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Yun Gu

Publications and source records attributed to Yun Gu.

At least 37 records · Page 2Linked to original sources

From Real Artifacts to Virtual Reference: A Robust Framework for Translating Endoscopic Images

Domain adaptation, which bridges the distributions across different modalities, plays a crucial role in multimodal medical image analysis. In endoscopic imaging, combining pre-operative data with intra-operative imaging is important for surgical planning and navigation. However, existing domain adaptation methods are hampered by distribution shift caused by in vivo artifacts, necessitating robust techniques for aligning noisy and artifact abundant patient endoscopic videos with clean virtual images reconstructed from pre-operative tomographic data for pose estimation during intraoperative guidance. This paper presents an artifact-resilient image translation method and an associated benchmark for this purpose. The method incorporates a novel ``local-global'' translation framework and a noise-resilient feature extraction strategy. For the former, it decouples the image translation process into a local step for feature denoising, and a global step for global style transfer. For feature extraction, a new contrastive learning strategy is proposed, which can extract noise-resilient features for establishing robust correspondence across domains. Detailed validation on both public and in-house clinical datasets has been conducted, demonstrating significantly improved performance compared to the current state-of-the-art.

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Beyond Low-Rank Tuning: Model Prior-Guided Rank Allocation for Effective Transfer in Low-Data and Large-Gap Regimes

Low-Rank Adaptation (LoRA) has proven effective in reducing computational costs while maintaining performance comparable to fully fine-tuned foundation models across various tasks. However, its fixed low-rank structure restricts its adaptability in scenarios with substantial domain gaps, where higher ranks are often required to capture domain-specific complexities. Current adaptive LoRA methods attempt to overcome this limitation by dynamically expanding or selectively allocating ranks, but these approaches frequently depend on computationally intensive techniques such as iterative pruning, rank searches, or additional regularization. To address these challenges, we introduce Stable Rank-Guided Low-Rank Adaptation (SR-LoRA), a novel framework that utilizes the stable rank of pre-trained weight matrices as a natural prior for layer-wise rank allocation. By leveraging the stable rank, which reflects the intrinsic dimensionality of the weights, SR-LoRA enables a principled and efficient redistribution of ranks across layers, enhancing adaptability without incurring additional search costs. Empirical evaluations on few-shot tasks with significant domain gaps show that SR-LoRA consistently outperforms recent adaptive LoRA variants, achieving a superior trade-off between performance and efficiency. Our code is available at https://github.com/EndoluminalSurgicalVision-IMR/SR-LoRA.

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Shape-aware Sampling Matters in the Modeling of Multi-Class Tubular Structures

Accurate multi-class tubular modeling is critical for precise lesion localization and optimal treatment planning. Deep learning methods enable automated shape modeling by prioritizing volumetric overlap accuracy. However, the inherent complexity of fine-grained semantic tubular shapes is not fully emphasized by overlap accuracy, resulting in reduced topological preservation. To address this, we propose the Shapeaware Sampling (SAS), which optimizes patchsize allocation for online sampling and extracts a topology-preserved skeletal representation for the objective function. Fractal Dimension-based Patchsize (FDPS) is first introduced to quantify semantic tubular shape complexity through axis-specific fractal dimension analysis. Axes with higher fractal complexity are then sampled with smaller patchsizes to capture fine-grained features and resolve structural intricacies. In addition, Minimum Path-Cost Skeletonization (MPC-Skel) is employed to sample topologically consistent skeletal representations of semantic tubular shapes for skeleton-weighted objective functions. MPC-Skel reduces artifacts from conventional skeletonization methods and directs the focus to critical topological regions, enhancing tubular topology preservation. SAS is computationally efficient and easily integrable into optimization pipelines. Evaluation on two semantic tubular datasets showed consistent improvements in both volumetric overlap and topological integrity metrics.

