V olume-wise labeling in 3D medical images is a time-consuming task that requires expertise. As a result, there is growing interest in using semi-supervised learning (SSL) techniques to train models with limited labeled data.

Polyp segmentation in colonoscopy images is crucial for early detection and diagnosis of colorectal cancer. However, this task remains a significant challenge due to the substantial variations in polyp shape, size, and color, as well as the high similarity between polyps and surrounding tissues, often compounded by indistinct boundaries. While existing encoder-decoder CNN and transformer-based approaches have shown promising results, they struggle with stable segmentation performance on polyps with weak or blurry boundaries. These methods exhibit limited abilities to distinguish between polyps and non-polyps and capture essential boundary cues. Moreover, their generalizability still falls short of meeting the demands of real-time clinical applications. To address these limitations, we propose SAM-MaGuP, a groundbreaking approach for robust polyp segmentation. By incorporating a boundary distillation module and a 1D-2D Mamba adapter within the Segment Anything Model (SAM), SAM-MaGuP excels at resolving weak boundary challenges and amplifies feature learning through enriched global contextual interactions. Extensive evaluations across five diverse datasets reveal that SAM-MaGuP outperforms state-of-the-art methods, achieving unmatched segmentation accuracy and robustness. Our key innovations--a Mamba-guided boundary prior and a 1D-2D Mamba block--set a new benchmark in the field, pushing the boundaries of polyp segmentation to new heights.

Deformable medical image registration is an essential task in computer-assisted interventions. This problem is particularly relevant to oncological treatments, where precise image alignment is necessary for tracking tumor growth, assessing treatment response, and ensuring accurate delivery of therapies. Recent AI methods can outperform traditional techniques in accuracy and speed, yet they often produce unreliable deformations that limit their clinical adoption. In this work, we address this challenge and introduce a novel implicit registration framework that can predict accurate and reliable deformations. Our insight is to reformulate image registration as a signal reconstruction problem: we learn a kernel function that can recover the dense displacement field from sparse keypoint correspondences. We integrate our method in a novel hierarchical architecture, and estimate the displacement field in a coarse-to-fine manner. Our formulation also allows for efficient refinement at test time, permitting clinicians to easily adjust registrations when needed. We validate our method on challenging intra-patient thoracic and abdominal zero-shot registration tasks, using public and internal datasets from the local University Hospital. Our method not only shows competitive accuracy to state-of-the-art approaches, but also bridges the generalization gap between implicit and explicit registration techniques. In particular, our method generates deformations that better preserve anatomical relationships and matches the performance of specialized commercial systems, underscoring its potential for clinical adoption.

--Colonoscopy is vital in the early diagnosis of colorectal polyps. Regular screenings can effectively prevent benign polyps from progressing to CRC. While deep learning has made impressive strides in polyp segmentation, most existing models are trained on single-modality and single-center data, making them less effective in real-world clinical environments. To overcome these limitations, we propose FocusNet, a Transformer-enhanced focus attention network designed to improve polyp segmentation. FocusNet incorporates three essential modules: the Cross-semantic Interaction Decoder Module (CIDM) for generating coarse segmentation maps, the Detail Enhancement Module (DEM) for refining shallow features, and the Focus Attention Module (FAM), to balance local detail and global context through local and pooling attention mechanisms. We evaluate our model on PolypDB, a newly introduced dataset with multi-modality and multi-center data for building more reliable segmentation methods. Extensive experiments showed that FocusNet consistently outperforms existing state-of-the-art approaches with a high dice coefficients of 82.47% on the BLI modality, 88.46% on FICE, 92.04% on LCI, 82.09% on the NBI and 93.42% on WLI modality, demonstrating its accuracy and robustness across five different modalities. The source code for FocusNet is available at https://github.com/JunZengz/

Semi-supervised medical image segmentation aims to leverage minimal expert annotations, yet remains confronted by challenges in maintaining high-quality consistency learning. Excessive perturbations can degrade alignment and hinder precise decision boundaries, especially in regions with uncertain predictions. In this paper, we introduce Confidence-Aware Adaptive Displacement (CAD), a framework that selectively identifies and replaces the largest low-confidence regions with high-confidence patches. By dynamically adjusting both the maximum allowable replacement size and the confidence threshold throughout training, CAD progressively refines the segmentation quality without overwhelming the learning process. Experimental results on public medical datasets demonstrate that CAD effectively enhances segmentation quality, establishing new state-of-the-art accuracy in this field. The source code will be released after the paper is published.

