arXiv Computer Vision

Pos4CHD: A Positive-Free Mask-Guided Counterfactual Synthesis Framework for Fetal Congenital Heart Defect Analysis

Pos4CHD is a positive‑free, mask‑guided counterfactual synthesis framework designed to generate realistic fetal heart ultrasound images with congenital heart defects (CHDs) from only normal samples. It introduces FE‑Gen, a mask‑guided generative model that improves image‑mask alignment, and uses manipulated semantic masks to render anatomically consistent pseudo‑positive images. Experiments on in‑house datasets and expert evaluations show high visual fidelity (−12.97 FID) and anatomical consistency (+3.96% DSC), and the synthesized data boosts performance in zero‑shot classification, lesion detection, and anatomy segmentation tasks.

arXiv Computer Vision
Sep 14

SV-Cine: Diagnosis-Conditioned Segmentation of Single Ventricle Physiology via Generative Data Augmentation

The paper introduces SV-Cine, a cardiac MRI segmentation framework tailored for single ventricle physiology (SVP). It combines a generative data augmentation pipeline that creates synthetic 3D cardiac meshes and MRI, with a diagnosis-conditioned adaptation of the CineMA foundation model that uses patient-level diagnostic information to improve segmentation. Evaluations on an internal cohort show high Dice scores for left and right ventricles, outperforming nnU-Net, and demonstrate that incorporating diagnosis priors can adapt a pretrained model to specialized SVP tasks.

By Lila Cunge, Yuehong Liu, Hang Xu, Thomas Coudert, Pierangelo Renella, J Paul Finn, William Hsu, Kim-Lien Nguyen
arXiv Computer Vision
Sep 28

Towards Whole-Study Screening for Congenital Heart Disease in Fetal Ultrasound Using Multiple Instance Learning

The paper presents a two‑stage framework for prenatal congenital heart disease (CHD) screening that operates directly on whole fetal ultrasound studies. It first learns transferable frame representations via self‑supervised masked‑autoencoder pre‑training, then identifies cardiac frames with a disease‑robust module and aggregates them using a transformer‑based multiple instance learning model to produce a case‑level diagnosis. The approach achieves high performance (AUC 0.985, specificity 0.990) on an internal test set and, after label‑free CORAL adaptation, improves to an AUC of 0.944 on an external cohort, outperforming existing baselines.

By Mohamed Azzam, Ruobing Liu, Esther C. Ugwueke, Ziyang Xu, Shibiao Wan, Alex Foy, Abraham Zabih, Jason Christensen, Neil Hamill, Ling Li, Jieqiong Wang
arXiv AI
Sep 16

Beyond In-Distribution Metrics: A Systematic Out-of-Distribution Evaluation of Congenital Heart Disease Segmentation

The paper presents the first systematic evaluation of out‑of‑distribution generalization for congenital heart disease (CHD) segmentation, using the ImageCHD cohort as a held‑out target. It compares several segmentation architectures under different training regimes, showing that in‑distribution performance is a poor predictor of cross‑cohort robustness: nnU‑Net drops from 0.77 to 0.51 Dice, while SwinUNETR maintains higher performance at 0.67 Dice. Limited target‑domain adaptation with only 11 labeled ImageCHD cases boosts all SwinUNETR variants above 0.76 Dice, highlighting the importance of explicit cross‑dataset testing.

By Aniketh Vijesh, Shrisharanyan Vasu, Abhijit Ramesh, Clare Pomeroy-Ward, Harikrishnan Anil Maya, Sarin Xavier, Mahesh Kappanayil, Gilad Gressel
arXiv AI
Jun 2

CardioLens: Revealing the Clinical Reality Gap of MLLMs via Multi-Sequence Cardiac MRI Evaluations

arXiv:2606. 00123v1 Announce Type: cross Abstract: Multimodal Large Language Models (MLLMs) have shown strong performance on public medical benchmarks, yet existing evaluations often remain weak proxies for clinical use, relying on isolated inputs and simplified recognition-style tasks.

By Zixian Su, Hongkai Zhang, Fan Gao, Encheng Su, Taiping Qu, Jingwei Guo, Nan Zhang, Hui Wang, Zhen Zhou, Kairui Bo, Yan Chen, Yue Ren, Shuai Li, Lei Xu, Henggui Zhang
arXiv AI
Aug 26

Metadata-Aware Adaptation of a Generative Foundation Model for Conditional CMR Synthesis

The paper presents a method for generating cardiac magnetic resonance (CMR) images conditioned on patient metadata using a pretrained latent diffusion model. By encoding structured clinical data and slice position as textual prompts and applying Metadata‑Free Classifier‑Free Guidance, Contrastive Batching, and Inverse‑Frequency Sampling, the authors improve the fidelity of synthetic images, achieving a 57% reduction in Fréchet Inception Distance compared to a baseline without these strategies. Evaluation on 59,058 UK Biobank CMR scans shows better distributional realism and subgroup alignment, though disease‑specific conditioning remains challenging.

By Marc Rodr\'iguez, Grzegorz Skorupko, Nay Aung, Steffen E Petersen, Karim Lekadir, Polyxeni Gkontra
arXiv AI
Jun 10

FADA: Accessible fetal ultrasound interpretation and annotation with a selectively distilled unified vision-language model

arXiv:2606. 11106v1 Announce Type: cross Abstract: A global shortage of trained sonographers limits prenatal ultrasound screening in low- and middle-income countries, where over half of pregnant women receive no skilled sonography.

By Mahmood Alzubaidi, Uzair Shah, Raden Muaz, Ines Abbes, Nader Mohammed, Abdullatif Magram, Khalid Alyafei, Mowafa Househ, Marco Agus
arXiv Computer Vision
Aug 28

Anatomy-Guided Foundation Model Adaptation with Within-Case Prototype Supervision for Standard Plane Detection in Fetal Ultrasound Blind Sweeps

AnatoProto is a lightweight sequence‑level framework that adapts a frozen BiomedCLIP encoder for detecting the fetal abdominal circumference standard plane in low‑cost obstetric blind sweeps. It incorporates anatomy‑weighted spatial pooling, a within‑case prototype loss, a three‑stage cascade refinement, and a hybrid prediction head to address the highly imbalanced, short‑segment nature of the task. On the ACOUSLIC‑AI benchmark, AnatoProto achieves a test F1 of 67.72, surpassing the best foundation‑model baseline by 13.20 F1 and the best video temporal‑action‑detection baseline by 15.76 F1.

By Yuzhe Zhao
arXiv AI
Aug 18

Cross-Modal Ultrasound-MRI Learning for Fetal Brain Ventricular Volumetry and Abnormality Screening

arXiv:2608. 14763v1 Announce Type: cross Abstract: Assessment of ventriculomegaly (VM) on fetal brain ultrasound relies primarily on measuring lateral ventricular atrial width on standard planes, which is operator-dependent and may not fully reflect the overall ventricular enlargement.

By Yuhao Huang, Yuanji Zhang, Yuhuan Lu, Dong Ni, P. Ellen Grant, Davood Karimi