Non-Redundant Combination of Hand-Crafted and Deep Learning Radiomics: Application to the Early Detection of Pancreatic Cancer

We address the problem of learning Deep Learning Radiomics (DLR) that are not redundant with Hand-Crafted Radiomics (HCR). To do so, we extract DLR features using a VAE while enforcing their independence with HCR features by minimizing their mutual information. The resulting DLR features can be combined with hand-crafted ones and leveraged by a classifier to predict early markers of cancer. We illustrate our method on four early markers of pancreatic cancer and validate it on a large independent test set. Our results highlight the value of combining non-redundant DLR and HCR features, as evidenced by an improvement in the Area Under the Curve compared to baseline methods that do not address redundancy or solely rely on HCR features.

Decoupled conditional contrastive learning with variable metadata for prostate lesion detection

Early diagnosis of prostate cancer is crucial for efficient treatment. Multi-parametric Magnetic Resonance Images (mp-MRI) are widely used for lesion detection. The Prostate Imaging Reporting and Data System (PI-RADS) has standardized interpretation of prostate MRI by defining a score for lesion malignancy. PI-RADS data is readily available from radiology reports but is subject to high inter-reports variability. We propose a new contrastive loss function that leverages weak metadata with multiple annotators per sample and takes advantage of inter-reports variability by defining metadata confidence. By combining metadata of varying confidence with unannotated data into a single conditional contrastive loss function, we report a 3% AUC increase on lesion detection on the public PI-CAI challenge dataset. Code is available at: https://github.com/camilleruppli/decoupled_ccl

Weakly-supervised positional contrastive learning: application to cirrhosis classification

Large medical imaging datasets can be cheaply and quickly annotated with low-confidence, weak labels (e.g., radiological scores). Access to high-confidence labels, such as histology-based diagnoses, is rare and costly. Pretraining strategies, like contrastive learning (CL) methods, can leverage unlabeled or weakly-annotated datasets. These methods typically require large batch sizes, which poses a difficulty in the case of large 3D images at full resolution, due to limited GPU memory. Nevertheless, volumetric positional information about the spatial context of each 2D slice can be very important for some medical applications. In this work, we propose an efficient weakly-supervised positional (WSP) contrastive learning strategy where we integrate both the spatial context of each 2D slice and a weak label via a generic kernel-based loss function. We illustrate our method on cirrhosis prediction using a large volume of weakly-labeled images, namely radiological low-confidence annotations, and small strongly-labeled (i.e., high-confidence) datasets. The proposed model improves the classification AUC by 5% with respect to a baseline model on our internal dataset, and by 26% on the public LIHC dataset from the Cancer Genome Atlas. The code is available at: https://github.com/Guerbet-AI/wsp-contrastive.

SepVAE: a contrastive VAE to separate pathological patterns from healthy ones

Contrastive Analysis VAE (CA-VAEs) is a family of Variational auto-encoders (VAEs) that aims at separating the common factors of variation between a background dataset (BG) (i.e., healthy subjects) and a target dataset (TG) (i.e., patients) from the ones that only exist in the target dataset. To do so, these methods separate the latent space into a set of salient features (i.e., proper to the target dataset) and a set of common features (i.e., exist in both datasets). Currently, all models fail to prevent the sharing of information between latent spaces effectively and to capture all salient factors of variation. To this end, we introduce two crucial regularization losses: a disentangling term between common and salient representations and a classification term between background and target samples in the salient space. We show a better performance than previous CA-VAEs methods on three medical applications and a natural images dataset (CelebA). Code and datasets are available on GitHub https://github.com/neurospin-projects/2023_rlouiset_sepvae.

Learning to diagnose cirrhosis from radiological and histological labels with joint self and weakly-supervised pretraining strategies

Identifying cirrhosis is key to correctly assess the health of the liver. However, the gold standard diagnosis of the cirrhosis needs a medical intervention to obtain the histological confirmation, e.g. the METAVIR score, as the radiological presentation can be equivocal. In this work, we propose to leverage transfer learning from large datasets annotated by radiologists, which we consider as a weak annotation, to predict the histological score available on a small annex dataset. To this end, we propose to compare different pretraining methods, namely weakly-supervised and self-supervised ones, to improve the prediction of the cirrhosis. Finally, we introduce a loss function combining both supervised and self-supervised frameworks for pretraining. This method outperforms the baseline classification of the METAVIR score, reaching an AUC of 0.84 and a balanced accuracy of 0.75, compared to 0.77 and 0.72 for a baseline classifier.

