Research研究領域

Medical Image

Early Oral Cancer Detection System口腔癌早期篩檢系統

Early-stage oral cancer screening relies heavily on physicians' visual observation and palpation, making the diagnostic process time-consuming and highly dependent on subjective clinical expertise; mobile-based screening is likewise susceptible to variations in capture position, field-of-view completeness, and image quality, which can compromise interpretation accuracy. To provide a more objective, convenient, and highly accurate clinical support tool, we developed an integrated oral lesion early screening algorithm spanning image quality control through to lesion risk assessment. This algorithm first automatically verifies whether the user has provided complete and correctly positioned images of each oral region, then automatically marks the location of potential lesions and assigns a risk grade based on severity. This research has now progressed into a fully developed mobile application, intended to serve as an intelligent support tool for preliminary clinical screening of oral cancer.早期口腔癌的篩檢高度依賴醫師的肉眼觀察與觸診,診斷過程因此耗時並極具主觀經驗的專業門檻;行動式拍攝篩檢亦容易因拍攝位置、視野完整度與影像品質不一而影響判讀準確性。為提供更客觀、便利且高準確度的臨床輔導工具,我們研發出一套從影像品質把關到病灶風險評估之整合式口腔病灶早期篩檢演算法。該演算法首先自動辨識使用者是否完整並正確提供口腔各部位影像,再行自動標示潛在病灶位置並依嚴重程度進行風險分級。本研究如今已進展為完整的行動應用程式,期望作為口腔癌臨床初步篩檢之智慧輔助工具。

Cardiovascular Image Analysis and Non-Invasive Hemodynamic Simulation心血管影像分析與非侵入性血液動力學模擬

To address coronary artery disease, the leading cause of mortality worldwide, and enhance clinical diagnostic efficacy, integrating computed tomography and angiography with hemodynamic simulation has demonstrated critical potential for non-invasive precision medicine. To this end, our team developed a cardiovascular image registration and reconstruction algorithm that integrates coronary computed tomography angiography (CCTA) with coronary angiography (CAG). This algorithm precisely fuses plaque information from computed tomography with the vessel diameter advantages of angiography, and has recently incorporated state-of-the-art deep learning techniques to automate coronary artery segmentation in CT images; in parallel, the system couples computational fluid dynamics (CFD) with biological anatomical parameter estimation methods to precisely simulate intravascular pressure fields and calculate the clinically critical fractional flow reserve (FFR).為因應全球致命率最高之冠狀動脈疾病並提升臨床診斷效益,將電腦斷層與血管造影結合血液動力學模擬,已展現非侵入性精準醫療的關鍵潛力。為此,本團隊開發了一套整合電腦斷層冠狀動脈血管攝影(CCTA)與冠狀動脈造影(CAG)之心血管影像對位與重建演算法。該演算法精準融合斷層掃描之斑塊資訊與造影之管徑優勢,近期更導入最新深度學習技術以自動化分割 CT 影像冠狀動脈;同時,系統偕同計算流體力學(CFD)與生體解剖參數推估方法,可精準模擬血管內壓力場並計算關鍵之血流儲備分數(FFR)。

Pelvic CT-Assisted Opportunistic Prostate Cancer Screening腹盆腔CT影像輔助攝護腺癌機會性篩檢

Pelvic CT scans are frequently performed for reasons unrelated to the prostate, such as vascular disease, abdominal symptoms, or evaluation of other tumors, and often incidentally cover the prostate region, yet these images are rarely systematically examined for potential prostate cancer lesions. Compared with MRI, CT offers lower contrast resolution for prostate soft tissue, making lesion boundaries more difficult to discern, and since scan protocols are not designed for prostate evaluation, such images have long remained underutilized for early prostate cancer detection. We aim to introduce advanced computer vision techniques to assist opportunistic prostate cancer screening on CT images, sparing patients the need for additional dedicated examinations and the associated radiation exposure this would entail.腹盆腔CT掃描常因血管疾病、腹部症狀或其他腫瘤評估等與攝護腺無關的原因而施行,這些影像中往往附帶涵蓋攝護腺區域,卻極少被系統性地檢視是否存在攝護腺癌病灶。相比MRI影像,CT影像對攝護腺軟組織的對比解析度較低、病灶邊界不易辨識,又掃描條件並非為攝護腺評估而設計,使得這類影像長期以來未被充分利用於攝護腺癌的早期預警。我們期望導入先進電腦視覺技術,以CT影像輔助攝護腺癌機會性篩檢,使病患無須為攝護腺癌篩檢額外安排檢查,也無須因此承受額外的輻射暴露。

Positron Emission Tomography Image Reconstruction and Software Interface Development正子造影影像重建與軟體介面開發

