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Baoqiang Ma

Publications and source records attributed to Baoqiang Ma.

4 recordsLinked to original sources

Less Annotation, More Interpretation: Prior-Guided Concept Bottleneck Models for Interpretable Cancer Imaging Diagnosis

Concept bottleneck models (CBMs) can improve the transparency of cancer image diagnostic prediction by expressing predictions through radiological concepts. However, their dependence on instance-level concept annotations limits practical applicability. We propose a prior-guided hybrid CBM that integrates limited concept annotations, class-conditional concept distribution matching on unannotated patients, and prior initialization of the concept-to-diagnosis head. We evaluate the method on CBIS-DDSM mammographic masses and calcifications and LIDC-IDRI pulmonary nodules across 0-100% concept annotation. In the clinically relevant 0-20% annotation regime, the hybrid CBM consistently improves mean concept AUC over a matched standard CBM, while maintaining diagnostic performance close to black-box models. At 10% annotation specifically, concept AUC increases from 0.619 to 0.741 for masses, from 0.650 to 0.787 for calcifications, and from 0.597 to 0.642 for pulmonary nodules. Ablation experiments identify prior initialization as the main component contributing to improved concept detection, likely by stabilizing the concept-to-diagnosis head. Zero-shot VLMs remain insufficient for reliable fine-grained tumor-level concept prediction. These findings suggest that structured priors can substantially reduce the annotation burden of interpretable cancer imaging models.

cs.CV

Ranking XAI Methods for Head and Neck Cancer Outcome Prediction

For head and neck cancer (HNC) patients, prognostic outcome prediction can support personalized treatment strategy selection. Improving prediction performance of HNC outcomes has been extensively explored by using advanced artificial intelligence (AI) techniques on PET/CT data. However, the interpretability of AI remains a critical obstacle for its clinical adoption. Unlike previous HNC studies that empirically selected explainable AI (XAI) techniques, we are the first to comprehensively evaluate and rank 13 XAI methods across 24 metrics, covering faithfulness, robustness, complexity and plausibility. Experimental results on the multi-center HECKTOR challenge dataset show large variations across evaluation aspects among different XAI methods, with Integrated Gradients (IG) and DeepLIFT (DL) consistently obtained high rankings for faithfulness, complexity and plausibility. This work highlights the importance of comprehensive XAI method evaluation and can be extended to other medical imaging tasks.

cs.CV

PR3DICTR: A modular AI framework for medical 3D image-based detection and outcome prediction

Three-dimensional medical image data and computer-aided decision making, particularly using deep learning, are becoming increasingly important in the medical field. To aid in these developments we introduce PR3DICTR: Platform for Research in 3D Image Classification and sTandardised tRaining. Built using community-standard distributions (PyTorch and MONAI), PR3DICTR provides an open-access, flexible and convenient framework for prediction model development, with an explicit focus on classification using three-dimensional medical image data. By combining modular design principles and standardization, it aims to alleviate developmental burden whilst retaining adjustability. It provides users with a wealth of pre-established functionality, for instance in model architecture design options, hyper-parameter solutions and training methodologies, but still gives users the opportunity and freedom to ``plug in'' their own solutions or modules. PR3DICTR can be applied to any binary or event-based three-dimensional classification task and can work with as little as two lines of code.

cs.CV

MRI-based Head and Neck Tumor Segmentation Using nnU-Net with 15-fold Cross-Validation Ensemble

The superior soft tissue differentiation provided by MRI may enable more accurate tumor segmentation compared to CT and PET, potentially enhancing adaptive radiotherapy treatment planning. The Head and Neck Tumor Segmentation for MR-Guided Applications challenge (HNTSMRG-24) comprises two tasks: segmentation of primary gross tumor volume (GTVp) and metastatic lymph nodes (GTVn) on T2-weighted MRI volumes obtained at (1) pre-radiotherapy (pre-RT) and (2) mid-radiotherapy (mid-RT). The training dataset consists of data from 150 patients, including MRI volumes of pre-RT, mid-RT, and pre-RT registered to the corresponding mid-RT volumes. Each MRI volume is accompanied by a label mask, generated by merging independent annotations from a minimum of three experts. For both tasks, we propose adopting the nnU-Net V2 framework by the use of a 15-fold cross-validation ensemble instead of the standard number of 5 folds for increased robustness and variability. For pre-RT segmentation, we augmented the initial training data (150 pre-RT volumes and masks) with the corresponding mid-RT data. For mid-RT segmentation, we opted for a three-channel input, which, in addition to the mid-RT MRI volume, comprises the registered pre-RT MRI volume and the corresponding mask. The mean of the aggregated Dice Similarity Coefficient for GTVp and GTVn is computed on a blind test set and determines the quality of the proposed methods. These metrics determine the final ranking of methods for both tasks separately. The final blind testing (50 patients) of the methods proposed by our team, RUG_UMCG, resulted in an aggregated Dice Similarity Coefficient of 0.81 (0.77 for GTVp and 0.85 for GTVn) for Task 1 and 0.70 (0.54 for GTVp and 0.86 for GTVn) for Task 2.

physics.med-ph