arXiv subjects

Xiaofeng Yang

Publications and source records attributed to Xiaofeng Yang.

At least 109 records · Page 6Linked to original sources

arXiv2024

Current Progress of Digital Twin Construction Using Medical Imaging

Medical imaging has played a pivotal role in advancing and refining digital twin technology, allowing for the development of highly personalized virtual models that represent human anatomy and physiological functions. A key component in constructing these digital twins is the integration of high-resolution imaging data, such as MRI, CT, PET, and ultrasound, with sophisticated computational models. Advances in medical imaging significantly enhance real-time simulation, predictive modeling, and early disease diagnosis, individualized treatment planning, ultimately boosting precision and personalized care. Although challenges persist, such as the complexity of anatomical modeling, integrating various imaging modalities, and high computational demands, recent progress in imaging and machine learning has greatly improved the precision and clinical applicability of digital twins. This review investigates the role of medical imaging in developing digital twins across organ systems. Key findings demonstrate that improvements in medical imaging have enhanced the diagnostic and therapeutic potential of digital twins beyond traditional methods, particularly in imaging accuracy, treatment effectiveness, and patient outcomes. The review also examines the technical barriers that currently limit further development of digital twin technology, despite advances in medical imaging, and outlines future research avenues aimed at overcoming these challenges to unlock the full potential of this technology in precision medicine.

physics.med-ph↗

arXiv2024

Towards Lifelong Few-Shot Customization of Text-to-Image Diffusion

Lifelong few-shot customization for text-to-image diffusion aims to continually generalize existing models for new tasks with minimal data while preserving old knowledge. Current customization diffusion models excel in few-shot tasks but struggle with catastrophic forgetting problems in lifelong generations. In this study, we identify and categorize the catastrophic forgetting problems into two folds: relevant concepts forgetting and previous concepts forgetting. To address these challenges, we first devise a data-free knowledge distillation strategy to tackle relevant concepts forgetting. Unlike existing methods that rely on additional real data or offline replay of original concept data, our approach enables on-the-fly knowledge distillation to retain the previous concepts while learning new ones, without accessing any previous data. Second, we develop an In-Context Generation (ICGen) paradigm that allows the diffusion model to be conditioned upon the input vision context, which facilitates the few-shot generation and mitigates the issue of previous concepts forgetting. Extensive experiments show that the proposed Lifelong Few-Shot Diffusion (LFS-Diffusion) method can produce high-quality and accurate images while maintaining previously learned knowledge.

cs.CV↗

arXiv2024

Renormalizable Cosmology Based on Gauss-Bonnet Theory with Torsion

This paper focuses on renormalizable cosmology based on the Gauss-Bonnet theory with torsion. Within the framework of renormalizable quantum field theory, we study the matter field containing the Gauss-Bonnet correction term. By modifying the gauge model, which includes a charged scalar field and two families of fermions, and introducing torsion and Gauss-Bonnet corrections, we analyze the field equations in the super-symmetric hybrid inflation model, investigate the properties of torsion in a flat universe, the characteristics of the energy-momentum tensor, and the sensitivity of the theoretical model to correction parameters. This study shows that the Gauss-Bonnet correction term can directly affect the Hubble constant through the Einstein equations, providing a new observational perspective. This paper proposes a cosmological model that can be adjusted according to different Gauss-Bonnet correction models, providing a theoretical reference for future observational verification of various Gauss-Bonnet models.

gr-qc↗

arXiv2024

Patient-Specific CBCT Synthesis for Real-time Tumor Tracking in Surface-guided Radiotherapy