In clinical nuclear medicine, administering ultra-low-dose radiotracers has become an inevitable trend for reducing patients' exposure to ionizing radiation, but this also results in positron emission tomography (PET) images plagued by severe noise. We developed a general-purpose blind medical image denoising algorithm. This algorithm autonomously estimates the degree of degradation directly from image content and performs restoration, without requiring prior knowledge of the patient's body type, scanner model, or administered dose ratio, with the aim of helping physicians obtain highly reliable diagnostic evidence under low radiation dose conditions that safeguard patient safety.在臨床核子醫學中,為了降低電離輻射對病人的健康風險,施打超低劑量放射性示蹤劑已成為必然趨勢,但這也導致拍攝出的正子造影(PET)影像充滿嚴重噪聲。我們研發出一套通用型盲醫學影像去噪演算法。該演算法不需要事先得知病人的體型、掃描儀型號或施打的劑量比例,即可從影像內容自主推估受損程度並進行修復,期望能協助醫師在兼顧病人安全的低輻射劑量前提下,獲得高可靠性的精準診斷依據。

AED Pad Placement Quality Assessment SystemAED 電擊貼片放置品質評估系統

Proper AED (Automated External Defibrillator) pad placement is essential for effective defibrillation, yet considerable variation in pad position and orientation may occur during actual use. This research aims to develop a tool that automatically identifies and quantifies the geometric position and orientation of AED pads relative to anatomical landmarks. By analyzing discrepancies between actual pad placement and recommended positions, this study seeks to establish an objective and reproducible framework for evaluating AED pad placement.正確擺放 AED(自動體外心臟去顫器)電擊貼片是有效電擊除顫的關鍵,然而實際使用時貼片的位置與方向常存在顯著差異。本研究旨在開發一套可自動辨識並量化電擊貼片相對於解剖標誌之幾何位置與方向的工具,透過分析實際貼片放置位置與建議位置之差異,建立一套客觀且可重複之電擊貼片放置評估框架。

CT Image Lesion Detection Algorithm for Colorectal Cancer結腸直腸癌 CT 影像病灶偵測演算法

Colorectal cancer tumors, characterized by high morphological heterogeneity and low contrast with surrounding tissue, present a bottleneck for automated segmentation accuracy in conventional single-modality computed tomography (CT) imaging. Although incorporating privileged information such as clinical notes has been shown to effectively improve model performance, this remains constrained in early screening settings prior to diagnosis, where such privileged information is unavailable. To address this practical challenge, we propose an image segmentation algorithm based on multimodal cross attention. This algorithm uses a 3D convolutional neural network as its image feature extraction backbone, combined with a medical domain language encoder, deeply fusing clinical semantic information into the feature extraction process through a multi-scale cross attention mechanism; in addition, the system incorporates a learning using privileged information (LUPI) training strategy together with random feature masking, enabling the model to operate at inference time using only general-purpose prompts, thereby eliminating reliance on patient-specific clinical data during inference.結腸直腸癌腫瘤因形態異質性高且與周圍組織對比度低,導致傳統單一斷層掃描(CT)影像的自動化分割準確度面臨瓶頸。儘管引入病歷描述等特權資訊已被證實能有效提升模型性能,但在尚未確診的早期篩檢階段仍受限於特權資訊缺失。為了解決這項實務痛點,我們提出基於多模態交叉注意力之影像分割演算法。該演算法以 3D 卷積神經網路為影像特徵提取骨幹,並結合醫學領域語言編碼器,透過多尺度交叉注意力機制(Cross Attention),在影像特徵提取的過程中深度融合臨床語義資訊;此外,系統導入特權資訊學習(LUPI)訓練策略與特徵隨機遮蔽技術,使模型在推論階段僅需通用提示詞(Prompt)即可運作,擺脫推論時對特定病患臨床資料的依賴。

Recent Publications近期論文

Huanyi Zhou; Stanley Reeves; Cheng‐Ying Chou; Andrew Brannen; Peter Panizzi, “Online geometry calibration for retrofit computed tomography from a mouse rotation system and a small‐animal imager” Medical Physics 50(1), 192-208 https://doi.org/10.1002/mp.15953 (2022).

2022

Atiq Ur Rahman1,2, Mythra Varun Nemallapudi4,1, Cheng-Ying Chou4,3, Chih-Hsun Lin1 and Shih-Chang Lee, “Direct mapping from PET coincidence data to proton-dose and positron activity using a deep learning approach” Physics in Medicine & Biology 67(18) 185010 (2022).

2022

Mythra Varun Nemallapudi, Atiq Rahman, Chih-Hsun Lin, Ming-Lee Chu, Augustine Chen, Shih-Chang Lee, Cheng-Ying Chou, “Positron Emitter Depth Distribution in PMMA Irradiated with 130 MeV Protons Measured Using TOF-PET Detectors”, IEEE Transactions on Radiation and Plasma Medical Science, doi: 10.1109/TRPMS.2021.3084953. (2021)

2021

Recent Theses近期學位論文

Yu-Hsin Lin ’26

Application of Deep Learning in Colorectal Cancer CT Image Segmentation

Si-Wei Chen ’26

Dynamic Router Gating Mixture of Experts with Adaptive Calibration Consensus for Oral Lesion Detection System and iOS Application Development

Yung-En Huang ’26

​Deep Learning Applications for Prostate Cancer CT Image Segmentation