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SLoRD: Structural Low-Rank Descriptors for Shape Consistency in Vertebrae Segmentation

Automatic and precise multi-class vertebrae segmentation from CT images is crucial for various clinical applications. However, due to similar appearances between adjacent vertebrae and the existence of various pathologies, existing single-stage and multi-stage methods suffer from imprecise vertebrae segmentation. Essentially, these methods fail to explicitly impose both contour precision and intra-vertebrae voxel consistency constraints synchronously, resulting in the intra-vertebrae segmentation inconsistency, which refers to multiple label predictions inside a singular vertebra. In this work, we intend to label complete binary masks with sequential indices to address that challenge. Specifically, a contour generation network is proposed based on Structural Low-Rank Descriptors for shape consistency, termed SLoRD. For a structural representation of vertebral contours, we adopt the spherical coordinate system and devise the spherical centroid to calculate contour descriptors. Due to vertebrae's similar appearances, basic contour descriptors can be acquired offline to restore original contours. Therefore, SLoRD leverages these contour priors and explicit shape constraints to facilitate regressed contour points close to vertebral surfaces. Quantitative and qualitative evaluations on VerSe 2019 and 2020 demonstrate the superior performance of our framework over other single-stage and multi-stage state-of-the-art (SOTA) methods. Further, SLoRD is a plug-and-play framework to refine the segmentation inconsistency existing in coarse predictions from other approaches. Source codes are available.

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Reflecting Topology Consistency and Abnormality via Learnable Attentions for Airway Labeling

Accurate airway anatomical labeling is crucial for clinicians to identify and navigate complex bronchial structures during bronchoscopy. Automatic airway anatomical labeling is challenging due to significant individual variability and anatomical variations. Previous methods are prone to generate inconsistent predictions, which is harmful for preoperative planning and intraoperative navigation. This paper aims to address these challenges by proposing a novel method that enhances topological consistency and improves the detection of abnormal airway branches. We propose a novel approach incorporating two modules: the Soft Subtree Consistency (SSC) and the Abnormal Branch Saliency (ABS). The SSC module constructs a soft subtree to capture clinically relevant topological relationships, allowing for flexible feature aggregation within and across subtrees. The ABS module facilitates the interaction between node features and prototypes to distinguish abnormal branches, preventing the erroneous aggregation of features between normal and abnormal nodes. Evaluated on a challenging dataset characterized by severe airway distortion and atrophy, our method achieves superior performance compared to state-of-the-art approaches. Specifically, it attains a 91.4% accuracy at the segmental level and an 83.7% accuracy at the subsegmental level, representing a 1.4% increase in subsegmental accuracy and a 3.1% increase in topological consistency. Notably, the method demonstrates reliable performance in cases with disease-induced airway deformities, ensuring consistent and accurate labeling.

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AirMorph: Topology-Preserving Deep Learning for Pulmonary Airway Analysis

Accurate anatomical labeling and analysis of the pulmonary structure and its surrounding anatomy from thoracic CT is getting increasingly important for understanding the etilogy of abnormalities or supporting targetted therapy and early interventions. Whilst lung and airway cell atlases have been attempted, there is a lack of fine-grained morphological atlases that are clinically deployable. In this work, we introduce AirMorph, a robust, end-to-end deep learning pipeline enabling fully automatic and comprehensive airway anatomical labeling at lobar, segmental, and subsegmental resolutions that can be used to create digital atlases of the lung. Evaluated across large-scale multi-center datasets comprising diverse pulmonary conditions, the AirMorph consistently outperformed existing segmentation and labeling methods in terms of accuracy, topological consistency, and completeness. To simplify clinical interpretation, we further introduce a compact anatomical signature quantifying critical morphological airway features, including stenosis, ectasia, tortuosity, divergence, length, and complexity. When applied to various pulmonary diseases such as pulmonary fibrosis, emphysema, atelectasis, consolidation, and reticular opacities, it demonstrates strong discriminative power, revealing disease-specific morphological patterns with high interpretability and explainability. Additionally, AirMorph supports efficient automated branching pattern analysis, potentially enhancing bronchoscopic navigation planning and procedural safety, offering a valuable clinical tool for improved diagnosis, targeted treatment, and personalized patient care.

