Task-guided Domain Gap Reduction for Monocular Depth Prediction in Endoscopy

Colorectal cancer remains one of the deadliest cancers in the world. In recent years computer-aided methods have aimed to enhance cancer screening and improve the quality and availability of colonoscopies by automatizing sub-tasks. One such task is predicting depth from monocular video frames, which can assist endoscopic navigation. As ground truth depth from standard in-vivo colonoscopy remains unobtainable due to hardware constraints, two approaches have aimed to circumvent the need for real training data: supervised methods trained on labeled synthetic data and self-supervised models trained on unlabeled real data. However, self-supervised methods depend on unreliable loss functions that struggle with edges, self-occlusion, and lighting inconsistency. Methods trained on synthetic data can provide accurate depth for synthetic geometries but do not use any geometric supervisory signal from real data and overfit to synthetic anatomies and properties. This work proposes a novel approach to leverage labeled synthetic and unlabeled real data. While previous domain adaptation methods indiscriminately enforce the distributions of both input data modalities to coincide, we focus on the end task, depth prediction, and translate only essential information between the input domains. Our approach results in more resilient and accurate depth maps of real colonoscopy sequences.

Improving Medical Image Classification in Noisy Labels Using Only Self-supervised Pretraining

Noisy labels hurt deep learning-based supervised image classification performance as the models may overfit the noise and learn corrupted feature extractors. For natural image classification training with noisy labeled data, model initialization with contrastive self-supervised pretrained weights has shown to reduce feature corruption and improve classification performance. However, no works have explored: i) how other self-supervised approaches, such as pretext task-based pretraining, impact the learning with noisy label, and ii) any self-supervised pretraining methods alone for medical images in noisy label settings. Medical images often feature smaller datasets and subtle inter class variations, requiring human expertise to ensure correct classification. Thus, it is not clear if the methods improving learning with noisy labels in natural image datasets such as CIFAR would also help with medical images. In this work, we explore contrastive and pretext task-based self-supervised pretraining to initialize the weights of a deep learning classification model for two medical datasets with self-induced noisy labels -- NCT-CRC-HE-100K tissue histological images and COVID-QU-Ex chest X-ray images. Our results show that models initialized with pretrained weights obtained from self-supervised learning can effectively learn better features and improve robustness against noisy labels.

Neural Network Pruning for Real-time Polyp Segmentation

Computer-assisted treatment has emerged as a viable application of medical imaging, owing to the efficacy of deep learning models. Real-time inference speed remains a key requirement for such applications to help medical personnel. Even though there generally exists a trade-off between performance and model size, impressive efforts have been made to retain near-original performance by compromising model size. Neural network pruning has emerged as an exciting area that aims to eliminate redundant parameters to make the inference faster. In this study, we show an application of neural network pruning in polyp segmentation. We compute the importance score of convolutional filters and remove the filters having the least scores, which to some value of pruning does not degrade the performance. For computing the importance score, we use the Taylor First Order (TaylorFO) approximation of the change in network output for the removal of certain filters. Specifically, we employ a gradient-normalized backpropagation for the computation of the importance score. Through experiments in the polyp datasets, we validate that our approach can significantly reduce the parameter count and FLOPs retaining similar performance.

M-VAAL: Multimodal Variational Adversarial Active Learning for Downstream Medical Image Analysis Tasks

Acquiring properly annotated data is expensive in the medical field as it requires experts, time-consuming protocols, and rigorous validation. Active learning attempts to minimize the need for large annotated samples by actively sampling the most informative examples for annotation. These examples contribute significantly to improving the performance of supervised machine learning models, and thus, active learning can play an essential role in selecting the most appropriate information in deep learning-based diagnosis, clinical assessments, and treatment planning. Although some existing works have proposed methods for sampling the best examples for annotation in medical image analysis, they are not task-agnostic and do not use multimodal auxiliary information in the sampler, which has the potential to increase robustness. Therefore, in this work, we propose a Multimodal Variational Adversarial Active Learning (M-VAAL) method that uses auxiliary information from additional modalities to enhance the active sampling. We applied our method to two datasets: i) brain tumor segmentation and multi-label classification using the BraTS2018 dataset, and ii) chest X-ray image classification using the COVID-QU-Ex dataset. Our results show a promising direction toward data-efficient learning under limited annotations.

