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Weakly Supervised Object Detection in Chest X-Rays with Differentiable ROI Proposal Networks and Soft ROI Pooling

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arXiv 2024年

作者： Müller, Philip Meissen, Felix Kaissis, Georgios Rueckert, Daniel School of Computation Information and Technology TU Munich Garching85748 Germany The group for Reliable AI Institute for Machine Learning in Biomedical Imaging Helmholtz Munich Germany The Biomedical Image Analysis Group Imperial College London LondonSW7 2AZ United Kingdom

Weakly supervised object detection (WSup-OD) increases the usefulness and interpretability of image classification algorithms without requiring additional supervision. The successes of multiple instance learning in this task for natural images, however, do not translate well to medical images due to the very different characteristics of their objects (i.e. pathologies). In this work, we propose Weakly Supervised ROI Proposal Networks (WSRPN), a new method for generating bounding box proposals on the fly using a specialized region of interest-attention (ROI-attention) module. WSRPN integrates well with classic backbone-head classification algorithms and is end-to-end trainable with only image-label supervision. We experimentally demonstrate that our new method outperforms existing methods in the challenging task of disease localization in chest X-ray images. Code: https://***/philip-mueller/wsrpn. Copyright © 2024, The Authors. All rights reserved.

关键词： Object detection

Unsupervised Pathology Detection: A Deep Dive Into the State of the Art

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arXiv 2023年

作者： Lagogiannis, Ioannis Meissen, Felix Kaissis, Georgios Rueckert, Daniel School of Computation Information and Technology TU Munich 85748 Garching and Klinikum rechts der Isar München81675 Germany The Biomedical Image Analysis Group Imperial College London LondonSW7 2AZ United Kingdom The Group for Reliable AI Institute for Machine Learning in Biomedical Imaging Helmholtz Zentrum München Germany

Deep unsupervised approaches are gathering increased attention for applications such as pathology detection and segmentation in medical images since they promise to alleviate the need for large labeled datasets and are more generalizable than their supervised counterparts in detecting any kind of rare pathology. As the Unsupervised Anomaly Detection (UAD) literature continuously grows and new paradigms emerge, it is vital to continuously evaluate and benchmark new methods in a common framework, in order to reassess the state-of-the-art (SOTA) and identify promising research directions. To this end, we evaluate a diverse selection of cutting-edge UAD methods on multiple medical datasets, comparing them against the established SOTA in UAD for brain MRI. Our experiments demonstrate that newly developed feature-modeling methods from the industrial and medical literature achieve increased performance compared to previous work and set the new SOTA in a variety of modalities and datasets. Additionally, we show that such methods are capable of benefiting from recently developed self-supervised pre-training algorithms, further increasing their performance. Finally, we perform a series of experiments in order to gain further insights into some unique characteristics of selected models and datasets. Our code can be found under https://***/iolag/UPD study/. © 2023, CC BY-NC-SA.

关键词： image reconstruction

Evaluation of 3D GANs for Lung Tissue Modelling in Pulmonary CT

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arXiv 2022年

作者： Ellis, Sam Martinez Manzanera, Octavio E. Baltatzis, Vasileios Nawaz, Ibrahim Nair, Arjun Le Folgoc, Loïc Desai, Sujal Glocker, Ben Schnabel, Julia A. School of Biomedical Engineering and Imaging Sciences King’s College London United Kingdom Biomedical Image Analysis Group Imperial College London United Kingdom Department of Radiology University College London United Kingdom The Royal Brompton & Harefield NHS Foundation Trust United Kingdom Institute of Machine Learning in Biomedical Imaging Helmholtz Center Munich Germany Faculty of Informatics Technical University of Munich Germany