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Sim2Real within 5 Minutes: Efficient Domain Transfer with Stylized Gaussian Splatting for Endoscopic Images

Robot assisted endoluminal intervention is an emerging technique for both benign and malignant luminal lesions. With vision-based navigation, when combined with pre-operative imaging data as priors, it is possible to recover position and pose of the endoscope without the need of additional sensors. In practice, however, aligning pre-operative and intra-operative domains is complicated by significant texture differences. Although methods such as style transfer can be used to address this issue, they require large datasets from both source and target domains with prolonged training times. This paper proposes an efficient domain transfer method based on stylized Gaussian splatting, only requiring a few of real images (10 images) with very fast training time. Specifically, the transfer process includes two phases. In the first phase, the 3D models reconstructed from CT scans are represented as differential Gaussian point clouds. In the second phase, only color appearance related parameters are optimized to transfer the style and preserve the visual content. A novel structure consistency loss is applied to latent features and depth levels to enhance the stability of the transferred images. Detailed validation was performed to demonstrate the performance advantages of the proposed method compared to that of the current state-of-the-art, highlighting the potential for intra-operative surgical navigation.

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Multi-Class Segmentation of Aortic Branches and Zones in Computed Tomography Angiography: The AortaSeg24 Challenge

Multi-class segmentation of the aorta in computed tomography angiography (CTA) scans is essential for diagnosing and planning complex endovascular treatments for patients with aortic dissections. However, existing methods reduce aortic segmentation to a binary problem, limiting their ability to measure diameters across different branches and zones. Furthermore, no open-source dataset is currently available to support the development of multi-class aortic segmentation methods. To address this gap, we organized the AortaSeg24 MICCAI Challenge, introducing the first dataset of 100 CTA volumes annotated for 23 clinically relevant aortic branches and zones. This dataset was designed to facilitate both model development and validation. The challenge attracted 121 teams worldwide, with participants leveraging state-of-the-art frameworks such as nnU-Net and exploring novel techniques, including cascaded models, data augmentation strategies, and custom loss functions. We evaluated the submitted algorithms using the Dice Similarity Coefficient (DSC) and Normalized Surface Distance (NSD), highlighting the approaches adopted by the top five performing teams. This paper presents the challenge design, dataset details, evaluation metrics, and an in-depth analysis of the top-performing algorithms. The annotated dataset, evaluation code, and implementations of the leading methods are publicly available to support further research. All resources can be accessed at https://aortaseg24.grand-challenge.org.

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LNQ 2023 challenge: Benchmark of weakly-supervised techniques for mediastinal lymph node quantification

Accurate assessment of lymph node size in 3D CT scans is crucial for cancer staging, therapeutic management, and monitoring treatment response. Existing state-of-the-art segmentation frameworks in medical imaging often rely on fully annotated datasets. However, for lymph node segmentation, these datasets are typically small due to the extensive time and expertise required to annotate the numerous lymph nodes in 3D CT scans. Weakly-supervised learning, which leverages incomplete or noisy annotations, has recently gained interest in the medical imaging community as a potential solution. Despite the variety of weakly-supervised techniques proposed, most have been validated only on private datasets or small publicly available datasets. To address this limitation, the Mediastinal Lymph Node Quantification (LNQ) challenge was organized in conjunction with the 26th International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI 2023). This challenge aimed to advance weakly-supervised segmentation methods by providing a new, partially annotated dataset and a robust evaluation framework. A total of 16 teams from 5 countries submitted predictions to the validation leaderboard, and 6 teams from 3 countries participated in the evaluation phase. The results highlighted both the potential and the current limitations of weakly-supervised approaches. On one hand, weakly-supervised approaches obtained relatively good performance with a median Dice score of $61.0\%$. On the other hand, top-ranked teams, with a median Dice score exceeding $70\%$, boosted their performance by leveraging smaller but fully annotated datasets to combine weak supervision and full supervision. This highlights both the promise of weakly-supervised methods and the ongoing need for high-quality, fully annotated data to achieve higher segmentation performance.

