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Haojun Yu

Publications and source records attributed to Haojun Yu.

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MammoExpert: Benchmarking Chain-of-Thought Reasoning in Mammography Diagnosis

Mammography is an essential tool for breast cancer detection, with millions of examinations conducted annually. However, publicly available high-quality mammography datasets for AI development remain limited in both scale and annotation richness, particularly regarding pathological subtype coverage and structured diagnostic reasoning annotations. In this paper, we present MammoExpert, the first mammography dataset with Chain-of-Thought reasoning annotations across three diagnostic phases: (i) primal observation, (ii) factual assessment, and (iii) diagnostic synthesis. Comprising 2,379 mammography images covering 67 WHO-classified histopathology subtypes, each exam provides 42 radiographic features annotated by nine senior radiologists. We evaluate its performance on the breast lesion classification task, demonstrating superior accuracy and reasonability compared to existing classification models. Combining public dataset CBIS-DDSM with MammoExpert yields 7.1\% classification accuracy improvement, while the training model to learn CoT reasoning achieves another 4\% gain on the MammoExpert test set. Similar improvements are observed on INBreast and Vindr datasets, where the full approach yields accuracy gains of 6.9\% and 6.7\%, respectively. MammoExpert can serve as a benchmark for interpretable breast lesion diagnosis through explicit CoT reasoning.

cs.CV

A Chain-of-thought Reasoning Breast Ultrasound Dataset Covering All Histopathology Categories

Breast ultrasound (BUS) is an essential tool for diagnosing breast lesions, with millions of examinations per year. However, publicly available high-quality BUS benchmarks for AI development are limited in data scale and annotation richness. In this work, we present BUS-CoT, a BUS dataset for chain-of-thought (CoT) reasoning analysis, which contains 11,439 images of 10,019 lesions from 4,838 patients and covers all 99 histopathology types. To facilitate research on incentivizing CoT reasoning, we construct the reasoning processes based on observation, feature, diagnosis and pathology labels, annotated and verified by experienced experts. Moreover, by covering lesions of all histopathology types, we aim to facilitate robust AI systems in rare cases, which can be error-prone in clinical practice.

eess.IV

DeformCL: Learning Deformable Centerline Representation for Vessel Extraction in 3D Medical Image

In the field of 3D medical imaging, accurately extracting and representing the blood vessels with curvilinear structures holds paramount importance for clinical diagnosis. Previous methods have commonly relied on discrete representation like mask, often resulting in local fractures or scattered fragments due to the inherent limitations of the per-pixel classification paradigm. In this work, we introduce DeformCL, a new continuous representation based on Deformable Centerlines, where centerline points act as nodes connected by edges that capture spatial relationships. Compared with previous representations, DeformCL offers three key advantages: natural connectivity, noise robustness, and interaction facility. We present a comprehensive training pipeline structured in a cascaded manner to fully exploit these favorable properties of DeformCL. Extensive experiments on four 3D vessel segmentation datasets demonstrate the effectiveness and superiority of our method. Furthermore, the visualization of curved planar reformation images validates the clinical significance of the proposed framework. We release the code in https://github.com/barry664/DeformCL

cs.CV

LarvSeg: Exploring Image Classification Data For Large Vocabulary Semantic Segmentation via Category-wise Attentive Classifier

Scaling up the vocabulary of semantic segmentation models is extremely challenging because annotating large-scale mask labels is labour-intensive and time-consuming. Recently, language-guided segmentation models have been proposed to address this challenge. However, their performance drops significantly when applied to out-of-distribution categories. In this paper, we propose a new large vocabulary semantic segmentation framework, called LarvSeg. Different from previous works, LarvSeg leverages image classification data to scale the vocabulary of semantic segmentation models as large-vocabulary classification datasets usually contain balanced categories and are much easier to obtain. However, for classification tasks, the category is image-level, while for segmentation we need to predict the label at pixel level. To address this issue, we first propose a general baseline framework to incorporate image-level supervision into the training process of a pixel-level segmentation model, making the trained network perform semantic segmentation on newly introduced categories in the classification data. We then observe that a model trained on segmentation data can group pixel features of categories beyond the training vocabulary. Inspired by this finding, we design a category-wise attentive classifier to apply supervision to the precise regions of corresponding categories to improve the model performance. Extensive experiments demonstrate that LarvSeg significantly improves the large vocabulary semantic segmentation performance, especially in the categories without mask labels. For the first time, we provide a 21K-category semantic segmentation model with the help of ImageNet21K. The code is available at https://github.com/HaojunYu1998/large_voc_seg.