We present a new imaging system to support real-time tumor tracking for surface-guided radiotherapy (SGRT). SGRT uses optical surface imaging (OSI) to acquire real-time surface topography images of the patient on the treatment couch. However, OSI cannot visualize internal anatomy. This study proposes an Advanced Surface Imaging (A-SI) framework to address this issue. In the proposed A-SI framework, a high-speed surface imaging camera consistently captures surface images during radiation delivery, and a CBCT imager captures single-angle X-ray projections at low frequency. The A-SI then utilizes a generative model to generate real-time volumetric images with full anatomy, referred to as Optical Surface-Derived cone beam computed tomography (OSD-CBCT), based on the real-time high-frequent surface images and the low-frequency collected single-angle X-ray projections. The generated OSD-CBCT can provide accurate tumor motion for precise radiation delivery. The A-SI framework uses a patient-specific generative model: physics-integrated consistency-refinement denoising diffusion probabilistic model (PC-DDPM). This model leverages patient-specific anatomical structures and respiratory motion patterns derived from four-dimensional CT (4DCT) during treatment planning. It then employs a geometric transformation module (GTM) to extract volumetric anatomy information from the single-angle X-ray projection. A simulation study with 22 lung cancer patients evaluated the A-SI framework supported by PC-DDPM. The results showed that the framework produced real-time OSD-CBCT with high reconstruction fidelity and precise tumor localization. This study demonstrates the potential of A-SI to enable real-time tumor tracking with minimal imaging dose, advancing SGRT for motion-associated cancers and interventional procedures.

physics.med-ph↗

arXiv2024

A Review of Artificial Intelligence in Brachytherapy

Artificial intelligence (AI) has the potential to revolutionize brachytherapy's clinical workflow. This review comprehensively examines the application of AI, focusing on machine learning and deep learning, in facilitating various aspects of brachytherapy. We analyze AI's role in making brachytherapy treatments more personalized, efficient, and effective. The applications are systematically categorized into seven categories: imaging, preplanning, treatment planning, applicator reconstruction, quality assurance, outcome prediction, and real-time monitoring. Each major category is further subdivided based on cancer type or specific tasks, with detailed summaries of models, data sizes, and results presented in corresponding tables. This review offers insights into the current advancements, challenges, and the impact of AI on treatment paradigms, encouraging further research to expand its clinical utility.

physics.med-ph↗

arXiv2024

T1-contrast Enhanced MRI Generation from Multi-parametric MRI for Glioma Patients with Latent Tumor Conditioning

Objective: Gadolinium-based contrast agents (GBCAs) are commonly used in MRI scans of patients with gliomas to enhance brain tumor characterization using T1-weighted (T1W) MRI. However, there is growing concern about GBCA toxicity. This study develops a deep-learning framework to generate T1-postcontrast (T1C) from pre-contrast multiparametric MRI. Approach: We propose the tumor-aware vision transformer (TA-ViT) model that predicts high-quality T1C images. The predicted tumor region is significantly improved (P < .001) by conditioning the transformer layers from predicted segmentation maps through adaptive layer norm zero mechanism. The predicted segmentation maps were generated with the multi-parametric residual (MPR) ViT model and transformed into a latent space to produce compressed, feature-rich representations. The TA-ViT model predicted T1C MRI images of 501 glioma cases. Selected patients were split into training (N=400), validation (N=50), and test (N=51) sets. Main Results: Both qualitative and quantitative results demonstrate that the TA-ViT model performs superior against the benchmark MRP-ViT model. Our method produces synthetic T1C MRI with high soft tissue contrast and more accurately reconstructs both the tumor and whole brain volumes. The synthesized T1C images achieved remarkable improvements in both tumor and healthy tissue regions compared to the MRP-ViT model. For healthy tissue and tumor regions, the results were as follows: NMSE: 8.53 +/- 4.61E-4; PSNR: 31.2 +/- 2.2; NCC: 0.908 +/- .041 and NMSE: 1.22 +/- 1.27E-4, PSNR: 41.3 +/- 4.7, and NCC: 0.879 +/- 0.042, respectively. Significance: The proposed method generates synthetic T1C images that closely resemble real T1C images. Future development and application of this approach may enable contrast-agent-free MRI for brain tumor patients, eliminating the risk of GBCA toxicity and simplifying the MRI scan protocol.

eess.IV↗

arXiv2024

DeCo: Decoupled Human-Centered Diffusion Video Editing with Motion Consistency

Diffusion models usher a new era of video editing, flexibly manipulating the video contents with text prompts. Despite the widespread application demand in editing human-centered videos, these models face significant challenges in handling complex objects like humans. In this paper, we introduce DeCo, a novel video editing framework specifically designed to treat humans and the background as separate editable targets, ensuring global spatial-temporal consistency by maintaining the coherence of each individual component. Specifically, we propose a decoupled dynamic human representation that utilizes a parametric human body prior to generate tailored humans while preserving the consistent motions as the original video. In addition, we consider the background as a layered atlas to apply text-guided image editing approaches on it. To further enhance the geometry and texture of humans during the optimization, we extend the calculation of score distillation sampling into normal space and image space. Moreover, we tackle inconsistent lighting between the edited targets by leveraging a lighting-aware video harmonizer, a problem previously overlooked in decompose-edit-combine approaches. Extensive qualitative and numerical experiments demonstrate that DeCo outperforms prior video editing methods in human-centered videos, especially in longer videos.

