Spectro-ViT: A Vision Transformer Model for GABA-edited MRS Reconstruction Using Spectrograms

Purpose: To investigate the use of a Vision Transformer (ViT) to reconstruct/denoise GABA-edited magnetic resonance spectroscopy (MRS) from a quarter of the typically acquired number of transients using spectrograms. Theory and Methods: A quarter of the typically acquired number of transients collected in GABA-edited MRS scans are pre-processed and converted to a spectrogram image representation using the Short-Time Fourier Transform (STFT). The image representation of the data allows the adaptation of a pre-trained ViT for reconstructing GABA-edited MRS spectra (Spectro-ViT). The Spectro-ViT is fine-tuned and then tested using \textit{in vivo} GABA-edited MRS data. The Spectro-ViT performance is compared against other models in the literature using spectral quality metrics and estimated metabolite concentration values. Results: The Spectro-ViT model significantly outperformed all other models in four out of five quantitative metrics (mean squared error, shape score, GABA+/water fit error, and full width at half maximum). The metabolite concentrations estimated (GABA+/water, GABA+/Cr, and Glx/water) were consistent with the metabolite concentrations estimated using typical GABA-edited MRS scans reconstructed with the full amount of typically collected transients. Conclusion: The proposed Spectro-ViT model achieved state-of-the-art results in reconstructing GABA-edited MRS, and the results indicate these scans could be up to four times faster.

A voxel-level approach to brain age prediction: A method to assess regional brain aging

Brain aging is a regional phenomenon, a facet that remains relatively under-explored within the realm of brain age prediction research using machine learning methods. Voxel-level predictions can provide localized brain age estimates that can provide granular insights into the regional aging processes. This is essential to understand the differences in aging trajectories in healthy versus diseased subjects. In this work, a deep learning-based multitask model is proposed for voxel-level brain age prediction from T1-weighted magnetic resonance images. The proposed model outperforms the models existing in the literature and yields valuable clinical insights when applied to both healthy and diseased populations. Regional analysis is performed on the voxel-level brain age predictions to understand aging trajectories of known anatomical regions in the brain and show that there exist disparities in regional aging trajectories of healthy subjects compared to ones with underlying neurological disorders such as Dementia and more specifically, Alzheimer's disease. Our code is available at https://github.com/nehagianchandani/Voxel-level-brain-age-prediction.

Studying the Effects of Sex-related Differences on Brain Age Prediction using brain MR Imaging

While utilizing machine learning models, one of the most crucial aspects is how bias and fairness affect model outcomes for diverse demographics. This becomes especially relevant in the context of machine learning for medical imaging applications as these models are increasingly being used for diagnosis and treatment planning. In this paper, we study biases related to sex when developing a machine learning model based on brain magnetic resonance images (MRI). We investigate the effects of sex by performing brain age prediction considering different experimental designs: model trained using only female subjects, only male subjects and a balanced dataset. We also perform evaluation on multiple MRI datasets (Calgary-Campinas(CC359) and CamCAN) to assess the generalization capability of the proposed models. We found disparities in the performance of brain age prediction models when trained on distinct sex subgroups and datasets, in both final predictions and decision making (assessed using interpretability models). Our results demonstrated variations in model generalizability across sex-specific subgroups, suggesting potential biases in models trained on unbalanced datasets. This underlines the critical role of careful experimental design in generating fair and reliable outcomes.

