Papers for
medical imaging specialists
Papers whose findings have a practical use for this group, as judged from the abstract. Open a paper to read what it means in practice.
Method controls risk fairly for rare and common groups in image labeling
Macro Mondrian Conformal Risk Control
Abstract: Conformal Risk Control (CRC) extends conformal prediction beyond the coverage setting to the control of general monotone loss functions, in a distribution-free and modelagnostic fashion. This makes it well-suited to problems with high-dimensional targets, such as the semantic segmentation task addressed in this work. However, CRC guarantees only marginal control, meaning that the risk is controlled on average over the data distribution. Under imbalanced distributions, the risk on inputs that contain rare objects may therefore remain uncontrolled, even when the marginal guarantee holds. We propose a new method that controls the risk on average over user-defined groups of the domain, drawing on Mondrian conformal prediction and macro-coverage algorithms. The method relies on a taxonomy, that is, a function that assigns a group to each data point, and reweights each point's risk by a coefficient that depends on its group probability, so that rare points contribute more than common ones. We illustrate the approach on two semantic segmentation datasets.
Lownet uses looped wavelet neural networks for solving poisson equations
LowNet: Looped Wavelet Neural Networks with 24 Learnable Parameters for Solving Poisson Equations
Abstract: Poisson equations frequently appear in various fields, such as mathematics, physics and informatics. Solving Poisson equation, however, is challenging. Traditional methods are not data-specific, although have high certainty. They require a large number of iterations due to the CFL numerical stability. In contrast, deep learning methods are data-driven and more efficient, but require accurate training data and suffer from heavy computation. To tackle these issues, we propose a wavelet-inspired Poisson solver with 24 trainable scalars. The proposed network has several advantages. First, it is compact. It has four independent $5\times5$ kernels, each represented by six parameters, leading to 24 scalars in total. Such compact format can be deployed on most devices. Second, thanks to the loop design, it achieves higher accuracy than previous methods. A residual loop reuses the wavelet block without increasing its parameters. Numerical experiments confirm that such loop indeed improves the solving accuracy. On 10000 images, one, two, and three loops of the wavelet block lead to PSNRs of $47.27$, $74.14$, and $100.74$ dB, respectively. Third, the proposed method is computationally fast. Thanks to the wavelet transform, the proposed method has linear computation complexity, leading to high computation performance. In short, we propose a novel looped wavelet neural network with compactness, accuracy and efficiency for solving Poisson equations. Our method can be applied in various fields, such as computational fluid dynamics, image reconstruction, biomedical engineering, electromagnetic field simulation.
Object level features from segmentation improve tumour prediction tasks
Beyond the Encoder: Object-Centric Representations Emerging from Segmentation Foundation Models
Abstract: Foundation models are increasingly used as feature extractors for downstream tasks with limited data, typically through representations obtained from their encoders. However, foundation models trained for structured tasks such as segmentation also form object-specific representations during task execution, whose transferability remains largely unexplored. We investigate Segment Anything Model 2 (SAM2) object pointers, compact object-level representations produced through the segmentation pathway, as transferable representations for downstream tumour prediction. Through experiments on two PET/CT tumour prediction tasks, we find that object pointers learned using segmentation supervision alone already encode tumour-discriminative information, despite never being optimised for the downstream labels. We further introduce task-guided object pointers, where an auxiliary objective jointly shapes the object pointer space for the downstream prediction together with segmentation. Task-guided pointers improve cancer-type classification, outperforming conventional encoder-based transfer and radiomics, while segmentation-only pointers perform best on the more challenging recurrence prediction task. Representation analyses reveal associations between object pointers and interpretable radiomics features, class-dependent organisation of the learned representation space, and explicit spatial grounding around the segmented tumour. Together, these findings suggest that useful transferable representations can emerge through the execution of a foundation model's primary task, providing an alternative to conventional encoder-based transfer.
