Self-supervised learning has emerged as a powerful paradigm for training deep neural networks, particularly in medical imaging where labeled data is scarce. While current approaches typically rely on synthetic augmentations of single images, we propose VET-DINO, a framework that leverages a unique characteristic of medical imaging: the availability of multiple standardized views from the same study. Using a series of clinical veterinary radiographs from the same patient study, we enable models to learn view-invariant anatomical structures and develop an implied 3D understanding from 2D projections. We demonstrate our approach on a dataset of 5 million veterinary radiographs from 668,000 canine studies. Through extensive experimentation, including view synthesis and downstream task performance, we show that learning from real multi-view pairs leads to superior anatomical understanding compared to purely synthetic augmentations. VET-DINO achieves state-of-the-art performance on various veterinary imaging tasks. Our work establishes a new paradigm for self-supervised learning in medical imaging that leverages domain-specific properties rather than merely adapting natural image techniques.

Dynamic FDG PET imaging study of n = 52 rats including 26 control Wistar-Kyoto (WKY) rats and 26 experimental spontaneously hypertensive rats (SHR) were performed using a Siemens microPET and Albira trimodal scanner longitudinally at 1, 2, 3, 5, 9, 12 and 18 months of age. A 15-parameter dual output model correcting for spill over contamination and partial volume effects with peak fitting cost functions was developed for simultaneous estimation of model corrected blood input function (MCIF) and kinetic rate constants for dynamic FDG PET images of rat heart in vivo. Major drawbacks of this model are its dependence on manual annotations for the Image Derived Input Function (IDIF) and manual determination of crucial model parameters to compute MCIF. To overcome these limitations, we performed semi-automated segmentation and then formulated a Long-Short-Term Memory (LSTM) cell network to train and predict MCIF in test data using a concatenation of IDIFs and myocardial inputs and compared them with reference-modeled MCIF. Thresholding along 2D plane slices with two thresholds, with T1 representing high-intensity myocardium, and T2 representing lower-intensity rings, was used to segment the area of the LV blood pool. The resultant IDIF and myocardial TACs were used to compute the corresponding reference (model) MCIF for all data sets. The segmented IDIF and the myocardium formed the input for the LSTM network. A k-fold cross validation structure with a 33:8:11 split and 5 folds was utilized to create the model and evaluate the performance of the LSTM network for all datasets. To overcome the sparseness of data as time steps increase, midpoint interpolation was utilized to increase the density of datapoints beyond time = 10 minutes. The model utilizing midpoint interpolation was able to achieve a 56.4% improvement over previous Mean Squared Error (MSE).

Mesh reconstruction is a cornerstone process across various applications, including in-silico trials, digital twins, surgical planning, and navigation. Recent advancements in deep learning have notably enhanced mesh reconstruction speeds. Yet, traditional methods predominantly rely on deforming a standardised template mesh for individual subjects, which overlooks the unique anatomical variations between them, and may compromise the fidelity of the reconstructions. In this paper, we propose an adaptive-template-based mesh reconstruction network (ATMRN), which generates adaptive templates from the given images for the subsequent deformation, moving beyond the constraints of a singular, fixed template. Our approach, validated on cortical magnetic resonance (MR) images from the OASIS dataset, sets a new benchmark in voxel-to-cortex mesh reconstruction, achieving an average symmetric surface distance of 0.267mm across four cortical structures. Our proposed method is generic and can be easily transferred to other image modalities and anatomical structures.

