On Sensitivity and Robustness of Normalization Schemes to Input Distribution Shifts in Automatic MR Image Diagnosis

Magnetic Resonance Imaging (MRI) is considered the gold standard of medical imaging because of the excellent soft-tissue contrast exhibited in the images reconstructed by the MRI pipeline, which in-turn enables the human radiologist to discern many pathologies easily. More recently, Deep Learning (DL) models have also achieved state-of-the-art performance in diagnosing multiple diseases using these reconstructed images as input. However, the image reconstruction process within the MRI pipeline, which requires the use of complex hardware and adjustment of a large number of scanner parameters, is highly susceptible to noise of various forms, resulting in arbitrary artifacts within the images. Furthermore, the noise distribution is not stationary and varies within a machine, across machines, and patients, leading to varying artifacts within the images. Unfortunately, DL models are quite sensitive to these varying artifacts as it leads to changes in the input data distribution between the training and testing phases. The lack of robustness of these models against varying artifacts impedes their use in medical applications where safety is critical. In this work, we focus on improving the generalization performance of these models in the presence of multiple varying artifacts that manifest due to the complexity of the MR data acquisition. In our experiments, we observe that Batch Normalization, a widely used technique during the training of DL models for medical image analysis, is a significant cause of performance degradation in these changing environments. As a solution, we propose to use other normalization techniques, such as Group Normalization and Layer Normalization (LN), to inject robustness into model performance against varying image artifacts. Through a systematic set of experiments, we show that GN and LN provide better accuracy for various MR artifacts and distribution shifts.

FastMRI Prostate: A Publicly Available, Biparametric MRI Dataset to Advance Machine Learning for Prostate Cancer Imaging

The fastMRI brain and knee dataset has enabled significant advances in exploring reconstruction methods for improving speed and image quality for Magnetic Resonance Imaging (MRI) via novel, clinically relevant reconstruction approaches. In this study, we describe the April 2023 expansion of the fastMRI dataset to include biparametric prostate MRI data acquired on a clinical population. The dataset consists of raw k-space and reconstructed images for T2-weighted and diffusion-weighted sequences along with slice-level labels that indicate the presence and grade of prostate cancer. As has been the case with fastMRI, increasing accessibility to raw prostate MRI data will further facilitate research in MR image reconstruction and evaluation with the larger goal of improving the utility of MRI for prostate cancer detection and evaluation. The dataset is available at https://fastmri.med.nyu.edu.

On the Feasibility of Machine Learning Augmented Magnetic Resonance for Point-of-Care Identification of Disease

Early detection of many life-threatening diseases (e.g., prostate and breast cancer) within at-risk population can improve clinical outcomes and reduce cost of care. While numerous disease-specific "screening" tests that are closer to Point-of-Care (POC) are in use for this task, their low specificity results in unnecessary biopsies, leading to avoidable patient trauma and wasteful healthcare spending. On the other hand, despite the high accuracy of Magnetic Resonance (MR) imaging in disease diagnosis, it is not used as a POC disease identification tool because of poor accessibility. The root cause of poor accessibility of MR stems from the requirement to reconstruct high-fidelity images, as it necessitates a lengthy and complex process of acquiring large quantities of high-quality k-space measurements. In this study we explore the feasibility of an ML-augmented MR pipeline that directly infers the disease sidestepping the image reconstruction process. We hypothesise that the disease classification task can be solved using a very small tailored subset of k-space data, compared to image reconstruction. Towards that end, we propose a method that performs two tasks: 1) identifies a subset of the k-space that maximizes disease identification accuracy, and 2) infers the disease directly using the identified k-space subset, bypassing the image reconstruction step. We validate our hypothesis by measuring the performance of the proposed system across multiple diseases and anatomies. We show that comparable performance to image-based classifiers, trained on images reconstructed with full k-space data, can be achieved using small quantities of data: 8% of the data for detecting multiple abnormalities in prostate and brain scans, and 5% of the data for knee abnormalities. To better understand the proposed approach and instigate future research, we provide an extensive analysis and release code.

Generative Image Translation for Data Augmentation of Bone Lesion Pathology

Insufficient training data and severe class imbalance are often limiting factors when developing machine learning models for the classification of rare diseases. In this work, we address the problem of classifying bone lesions from X-ray images by increasing the small number of positive samples in the training set. We propose a generative data augmentation approach based on a cycle-consistent generative adversarial network that synthesizes bone lesions on images without pathology. We pose the generative task as an image-patch translation problem that we optimize specifically for distinct bones (humerus, tibia, femur). In experimental results, we confirm that the described method mitigates the class imbalance problem in the binary classification task of bone lesion detection. We show that the augmented training sets enable the training of superior classifiers achieving better performance on a held-out test set. Additionally, we demonstrate the feasibility of transfer learning and apply a generative model that was trained on one body part to another.

StarSpace: Embed All The Things!

We present StarSpace, a general-purpose neural embedding model that can solve a wide variety of problems: labeling tasks such as text classification, ranking tasks such as information retrieval/web search, collaborative filtering-based or content-based recommendation, embedding of multi-relational graphs, and learning word, sentence or document level embeddings. In each case the model works by embedding those entities comprised of discrete features and comparing them against each other -- learning similarities dependent on the task. Empirical results on a number of tasks show that StarSpace is highly competitive with existing methods, whilst also being generally applicable to new cases where those methods are not.

Training Language Models Using Target-Propagation

While Truncated Back-Propagation through Time (BPTT) is the most popular approach to training Recurrent Neural Networks (RNNs), it suffers from being inherently sequential (making parallelization difficult) and from truncating gradient flow between distant time-steps. We investigate whether Target Propagation (TPROP) style approaches can address these shortcomings. Unfortunately, extensive experiments suggest that TPROP generally underperforms BPTT, and we end with an analysis of this phenomenon, and suggestions for future work.

Learning through Dialogue Interactions by Asking Questions

A good dialogue agent should have the ability to interact with users by both responding to questions and by asking questions, and importantly to learn from both types of interaction. In this work, we explore this direction by designing a simulator and a set of synthetic tasks in the movie domain that allow such interactions between a learner and a teacher. We investigate how a learner can benefit from asking questions in both offline and online reinforcement learning settings, and demonstrate that the learner improves when asking questions. Finally, real experiments with Mechanical Turk validate the approach. Our work represents a first step in developing such end-to-end learned interactive dialogue agents.

Dialogue Learning With Human-In-The-Loop

An important aspect of developing conversational agents is to give a bot the ability to improve through communicating with humans and to learn from the mistakes that it makes. Most research has focused on learning from fixed training sets of labeled data rather than interacting with a dialogue partner in an online fashion. In this paper we explore this direction in a reinforcement learning setting where the bot improves its question-answering ability from feedback a teacher gives following its generated responses. We build a simulator that tests various aspects of such learning in a synthetic environment, and introduce models that work in this regime. Finally, real experiments with Mechanical Turk validate the approach.

Sequence Level Training with Recurrent Neural Networks

Many natural language processing applications use language models to generate text. These models are typically trained to predict the next word in a sequence, given the previous words and some context such as an image. However, at test time the model is expected to generate the entire sequence from scratch. This discrepancy makes generation brittle, as errors may accumulate along the way. We address this issue by proposing a novel sequence level training algorithm that directly optimizes the metric used at test time, such as BLEU or ROUGE. On three different tasks, our approach outperforms several strong baselines for greedy generation. The method is also competitive when these baselines employ beam search, while being several times faster.