arXiv subjects

Changmiao Wang

Publications and source records attributed to Changmiao Wang.

At least 37 records · Page 2Linked to original sources

arXiv2025

LungNoduleAgent: A Collaborative Multi-Agent System for Precision Diagnosis of Lung Nodules

Diagnosing lung cancer typically involves physicians identifying lung nodules in Computed tomography (CT) scans and generating diagnostic reports based on their morphological features and medical expertise. Although advancements have been made in using multimodal large language models for analyzing lung CT scans, challenges remain in accurately describing nodule morphology and incorporating medical expertise. These limitations affect the reliability and effectiveness of these models in clinical settings. Collaborative multi-agent systems offer a promising strategy for achieving a balance between generality and precision in medical applications, yet their potential in pathology has not been thoroughly explored. To bridge these gaps, we introduce LungNoduleAgent, an innovative collaborative multi-agent system specifically designed for analyzing lung CT scans. LungNoduleAgent streamlines the diagnostic process into sequential components, improving precision in describing nodules and grading malignancy through three primary modules. The first module, the Nodule Spotter, coordinates clinical detection models to accurately identify nodules. The second module, the Radiologist, integrates localized image description techniques to produce comprehensive CT reports. Finally, the Doctor Agent System performs malignancy reasoning by using images and CT reports, supported by a pathology knowledge base and a multi-agent system framework. Extensive testing on two private datasets and the public LIDC-IDRI dataset indicates that LungNoduleAgent surpasses mainstream vision-language models, agent systems, and advanced expert models. These results highlight the importance of region-level semantic alignment and multi-agent collaboration in diagnosing nodules. LungNoduleAgent stands out as a promising foundational tool for supporting clinical analyses of lung nodules.

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arXiv2025

SmaRT: Style-Modulated Robust Test-Time Adaptation for Cross-Domain Brain Tumor Segmentation in MRI

Reliable brain tumor segmentation in MRI is indispensable for treatment planning and outcome monitoring, yet models trained on curated benchmarks often fail under domain shifts arising from scanner and protocol variability as well as population heterogeneity. Such gaps are especially severe in low-resource and pediatric cohorts, where conventional test-time or source-free adaptation strategies often suffer from instability and structural inconsistency. We propose SmaRT, a style-modulated robust test-time adaptation framework that enables source-free cross-domain generalization. SmaRT integrates style-aware augmentation to mitigate appearance discrepancies, a dual-branch momentum strategy for stable pseudo-label refinement, and structural priors enforcing consistency, integrity, and connectivity. This synergy ensures both adaptation stability and anatomical fidelity under extreme domain shifts. Extensive evaluations on sub-Saharan Africa and pediatric glioma datasets show that SmaRT consistently outperforms state-of-the-art methods, with notable gains in Dice accuracy and boundary precision. Overall, SmaRT bridges the gap between algorithmic advances and equitable clinical applicability, supporting robust deployment of MRI-based neuro-oncology tools in diverse clinical environments. Our source code is available at https://github.com/baiyou1234/SmaRT.

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arXiv2025

Drawing2CAD: Sequence-to-Sequence Learning for CAD Generation from Vector Drawings

Computer-Aided Design (CAD) generative modeling is driving significant innovations across industrial applications. Recent works have shown remarkable progress in creating solid models from various inputs such as point clouds, meshes, and text descriptions. However, these methods fundamentally diverge from traditional industrial workflows that begin with 2D engineering drawings. The automatic generation of parametric CAD models from these 2D vector drawings remains underexplored despite being a critical step in engineering design. To address this gap, our key insight is to reframe CAD generation as a sequence-to-sequence learning problem where vector drawing primitives directly inform the generation of parametric CAD operations, preserving geometric precision and design intent throughout the transformation process. We propose Drawing2CAD, a framework with three key technical components: a network-friendly vector primitive representation that preserves precise geometric information, a dual-decoder transformer architecture that decouples command type and parameter generation while maintaining precise correspondence, and a soft target distribution loss function accommodating inherent flexibility in CAD parameters. To train and evaluate Drawing2CAD, we create CAD-VGDrawing, a dataset of paired engineering drawings and parametric CAD models, and conduct thorough experiments to demonstrate the effectiveness of our method. Code and dataset are available at https://github.com/lllssc/Drawing2CAD.