Computed Tomography serves as an indispensable tool in clinical workflows, providing non-invasive visualization of internal anatomical structures. Existing CT reconstruction works are limited to small-capacity model architecture, inflexible volume representation, and small-scale training data. In this paper, we present X-GRM (X-ray Gaussian Reconstruction Model), a large feedforward model for reconstructing 3D CT from sparse-view 2D X-ray projections. X-GRM employs a scalable transformer-based architecture to encode an arbitrary number of sparse X-ray inputs, where tokens from different views are integrated efficiently. Then, tokens are decoded into a new volume representation, named Voxel-based Gaussian Splatting (VoxGS), which enables efficient CT volume extraction and differentiable X-ray rendering. To support the training of X-GRM, we collect ReconX-15K, a large-scale CT reconstruction dataset containing around 15,000 CT/X-ray pairs across diverse organs, including the chest, abdomen, pelvis, and tooth etc. This combination of a high-capacity model, flexible volume representation, and large-scale training data empowers our model to produce high-quality reconstructions from various testing inputs, including in-domain and out-domain X-ray projections. Project Page: https://github.com/CUHK-AIM-Group/X-GRM.

Medical image segmentation plays an important role in various clinical applications, but existing models often struggle with the computational inefficiencies and challenges posed by complex medical data. State Space Sequence Models (SSMs) have demonstrated promise in modeling long-range dependencies with linear computational complexity, yet their application in medical image segmentation remains hindered by incompatibilities with image tokens and autoregressive assumptions. Moreover, it is difficult to achieve a balance in capturing both local fine-grained information and global semantic dependencies. To address these challenges, we introduce SAMA-UNet, a novel architecture for medical image segmentation. A key innovation is the Self-Adaptive Mamba-like Aggregated Attention (SAMA) block, which integrates contextual self-attention with dynamic weight modulation to prioritise the most relevant features based on local and global contexts. This approach reduces computational complexity and improves the representation of complex image features across multiple scales. We also suggest the Causal-Resonance Multi-Scale Module (CR-MSM), which enhances the flow of information between the encoder and decoder by using causal resonance learning. This mechanism allows the model to automatically adjust feature resolution and causal dependencies across scales, leading to better semantic alignment between the low-level and high-level features in U-shaped architectures. Experiments on MRI, CT, and endoscopy images show that SAMA-UNet performs better in segmentation accuracy than current methods using CNN, Transformer, and Mamba. The implementation is publicly available at GitHub.

Lung cancer remains among the deadliest types of cancer in recent decades, and early lung nodule detection is crucial for improving patient outcomes. The limited availability of annotated medical imaging data remains a bottleneck in developing accurate computer-aided diagnosis (CAD) systems. Self-supervised learning can help leverage large amounts of unlabeled data to develop more robust CAD systems. With the recent advent of transformer-based architecture and their ability to generalize to unseen tasks, there has been an effort within the healthcare community to adapt them to various medical downstream tasks. Thus, we propose a novel "LungNodule-SSM" method, which utilizes selfsupervised learning with DINOv2 as a backbone to enhance lung nodule detection and classification without annotated data. Our methodology has two stages: firstly, the DINOv2 model is pre-trained on unlabeled CT scans to learn robust feature representations, then secondly, these features are fine-tuned using transformer-based architectures for lesionlevel detection and accurate lung nodule diagnosis. The proposed method has been evaluated on the challenging LUNA 16 dataset, consisting of 888 CT scans, and compared with SOTA methods. Our experimental results show the superiority of our proposed method with an accuracy of 98.37%, explaining its effectiveness in lung nodule detection. The source code, datasets, and pre-processed data can be accessed using the link:https://github.com/EMeRALDsNRPU/Lung-Nodule-SSM-Self-Supervised-Lung-Nodule-Detection-and-Classification/tree/main

The brain is a highly complex organ that manages many important tasks, including movement, memory and thinking. Brain-related conditions, like tumors and degenerative disorders, can be hard to diagnose and treat. Magnetic Resonance Imaging (MRI) serves as a key tool for identifying these conditions, offering high-resolution images of brain structures. Despite this, interpreting MRI scans can be complicated. This study tackles this challenge by conducting a comparative analysis of Vision Transformer (ViT) and Transfer Learning (TL) models such as VGG16, VGG19, Resnet50V2, MobilenetV2 for classifying brain diseases using MRI data from Bangladesh based dataset. ViT, known for their ability to capture global relationships in images, are particularly effective for medical imaging tasks. Transfer learning helps to mitigate data constraints by fine-tuning pre-trained models. Furthermore, Explainable AI (XAI) methods such as GradCAM, GradCAM++, LayerCAM, ScoreCAM, and Faster-ScoreCAM are employed to interpret model predictions. The results demonstrate that ViT surpasses transfer learning models, achieving a classification accuracy of 94.39%. The integration of XAI methods enhances model transparency, offering crucial insights to aid medical professionals in diagnosing brain diseases with greater precision.

