Adversarial Robust Training in MRI Reconstruction

Deep Learning has shown potential in accelerating Magnetic Resonance Image acquisition and reconstruction. Nevertheless, there is a dearth of tailored methods to guarantee that the reconstruction of small features is achieved with high fidelity. In this work, we employ adversarial attacks to generate small synthetic perturbations that when added to the input MRI, they are not reconstructed by a trained DL reconstruction network. Then, we use robust training to increase the network's sensitivity to small features and encourage their reconstruction. Next, we investigate the generalization of said approach to real world features. For this, a musculoskeletal radiologist annotated a set of cartilage and meniscal lesions from the knee Fast-MRI dataset, and a classification network was devised to assess the features reconstruction. Experimental results show that by introducing robust training to a reconstruction network, the rate (4.8\%) of false negative features in image reconstruction can be reduced. The results are encouraging and highlight the necessity for attention on this problem by the image reconstruction community, as a milestone for the introduction of DL reconstruction in clinical practice. To support further research, we make our annotation publicly available at https://github.com/fcaliva/fastMRI_BB_abnormalities_annotation.

Adversarial Policy Gradient for Deep Learning Image Augmentation

The use of semantic segmentation for masking and cropping input images has proven to be a significant aid in medical imaging classification tasks by decreasing the noise and variance of the training dataset. However, implementing this approach with classical methods is challenging: the cost of obtaining a dense segmentation is high, and the precise input area that is most crucial to the classification task is difficult to determine a-priori. We propose a novel joint-training deep reinforcement learning framework for image augmentation. A segmentation network, weakly supervised with policy gradient optimization, acts as an agent, and outputs masks as actions given samples as states, with the goal of maximizing reward signals from the classification network. In this way, the segmentation network learns to mask unimportant imaging features. Our method, Adversarial Policy Gradient Augmentation (APGA), shows promising results on Stanford's MURA dataset and on a hip fracture classification task with an increase in global accuracy of up to 7.33% and improved performance over baseline methods in 9/10 tasks evaluated. We discuss the broad applicability of our joint training strategy to a variety of medical imaging tasks.