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arXiv2025

GraphMMP: A Graph Neural Network Model with Mutual Information and Global Fusion for Multimodal Medical Prognosis

In the field of multimodal medical data analysis, leveraging diverse types of data and understanding their hidden relationships continues to be a research focus. The main challenges lie in effectively modeling the complex interactions between heterogeneous data modalities with distinct characteristics while capturing both local and global dependencies across modalities. To address these challenges, this paper presents a two-stage multimodal prognosis model, GraphMMP, which is based on graph neural networks. The proposed model constructs feature graphs using mutual information and features a global fusion module built on Mamba, which significantly boosts prognosis performance. Empirical results show that GraphMMP surpasses existing methods on datasets related to liver prognosis and the METABRIC study, demonstrating its effectiveness in multimodal medical prognosis tasks.

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arXiv2025

Small Lesions-aware Bidirectional Multimodal Multiscale Fusion Network for Lung Disease Classification

The diagnosis of medical diseases faces challenges such as the misdiagnosis of small lesions. Deep learning, particularly multimodal approaches, has shown great potential in the field of medical disease diagnosis. However, the differences in dimensionality between medical imaging and electronic health record data present challenges for effective alignment and fusion. To address these issues, we propose the Multimodal Multiscale Cross-Attention Fusion Network (MMCAF-Net). This model employs a feature pyramid structure combined with an efficient 3D multi-scale convolutional attention module to extract lesion-specific features from 3D medical images. To further enhance multimodal data integration, MMCAF-Net incorporates a multi-scale cross-attention module, which resolves dimensional inconsistencies, enabling more effective feature fusion. We evaluated MMCAF-Net on the Lung-PET-CT-Dx dataset, and the results showed a significant improvement in diagnostic accuracy, surpassing current state-of-the-art methods. The code is available at https://github.com/yjx1234/MMCAF-Net

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arXiv2025

GL-LCM: Global-Local Latent Consistency Models for Fast High-Resolution Bone Suppression in Chest X-Ray Images

Chest X-Ray (CXR) imaging for pulmonary diagnosis raises significant challenges, primarily because bone structures can obscure critical details necessary for accurate diagnosis. Recent advances in deep learning, particularly with diffusion models, offer significant promise for effectively minimizing the visibility of bone structures in CXR images, thereby improving clarity and diagnostic accuracy. Nevertheless, existing diffusion-based methods for bone suppression in CXR imaging struggle to balance the complete suppression of bones with preserving local texture details. Additionally, their high computational demand and extended processing time hinder their practical use in clinical settings. To address these limitations, we introduce a Global-Local Latent Consistency Model (GL-LCM) architecture. This model combines lung segmentation, dual-path sampling, and global-local fusion, enabling fast high-resolution bone suppression in CXR images. To tackle potential boundary artifacts and detail blurring in local-path sampling, we further propose Local-Enhanced Guidance, which addresses these issues without additional training. Comprehensive experiments on a self-collected dataset SZCH-X-Rays, and the public dataset JSRT, reveal that our GL-LCM delivers superior bone suppression and remarkable computational efficiency, significantly outperforming several competitive methods. Our code is available at https://github.com/diaoquesang/GL-LCM.

