Immunohistochemical (IHC) virtual staining is a task that generates virtual IHC images from H&E images while maintaining pathological semantic consistency with adjacent slices. This task aims to achieve cross-domain mapping between morphological structures and staining patterns through generative models, providing an efficient and cost-effective solution for pathological analysis. However, under weakly paired conditions, spatial heterogeneity between adjacent slices presents significant challenges. This can lead to inaccurate one-to-many mappings and generate results that are inconsistent with the pathological semantics of adjacent slices. To address this issue, we propose a novel unbalanced self-information feature transport for IHC virtual staining, named USIGAN, which extracts global morphological semantics without relying on positional correspondence. By removing weakly paired terms in the joint marginal distribution, we effectively mitigate the impact of weak pairing on joint distributions, thereby significantly improving the content consistency and pathological semantic consistency of the generated results. Moreover, we design the Unbalanced Optimal Transport Consistency Mining (UOT-CTM) mechanism and the Pathology Self-Correspondence Mining (PC-SCM) mechanism to construct correlation matrices between H&E and generated IHC in image-level and real IHC and generated IHC image sets in intra-group level. Experiments conducted on two publicly available datasets demonstrate that our method achieves superior performance across multiple clinically significant metrics, such as IoD and Pearson-R correlation, demonstrating better clinical relevance. The code is available at: https://github.com/MIXAILAB/USIGAN.

Medical image segmentation plays a crucial role in computer-aided diagnosis and treatment planning. Unsupervised segmentation methods that can effectively leverage unlabeled data bring significant promise in clinical application. However, they remain a challenging task in maintaining anatomical structure topological consistency that often produces anatomical structure breaks, connectivity errors, or boundary discontinuities. To address these issues, we propose a novel Unsupervised Topological-Aware Diffusion Condensation Network (UTADC-Net) for medical image segmentation. Specifically, we design a diffusion condensation-based framework that achieves structural consistency in segmentation results by effectively modeling long-range dependencies between pixels and incorporating topological constraints. First, to effectively fuse local details and global semantic information, we employ a pixel-centric patch embedding module by simultaneously modeling local structural features and inter-region interactions. Second, to enhance the topological consistency of segmentation results, we introduce an adaptive topological constraint mechanism that guides the network to learn anatomically aligned structural representations through pixel-level topological relationships and corresponding loss functions. Extensive experiments conducted on three public medical image datasets demonstrate that our proposed UTADC-Net significantly outperforms existing unsupervised methods in terms of segmentation accuracy and topological structure preservation. Notably, our method demonstrates segmentation results with excellent anatomical structural consistency. These results indicate that our framework provides a novel and practical solution for unsupervised medical image segmentation.

Immunohistochemical (IHC) staining enables precise molecular profiling of protein expression, with over 200 clinically available antibody-based tests in modern pathology. However, comprehensive IHC analysis is frequently limited by insufficient tissue quantities in small biopsies. Therefore, virtual multiplex staining emerges as an innovative solution to digitally transform H&E images into multiple IHC representations, yet current methods still face three critical challenges: 1) inadequate semantic guidance for multi-staining, 2) inconsistent distribution of immunochemistry staining, and 3) spatial misalignment across different stain modalities. To overcome these limitations, we present a prompt-guided framework for virtual multiplex IHC staining using only uniplex training data (PGVMS). Our framework introduces three key innovations corresponding to each challenge: First, an adaptive prompt guidance mechanism employing a pathological visual language model dynamically adjusts staining prompts to resolve semantic guidance limitations (Challenge 1). Second, our protein-aware learning strategy (PALS) maintains precise protein expression patterns by direct quantification and constraint of protein distributions (Challenge 2). Third, the prototype-consistent learning strategy (PCLS) establishes cross-image semantic interaction to correct spatial misalignments (Challenge 3). Evaluated on two benchmark datasets, PGVMS demonstrates superior performance in pathological consistency. In general, PGVMS represents a paradigm shift from dedicated single-task models toward unified virtual staining systems.

Virtual staining leverages computer-aided techniques to transfer the style of histochemically stained tissue samples to other staining types. In virtual staining of pathological images, maintaining strict structural consistency is crucial, as these images emphasize structural integrity more than natural images. Even slight structural alterations can lead to deviations in diagnostic semantic information. Furthermore, the unpaired characteristic of virtual staining data may compromise the preservation of pathological diagnostic content. To address these challenges, we propose a dual-path inversion virtual staining method using prompt learning, which optimizes visual prompts to control content and style, while preserving complete pathological diagnostic content. Our proposed inversion technique comprises two key components: (1) Dual Path Prompted Strategy, we utilize a feature adapter function to generate reference images for inversion, providing style templates for input image inversion, called Style Target Path. We utilize the inversion of the input image as the Structural Target path, employing visual prompt images to maintain structural consistency in this path while preserving style information from the style Target path. During the deterministic sampling process, we achieve complete content-style disentanglement through a plug-and-play embedding visual prompt approach. (2) StainPrompt Optimization, where we only optimize the null visual prompt as ``operator'' for dual path inversion, rather than fine-tune pre-trained model. We optimize null visual prompt for structual and style trajectory around pivotal noise on each timestep, ensuring accurate dual-path inversion reconstruction. Extensive evaluations on publicly available multi-domain unpaired staining datasets demonstrate high structural consistency and accurate style transfer results.