Generative adversarial networks (GANs) are able to model accurately the distribution of complex, high-dimensional datasets, for example images. This characteristic makes high-quality GANs useful for unsupervised anomaly detection in medical imaging. However, differences in training datasets such as output image dimensionality and appearance of semantically meaningful features mean that GAN models from the natural image processing domain may not work ‘out-of-the-box’ for medical imaging applications, necessitating reimplementation and re-evaluation. In this work we adapt and evaluate three GAN models to the application of modelling 3D healthy image patches for pulmonary CT. To the best of our knowledge, this is the first time that such a detailed evaluation has been performed. The deep convolutional GAN (DCGAN), styleGAN and the bigGAN architectures were selected for investigation due to their ubiquity and high performance in natural image processing. We train different variants of these methods and assess their performance using the widely used Fréchet Inception Distance (FID). In addition, the quality of the generated images was evaluated by a human observer study, the ability of the networks to model 3D domain-specific features was investigated, and the structure of the GAN latent spaces was analysed. Results show that the 3D styleGAN approaches produce realistic-looking images with meaningful 3D structure, but suffer from mode collapse which must be explicitly addressed during training to obtain diversity in the samples. Conversely, the 3D DCGAN models show a greater capacity for image variability, but at the cost of poor-quality images. The 3D bigGAN models provide an intermediate level of image quality, but most accurately model the distribution of selected semantically meaningful features. The results suggest that future development is required to realise a 3D GAN with sufficient representational capacity for patch-based lung CT anomaly detection and we offer

关键词： Generative adversarial networks

Trainable Spectrally Initializable Matrix Transformations in Convolutional Neural Networks

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Trainable Spectrally Initializable Matrix Transformations in...

International Conference on Pattern Recognition

作者： Michele Alberti Angela Botros Narayan Schutz Rolf Ingold Marcus Liwicki Mathias Seuret Document Image and Voice Analysis Group (DIVA) University of Fribourg Switzerland V7 Ltd London United Kingdom ARTORG Center for Biomedical Engineering Research University of Bern Switzerland EISLAB Machine Learning Luleå University of Technology Sweden Pattern Recognition Lab Friedrich-Alexander-Universität Erlangen-Nürnberg Germany

In this work, we introduce a new architectural component to Neural Network (NN), i.e., trainable and spectrally initializable matrix transformations on feature maps. While previous literature has already demonstrated the possibility of adding static spectral transformations as feature processors, our focus is on more general trainable transforms. We study the transforms in various architectural configurations on four datasets of different nature: from medical (ColorectalHist, HAM10000) and natural (Flowers) images to historical documents (CB55). With rigorous experiments that control for the number of parameters and randomness, we show that networks utilizing the introduced matrix transformations outperform vanilla neural networks. The observed accuracy increases appreciably across all datasets. In addition, we show that the benefit of spectral initialization leads to significantly faster convergence, as opposed to randomly initialized matrix transformations. The transformations are implemented as auto-differentiable PyTorch modules that can be incorporated into any neural network architecture. The entire code base is open-source.

关键词： Program processors Discrete Fourier transforms Transforms Documentation Pattern recognition Discrete cosine transforms Convolutional neural networks

A Self-Supervised image Registration Approach for Measuring Local Response Patterns in Metastatic Ovarian Cancer

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arXiv 2024年

作者： Machado, Inês P. Reithmeir, Anna Kogl, Fryderyk Rundo, Leonardo Funingana, Gabriel Reinius, Marika Mungmeeprued, Gift Gao, Zeyu McCague, Cathal Kerfoot, Eric Woitek, Ramona Sala, Evis Ou, Yangming Brenton, James Schnabel, Julia Crispin, Mireia Department of Oncology University of Cambridge United Kingdom Cancer Research UK Cambridge Institute University of Cambridge United Kingdom Early Cancer Institute University of Cambridge United Kingdom School of Computation Information & Technology Technical University of Munich Germany Institute of Machine Learning in Biomedical Imaging Helmholtz Munich Germany Department of Information and Electrical Engineering University of Salerno Italy School of Biomedical Engineering & Imaging Sciences King’s College London United Kingdom Research Center for Medical Image Analysis and AI Danube University Austria Department of Radiologic Sciences Università Cattolica del Sacro Cuore Italy Department of Radiology Boston Children’s Hospital Harvard Medical School United States