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Unleashing the Power of Data Tsunami: A Comprehensive Survey on Data Assessment and Selection for Instruction Tuning of Language Models

Instruction tuning plays a critical role in aligning large language models (LLMs) with human preference. Despite the vast amount of open instruction datasets, naively training a LLM on all existing instructions may not be optimal and practical. To pinpoint the most beneficial datapoints, data assessment and selection methods have been proposed in the fields of natural language processing (NLP) and deep learning. However, under the context of instruction tuning, there still exists a gap in knowledge on what kind of data evaluation metrics can be employed and how they can be integrated into the selection mechanism. To bridge this gap, we present a comprehensive review on existing literature of data assessment and selection especially for instruction tuning of LLMs. We systematically categorize all applicable methods into quality-based, diversity-based, and importance-based ones where a unified, fine-grained taxonomy is structured. For each category, representative methods are elaborated to describe the landscape of relevant research. In addition, comparison between the latest methods is conducted on their officially reported results to provide in-depth discussions on their limitations. Finally, we summarize the open challenges and propose the promosing avenues for future studies. All related contents are available at https://github.com/yuleiqin/fantastic-data-engineering.

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Topology-Aware Exploration of Circle of Willis for CTA and MRA: Segmentation, Detection, and Classification

The Circle of Willis (CoW) vessels is critical to connecting major circulations of the brain. The topology of the vascular structure is clinical significance to evaluate the risk, severity of the neuro-vascular diseases. The CoW has two representative angiographic imaging modalities, computed tomography angiography (CTA) and magnetic resonance angiography (MRA). TopCow24 provided 125 paired CTA-MRA dataset for the analysis of CoW. To explore both CTA and MRA images in a unified framework to learn the inherent topology of Cow, we construct the universal dataset via independent intensity preprocess, followed by joint resampling and normarlization. Then, we utilize the topology-aware loss to enhance the topology completeness of the CoW and the discrimination between different classes. A complementary topology-aware refinement is further conducted to enhance the connectivity within the same class. Our method was evaluated on all the three tasks and two modalities, achieving competitive results. In the final test phase of TopCow24 Challenge, we achieved the second place in the CTA-Seg-Task, the third palce in the CTA-Box-Task, the first place in the CTA-Edg-Task, the second place in the MRA-Seg-Task, the third palce in the MRA-Box-Task, the second place in the MRA-Edg-Task.

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PASS:Test-Time Prompting to Adapt Styles and Semantic Shapes in Medical Image Segmentation

Test-time adaptation (TTA) has emerged as a promising paradigm to handle the domain shifts at test time for medical images from different institutions without using extra training data. However, existing TTA solutions for segmentation tasks suffer from (1) dependency on modifying the source training stage and access to source priors or (2) lack of emphasis on shape-related semantic knowledge that is crucial for segmentation tasks.Recent research on visual prompt learning achieves source-relaxed adaptation by extended parameter space but still neglects the full utilization of semantic features, thus motivating our work on knowledge-enriched deep prompt learning. Beyond the general concern of image style shifts, we reveal that shape variability is another crucial factor causing the performance drop. To address this issue, we propose a TTA framework called PASS (Prompting to Adapt Styles and Semantic shapes), which jointly learns two types of prompts: the input-space prompt to reformulate the style of the test image to fit into the pretrained model and the semantic-aware prompts to bridge high-level shape discrepancy across domains. Instead of naively imposing a fixed prompt, we introduce an input decorator to generate the self-regulating visual prompt conditioned on the input data. To retrieve the knowledge representations and customize target-specific shape prompts for each test sample, we propose a cross-attention prompt modulator, which performs interaction between target representations and an enriched shape prompt bank. Extensive experiments demonstrate the superior performance of PASS over state-of-the-art methods on multiple medical image segmentation datasets. The code is available at https://github.com/EndoluminalSurgicalVision-IMR/PASS.

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ReshapeIT: Reliable Shape Interaction with Implicit Template for Anatomical Structure Reconstruction

