Multimodal Learning To Improve Cardiac Late Mechanical Activation Detection From Cine MR Images

This paper presents a multimodal deep learning framework that utilizes advanced image techniques to improve the performance of clinical analysis heavily dependent on routinely acquired standard images. More specifically, we develop a joint learning network that for the first time leverages the accuracy and reproducibility of myocardial strains obtained from Displacement Encoding with Stimulated Echo (DENSE) to guide the analysis of cine cardiac magnetic resonance (CMR) imaging in late mechanical activation (LMA) detection. An image registration network is utilized to acquire the knowledge of cardiac motions, an important feature estimator of strain values, from standard cine CMRs. Our framework consists of two major components: (i) a DENSE-supervised strain network leveraging latent motion features learned from a registration network to predict myocardial strains; and (ii) a LMA network taking advantage of the predicted strain for effective LMA detection. Experimental results show that our proposed work substantially improves the performance of strain analysis and LMA detection from cine CMR images, aligning more closely with the achievements of DENSE.

An end-to-end deep learning pipeline to derive blood input with partial volume corrections for automated parametric brain PET mapping

Dynamic 2-[18F] fluoro-2-deoxy-D-glucose positron emission tomography (dFDG-PET) for human brain imaging has considerable clinical potential, yet its utilization remains limited. A key challenge in the quantitative analysis of dFDG-PET is characterizing a patient-specific blood input function, traditionally reliant on invasive arterial blood sampling. This research introduces a novel approach employing non-invasive deep learning model-based computations from the internal carotid arteries (ICA) with partial volume (PV) corrections, thereby eliminating the need for invasive arterial sampling. We present an end-to-end pipeline incorporating a 3D U-Net based ICA-net for ICA segmentation, alongside a Recurrent Neural Network (RNN) based MCIF-net for the derivation of a model-corrected blood input function (MCIF) with PV corrections. The developed 3D U-Net and RNN was trained and validated using a 5-fold cross-validation approach on 50 human brain FDG PET datasets. The ICA-net achieved an average Dice score of 82.18% and an Intersection over Union of 68.54% across all tested scans. Furthermore, the MCIF-net exhibited a minimal root mean squared error of 0.0052. The application of this pipeline to ground truth data for dFDG-PET brain scans resulted in the precise localization of seizure onset regions, which contributed to a successful clinical outcome, with the patient achieving a seizure-free state after treatment. These results underscore the efficacy of the ICA-net and MCIF-net deep learning pipeline in learning the ICA structure's distribution and automating MCIF computation with PV corrections. This advancement marks a significant leap in non-invasive neuroimaging.

MGAug: Multimodal Geometric Augmentation in Latent Spaces of Image Deformations

Geometric transformations have been widely used to augment the size of training images. Existing methods often assume a unimodal distribution of the underlying transformations between images, which limits their power when data with multimodal distributions occur. In this paper, we propose a novel model, Multimodal Geometric Augmentation (MGAug), that for the first time generates augmenting transformations in a multimodal latent space of geometric deformations. To achieve this, we first develop a deep network that embeds the learning of latent geometric spaces of diffeomorphic transformations (a.k.a. diffeomorphisms) in a variational autoencoder (VAE). A mixture of multivariate Gaussians is formulated in the tangent space of diffeomorphisms and serves as a prior to approximate the hidden distribution of image transformations. We then augment the original training dataset by deforming images using randomly sampled transformations from the learned multimodal latent space of VAE. To validate the efficiency of our model, we jointly learn the augmentation strategy with two distinct domain-specific tasks: multi-class classification on 2D synthetic datasets and segmentation on real 3D brain magnetic resonance images (MRIs). We also compare MGAug with state-of-the-art transformation-based image augmentation algorithms. Experimental results show that our proposed approach outperforms all baselines by significantly improved prediction accuracy. Our code is publicly available at https://github.com/tonmoy-hossain/MGAug.

Implement services for business scenarios by combining basic emulators

This article mainly introduces how to use various basic emulators to form a combined emulator in the Jiutian Intelligence Network Simulation Platform to realize simulation service functions in different business scenarios. Among them, the combined emulator is included. The business scenarios include different practical applications such as multi-objective antenna optimization, high traffic of business, CSI (channel state information) compression feedback, etc.

Design of JiuTian Intelligent Network Simulation Platform

This paper introduced the JiuTian Intelligent Network Simulation Platform, which can provide wireless communication simulation data services for the Open Innovation Platform. The platform contains a series of scalable simulator functionalities, offering open services that enable users to use reinforcement learning algorithms for model training and inference based on simulation environments and data. Additionally, it allows users to address optimization tasks in different scenarios by uploading and updating parameter configurations. The platform and its open services were primarily introduced from the perspectives of background, overall architecture, simulator, business scenarios, and future directions.