High-grade serous ovarian carcinoma (HGSOC) is characterised by significant spatial and temporal heterogeneity, typically manifesting at an advanced metastatic stage. A major challenge in treating advanced HGSOC is effectively monitoring localised change in tumour burden across multiple sites during neoadjuvant chemotherapy (NACT) and predicting long-term pathological response and overall patient survival. In this work, we propose a self-supervised deformable image registration algorithm that utilises a general-purpose image encoder for image feature extraction to co-register contrast-enhanced computerised tomography scan images acquired before and after neoadjuvant chemotherapy. This approach addresses challenges posed by highly complex tumour deformations and longitudinal lesion matching during treatment. Localised tumour changes are calculated using the Jacobian determinant maps of the registration deformation at multiple disease sites and their macroscopic areas, including hypo-dense (i.e., cystic/necrotic), hyper-dense (i.e., calcified), and intermediate density (i.e., soft tissue) portions. A series of experiments is conducted to understand the role of a general-purpose image encoder and its application in quantifying change in tumour burden during neoadjuvant chemotherapy in HGSOC. This work is the first to demonstrate the feasibility of a self-supervised image registration approach in quantifying NACT-induced localised tumour changes across the whole disease burden of patients with complex multisite HGSOC, which could be used as a potential marker for ovarian cancer patient’s long-term pathological response and survival. © 2024, CC BY.

关键词： Tumors

The medical algorithmic audit (vol 4, pg e384, 2022)

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LANCET DIGITAL HEALTH 2022年第6期4卷 E405-E405页

作者： Liu, X. Glocker, B. McCradden, M. M. Ghassemi, M. Denniston, A. K. Oakden-Rayner, L. Academic Unit of Ophthalmology Institute of Inflammation and Ageing College of Medical and Dental Sciences University of Birmingham UK Department of Ophthalmology University Hospitals Birmingham NHS Foundation Trust Birmingham UK Moorfields Eye Hospital NHS Foundation Trust London UK Health Data Research UK London UK Birmingham Health Partners Centre for Regulatory Science and Innovation University of Birmingham Birmingham UK Biomedical Image Analysis Group Department of Computing Imperial College London London UK The Hospital for Sick Children Toronto ON Canada Dalla Lana School of Public Health Toronto ON Canada Institute for Medical Engineering and Science and Department of Electrical Engineering and Computer Science Massachusetts Institute of Technology Cambridge MA USA National Institute of Health Research Biomedical Research Centre for Ophthalmology Moorfields Hospital London NHS Foundation Trust London UK University College London Institute of Ophthalmology London UK Australian Institute for Machine Learning University of Adelaide Adelaide SA Australia. lauren.oakden-rayner@adelaide.edu.au

Artificial intelligence systems for health care, like any other medical device, have the potential to fail. However, specific qualities of artificial intelligence systems, such as the tendency to learn spurious correlates in training data, poor generalisability to new deployment settings, and a paucity of reliable explainability mechanisms, mean they can yield unpredictable errors that might be entirely missed without proactive investigation. We propose a medical algorithmic audit framework that guides the auditor through a process of considering potential algorithmic errors in the context of a clinical task, mapping the components that might contribute to the occurrence of errors, and anticipating their potential consequences. We suggest several approaches for testing algorithmic errors, including exploratory error analysis, subgroup testing, and adversarial testing, and provide examples from our own work and previous studies. The medical algorithmic audit is a tool that can be used to better understand the weaknesses of an artificial intelligence system and put in place mechanisms to mitigate their impact. We propose that safety monitoring and medical algorithmic auditing should be a joint responsibility between users and developers, and encourage the use of feedback mechanisms between these groups to promote learning and maintain safe deployment of artificial intelligence *** © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.

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Why is the winner the best?

