Interventional magnetic resonance imaging (i-MRI) for surgical guidance could help visualize the interventional process such as deep brain stimulation (DBS), improving the surgery performance and patient outcome. Different from retrospective reconstruction in conventional dynamic imaging, i-MRI for DBS has to acquire and reconstruct the interventional images sequentially online. Here we proposed a convolutional long short-term memory (Conv-LSTM) based recurrent neural network (RNN), or ConvLR, to reconstruct interventional images with golden-angle radial sampling. By using an initializer and Conv-LSTM blocks, the priors from the pre-operative reference image and intra-operative frames were exploited for reconstructing the current frame. Data consistency for radial sampling was implemented by a soft-projection method. To improve the reconstruction accuracy, an adversarial learning strategy was adopted. A set of interventional images based on the pre-operative and post-operative MR images were simulated for algorithm validation. Results showed with only 10 radial spokes, ConvLR provided the best performance compared with state-of-the-art methods, giving an acceleration up to 40 folds. The proposed algorithm has the potential to achieve real-time i-MRI for DBS and can be used for general purpose MR-guided intervention.
Recent evolution in deep learning has proven its value for CT-based lung nodule classification. Most current techniques are intrinsically black-box systems, suffering from two generalizability issues in clinical practice. First, benign-malignant discrimination is often assessed by human observers without pathologic diagnoses at the nodule level. We termed these data as "unsure data". Second, a classifier does not necessarily acquire reliable nodule features for stable learning and robust prediction with patch-level labels during learning. In this study, we construct a sure dataset with pathologically-confirmed labels and propose a collaborative learning framework to facilitate sure nodule classification by integrating unsure data knowledge through nodule segmentation and malignancy score regression. A loss function is designed to learn reliable features by introducing interpretability constraints regulated with nodule segmentation maps. Furthermore, based on model inference results that reflect the understanding from both machine and experts, we explore a new nodule analysis method for similar historical nodule retrieval and interpretable diagnosis. Detailed experimental results demonstrate that our approach is beneficial for achieving improved performance coupled with faithful model reasoning for lung cancer prediction. Extensive cross-evaluation results further illustrate the effect of unsure data for deep-learning-based methods in lung nodule classification.
Accurate estimation of three-dimensional human skeletons from depth images can provide important metrics for healthcare applications, especially for biomechanical gait analysis. However, there exist inherent problems associated with depth images captured from a single view. The collected data is greatly affected by occlusions where only partial surface data can be recorded. Furthermore, depth images of human body exhibit heterogeneous characteristics with viewpoint changes, and the estimated poses under local coordinate systems are expected to go through equivariant rotations. Most existing pose estimation models are sensitive to both issues. To address this, we propose a novel approach for cross-view generalization with an occlusion-invariant semi-supervised learning framework built upon a novel rotation-equivariant backbone. Our model was trained with real-world data from a single view and unlabelled synthetic data from multiple views. It can generalize well on the real-world data from all the other unseen views. Our approach has shown superior performance on gait analysis on our ICL-Gait dataset compared to other state-of-the-arts and it can produce more convincing keypoints on ITOP dataset, than its provided "ground truth".
In this report, the technical details of our submission to the EPIC-Kitchens Action Anticipation Challenge 2021 are given. We developed a hierarchical attention model for action anticipation, which leverages Transformer-based attention mechanism to aggregate features across temporal dimension, modalities, symbiotic branches respectively. In terms of Mean Top-5 Recall of action, our submission with team name ICL-SJTU achieved 13.39% for overall testing set, 10.05% for unseen subsets and 11.88% for tailed subsets. Additionally, it is noteworthy that our submission ranked 1st in terms of verb class in all three (sub)sets.
Electrospinning has exhibited excellent benefits to treat the trauma for tissue engineering due to its produced micro/nano fibrous structure. It can effectively adhere to the tissue surface for long-term continuous therapy. This paper develops a robotic electrospinning platform for endoluminal therapy. The platform consists of a continuum manipulator, the electrospinning device, and the actuation unit. The continuum manipulator has two bending sections to facilitate the steering of the tip needle for a controllable spinning direction. Non-circular joint profile is carefully designed to enable a constant length of the centreline of a continuum manipulator for stable fluid transmission inside it. Experiments are performed on a bronchus phantom, and the steering ability and bending limitation in each direction are also investigated. The endoluminal electrospinning is also fulfilled by a trajectory following and points targeting experiments. The effective adhesive area of the produced fibre is also illustrated. The proposed robotic electrospinning shows its feasibility to precisely spread more therapeutic drug to construct fibrous structure for potential endoluminal treatment.
