Medical image segmentation annotation suffers from inter-rater variability (IRV) due to differences in annotators' expertise and the inherent blurriness of medical images. Standard approaches that simply average expert labels are flawed, as they discard the valuable clinical uncertainty revealed in disagreements. We introduce a fundamentally new approach with our group decision simulation framework, which works by mimicking the collaborative decision-making process of a clinical panel. Under this framework, an Expert Signature Generator (ESG) learns to represent individual annotator styles in a unique latent space. A Simulated Consultation Module (SCM) then intelligently generates the final segmentation by sampling from this space. This method achieved state-of-the-art results on challenging CBCT and MRI datasets (92.11% and 90.72% Dice scores). By treating expert disagreement as a useful signal instead of noise, our work provides a clear path toward more robust and trustworthy AI systems for healthcare.

Computer-aided surgical simulation is a critical component of orthognathic surgical planning, where accurately simulating face-bone shape transformations is significant. The traditional biomechanical simulation methods are limited by their computational time consumption levels, labor-intensive data processing strategies and low accuracy. Recently, deep learning-based simulation methods have been proposed to view this problem as a point-to-point transformation between skeletal and facial point clouds. However, these approaches cannot process large-scale points, have limited receptive fields that lead to noisy points, and employ complex preprocessing and postprocessing operations based on registration. These shortcomings limit the performance and widespread applicability of such methods. Therefore, we propose a Transformer-based coarse-to-fine point movement network (TCFNet) to learn unique, complicated correspondences at the patch and point levels for dense face-bone point cloud transformations. This end-to-end framework adopts a Transformer-based network and a local information aggregation network (LIA-Net) in the first and second stages, respectively, which reinforce each other to generate precise point movement paths. LIA-Net can effectively compensate for the neighborhood precision loss of the Transformer-based network by modeling local geometric structures (edges, orientations and relative position features). The previous global features are employed to guide the local displacement using a gated recurrent unit. Inspired by deformable medical image registration, we propose an auxiliary loss that can utilize expert knowledge for reconstructing critical this http URL with the existing state-of-the-art (SOTA) methods on gathered datasets, TCFNet achieves outstanding evaluation metrics and visualization results. The code is available at this https URL.

We propose FaceCom, a method for 3D facial shape completion, which delivers high-fidelity results for incomplete facial inputs of arbitrary forms. Unlike end-to-end shape completion methods based on point clouds or voxels, our approach relies on a mesh-based generative network that is easy to optimize, enabling it to handle shape completion for irregular facial scans. We first train a shape generator on a mixed 3D facial dataset containing 2405 identities. Based on the incomplete facial input, we fit complete faces using an optimization approach under image inpainting guidance. The completion results are refined through a post-processing step. FaceCom demonstrates the ability to effectively and naturally complete facial scan data with varying missing regions and degrees of missing areas. Our method can be used in medical prosthetic fabrication and the registration of deficient scanning data. Our experimental results demonstrate that FaceCom achieves exceptional performance in fitting and shape completion tasks. The code is available at this https URL.

We proposed a convolutional neural network for vertex classification on 3-dimensional dental meshes, and used it to detect teeth margins. An expanding layer was constructed to collect statistic values of neighbor vertex features and compute new features for each vertex with convolutional neural networks. An end-to-end neural network was proposed to take vertex features, including coordinates, curvatures and distance, as input and output each vertex classification label. Several network structures with different parameters of expanding layers and a base line network without expanding layers were designed and trained by 1156 dental meshes. The accuracy, recall and precision were validated on 145 dental meshes to rate the best network structures, which were finally tested on another 144 dental meshes. All networks with our expanding layers performed better than baseline, and the best one achieved an accuracy of 0.877 both on validation dataset and test dataset.

Complicated image registration is a key issue in medical image analysis, and deep learning-based methods have achieved better results than traditional methods. The methods include ConvNet-based and Transformer-based methods. Although ConvNets can effectively utilize local information to reduce redundancy via small neighborhood convolution, the limited receptive field results in the inability to capture global dependencies. Transformers can establish long-distance dependencies via a self-attention mechanism; however, the intense calculation of the relationships among all tokens leads to high redundancy. We propose a novel unsupervised image registration method named the unified Transformer and superresolution (UTSRMorph) network, which can enhance feature representation learning in the encoder and generate detailed displacement fields in the decoder to overcome these problems. We first propose a fusion attention block to integrate the advantages of ConvNets and Transformers, which inserts a ConvNet-based channel attention module into a multihead self-attention module. The overlapping attention block, a novel cross-attention method, uses overlapping windows to obtain abundant correlations with match information of a pair of images. Then, the blocks are flexibly stacked into a new powerful encoder. The decoder generation process of a high-resolution deformation displacement field from low-resolution features is considered as a superresolution process. Specifically, the superresolution module was employed to replace interpolation upsampling, which can overcome feature degradation. UTSRMorph was compared to state-of-the-art registration methods in the 3D brain MR (OASIS, IXI) and MR-CT datasets. The qualitative and quantitative results indicate that UTSRMorph achieves relatively better performance. The code and datasets are publicly available at this https URL.