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Yoshihisa Shinagawa

Publications and source records attributed to Yoshihisa Shinagawa.

12 recordsLinked to original sources

FD-AA: A Lightweight Focal-Diffuse And Attenuation-Aware Head for Incidental Abdominal Abnormality Detection in Chest CT

Routine chest CT captures upper-abdominal structures that may contain clinically relevant incidental abnormalities. Detecting these findings requires feature extraction from organs with different spatial extents and attenuation patterns. We propose FD-AA, a lightweight organ-aware classification head adaptable for frozen 3-D CT encoders. Within each organ, an attenuation-aware module preserves sparse focal evidence, while masked generalized-mean pooling captures diffuse anomaly patterns. In seven abdominal organs, FD-AA with Pillar-0 achieved state-of-the-art (SOTA) performance in both the CT-RATE test set (AUC = 0.798) and the external RAD-ChestCT dataset (AUC = 0.713). More specifically, FD-AA improved macro AUC/AP from 0.763/0.346 to 0.798/0.405 over direct classification using frozen Pillar-0 only (p = 0.034/0.016). Such performance gain generalizes across multiple frozen encoders (AUC improvement on MedicalNet +9.8%, CT-CLIP +14.7%, ResNet +3.7%), demonstrating the effectiveness of FD-AA across different feature representations. These results support the effectiveness of integrating focal-diffuse aggregation with explicit HU evidence for incidental abdominal abnormality detection.

cs.CV↗

Instance-Guided Report Anchoring for Text-Free 3D Abnormality Segmentation in Chest CT

Accurate 3D abnormality segmentation in chest CT requires dense spatial supervision, but obtaining expert voxel-level labels is costly. Radiology reports, however, are routinely generated during clinical interpretation and contain instance-specific descriptions that can provide additional guidance without new dense annotation. Existing vision-language grounding methods typically require report-derived findings at inference, making localization dependent on paired text and limiting each forward pass to a queried finding. We propose Instance-Guided Report Anchoring (IGRA), a model-agnostic module that preserves the correspondence between each annotated abnormality instance and the report finding that describes it. IGRA pools each instance representation and anchors it to the corresponding finding embedding during training; all text-related components are discarded at inference. We further reformulate free-text grounding on ReXGroundingCT as multi-label volumetric segmentation by merging same-category instances, allowing all abnormality categories to be predicted in one image-only forward pass. IGRA improves Dice by 22.5% over the strongest image-only baseline (30.93 vs. 25.25) and is comparable to VoxTell on the single-finding subset (30.29 vs. 30.43). Applied unchanged to four standard 3D segmentation backbones, IGRA improves Dice and hit rate across all architectures. Zero-shot evaluation on LIDC-IDRI, PleThora, and a private in-house dataset further shows consistent gains over image-only baselines.

cs.CV↗

AGA3DNet: Anatomy-Guided Gaussian Priors with Multi-view xLSTM for 3D Brain MRI Subtype Classification

Accurate 3D brain MRI subtype classification benefits from both localized anatomical cues and long-range contextual reasoning. We present AGA3DNet, a report-grounded framework that incorporates brief anatomical phrases extracted from radiology reports as a soft anatomical prior channel and fuses it with a lightweight 3D CNN and multi-view xLSTM aggregation. Specifically, extracted anatomical phrases are mapped to atlas-defined regions and converted into smooth spatial priors using a signed-distance transform followed by Gaussian weighting, providing interpretable, anatomy-grounded guidance without requiring dense voxel annotations. We evaluate AGA3DNet on a retrospective institutional brain MRI cohort for abnormal subtype discrimination and compare against reproducible 3D classification baselines. AGA3DNet achieves improved overall balance across performance metrics and supports clinically interpretable localization through the prior channel. We discuss limitations related to single-cohort evaluation and the lack of large-scale public brain MRI datasets paired with radiology reports under broadly usable terms.

cs.CV↗

Fast Multi-Organ Fine Segmentation in CT Images with Hierarchical Sparse Sampling and Residual Transformer

Multi-organ segmentation of 3D medical images is fundamental with meaningful applications in various clinical automation pipelines. Although deep learning has achieved superior performance, the time and memory consumption of segmenting the entire 3D volume voxel by voxel using neural networks can be huge. Classifiers have been developed as an alternative in cases with certain points of interest, but the trade-off between speed and accuracy remains an issue. Thus, we propose a novel fast multi-organ segmentation framework with the usage of hierarchical sparse sampling and a Residual Transformer. Compared with whole-volume analysis, the hierarchical sparse sampling strategy could successfully reduce computation time while preserving a meaningful hierarchical context utilizing multiple resolution levels. The architecture of the Residual Transformer segmentation network could extract and combine information from different levels of information in the sparse descriptor while maintaining a low computational cost. In an internal data set containing 10,253 CT images and the public dataset TotalSegmentator, the proposed method successfully improved qualitative and quantitative segmentation performance compared to the current fast organ classifier, with fast speed at the level of ~2.24 seconds on CPU hardware. The potential of achieving real-time fine organ segmentation is suggested.

cs.CV↗

BodyGPS: Anatomical Positioning System

We introduce a new type of foundational model for parsing human anatomy in medical images that works for different modalities. It supports supervised or unsupervised training and can perform matching, registration, classification, or segmentation with or without user interaction. We achieve this by training a neural network estimator that maps query locations to atlas coordinates via regression. Efficiency is improved by sparsely sampling the input, enabling response times of less than 1 ms without additional accelerator hardware. We demonstrate the utility of the algorithm in both CT and MRI modalities.

cs.CV↗

Evaluating unsupervised contrastive learning framework for MRI sequences classification

