Cycle-guided Denoising Diffusion Probability Model for 3D Cross-modality MRI Synthesis

This study aims to develop a novel Cycle-guided Denoising Diffusion Probability Model (CG-DDPM) for cross-modality MRI synthesis. The CG-DDPM deploys two DDPMs that condition each other to generate synthetic images from two different MRI pulse sequences. The two DDPMs exchange random latent noise in the reverse processes, which helps to regularize both DDPMs and generate matching images in two modalities. This improves image-to-image translation ac-curacy. We evaluated the CG-DDPM quantitatively using mean absolute error (MAE), multi-scale structural similarity index measure (MSSIM), and peak sig-nal-to-noise ratio (PSNR), as well as the network synthesis consistency, on the BraTS2020 dataset. Our proposed method showed high accuracy and reliable consistency for MRI synthesis. In addition, we compared the CG-DDPM with several other state-of-the-art networks and demonstrated statistically significant improvements in the image quality of synthetic MRIs. The proposed method enhances the capability of current multimodal MRI synthesis approaches, which could contribute to more accurate diagnosis and better treatment planning for patients by synthesizing additional MRI modalities.

Self-supervised Training Sample Difficulty Balancing for Local Descriptor Learning

In the case of an imbalance between positive and negative samples, hard negative mining strategies have been shown to help models learn more subtle differences between positive and negative samples, thus improving recognition performance. However, if too strict mining strategies are promoted in the dataset, there may be a risk of introducing false negative samples. Meanwhile, the implementation of the mining strategy disrupts the difficulty distribution of samples in the real dataset, which may cause the model to over-fit these difficult samples. Therefore, in this paper, we investigate how to trade off the difficulty of the mined samples in order to obtain and exploit high-quality negative samples, and try to solve the problem in terms of both the loss function and the training strategy. The proposed balance loss provides an effective discriminant for the quality of negative samples by combining a self-supervised approach to the loss function, and uses a dynamic gradient modulation strategy to achieve finer gradient adjustment for samples of different difficulties. The proposed annealing training strategy then constrains the difficulty of the samples drawn from negative sample mining to provide data sources with different difficulty distributions for the loss function, and uses samples of decreasing difficulty to train the model. Extensive experiments show that our new descriptors outperform previous state-of-the-art descriptors for patch validation, matching, and retrieval tasks.

Reinforcement Learning in Medical Image Analysis: Concepts, Applications, Challenges, and Future Directions

Motivation: Medical image analysis involves tasks to assist physicians in qualitative and quantitative analysis of lesions or anatomical structures, significantly improving the accuracy and reliability of diagnosis and prognosis. Traditionally, these tasks are finished by physicians or medical physicists and lead to two major problems: (i) low efficiency; (ii) biased by personal experience. In the past decade, many machine learning methods have been applied to accelerate and automate the image analysis process. Compared to the enormous deployments of supervised and unsupervised learning models, attempts to use reinforcement learning in medical image analysis are scarce. This review article could serve as the stepping-stone for related research. Significance: From our observation, though reinforcement learning has gradually gained momentum in recent years, many researchers in the medical analysis field find it hard to understand and deploy in clinics. One cause is lacking well-organized review articles targeting readers lacking professional computer science backgrounds. Rather than providing a comprehensive list of all reinforcement learning models in medical image analysis, this paper may help the readers to learn how to formulate and solve their medical image analysis research as reinforcement learning problems. Approach & Results: We selected published articles from Google Scholar and PubMed. Considering the scarcity of related articles, we also included some outstanding newest preprints. The papers are carefully reviewed and categorized according to the type of image analysis task. We first review the basic concepts and popular models of reinforcement learning. Then we explore the applications of reinforcement learning models in landmark detection. Finally, we conclude the article by discussing the reviewed reinforcement learning approaches' limitations and possible improvements.