Through the Schrödinger Bridge: Benchmarking Antemortem Image Restoration from Postmortem Autolysis to Enhance Forensic Diagnostics

📅 2026-08-22
📈 Citations: 0
Influential: 0
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🤖 AI Summary
本文通过构建AutoPath数据集并采用Schrödinger Bridge方法,解决了法医病理学中因死后自溶导致的图像恢复难题,以提高诊断客观性。
📝 Abstract
Forensic histopathology, essential for determining cause of death and disease diagnosis, is severely impeded by postmortem autolysis, i.e., an irreversible, stochastic degradation process that distorts tissue morphology and introduces diagnostic subjectivity, thereby underscoring the value of restoring autolyzed images to a diagnostically plausible, pre-autolysis state for improving objectivity in forensic practice. This restoration task is fundamentally challenging due to the large, non-deterministic morphological changes caused by autolysis and the infeasibility of pixel-wise paired data, which invalidates assumptions underlying supervised and cycle/structure-consistent unpaired translation methods. To address this, we formalize forensic histopathology autolysis restoration as a new task: under unpaired supervision, transform postmortem images with severe autolysis into diagnostically meaningful ``antemortem'' representations. We contribute AutoPath, the first homologous yet unpaired dataset for this problem, constructed by splitting specimens into adjacent tissue blocks---one processed immediately, the other exposed to induce autolysis---yielding nearly ten thousand $10\times$ patches from 69 cases with varying liver conditions. We further frame the problem as a Schrödinger Bridge between the autolyzed and non-autolyzed distributions, offering a principled approach to modeling stochastic, severe morphological degradation. Critically, we demonstrate the misalignment of generic image-level generative metrics (e.g., FID) with diagnostic utility and propose a forensically grounded, slide-level diagnostic distribution consistency evaluation. Overall, this work establishes a reproducible benchmark (encompassing task definition, a real-world dataset, and an evaluation methodology) toward rigorous and practically meaningful progress in autolysis restoration for forensic pathology.
Problem

Research questions and friction points this paper is trying to address.

postmortem autolysis
forensic histopathology
image restoration
diagnostic subjectivity
morphological degradation
Innovation

Methods, ideas, or system contributions that make the work stand out.

Schrödinger Bridge
Unpaired Supervision
Diagnostic Distribution Consistency
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Shuang Hao
Key Laboratory of Biomedical Information Engineering of Ministry of Education, School of Life Science and Technology, Xi’an Jiaotong University, Xi’an, China; Research Center for Intelligent Medical Equipment and Devices (IMED), Xi’an Jiaotong University, Xi’an 710049, China
J
Jiacheng Yue
Faculty of Forensic Medicine, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, 510080, China
Y
Yaxuan Zhao
School of Mathematics and Statistics, Xi’an Jiaotong University, Xi’an, China; Research Center for Intelligent Medical Equipment and Devices (IMED), Xi’an Jiaotong University, Xi’an 710049, China
F
Fan Wang
Key Laboratory of Biomedical Information Engineering of Ministry of Education, School of Life Science and Technology, Xi’an Jiaotong University, Xi’an, China; Research Center for Intelligent Medical Equipment and Devices (IMED), Xi’an Jiaotong University, Xi’an 710049, China
J
Jianhua Ma
Key Laboratory of Biomedical Information Engineering of Ministry of Education, School of Life Science and Technology, Xi’an Jiaotong University, Xi’an, China; Research Center for Intelligent Medical Equipment and Devices (IMED), Xi’an Jiaotong University, Xi’an 710049, China
E
Erwen Huang
Faculty of Forensic Medicine, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, 510080, China
Chunfeng Lian
Chunfeng Lian
Professor, Xi'an Jiaotong University
Medical Image AnalysisMedical ImagingAI for Medicine