cs.CV↗

arXiv2024

AnatoMask: Enhancing Medical Image Segmentation with Reconstruction-guided Self-masking

Due to the scarcity of labeled data, self-supervised learning (SSL) has gained much attention in 3D medical image segmentation, by extracting semantic representations from unlabeled data. Among SSL strategies, Masked image modeling (MIM) has shown effectiveness by reconstructing randomly masked images to learn detailed representations. However, conventional MIM methods require extensive training data to achieve good performance, which still poses a challenge for medical imaging. Since random masking uniformly samples all regions within medical images, it may overlook crucial anatomical regions and thus degrade the pretraining efficiency. We propose AnatoMask, a novel MIM method that leverages reconstruction loss to dynamically identify and mask out anatomically significant regions to improve pretraining efficacy. AnatoMask takes a self-distillation approach, where the model learns both how to find more significant regions to mask and how to reconstruct these masked regions. To avoid suboptimal learning, Anatomask adjusts the pretraining difficulty progressively using a masking dynamics function. We have evaluated our method on 4 public datasets with multiple imaging modalities (CT, MRI, and PET). AnatoMask demonstrates superior performance and scalability compared to existing SSL methods. The code is available at https://github.com/ricklisz/AnatoMask.

cs.CV↗

arXiv2024

Sync4D: Video Guided Controllable Dynamics for Physics-Based 4D Generation

In this work, we introduce a novel approach for creating controllable dynamics in 3D-generated Gaussians using casually captured reference videos. Our method transfers the motion of objects from reference videos to a variety of generated 3D Gaussians across different categories, ensuring precise and customizable motion transfer. We achieve this by employing blend skinning-based non-parametric shape reconstruction to extract the shape and motion of reference objects. This process involves segmenting the reference objects into motion-related parts based on skinning weights and establishing shape correspondences with generated target shapes. To address shape and temporal inconsistencies prevalent in existing methods, we integrate physical simulation, driving the target shapes with matched motion. This integration is optimized through a displacement loss to ensure reliable and genuine dynamics. Our approach supports diverse reference inputs, including humans, quadrupeds, and articulated objects, and can generate dynamics of arbitrary length, providing enhanced fidelity and applicability. Unlike methods heavily reliant on diffusion video generation models, our technique offers specific and high-quality motion transfer, maintaining both shape integrity and temporal consistency.

cs.CV↗

arXiv2024

Deep Learning Based Apparent Diffusion Coefficient Map Generation from Multi-parametric MR Images for Patients with Diffuse Gliomas

Purpose: Apparent diffusion coefficient (ADC) maps derived from diffusion weighted (DWI) MRI provides functional measurements about the water molecules in tissues. However, DWI is time consuming and very susceptible to image artifacts, leading to inaccurate ADC measurements. This study aims to develop a deep learning framework to synthesize ADC maps from multi-parametric MR images. Methods: We proposed the multiparametric residual vision transformer model (MPR-ViT) that leverages the long-range context of ViT layers along with the precision of convolutional operators. Residual blocks throughout the network significantly increasing the representational power of the model. The MPR-ViT model was applied to T1w and T2- fluid attenuated inversion recovery images of 501 glioma cases from a publicly available dataset including preprocessed ADC maps. Selected patients were divided into training (N=400), validation (N=50) and test (N=51) sets, respectively. Using the preprocessed ADC maps as ground truth, model performance was evaluated and compared against the Vision Convolutional Transformer (VCT) and residual vision transformer (ResViT) models. Results: The results are as follows using T1w + T2-FLAIR MRI as inputs: MPR-ViT - PSNR: 31.0 +/- 2.1, MSE: 0.009 +/- 0.0005, SSIM: 0.950 +/- 0.015. In addition, ablation studies showed the relative impact on performance of each input sequence. Both qualitative and quantitative results indicate that the proposed MR- ViT model performs favorably against the ground truth data. Conclusion: We show that high-quality ADC maps can be synthesized from structural MRI using a MPR- VCT model. Our predicted images show better conformality to the ground truth volume than ResViT and VCT predictions. These high-quality synthetic ADC maps would be particularly useful for disease diagnosis and intervention, especially when ADC maps have artifacts or are unavailable.