Foundation models leveraging vision-language pretraining have shown promise in chest X-ray (CXR) interpretation, yet their real-world performance across diverse populations and diagnostic tasks remains insufficiently evaluated. This study benchmarks the diagnostic performance and generalizability of foundation models versus traditional convolutional neural networks (CNNs) on multinational CXR datasets. We evaluated eight CXR diagnostic models - five vision-language foundation models and three CNN-based architectures - across 37 standardized classification tasks using six public datasets from the USA, Spain, India, and Vietnam, and three private datasets from hospitals in China. Performance was assessed using AUROC, AUPRC, and other metrics across both shared and dataset-specific tasks. Foundation models outperformed CNNs in both accuracy and task coverage. MAVL, a model incorporating knowledge-enhanced prompts and structured supervision, achieved the highest performance on public (mean AUROC: 0.82; AUPRC: 0.32) and private (mean AUROC: 0.95; AUPRC: 0.89) datasets, ranking first in 14 of 37 public and 3 of 4 private tasks. All models showed reduced performance on pediatric cases, with average AUROC dropping from 0.88 +/- 0.18 in adults to 0.57 +/- 0.29 in children (p = 0.0202). These findings highlight the value of structured supervision and prompt design in radiologic AI and suggest future directions including geographic expansion and ensemble modeling for clinical deployment. Code for all evaluated models is available at https://drive.google.com/drive/folders/1B99yMQm7bB4h1sVMIBja0RfUu8gLktCE

Foundation models (FMs) such as CLIP and SAM have recently shown great promise in image segmentation tasks, yet their adaptation to 3D medical imaging-particularly for pathology detection and segmentation-remains underexplored. A critical challenge arises from the domain gap between natural images and medical volumes: existing FMs, pre-trained on 2D data, struggle to capture 3D anatomical context, limiting their utility in clinical applications like tumor segmentation. To address this, we propose an adaptation framework called TAGS: Tumor Adaptive Guidance for SAM, which unlocks 2D FMs for 3D medical tasks through multi-prompt fusion. By preserving most of the pre-trained weights, our approach enhances SAM's spatial feature extraction using CLIP's semantic insights and anatomy-specific prompts. Extensive experiments on three open-source tumor segmentation datasets prove that our model surpasses the state-of-the-art medical image segmentation models (+46.88% over nnUNet), interactive segmentation frameworks, and other established medical FMs, including SAM-Med2D, SAM-Med3D, SegVol, Universal, 3D-Adapter, and SAM-B (at least +13% over them). This highlights the robustness and adaptability of our proposed framework across diverse medical segmentation tasks.

Computed Tomography serves as an indispensable tool in clinical workflows, providing non-invasive visualization of internal anatomical structures. Existing CT reconstruction works are limited to small-capacity model architecture and inflexible volume representation. In this work, we present X-GRM (X-ray Gaussian Reconstruction Model), a large feedforward model for reconstructing 3D CT volumes from sparse-view 2D X-ray projections. X-GRM employs a scalable transformer-based architecture to encode sparse-view X-ray inputs, where tokens from different views are integrated efficiently. Then, these tokens are decoded into a novel volume representation, named Voxel-based Gaussian Splatting (VoxGS), which enables efficient CT volume extraction and differentiable X-ray rendering. This combination of a high-capacity model and flexible volume representation, empowers our model to produce high-quality reconstructions from various testing inputs, including in-domain and out-domain X-ray projections. Our codes are available at: https://github.com/CUHK-AIM-Group/X-GRM.