MedShapeNet -- A Large-Scale Dataset of 3D Medical Shapes for Computer Vision

We present MedShapeNet, a large collection of anatomical shapes (e.g., bones, organs, vessels) and 3D surgical instrument models. Prior to the deep learning era, the broad application of statistical shape models (SSMs) in medical image analysis is evidence that shapes have been commonly used to describe medical data. Nowadays, however, state-of-the-art (SOTA) deep learning algorithms in medical imaging are predominantly voxel-based. In computer vision, on the contrary, shapes (including, voxel occupancy grids, meshes, point clouds and implicit surface models) are preferred data representations in 3D, as seen from the numerous shape-related publications in premier vision conferences, such as the IEEE/CVF Conference on Computer Vision and Pattern Recognition (CVPR), as well as the increasing popularity of ShapeNet (about 51,300 models) and Princeton ModelNet (127,915 models) in computer vision research. MedShapeNet is created as an alternative to these commonly used shape benchmarks to facilitate the translation of data-driven vision algorithms to medical applications, and it extends the opportunities to adapt SOTA vision algorithms to solve critical medical problems. Besides, the majority of the medical shapes in MedShapeNet are modeled directly on the imaging data of real patients, and therefore it complements well existing shape benchmarks comprising of computer-aided design (CAD) models. MedShapeNet currently includes more than 100,000 medical shapes, and provides annotations in the form of paired data. It is therefore also a freely available repository of 3D models for extended reality (virtual reality - VR, augmented reality - AR, mixed reality - MR) and medical 3D printing. This white paper describes in detail the motivations behind MedShapeNet, the shape acquisition procedures, the use cases, as well as the usage of the online shape search portal: https://medshapenet.ikim.nrw/

Reframing the Brain Age Prediction Problem to a More Interpretable and Quantitative Approach

Deep learning models have achieved state-of-the-art results in estimating brain age, which is an important brain health biomarker, from magnetic resonance (MR) images. However, most of these models only provide a global age prediction, and rely on techniques, such as saliency maps to interpret their results. These saliency maps highlight regions in the input image that were significant for the model's predictions, but they are hard to be interpreted, and saliency map values are not directly comparable across different samples. In this work, we reframe the age prediction problem from MR images to an image-to-image regression problem where we estimate the brain age for each brain voxel in MR images. We compare voxel-wise age prediction models against global age prediction models and their corresponding saliency maps. The results indicate that voxel-wise age prediction models are more interpretable, since they provide spatial information about the brain aging process, and they benefit from being quantitative.

A Survey on RGB-D Datasets

RGB-D data is essential for solving many problems in computer vision. Hundreds of public RGB-D datasets containing various scenes, such as indoor, outdoor, aerial, driving, and medical, have been proposed. These datasets are useful for different applications and are fundamental for addressing classic computer vision tasks, such as monocular depth estimation. This paper reviewed and categorized image datasets that include depth information. We gathered 203 datasets that contain accessible data and grouped them into three categories: scene/objects, body, and medical. We also provided an overview of the different types of sensors, depth applications, and we examined trends and future directions of the usage and creation of datasets containing depth data, and how they can be applied to investigate the development of generalizable machine learning models in the monocular depth estimation field.

Multi-channel MR Reconstruction (MC-MRRec) Challenge -- Comparing Accelerated MR Reconstruction Models and Assessing Their Genereralizability to Datasets Collected with Different Coils

The 2020 Multi-channel Magnetic Resonance Reconstruction (MC-MRRec) Challenge had two primary goals: 1) compare different MR image reconstruction models on a large dataset and 2) assess the generalizability of these models to datasets acquired with a different number of receiver coils (i.e., multiple channels). The challenge had two tracks: Track 01 focused on assessing models trained and tested with 12-channel data. Track 02 focused on assessing models trained with 12-channel data and tested on both 12-channel and 32-channel data. While the challenge is ongoing, here we describe the first edition of the challenge and summarise submissions received prior to 5 September 2020. Track 01 had five baseline models and received four independent submissions. Track 02 had two baseline models and received two independent submissions. This manuscript provides relevant comparative information on the current state-of-the-art of MR reconstruction and highlights the challenges of obtaining generalizable models that are required prior to clinical adoption. Both challenge tracks remain open and will provide an objective performance assessment for future submissions. Subsequent editions of the challenge are proposed to investigate new concepts and strategies, such as the integration of potentially available longitudinal information during the MR reconstruction process. An outline of the proposed second edition of the challenge is presented in this manuscript.

