arXiv subjects

Lan Song

Publications and source records attributed to Lan Song.

2 recordsLinked to original sources

arXiv2026

DeepFAN, a transformer-based deep learning model for human-artificial intelligence collaborative assessment of incidental pulmonary nodules in CT scans: a multi-reader, multi-case trial

The widespread adoption of CT has notably increased the number of detected lung nodules. However, current deep learning methods for classifying benign and malignant nodules often fail to comprehensively integrate global and local features, and most of them have not been validated through clinical trials. To address this, we developed DeepFAN, a transformer-based model trained on over 10K pathology-confirmed nodules and further conducted a multi-reader, multi-case clinical trial to evaluate its efficacy in assisting junior radiologists. DeepFAN achieved diagnostic area under the curve (AUC) of 0.939 (95% CI 0.930-0.948) on an internal test set and 0.954 (95% CI 0.934-0.973) on the clinical trial dataset involving 400 cases across three independent medical institutions. Explainability analysis indicated higher contributions from global than local features. Twelve readers' average performance significantly improved by 10.9% (95% CI 8.3%-13.5%) in AUC, 10.0% (95% CI 8.9%-11.1%) in accuracy, 7.6% (95% CI 6.1%-9.2%) in sensitivity, and 12.6% (95% CI 10.9%-14.3%) in specificity (P<0.001 for all). Nodule-level inter-reader diagnostic consistency improved from fair to moderate (overall k: 0.313 vs. 0.421; P=0.019). In conclusion, DeepFAN effectively assisted junior radiologists and may help homogenize diagnostic quality and reduce unnecessary follow-up of indeterminate pulmonary nodules. Chinese Clinical Trial Registry: ChiCTR2400084624.

cs.CV↗

arXiv2025

Filter2Noise: A Framework for Interpretable and Zero-Shot Low-Dose CT Image Denoising

Noise in low-dose computed tomography (LDCT) can obscure important diagnostic details. While deep learning offers powerful denoising, supervised methods require impractical paired data, and self-supervised alternatives often use opaque, parameter-heavy networks that limit clinical trust. We propose Filter2Noise (F2N), a novel self-supervised framework for interpretable, zero-shot denoising from a single LDCT image. Instead of a black-box network, its core is an Attention-Guided Bilateral Filter, a transparent, content-aware mathematical operator. A lightweight attention module predicts spatially varying filter parameters, making the process transparent and allowing interactive radiologist control. To learn from a single image with correlated noise, we introduce a multi-scale self-supervised loss coupled with Euclidean Local Shuffle (ELS) to disrupt noise patterns while preserving anatomical integrity. On the Mayo Clinic LDCT Challenge, F2N achieves state-of-the-art results, outperforming competing zero-shot methods by up to 3.68 dB in PSNR. It accomplishes this with only 3.6k parameters, orders of magnitude fewer than competing models, which accelerates inference and simplifies deployment. By combining high performance with transparency, user control, and high parameter efficiency, F2N offers a trustworthy solution for LDCT enhancement. We further demonstrate its applicability by validating it on clinical photon-counting CT data. Code is available at: https://github.com/sypsyp97/Filter2Noise.

eess.IV↗