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Liyan Sun

Publications and source records attributed to Liyan Sun.

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Liver Metastasis Detection at Reduced Radiation Dose: Diagnostic Evaluation of a Novel Organ-Level Tube Current Modulation Method

Objective: To evaluate retroOpt, a novel organ-level tube current modulation (TCM) method that minimizes effective radiation dose while preserving diagnostic image quality for liver metastasis detection. Methods: In this retrospective, IRB-approved study, 22 patients with 68 liver lesions (38 malignant, 30 benign) underwent portal venous phase contrast-enhanced chest-abdomen-pelvis CT. Using projection-domain noise emulation, five series were generated per patient: original full dose (Orig-100), uniform dose reduction to 40% (UD-40) and 60% (UD-60) of the original effective dose, and organ-level TCM at the same levels (Opt-40, Opt-60). Three abdominal radiologists independently detected and classified lesions and rated image quality (5-point Likert). Per-lesion sensitivity was compared by McNemar test. Malignant lesion-size thresholds for 50% and 90% sensitivity (x50, x90) were estimated by logistic regression. Image quality was compared by Wilcoxon signed-rank test. Results: At the 60% level, Opt-60 achieved mean malignant lesion sensitivity comparable to full-dose CT (82% vs 80%) and exceeded uniform reduction (67%). At the 40% level, Opt-40 improved mean sensitivity over UD-40 from 52% to 68%. Mean all-lesion sensitivity rose from 54% (UD-40) to 64% (Opt-40) and from 65% (UD-60) to 77% (Opt-60), remaining comparable to full dose (76%). All optimized-versus-uniform differences were significant (p <= 0.003). Opt-60 lesion-size thresholds closely matched Orig-100 (x50 3.3 vs 3.7 mm; x90 15.7 vs 16.8 mm). Median Opt-60 image quality ranged from 3 to 4.5 across readers. Conclusions: Organ-level TCM preserved liver metastasis detection at 60% of the original effective dose, outperforming uniform dose reduction. Task-specific organ-level dose optimization may enable greater CT dose reduction than uniform strategies for patients requiring repeated metastasis surveillance.

physics.med-ph

Scout-Dose-TCM: Direct and Prospective Scout-Based Estimation of Personalized Organ Doses from Tube Current Modulated CT Exams

This study proposes Scout-Dose-TCM for direct, prospective estimation of organ-level doses under tube current modulation (TCM) and compares its performance to two established methods. We analyzed contrast-enhanced chest-abdomen-pelvis CT scans from 130 adults (120 kVp, TCM). Reference doses for six organs (lungs, kidneys, liver, pancreas, bladder, spleen) were calculated using MC-GPU and TotalSegmentator. Based on these, we trained Scout-Dose-TCM, a deep learning model that predicts organ doses corresponding to discrete cosine transform (DCT) basis functions, enabling real-time estimates for any TCM profile. The model combines a feature learning module that extracts contextual information from lateral and frontal scouts and scan range with a dose learning module that output DCT-based dose estimates. A customized loss function incorporated the DCT formulation during training. For comparison, we implemented size-specific dose estimation per AAPM TG 204 (Global CTDIvol) and its organ-level TCM-adapted version (Organ CTDIvol). A 5-fold cross-validation assessed generalizability by comparing mean absolute percentage dose errors and r-squared correlations with benchmark doses. Average absolute percentage errors were 13% (Global CTDIvol), 9% (Organ CTDIvol), and 7% (Scout-Dose-TCM), with bladder showing the largest discrepancies (15%, 13%, and 9%). Statistical tests confirmed Scout-Dose-TCM significantly reduced errors vs. Global CTDIvol across most organs and improved over Organ CTDIvol for the liver, bladder, and pancreas. It also achieved higher r-squared values, indicating stronger agreement with Monte Carlo benchmarks. Scout-Dose-TCM outperformed Global CTDIvol and was comparable to or better than Organ CTDIvol, without requiring organ segmentations at inference, demonstrating its promise as a tool for prospective organ-level dose estimation in CT.

