The secret role of undesired physical effects in accurate shape sensing with eccentric FBGs

Fiber optic shape sensors have enabled unique advances in various navigation tasks, from medical tool tracking to industrial applications. Eccentric fiber Bragg gratings (FBG) are cheap and easy-to-fabricate shape sensors that are often interrogated with simple setups. However, using low-cost interrogation systems for such intensity-based quasi-distributed sensors introduces further complications to the sensor's signal. Therefore, eccentric FBGs have not been able to accurately estimate complex multi-bend shapes. Here, we present a novel technique to overcome these limitations and provide accurate and precise shape estimation in eccentric FBG sensors. We investigate the most important bending-induced effects in curved optical fibers that are usually eliminated in intensity-based fiber sensors. These effects contain shape deformation information with a higher spatial resolution that we are now able to extract using deep learning techniques. We design a deep learning model based on a convolutional neural network that is trained to predict shapes given the sensor's spectra. We also provide a visual explanation, highlighting wavelength elements whose intensities are more relevant in making shape predictions. These findings imply that deep learning techniques benefit from the bending-induced effects that impact the desired signal in a complex manner. This is the first step toward cheap yet accurate fiber shape sensing solutions.

The Swiss Army Knife for Image-to-Image Translation: Multi-Task Diffusion Models

Recently, diffusion models were applied to a wide range of image analysis tasks. We build on a method for image-to-image translation using denoising diffusion implicit models and include a regression problem and a segmentation problem for guiding the image generation to the desired output. The main advantage of our approach is that the guidance during the denoising process is done by an external gradient. Consequently, the diffusion model does not need to be retrained for the different tasks on the same dataset. We apply our method to simulate the aging process on facial photos using a regression task, as well as on a brain magnetic resonance (MR) imaging dataset for the simulation of brain tumor growth. Furthermore, we use a segmentation model to inpaint tumors at the desired location in healthy slices of brain MR images. We achieve convincing results for all problems.

Diffusion Models for Medical Anomaly Detection

In medical applications, weakly supervised anomaly detection methods are of great interest, as only image-level annotations are required for training. Current anomaly detection methods mainly rely on generative adversarial networks or autoencoder models. Those models are often complicated to train or have difficulties to preserve fine details in the image. We present a novel weakly supervised anomaly detection method based on denoising diffusion implicit models. We combine the deterministic iterative noising and denoising scheme with classifier guidance for image-to-image translation between diseased and healthy subjects. Our method generates very detailed anomaly maps without the need for a complex training procedure. We evaluate our method on the BRATS2020 dataset for brain tumor detection and the CheXpert dataset for detecting pleural effusions.

Diffusion Models for Implicit Image Segmentation Ensembles

Diffusion models have shown impressive performance for generative modelling of images. In this paper, we present a novel semantic segmentation method based on diffusion models. By modifying the training and sampling scheme, we show that diffusion models can perform lesion segmentation of medical images. To generate an image specific segmentation, we train the model on the ground truth segmentation, and use the image as a prior during training and in every step during the sampling process. With the given stochastic sampling process, we can generate a distribution of segmentation masks. This property allows us to compute pixel-wise uncertainty maps of the segmentation, and allows an implicit ensemble of segmentations that increases the segmentation performance. We evaluate our method on the BRATS2020 dataset for brain tumor segmentation. Compared to state-of-the-art segmentation models, our approach yields good segmentation results and, additionally, detailed uncertainty maps.

Learn to Ignore: Domain Adaptation for Multi-Site MRI Analysis

Limited availability of large image datasets is a major issue in the development of accurate and generalizable machine learning methods in medicine. The limitations in the amount of data are mainly due to the use of different acquisition protocols, different hardware, and data privacy. At the same time, training a classification model on a small dataset leads to a poor generalization quality of the model. To overcome this issue, a combination of various image datasets of different provenance is often used, e.g., multi-site studies. However, if an additional dataset does not include all classes of the task, the learning of the classification model can be biased to the device or place of acquisition. This is especially the case for Magnetic Resonance (MR) images, where different MR scanners introduce a bias that limits the performance of the model. In this paper, we present a novel method that learns to ignore the scanner-related features present in the images, while learning features relevant for the classification task. We focus on a real-world scenario, where only a small dataset provides images of all classes. We exploit this circumstance by introducing specific additional constraints on the latent space, which lead the focus on disease-related rather than scanner-specific features. Our method Learn to Ignore outperforms state-of-the-art domain adaptation methods on a multi-site MRI dataset on a classification task between Multiple Sclerosis patients and healthy subjects.

