Multitask Learning for Improved Late Mechanical Activation Detection of Heart from Cine DENSE MRI

The selection of an optimal pacing site, which is ideally scar-free and late activated, is critical to the response of cardiac resynchronization therapy (CRT). Despite the success of current approaches formulating the detection of such late mechanical activation (LMA) regions as a problem of activation time regression, their accuracy remains unsatisfactory, particularly in cases where myocardial scar exists. To address this issue, this paper introduces a multi-task deep learning framework that simultaneously estimates LMA amount and classify the scar-free LMA regions based on cine displacement encoding with stimulated echoes (DENSE) magnetic resonance imaging (MRI). With a newly introduced auxiliary LMA region classification sub-network, our proposed model shows more robustness to the complex pattern cause by myocardial scar, significantly eliminates their negative effects in LMA detection, and in turn improves the performance of scar classification. To evaluate the effectiveness of our method, we tests our model on real cardiac MR images and compare the predicted LMA with the state-of-the-art approaches. It shows that our approach achieves substantially increased accuracy. In addition, we employ the gradient-weighted class activation mapping (Grad-CAM) to visualize the feature maps learned by all methods. Experimental results suggest that our proposed model better recognizes the LMA region pattern.

Geo-SIC: Learning Deformable Geometric Shapes in Deep Image Classifiers

Deformable shapes provide important and complex geometric features of objects presented in images. However, such information is oftentimes missing or underutilized as implicit knowledge in many image analysis tasks. This paper presents Geo-SIC, the first deep learning model to learn deformable shapes in a deformation space for an improved performance of image classification. We introduce a newly designed framework that (i) simultaneously derives features from both image and latent shape spaces with large intra-class variations; and (ii) gains increased model interpretability by allowing direct access to the underlying geometric features of image data. In particular, we develop a boosted classification network, equipped with an unsupervised learning of geometric shape representations characterized by diffeomorphic transformations within each class. In contrast to previous approaches using pre-extracted shapes, our model provides a more fundamental approach by naturally learning the most relevant shape features jointly with an image classifier. We demonstrate the effectiveness of our method on both simulated 2D images and real 3D brain magnetic resonance (MR) images. Experimental results show that our model substantially improves the image classification accuracy with an additional benefit of increased model interpretability. Our code is publicly available at https://github.com/jw4hv/Geo-SIC

BDG-Net: Boundary Distribution Guided Network for Accurate Polyp Segmentation

Colorectal cancer (CRC) is one of the most common fatal cancer in the world. Polypectomy can effectively interrupt the progression of adenoma to adenocarcinoma, thus reducing the risk of CRC development. Colonoscopy is the primary method to find colonic polyps. However, due to the different sizes of polyps and the unclear boundary between polyps and their surrounding mucosa, it is challenging to segment polyps accurately. To address this problem, we design a Boundary Distribution Guided Network (BDG-Net) for accurate polyp segmentation. Specifically, under the supervision of the ideal Boundary Distribution Map (BDM), we use Boundary Distribution Generate Module (BDGM) to aggregate high-level features and generate BDM. Then, BDM is sent to the Boundary Distribution Guided Decoder (BDGD) as complementary spatial information to guide the polyp segmentation. Moreover, a multi-scale feature interaction strategy is adopted in BDGD to improve the segmentation accuracy of polyps with different sizes. Extensive quantitative and qualitative evaluations demonstrate the effectiveness of our model, which outperforms state-of-the-art models remarkably on five public polyp datasets while maintaining low computational complexity.

Hybrid Atlas Building with Deep Registration Priors

Registration-based atlas building often poses computational challenges in high-dimensional image spaces. In this paper, we introduce a novel hybrid atlas building algorithm that fast estimates atlas from large-scale image datasets with much reduced computational cost. In contrast to previous approaches that iteratively perform registration tasks between an estimated atlas and individual images, we propose to use learned priors of registration from pre-trained neural networks. This newly developed hybrid framework features several advantages of (i) providing an efficient way of atlas building without losing the quality of results, and (ii) offering flexibility in utilizing a wide variety of deep learning based registration methods. We demonstrate the effectiveness of this proposed model on 3D brain magnetic resonance imaging (MRI) scans.

Bayesian Atlas Building with Hierarchical Priors for Subject-specific Regularization

This paper presents a novel hierarchical Bayesian model for unbiased atlas building with subject-specific regularizations of image registration. We develop an atlas construction process that automatically selects parameters to control the smoothness of diffeomorphic transformation according to individual image data. To achieve this, we introduce a hierarchical prior distribution on regularization parameters that allows multiple penalties on images with various degrees of geometric transformations. We then treat the regularization parameters as latent variables and integrate them out from the model by using the Monte Carlo Expectation Maximization (MCEM) algorithm. Another advantage of our algorithm is that it eliminates the need for manual parameter tuning, which can be tedious and infeasible. We demonstrate the effectiveness of our model on 3D brain MR images. Experimental results show that our model provides a sharper atlas compared to the current atlas building algorithms with single-penalty regularizations. Our code is publicly available at https://github.com/jw4hv/HierarchicalBayesianAtlasBuild.