physics.med-ph

Exploring Siamese Networks in Self-Supervised Fast MRI Reconstruction

Reconstructing MR images using deep neural networks from undersampled k-space data without using fully sampled training references offers significant value in practice, which is a self-supervised regression problem calling for effective prior knowledge and supervision. The Siamese architectures are motivated by the definition "invariance" and shows promising results in unsupervised visual representative learning. Building homologous transformed images and avoiding trivial solutions are two major challenges in Siamese-based self-supervised model. In this work, we explore Siamese architecture for MRI reconstruction in a self-supervised training fashion called SiamRecon. We show the proposed approach mimics an expectation maximization algorithm. The alternative optimization provide effective supervision signal and avoid collapse. The proposed SiamRecon achieves the state-of-the-art reconstruction accuracy in the field of self-supervised learning on both single-coil brain MRI and multi-coil knee MRI.

eess.IV

A Closer Look at Personalization in Federated Image Classification

Federated Learning (FL) is developed to learn a single global model across the decentralized data, while is susceptible when realizing client-specific personalization in the presence of statistical heterogeneity. However, studies focus on learning a robust global model or personalized classifiers, which yield divergence due to inconsistent objectives. This paper shows that it is possible to achieve flexible personalization after the convergence of the global model by introducing representation learning. In this paper, we first analyze and determine that non-IID data harms representation learning of the global model. Existing FL methods adhere to the scheme of jointly learning representations and classifiers, where the global model is an average of classification-based local models that are consistently subject to heterogeneity from non-IID data. As a solution, we separate representation learning from classification learning in FL and propose RepPer, an independent two-stage personalized FL framework.We first learn the client-side feature representation models that are robust to non-IID data and aggregate them into a global common representation model. After that, we achieve personalization by learning a classifier head for each client, based on the common representation obtained at the former stage. Notably, the proposed two-stage learning scheme of RepPer can be potentially used for lightweight edge computing that involves devices with constrained computation power.Experiments on various datasets (CIFAR-10/100, CINIC-10) and heterogeneous data setup show that RepPer outperforms alternatives in flexibility and personalization on non-IID data.

cs.LG

AFSC: Adaptive Fourier Space Compression for Anomaly Detection

Anomaly Detection (AD) on medical images enables a model to recognize any type of anomaly pattern without lesion-specific supervised learning. Data augmentation based methods construct pseudo-healthy images by "pasting" fake lesions on real healthy ones, and a network is trained to predict healthy images in a supervised manner. The lesion can be found by difference between the unhealthy input and pseudo-healthy output. However, using only manually designed fake lesions fail to approximate to irregular real lesions, hence limiting the model generalization. We assume by exploring the intrinsic data property within images, we can distinguish previously unseen lesions from healthy regions in an unhealthy image. In this study, we propose an Adaptive Fourier Space Compression (AFSC) module to distill healthy feature for AD. The compression of both magnitude and phase in frequency domain addresses the hyper intensity and diverse position of lesions. Experimental results on the BraTS and MS-SEG datasets demonstrate an AFSC baseline is able to produce promising detection results, and an AFSC module can be effectively embedded into existing AD methods.

eess.IV

Hierarchical Deep Network with Uncertainty-aware Semi-supervised Learning for Vessel Segmentation

The analysis of organ vessels is essential for computer-aided diagnosis and surgical planning. But it is not a easy task since the fine-detailed connected regions of organ vessel bring a lot of ambiguity in vessel segmentation and sub-type recognition, especially for the low-contrast capillary regions. Furthermore, recent two-staged approaches would accumulate and even amplify these inaccuracies from the first-stage whole vessel segmentation into the second-stage sub-type vessel pixel-wise classification. Moreover, the scarcity of manual annotation in organ vessels poses another challenge. In this paper, to address the above issues, we propose a hierarchical deep network where an attention mechanism localizes the low-contrast capillary regions guided by the whole vessels, and enhance the spatial activation in those areas for the sub-type vessels. In addition, we propose an uncertainty-aware semi-supervised training framework to alleviate the annotation-hungry limitation of deep models. The proposed method achieves the state-of-the-art performance in the benchmarks of both retinal artery/vein segmentation in fundus images and liver portal/hepatic vessel segmentation in CT images.

eess.IV

Few-shot Medical Image Segmentation using a Global Correlation Network with Discriminative Embedding

