radiology ai integration teams

Abstract: Self-supervised learning on 3D medical images commonly relies on random sub-volume sampling during pretraining. However, random cropping implicitly treats all spatial regions as equally worth observing, despite anatomical priors and spatial redundancy that make regions inherently unequal in their value for representation learning. To this end, we first show through controlled crop-quality manipulations that better sub-volumes lead to better downstream transfer, revealing the observation policy as an overlooked bottleneck in 3D medical SSL. Motivated by this finding, we revisit sub-volume sampling as a \emph{where-to-look} problem. We propose \textbf{\method}, a plug-and-play framework that replaces random cropping with an offline coarse-to-fine probe bank guided by \textit{anatomy-awareness}, \textit{informativeness}, and \textit{diversity}. We instantiate \method as a lightweight \lite variant using geometric and image-statistical cues, and a diagnostic \feat variant using frozen visual features, to examine whether lightweight volume-intrinsic priors suffice or richer semantic cues reliably provide additional value. Extensive experiments across multiple 3D medical SSL backbones and downstream tasks demonstrate that \method-\lite consistently improves transfer performance over random sampling. Mechanistic analyses further attribute these gains to more anatomically plausible and informative observations, reduced spatial redundancy, more efficient learning dynamics, and more structured representations.

Abstract: Dense vessel annotation in digital subtraction angiography (DSA) is labor-intensive, yet every unlabeled sequence records how contrast passes through the vessels. Semi-supervised methods take their targets from the current model, and generic self-supervised pretexts reconstruct static appearance, so this signal goes unused. We propose ConPro, a self-supervised pretraining scheme whose target is a contrast projection, the normalized drop of every pixel below its temporal median over the sequence. On DIAS and DSCA, with 10%, 20% and 50% of the training cases labeled, ConPro improves on training from scratch at every label fraction and is the best of the compared methods on DSCA at 20% and 50% labels. Controlled comparisons show that the gain comes from the target. A temporal-median target with the same input, loss and budget stays at scratch level, and using the projection directly instead of learning it, as an input channel or a pseudo-label, helps little or hurts. ConPro provides pretrained weights without changing the segmentation architecture, so it combines with semi-supervised training, and UniMatch, the strongest baseline, gains 0.5 to 2.0 Dice and 0.9 to 2.3 clDice at every label fraction when started from ConPro weights, reaching 75.4 Dice on DIAS and 81.3 on DSCA.