Defending Medical Image Diagnostics against Privacy Attacks using Generative Methods

Machine learning (ML) models used in medical imaging diagnostics can be vulnerable to a variety of privacy attacks, including membership inference attacks, that lead to violations of regulations governing the use of medical data and threaten to compromise their effective deployment in the clinic. In contrast to most recent work in privacy-aware ML that has been focused on model alteration and post-processing steps, we propose here a novel and complementary scheme that enhances the security of medical data by controlling the data sharing process. We develop and evaluate a privacy defense protocol based on using a generative adversarial network (GAN) that allows a medical data sourcer (e.g. a hospital) to provide an external agent (a modeler) a proxy dataset synthesized from the original images, so that the resulting diagnostic systems made available to model consumers is rendered resilient to privacy attackers. We validate the proposed method on retinal diagnostics AI used for diabetic retinopathy that bears the risk of possibly leaking private information. To incorporate concerns of both privacy advocates and modelers, we introduce a metric to evaluate privacy and utility performance in combination, and demonstrate, using these novel and classical metrics, that our approach, by itself or in conjunction with other defenses, provides state of the art (SOTA) performance for defending against privacy attacks.

Deep Learning for Regularization Prediction in Diffeomorphic Image Registration

This paper presents a predictive model for estimating regularization parameters of diffeomorphic image registration. We introduce a novel framework that automatically determines the parameters controlling the smoothness of diffeomorphic transformations. Our method significantly reduces the effort of parameter tuning, which is time and labor-consuming. To achieve the goal, we develop a predictive model based on deep convolutional neural networks (CNN) that learns the mapping between pairwise images and the regularization parameter of image registration. In contrast to previous methods that estimate such parameters in a high-dimensional image space, our model is built in an efficient bandlimited space with much lower dimensions. We demonstrate the effectiveness of our model on both 2D synthetic data and 3D real brain images. Experimental results show that our model not only predicts appropriate regularization parameters for image registration, but also improving the network training in terms of time and memory efficiency.

PAC Model Checking of Black-Box Continuous-Time Dynamical Systems

In this paper we present a novel model checking approach to finite-time safety verification of black-box continuous-time dynamical systems within the framework of probably approximately correct (PAC) learning. The black-box dynamical systems are the ones, for which no model is given but whose states changing continuously through time within a finite time interval can be observed at some discrete time instants for a given input. The new model checking approach is termed as PAC model checking due to incorporation of learned models with correctness guarantees expressed using the terms error probability and confidence. Based on the error probability and confidence level, our approach provides statistically formal guarantees that the time-evolving trajectories of the black-box dynamical system over finite time horizons fall within the range of the learned model plus a bounded interval, contributing to insights on the reachability of the black-box system and thus on the satisfiability of its safety requirements. The learned model together with the bounded interval is obtained by scenario optimization, which boils down to a linear programming problem. Three examples demonstrate the performance of our approach.

DeepFLASH: An Efficient Network for Learning-based Medical Image Registration

This paper presents DeepFLASH, a novel network with efficient training and inference for learning-based medical image registration. In contrast to existing approaches that learn spatial transformations from training data in the high dimensional imaging space, we develop a new registration network entirely in a low dimensional bandlimited space. This dramatically reduces the computational cost and memory footprint of an expensive training and inference. To achieve this goal, we first introduce complex-valued operations and representations of neural architectures that provide key components for learning-based registration models. We then construct an explicit loss function of transformation fields fully characterized in a bandlimited space with much fewer parameterizations. Experimental results show that our method is significantly faster than the state-of-the-art deep learning based image registration methods, while producing equally accurate alignment. We demonstrate our algorithm in two different applications of image registration: 2D synthetic data and 3D real brain magnetic resonance (MR) images. Our code is available at https://github.com/jw4hv/deepflash.

Mixture Probabilistic Principal Geodesic Analysis

Dimensionality reduction on Riemannian manifolds is challenging due to the complex nonlinear data structures. While probabilistic principal geodesic analysis~(PPGA) has been proposed to generalize conventional principal component analysis (PCA) onto manifolds, its effectiveness is limited to data with a single modality. In this paper, we present a novel Gaussian latent variable model that provides a unique way to integrate multiple PGA models into a maximum-likelihood framework. This leads to a well-defined mixture model of probabilistic principal geodesic analysis (MPPGA) on sub-populations, where parameters of the principal subspaces are automatically estimated by employing an Expectation Maximization algorithm. We further develop a mixture Bayesian PGA (MBPGA) model that automatically reduces data dimensionality by suppressing irrelevant principal geodesics. We demonstrate the advantages of our model in the contexts of clustering and statistical shape analysis, using synthetic sphere data, real corpus callosum, and mandible data from human brain magnetic resonance~(MR) and CT images.