UAE: Universal Anatomical Embedding on Multi-modality Medical Images

Identifying specific anatomical structures (\textit{e.g.}, lesions or landmarks) in medical images plays a fundamental role in medical image analysis. Exemplar-based landmark detection methods are receiving increasing attention since they can detect arbitrary anatomical points in inference while do not need landmark annotations in training. They use self-supervised learning to acquire a discriminative embedding for each voxel within the image. These approaches can identify corresponding landmarks through nearest neighbor matching and has demonstrated promising results across various tasks. However, current methods still face challenges in: (1) differentiating voxels with similar appearance but different semantic meanings (\textit{e.g.}, two adjacent structures without clear borders); (2) matching voxels with similar semantics but markedly different appearance (\textit{e.g.}, the same vessel before and after contrast injection); and (3) cross-modality matching (\textit{e.g.}, CT-MRI landmark-based registration). To overcome these challenges, we propose universal anatomical embedding (UAE), which is a unified framework designed to learn appearance, semantic, and cross-modality anatomical embeddings. Specifically, UAE incorporates three key innovations: (1) semantic embedding learning with prototypical contrastive loss; (2) a fixed-point-based matching strategy; and (3) an iterative approach for cross-modality embedding learning. We thoroughly evaluated UAE across intra- and inter-modality tasks, including one-shot landmark detection, lesion tracking on longitudinal CT scans, and CT-MRI affine/rigid registration with varying field of view. Our results suggest that UAE outperforms state-of-the-art methods, offering a robust and versatile approach for landmark based medical image analysis tasks. Code and trained models are available at: \href{https://shorturl.at/bgsB3}