eess.IV↗

arXiv2024

Unsupervised Bayesian Generation of Synthetic CT from CBCT Using Patient-Specific Score-Based Prior

Background: Cone-beam computed tomography (CBCT) scans, performed fractionally (e.g., daily or weekly), are widely utilized for patient alignment in the image-guided radiotherapy (IGRT) process, thereby making it a potential imaging modality for the implementation of adaptive radiotherapy (ART) protocols. Nonetheless, significant artifacts and incorrect Hounsfield unit (HU) values hinder their application in quantitative tasks such as target and organ segmentations and dose calculation. Therefore, acquiring CT-quality images from the CBCT scans is essential to implement online ART in clinical settings. Purpose: This work aims to develop an unsupervised learning method using the patient-specific diffusion model for CBCT-based synthetic CT (sCT) generation to improve the image quality of CBCT. Methods: The proposed method is in an unsupervised framework that utilizes a patient-specific score-based model as the image prior alongside a customized total variation (TV) regularization to enforce coherence across different transverse slices. The score-based model is unconditionally trained using the same patient's planning CT (pCT) images to characterize the manifold of CT-quality images and capture the unique anatomical information of the specific patient. The efficacy of the proposed method was assessed on images from anatomical sites including head and neck (H&N) cancer, pancreatic cancer, and lung cancer. The performance of the proposed CBCT correction method was evaluated using quantitative metrics including mean absolute error (MAE), peak signal-to-noise ratio (PSNR), and normalized cross-correlation (NCC). Additionally, the proposed algorithm was benchmarked against two other unsupervised diffusion model-based CBCT correction algorithms.

physics.med-ph↗

arXiv2024

Using Modularized Pin Ridge Filter in Proton FLASH Planning for Liver Stereotactic Ablative Body Radiotherapy

We previously developed a FLASH planning framework for streamlined pin-ridge-filter (pin-RF) design, demonstrating its feasibility for single-energy proton FLASH planning. In this study, we refined the pin-RF design for easy assembly using reusable modules, focusing on its application in liver SABR. This framework generates an intermediate IMPT plan and translates it into step widths and thicknesses of pin-RFs for a single-energy FLASH plan. Parameters like energy spacing, monitor unit limit, and spot quantity were adjusted during IMPT planning, resulting in pin-RFs assembled using predefined modules with widths from 1 to 6 mm, each with a WET of 5 mm. This approach was validated on three liver SABR cases. FLASH doses, quantified using the FLASH effectiveness model at 1 to 5 Gy thresholds, were compared to conventional IMPT (IMPT-CONV) doses to assess clinical benefits. The highest demand for 6 mm width modules, moderate for 2-4 mm, and minimal for 1- and 5-mm modules were shown across all cases. At lower dose thresholds, the two-beam case showed significant dose reductions (>23%), while the other two three-beam cases showed moderate reductions (up to 14.7%), indicating the need for higher fractional beam doses for an enhanced FLASH effect. Positive clinical benefits were seen only in the two-beam case at the 5 Gy threshold. At the 1 Gy threshold, the FLASH plan of the two-beam case outperformed its IMPT-CONV plan, reducing dose indicators by up to 28.3%. However, the three-beam cases showed negative clinical benefits at the 1 Gy threshold, with some dose indicators increasing by up to 16% due to lower fractional beam doses and closer beam arrangements. This study evaluated the feasibility of modularizing streamlined pin-RFs in single-energy proton FLASH planning for liver SABR, offering guidance on optimal module composition and strategies to enhance FLASH planning.