Despite deep convolutional neural networks achieved impressive progress in medical image computing and analysis, its paradigm of supervised learning demands a large number of annotations for training to avoid overfitting and achieving promising results. In clinical practices, massive semantic annotations are difficult to acquire in some conditions where specialized biomedical expert knowledge is required, and it is also a common condition where only few annotated classes are available. In this work, we proposed a novel method for few-shot medical image segmentation, which enables a segmentation model to fast generalize to an unseen class with few training images. We construct our few-shot image segmentor using a deep convolutional network trained episodically. Motivated by the spatial consistency and regularity in medical images, we developed an efficient global correlation module to capture the correlation between a support and query image and incorporate it into the deep network called global correlation network. Moreover, we enhance discriminability of deep embedding to encourage clustering of the feature domains of the same class while keep the feature domains of different organs far apart. Ablation Study proved the effectiveness of the proposed global correlation module and discriminative embedding loss. Extensive experiments on anatomical abdomen images on both CT and MRI modalities are performed to demonstrate the state-of-the-art performance of our proposed model.

cs.CV

A Teacher-Student Framework for Semi-supervised Medical Image Segmentation From Mixed Supervision

Standard segmentation of medical images based on full-supervised convolutional networks demands accurate dense annotations. Such learning framework is built on laborious manual annotation with restrict demands for expertise, leading to insufficient high-quality labels. To overcome such limitation and exploit massive weakly labeled data, we relaxed the rigid labeling requirement and developed a semi-supervised learning framework based on a teacher-student fashion for organ and lesion segmentation with partial dense-labeled supervision and supplementary loose bounding-box supervision which are easier to acquire. Observing the geometrical relation of an organ and its inner lesions in most cases, we propose a hierarchical organ-to-lesion (O2L) attention module in a teacher segmentor to produce pseudo-labels. Then a student segmentor is trained with combinations of manual-labeled and pseudo-labeled annotations. We further proposed a localization branch realized via an aggregation of high-level features in a deep decoder to predict locations of organ and lesion, which enriches student segmentor with precise localization information. We validated each design in our model on LiTS challenge datasets by ablation study and showed its state-of-the-art performance compared with recent methods. We show our model is robust to the quality of bounding box and achieves comparable performance compared with full-supervised learning methods.

cs.CV

An Adversarial Learning Approach to Medical Image Synthesis for Lesion Detection

The identification of lesion within medical image data is necessary for diagnosis, treatment and prognosis. Segmentation and classification approaches are mainly based on supervised learning with well-paired image-level or voxel-level labels. However, labeling the lesion in medical images is laborious requiring highly specialized knowledge. We propose a medical image synthesis model named abnormal-to-normal translation generative adversarial network (ANT-GAN) to generate a normal-looking medical image based on its abnormal-looking counterpart without the need for paired training data. Unlike typical GANs, whose aim is to generate realistic samples with variations, our more restrictive model aims at producing a normal-looking image corresponding to one containing lesions, and thus requires a special design. Being able to provide a "normal" counterpart to a medical image can provide useful side information for medical imaging tasks like lesion segmentation or classification validated by our experiments. In the other aspect, the ANT-GAN model is also capable of producing highly realistic lesion-containing image corresponding to the healthy one, which shows the potential in data augmentation verified in our experiments.

cs.CV

Joint CS-MRI Reconstruction and Segmentation with a Unified Deep Network

The need for fast acquisition and automatic analysis of MRI data is growing in the age of big data. Although compressed sensing magnetic resonance imaging (CS-MRI) has been studied to accelerate MRI by reducing k-space measurements, in current CS-MRI techniques MRI applications such as segmentation are overlooked when doing image reconstruction. In this paper, we test the utility of CS-MRI methods in automatic segmentation models and propose a unified deep neural network architecture called SegNetMRI which we apply to the combined CS-MRI reconstruction and segmentation problem. SegNetMRI is built upon a MRI reconstruction network with multiple cascaded blocks each containing an encoder-decoder unit and a data fidelity unit, and MRI segmentation networks having the same encoder-decoder structure. The two subnetworks are pre-trained and fine-tuned with shared reconstruction encoders. The outputs are merged into the final segmentation. Our experiments show that SegNetMRI can improve both the reconstruction and segmentation performance when using compressive measurements.

