arXiv subjects

Lixia Tian

Publications and source records attributed to Lixia Tian.

4 recordsLinked to original sources

arXiv2026

SpineBench: A Clinically Salient, Level-Aware Benchmark Powered by the SpineMed-450k Corpus

Spine disorders affect 619 million people globally and are a leading cause of disability, yet AI-assisted diagnosis remains limited by the lack of level-aware, multimodal datasets. Clinical decision-making for spine disorders requires sophisticated reasoning across X-ray, CT, and MRI at specific vertebral levels. However, progress has been constrained by the absence of traceable, clinically-grounded instruction data and standardized, spine-specific benchmarks. To address this, we introduce SpineMed, an ecosystem co-designed with practicing spine surgeons. It features SpineMed-450k, the first large-scale dataset explicitly designed for vertebral-level reasoning across imaging modalities with over 450,000 instruction instances, and SpineBench, a clinically-grounded evaluation framework. SpineMed-450k is curated from diverse sources, including textbooks, guidelines, open datasets, and ~1,000 de-identified hospital cases, using a clinician-in-the-loop pipeline with a two-stage LLM generation method (draft and revision) to ensure high-quality, traceable data for question-answering, multi-turn consultations, and report generation. SpineBench evaluates models on clinically salient axes, including level identification, pathology assessment, and surgical planning. Our comprehensive evaluation of several recently advanced large vision-language models (LVLMs) on SpineBench reveals systematic weaknesses in fine-grained, level-specific reasoning. In contrast, our model fine-tuned on SpineMed-450k demonstrates consistent and significant improvements across all tasks. Clinician assessments confirm the diagnostic clarity and practical utility of our model's outputs.

cs.CV↗

arXiv2025

SAM2-3dMed: Empowering SAM2 for 3D Medical Image Segmentation

Accurate segmentation of 3D medical images is critical for clinical applications like disease assessment and treatment planning. While the Segment Anything Model 2 (SAM2) has shown remarkable success in video object segmentation by leveraging temporal cues, its direct application to 3D medical images faces two fundamental domain gaps: 1) the bidirectional anatomical continuity between slices contrasts sharply with the unidirectional temporal flow in videos, and 2) precise boundary delineation, crucial for morphological analysis, is often underexplored in video tasks. To bridge these gaps, we propose SAM2-3dMed, an adaptation of SAM2 for 3D medical imaging. Our framework introduces two key innovations: 1) a Slice Relative Position Prediction (SRPP) module explicitly models bidirectional inter-slice dependencies by guiding SAM2 to predict the relative positions of different slices in a self-supervised manner; 2) a Boundary Detection (BD) module enhances segmentation accuracy along critical organ and tissue boundaries. Extensive experiments on three diverse medical datasets (the Lung, Spleen, and Pancreas in the Medical Segmentation Decathlon (MSD) dataset) demonstrate that SAM2-3dMed significantly outperforms state-of-the-art methods, achieving superior performance in segmentation overlap and boundary precision. Our approach not only advances 3D medical image segmentation performance but also offers a general paradigm for adapting video-centric foundation models to spatial volumetric data.

eess.IV↗

arXiv2023

Multimodal Brain Disease Classification with Functional Interaction Learning from Single fMRI Volume

In neuroimaging analysis, fMRI can well assess the function changes for brain diseases with no obvious structural lesions. To date, most deep-learning-based fMRI studies have employed functional connectivity (FC) as the basic feature for disease classification. However, FC is calculated on time series of predefined regions of interest and neglects detailed information contained in each voxel. Another drawback of using FC is the limited sample size for the training of deep models. The low representation ability of FC leads to poor performance in clinical practice, especially when dealing with multimodal medical data involving multiple types of visual signals and textual records for brain diseases. To overcome this bottleneck problem in the fMRI feature modality, we propose BrainFormer, an end-to-end functional interaction learning method for brain disease classification with single fMRI volume. Unlike traditional deep learning methods that construct convolution and transformers on FC, BrainFormer learns the functional interaction from fMRI signals, by modeling the local cues within each voxel with 3D convolutions and capturing the global correlations among distant regions with specially designed global attention mechanisms from shallow layers to deep layers. Meanwhile, BrainFormer can deal with multimodal medical data including fMRI volume, structural MRI, FC features and phenotypic data to achieve more comprehensive brain disease diagnosis. We evaluate BrainFormer on five independent multi-site datasets on autism, Alzheimer's disease, depression, attention deficit hyperactivity disorder and headache disorders. The results demonstrate its effectiveness and generalizability for multiple brain diseases diagnosis with multimodal features. BrainFormer may promote precision of neuroimaging-based diagnosis in clinical practice and motivate future studies on fMRI analysis.

eess.IV↗

arXiv2022

Detection of brain activations induced by naturalistic stimuli in a pseudo model-driven way

Naturalistic fMRI has been suggested to be a powerful alternative for investigations of human brain function. Stimulus-induced activation has been playing an essential role in fMRI-based brain function analyses. Due to the complexity of the stimuli, however, detection of activations induced by naturalistic stimuli (AINSs) has been a tricky problem, as AINS cannot be detected simply in a model-driven way. In this study, we proposed a method to detect AINS in a pseudo model-driven way. Inspired by the strategy of utilizing the commonalities among the brains exposed to the same stimuli for inter-subject correlation analysis, we established response models for one subject by averaging the fMRI signals across several other subjects, and then detected AINSs of the subject using general linear model. We evaluated the effectiveness of AINS with both statistical and predictive analyses on individual differences in sex and intelligence quotient (IQ), based on the four movie fMRI runs included in the Human Connectome Project dataset. The results indicate that AINS is not only sensitive to sex- and IQ-related differences, but also specific enough to decode individuals' sex and IQ. Specifically, activations in brain regions associated with visual-spatial processing were observed to be consistently stronger in the males, and individuals with higher IQ exhibited consistently stronger activations in regions within the visual and the default mode networks. Predictions of individuals' sex and IQ were significantly better than those based on random labels (P < 0.005). Taken together, AINS advanced in this study can be an effective evaluation of human brain function. The conceptual simplicity and easy application of its detection may make AINS a favorable choice for future brain function analyses and personalized medicine based on naturalistic fMRI.

q-bio.NC↗