Adaptive Query Prompting for Multi-Domain Landmark Detection

Medical landmark detection is crucial in various medical imaging modalities and procedures. Although deep learning-based methods have achieve promising performance, they are mostly designed for specific anatomical regions or tasks. In this work, we propose a universal model for multi-domain landmark detection by leveraging transformer architecture and developing a prompting component, named as Adaptive Query Prompting (AQP). Transformer backbone architecture is suitable for our study due to its ability to capture long-range dependencies crucial in multi-domain landmark detection. Specifically, transformers excel at understanding global anatomical relationships, which span across entire images. Instead of embedding additional modules in the backbone network, we design a separate module to generate prompts that can be effectively extended to any other transformer network. In our proposed AQP, prompts are learnable parameters maintained in a memory space called prompt pool. The central idea is to keep the backbone frozen and then optimize prompts to instruct the model inference process. Furthermore, we employ a lightweight decoder to decode landmarks from the extracted features, namely Light-MLD. Thanks to the lightweight nature of the decoder and AQP, we can handle multiple datasets by sharing the backbone encoder and then only perform partial parameter tuning without incurring much additional cost. It has the potential to be extended to more landmark detection tasks. We conduct experiments on three widely used X-ray datasets for different medical landmark detection tasks. Our proposed Light-MLD coupled with AQP achieves SOTA performance on many metrics even without the use of elaborate structural designs or complex frameworks.