medical data, including clinical language and imaging, all using the same set of model weights. To facilitate the creation of such multi-task model, we have curated MultiMedBench, a comprehensive pretaining dataset and benchmark consisting of several distinct tasks, i.e., continuous question-answering, multi-label disease classification, disease localization, generation and summarization of radiology reports. MedViLaM demonstrates strong performance across all MultiMedBench tasks, frequently outpacing other generalist models by a significant margin. Additionally, we present instances of zero-shot generalization to new medical concepts and tasks, effective transfer learning across different tasks, and the emergence of zero-shot medical reasoning.

Visual grounding (VG) occupies a pivotal position in multi-modality vision-language models. In this study, we propose ViLaM, a large multi-modality model, that supports multi-tasks of VG using the cycle training strategy, with abundant interaction instructions. The cycle training between referring expression generation (REG) and referring expression comprehension (REC) is introduced. It enhances the consistency between visual location and referring expressions, and addresses the need for high-quality, multi-tasks VG datasets. Moreover, multi-tasks of VG are promoted in our model, contributed by the cycle training strategy. The multi-tasks in REC encompass a range of granularities, from region-level to pixel-level, which include referring bbox detection, referring keypoints detection, and referring image segmentation. In REG, referring region classification determines the fine-grained category of the target, while referring region captioning generates a comprehensive description. Meanwhile, all tasks participate in the joint training, synergistically enhancing one another and collectively improving the overall performance of the model. Furthermore, leveraging the capabilities of large language models, ViLaM extends a wide range of instructions, thereby significantly enhancing its generalization and interaction potentials. Extensive public datasets corroborate the superior capabilities of our model in VG with muti-tasks. Additionally, validating its robust generalization, ViLaM is validated under open-set and few-shot scenarios. Especially in the medical field, our model demonstrates cross-domain robust generalization capabilities. Furthermore, we contribute a VG dataset, especially with multi-tasks. To support and encourage the community focused on VG, we have made both the dataset and our code public: https://github.com/AnonymGiant/ViLaM., Comment: 22 pages

The emergence of multi-modal deep learning models has made significant impacts on clinical applications in the last decade. However, the majority of models are limited to single-tasking, without considering disease diagnosis is indeed a multi-task procedure. Here, we demonstrate a unified transformer model specifically designed for multi-modal clinical tasks by incorporating customized instruction tuning. We first compose a multi-task training dataset comprising 13.4 million instruction and ground-truth pairs (with approximately one million radiographs) for the customized tuning, involving both image- and pixel-level tasks. Thus, we can unify the various vision-intensive tasks in a single training framework with homogeneous model inputs and outputs to increase clinical interpretability in one reading. Finally, we demonstrate the overall superior performance of our model compared to prior arts on various chest X-ray benchmarks across multi-tasks in both direct inference and finetuning settings. Three radiologists further evaluate the generated reports against the recorded ones, which also exhibit the enhanced explainability of our multi-task model.

Local hemodynamic forces play an important role in determining the functional significance of coronary arterial stenosis and understanding the mechanism of coronary disease progression. Computational fluid dynamics (CFD) have been widely performed to simulate hemodynamics non-invasively from coronary computed tomography angiography (CCTA) images. However, accurate computational analysis is still limited by the complex construction of patient-specific modeling and time-consuming computation. In this work, we proposed an end-to-end deep learning framework, which could predict the coronary artery hemodynamics from CCTA images. The model was trained on the hemodynamic data obtained from 3D simulations of synthetic and real datasets. Extensive experiments demonstrated that the predicted hemdynamic distributions by our method agreed well with the CFD-derived results. Quantitatively, the proposed method has the capability of predicting the fractional flow reserve with an average error of 0.5\% and 2.5\% for the synthetic dataset and real dataset, respectively. Particularly, our method achieved much better accuracy for the real dataset compared to PointNet++ with the point cloud input. This study demonstrates the feasibility and great potential of our end-to-end deep learning method as a fast and accurate approach for hemodynamic analysis., Comment: 8pages

Segmentation of the coronary artery is an important task for the quantitative analysis of coronary computed tomography angiography (CCTA) images and is being stimulated by the field of deep learning. However, the complex structures with tiny and narrow branches of the coronary artery bring it a great challenge. Coupled with the medical image limitations of low resolution and poor contrast, fragmentations of segmented vessels frequently occur in the prediction. Therefore, a geometry-based cascaded segmentation method is proposed for the coronary artery, which has the following innovations: 1) Integrating geometric deformation networks, we design a cascaded network for segmenting the coronary artery and vectorizing results. The generated meshes of the coronary artery are continuous and accurate for twisted and sophisticated coronary artery structures, without fragmentations. 2) Different from mesh annotations generated by the traditional marching cube method from voxel-based labels, a finer vectorized mesh of the coronary artery is reconstructed with the regularized morphology. The novel mesh annotation benefits the geometry-based segmentation network, avoiding bifurcation adhesion and point cloud dispersion in intricate branches. 3) A dataset named CCA-200 is collected, consisting of 200 CCTA images with coronary artery disease. The ground truths of 200 cases are coronary internal diameter annotations by professional radiologists. Extensive experiments verify our method on our collected dataset CCA-200 and public ASOCA dataset, with a Dice of 0.778 on CCA-200 and 0.895 on ASOCA, showing superior results. Especially, our geometry-based model generates an accurate, intact and smooth coronary artery, devoid of any fragmentations of segmented vessels.

This paper studies an optimal ON-OFF control problem for a class of discrete event systems with real-time constraints. Our goal is to minimize the overall costs, including the operating cost and the wake-up cost, while still guaranteeing the deadline of each individual task. In particular, we consider the homogeneous case in which it takes the same amount of time to serve each task and each task needs to be served by d seconds upon arrival. The problem involves two subproblems: (i) finding the best time to wake up the system and (ii) finding the best time to let the system go to sleep. We study the two subproblems in both off-line and on-line settings. In the off-line case that all task information is known a priori, we combine sample path analysis and dynamic programming to come up with the optimal solution. In the on-line scenario where future task information is completely unknown, we show that the optimal time to wake up the system can be obtained without relying on future task arrivals. We also perform competitive analysis for on-line control and derive the competitive ratios for both deterministic and random controllers.

Today's fixed-cycle traffic signaling is highly suboptimal and aggravates traffic congestion and waste of energy in urban areas. In addition, it offers no quality-of-service guarantee and makes travel time prediction extremely hard. While existing traffic light control research primarily focuses on improving the average wait time of cars, we study in this paper how traffic light scheduling affects the worst-case wait time. In particular, we derive the time a car spends at an intersection in the best-case and the worst-case, respectively. Using the theoretical results, we propose a simple but effective controller and run simulation to verify its performance. The result shows that it works much better than fixed-cycle controllers in both light and heavy traffic scenarios., Comment: This is the full version of the paper submitted to ITITS2017