Shape modeling of volumetric medical images is crucial for quantitative analysis and surgical planning in computer-aided diagnosis. To alleviate the burden of expert clinicians, reconstructed shapes are typically obtained from deep learning models, such as Convolutional Neural Networks (CNNs) or transformer-based architectures, followed by the marching cube algorithm. However, automatic shape reconstruction often falls short of perfection due to the limited resolution of images and the absence of shape prior constraints. To overcome these limitations, we propose the Reliable Shape Interaction with Implicit Template (ReShapeIT) network, which models anatomical structures in continuous space rather than discrete voxel grids. ReShapeIT represents an anatomical structure with an implicit template field shared within the same category, complemented by a deformation field. It ensures the implicit template field generates valid templates by strengthening the constraint of the correspondence between the instance shape and the template shape. The valid template shape can then be utilized for implicit generalization. A Template Interaction Module (TIM) is introduced to reconstruct unseen shapes by interacting the valid template shapes with the instance-wise latent codes. Experimental results on three datasets demonstrate the superiority of our approach in anatomical structure reconstruction. The Chamfer Distance/Earth Mover's Distance achieved by ReShapeIT are 0.225/0.318 on Liver, 0.125/0.067 on Pancreas, and 0.414/0.098 on Lung Lobe.

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Leveraging Open Knowledge for Advancing Task Expertise in Large Language Models

The cultivation of expertise for large language models (LLMs) to solve tasks of specific areas often requires special-purpose tuning with calibrated behaviors on the expected stable outputs. To avoid huge cost brought by manual preparation of instruction datasets and training resources up to hundreds of hours, the exploitation of open knowledge including a wealth of low rank adaptation (LoRA) models and instruction datasets serves as a good starting point. However, existing methods on model and data selection focus on the performance of general-purpose capabilities while neglecting the knowledge gap exposed in domain-specific deployment. In the present study, we propose to bridge such gap by introducing few human-annotated samples (i.e., K-shot) for advancing task expertise of LLMs with open knowledge. Specifically, we develop an efficient and scalable pipeline to cost-efficiently produce task experts where K-shot data intervene in selecting the most promising expert candidates and the task-relevant instructions. A mixture-of-expert (MoE) system is built to make the best use of individual-yet-complementary knowledge between multiple experts. We unveil the two keys to the success of a MoE system, 1) the abidance by K-shot, and 2) the insistence on diversity. For the former, we ensure that models that truly possess problem-solving abilities on K-shot are selected rather than those blind guessers. Besides, during data selection, instructions that share task-relevant contexts with K-shot are prioritized. For the latter, we highlight the diversity of constituting experts and that of the fine-tuning instructions throughout the model and data selection process. Extensive experimental results confirm the superiority of our approach over existing methods on utilization of open knowledge across various tasks. Our codes will be available at https://github.com/Yaphabates/Rocket.

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Dynamic Position Transformation and Boundary Refinement Network for Left Atrial Segmentation

Left atrial (LA) segmentation is a crucial technique for irregular heartbeat (i.e., atrial fibrillation) diagnosis. Most current methods for LA segmentation strictly assume that the input data is acquired using object-oriented center cropping, while this assumption may not always hold in practice due to the high cost of manual object annotation. Random cropping is a straightforward data pre-processing approach. However, it 1) introduces significant irregularities and incompleteness in the input data and 2) disrupts the coherence and continuity of object boundary regions. To tackle these issues, we propose a novel Dynamic Position transformation and Boundary refinement Network (DPBNet). The core idea is to dynamically adjust the relative position of irregular targets to construct their contextual relationships and prioritize difficult boundary pixels to enhance foreground-background distinction. Specifically, we design a shuffle-then-reorder attention module to adjust the position of disrupted objects in the latent space using dynamic generation ratios, such that the vital dependencies among these random cropping targets could be well captured and preserved. Moreover, to improve the accuracy of boundary localization, we introduce a dual fine-grained boundary loss with scenario-adaptive weights to handle the ambiguity of the dual boundary at a fine-grained level, promoting the clarity and continuity of the obtained results. Extensive experimental results on benchmark dataset have demonstrated that DPBNet consistently outperforms existing state-of-the-art methods.