Multimodal patient data linked to biomedical graphs improves clinical AI answers
Aligning Multimodal Patient Evidence with Biomedical Knowledge Graphs for Clinical LLMs
Abstract: Clinical questions often depend on linking a patient's multimodal evidence to external biomedical knowledge, yet existing predictive systems rarely represent such links explicitly, so they can neither be traced to their evidence sources nor removed to measure their contributions. We present MM-KG (Multimodal Knowledge Graph), which represents heterogeneous, multimodal patient observations and biomedical concepts as separate layers in one typed graph, joined by explicit alignment edges. First, modality-specific harmonizers convert EHR text, imaging, genomic, and biospecimen data into typed observations mapped to UMLS concepts, which a route-prioritized aligner links to a biomedical knowledge graph. Query-conditioned retrieval then selects a compact subgraph for downstream use by a large language model or a graph neural network. We build MM-KGs for MIMIC-IV and ADNI, and evaluate them with a 2x2 design that separates patient evidence, biomedical knowledge, and their interaction. On questions that require both sources, neither source alone performs far above chance, whereas their combination yields a drug-controlled AUROC interaction of +0.194 on MIMIC and +0.299 on ADNI. On held-out five-candidate ranking, MM-KG outperforms MindMap by +0.131 Hits@1 and leads an adapted GraphCare on the items that require consulting the patient, and deleting the single answer-bearing relation from the retrieved packet returns Hits@1 to the no-knowledge baseline. Finally, query-conditioned retrieval reaches 0.731 AUROC with 6.8x less context than the strongest generic policy, whereas static knowledge graph context gives no consistent gain on ordinary outcome prediction. Knowledge graphs thus benefit clinical LLMs not as background context but as explicit links between multimodal patient evidence and the relation a question requires, and MM-KG makes these links retrievable, traceable, and testable.
Amortized inference improves uncertainty in learning data shapes
Amortized Structured Stochastic Variational Inference for Gaussian Process Latent Variable Models
Abstract: Many machine learning methods aim to approximate the lower-dimensional manifold on which the data lives. A desirable feature of such methods is that they should capture the epistemic uncertainty of this learned manifold. One model that achieves this is the Gaussian Process Latent Variable Model, in which a Gaussian Process (GP) mapping from the latent space provides an estimate of the uncertainty of the manifold. However, the effectiveness of this uncertainty estimation is limited by the mean-field variational approximation between the GP inducing points and the latent variables. In this work, we apply Amortized Structured Stochastic Variational Inference to allow the variational posterior for the latent space to be conditionally dependent on the value of the inducing points. We demonstrate that this more flexible variational posterior improves several metrics relating to the reconstruction of points on the data manifold.
Neural operator improves matching between partial and full 3D shapes
NHO: A Neural Hamiltonian Operator for Anchor-based Region Localization and Dense Correspondance
Abstract: Non-rigid partial-to-full shape correspondence from sparse anchors requires identifying the corresponding region on the full surface and recovering dense correspondences between the partial shape and that region. We present NHO, which combines sparse anchors with the intrinsic geometry of the partial shape to learn a neural Hamiltonian operator whose localized eigenspace encodes both the region support and intrinsic coordinates for dense correspondence. NHO parameterizes the Hamiltonian potential as an intrinsic neural field and optimizes it using anchor evidence together with spectral and geometric constraints. To resolve the spatial ambiguity left by sparse anchors, we introduce reciprocal refinement between operator estimation and correspondence recovery. At each round, the current eigenspace provides spectral coordinates and restricts matching to its induced support, while geometrically reliable correspondences provide additional evidence for updating the potential. After refinement, aggregated eigenfunction energy yields the final localization, and the recovered map initializes dense correspondence refinement. Experiments demonstrate competitive accuracy on both tasks and robustness to uniform scaling and rotation.
