Large-scale vision models like SAM have extensive visual knowledge, yet their general nature and computational demands limit their use in specialized tasks like medical image segmentation. In contrast, task-specific models such as U-Net++ often underperform due to sparse labeled data. This study introduces a strategic knowledge mining method that leverages SAM's broad understanding to boost the performance of small, locally hosted deep learning models. In our approach, we trained a U-Net++ model on a limited labeled dataset and extend its capabilities by converting SAM's output infered on unlabeled images into prompts. This process not only harnesses SAM's generalized visual knowledge but also iteratively improves SAM's prediction to cater specialized medical segmentation tasks via U-Net++. The mined knowledge, serving as "pseudo labels", enriches the training dataset, enabling the fine-tuning of the local network. Applied to the Kvasir SEG and COVID-QU-Ex datasets which consist of gastrointestinal polyp and lung X-ray images respectively, our proposed method consistently enhanced the segmentation performance on Dice by 3% and 1% respectively over the baseline U-Net++ model, when the same amount of labelled data were used during training (75% and 50% of labelled data). Remarkably, our proposed method surpassed the baseline U-Net++ model even when the latter was trained exclusively on labeled data (100% of labelled data). These results underscore the potential of knowledge mining to overcome data limitations in specialized models by leveraging the broad, albeit general, knowledge of large-scale models like SAM, all while maintaining operational efficiency essential for clinical applications.

While Graph Neural Networks (GNNs) have achieved remarkable success, their design largely relies on empirical intuition rather than theoretical understanding. In this paper, we present a comprehensive analysis of GNN behavior through three fundamental aspects: (1) we establish that \textbf{$k$-layer} Message Passing Neural Networks efficiently aggregate \textbf{$k$-hop} neighborhood information through iterative computation, (2) analyze how different loop structures influence neighborhood computation, and (3) examine behavior across structure-feature hybrid and structure-only tasks. For deeper GNNs, we demonstrate that gradient-related issues, rather than just over-smoothing, can significantly impact performance in sparse graphs. We also analyze how different normalization schemes affect model performance and how GNNs make predictions with uniform node features, providing a theoretical framework that bridges the gap between empirical success and theoretical understanding.

We address two fundamental challenges in Graph Neural Networks (GNNs): (1) the lack of theoretical support for invariance learning, a critical property in image processing, and (2) the absence of a unified model capable of excelling on both homophilic and heterophilic graph datasets. To tackle these issues, we establish and prove scale invariance in graphs, extending this key property to graph learning, and validate it through experiments on real-world datasets. Leveraging directed multi-scaled graphs and an adaptive self-loop strategy, we propose ScaleNet, a unified network architecture that achieves state-of-the-art performance across four homophilic and two heterophilic benchmark datasets. Furthermore, we show that through graph transformation based on scale invariance, uniform weights can replace computationally expensive edge weights in digraph inception networks while maintaining or improving performance. For another popular GNN approach to digraphs, we demonstrate the equivalence between Hermitian Laplacian methods and GraphSAGE with incidence normalization. ScaleNet bridges the gap between homophilic and heterophilic graph learning, offering both theoretical insights into scale invariance and practical advancements in unified graph learning. Our implementation is publicly available at https://github.com/Qin87/ScaleNet/tree/Aug23.

Graph Neural Networks (GNNs) have advanced relational data analysis but lack invariance learning techniques common in image classification. In node classification with GNNs, it is actually the ego-graph of the center node that is classified. This research extends the scale invariance concept to node classification by drawing an analogy to image processing: just as scale invariance being used in image classification to capture multi-scale features, we propose the concept of ``scaled ego-graphs''. Scaled ego-graphs generalize traditional ego-graphs by replacing undirected single-edges with ``scaled-edges'', which are ordered sequences of multiple directed edges. We empirically assess the performance of the proposed scale invariance in graphs on seven benchmark datasets, across both homophilic and heterophilic structures. Our scale-invariance-based graph learning outperforms inception models derived from random walks by being simpler, faster, and more accurate. The scale invariance explains inception models' success on homophilic graphs and limitations on heterophilic graphs. To ensure applicability of inception model to heterophilic graphs as well, we further present ScaleNet, an architecture that leverages multi-scaled features. ScaleNet achieves state-of-the-art results on five out of seven datasets (four homophilic and one heterophilic) and matches top performance on the remaining two, demonstrating its excellent applicability. This represents a significant advance in graph learning, offering a unified framework that enhances node classification across various graph types. Our code is available at https://github.com/Qin87/ScaleNet/tree/July25.