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arXiv2025

Bridging the Gap in Missing Modalities: Leveraging Knowledge Distillation and Style Matching for Brain Tumor Segmentation

Accurate and reliable brain tumor segmentation, particularly when dealing with missing modalities, remains a critical challenge in medical image analysis. Previous studies have not fully resolved the challenges of tumor boundary segmentation insensitivity and feature transfer in the absence of key imaging modalities. In this study, we introduce MST-KDNet, aimed at addressing these critical issues. Our model features Multi-Scale Transformer Knowledge Distillation to effectively capture attention weights at various resolutions, Dual-Mode Logit Distillation to improve the transfer of knowledge, and a Global Style Matching Module that integrates feature matching with adversarial learning. Comprehensive experiments conducted on the BraTS and FeTS 2024 datasets demonstrate that MST-KDNet surpasses current leading methods in both Dice and HD95 scores, particularly in conditions with substantial modality loss. Our approach shows exceptional robustness and generalization potential, making it a promising candidate for real-world clinical applications. Our source code is available at https://github.com/Quanato607/MST-KDNet.

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arXiv2025

CRISP-SAM2: SAM2 with Cross-Modal Interaction and Semantic Prompting for Multi-Organ Segmentation

Multi-organ medical segmentation is a crucial component of medical image processing, essential for doctors to make accurate diagnoses and develop effective treatment plans. Despite significant progress in this field, current multi-organ segmentation models often suffer from inaccurate details, dependence on geometric prompts and loss of spatial information. Addressing these challenges, we introduce a novel model named CRISP-SAM2 with CRoss-modal Interaction and Semantic Prompting based on SAM2. This model represents a promising approach to multi-organ medical segmentation guided by textual descriptions of organs. Our method begins by converting visual and textual inputs into cross-modal contextualized semantics using a progressive cross-attention interaction mechanism. These semantics are then injected into the image encoder to enhance the detailed understanding of visual information. To eliminate reliance on geometric prompts, we use a semantic prompting strategy, replacing the original prompt encoder to sharpen the perception of challenging targets. In addition, a similarity-sorting self-updating strategy for memory and a mask-refining process is applied to further adapt to medical imaging and enhance localized details. Comparative experiments conducted on seven public datasets indicate that CRISP-SAM2 outperforms existing models. Extensive analysis also demonstrates the effectiveness of our method, thereby confirming its superior performance, especially in addressing the limitations mentioned earlier. Our code is available at: https://github.com/YU-deep/CRISP_SAM2.git.

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arXiv2025

BS-LDM: Effective Bone Suppression in High-Resolution Chest X-Ray Images with Conditional Latent Diffusion Models

Lung diseases represent a significant global health challenge, with Chest X-Ray (CXR) being a key diagnostic tool due to its accessibility and affordability. Nonetheless, the detection of pulmonary lesions is often hindered by overlapping bone structures in CXR images, leading to potential misdiagnoses. To address this issue, we develop an end-to-end framework called BS-LDM, designed to effectively suppress bone in high-resolution CXR images. This framework is based on conditional latent diffusion models and incorporates a multi-level hybrid loss-constrained vector-quantized generative adversarial network which is crafted for perceptual compression, ensuring the preservation of details. To further enhance the framework's performance, we utilize offset noise in the forward process, and a temporal adaptive thresholding strategy in the reverse process. These additions help minimize discrepancies in generating low-frequency information of soft tissue images. Additionally, we have compiled a high-quality bone suppression dataset named SZCH-X-Rays. This dataset includes 818 pairs of high-resolution CXR and soft tissue images collected from our partner hospital. Moreover, we processed 241 data pairs from the JSRT dataset into negative images, which are more commonly used in clinical practice. Our comprehensive experiments and downstream evaluations reveal that BS-LDM excels in bone suppression, underscoring its clinical value. Our code is available at https://github.com/diaoquesang/BS-LDM.