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Hunting imaging biomarkers in pulmonary fibrosis: Benchmarks of the AIIB23 challenge

Airway-related quantitative imaging biomarkers are crucial for examination, diagnosis, and prognosis in pulmonary diseases. However, the manual delineation of airway trees remains prohibitively time-consuming. While significant efforts have been made towards enhancing airway modelling, current public-available datasets concentrate on lung diseases with moderate morphological variations. The intricate honeycombing patterns present in the lung tissues of fibrotic lung disease patients exacerbate the challenges, often leading to various prediction errors. To address this issue, the 'Airway-Informed Quantitative CT Imaging Biomarker for Fibrotic Lung Disease 2023' (AIIB23) competition was organized in conjunction with the official 2023 International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI). The airway structures were meticulously annotated by three experienced radiologists. Competitors were encouraged to develop automatic airway segmentation models with high robustness and generalization abilities, followed by exploring the most correlated QIB of mortality prediction. A training set of 120 high-resolution computerised tomography (HRCT) scans were publicly released with expert annotations and mortality status. The online validation set incorporated 52 HRCT scans from patients with fibrotic lung disease and the offline test set included 140 cases from fibrosis and COVID-19 patients. The results have shown that the capacity of extracting airway trees from patients with fibrotic lung disease could be enhanced by introducing voxel-wise weighted general union loss and continuity loss. In addition to the competitive image biomarkers for prognosis, a strong airway-derived biomarker (Hazard ratio>1.5, p<0.0001) was revealed for survival prognostication compared with existing clinical measurements, clinician assessment and AI-based biomarkers.

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RESTORE: Towards Feature Shift for Vision-Language Prompt Learning

Prompt learning is effective for fine-tuning foundation models to improve their generalization across a variety of downstream tasks. However, the prompts that are independently optimized along a single modality path, may sacrifice the vision-language alignment of pre-trained models in return for improved performance on specific tasks and classes, leading to poorer generalization. In this paper, we first demonstrate that prompt tuning along only one single branch of CLIP (e.g., language or vision) is the reason why the misalignment occurs. Without proper regularization across the learnable parameters in different modalities, prompt learning violates the original pre-training constraints inherent in the two-tower architecture. To address such misalignment, we first propose feature shift, which is defined as the variation of embeddings after introducing the learned prompts, to serve as an explanatory tool. We dive into its relation with generalizability and thereafter propose RESTORE, a multi-modal prompt learning method that exerts explicit constraints on cross-modal consistency. To be more specific, to prevent feature misalignment, a feature shift consistency is introduced to synchronize inter-modal feature shifts by measuring and regularizing the magnitude of discrepancy during prompt tuning. In addition, we propose a "surgery" block to avoid short-cut hacking, where cross-modal misalignment can still be severe if the feature shift of each modality varies drastically at the same rate. It is implemented as feed-forward adapters upon both modalities to alleviate the misalignment problem. Extensive experiments on 15 datasets demonstrate that our method outperforms the state-of-the-art prompt tuning methods without compromising feature alignment.

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PnPNet: Pull-and-Push Networks for Volumetric Segmentation with Boundary Confusion

Precise boundary segmentation of volumetric images is a critical task for image-guided diagnosis and computer-assisted intervention, especially for boundary confusion in clinical practice. However, U-shape networks cannot effectively resolve this challenge due to the lack of boundary shape constraints. Besides, existing methods of refining boundaries overemphasize the slender structure, which results in the overfitting phenomenon due to networks' limited abilities to model tiny objects. In this paper, we reconceptualize the mechanism of boundary generation by encompassing the interaction dynamics with adjacent regions. Moreover, we propose a unified network termed PnPNet to model shape characteristics of the confused boundary region. Core ingredients of PnPNet contain the pushing and pulling branches. Specifically, based on diffusion theory, we devise the semantic difference module (SDM) from the pushing branch to squeeze the boundary region. Explicit and implicit differential information inside SDM significantly boost representation abilities for inter-class boundaries. Additionally, motivated by the K-means algorithm, the class clustering module (CCM) from the pulling branch is introduced to stretch the intersected boundary region. Thus, pushing and pulling branches will shrink and enlarge the boundary uncertainty respectively. They furnish two adversarial forces to promote models to output a more precise delineation of boundaries. We carry out experiments on three challenging public datasets and one in-house dataset, containing three types of boundary confusion in model predictions. Experimental results demonstrate the superiority of PnPNet over other segmentation networks, especially on evaluation metrics of HD and ASSD. Besides, pushing and pulling branches can serve as plug-and-play modules to enhance classic U-shape baseline models. Codes are available.

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