SADIR: Shape-Aware Diffusion Models for 3D Image Reconstruction

3D image reconstruction from a limited number of 2D images has been a long-standing challenge in computer vision and image analysis. While deep learning-based approaches have achieved impressive performance in this area, existing deep networks often fail to effectively utilize the shape structures of objects presented in images. As a result, the topology of reconstructed objects may not be well preserved, leading to the presence of artifacts such as discontinuities, holes, or mismatched connections between different parts. In this paper, we propose a shape-aware network based on diffusion models for 3D image reconstruction, named SADIR, to address these issues. In contrast to previous methods that primarily rely on spatial correlations of image intensities for 3D reconstruction, our model leverages shape priors learned from the training data to guide the reconstruction process. To achieve this, we develop a joint learning network that simultaneously learns a mean shape under deformation models. Each reconstructed image is then considered as a deformed variant of the mean shape. We validate our model, SADIR, on both brain and cardiac magnetic resonance images (MRIs). Experimental results show that our method outperforms the baselines with lower reconstruction error and better preservation of the shape structure of objects within the images.

NeurEPDiff: Neural Operators to Predict Geodesics in Deformation Spaces

This paper presents NeurEPDiff, a novel network to fast predict the geodesics in deformation spaces generated by a well known Euler-Poincar\'e differential equation (EPDiff). To achieve this, we develop a neural operator that for the first time learns the evolving trajectory of geodesic deformations parameterized in the tangent space of diffeomorphisms(a.k.a velocity fields). In contrast to previous methods that purely fit the training images, our proposed NeurEPDiff learns a nonlinear mapping function between the time-dependent velocity fields. A composition of integral operators and smooth activation functions is formulated in each layer of NeurEPDiff to effectively approximate such mappings. The fact that NeurEPDiff is able to rapidly provide the numerical solution of EPDiff (given any initial condition) results in a significantly reduced computational cost of geodesic shooting of diffeomorphisms in a high-dimensional image space. Additionally, the properties of discretiztion/resolution-invariant of NeurEPDiff make its performance generalizable to multiple image resolutions after being trained offline. We demonstrate the effectiveness of NeurEPDiff in registering two image datasets: 2D synthetic data and 3D brain resonance imaging (MRI). The registration accuracy and computational efficiency are compared with the state-of-the-art diffeomophic registration algorithms with geodesic shooting.

MetaMorph: Learning Metamorphic Image Transformation With Appearance Changes

This paper presents a novel predictive model, MetaMorph, for metamorphic registration of images with appearance changes (i.e., caused by brain tumors). In contrast to previous learning-based registration methods that have little or no control over appearance-changes, our model introduces a new regularization that can effectively suppress the negative effects of appearance changing areas. In particular, we develop a piecewise regularization on the tangent space of diffeomorphic transformations (also known as initial velocity fields) via learned segmentation maps of abnormal regions. The geometric transformation and appearance changes are treated as joint tasks that are mutually beneficial. Our model MetaMorph is more robust and accurate when searching for an optimal registration solution under the guidance of segmentation, which in turn improves the segmentation performance by providing appropriately augmented training labels. We validate MetaMorph on real 3D human brain tumor magnetic resonance imaging (MRI) scans. Experimental results show that our model outperforms the state-of-the-art learning-based registration models. The proposed MetaMorph has great potential in various image-guided clinical interventions, e.g., real-time image-guided navigation systems for tumor removal surgery.

Multimodal Deep Learning to Differentiate Tumor Recurrence from Treatment Effect in Human Glioblastoma

Differentiating tumor progression (TP) from treatment-related necrosis (TN) is critical for clinical management decisions in glioblastoma (GBM). Dynamic FDG PET (dPET), an advance from traditional static FDG PET, may prove advantageous in clinical staging. dPET includes novel methods of a model-corrected blood input function that accounts for partial volume averaging to compute parametric maps that reveal kinetic information. In a preliminary study, a convolution neural network (CNN) was trained to predict classification accuracy between TP and TN for $35$ brain tumors from $26$ subjects in the PET-MR image space. 3D parametric PET Ki (from dPET), traditional static PET standardized uptake values (SUV), and also the brain tumor MR voxels formed the input for the CNN. The average test accuracy across all leave-one-out cross-validation iterations adjusting for class weights was $0.56$ using only the MR, $0.65$ using only the SUV, and $0.71$ using only the Ki voxels. Combining SUV and MR voxels increased the test accuracy to $0.62$. On the other hand, MR and Ki voxels increased the test accuracy to $0.74$. Thus, dPET features alone or with MR features in deep learning models would enhance prediction accuracy in differentiating TP vs TN in GBM.

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.