Unified model improves autism recognition from brain and face data
UniAR: A Unified Framework for Autism Recognition Enhanced by Multi-View Prompt Learning
Abstract: Autism Spectrum Disorder (ASD) is a complex neurodevelopmental disorder for which early and accurate diagnosis is critical to improving long-term developmental outcomes. However, existing ASD recognition methods are often constrained by the scarcity of diagnostic text data, forcing them to rely mainly on visual analysis and limiting their ability to model clinically meaningful semantic reasoning. To address this challenge, we propose UniAR, a unified framework enhanced by multi-granularity prompt learning for robust ASD recognition under heterogeneous data variations. Specifically, UniAR leverages a large multimodal model to generate hierarchical diagnostic descriptions at the word, phrase, and sentence levels, compensating for the lack of paired clinical reports. To align the generated semantics with visual evidence, we further design a Mixture-of-Experts-based Multi-Scale Alignment Module, which dynamically matches vector-quantized visual prototypes with semantic representations at corresponding granularities. Extensive experiments on four benchmarks covering brain MRI and facial expression scenarios show that UniAR consistently outperforms existing state-of-the-art methods, achieving average accuracies of 75.9\% on MRI benchmarks and 91.6\% on facial benchmarks, while improving average Accuracy on MRI benchmarks by 1.5 percentage points and average Accuracy on facial benchmarks by 1.2 percentage points over baselines. These results demonstrate that UniAR offers a robust and interpretable framework for ASD screening under semantic scarcity.
Fully Bayesian diffusion model improves image reconstruction accuracy and reliability
FB-GDM: Fully-Bayesian Guided Diffusion Models for High-Dimensional Linear Inverse Problems via Unsupervised Variational Inference
Abstract: Diffusion models are powerful priors for linear inverse problems, but the reference guidance methods, Diffusion Posterior Sampling (DPS) and Pseudoinverse-Guided Diffusion Models ($Π$GDM), rely on scalar hyperparameters tuned per task, usually against the ground truth. We introduce FB-GDM, a fully-Bayesian guided diffusion method that removes this calibration step. Starting from the Gaussian approximation of $Π$GDM, we derive a closed-form conditional score that depends on two precision parameters (inverse variances), one associated with the denoising approximation and one with the observation likelihood, and treat them as latent variables inferred by variational inference at each reverse step. A separable factorization makes each update scale linearly with the number of pixels, so the inference stays tractable at full image resolution, at a cost comparable to one $Π$GDM run. FB-GDM requires neither the noise level nor the ground truth: its only inputs are the observation and the forward operator. Experiments on CelebA-HQ inverse problems establish two results. (i) The precision parameters, inferred from the observation alone, allow FB-GDM to outperform $Π$GDM at its nominal setting, even when the latter is given the true noise level, by up to 14 dB depending on the operator, and to match the ground-truth-calibrated $Π$GDM oracle within 0.1 dB. (ii) FB-GDM is robust when the forward operator, the noise level, or the image distribution changes: it stays close to a per-problem $Π$GDM oracle throughout and does not exhibit the hallucinations observed with DPS, whereas DPS substantially degrades at a fixed scale and $Π$GDM stays competitive only if it is re-tuned against the ground truth for each new problem. When the prior is applied to images outside its training set, this re-balancing between data and prior keeps FB-GDM faithful where a fixed face-prior guidance can otherwise hallucinate.
Multimodal large language models improve few-shot image segmentation accuracy
Exploiting Target Knowledge from MLLMs for Robust Few-Shot Segmentation
Abstract: Few-shot segmentation (FSS) aims to segment unseen object categories with a few (e.g., one or five) labeled examples, enabling efficient adaptation to novel classes. Conventional models typically rely on appearance-based visual matching between support and query images for segmentation. While straightforward, these methods often struggle to handle significant appearance discrepancies and occlusions in the query image due to insufficient target knowledge. To mitigate this, we introduce a novel framework that mines target knowledge using the strong reasoning capacity of Multimodal Large Language Models (MLLMs) and employs it to enhance FSS. Specifically, building on SAM 2, our method, named MK-FSS, exploits two forms of complementary knowledge derived from a query image by an MLLM for FSS, including spatial knowledge, which provides a spatial prior indicating the potential target location, and semantic knowledge, which describes the target using text. The spatial knowledge is first encoded into a memory representation, and then resulting memory is integrated with the support-guided memory feature from query image through a carefully designed dual-memory debate-fusion (DMDF) module, yielding a more robust target memory feature. In parallel, the semantic knowledge is encoded into the textual feature, which is fused with multi-scale query features via a progressive cross-modal prompt generator (PCPG), producing a target-aware multimodal prompt for segmentation. Working together, the dual-memory feature and the multimodal prompt provide a comprehensive representation of the target, enabling more robust segmentation. In our extensive experiments, MK-FSS shows promising results and largely surpasses existing methods. Code will be released.
