Robotic systems are transforming image-guided interventions by enhancing accuracy and minimizing radiation exposure. A significant challenge in robotic assistance lies in surgical path planning, which often relies on the registration of intraoperative 2D images with preoperative 3D CT scans. This requirement can be burdensome and costly, particularly in procedures like vertebroplasty, where preoperative CT scans are not routinely performed. To address this issue, we introduce a differentiable rendering-based framework for 3D transpedicular path planning utilizing bi-planar 2D X-rays. Our method integrates differentiable rendering with a vertebral atlas generated through a Statistical Shape Model (SSM) and employs a learned similarity loss to refine the SSM shape and pose dynamically, independent of fixed imaging geometries. We evaluated our framework in two stages: first, through vertebral reconstruction from orthogonal X-rays for benchmarking, and second, via clinician-in-the-loop path planning using arbitrary-view X-rays. Our results indicate that our method outperformed a normalized cross-correlation baseline in reconstruction metrics (DICE: 0.75 vs. 0.65) and achieved comparable performance to the state-of-the-art model ReVerteR (DICE: 0.77), while maintaining generalization to arbitrary views. Success rates for bipedicular planning reached 82% with synthetic data and 75% with cadaver data, exceeding the 66% and 31% rates of a 2D-to-3D baseline, respectively. In conclusion, our framework facilitates versatile, CT-free 3D path planning for robot-assisted vertebroplasty, effectively accommodating real-world imaging diversity without the need for preoperative CT scans.

Recent developed graph-based methods for diagnosing brain disorders using functional connectivity highly rely on predefined brain atlases, but overlook the rich information embedded within atlases and the confounding effects of site and phenotype variability. To address these challenges, we propose a two-stage Brain-to-Population Graph Learning (B2P-GL) framework that integrates the semantic similarity of brain regions and condition-based population graph modeling. In the first stage, termed brain representation learning, we leverage brain atlas knowledge from GPT-4 to enrich the graph representation and refine the brain graph through an adaptive node reassignment graph attention network. In the second stage, termed population disorder diagnosis, phenotypic data is incorporated into population graph construction and feature fusion to mitigate confounding effects and enhance diagnosis performance. Experiments on the ABIDE I, ADHD-200, and Rest-meta-MDD datasets show that B2P-GL outperforms state-of-the-art methods in prediction accuracy while enhancing interpretability. Overall, our proposed framework offers a reliable and personalized approach to brain disorder diagnosis, advancing clinical applicability.

Objective: Deep learning-based deformable image registration has achieved strong accuracy, but remains sensitive to variations in input image characteristics such as artifacts, field-of-view mismatch, or modality difference. We aim to develop a general training paradigm that improves the robustness and generalizability of registration networks. Methods: We introduce surrogate supervision, which decouples the input domain from the supervision domain by applying estimated spatial transformations to surrogate images. This allows training on heterogeneous inputs while ensuring supervision is computed in domains where similarity is well defined. We evaluate the framework through three representative applications: artifact-robust brain MR registration, mask-agnostic lung CT registration, and multi-modal MR registration. Results: Across tasks, surrogate supervision demonstrated strong resilience to input variations including inhomogeneity field, inconsistent field-of-view, and modality differences, while maintaining high performance on well-curated data. Conclusions: Surrogate supervision provides a principled framework for training robust and generalizable deep learning-based registration models without increasing complexity. Significance: Surrogate supervision offers a practical pathway to more robust and generalizable medical image registration, enabling broader applicability in diverse biomedical imaging scenarios.

While imaging-genetics holds great promise for unraveling the complex interplay between brain structure and genetic variation in neurological disorders, traditional methods are limited to simplistic linear models or to black-box techniques that lack interpretability. In this paper, we present NeuroPathX, an explainable deep learning framework that uses an early fusion strategy powered by cross-attention mechanisms to capture meaningful interactions between structural variations in the brain derived from MRI and established biological pathways derived from genetics data. To enhance interpretability and robustness, we introduce two loss functions over the attention matrix - a sparsity loss that focuses on the most salient interactions and a pathway similarity loss that enforces consistent representations across the cohort. We validate NeuroPathX on both autism spectrum disorder and Alzheimer's disease. Our results demonstrate that NeuroPathX outperforms competing baseline approaches and reveals biologically plausible associations linked to the disorder. These findings underscore the potential of NeuroPathX to advance our understanding of complex brain disorders. Code is available at https://github.com/jueqiw/NeuroPathX .

(line 4). We show our RG-Explainer for graph classification in Alg. 2. The algorithm is similar to the one explaining node classifications, except that we train our seed locator to detect the most influential (line 4). Input: The input graph G = ( V, E), node features X, node instances I, and a trained GNN model f () . Check the stopping criteria by Eq. 10. I, and a trained GNN model f () .

Multi-view methods learn representations by aligning multiple views of the same image and their performance largely depends on the choice of data augmentation. In this paper, we notice that some other useful augmentations, such as image rotation, are harmful for multi-view methods because they cause a semantic shift that is too large to be aligned well. This observation motivates us to relax the exact alignment objective to better cultivate stronger augmentations. Taking image rotation as a case study, we develop a generic approach, Pretext-aware Residual Relaxation (Prelax), that relaxes the exact alignment by allowing an adaptive residual vector between different views and encoding the semantic shift through pretext-aware learning. Extensive experiments on different backbones show that our method can not only improve multi-view methods with existing augmentations, but also benefit from stronger image augmentations like rotation.