Multi-modal Magnetic Resonance Imaging (MRI) can provide complementary information for automatic brain tumor segmentation, which is crucial for diagnosis and prognosis. While missing modality data is common in clinical practice and it can result in the collapse of most previous methods relying on complete modality data. Current state-of-the-art approaches cope with the situations of missing modalities by fusing multi-modal images and features to learn shared representations of tumor regions, which often ignore explicitly capturing the correlations among modalities and tumor regions. Inspired by the fact that modality information plays distinct roles to segment different tumor regions, we aim to explicitly exploit the correlations among various modality-specific information and tumor-specific knowledge for segmentation. To this end, we propose a Dual Disentanglement Network (D ² -Net) for brain tumor segmentation with missing modalities, which consists of a modality disentanglement stage (MD-Stage) and a tumor-region disentanglement stage (TD-Stage). In the MD-Stage, a spatial-frequency joint modality contrastive learning scheme is designed to directly decouple the modality-specific information from MRI data. To decompose tumor-specific representations and extract discriminative holistic features, we propose an affinity-guided dense tumor-region knowledge distillation mechanism in the TD-Stage through aligning the features of a disentangled binary teacher network with a holistic student network. By explicitly discovering relations among modalities and tumor regions, our model can learn sufficient information for segmentation even if some modalities are missing. Extensive experiments on the public BraTS-2018 database demonstrate the superiority of our framework over state-of-the-art methods in missing modalities situations. Codes are available at https://github.com/CityU-AIM-Group/D2Net .

Clinically oriented deep learning algorithms, combined with large-scale medical datasets, have significantly promoted computer-aided diagnosis. To address increasing ethical and privacy issues, Federated Learning (FL) adopts a distributed paradigm to collaboratively train models, rather than collecting samples from multiple institutions for centralized training. Despite intensive research on FL, two major challenges are still existing when applying FL in the real-world medical scenarios, including the performance degradation (i.e., retrogress) after each communication and the intractable class imbalance. Thus, in this paper, we propose a novel personalized FL framework to tackle these two problems. For the retrogress problem, we first devise a Progressive Fourier Aggregation (PFA) at the server side to gradually integrate parameters of client models in the frequency domain. Then, at the client side, we design a Deputy-Enhanced Transfer (DET) to smoothly transfer global knowledge to the personalized local model. For the class imbalance problem, we propose the Conjoint Prototype-Aligned (CPA) loss to facilitate the balanced optimization of the FL framework. Considering the inaccessibility of private local data to other participants in FL, the CPA loss calculates the global conjoint objective based on global imbalance, and then adjusts the client-side local training through the prototype-aligned refinement to eliminate the imbalance gap with such a balanced goal. Extensive experiments are performed on real-world dermoscopic and prostate MRI FL datasets. The experimental results demonstrate the advantages of our FL framework in real-world medical scenarios, by outperforming state-of-the-art FL methods with a large margin. The source code is available at https://github.com/CityU-AIM-Group/PRR-Imbalance.

The physiological functions of lysophosphatidylethanolamine (lysoPE) have not been fully elucidated. In this study, the effects of lysoPE on lipogenesis and lipolysis were investigated in a cultured human liver-derived cell line. The intracellular lipid profile was investigated in detail using liquid chromatography–tandem mass spectrometry (LC-MS/MS) to better understand the underlying mechanism. The expression of genes related to lipid metabolism and catabolism was analyzed using real-time PCR. LysoPE supplementation induced cellular lipid droplet formation and altered triacylglycerol (TAG) profiles. Furthermore, lysoPE downregulated expression of the TAG hydrolyzation regulation factor ATGL, and reduced the expression of fatty acid biosynthesis-related genes SREBP1 and SCD1. LC-MS/MS-based lipidomic profiling revealed that the addition of lysoPE 18:2 increased the PE species containing linoleic acyl, as well as the CE 18:2 species, likely due to the incorporation of linoleic acyl from lysoPE 18:2. Collectively, these findings suggest that lysoPE 18:2 is involved in lipid droplet formation by suppressing lipolysis and fatty acid biosynthesis. Thus, lysoPE might play a pathological role in the induction of fatty liver disease.

The degradation in image resolution harms the performance of medical image diagnosis. By inferring high-frequency details from low-resolution (LR) images, super-resolution (SR) techniques can introduce additional knowledge and assist high-level tasks. In this paper, we propose a SR enhanced diagnosis framework, consisting of an efficient SR network and a diagnosis network. Specifically, a Multi-scale Refined Context Network (MRC-Net) with Refined Context Fusion (RCF) is devised to leverage global and local features for SR tasks. Instead of learning from scratch, we first develop a recursive MRC-Net with temporal context, and then propose a recursion distillation scheme to enhance the performance of MRC-Net from the knowledge of the recursive one and reduce the computational cost. The diagnosis network jointly utilizes the reliable original images and more informative SR images by two branches, with the proposed Sample Affinity Interaction (SAI) blocks at different stages to effectively extract and integrate discriminative features towards diagnosis. Moreover, two novel constraints, sample affinity consistency and sample affinity regularization, are devised to refine the features and achieve the mutual promotion of these two branches. Extensive experiments of synthetic and real LR cases are conducted on wireless capsule endoscopy and histopathology images, verifying that our proposed method is significantly effective for medical image diagnosis.