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arXiv2025

3D-Telepathy: Reconstructing 3D Objects from EEG Signals

Reconstructing 3D visual stimuli from Electroencephalography (EEG) data holds significant potential for applications in Brain-Computer Interfaces (BCIs) and aiding individuals with communication disorders. Traditionally, efforts have focused on converting brain activity into 2D images, neglecting the translation of EEG data into 3D objects. This limitation is noteworthy, as the human brain inherently processes three-dimensional spatial information regardless of whether observing 2D images or the real world. The neural activities captured by EEG contain rich spatial information that is inevitably lost when reconstructing only 2D images, thus limiting its practical applications in BCI. The transition from EEG data to 3D object reconstruction faces considerable obstacles. These include the presence of extensive noise within EEG signals and a scarcity of datasets that include both EEG and 3D information, which complicates the extraction process of 3D visual data. Addressing this challenging task, we propose an innovative EEG encoder architecture that integrates a dual self-attention mechanism. We use a hybrid training strategy to train the EEG Encoder, which includes cross-attention, contrastive learning, and self-supervised learning techniques. Additionally, by employing stable diffusion as a prior distribution and utilizing Variational Score Distillation to train a neural radiation field, we successfully generate 3D objects with similar content and structure from EEG data.

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arXiv2025

ConsistencyDet: A Few-step Denoising Framework for Object Detection Using the Consistency Model

Object detection, a quintessential task in the realm of perceptual computing, can be tackled using a generative methodology. In the present study, we introduce a novel framework designed to articulate object detection as a denoising diffusion process, which operates on the perturbed bounding boxes of annotated entities. This framework, termed \textbf{ConsistencyDet}, leverages an innovative denoising concept known as the Consistency Model. The hallmark of this model is its self-consistency feature, which empowers the model to map distorted information from any time step back to its pristine state, thereby realizing a \textbf{``few-step denoising''} mechanism. Such an attribute markedly elevates the operational efficiency of the model, setting it apart from the conventional Diffusion Model. Throughout the training phase, ConsistencyDet initiates the diffusion sequence with noise-infused boxes derived from the ground-truth annotations and conditions the model to perform the denoising task. Subsequently, in the inference stage, the model employs a denoising sampling strategy that commences with bounding boxes randomly sampled from a normal distribution. Through iterative refinement, the model transforms an assortment of arbitrarily generated boxes into definitive detections. Comprehensive evaluations employing standard benchmarks, such as MS-COCO and LVIS, corroborate that ConsistencyDet surpasses other leading-edge detectors in performance metrics. Our code is available at https://anonymous.4open.science/r/ConsistencyDet-37D5.

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arXiv2025

XLSTM-HVED: Cross-Modal Brain Tumor Segmentation and MRI Reconstruction Method Using Vision XLSTM and Heteromodal Variational Encoder-Decoder

Neurogliomas are among the most aggressive forms of cancer, presenting considerable challenges in both treatment and monitoring due to their unpredictable biological behavior. Magnetic resonance imaging (MRI) is currently the preferred method for diagnosing and monitoring gliomas. However, the lack of specific imaging techniques often compromises the accuracy of tumor segmentation during the imaging process. To address this issue, we introduce the XLSTM-HVED model. This model integrates a hetero-modal encoder-decoder framework with the Vision XLSTM module to reconstruct missing MRI modalities. By deeply fusing spatial and temporal features, it enhances tumor segmentation performance. The key innovation of our approach is the Self-Attention Variational Encoder (SAVE) module, which improves the integration of modal features. Additionally, it optimizes the interaction of features between segmentation and reconstruction tasks through the Squeeze-Fusion-Excitation Cross Awareness (SFECA) module. Our experiments using the BraTS 2024 dataset demonstrate that our model significantly outperforms existing advanced methods in handling cases where modalities are missing. Our source code is available at https://github.com/Quanato607/XLSTM-HVED.