Clinical decision making from magnetic resonance imaging (MRI) combines complementary information from multiple MRI sequences (defined as 'modalities'). MRI image registration aims to geometrically 'pair' diagnoses from different modalities, time points and slices. Both intra- and inter-modality MRI registration are essential components in clinical MRI settings. Further, an MRI image processing pipeline that can address both afine and non-rigid registration is critical, as both types of deformations may be occuring in real MRI data scenarios. Unlike image classification, explainability is not commonly addressed in image registration deep learning (DL) methods, as it is challenging to interpet model-data behaviours against transformation fields. To properly address this, we incorporate Grad-CAM-based explainability frameworks in each major component of our unsupervised multi-modal and multi-organ image registration DL methodology. We previously demonstrated that we were able to reach superior performance (against the current standard Syn method). In this work, we show that our DL model becomes fully explainable, setting the framework to generalise our approach on further medical imaging data.

Medical imaging is a key component in clinical diagnosis, treatment planning and clinical trial design, accounting for almost 90% of all healthcare data. CNNs achieved performance gains in medical image analysis (MIA) over the last years. CNNs can efficiently model local pixel interactions and be trained on small-scale MI data. The main disadvantage of typical CNN models is that they ignore global pixel relationships within images, which limits their generalisation ability to understand out-of-distribution data with different 'global' information. The recent progress of Artificial Intelligence gave rise to Transformers, which can learn global relationships from data. However, full Transformer models need to be trained on large-scale data and involve tremendous computational complexity. Attention and Transformer compartments (Transf/Attention) which can well maintain properties for modelling global relationships, have been proposed as lighter alternatives of full Transformers. Recently, there is an increasing trend to co-pollinate complementary local-global properties from CNN and Transf/Attention architectures, which led to a new era of hybrid models. The past years have witnessed substantial growth in hybrid CNN-Transf/Attention models across diverse MIA problems. In this systematic review, we survey existing hybrid CNN-Transf/Attention models, review and unravel key architectural designs, analyse breakthroughs, and evaluate current and future opportunities as well as challenges. We also introduced a comprehensive analysis framework on generalisation opportunities of scientific and clinical impact, based on which new data-driven domain generalisation and adaptation methods can be stimulated.

Automatic segmentation of multi-sequence (multi-modal) cardiac MR (CMR) images plays a significant role in diagnosis and management for a variety of cardiac diseases. However, the performance of relevant algorithms is significantly affected by the proper fusion of the multi-modal information. Furthermore, particular diseases, such as myocardial infarction, display irregular shapes on images and occupy small regions at random locations. These facts make pathology segmentation of multi-modal CMR images a challenging task. In this paper, we present the Max-Fusion U-Net that achieves improved pathology segmentation performance given aligned multi-modal images of LGE, T2-weighted, and bSSFP modalities. Specifically, modality-specific features are extracted by dedicated encoders. Then they are fused with the pixel-wise maximum operator. Together with the corresponding encoding features, these representations are propagated to decoding layers with U-Net skip-connections. Furthermore, a spatial-attention module is applied in the last decoding layer to encourage the network to focus on those small semantically meaningful pathological regions that trigger relatively high responses by the network neurons. We also use a simple image patch extraction strategy to dynamically resample training examples with varying spacial and batch sizes. With limited GPU memory, this strategy reduces the imbalance of classes and forces the model to focus on regions around the interested pathology. It further improves segmentation accuracy and reduces the mis-classification of pathology. We evaluate our methods using the Myocardial pathology segmentation (MyoPS) combining the multi-sequence CMR dataset which involves three modalities. Extensive experiments demonstrate the effectiveness of the proposed model which outperforms the related baselines.

The key to overcome class imbalance problems is to capture the distribution of minority class accurately. Generative Adversarial Networks (GANs) have shown some potentials to tackle class imbalance problems due to their capability of reproducing data distributions given ample training data samples. However, the scarce samples of one or more classes still pose a great challenge for GANs to learn accurate distributions for the minority classes. In this work, we propose an Annealing Genetic GAN (AGGAN) method, which aims to reproduce the distributions closest to the ones of the minority classes using only limited data samples. Our AGGAN renovates the training of GANs as an evolutionary process that incorporates the mechanism of simulated annealing. In particular, the generator uses different training strategies to generate multiple offspring and retain the best. Then, we use the Metropolis criterion in the simulated annealing to decide whether we should update the best offspring for the generator. As the Metropolis criterion allows a certain chance to accept the worse solutions, it enables our AGGAN steering away from the local optimum. According to both theoretical analysis and experimental studies on multiple imbalanced image datasets, we prove that the proposed training strategy can enable our AGGAN to reproduce the distributions of minority classes from scarce samples and provide an effective and robust solution for the class imbalance problem.