RENs: Relevance Encoding Networks

The manifold assumption for high-dimensional data assumes that the data is generated by varying a set of parameters obtained from a low-dimensional latent space. Deep generative models (DGMs) are widely used to learn data representations in an unsupervised way. DGMs parameterize the underlying low-dimensional manifold in the data space using bottleneck architectures such as variational autoencoders (VAEs). The bottleneck dimension for VAEs is treated as a hyperparameter that depends on the dataset and is fixed at design time after extensive tuning. As the intrinsic dimensionality of most real-world datasets is unknown, often, there is a mismatch between the intrinsic dimensionality and the latent dimensionality chosen as a hyperparameter. This mismatch can negatively contribute to the model performance for representation learning and sample generation tasks. This paper proposes relevance encoding networks (RENs): a novel probabilistic VAE-based framework that uses the automatic relevance determination (ARD) prior in the latent space to learn the data-specific bottleneck dimensionality. The relevance of each latent dimension is directly learned from the data along with the other model parameters using stochastic gradient descent and a reparameterization trick adapted to non-Gaussian priors. We leverage the concept of DeepSets to capture permutation invariant statistical properties in both data and latent spaces for relevance determination. The proposed framework is general and flexible and can be used for the state-of-the-art VAE models that leverage regularizers to impose specific characteristics in the latent space (e.g., disentanglement). With extensive experimentation on synthetic and public image datasets, we show that the proposed model learns the relevant latent bottleneck dimensionality without compromising the representation and generation quality of the samples.

Learning Population-level Shape Statistics and Anatomy Segmentation From Images: A Joint Deep Learning Model

Statistical shape modeling is an essential tool for the quantitative analysis of anatomical populations. Point distribution models (PDMs) represent the anatomical surface via a dense set of correspondences, an intuitive and easy-to-use shape representation for subsequent applications. These correspondences are exhibited in two coordinate spaces: the local coordinates describing the geometrical features of each individual anatomical surface and the world coordinates representing the population-level statistical shape information after removing global alignment differences across samples in the given cohort. We propose a deep-learning-based framework that simultaneously learns these two coordinate spaces directly from the volumetric images. The proposed joint model serves a dual purpose; the world correspondences can directly be used for shape analysis applications, circumventing the heavy pre-processing and segmentation involved in traditional PDM models. Additionally, the local correspondences can be used for anatomy segmentation. We demonstrate the efficacy of this joint model for both shape modeling applications on two datasets and its utility in inferring the anatomical surface.

Leveraging Unsupervised Image Registration for Discovery of Landmark Shape Descriptor

In current biological and medical research, statistical shape modeling (SSM) provides an essential framework for the characterization of anatomy/morphology. Such analysis is often driven by the identification of a relatively small number of geometrically consistent features found across the samples of a population. These features can subsequently provide information about the population shape variation. Dense correspondence models can provide ease of computation and yield an interpretable low-dimensional shape descriptor when followed by dimensionality reduction. However, automatic methods for obtaining such correspondences usually require image segmentation followed by significant preprocessing, which is taxing in terms of both computation as well as human resources. In many cases, the segmentation and subsequent processing require manual guidance and anatomy specific domain expertise. This paper proposes a self-supervised deep learning approach for discovering landmarks from images that can directly be used as a shape descriptor for subsequent analysis. We use landmark-driven image registration as the primary task to force the neural network to discover landmarks that register the images well. We also propose a regularization term that allows for robust optimization of the neural network and ensures that the landmarks uniformly span the image domain. The proposed method circumvents segmentation and preprocessing and directly produces a usable shape descriptor using just 2D or 3D images. In addition, we also propose two variants on the training loss function that allows for prior shape information to be integrated into the model. We apply this framework on several 2D and 3D datasets to obtain their shape descriptors, and analyze their utility for various applications.