cs.CV

A Foundational Generative Model for Breast Ultrasound Image Analysis

Foundational models have emerged as powerful tools for addressing various tasks in clinical settings. However, their potential development to breast ultrasound analysis remains untapped. In this paper, we present BUSGen, the first foundational generative model specifically designed for breast ultrasound image analysis. Pretrained on over 3.5 million breast ultrasound images, BUSGen has acquired extensive knowledge of breast structures, pathological features, and clinical variations. With few-shot adaptation, BUSGen can generate repositories of realistic and informative task-specific data, facilitating the development of models for a wide range of downstream tasks. Extensive experiments highlight BUSGen's exceptional adaptability, significantly exceeding real-data-trained foundational models in breast cancer screening, diagnosis, and prognosis. In breast cancer early diagnosis, our approach outperformed all board-certified radiologists (n=9), achieving an average sensitivity improvement of 16.5% (P-value<0.0001). Additionally, we characterized the scaling effect of using generated data which was as effective as the collected real-world data for training diagnostic models. Moreover, extensive experiments demonstrated that our approach improved the generalization ability of downstream models. Importantly, BUSGen protected patient privacy by enabling fully de-identified data sharing, making progress forward in secure medical data utilization. An online demo of BUSGen is available at https://aibus.bio.

cs.AI

Knowledge-driven AI-generated data for accurate and interpretable breast ultrasound diagnoses

Data-driven deep learning models have shown great capabilities to assist radiologists in breast ultrasound (US) diagnoses. However, their effectiveness is limited by the long-tail distribution of training data, which leads to inaccuracies in rare cases. In this study, we address a long-standing challenge of improving the diagnostic model performance on rare cases using long-tailed data. Specifically, we introduce a pipeline, TAILOR, that builds a knowledge-driven generative model to produce tailored synthetic data. The generative model, using 3,749 lesions as source data, can generate millions of breast-US images, especially for error-prone rare cases. The generated data can be further used to build a diagnostic model for accurate and interpretable diagnoses. In the prospective external evaluation, our diagnostic model outperforms the average performance of nine radiologists by 33.5% in specificity with the same sensitivity, improving their performance by providing predictions with an interpretable decision-making process. Moreover, on ductal carcinoma in situ (DCIS), our diagnostic model outperforms all radiologists by a large margin, with only 34 DCIS lesions in the source data. We believe that TAILOR can potentially be extended to various diseases and imaging modalities.

eess.IV

Mining Negative Temporal Contexts For False Positive Suppression In Real-Time Ultrasound Lesion Detection

During ultrasonic scanning processes, real-time lesion detection can assist radiologists in accurate cancer diagnosis. However, this essential task remains challenging and underexplored. General-purpose real-time object detection models can mistakenly report obvious false positives (FPs) when applied to ultrasound videos, potentially misleading junior radiologists. One key issue is their failure to utilize negative symptoms in previous frames, denoted as negative temporal contexts (NTC). To address this issue, we propose to extract contexts from previous frames, including NTC, with the guidance of inverse optical flow. By aggregating extracted contexts, we endow the model with the ability to suppress FPs by leveraging NTC. We call the resulting model UltraDet. The proposed UltraDet demonstrates significant improvement over previous state-of-the-arts and achieves real-time inference speed. We release the code, checkpoints, and high-quality labels of the CVA-BUS dataset in https://github.com/HaojunYu1998/UltraDet.

cs.CV

DETRs with Hybrid Matching

One-to-one set matching is a key design for DETR to establish its end-to-end capability, so that object detection does not require a hand-crafted NMS (non-maximum suppression) to remove duplicate detections. This end-to-end signature is important for the versatility of DETR, and it has been generalized to broader vision tasks. However, we note that there are few queries assigned as positive samples and the one-to-one set matching significantly reduces the training efficacy of positive samples. We propose a simple yet effective method based on a hybrid matching scheme that combines the original one-to-one matching branch with an auxiliary one-to-many matching branch during training. Our hybrid strategy has been shown to significantly improve accuracy. In inference, only the original one-to-one match branch is used, thus maintaining the end-to-end merit and the same inference efficiency of DETR. The method is named H-DETR, and it shows that a wide range of representative DETR methods can be consistently improved across a wide range of visual tasks, including DeformableDETR, PETRv2, PETR, and TransTrack, among others. The code is available at: https://github.com/HDETR

cs.CV