Enhancing the precision of segmenting coronary atherosclerotic plaques from CT Angiography (CTA) images is pivotal for advanced Coronary Atherosclerosis Analysis (CAA), which distinctively relies on the analysis of vessel cross-section images reconstructed via Curved Planar Reformation. This task presents significant challenges due to the indistinct boundaries and structures of plaques and blood vessels, leading to the inadequate performance of current deep learning models, compounded by the inherent difficulty in annotating such complex data. To address these issues, we propose a novel dual-consistency semi-supervised framework that integrates Intra-frame Topological Consistency (ITC) and Cross-frame Topological Consistency (CTC) to leverage labeled and unlabeled data. ITC employs a dual-task network for simultaneous segmentation mask and Skeleton-aware Distance Transform (SDT) prediction, achieving similar prediction of topology structure through consistency constraint without additional annotations. Meanwhile, CTC utilizes an unsupervised estimator for analyzing pixel flow between skeletons and boundaries of adjacent frames, ensuring spatial continuity. Experiments on two CTA datasets show that our method surpasses existing semi-supervised methods and approaches the performance of supervised methods on CAA. In addition, our method also performs better than other methods on the ACDC dataset, demonstrating its generalization.

Coronary artery extraction is a crucial prerequisite for computer-aided diagnosis of coronary artery disease. Accurately extracting the complete coronary tree remains challenging due to several factors, including presence of thin distal vessels, tortuous topological structures, and insufficient contrast. These issues often result in over-segmentation and under-segmentation in current segmentation methods. To address these challenges, we propose a topology-preserving three-stage framework for fully-connected coronary artery extraction. This framework includes vessel segmentation, centerline reconnection, and missing vessel reconstruction. First, we introduce a new centerline enhanced loss in the segmentation process. Second, for the broken vessel segments, we further propose a regularized walk algorithm to integrate distance, probabilities predicted by a centerline classifier, and directional cosine similarity, for reconnecting the centerlines. Third, we apply implicit neural representation and implicit modeling, to reconstruct the geometric model of the missing vessels. Experimental results show that our proposed framework outperforms existing methods, achieving Dice scores of 88.53% and 85.07%, with Hausdorff Distances (HD) of 1.07 mm and 1.63 mm on ASOCA and PDSCA datasets, respectively. Code will be available at https://github.com/YH-Qiu/CorSegRec.

Accurate segmentation of lesions plays a critical role in medical image analysis and diagnosis. Traditional segmentation approaches that rely solely on visual features often struggle with the inherent uncertainty in lesion distribution and size. To address these issues, we propose STPNet, a Scale-aware Text Prompt Network that leverages vision-language modeling to enhance medical image segmentation. Our approach utilizes multi-scale textual descriptions to guide lesion localization and employs retrieval-segmentation joint learning to bridge the semantic gap between visual and linguistic modalities. Crucially, STPNet retrieves relevant textual information from a specialized medical text repository during training, eliminating the need for text input during inference while retaining the benefits of cross-modal learning. We evaluate STPNet on three datasets: COVID-Xray, COVID-CT, and Kvasir-SEG. Experimental results show that our vision-language approach outperforms state-of-the-art segmentation methods, demonstrating the effectiveness of incorporating textual semantic knowledge into medical image analysis. The code has been made publicly on https://github.com/HUANGLIZI/STPNet.

We present an approach that can reconstruct hands in 3D from monocular input. Our approach for Hand Mesh Recovery, HaMeR, follows a fully transformer-based architecture and can analyze hands with significantly increased accuracy and robustness compared to previous work. The key to HaMeR's success lies in scaling up both the data used for training and the capacity of the deep network for hand reconstruction. For training data, we combine multiple datasets that contain 2D or 3D hand annotations. For the deep model, we use a large scale Vision Transformer architecture. Our final model consistently outperforms the previous baselines on popular 3D hand pose benchmarks. To further evaluate the effect of our design in non-controlled settings, we annotate existing in-the-wild datasets with 2D hand keypoint annotations. On this newly collected dataset of annotations, HInt, we demonstrate significant improvements over existing baselines. We will make our code, data and models publicly available upon publication. We make our code, data and models available on the project website: https://geopavlakos.github.io/hamer/. “It is because of his being armed with hands that man is the most intelligent animal.” Anaxagoras

Most recent scribble-supervised segmentation methods commonly adopt a CNN framework with an encoder-decoder architecture. Despite its multiple benefits, this framework generally can only capture small-range feature dependency for the convolutional layer with the local receptive field, which makes it difficult to learn global shape information from the limited information provided by scribble annotations. To address this issue, this paper proposes a new CNN-Transformer hybrid solution for scribble-supervised medical image segmentation called ScribFormer. The proposed ScribFormer model has a triple-branch structure, i.e., the hybrid of a CNN branch, a Transformer branch, and an attention-guided class activation map (ACAM) branch. Specifically, the CNN branch collaborates with the Transformer branch to fuse the local features learned from CNN with the global representations obtained from Transformer, which can effectively overcome limitations of existing scribble-supervised segmentation methods. Furthermore, the ACAM branch assists in unifying the shallow convolution features and the deep convolution features to improve model's performance further. Extensive experiments on two public datasets and one private dataset show that our ScribFormer has superior performance over the state-of-the-art scribble-supervised segmentation methods, and achieves even better results than the fully-supervised segmentation methods. The code is released at https://github.com/HUANGLIZI/ScribFormer.