DeepSSM: A Blueprint for Image-to-Shape Deep Learning Models

Statistical shape modeling (SSM) characterizes anatomical variations in a population of shapes generated from medical images. SSM requires consistent shape representation across samples in shape cohort. Establishing this representation entails a processing pipeline that includes anatomy segmentation, re-sampling, registration, and non-linear optimization. These shape representations are then used to extract low-dimensional shape descriptors that facilitate subsequent analyses in different applications. However, the current process of obtaining these shape descriptors from imaging data relies on human and computational resources, requiring domain expertise for segmenting anatomies of interest. Moreover, this same taxing pipeline needs to be repeated to infer shape descriptors for new image data using a pre-trained/existing shape model. Here, we propose DeepSSM, a deep learning-based framework for learning the functional mapping from images to low-dimensional shape descriptors and their associated shape representations, thereby inferring statistical representation of anatomy directly from 3D images. Once trained using an existing shape model, DeepSSM circumvents the heavy and manual pre-processing and segmentation and significantly improves the computational time, making it a viable solution for fully end-to-end SSM applications. In addition, we introduce a model-based data-augmentation strategy to address data scarcity. Finally, this paper presents and analyzes two different architectural variants of DeepSSM with different loss functions using three medical datasets and their downstream clinical application. Experiments showcase that DeepSSM performs comparably or better to the state-of-the-art SSM both quantitatively and on application-driven downstream tasks. Therefore, DeepSSM aims to provide a comprehensive blueprint for deep learning-based image-to-shape models.

Improving Pneumonia Localization via Cross-Attention on Medical Images and Reports

Localization and characterization of diseases like pneumonia are primary steps in a clinical pipeline, facilitating detailed clinical diagnosis and subsequent treatment planning. Additionally, such location annotated datasets can provide a pathway for deep learning models to be used for downstream tasks. However, acquiring quality annotations is expensive on human resources and usually requires domain expertise. On the other hand, medical reports contain a plethora of information both about pneumonia characteristics and its location. In this paper, we propose a novel weakly-supervised attention-driven deep learning model that leverages encoded information in medical reports during training to facilitate better localization. Our model also performs classification of attributes that are associated to pneumonia and extracted from medical reports for supervision. Both the classification and localization are trained in conjunction and once trained, the model can be utilized for both the localization and characterization of pneumonia using only the input image. In this paper, we explore and analyze the model using chest X-ray datasets and demonstrate qualitatively and quantitatively that the introduction of textual information improves pneumonia localization. We showcase quantitative results on two datasets, MIMIC-CXR and Chest X-ray-8, and we also showcase severity characterization on the COVID-19 dataset.

Unsupervised Shape Normality Metric for Severity Quantification

This work describes an unsupervised method to objectively quantify the abnormality of general anatomical shapes. The severity of an anatomical deformity often serves as a determinant in the clinical management of patients. However, experiential bias and distinctive random residuals among specialist individuals bring variability in diagnosis and patient management decisions, irrespective of the objective deformity degree. Therefore, supervised methods are prone to be misled given insufficient labeling of pathological samples that inevitably preserve human bias and inconsistency. Furthermore, subjects demonstrating a specific pathology are naturally rare relative to the normal population. To avoid relying on sufficient pathological samples by fully utilizing the power of normal samples, we propose the shape normality metric (SNM), which requires learning only from normal samples and zero knowledge about the pathology. We represent shapes by landmarks automatically inferred from the data and model the normal group by a multivariate Gaussian distribution. Extensive experiments on different anatomical datasets, including skulls, femurs, scapulae, and humeri, demonstrate that SNM can provide an effective normality measurement, which can significantly detect and indicate pathology. Therefore, SNM offers promising value in a variety of clinical applications.

Uncertain-DeepSSM: From Images to Probabilistic Shape Models

Statistical shape modeling (SSM) has recently taken advantage of advances in deep learning to alleviate the need for a time-consuming and expert-driven workflow of anatomy segmentation, shape registration, and the optimization of population-level shape representations. DeepSSM is an end-to-end deep learning approach that extracts statistical shape representation directly from unsegmented images with little manual overhead. It performs comparably with state-of-the-art shape modeling methods for estimating morphologies that are viable for subsequent downstream tasks. Nonetheless, DeepSSM produces an overconfident estimate of shape that cannot be blindly assumed to be accurate. Hence, conveying what DeepSSM does not know, via quantifying granular estimates of uncertainty, is critical for its direct clinical application as an on-demand diagnostic tool to determine how trustworthy the model output is. Here, we propose Uncertain-DeepSSM as a unified model that quantifies both, data-dependent aleatoric uncertainty by adapting the network to predict intrinsic input variance, and model-dependent epistemic uncertainty via a Monte Carlo dropout sampling to approximate a variational distribution over the network parameters. Experiments show an accuracy improvement over DeepSSM while maintaining the same benefits of being end-to-end with little pre-processing.

