Universal Graph Continual Learning

We address catastrophic forgetting issues in graph learning as incoming data transits from one to another graph distribution. Whereas prior studies primarily tackle one setting of graph continual learning such as incremental node classification, we focus on a universal approach wherein each data point in a task can be a node or a graph, and the task varies from node to graph classification. We propose a novel method that enables graph neural networks to excel in this universal setting. Our approach perseveres knowledge about past tasks through a rehearsal mechanism that maintains local and global structure consistency across the graphs. We benchmark our method against various continual learning baselines in real-world graph datasets and achieve significant improvement in average performance and forgetting across tasks.

A Stronger Baseline For Automatic Pfirrmann Grading Of Lumbar Spine MRI Using Deep Learning

This paper addresses the challenge of grading visual features in lumbar spine MRI using Deep Learning. Such a method is essential for the automatic quantification of structural changes in the spine, which is valuable for understanding low back pain. Multiple recent studies investigated different architecture designs, and the most recent success has been attributed to the use of transformer architectures. In this work, we argue that with a well-tuned three-stage pipeline comprising semantic segmentation, localization, and classification, convolutional networks outperform the state-of-the-art approaches. We conducted an ablation study of the existing methods in a population cohort, and report performance generalization across various subgroups. Our code is publicly available to advance research on disc degeneration and low back pain.

Clinically-Inspired Multi-Agent Transformers for Disease Trajectory Forecasting from Multimodal Data

Deep neural networks are often applied to medical images to automate the problem of medical diagnosis. However, a more clinically relevant question that practitioners usually face is how to predict the future trajectory of a disease. Current methods for prognosis or disease trajectory forecasting often require domain knowledge and are complicated to apply. In this paper, we formulate the prognosis prediction problem as a one-to-many prediction problem. Inspired by a clinical decision-making process with two agents -- a radiologist and a general practitioner -- we predict prognosis with two transformer-based components that share information with each other. The first transformer in this framework aims to analyze the imaging data, and the second one leverages its internal states as inputs, also fusing them with auxiliary clinical data. The temporal nature of the problem is modeled within the transformer states, allowing us to treat the forecasting problem as a multi-task classification, for which we propose a novel loss. We show the effectiveness of our approach in predicting the development of structural knee osteoarthritis changes and forecasting Alzheimer's disease clinical status directly from raw multi-modal data. The proposed method outperforms multiple state-of-the-art baselines with respect to performance and calibration, both of which are needed for real-world applications. An open-source implementation of our method is made publicly available at \url{https://github.com/Oulu-IMEDS/CLIMATv2}.

AdaTriplet: Adaptive Gradient Triplet Loss with Automatic Margin Learning for Forensic Medical Image Matching

This paper tackles the challenge of forensic medical image matching (FMIM) using deep neural networks (DNNs). FMIM is a particular case of content-based image retrieval (CBIR). The main challenge in FMIM compared to the general case of CBIR, is that the subject to whom a query image belongs may be affected by aging and progressive degenerative disorders, making it difficult to match data on a subject level. CBIR with DNNs is generally solved by minimizing a ranking loss, such as Triplet loss (TL), computed on image representations extracted by a DNN from the original data. TL, in particular, operates on triplets: anchor, positive (similar to anchor) and negative (dissimilar to anchor). Although TL has been shown to perform well in many CBIR tasks, it still has limitations, which we identify and analyze in this work. In this paper, we introduce (i) the AdaTriplet loss -- an extension of TL whose gradients adapt to different difficulty levels of negative samples, and (ii) the AutoMargin method -- a technique to adjust hyperparameters of margin-based losses such as TL and our proposed loss dynamically. Our results are evaluated on two large-scale benchmarks for FMIM based on the Osteoarthritis Initiative and Chest X-ray-14 datasets. The codes allowing replication of this study have been made publicly available at \url{https://github.com/Oulu-IMEDS/AdaTriplet}.

DeepProg: A Transformer-based Framework for Predicting Disease Prognosis

A vast majority of deep learning methods are built to automate diagnostic tasks. However, in clinical practice, a more advanced question is how to predict the course of a disease. Current methods for this problem are complicated, and often require domain knowledge, making them difficult for practitioners to use. In this paper, we formulate the prognosis prediction task as a one-to-many sequence prediction problem. Inspired by a clinical decision making process with two agents -- a radiologist and a general practitioner -- we propose a generic end-to-end transformer-based framework to estimate disease prognosis from images and auxiliary data. The effectiveness and validation of the developed method are shown on synthetic data, and in the task of predicting the development of structural osteoarthritic changes in knee joints.

Semixup: In- and Out-of-Manifold Regularization for Deep Semi-Supervised Knee Osteoarthritis Severity Grading from Plain Radiographs

Knee osteoarthritis (OA) is one of the highest disability factors in the world in humans. This musculoskeletal disorder is assessed from clinical symptoms, and typically confirmed via radiographic assessment. This visual assessment done by a radiologist requires experience, and suffers from high inter-observer variability. The recent development in the literature has shown that deep learning (DL) methods can reliably perform the OA severity assessment according to the gold standard Kellgren-Lawrence (KL) grading system. However, these methods require large amounts of labeled data, which are costly to obtain. In this study, we propose the Semixup algorithm, a semi-supervised learning (SSL) approach to leverage unlabeled data. Semixup relies on consistency regularization using in- and out-of-manifold samples, together with interpolated consistency. On an independent test set, our method significantly outperformed other state-of-the-art SSL methods in most cases, and even achieved a comparable performance to a well-tuned fully supervised learning (SL) model that required over 12 times more labeled data.