Contrastive learning for regression in multi-site brain age prediction

Building accurate Deep Learning (DL) models for brain age prediction is a very relevant topic in neuroimaging, as it could help better understand neurodegenerative disorders and find new biomarkers. To estimate accurate and generalizable models, large datasets have been collected, which are often multi-site and multi-scanner. This large heterogeneity negatively affects the generalization performance of DL models since they are prone to overfit site-related noise. Recently, contrastive learning approaches have been shown to be more robust against noise in data or labels. For this reason, we propose a novel contrastive learning regression loss for robust brain age prediction using MRI scans. Our method achieves state-of-the-art performance on the OpenBHB challenge, yielding the best generalization capability and robustness to site-related noise.

Unbiased Supervised Contrastive Learning

Many datasets are biased, namely they contain easy-to-learn features that are highly correlated with the target class only in the dataset but not in the true underlying distribution of the data. For this reason, learning unbiased models from biased data has become a very relevant research topic in the last years. In this work, we tackle the problem of learning representations that are robust to biases. We first present a margin-based theoretical framework that allows us to clarify why recent contrastive losses (InfoNCE, SupCon, etc.) can fail when dealing with biased data. Based on that, we derive a novel formulation of the supervised contrastive loss (epsilon-SupInfoNCE), providing more accurate control of the minimal distance between positive and negative samples. Furthermore, thanks to our theoretical framework, we also propose FairKL, a new debiasing regularization loss, that works well even with extremely biased data. We validate the proposed losses on standard vision datasets including CIFAR10, CIFAR100, and ImageNet, and we assess the debiasing capability of FairKL with epsilon-SupInfoNCE, reaching state-of-the-art performance on a number of biased datasets, including real instances of biases in the wild.

Anatomically constrained CT image translation for heterogeneous blood vessel segmentation

Anatomical structures such as blood vessels in contrast-enhanced CT (ceCT) images can be challenging to segment due to the variability in contrast medium diffusion. The combined use of ceCT and contrast-free (CT) CT images can improve the segmentation performances, but at the cost of a double radiation exposure. To limit the radiation dose, generative models could be used to synthesize one modality, instead of acquiring it. The CycleGAN approach has recently attracted particular attention because it alleviates the need for paired data that are difficult to obtain. Despite the great performances demonstrated in the literature, limitations still remain when dealing with 3D volumes generated slice by slice from unpaired datasets with different fields of view. We present an extension of CycleGAN to generate high fidelity images, with good structural consistency, in this context. We leverage anatomical constraints and automatic region of interest selection by adapting the Self-Supervised Body Regressor. These constraints enforce anatomical consistency and allow feeding anatomically-paired input images to the algorithm. Results show qualitative and quantitative improvements, compared to stateof-the-art methods, on the translation task between ceCT and CT images (and vice versa).

Optimizing transformations for contrastive learning in a differentiable framework

Current contrastive learning methods use random transformations sampled from a large list of transformations, with fixed hyperparameters, to learn invariance from an unannotated database. Following previous works that introduce a small amount of supervision, we propose a framework to find optimal transformations for contrastive learning using a differentiable transformation network. Our method increases performances at low annotated data regime both in supervision accuracy and in convergence speed. In contrast to previous work, no generative model is needed for transformation optimization. Transformed images keep relevant information to solve the supervised task, here classification. Experiments were performed on 34000 2D slices of brain Magnetic Resonance Images and 11200 chest X-ray images. On both datasets, with 10% of labeled data, our model achieves better performances than a fully supervised model with 100% labels.

Is the U-Net Directional-Relationship Aware?

CNNs are often assumed to be capable of using contextual information about distinct objects (such as their directional relations) inside their receptive field. However, the nature and limits of this capacity has never been explored in full. We explore a specific type of relationship~-- directional~-- using a standard U-Net trained to optimize a cross-entropy loss function for segmentation. We train this network on a pretext segmentation task requiring directional relation reasoning for success and state that, with enough data and a sufficiently large receptive field, it succeeds to learn the proposed task. We further explore what the network has learned by analysing scenarios where the directional relationships are perturbed, and show that the network has learned to reason using these relationships.