Segmentation of COVID-19 lesions can assist physicians in better diagnosis and treatment of COVID-19. However, there are few relevant studies due to the lack of detailed information and high-quality annotation in the COVID-19 dataset. To solve the above problem, we propose C2FVL, a Coarse-to-Fine segmentation framework via Vision-Language alignment to merge text information containing the number of lesions and specific locations of image information. Introducing text information allows the network to achieve better prediction results on challenging datasets. We conduct extensive experiments on two COVID-19 datasets, including chest X-ray and CT, and the results demonstrate that our proposed method outperforms other state-of-the-art segmentation methods.

Medical image segmentation plays a critical role in clinical decision-making, treatment planning, and disease monitoring. However, accurate segmentation of medical images is challenging due to several factors, such as the lack of high-quality annotation, imaging noise, and anatomical differences across patients. In addition, there is still a considerable gap in performance between the existing label-efficient methods and fully-supervised methods. To address the above challenges, we propose ScribbleVC, a novel framework for scribble-supervised medical image segmentation that leverages vision and class embeddings via the multimodal information enhancement mechanism. In addition, ScribbleVC uniformly utilizes the CNN features and Transformer features to achieve better visual feature extraction. The proposed method combines a scribble-based approach with a segmentation network and a class-embedding module to produce accurate segmentation masks. We evaluate ScribbleVC on three benchmark datasets and compare it with state-of-the-art methods. The experimental results demonstrate that our method outperforms existing approaches in terms of accuracy, robustness, and efficiency. The datasets and code are released on GitHub.

As humans, we learn a lot about how to interact with the world by observing others interacting with their hands. To help AI systems obtain a better understanding of hand interactions, we introduce a new model that produces a rich understanding of hand interaction. Our system produces a richer output than past systems at a larger scale. Our outputs include boxes and segments for hands, in-contact objects, and second objects touched by tools as well as contact and grasp type. Supporting this method are annotations of 257K images, 401K hands, 288K objects, and 19K second objects spanning four datasets. We show that our method provides rich information and performs and generalizes well.

We introduce VISOR, a new dataset of pixel annotations and a benchmark suite for segmenting hands and active objects in egocentric video. VISOR annotates videos from EPIC-KITCHENS, which comes with a new set of challenges not encountered in current video segmentation datasets. Specifically, we need to ensure both short- and long-term consistency of pixel-level annotations as objects undergo transformative interactions, e.g. an onion is peeled, diced and cooked - where we aim to obtain accurate pixel-level annotations of the peel, onion pieces, chopping board, knife, pan, as well as the acting hands. VISOR introduces an annotation pipeline, AI-powered in parts, for scalability and quality. In total, we publicly release 272K manual semantic masks of 257 object classes, 9.9M interpolated dense masks, 67K hand-object relations, covering 36 hours of 179 untrimmed videos. Along with the annotations, we introduce three challenges in video object segmentation, interaction understanding and long-term reasoning.For data, code and leaderboards: http://epic-kitchens.github.io/VISOR

We consider the task of temporal human action localization in lifestyle vlogs. We introduce a novel dataset consisting of manual annotations of temporal localization for 13,000 narrated actions in 1,200 video clips. We present an extensive analysis of this data, which allows us to better understand how the language and visual modalities interact throughout the videos. We propose a simple yet effective method to localize the narrated actions based on their expected duration. Through several experiments and analyses, we show that our method brings complementary information with respect to previous methods, and leads to improvements over previous work for the task of temporal action localization.

In this paper we learn to segment hands and hand-held objects from motion. Our system takes a single RGB image and hand location as input to segment the hand and hand-held object. For learning, we generate responsibility maps that show how well a hand's motion explains other pixels' motion in video. We use these responsibility maps as pseudo-labels to train a weakly-supervised neural network using an attention-based similarity loss and contrastive loss. Our system outperforms alternate methods, achieving good performance on the 100DOH, EPIC-KITCHENS, and HO3D datasets.

Hands are the central means by which humans manipulate their world and being able to reliably extract hand state information from Internet videos of humans engaged in their hands has the potential to pave the way to systems that can learn from petabytes of video data. This paper proposes steps towards this by inferring a rich representation of hands engaged in interaction method that includes: hand location, side, contact state, and a box around the object in contact. To support this effort, we gather a large-scale dataset of hands in contact with objects consisting of 131 days of footage as well as a 100K annotated hand-contact video frame dataset. The learned model on this dataset can serve as a foundation for hand-contact understanding in videos. We quantitatively evaluate it both on its own and in service of predicting and learning from 3D meshes of human hands.