Image accuracy does not guarantee correct 3D physical reconstructions
Image Fidelity is Not Field Fidelity: Joint Thermodynamic Reconstruction and Error Localization in Neural Tomography
Abstract: Neural fields for scientific tomography are optimized from 2D images, but the actual quantity of interest is often a latent 3D physical field. Because the forward map is many-to-one, low 2D image error need not certify a correct 3D field. Moreover, the latent field is not directly supervised during training, and its error cannot be evaluated against truth at deployment. We develop CoroNeRF to jointly optimize 3D electron density and temperature fields directly from multiview, multiline intensities through a differentiable atomic-emission renderer. Using solar coronal tomography as a controlled testbed, we evaluate physical-field recovery and test whether cross-seed instability provides a ground-truth-free-at-inference indicator of local physical-field error. We underscore the following two observations. (i) Image fidelity is not field fidelity: spectral ablations show that limited-channel reconstructions can fit their available observations well while recovering substantially worse fields, whereas evaluation on a common richer probe exposes the discrepancy. (ii) Cross-seed instability ranks local physical-field error across tested matched-model conditions, supported by sparsification and physical signal-strength controls. Seed-deviation projections provide complementary directional validation, but shared forward-model mismatch can still produce incorrect cross-seed consensus. These results characterize joint thermodynamic recovery and the usefulness and limits of seed-based error localization in a controlled, single-scene solar tomography testbed.
FlowSGS improves image recovery from complex measurements using flow models
FlowSGS: Improving Flow Matching Priors for Inverse Imaging with Stochastic Interpolants
Abstract: Flow matching has emerged as the state-of-the-art generative model and has been used for plug-and-play (PnP) priors to solve inverse problems in computational imaging. However, existing flow-based inverse solvers assume linear forward models and/or make simplifying approximations in posterior sampling. To circumvent these problems, we introduce FlowSGS, a flow-based posterior sampling method using Split Gibbs Sampling (SGS) to decompose the posterior into a likelihood step and a prior step. Specifically, we sample from the likelihood step using Langevin dynamics and leverage the Stochastic Interpolants (SI) framework to integrate a pretrained flow model into the prior step. We provide a form for the prior step that uses SI's reverse-time SDE, and show connections to previous PnP methods. Moreover, with the aid of the flow prior's straight probability paths and a novel timestep correction technique for the reverse-time SDE, FlowSGS requires fewer network evaluations in its prior step than plug-and-play diffusion samplers. Our experiments show state-of-the-art performance on a range of inverse problems. For the first time, we provide an experiment on a nonlinear inverse problem (Fourier phase retrieval) for flow-based inverse solvers.
Interactive method speeds up radiology volume annotation fourteen times
IMVS: Interactive Medical Volume Segmentation with Test-Time Adaptation - A New Method for Annotating Radiology Datasets
Abstract: Annotating large radiology datasets is bottlenecked by the manual effort of delineating structures slice-by-slice in 3D volumes. Interactive methods reduce this effort but stay interaction-inefficient: slice-wise methods (including many foundation models) ignore inter-slice continuity, while 3D and video-based methods propagate a prompt with a \emph{fixed} propagator that never adapts to the target volume, so it drifts on low-contrast or pathological structures and must be re-prompted. We present IMVS, a human-in-the-loop annotation framework that composes three components into a closed loop rather than a new segmentation primitive: a lightweight 2D Slice Mask Adapter (SMA) fine-tuned online from user scribbles, a frozen Volume Mask Tracker (VMT) that propagates corrected masks across adjacent slices, and a soft teacher--student alignment that limits forgetting. The SMA is backbone-agnostic (UNet++, DeepLabV3, TransUNet). Across 8 public CT/MRI datasets, IMVS matches strong interactive baselines in quality while sharply cutting annotation effort: $14.4\times$ faster than a proficient copy-based manual workflow ($22.3\times$ over naive manual), $4.6\times$ over slice-wise and $1.9\times$ over 3D interactive methods. MedSAM2 and ScribblePrompt stay competitive or stronger on well-delineated organs; IMVS's advantage is largest on challenging targets and on interaction efficiency. Source code and Demo Video: https://github.com/AbhilakshSinghReen/imvs.