Cervical Cancer (CC) is the most prevalent gynecologic malignancy worldwide. Tumor segmentation in CC is a crucial step for radiotherapy treatment and planning. The clinical practice involves laborious slice-by-slice segmentation of the primary tumor using simultaneous assessments from several image modalities, and ignores spatial ambiguity in tumor delineation. This work evaluates the performance of a state-of-the-art Landing AI for automated 3D medical image segmentation applied to Gross Tumor Volume (GTV) in CC from Magnetic Resonance Imaging (MRI) scans. Our work provides a novel in-house labeled dataset with a systematic assessment of the segmented lesions after network training on various voxel spacing MRI images. The segmentation performance was assessed using the dice coefficient. We demonstrated that training on MRI images to optimize Landing AI achieves an improved dice score of 0.92, outperforming other MRI models.

Cancer is a complex disease that can affect any body part. One key feature of cancer is the rapid production of abnormal cells that grow beyond their usual borders and can invade adjoining parts of the body and spread/metastasized to other organs. The process of metastasis is the crucial cause of cancer death. Environmental factors are a significant contributor to cancer initiation [1]. Numerous studies investigate various aspects of cancer, including pathogenesis, prevention, diagnosis, and treatment methods, with the goal of improving patient quality of life and increasing survival rates. Despite significant advances in the field, cancer continues to represent a global challenge for prevention and treatment.

Precise classification of histopathological images is crucial to computer-aided diagnosis in clinical practice. Magnification-based learning networks have attracted considerable attention for their ability to improve performance in histopathological classification. However, the fusion of pyramids of histopathological images at different magnifications is an under-explored area. In this paper, we proposed a novel deep multi-magnification similarity learning (DSML) approach that can be useful for the interpretation of multi-magnification learning framework and easy to visualize feature representation from low-dimension (e.g., cell-level) to high-dimension (e.g., tissue-level), which has overcome the difficulty of understanding cross-magnification information propagation. It uses a similarity cross entropy loss function designation to simultaneously learn the similarity of the information among cross-magnifications. In order to verify the effectiveness of DMSL, experiments with different network backbones and different magnification combinations were designed, and its ability to interpret was also investigated through visualization. Our experiments were performed on two different histopathological datasets: a clinical nasopharyngeal carcinoma and a public breast cancer BCSS2021 dataset. The results show that our method achieved outstanding performance in classification with a higher value of area under curve, accuracy, and F-score than other comparable methods. Moreover, the reasons behind multi-magnification effectiveness were discussed.

Anatomical resection (AR) based on anatomical sub-regions is a promising method of precise surgical resection, which has been proven to improve long-term survival by reducing local recurrence. The fine-grained segmentation of an organ's surgical anatomy (FGS-OSA), i.e., segmenting an organ into multiple anatomic regions, is critical for localizing tumors in AR surgical planning. However, automatically obtaining FGS-OSA results in computer-aided methods faces the challenges of appearance ambiguities among sub-regions (i.e., inter-sub-region appearance ambiguities) caused by similar HU distributions in different sub-regions of an organ's surgical anatomy, invisible boundaries, and similarities between anatomical landmarks and other anatomical information. In this paper, we propose a novel fine-grained segmentation framework termed the "anatomic relation reasoning graph convolutional network" (ARR-GCN), which incorporates prior anatomic relations into the framework learning. In ARR-GCN, a graph is constructed based on the sub-regions to model the class and their relations. Further, to obtain discriminative initial node representations of graph space, a sub-region center module is designed. Most importantly, to explicitly learn the anatomic relations, the prior anatomic-relations among the sub-regions are encoded in the form of an adjacency matrix and embedded into the intermediate node representations to guide framework learning. The ARR-GCN was validated on two FGS-OSA tasks: i) liver segments segmentation, and ii) lung lobes segmentation. Experimental results on both tasks outperformed other state-of-the-art segmentation methods and yielded promising performances by ARR-GCN for suppressing ambiguities among sub-regions.

In this paper, we propose a novel deep learning-based automatic delineation method of nasopharynx gross tumor volume (GTVnx) by combing computed tomography (CT) and magnetic resonance imaging (MRI) modalities. The purpose of this study is to explore whether MRI can provide additional information to improve the accuracy of delineation on CT. The proposed model can adaptively leverage the high contrast information of MRI into the automated delineation of GTVnx on CT in nasopharyngeal carcinoma (NPC) radiotherapy. In this study, the dataset collected from 192 patients with NPC was used to verify the performance of the proposed method. The average Dice Similarity Coefficient, 95% Hausdorff Distance and Average Symmetric Surface Distance of the segmentation results predicted by the proposed model are 0.7181, 9.6637mm, and 2.8014mm, respectively, which outperformed that of the single-modal and the concatenation-based multi-modal segmentation models.