Dual-domain Cascade of U-nets for Multi-channel Magnetic Resonance Image Reconstruction

The U-net is a deep-learning network model that has been used to solve a number of inverse problems. In this work, the concatenation of two-element U-nets, termed the W-net, operating in k-space (K) and image (I) domains, were evaluated for multi-channel magnetic resonance (MR) image reconstruction. The two element network combinations were evaluated for the four possible image-k-space domain configurations: a) W-net II, b) W-net KK, c) W-net IK, and d) W-net KI were evaluated. Selected promising four element networks (WW-nets) were also examined. Two configurations of each network were compared: 1) Each coil channel processed independently, and 2) all channels processed simultaneously. One hundred and eleven volumetric, T1-weighted, 12-channel coil k-space datasets were used in the experiments. Normalized root mean squared error, peak signal to noise ratio, visual information fidelity and visual inspection were used to assess the reconstructed images against the fully sampled reference images. Our results indicated that networks that operate solely in the image domain are better suited when processing individual channels of multi-channel data independently. Dual domain methods are more advantageous when simultaneously reconstructing all channels of multi-channel data. Also, the appropriate cascade of U-nets compared favorably (p < 0.01) to the previously published, state-of-the-art Deep Cascade model in in three out of four experiments.

A Hybrid Frequency-domain/Image-domain Deep Network for Magnetic Resonance Image Reconstruction

Decreasing magnetic resonance (MR) image acquisition times can potentially reduce procedural cost and make MR examinations more accessible. Compressed sensing (CS)-based image reconstruction methods, for example, decrease MR acquisition time by reconstructing high-quality images from data that were originally sampled at rates inferior to the Nyquist-Shannon sampling theorem. In this work we propose a hybrid architecture that works both in the k-space (or frequency-domain) and the image (or spatial) domains. Our network is composed of a complex-valued residual U-net in the k-space domain, an inverse Fast Fourier Transform (iFFT) operation, and a real-valued U-net in the image domain. Our experiments demonstrated, using MR raw k-space data, that the proposed hybrid approach can potentially improve CS reconstruction compared to deep-learning networks that operate only in the image domain. In this study we compare our method with four previously published deep neural networks and examine their ability to reconstruct images that are subsequently used to generate regional volume estimates. We evaluated undersampling ratios of 75% and 80%. Our technique was ranked second in the quantitative analysis, but qualitative analysis indicated that our reconstruction performed the best in hard to reconstruct regions, such as the cerebellum. All images reconstructed with our method were successfully post-processed, and showed good volumetry agreement compared with the fully sampled reconstruction measures.

Convolutional Neural Networks for Skull-stripping in Brain MR Imaging using Consensus-based Silver standard Masks

Convolutional neural networks (CNN) for medical imaging are constrained by the number of annotated data required in the training stage. Usually, manual annotation is considered to be the "gold standard". However, medical imaging datasets that include expert manual segmentation are scarce as this step is time-consuming, and therefore expensive. Moreover, single-rater manual annotation is most often used in data-driven approaches making the network optimal with respect to only that single expert. In this work, we propose a CNN for brain extraction in magnetic resonance (MR) imaging, that is fully trained with what we refer to as silver standard masks. Our method consists of 1) developing a dataset with "silver standard" masks as input, and implementing both 2) a tri-planar method using parallel 2D U-Net-based CNNs (referred to as CONSNet) and 3) an auto-context implementation of CONSNet. The term CONSNet refers to our integrated approach, i.e., training with silver standard masks and using a 2D U-Net-based architecture. Our results showed that we outperformed (i.e., larger Dice coefficients) the current state-of-the-art SS methods. Our use of silver standard masks reduced the cost of manual annotation, decreased inter-intra-rater variability, and avoided CNN segmentation super-specialization towards one specific manual annotation guideline that can occur when gold standard masks are used. Moreover, the usage of silver standard masks greatly enlarges the volume of input annotated data because we can relatively easily generate labels for unlabeled data. In addition, our method has the advantage that, once trained, it takes only a few seconds to process a typical brain image volume using modern hardware, such as a high-end graphics processing unit. In contrast, many of the other competitive methods have processing times in the order of minutes.