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arXiv2025

TMI-CLNet: Triple-Modal Interaction Network for Chronic Liver Disease Prognosis From Imaging, Clinical, and Radiomic Data Fusion

Chronic liver disease represents a significant health challenge worldwide and accurate prognostic evaluations are essential for personalized treatment plans. Recent evidence suggests that integrating multimodal data, such as computed tomography imaging, radiomic features, and clinical information, can provide more comprehensive prognostic information. However, modalities have an inherent heterogeneity, and incorporating additional modalities may exacerbate the challenges of heterogeneous data fusion. Moreover, existing multimodal fusion methods often struggle to adapt to richer medical modalities, making it difficult to capture inter-modal relationships. To overcome these limitations, We present the Triple-Modal Interaction Chronic Liver Network (TMI-CLNet). Specifically, we develop an Intra-Modality Aggregation module and a Triple-Modal Cross-Attention Fusion module, which are designed to eliminate intra-modality redundancy and extract cross-modal information, respectively. Furthermore, we design a Triple-Modal Feature Fusion loss function to align feature representations across modalities. Extensive experiments on the liver prognosis dataset demonstrate that our approach significantly outperforms existing state-of-the-art unimodal models and other multi-modal techniques. Our code is available at https://github.com/Mysterwll/liver.git.

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arXiv2025

GFE-Mamba: Mamba-based AD Multi-modal Progression Assessment via Generative Feature Extraction from MCI

Alzheimer's Disease (AD) is a progressive, irreversible neurodegenerative disorder that often originates from Mild Cognitive Impairment (MCI). This progression results in significant memory loss and severely affects patients' quality of life. Clinical trials have consistently shown that early and targeted interventions for individuals with MCI may slow or even prevent the advancement of AD. Research indicates that accurate medical classification requires diverse multimodal data, including detailed assessment scales and neuroimaging techniques like Magnetic Resonance Imaging (MRI) and Positron Emission Tomography (PET). However, simultaneously collecting the aforementioned three modalities for training presents substantial challenges. To tackle these difficulties, we propose GFE-Mamba, a multimodal classifier founded on Generative Feature Extractor. The intermediate features provided by this Extractor can compensate for the shortcomings of PET and achieve profound multimodal fusion in the classifier. The Mamba block, as the backbone of the classifier, enables it to efficiently extract information from long-sequence scale information. Pixel-level Bi-cross Attention supplements pixel-level information from MRI and PET. We provide our rationale for developing this cross-temporal progression prediction dataset and the pre-trained Extractor weights. Our experimental findings reveal that the GFE-Mamba model effectively predicts the progression from MCI to AD and surpasses several leading methods in the field. Our source code is available at https://github.com/Tinysqua/GFE-Mamba.

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arXiv2025

CSF-Net: Cross-Modal Spatiotemporal Fusion Network for Pulmonary Nodule Malignancy Predicting

Pulmonary nodules are an early sign of lung cancer, and detecting them early is vital for improving patient survival rates. Most current methods use only single Computed Tomography (CT) images to assess nodule malignancy. However, doctors typically make a comprehensive assessment in clinical practice by integrating follow-up CT scans with clinical data. To enhance this process, our study introduces a Cross-Modal Spatiotemporal Fusion Network, named CSF-Net, designed to predict the malignancy of pulmonary nodules using follow-up CT scans. This approach simulates the decision-making process of clinicians who combine follow-up imaging with clinical information. CSF-Net comprises three key components: spatial feature extraction module, temporal residual fusion module, and cross-modal attention fusion module. Together, these modules enable precise predictions of nodule malignancy. Additionally, we utilized the publicly available NLST dataset to screen and annotate the specific locations of pulmonary nodules and created a new dataset named NLST-cmst. Our experimental results on the NLST-cmst dataset demonstrate significant performance improvements, with an accuracy of 0.8974, a precision of 0.8235, an F1 score of 0.8750, an AUC of 0.9389, and a recall of 0.9333. These findings indicate that our multimodal spatiotemporal fusion approach, which combines follow-up data with clinical information, surpasses existing methods, underscoring its effectiveness in predicting nodule malignancy.