physics.med-ph↗

arXiv2024

Adaptive Proton Therapy Using CBCT-Guided Digital Twins

This study aims to develop a digital twin (DT) framework to enhance adaptive proton stereotactic body radiation therapy (SBRT) for prostate cancer. Prostate SBRT has emerged as a leading option for external beam radiotherapy due to its effectiveness and reduced treatment duration. However, interfractional anatomy variations can impact treatment outcomes. This study seeks to address these uncertainties using DT concept, with the goal of improving treatment quality, potentially revolutionizing prostate radiotherapy to offer personalized treatment solutions. Our study presented a pioneering approach that leverages DT technology to enhance adaptive proton SBRT. The framework improves treatment plans by utilizing patient-specific CTV setup uncertainty, which is usually smaller than conventional clinical setups. This research contributes to the ongoing efforts to enhance the efficiency and efficacy of prostate radiotherapy, with ultimate goals of improving patient outcomes and life quality.

physics.med-ph↗

arXiv2024

Diffeomorphic Transformer-based Abdomen MRI-CT Deformable Image Registration

This paper aims to create a deep learning framework that can estimate the deformation vector field (DVF) for directly registering abdominal MRI-CT images. The proposed method assumed a diffeomorphic deformation. By using topology-preserved deformation features extracted from the probabilistic diffeomorphic registration model, abdominal motion can be accurately obtained and utilized for DVF estimation. The model integrated Swin transformers, which have demonstrated superior performance in motion tracking, into the convolutional neural network (CNN) for deformation feature extraction. The model was optimized using a cross-modality image similarity loss and a surface matching loss. To compute the image loss, a modality-independent neighborhood descriptor (MIND) was used between the deformed MRI and CT images. The surface matching loss was determined by measuring the distance between the warped coordinates of the surfaces of contoured structures on the MRI and CT images. The deformed MRI image was assessed against the CT image using the target registration error (TRE), Dice similarity coefficient (DSC), and mean surface distance (MSD) between the deformed contours of the MRI image and manual contours of the CT image. When compared to only rigid registration, DIR with the proposed method resulted in an increase of the mean DSC values of the liver and portal vein from 0.850 and 0.628 to 0.903 and 0.763, a decrease of the mean MSD of the liver from 7.216 mm to 3.232 mm, and a decrease of the TRE from 26.238 mm to 8.492 mm. The proposed deformable image registration method based on a diffeomorphic transformer provides an effective and efficient way to generate an accurate DVF from an MRI-CT image pair of the abdomen. It could be utilized in the current treatment planning workflow for liver radiotherapy.

cs.CV↗

arXiv2024

Fast MRI Reconstruction Using Deep Learning-based Compressed Sensing: A Systematic Review

Magnetic resonance imaging (MRI) has revolutionized medical imaging, providing a non-invasive and highly detailed look into the human body. However, the long acquisition times of MRI present challenges, causing patient discomfort, motion artifacts, and limiting real-time applications. To address these challenges, researchers are exploring various techniques to reduce acquisition time and improve the overall efficiency of MRI. One such technique is compressed sensing (CS), which reduces data acquisition by leveraging image sparsity in transformed spaces. In recent years, deep learning (DL) has been integrated with CS-MRI, leading to a new framework that has seen remarkable growth. DL-based CS-MRI approaches are proving to be highly effective in accelerating MR imaging without compromising image quality. This review comprehensively examines DL-based CS-MRI techniques, focusing on their role in increasing MR imaging speed. We provide a detailed analysis of each category of DL-based CS-MRI including end-to-end, unroll optimization, self-supervised, and federated learning. Our systematic review highlights significant contributions and underscores the exciting potential of DL in CS-MRI. Additionally, our systematic review efficiently summarizes key results and trends in DL-based CS-MRI including quantitative metrics, the dataset used, acceleration factors, and the progress of and research interest in DL techniques over time. Finally, we discuss potential future directions and the importance of DL-based CS-MRI in the advancement of medical imaging. To facilitate further research in this area, we provide a GitHub repository that includes up-to-date DL-based CS-MRI publications and publicly available datasets - https://github.com/mosaf/Awesome-DL-based-CS-MRI.

physics.med-ph↗

arXiv2024

Mammo-CLIP: Leveraging Contrastive Language-Image Pre-training (CLIP) for Enhanced Breast Cancer Diagnosis with Multi-view Mammography