In medical image analysis, multi-organ semi-supervised segmentation faces challenges such as insufficient labels and low contrast in soft tissues. To address these issues, existing studies typically employ semi-supervised segmentation techniques using pseudo-labeling and consistency regularization. However, these methods mainly rely on individual data samples for training, ignoring the rich neighborhood information present in the feature space. In this work, we argue that supervisory information can be directly extracted from the geometry of the feature space. Inspired by the density-based clustering hypothesis, we propose using feature density to locate sparse regions within feature clusters. Our goal is to increase intra-class compactness by addressing sparsity issues. To achieve this, we propose a Density-Aware Contrastive Learning (DACL) strategy, pushing anchored features in sparse regions towards cluster centers approximated by high-density positive samples, resulting in more compact clusters. Specifically, our method constructs density-aware neighbor graphs using labeled and unlabeled data samples to estimate feature density and locate sparse regions. We also combine label-guided co-training with density-guided geometric regularization to form complementary supervision for unlabeled data. Experiments on the Multi-Organ Segmentation Challenge dataset demonstrate that our proposed method outperforms state-of-the-art methods, highlighting its efficacy in medical image segmentation tasks.

As a technique to alleviate the pressure of data annotation, semi-supervised learning (SSL) has attracted widespread attention. In the specific domain of medical image segmentation, semi-supervised methods (SSMIS) have become a research hotspot due to their ability to reduce the need for large amounts of precisely annotated data. SSMIS focuses on enhancing the model's generalization performance by leveraging a small number of labeled samples and a large number of unlabeled samples. The latest sharpness-aware optimization (SAM) technique, which optimizes the model by reducing the sharpness of the loss function, has shown significant success in SSMIS. However, SAM and its variants may not fully account for the distribution differences between different datasets. To address this issue, we propose a sharpness-aware optimization method based on $f$-divergence minimization (DiM) for semi-supervised medical image segmentation. This method enhances the model's stability by fine-tuning the sensitivity of model parameters and improves the model's adaptability to different datasets through the introduction of $f$-divergence. By reducing $f$-divergence, the DiM method not only improves the performance balance between the source and target datasets but also prevents performance degradation due to overfitting on the source dataset.

Semi-supervised learning has received considerable attention for its potential to leverage abundant unlabeled data to enhance model robustness. Pseudo labeling is a widely used strategy in semi supervised learning. However, existing methods often suffer from noise contamination, which can undermine model performance. To tackle this challenge, we introduce a novel Synergy-Guided Regional Supervision of Pseudo Labels (SGRS-Net) framework. Built upon the mean teacher network, we employ a Mix Augmentation module to enhance the unlabeled data. By evaluating the synergy before and after augmentation, we strategically partition the pseudo labels into distinct regions. Additionally, we introduce a Region Loss Evaluation module to assess the loss across each delineated area. Extensive experiments conducted on the LA dataset have demonstrated superior performance over state-of-the-art techniques, underscoring the efficiency and practicality of our framework.

The essence of precision oncology lies in its commitment to tailor targeted treatments and care measures to each patient based on the individual characteristics of the tumor. The inherent heterogeneity of tumors necessitates gathering information from diverse data sources to provide valuable insights from various perspectives, fostering a holistic comprehension of the tumor. Over the past decade, multimodal data integration technology for precision oncology has made significant strides, showcasing remarkable progress in understanding the intricate details within heterogeneous data modalities. These strides have exhibited tremendous potential for improving clinical decision-making and model interpretation, contributing to the advancement of cancer care and treatment. Given the rapid progress that has been achieved, we provide a comprehensive overview of about 300 papers detailing cutting-edge multimodal data integration techniques in precision oncology. In addition, we conclude the primary clinical applications that have reaped significant benefits, including early assessment, diagnosis, prognosis, and biomarker discovery. Finally, derived from the findings of this survey, we present an in-depth analysis that explores the pivotal challenges and reveals essential pathways for future research in the field of multimodal data integration for precision oncology.