cs.CV

A Deep Information Sharing Network for Multi-contrast Compressed Sensing MRI Reconstruction

In multi-contrast magnetic resonance imaging (MRI), compressed sensing theory can accelerate imaging by sampling fewer measurements within each contrast. The conventional optimization-based models suffer several limitations: strict assumption of shared sparse support, time-consuming optimization and "shallow" models with difficulties in encoding the rich patterns hiding in massive MRI data. In this paper, we propose the first deep learning model for multi-contrast MRI reconstruction. We achieve information sharing through feature sharing units, which significantly reduces the number of parameters. The feature sharing unit is combined with a data fidelity unit to comprise an inference block. These inference blocks are cascaded with dense connections, which allows for information transmission across different depths of the network efficiently. Our extensive experiments on various multi-contrast MRI datasets show that proposed model outperforms both state-of-the-art single-contrast and multi-contrast MRI methods in accuracy and efficiency. We show the improved reconstruction quality can bring great benefits for the later medical image analysis stage. Furthermore, the robustness of the proposed model to the non-registration environment shows its potential in real MRI applications.

cs.CV

A Segmentation-aware Deep Fusion Network for Compressed Sensing MRI

Compressed sensing MRI is a classic inverse problem in the field of computational imaging, accelerating the MR imaging by measuring less k-space data. The deep neural network models provide the stronger representation ability and faster reconstruction compared with "shallow" optimization-based methods. However, in the existing deep-based CS-MRI models, the high-level semantic supervision information from massive segmentation-labels in MRI dataset is overlooked. In this paper, we proposed a segmentation-aware deep fusion network called SADFN for compressed sensing MRI. The multilayer feature aggregation (MLFA) method is introduced here to fuse all the features from different layers in the segmentation network. Then, the aggregated feature maps containing semantic information are provided to each layer in the reconstruction network with a feature fusion strategy. This guarantees the reconstruction network is aware of the different regions in the image it reconstructs, simplifying the function mapping. We prove the utility of the cross-layer and cross-task information fusion strategy by comparative study. Extensive experiments on brain segmentation benchmark MRBrainS validated that the proposed SADFN model achieves state-of-the-art accuracy in compressed sensing MRI. This paper provides a novel approach to guide the low-level visual task using the information from mid- or high-level task.

cs.CV

A Divide-and-Conquer Approach to Compressed Sensing MRI

Compressed sensing (CS) theory assures us that we can accurately reconstruct magnetic resonance images using fewer k-space measurements than the Nyquist sampling rate requires. In traditional CS-MRI inversion methods, the fact that the energy within the Fourier measurement domain is distributed non-uniformly is often neglected during reconstruction. As a result, more densely sampled low-frequency information tends to dominate penalization schemes for reconstructing MRI at the expense of high-frequency details. In this paper, we propose a new framework for CS-MRI inversion in which we decompose the observed k-space data into "subspaces" via sets of filters in a lossless way, and reconstruct the images in these various spaces individually using off-the-shelf algorithms. We then fuse the results to obtain the final reconstruction. In this way we are able to focus reconstruction on frequency information within the entire k-space more equally, preserving both high and low frequency details. We demonstrate that the proposed framework is competitive with state-of-the-art methods in CS-MRI in terms of quantitative performance, and often improves an algorithm's results qualitatively compared with it's direct application to k-space.

cs.CV

A Deep Error Correction Network for Compressed Sensing MRI

Compressed sensing for magnetic resonance imaging (CS-MRI) exploits image sparsity properties to reconstruct MRI from very few Fourier k-space measurements. The goal is to minimize any structural errors in the reconstruction that could have a negative impact on its diagnostic quality. To this end, we propose a deep error correction network (DECN) for CS-MRI. The DECN model consists of three parts, which we refer to as modules: a guide, or template, module, an error correction module, and a data fidelity module. Existing CS-MRI algorithms can serve as the template module for guiding the reconstruction. Using this template as a guide, the error correction module learns a convolutional neural network (CNN) to map the k-space data in a way that adjusts for the reconstruction error of the template image. Our experimental results show the proposed DECN CS-MRI reconstruction framework can considerably improve upon existing inversion algorithms by supplementing with an error-correcting CNN.

cs.CV