Although fusion of information from multiple views of mammograms plays an important role to increase accuracy of breast cancer detection, developing multi-view mammograms-based computer-aided diagnosis (CAD) schemes still faces challenges and no such CAD schemes have been used in clinical practice. To overcome the challenges, we investigate a new approach based on Contrastive Language-Image Pre-training (CLIP), which has sparked interest across various medical imaging tasks. By solving the challenges in (1) effectively adapting the single-view CLIP for multi-view feature fusion and (2) efficiently fine-tuning this parameter-dense model with limited samples and computational resources, we introduce Mammo-CLIP, the first multi-modal framework to process multi-view mammograms and corresponding simple texts. Mammo-CLIP uses an early feature fusion strategy to learn multi-view relationships in four mammograms acquired from the CC and MLO views of the left and right breasts. To enhance learning efficiency, plug-and-play adapters are added into CLIP image and text encoders for fine-tuning parameters and limiting updates to about 1% of the parameters. For framework evaluation, we assembled two datasets retrospectively. The first dataset, comprising 470 malignant and 479 benign cases, was used for few-shot fine-tuning and internal evaluation of the proposed Mammo-CLIP via 5-fold cross-validation. The second dataset, including 60 malignant and 294 benign cases, was used to test generalizability of Mammo-CLIP. Study results show that Mammo-CLIP outperforms the state-of-art cross-view transformer in AUC (0.841 vs. 0.817, 0.837 vs. 0.807) on both datasets. It also surpasses previous two CLIP-based methods by 20.3% and 14.3%. This study highlights the potential of applying the finetuned vision-language models for developing next-generation, image-text-based CAD schemes of breast cancer.

cs.CV↗

arXiv2024

Visual Attention Prompted Prediction and Learning

Visual explanation (attention)-guided learning uses not only labels but also explanations to guide model reasoning process. While visual attention-guided learning has shown promising results, it requires a large number of explanation annotations that are time-consuming to prepare. However, in many real-world situations, it is usually desired to prompt the model with visual attention without model retraining. For example, when doing AI-assisted cancer classification on a medical image, users (e.g., clinicians) can provide the AI model with visual attention prompt on which areas are indispensable and which are precluded. Despite its promising objectives, achieving visual attention-prompted prediction presents several major challenges: 1) How can the visual prompt be effectively integrated into the model's reasoning process? 2) How should the model handle samples that lack visual prompts? 3) What is the impact on the model's performance when a visual prompt is imperfect? This paper introduces a novel framework for attention-prompted prediction and learning, utilizing visual prompts to steer the model's reasoning process. To improve performance in non-prompted situations and align it with prompted scenarios, we propose a co-training approach for both non-prompted and prompted models, ensuring they share similar parameters and activations. Additionally, for instances where the visual prompt does not encompass the entire input image, we have developed innovative attention prompt refinement methods. These methods interpolate the incomplete prompts while maintaining alignment with the model's explanations. Extensive experiments on four datasets demonstrate the effectiveness of our proposed framework in enhancing predictions for samples both with and without prompt.

cs.CV↗

arXiv2024

Heterogeneous Federated Learning with Splited Language Model

Federated Split Learning (FSL) is a promising distributed learning paradigm in practice, which gathers the strengths of both Federated Learning (FL) and Split Learning (SL) paradigms, to ensure model privacy while diminishing the resource overhead of each client, especially on large transformer models in a resource-constrained environment, e.g., Internet of Things (IoT). However, almost all works merely investigate the performance with simple neural network models in FSL. Despite the minor efforts focusing on incorporating Vision Transformers (ViT) as model architectures, they train ViT from scratch, thereby leading to enormous training overhead in each device with limited resources. Therefore, in this paper, we harness Pre-trained Image Transformers (PITs) as the initial model, coined FedV, to accelerate the training process and improve model robustness. Furthermore, we propose FedVZ to hinder the gradient inversion attack, especially having the capability compatible with black-box scenarios, where the gradient information is unavailable. Concretely, FedVZ approximates the server gradient by utilizing a zeroth-order (ZO) optimization, which replaces the backward propagation with just one forward process. Empirically, we are the first to provide a systematic evaluation of FSL methods with PITs in real-world datasets, different partial device participations, and heterogeneous data splits. Our experiments verify the effectiveness of our algorithms.

cs.CV↗