Multi-Objective Learning for Deformable Image Registration

Deformable image registration (DIR) involves optimization of multiple conflicting objectives, however, not many existing DIR algorithms are multi-objective (MO). Further, while there has been progress in the design of deep learning algorithms for DIR, there is no work in the direction of MO DIR using deep learning. In this paper, we fill this gap by combining a recently proposed approach for MO training of neural networks with a well-known deep neural network for DIR and create a deep learning based MO DIR approach. We evaluate the proposed approach for DIR of pelvic magnetic resonance imaging (MRI) scans. We experimentally demonstrate that the proposed MO DIR approach -- providing multiple registration outputs for each patient that each correspond to a different trade-off between the objectives -- has additional desirable properties from a clinical use point-of-view as compared to providing a single DIR output. The experiments also show that the proposed MO DIR approach provides a better spread of DIR outputs across the entire trade-off front than simply training multiple neural networks with weights for each objective sampled from a grid of possible values.

Clinically Acceptable Segmentation of Organs at Risk in Cervical Cancer Radiation Treatment from Clinically Available Annotations

Deep learning models benefit from training with a large dataset (labeled or unlabeled). Following this motivation, we present an approach to learn a deep learning model for the automatic segmentation of Organs at Risk (OARs) in cervical cancer radiation treatment from a large clinically available dataset of Computed Tomography (CT) scans containing data inhomogeneity, label noise, and missing annotations. We employ simple heuristics for automatic data cleaning to minimize data inhomogeneity and label noise. Further, we develop a semi-supervised learning approach utilizing a teacher-student setup, annotation imputation, and uncertainty-guided training to learn in presence of missing annotations. Our experimental results show that learning from a large dataset with our approach yields a significant improvement in the test performance despite missing annotations in the data. Further, the contours generated from the segmentation masks predicted by our model are found to be equally clinically acceptable as manually generated contours.

Automatic Landmarks Correspondence Detection in Medical Images with an Application to Deformable Image Registration

Deformable Image Registration (DIR) can benefit from additional guidance using corresponding landmarks in the images. However, the benefits thereof are largely understudied, especially due to the lack of automatic detection methods for corresponding landmarks in three-dimensional (3D) medical images. In this work, we present a Deep Convolutional Neural Network (DCNN), called DCNN-Match, that learns to predict landmark correspondences in 3D images in a self-supervised manner. We explored five variants of DCNN-Match that use different loss functions and tested DCNN-Match separately as well as in combination with the open-source registration software Elastix to assess its impact on a common DIR approach. We employed lower-abdominal Computed Tomography (CT) scans from cervical cancer patients: 121 pelvic CT scan pairs containing simulated elastic transformations and 11 pairs demonstrating clinical deformations. Our results show significant improvement in DIR performance when landmark correspondences predicted by DCNN-Match were used in case of simulated as well as clinical deformations. We also observed that the spatial distribution of the automatically identified landmarks and the associated matching errors affect the extent of improvement in DIR. Finally, DCNN-Match was found to generalize well to Magnetic Resonance Imaging (MRI) scans without requiring retraining, indicating easy applicability to other datasets.