Biratal Raj Wagle, Bashirul Azam Biswas, Grant Chau +5cs.CV
Automated lesion segmentation in whole-body PET/CT imaging can assist clinicians with cancer detection, staging, and treatment planning across radiotracers and cancer types. However, training lesion segmentation models that capture variations in lesion size, distribution, and appearance requires large annotated datasets, whose creation is both time- and expertise-intensive. As a result, models trained on limited labeled PET/CT data often lack the accuracy and generalizability needed for clinical use. We present FEEDS (Foundation model-Enabled Efficient Data Sampling), a label- and compute-efficient learning strategy that uses vision foundation model embeddings to select the most informative and diverse unlabeled cases for expert annotation. Unlike unsupervised, semi-supervised, and active learning approaches, FEEDS is a one-step training paradigm requiring only a limited, representative training set, making it label- and compute-efficient. We train and validate FEEDS using the AutoPET-III dataset. We test its accuracy and generalizability on three held-out sets: AutoPET-III, DeepPSMA, and an internal Dartmouth-Hitchcock Medical Center dataset. We evaluate clinical utility at the voxel, lesion, and anatomic region level to assess performance in high-risk areas and treatment planning utility. FEEDS outperforms random-sampling-based labeling, pseudolabel-based semi-supervised learning, and training with limited labeled data alone. It generalizes across all three test sets, FDG and PSMA tracers, and multiple diseases, matching fully-labeled (100\%) training performance with 70\% less annotation burden. FEEDS addresses the challenge of label scarcity in an automatic lesion segmentation framework by providing a practical approach for constructing representative and diverse annotation queues from large, unannotated clinical repositories.
The speed of sound in tissue is a prerequisite for well-focused imaging and has diagnostic value, but recovering it from raw pulse-echo channel data is fundamentally a nonlinear inverse problem. Learned solvers are fast yet label hungry. Simulated sound-speed labels are expensive, while abundant real channel data is unlabeled. We propose IQ-JEPA to exploit both data types. An encoder is pretrained without labels to predict the latent representation of masked in-phase and quadrature (IQ) regions from visible context, then fine-tuned on simulated maps. Sound speed appears in the IQ signal as a phase difference, invariant to the constant phase offset. The encoder is a Hermitian vision transformer that operates on the complex signal directly. Its attention is equivariant to that phase and its conjugate-product feed-forward is invariant to it, so the encoder reads a quantity analogous to the one classical coherence methods use. On 79,293 Fullwave 2.5 simulations at 2.5 MHz, pretraining on the 63,435 unlabeled acquisitions reaches 15.60 m/s at 10,000 labels. This is a roughly threefold gain in label efficiency over supervised training, growing to over fourfold at 1,000 labels. It is about 2.2x below an InversionNet baseline, and 8.71 m/s at full labels. The gain still grows with more unlabeled pretraining data. Our comparisons point to self-supervision as the dominant factor. The same encoder transfers. Its frozen features expose sound speed and attenuation, and cross-distribution pretraining between layered and abdominal phantoms costs little accuracy. We see this as a first step toward a foundation model for quantitative ultrasound.