Self-Supervised Discovery of Anatomical Shape Landmarks

Statistical shape analysis is a very useful tool in a wide range of medical and biological applications. However, it typically relies on the ability to produce a relatively small number of features that can capture the relevant variability in a population. State-of-the-art methods for obtaining such anatomical features rely on either extensive preprocessing or segmentation and/or significant tuning and post-processing. These shortcomings limit the widespread use of shape statistics. We propose that effective shape representations should provide sufficient information to align/register images. Using this assumption we propose a self-supervised, neural network approach for automatically positioning and detecting landmarks in images that can be used for subsequent analysis. The network discovers the landmarks corresponding to anatomical shape features that promote good image registration in the context of a particular class of transformations. In addition, we also propose a regularization for the proposed network which allows for a uniform distribution of these discovered landmarks. In this paper, we present a complete framework, which only takes a set of input images and produces landmarks that are immediately usable for statistical shape analysis. We evaluate the performance on a phantom dataset as well as 2D and 3D images.

dpVAEs: Fixing Sample Generation for Regularized VAEs

Unsupervised representation learning via generative modeling is a staple to many computer vision applications in the absence of labeled data. Variational Autoencoders (VAEs) are powerful generative models that learn representations useful for data generation. However, due to inherent challenges in the training objective, VAEs fail to learn useful representations amenable for downstream tasks. Regularization-based methods that attempt to improve the representation learning aspect of VAEs come at a price: poor sample generation. In this paper, we explore this representation-generation trade-off for regularized VAEs and introduce a new family of priors, namely decoupled priors, or dpVAEs, that decouple the representation space from the generation space. This decoupling enables the use of VAE regularizers on the representation space without impacting the distribution used for sample generation, and thereby reaping the representation learning benefits of the regularizations without sacrificing the sample generation. dpVAE leverages invertible networks to learn a bijective mapping from an arbitrarily complex representation distribution to a simple, tractable, generative distribution. Decoupled priors can be adapted to the state-of-the-art VAE regularizers without additional hyperparameter tuning. We showcase the use of dpVAEs with different regularizers. Experiments on MNIST, SVHN, and CelebA demonstrate, quantitatively and qualitatively, that dpVAE fixes sample generation for regularized VAEs.

A Cooperative Autoencoder for Population-Based Regularization of CNN Image Registration

Spatial transformations are enablers in a variety of medical image analysis applications that entail aligning images to a common coordinate systems. Population analysis of such transformations is expected to capture the underlying image and shape variations, and hence these transformations are required to produce anatomically feasible correspondences. This is usually enforced through some smoothness-based generic regularization on deformation field. Alternatively, population-based regularization has been shown to produce anatomically accurate correspondences in cases where anatomically unaware (i.e., data independent) fail. Recently, deep networks have been for unsupervised image registration, these methods are computationally faster and maintains the accuracy of state of the art methods. However, these networks use smoothness penalty on deformation fields and ignores population-level statistics of the transformations. We propose a novel neural network architecture that simultaneously learns and uses the population-level statistics of the spatial transformations to regularize the neural networks for unsupervised image registration. This regularization is in the form of a bottleneck autoencoder, which encodes the population level information of the deformation fields in a low-dimensional manifold. The proposed architecture produces deformation fields that describe the population-level features and associated correspondences in an anatomically relevant manner and are statistically compact relative to the state-of-the-art approaches while maintaining computational efficiency. We demonstrate the efficacy of the proposed architecture on synthetic data sets, as well as 2D and 3D medical data.