Detecting and removing ring shadows improve photon counting CT images
TRACE: Two-Stage Detector-Response Estimation With Angular Cosine Expansion for Ring Artifact Correction in Photon-Counting CT
Abstract: Detector response nonuniformity introduces systematic projection errors and ring artifacts in photon-counting detector computed tomography (PCD-CT). In measured PCD-CT data, residual stripe amplitudes vary slowly with projection angle, which fixed-bias models cannot adequately capture. We propose TRACE, a two-stage unsupervised sinogram decomposition method for estimating and correcting these response-related errors. TRACE represents stripes as a fixed bias plus low-order discrete cosine transform (DCT) components, using a small number of coefficients to describe angular variations at each detector element. A learnable analysis--synthesis architecture represents the ideal projections, while two-stage optimization separates them from fixed and then dynamic stripes. An angular-gradient soft orthogonality constraint suppresses correlated variations within the shared DCT gradient subspace, reducing the leakage of object structures into the artifact estimate. All parameters are optimized directly on the measured sinogram without paired training data. Experiments on measured QRM mouse phantom and porcine trotter data show that TRACE suppresses ring artifacts and improves image uniformity while preserving edge sharpness, soft-tissue texture, and trabecular detail.
Interpretable deep network improves hyperspectral image noise removal
AXS-Net: Interpretable Deep Unfolding for Hyperspectral Image Denoising via Spectral Basis Unmixing and Structured Noise Refinement
Abstract: Hyperspectral images (HSIs) are often degraded by mixed noise, including band-dependent Gaussian perturbations and structured artifacts such as stripes, dead-lines, and impulse noise. Most deep denoisers regress the clean image directly, entangling signal and structured noise. We instead model HSI denoising as $\Y=\A\X+\Snoise+\Nnoise$, where $\A\X$ is a low-rank spectral-subspace (unmixing) reconstruction, $\Snoise$ is structured sparse noise and $\Nnoise$ is residual Gaussian noise. The resulting regularized optimization problem is unrolled into AXS-Net, a $K$-stage alternating proximal-point framework. Each stage combines an analytic spectral-basis gradient step, an SSX-Block proximal operator for abundance coefficients, and an SBlock proximal operator for the structured residual with column-consistent and sparse priors. This optimization correspondence exposes interpretable endmembers, abundance maps, and structured-noise estimates. Across ICVL, CAVE, and Harvard datasets and five noise configurations, the proposed AXS-Net achieves strong in-domain accuracy and competitive zero-shot transfer, with consistent gains across all five noise regimes on ICVL and Harvard. The recovered structured-noise closely follows the synthetic reference, and the recovered spectral basis is smooth and band-ordered rather than an arbitrary set of latent channels.
Poisson noise and blur removal using new edge-preserving penalties
Poisson Image Denoising Using Minimax Concave and Reweighted $\ell_1$ Penalties: Nonblind and Blind Approaches
Abstract: Images are important tools in various sciences. Despite the development of photo-taking tools, creating clear and image without noise remains challenging in practice. In particular, Poisson noise has an effect on medical and astronomical images, and reduces their quality. Additionally, blur is another factor that has an effect on image quality. The problem of image restoration becomes very complicated when we have no information about the Point Spread Function (PSF). These types of problems are known as blind case. However, in some images, such as some astronomical images, the type of PSF can be specified, and these types of problems are known as nonblind problems. Total Variation (TV) is a widely used method for solving such inverse problems, where the selection of the penalty function is the most critical factor that affects the method's performance. In this paper, to improve edge preservation, we employ a reweighted $\ell_1$-regularization of the fractional order derivative. Furthermore, we propose a nonblind and blind image deblurring approach under Poisson noise using the Minimax Concave Penalty (MCP), which is a continuous, sparsity promoting, and nearly unbiased regularizer. This formulation leads to a nonconvex optimization model. To solve the proposed model, we introduce an efficient numerical algorithm based on the Alternating Direction Method of Multipliers (ADMM) and provide an analysis of its convergence. Finally, the effectiveness of the proposed algorithm are demonstrated through extensive experiments on various images.