A Client-server Deep Federated Learning for Cross-domain Surgical Image Segmentation

This paper presents a solution to the cross-domain adaptation problem for 2D surgical image segmentation, explicitly considering the privacy protection of distributed datasets belonging to different centers. Deep learning architectures in medical image analysis necessitate extensive training data for better generalization. However, obtaining sufficient diagnostic and surgical data is still challenging, mainly due to the inherent cost of data curation and the need of experts for data annotation. Moreover, increased privacy and legal compliance concerns can make data sharing across clinical sites or regions difficult. Another ubiquitous challenge the medical datasets face is inevitable domain shifts among the collected data at the different centers. To this end, we propose a Client-server deep federated architecture for cross-domain adaptation. A server hosts a set of immutable parameters common to both the source and target domains. The clients consist of the respective domain-specific parameters and make requests to the server while learning their parameters and inferencing. We evaluate our framework in two benchmark datasets, demonstrating applicability in computer-assisted interventions for endoscopic polyp segmentation and diagnostic skin lesion detection and analysis. Our extensive quantitative and qualitative experiments demonstrate the superiority of the proposed method compared to competitive baseline and state-of-the-art methods. Codes are available at: https://github.com/thetna/distributed-da

T2FNorm: Extremely Simple Scaled Train-time Feature Normalization for OOD Detection

Neural networks are notorious for being overconfident predictors, posing a significant challenge to their safe deployment in real-world applications. While feature normalization has garnered considerable attention within the deep learning literature, current train-time regularization methods for Out-of-Distribution(OOD) detection are yet to fully exploit this potential. Indeed, the naive incorporation of feature normalization within neural networks does not guarantee substantial improvement in OOD detection performance. In this work, we introduce T2FNorm, a novel approach to transforming features to hyperspherical space during training, while employing non-transformed space for OOD-scoring purposes. This method yields a surprising enhancement in OOD detection capabilities without compromising model accuracy in in-distribution(ID). Our investigation demonstrates that the proposed technique substantially diminishes the norm of the features of all samples, more so in the case of out-of-distribution samples, thereby addressing the prevalent concern of overconfidence in neural networks. The proposed method also significantly improves various post-hoc OOD detection methods.

iEdit: Localised Text-guided Image Editing with Weak Supervision

Diffusion models (DMs) can generate realistic images with text guidance using large-scale datasets. However, they demonstrate limited controllability in the output space of the generated images. We propose a novel learning method for text-guided image editing, namely \texttt{iEdit}, that generates images conditioned on a source image and a textual edit prompt. As a fully-annotated dataset with target images does not exist, previous approaches perform subject-specific fine-tuning at test time or adopt contrastive learning without a target image, leading to issues on preserving the fidelity of the source image. We propose to automatically construct a dataset derived from LAION-5B, containing pseudo-target images with their descriptive edit prompts given input image-caption pairs. This dataset gives us the flexibility of introducing a weakly-supervised loss function to generate the pseudo-target image from the latent noise of the source image conditioned on the edit prompt. To encourage localised editing and preserve or modify spatial structures in the image, we propose a loss function that uses segmentation masks to guide the editing during training and optionally at inference. Our model is trained on the constructed dataset with 200K samples and constrained GPU resources. It shows favourable results against its counterparts in terms of image fidelity, CLIP alignment score and qualitatively for editing both generated and real images.

Translating Simulation Images to X-ray Images via Multi-Scale Semantic Matching

Endovascular intervention training is increasingly being conducted in virtual simulators. However, transferring the experience from endovascular simulators to the real world remains an open problem. The key challenge is the virtual environments are usually not realistically simulated, especially the simulation images. In this paper, we propose a new method to translate simulation images from an endovascular simulator to X-ray images. Previous image-to-image translation methods often focus on visual effects and neglect structure information, which is critical for medical images. To address this gap, we propose a new method that utilizes multi-scale semantic matching. We apply self-domain semantic matching to ensure that the input image and the generated image have the same positional semantic relationships. We further apply cross-domain matching to eliminate the effects of different styles. The intensive experiment shows that our method generates realistic X-ray images and outperforms other state-of-the-art approaches by a large margin. We also collect a new large-scale dataset to serve as the new benchmark for this task. Our source code and dataset will be made publicly available.

Why is the winner the best?

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 multi-center 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.

CholecTriplet2022: Show me a tool and tell me the triplet -- an endoscopic vision challenge for surgical action triplet detection

Formalizing surgical activities as triplets of the used instruments, actions performed, and target anatomies is becoming a gold standard approach for surgical activity modeling. The benefit is that this formalization helps to obtain a more detailed understanding of tool-tissue interaction which can be used to develop better Artificial Intelligence assistance for image-guided surgery. Earlier efforts and the CholecTriplet challenge introduced in 2021 have put together techniques aimed at recognizing these triplets from surgical footage. Estimating also the spatial locations of the triplets would offer a more precise intraoperative context-aware decision support for computer-assisted intervention. This paper presents the CholecTriplet2022 challenge, which extends surgical action triplet modeling from recognition to detection. It includes weakly-supervised bounding box localization of every visible surgical instrument (or tool), as the key actors, and the modeling of each tool-activity in the form of <instrument, verb, target> triplet. The paper describes a baseline method and 10 new deep learning algorithms presented at the challenge to solve the task. It also provides thorough methodological comparisons of the methods, an in-depth analysis of the obtained results, their significance, and useful insights for future research directions and applications in surgery.