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arXiv 2023年

作者： Eisenmann, M. Reinke, A. Weru, V. Tizabi, M.D. Isensee, F. Adler, T.J. Ali, S. Andrearczyk, V. Aubreville, M. Baid, U. Bakas, S. Balu, N. Bano, S. Bernal, J. Bodenstedt, S. Casella, A. Cheplygina, V. Daum, M. de Bruijne, M. Depeursinge, A. Dorent, R. Egger, J. Ellis, D.G. Engelhardt, S. Ganz, M. Ghatwary, N. Girard, G. Godau, P. Gupta, A. Hansen, L. Harada, K. Heinrich, M. Heller, N. Hering, A. Huaulmé, A. Jannin, P. Kavur, A.E. Kodym, O. Kozubek, M. Li, J. Li, H. Ma, J. Martín-Isla, C. Menze, B. Noble, A. Oreiller, V. Padoy, N. Pati, S. Payette, K. Rädsch, T. Rafael-Patiño, J. Bawa, V. Singh Speidel, S. Sudre, C.H. van Wijnen, K. Wagner, M. Wei, D. Yamlahi, A. Yap, M.H. Yuan, C. Zenk, M. Zia, A. Zimmerer, D. Aydogan, D. Bhattarai, B. Bloch, L. Brüngel, R. Cho, J. Choi, C. Dou, Q. Ezhov, I. Friedrich, C.M. Fuller, C. Gaire, R.R. Galdran, A. Faura, Á. García Grammatikopoulou, M. Hong, S. Jahanifar, M. Jang, I. Kadkhodamohammadi, A. Kang, I. Kofler, F. Kondo, S. Kuijf, H. Li, M. Luu, M. Martinčič, T. Morais, P. Naser, M.A. Oliveira, B. Owen, D. Pang, S. Park, J. Park, S. Plotka, S. Puybareau, E. Rajpoot, N. Ryu, K. Saeed, N. Shephard, A. Shi, P. Štepec, D. Subedi, R. Tochon, G. Torres, H.R. Urien, H. Vilaça, J.L. Wahid, K.A. Wang, H. Wang, J. Wang, L. Wang, X. Wiestler, B. Wodzinski, M. Xia, F. Xie, J. Xiong, Z. Yang, S. Yang, Y. Zhao, Z. Maier-Hein, K. Jäger, P.F. Kopp-Schneider, A. Maier-Hein, L. Heidelberg Germany Heidelberg Germany Faculty of Mathematics and Computer Science Heidelberg University Heidelberg Germany Heidelberg Germany Heidelberg Germany School of Computing Faculty of Engineering and Physical Sciences University of Leeds Leeds United Kingdom Institute of Informatics School of Management HES-SO Valais-Wallis University of Applied Sciences and Arts Western Switzerland Sierre Switzerland Department of Nuclear Medicine and Molecular Imaging Lausanne University Hospital Lausanne Switzerland Technische Hochschule Ingolstadt Ingolstadt Germany University of Pennsylvania PhiladelphiaPA United States Department of Pathology and Laboratory Medicine Perelman School of Medicine University of Pennsylvania PhiladelphiaPA United States Department of Radiology Perelman School of Medicine University of Pennsylvania PhiladelphiaPA United States Department of Radiology University of Washington SeattleWA United States Department of Computer Science University College London London United Kingdom Universitat Autònoma de Barcelona & Computer Vision Center Barcelona Spain Dresden Dresden Germany Department of Advanced Robotics Istituto Italiano di Tecnologia Italy IT University of Copenhagen Copenhagen Denmark Department of General Visceral and Transplantation Surgery Heidelberg University Hospital Heidelberg Germany Biomedical Imaging Group Rotterdam Department of Radiology and Nuclear Medicine Erasmus MC Rotterdam Netherlands Department of Computer Science University of Copenhagen Copenhagen Denmark Sierre Switzerland Harvard Medical School Brigham and Women’s Hospital BostonMA United States School of Biomedical Engineering and Imaging Sciences King’s College London London United Kingdom Essen Germany University of Nebraska Medical Center OmahaNE United States Department of Internal Medicine III Heidelberg University Hospital Heidelberg Germany Neurobiology Research Unit Copenhagen University Hospital Rigshospitalet C