Comparison of Methods Generalizing Max- and Average-Pooling

Max- and average-pooling are the most popular pooling methods for downsampling in convolutional neural networks. In this paper, we compare different pooling methods that generalize both max- and average-pooling. Furthermore, we propose another method based on a smooth approximation of the maximum function and put it into context with related methods. For the comparison, we use a VGG16 image classification network and train it on a large dataset of natural high-resolution images (Google Open Images v5). The results show that none of the more sophisticated methods perform significantly better in this classification task than standard max- or average-pooling.

3D Segmentation Networks for Excessive Numbers of Classes: Distinct Bone Segmentation in Upper Bodies

Segmentation of distinct bones plays a crucial role in diagnosis, planning, navigation, and the assessment of bone metastasis. It supplies semantic knowledge to visualisation tools for the planning of surgical interventions and the education of health professionals. Fully supervised segmentation of 3D data using Deep Learning methods has been extensively studied for many tasks but is usually restricted to distinguishing only a handful of classes. With 125 distinct bones, our case includes many more labels than typical 3D segmentation tasks. For this reason, the direct adaptation of most established methods is not possible. This paper discusses the intricacies of training a 3D segmentation network in a many-label setting and shows necessary modifications in network architecture, loss function, and data augmentation. As a result, we demonstrate the robustness of our method by automatically segmenting over one hundred distinct bones simultaneously in an end-to-end learnt fashion from a CT-scan.

DeScarGAN: Disease-Specific Anomaly Detection with Weak Supervision

Anomaly detection and localization in medical images is a challenging task, especially when the anomaly exhibits a change of existing structures, e.g., brain atrophy or changes in the pleural space due to pleural effusions. In this work, we present a weakly supervised and detail-preserving method that is able to detect structural changes of existing anatomical structures. In contrast to standard anomaly detection methods, our method extracts information about the disease characteristics from two groups: a group of patients affected by the same disease and a healthy control group. Together with identity-preserving mechanisms, this enables our method to extract highly disease-specific characteristics for a more detailed detection of structural changes. We designed a specific synthetic data set to evaluate and compare our method against state-of-the-art anomaly detection methods. Finally, we show the performance of our method on chest X-ray images. Our method called DeScarGAN outperforms other anomaly detection methods on the synthetic data set and by visual inspection on the chest X-ray image data set.

Accelerated Motion-Aware MR Imaging via Motion Prediction from K-Space Center

Motion has been a challenge for magnetic resonance (MR) imaging ever since the MR has been invented. Especially in volumetric imaging of thoracic and abdominal organs, motion-awareness is essential for reducing motion artifacts in the final image. A recently proposed MR imaging approach copes with motion by observing the motion patterns during the acquisition. Repetitive scanning of the k-space center region enables the extraction of the patient motion while acquiring the remaining part of the k-space. Due to highly redundant measurements of the center, the required scanning time of over 11 min and the reconstruction time of 2 h exceed clinical applicability though. We propose an accelerated motion-aware MR imaging method where the motion is inferred from small-sized k-space center patches and an initial training phase during which the characteristic movements are modeled. Thereby, acquisition times are reduced by a factor of almost 2 and reconstruction times by two orders of magnitude. Moreover, we improve the existing motion-aware approach with a systematic temporal shift correction to achieve a sharper image reconstruction. We tested our method on 12 volunteers and scanned their lungs and abdomen under free breathing. We achieved equivalent to higher reconstruction quality using the motion-prediction compared to the slower existing approach.