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Annotation-Efficient Vulnerable Carotid Plaque Identification in 3D MRI: A Multimodal Knowledge-Transferred Framework.

August 28, 2026pubmed logopapers

Authors

Cao B,Zhang Y,Gai Q,Zhang M,Yu F,Feng M,Zhang S,Liu J,Shi F,Lu J

Affiliations (3)

  • Department of Radiology and Nuclear Medicine, Xuanwu Hospital Capital Medical University, Changchun Street No. 45, Beijing 100053, China.
  • Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing 100053, China.
  • Department of Research and Development, United Imaging Intelligence, Shanghai 200232, China.

Abstract

Multimodal learning has gained attention in recent years due to its ability to effectively utilize data features from various modalities. Diagnosing the vulnerability of atherosclerotic plaques directly from carotid 3D MRI images is challenging for both radiologists and conventional 3D vision networks. In clinical practice, radiologists assess patients using a multimodal approach that incorporates various imaging modalities and domain-specific expertise, paving the way for the creation of multimodal diagnostic networks. In this study, we proposed an effective framework to leverage radiologists' domain knowledge to improve the automated diagnosis of carotid plaque vulnerability through variational inference and multimodal knowledge distillation (VMD). This framework excels in harnessing cross-modality prior knowledge from limited image annotations and radiology reports within training data, thereby enhancing the diagnostic network's accuracy for unannotated 3D MRI images. We validated the proposed VMD framework on our in-house dataset, demonstrating its effectiveness.

Topics

Journal Article

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