International benchmarking competitions have become fundamental for the comparative performance assessment of image analysis methods. However, little attention has been given to investigating what can be learnt from these competitions. Do they really generate scientific progress? What are common and successful participation strategies? What makes a solution superior to a competing method? To address this gap in the literature, we performed a multicenter study with all 80 competitions that were conducted in the scope of IEEE ISBI 2021 and MICCAI 2021. Statistical analyses performed based on comprehensive descriptions of the submitted algorithms linked to their rank as well as the underlying participation strategies revealed common characteristics of winning solutions. These typically include the use of multi-task learning (63%) and/or multi-stage pipelines (61%), and a focus on augmentation (100%), image preprocessing (97%), data curation (79%), and postprocessing (66%). The "typical" lead of a winning team is a computer scientist with a doctoral degree, five years of experience in biomedical image analysis, and four years of experience in deep learning. Two core general development strategies stood out for highly-ranked teams: the reflection of the metrics in the method design and the focus on analyzing and handling failure cases. According to the organizers, 43% of the winning algorithms exceeded the state of the art but only 11% completely solved the respective domain problem. The insights of our study could help researchers (1) improve algorithm development strategies when approaching new problems, and (2) focus on open research questions revealed by this work. © 2023, CC BY.

关键词： Benchmarking

SEX DIFFERENCES IN WHITE MATTER HYPERTENSITIES ARE MODIFIED BY MENOPAUSE: THE RHINELAND STUDY

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Cerebral Circulation: Cognition and Behavior 2024年 6卷 100110-100110页

作者： Lohner, Valerie Pehlivan, Gokhan Sanroma-Guëll, Gerard Miloschewski, Anne Schirmer, Markus D. Stöcker, Tony Reuter, Martin Breteler, Monique M.B. Population Health Sciences German Center for Neurodegenerative diseases (DZNE) Bonn Germany Statistics and Machine Learning German Center for Neurodegenerative Diseases (DZNE) Bonn Germany J. Philip Kistler Stroke Research Center Massachusetts General Hospital Harvard Medical School Boston Clinic for Neuroradiology University Hospital Bonn Germany MR Physics German Center for Neurodegenerative Diseases (DZNE) Bonn Germany Department of Physics and Astronomy University of Bonn Bonn Germany Image Analysis German Center for Neurodegenerative Diseases (DZNE) Bonn Germany A.A. Martinos Center for Biomedical Imaging Massachusetts General Hospital Boston Massachusetts Department of Radiology Harvard Medical School Boston Massachusetts USA Institute for Medical Biometry Informatics and Epidemiology (IMBIE) Faculty of Medicine University of Bonn Germany

Why is the Winner the Best?

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Why is the Winner the Best?

Conference on Computer Vision and Pattern Recognition (CVPR)