Training convolutional neural networks (CNNs) for segmentation of pulmonary airway, artery, and vein is challenging due to sparse supervisory signals caused by the severe class imbalance between tubular targets and background. We present a CNNs-based method for accurate airway and artery-vein segmentation in non-contrast computed tomography. It enjoys superior sensitivity to tenuous peripheral bronchioles, arterioles, and venules. The method first uses a feature recalibration module to make the best use of features learned from the neural networks. Spatial information of features is properly integrated to retain relative priority of activated regions, which benefits the subsequent channel-wise recalibration. Then, attention distillation module is introduced to reinforce representation learning of tubular objects. Fine-grained details in high-resolution attention maps are passing down from one layer to its previous layer recursively to enrich context. Anatomy prior of lung context map and distance transform map is designed and incorporated for better artery-vein differentiation capacity. Extensive experiments demonstrated considerable performance gains brought by these components. Compared with state-of-the-art methods, our method extracted much more branches while maintaining competitive overall segmentation performance. Codes and models will be available later at http://www.pami.sjtu.edu.cn.
Deep Convolutional Neural Networks (DCNNs) are hard and time-consuming to train. Normalization is one of the effective solutions. Among previous normalization methods, Batch Normalization (BN) performs well at medium and large batch sizes and is with good generalizability to multiple vision tasks, while its performance degrades significantly at small batch sizes. In this paper, we find that BN saturates at extreme large batch sizes, i.e., 128 images per worker, i.e., GPU, as well and propose that the degradation/saturation of BN at small/extreme large batch sizes is caused by noisy/confused statistic calculation. Hence without adding new trainable parameters, using multiple-layer or multi-iteration information, or introducing extra computation, Batch Group Normalization (BGN) is proposed to solve the noisy/confused statistic calculation of BN at small/extreme large batch sizes with introducing the channel, height and width dimension to compensate. The group technique in Group Normalization (GN) is used and a hyper-parameter G is used to control the number of feature instances used for statistic calculation, hence to offer neither noisy nor confused statistic for different batch sizes. We empirically demonstrate that BGN consistently outperforms BN, Instance Normalization (IN), Layer Normalization (LN), GN, and Positional Normalization (PN), across a wide spectrum of vision tasks, including image classification, Neural Architecture Search (NAS), adversarial learning, Few Shot Learning (FSL) and Unsupervised Domain Adaptation (UDA), indicating its good performance, robust stability to batch size and wide generalizability. For example, for training ResNet-50 on ImageNet with a batch size of 2, BN achieves Top1 accuracy of 66.512% while BGN achieves 76.096% with notable improvement.
Accurate real-time catheter segmentation is an important pre-requisite for robot-assisted endovascular intervention. Most of the existing learning-based methods for catheter segmentation and tracking are only trained on small-scale datasets or synthetic data due to the difficulties of ground-truth annotation. Furthermore, the temporal continuity in intraoperative imaging sequences is not fully utilised. In this paper, we present FW-Net, an end-to-end and real-time deep learning framework for endovascular intervention. The proposed FW-Net has three modules: a segmentation network with encoder-decoder architecture, a flow network to extract optical flow information, and a novel flow-guided warping function to learn the frame-to-frame temporal continuity. We show that by effectively learning temporal continuity, the network can successfully segment and track the catheters in real-time sequences using only raw ground-truth for training. Detailed validation results confirm that our FW-Net outperforms state-of-the-art techniques while achieving real-time performance.
Accurate force sensing is important for endoluminal intervention in terms of both safety and lesion targeting. This paper develops an FBG-based force sensor for robotic bronchoscopy by configuring three FBG sensors at the lateral side of a conical substrate. It allows a large and eccentric inner lumen for the interventional instrument, enabling a flexible imaging probe inside to perform optical biopsy. The force sensor is embodied with a laser-profiled continuum robot and thermo drift is fully compensated by three temperature sensors integrated on the circumference surface of the sensor substrate. Different decoupling approaches are investigated, and nonlinear decoupling is adopted based on the cross-validation SVM and a Gaussian kernel function, achieving an accuracy of 10.58 mN, 14.57 mN and 26.32 mN along X, Y and Z axis, respectively. The tissue test is also investigated to further demonstrate the feasibility of the developed triaxial force sensor
Accurate kinematic models are essential for effective control of surgical robots. For tendon driven robots, which is common for minimally invasive surgery, intrinsic nonlinearities are important to consider. Traditional analytical methods allow to build the kinematic model of the system by making certain assumptions and simplifications on the nonlinearities. Machine learning techniques, instead, allow to recover a more complex model based on the acquired data. However, analytical models are more generalisable, but can be over-simplified; data-driven models, on the other hand, can cater for more complex models, but are less generalisable and the result is highly affected by the training dataset. In this paper, we present a novel approach to combining analytical and data-driven approaches to model the kinematics of nonlinear tendon-driven surgical robots. Gaussian Process Regression (GPR) is used for learning the data-driven model and the proposed method is tested on both simulated data and real experimental data.