The automatic identification of Magnetic Resonance Imaging (MRI) sequences can streamline clinical workflows by reducing the time radiologists spend manually sorting and identifying sequences, thereby enabling faster diagnosis and treatment planning for patients. However, the lack of standardization in the parameters of MRI scans poses challenges for automated systems and complicates the generation and utilization of datasets for machine learning research. To address this issue, we propose a system for MRI sequence identification using an unsupervised contrastive deep learning framework. By training a convolutional neural network based on the ResNet-18 architecture, our system classifies nine common MRI sequence types as a 9-class classification problem. The network was trained using an in-house internal dataset and validated on several public datasets, including BraTS, ADNI, Fused Radiology-Pathology Prostate Dataset, the Breast Cancer Dataset (ACRIN), among others, encompassing diverse acquisition protocols and requiring only 2D slices for training. Our system achieves a classification accuracy of over 0.95 across the nine most common MRI sequence types.

cs.CV↗

Real Time Multi Organ Classification on Computed Tomography Images

Organ segmentation is a fundamental task in medical imaging since it is useful for many clinical automation pipelines. However, some tasks do not require full segmentation. Instead, a classifier can identify the selected organ without segmenting the entire volume. In this study, we demonstrate a classifier based method to obtain organ labels in real time by using a large context size with a sparse data sampling strategy. Although our method operates as an independent classifier at query locations, it can generate full segmentations by querying grid locations at any resolution, offering faster performance than segmentation algorithms. We compared our method with existing segmentation techniques, demonstrating its superior runtime potential for practical applications in medical imaging.

cs.CV↗

A Hierarchical Descriptor Framework for On-the-Fly Anatomical Location Matching between Longitudinal Studies

We propose a method to match anatomical locations between pairs of medical images in longitudinal comparisons. The matching is made possible by computing a descriptor of the query point in a source image based on a hierarchical sparse sampling of image intensities that encode the location information. Then, a hierarchical search operation finds the corresponding point with the most similar descriptor in the target image. This simple yet powerful strategy reduces the computational time of mapping points to a millisecond scale on a single CPU. Thus, radiologists can compare similar anatomical locations in near real-time without requiring extra architectural costs for precomputing or storing deformation fields from registrations. Our algorithm does not require prior training, resampling, segmentation, or affine transformation steps. We have tested our algorithm on the recently published Deep Lesion Tracking dataset annotations. We observed more accurate matching compared to Deep Lesion Tracker while being 24 times faster than the most precise algorithm reported therein. We also investigated the matching accuracy on CT and MR modalities and compared the proposed algorithm's accuracy against ground truth consolidated from multiple radiologists.

eess.IV↗

Enhancing Health Data Interoperability with Large Language Models: A FHIR Study

In this study, we investigated the ability of the large language model (LLM) to enhance healthcare data interoperability. We leveraged the LLM to convert clinical texts into their corresponding FHIR resources. Our experiments, conducted on 3,671 snippets of clinical text, demonstrated that the LLM not only streamlines the multi-step natural language processing and human calibration processes but also achieves an exceptional accuracy rate of over 90% in exact matches when compared to human annotations.

cs.CL↗

Dual-Domain Cross-Iteration Squeeze-Excitation Network for Sparse Reconstruction of Brain MRI

Magnetic resonance imaging (MRI) is one of the most commonly applied tests in neurology and neurosurgery. However, the utility of MRI is largely limited by its long acquisition time, which might induce many problems including patient discomfort and motion artifacts. Acquiring fewer k-space sampling is a potential solution to reducing the total scanning time. However, it can lead to severe aliasing reconstruction artifacts and thus affect the clinical diagnosis. Nowadays, deep learning has provided new insights into the sparse reconstruction of MRI. In this paper, we present a new approach to this problem that iteratively fuses the information of k-space and MRI images using novel dual Squeeze-Excitation Networks and Cross-Iteration Residual Connections. This study included 720 clinical multi-coil brain MRI cases adopted from the open-source deidentified fastMRI Dataset. 8-folder downsampling rate was applied to generate the sparse k-space. Results showed that the average reconstruction error over 120 testing cases by our proposed method was 2.28%, which outperformed the existing image-domain prediction (6.03%, p<0.001), k-space synthesis (6.12%, p<0.001), and dual-domain feature fusion (4.05%, p<0.001).

cs.CV↗

Supervised Understanding of Word Embeddings

Pre-trained word embeddings are widely used for transfer learning in natural language processing. The embeddings are continuous and distributed representations of the words that preserve their similarities in compact Euclidean spaces. However, the dimensions of these spaces do not provide any clear interpretation. In this study, we have obtained supervised projections in the form of the linear keyword-level classifiers on word embeddings. We have shown that the method creates interpretable projections of original embedding dimensions. Activations of the trained classifier nodes correspond to a subset of the words in the vocabulary. Thus, they behave similarly to the dictionary features while having the merit of continuous value output. Additionally, such dictionaries can be grown iteratively with multiple rounds by adding expert labels on top-scoring words to an initial collection of the keywords. Also, the same classifiers can be applied to aligned word embeddings in other languages to obtain corresponding dictionaries. In our experiments, we have shown that initializing higher-order networks with these classifier weights gives more accurate models for downstream NLP tasks. We further demonstrate the usefulness of supervised dimensions in revealing the polysemous nature of a keyword of interest by projecting it's embedding using learned classifiers in different sub-spaces.

cs.CL↗

Hierarchical Latent Word Clustering

This paper presents a new Bayesian non-parametric model by extending the usage of Hierarchical Dirichlet Allocation to extract tree structured word clusters from text data. The inference algorithm of the model collects words in a cluster if they share similar distribution over documents. In our experiments, we observed meaningful hierarchical structures on NIPS corpus and radiology reports collected from public repositories.

cs.CL↗