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arXiv2025

ITCFN: Incomplete Triple-Modal Co-Attention Fusion Network for Mild Cognitive Impairment Conversion Prediction

Alzheimer's disease (AD) is a common neurodegenerative disease among the elderly. Early prediction and timely intervention of its prodromal stage, mild cognitive impairment (MCI), can decrease the risk of advancing to AD. Combining information from various modalities can significantly improve predictive accuracy. However, challenges such as missing data and heterogeneity across modalities complicate multimodal learning methods as adding more modalities can worsen these issues. Current multimodal fusion techniques often fail to adapt to the complexity of medical data, hindering the ability to identify relationships between modalities. To address these challenges, we propose an innovative multimodal approach for predicting MCI conversion, focusing specifically on the issues of missing positron emission tomography (PET) data and integrating diverse medical information. The proposed incomplete triple-modal MCI conversion prediction network is tailored for this purpose. Through the missing modal generation module, we synthesize the missing PET data from the magnetic resonance imaging and extract features using specifically designed encoders. We also develop a channel aggregation module and a triple-modal co-attention fusion module to reduce feature redundancy and achieve effective multimodal data fusion. Furthermore, we design a loss function to handle missing modality issues and align cross-modal features. These components collectively harness multimodal data to boost network performance. Experimental results on the ADNI1 and ADNI2 datasets show that our method significantly surpasses existing unimodal and other multimodal models. Our code is available at https://github.com/justinhxy/ITFC.

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arXiv2025

TC-KANRecon: High-Quality and Accelerated MRI Reconstruction via Adaptive KAN Mechanisms and Intelligent Feature Scaling

Magnetic Resonance Imaging (MRI) has become essential in clinical diagnosis due to its high resolution and multiple contrast mechanisms. However, the relatively long acquisition time limits its broader application. To address this issue, this study presents an innovative conditional guided diffusion model, named as TC-KANRecon, which incorporates the Multi-Free U-KAN (MF-UKAN) module and a dynamic clipping strategy. TC-KANRecon model aims to accelerate the MRI reconstruction process through deep learning methods while maintaining the quality of the reconstructed images. The MF-UKAN module can effectively balance the tradeoff between image denoising and structure preservation. Specifically, it presents the multi-head attention mechanisms and scalar modulation factors, which significantly enhances the model's robustness and structure preservation capabilities in complex noise environments. Moreover, the dynamic clipping strategy in TC-KANRecon adjusts the cropping interval according to the sampling steps, thereby mitigating image detail loss typicalching the visual features of the images. Furthermore, the MC-Model incorporates full-sampling k-space information, realizing efficient fusion of conditional information, enhancing the model's ability to process complex data, and improving the realism and detail richness of reconstructed images. Experimental results demonstrate that the proposed method outperforms other MRI reconstruction methods in both qualitative and quantitative evaluations. Notably, TC-KANRecon method exhibits excellent reconstruction results when processing high-noise, low-sampling-rate MRI data. Our source code is available at https://github.com/lcbkmm/TC-KANRecon.

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arXiv2025

Toward Robust Early Detection of Alzheimer's Disease via an Integrated Multimodal Learning Approach

Alzheimer's Disease (AD) is a complex neurodegenerative disorder marked by memory loss, executive dysfunction, and personality changes. Early diagnosis is challenging due to subtle symptoms and varied presentations, often leading to misdiagnosis with traditional unimodal diagnostic methods due to their limited scope. This study introduces an advanced multimodal classification model that integrates clinical, cognitive, neuroimaging, and EEG data to enhance diagnostic accuracy. The model incorporates a feature tagger with a tabular data coding architecture and utilizes the TimesBlock module to capture intricate temporal patterns in Electroencephalograms (EEG) data. By employing Cross-modal Attention Aggregation module, the model effectively fuses Magnetic Resonance Imaging (MRI) spatial information with EEG temporal data, significantly improving the distinction between AD, Mild Cognitive Impairment, and Normal Cognition. Simultaneously, we have constructed the first AD classification dataset that includes three modalities: EEG, MRI, and tabular data. Our innovative approach aims to facilitate early diagnosis and intervention, potentially slowing the progression of AD. The source code and our private ADMC dataset are available at https://github.com/JustlfC03/MSTNet.

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