作者： M. Eisenmann A. Reinke V. Weru M. D. Tizabi F. Isensee T. J. Adler S. Ali V. Andrearczyk M. Aubreville U. Baid S. Bakas N. Balu S. Bano J. Bernal S. Bodenstedt A. Casella V. Cheplygina M. Daum M. De Bruijne A. Depeursinge R. Dorent J. Egger D. G. Ellis S. Engelhardt M. Ganz N. Ghatwary G. Girard P. Godau A. Gupta L. Hansen K. Harada M. Heinrich N. Heller A. Hering A. Huaulmé P. Jannin A. E. Kavur O. Kodym M. Kozubek J. Li H. Li J. Ma C. Martín-Isla B. Menze A. Noble V. Oreiller N. Padoy S. Pati K. Payette T. Rädsch J. Rafael-Patiño V. Singh Bawa S. Speidel C. H. Sudre K. Van Wijnen M. Wagner D. Wei A. Yamlahi M. H. Yap C. Yuan M. Zenk A. Zia D. Zimmerer D. Aydogan B. Bhattarai L. Bloch R. Brüngel J. Cho C. Choi Q. Dou I. Ezhov C. M. Friedrich C. Fuller R. R. Gaire A. Galdran Á. García Faura M. Grammatikopoulou S. Hong M. Jahanifar I. Jang A. Kadkhodamohammadi I. Kang F. Kofler S. Kondo H. Kuijf M. Li M. Luu T. Martinčič P. Morais M. A. Naser B. Oliveira D. Owen S. Pang J. Park S. Park S. Płotka E. Puybareau N. Rajpoot K. Ryu N. Saeed A. Shephard P. Shi D. Štepec R. Subedi G. Tochon H. R. Torres H. Urien J. L. Vilaça K. A. Wahid H. Wang J. Wang L. Wang X. Wang B. Wiestler M. Wodzinski F. Xia J. Xie Z. Xiong S. Yang Y. Yang Z. Zhao K. Maier-Hein P. F. Jäger A. Kopp-Schneider L. Maier-Hein Division of Intelligent Medical Systems German Cancer Research Center (DKFZ) Heidelberg Germany Helmholtz Imaging German Cancer Research Center (DKFZ) Heidelberg Germany Faculty of Mathematics and Computer Science Heidelberg University Heidelberg Germany Division of Biostatistics German Cancer Research Center (DKFZ) Heidelberg Germany Division of Medical Image Computing German Cancer Research Center (DKFZ) Heidelberg Germany Faculty of Engineering and Physical Sciences School of Computing University of Leeds Leeds UK Institute of Informatics School of Management HES-SO Valais-Wallis University of Applied Sciences and Arts Western Switzerland Sierre Switzerland Department of Nuclear Medicine and Molecular Imaging Lausanne University Hospital Lausanne Switzerland Technische Hochschule Ingolstadt Ingolstadt Germany Center for Artificial Intelligence and Data Science for Integrated Diagnostics (AI2D) and Center for Biomedical Image Computing and Analytics (CBICA) University of Pennsylvania Philadelphia PA USA Department of Pathology and Laboratory Medicine Perelman School of Medicine University of Pennsylvania Philadelphia PA USA Department of Radiology Perelman School of Medicine University of Pennsylvania Philadelphia PA USA Department of Radiology University of Washington Seattle WA USA Department of Computer Science Wellcome/EPSRC Centre for Interventional and Surgical Sciences (WEISS) University College London London UK Universitat Autònoma de Barcelona & Computer Vision Center Barcelona Spain Division of Translational Surgical Oncology National Center for Tumor Diseases (NCT/UCC) Dresden Dresden Germany Department of Advanced Robotics Istituto Italiano di Tecnologia Italy Department of Electronics Information and Bioengineering Politecnico di Milano Milan Italy IT University of Copenhagen Copenhagen Denmark Department of General Visceral and Transplantation Surgery Heidelberg University Hospital Heidelberg Germany Department of Radiology and Nuc

International benchmarking competitions have become fundamental for the comparative performance assessment of image analysis methods. However, little attention has been given to investigating what can be learnt from these competitions. Do they really generate scientific progress? What are common and successful participation strategies? What makes a solution superior to a competing method? To address this gap in the literature, we performed a multicenter study with all 80 competitions that were conducted in the scope of IEEE ISBI 2021 and MICCAI 2021. Statistical analyses performed based on comprehensive descriptions of the submitted algorithms linked to their rank as well as the underlying participation strategies revealed common characteristics of winning solutions. These typically include the use of multi-task learning (63%) and/or multi-stage pipelines (61%), and a focus on augmentation (100%), image preprocessing (97%), data curation (79%), and post-processing (66%). The “typical” lead of a winning team is a computer scientist with a doctoral degree, five years of experience in biomedical image analysis, and four years of experience in deep learning. Two core general development strategies stood out for highly-ranked teams: the reflection of the metrics in the method design and the focus on analyzing and handling failure cases. According to the organizers, 43% of the winning algorithms exceeded the state of the art but only 11% completely solved the respective domain problem. The insights of our study could help researchers (1) improve algorithm development strategies when approaching new problems, and (2) focus on open research questions revealed by this work.

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