medical image engineers

Abstract: Generative super-resolution (SR) can recover sharp detail in computed tomography (CT) images from severely downsampled observations, but the missing high-frequency content is not uniquely determined by the low-resolution input. Consequently, visually plausible reconstructions may contain anatomically unsupported vascular detail, such as missing, spurious, or incorrectly connected vessels. To overcome this challenge, we introduce VascuSR, an iterative anatomy-aware diffusion framework that combines image reconstruction with explicit 3D vascular guidance. First, to provide richer anatomical guidance, we use an explicit 3D vascular representation that captures structural information beyond individual slices. This representation also simplifies vascular refinement by allowing a lightweight 3D generative refiner to focus on vascular structure rather than complex CT appearance. Second, to guide slice-wise SR, a lightweight anatomy controller injects the refined structure into the diffusion decoder, while iterative feedback updates this guidance from each new SR volume. On re-annotated MSD Task08 and HVM datasets, VascuSR outperforms interpolation and learning-based SR baselines in segmentation accuracy (Dice and clDice) and 3D vascular structure (connectivity and mean centerline distance), while maintaining image quality comparable to its SR backbone. Compared with learning-based baselines, VascuSR reduces class-averaged connected-component counts by over 20% on both datasets and mean centerline distance by over 10% on MSD.

Abstract: Neural Architecture Search (NAS) has proved to be a strong alternative to manual network design, but applying it to 3D medical image segmentation is limited by two well-known costs, large annotation budgets and multi-GPU clusters. Thus, this paper introduces Active-DiNTS (Active Differentiable Network Topology Search), an approach that embeds pool-based Active Learning (AL) into a bi-level differentiable topology search to perform architecture discovery and label curation jointly. At each query round, unlabeled MRI volumes are ranked by one of three uncertainty signals (Entropy, Variance, or Standard Deviation), and only the top-ranked volumes are sent to an oracle for annotation. The new labels feed two interlocked stages. Network weights are updated in an outer loop, while the macro/micro topology of a U-Net-style backbone is refined in an inner loop. Three AL regimes (weights-only, topology-only, joint) expose the speed-accuracy trade-off. Evaluations on the Medical Segmentation Decathlon (MSD) Task01 BrainTumour benchmark showed that Active-DiNTS surpasses DiNTS, C2FNAS, and nnU-Net in Dice, with gains of about 10 percentage points on Edema and 5 points on Non-Enhancing core, on a single GPU and using a fraction of the labeled volumes. The discovered architectures are denser and more FLOP-heavy than prior baselines, but remain competitive in trainable parameters and peak memory; the fastest search variant finishes in under 0.25 GPU-days, over 27x faster than the eight-GPU DiNTS search. Together, these results indicate that pairing differentiable NAS with active data acquisition is a practical recipe for accurate 3D segmentation under realistic constraints.

Abstract: Contour initialization and numerical stopping can jointly affect the evaluation of active-contour segmentation. We examine their interaction using the open-source scikit-image Chan-Vese implementation on a resized ISIC 2017 mirror. A fixed development set of 100 images selects a common input channel; all 600 images in the repository's held-out partition are then evaluated. Otsu thresholding is compared with checkerboard-, disk-, and Otsu-initialized contours under default and tighter level-set tolerances. At the default tolerance, Otsu initialization increases mean image Dice from 0.6011 to 0.6660 relative to checkerboard initialization, a paired difference of 0.0649 (95% image-bootstrap interval [0.0452, 0.0860]). Otsu thresholding alone achieves 0.6897. The default disk initializer stops after one iteration on 471 images. Tightening the tolerance reduces the Otsu-seed advantage over checkerboard initialization to 0.0197, with most runs reaching the 500-iteration limit. The default-tolerance advantage also reverses between small- and large-lesion strata. These findings show that an improvement over a generic initializer can coexist with deterioration relative to the threshold baseline. Evaluations should retain the unrefined mask as a comparator and report the initial-field definition, stopping tolerance, and observed iteration counts together.

Abstract: Bone-selective digitally reconstructed radiograph (DRR) synthesis depends on high-resolution encoder detail, yet static skips cannot condition reuse on the evolving decoder representation. We ask whether decoder state adds useful information beyond encoder-only self-recalibration for high-resolution skip reuse. RFS-UNet uses pooled encoder and aligned decoder statistics for bounded residual channel recalibration at the 512^2 and 256^2 skips, leaving the backbone unchanged. In the matched seed-2026 comparison isolating decoder conditioning, RFS raises validation PSNR by 0.254 dB over Self-RFS. Across three seeds, locked-test PSNR rises from 33.225+/-0.048 to 33.537+/-0.128 dB; RFS lowers MAE in 179/200 held-out CT cases and reduces mean MAE by 3.91%. It adds 0.117% parameters and 1.169% counted Conv2d operations. These results support decoder state as a useful conditioning signal for high-resolution feature reuse in controlled paired projection synthesis.