Multi-material decomposition (MMD) decomposes CT images into basis material images, and is a promising technique in clinical diagnostic CT to identify material compositions within the human body. MMD could be implemented on measurements obtained from spectral CT protocol, although spectral CT data acquisition is not readily available in most clinical environments. MMD methods using single energy CT (SECT), broadly applied in radiological departments of most hospitals, have been proposed in the literature while challenged by the inferior decomposition accuracy and the limited number of material bases due to the constrained material information in the SECT measurement. In this paper, we propose an image-domain SECT MMD method using material sparsity as an assistance under the condition that each voxel of the CT image contains at most two different elemental materials. L0norm represents the material sparsity constraint (MSC) and is integrated into the decomposition objective function with a least-square data fidelity term, total variation term, and a sum-to-one constraint of material volume fractions. An accelerated primal-dual (APD) algorithm with line-search scheme is applied to solve the problem. The pixelwise direct inversion method with the two-material assumption (TMA) is applied to estimate the initials. We validate the proposed method on phantom and patient data. Compared with the TMA method, the proposed MSC method increases the volume fraction accuracy (VFA) from 92.0% to 98.5% in the phantom study. In the patient study, the calcification area can be clearly visualized in the virtual non-contrast image generated by the proposed method, and has a similar shape to that in the ground-truth contrast-free CT image. The high decomposition image quality from the proposed method substantially facilitates the SECT-based MMD clinical applications.

GNSS is widely used to provide positions in an absolute reference frame in Unmanned Aerial Vehicles (UAV) and Unmanned Ground Vehicles (UGV), where GNSS is merged with the information provided by other sensors. Even if the main goal of GNSS signal processing is the positioning, multifrequency signals are a rich source of information about the propagation environment surrounding the mobile vehicle. In urban and harsh environment, situational awareness is essential to tailor the operations and take proper countermeasure to harsh propagation conditions. Given this framework the present paper will describe the use of GNSS as signals of opportunity for the characterization of the operative environment by processing the GNSS observables through Machine Learning (ML) algorithms that can be used as efficient features extractors. The paper will present some case studies of operational scenarios for UGVs and for a static monitoring station, showing how through combining DSP techniques with both unsupervised and supervised ML algorithms (K-means classes, Support Vector Machines) it is possible to retrieve the information about the propagation scenario for multipath, interference and atmospheric limitations.

SUMMARY: Nowadays, it is feasible to collect massive features for quantitative representation and precision medicine, and thus, automatic ranking to figure out the most informative and discriminative ones becomes increasingly important. To address this issue, 42 feature ranking (FR) methods are integrated to form a MATLAB toolbox (matFR). The methods apply mutual information, statistical analysis, structure clustering and other principles to estimate the relative importance of features in specific measure spaces. Specifically, these methods are summarized, and an example shows how to apply a FR method to sort mammographic breast lesion features. The toolbox is easy to use and flexible to integrate additional methods. Importantly, it provides a tool to compare, investigate and interpret the features selected for various applications. AVAILABILITY AND IMPLEMENTATION: The toolbox is freely available at http://github.com/NicoYuCN/matFR. A tutorial and an example with a dataset are provided.

Automatic polyp recognition in endoscopic images is challenging because of the low contrast between polyps and the surrounding area, the fuzzy and irregular polyp borders, and varying imaging light conditions. In this article, we propose a novel densely connected convolutional network with “unbalanced discriminant (UD)” loss and “category sensitive (CS)” loss (DenseNet-UDCS) for the task. We first utilize densely connected convolutional network (DenseNet) as the basic framework to conduct end-to-end polyp recognition task. Then, the proposed dual constraints, UD loss and CS loss, are simultaneously incorporated into the DenseNet model to calculate discriminative and suitable image features. The UD loss in our network effectively captures classification errors from both majority and minority categories to deal with the strong data imbalance of polyp images and normal ones. The CS loss imposes the ratio of intraclass and interclass variations in the deep feature learning process to enable features with large interclass variation and small intraclass compactness. With the joint supervision of UD loss and CS loss, a robust DenseNet-UDCS model is trained to recognize polyps from endoscopic images. The experimental results achieved polyp recognition accuracy of 93.19%, showing that the proposed DenseNet-UDCS can accurately characterize the endoscopic images and recognize polyps from the images. In addition, our DenseNet-UDCS model is superior in detection accuracy in comparison with state-of-the-art polyp recognition methods. Note to Practitioners-Wireless capsule endoscopy (WCE) is a crucial diagnostic tool for polyp detection and therapeutic monitoring, thanks to its noninvasive, user-friendly, and nonpainful properties. A challenge in harnessing the enormous potential of the WCE to benefit the gastrointestinal (GI) patients is that it requires clinicians to analyze a huge number of images (about 50 000 images for each patient). We propose a novel automatic polyp recognition scheme, namely, DenseNet-UDCS model, by addressing practical image unbalanced problem and small interclass variances and large intraclass differences in the data set. The comprehensive experimental results demonstrate superior reliability and robustness of the proposed model compared to the other polyp recognition approaches. Our DenseNet-UDCS model can be further applied in the clinical practice to provide valuable diagnosis information for GI disease recognition and precision medicine.