DiCoM -- Diverse Concept Modeling towards Enhancing Generalizability in Chest X-Ray Studies

Chest X-Ray (CXR) is a widely used clinical imaging modality and has a pivotal role in the diagnosis and prognosis of various lung and heart related conditions. Conventional automated clinical diagnostic tool design strategies relying on radiology reads and supervised learning, entail the cumbersome requirement of high quality annotated training data. To address this challenge, self-supervised pre-training has proven to outperform supervised pre-training in numerous downstream vision tasks, representing a significant breakthrough in the field. However, medical imaging pre-training significantly differs from pre-training with natural images (e.g., ImageNet) due to unique attributes of clinical images. In this context, we introduce Diverse Concept Modeling (DiCoM), a novel self-supervised training paradigm that leverages a student teacher framework for learning diverse concepts and hence effective representation of the CXR data. Hence, expanding beyond merely modeling a single primary label within an image, instead, effectively harnessing the information from all the concepts inherent in the CXR. The pre-trained model is subsequently fine-tuned to address diverse domain-specific tasks. Our proposed paradigm consistently demonstrates robust performance across multiple downstream tasks on multiple datasets, highlighting the success and generalizability of the pre-training strategy. To establish the efficacy of our methods we analyze both the power of learned representations and the speed of convergence (SoC) of our models. For diverse data and tasks, DiCoM is able to achieve in most cases better results compared to other state-of-the-art pre-training strategies. This when combined with the higher SoC and generalization capabilities positions DiCoM to be established as a foundation model for CXRs, a widely used imaging modality.

Personality Trait Recognition using ECG Spectrograms and Deep Learning

This paper presents an innovative approach to recognizing personality traits using deep learning (DL) methods applied to electrocardiogram (ECG) signals. Within the framework of detecting the big five personality traits model encompassing extra-version, neuroticism, agreeableness, conscientiousness, and openness, the research explores the potential of ECG-derived spectrograms as informative features. Optimal window sizes for spectrogram generation are determined, and a convolutional neural network (CNN), specifically Resnet-18, and visual transformer (ViT) are employed for feature extraction and personality trait classification. The study utilizes the publicly available ASCERTAIN dataset, which comprises various physiological signals, including ECG recordings, collected from 58 participants during the presentation of video stimuli categorized by valence and arousal levels. The outcomes of this study demonstrate noteworthy performance in personality trait classification, consistently achieving F1-scores exceeding 0.9 across different window sizes and personality traits. These results emphasize the viability of ECG signal spectrograms as a valuable modality for personality trait recognition, with Resnet-18 exhibiting effectiveness in discerning distinct personality traits.

Harmonization Across Imaging Locations(HAIL): One-Shot Learning for Brain MRI

For machine learning-based prognosis and diagnosis of rare diseases, such as pediatric brain tumors, it is necessary to gather medical imaging data from multiple clinical sites that may use different devices and protocols. Deep learning-driven harmonization of radiologic images relies on generative adversarial networks (GANs). However, GANs notoriously generate pseudo structures that do not exist in the original training data, a phenomenon known as "hallucination". To prevent hallucination in medical imaging, such as magnetic resonance images (MRI) of the brain, we propose a one-shot learning method where we utilize neural style transfer for harmonization. At test time, the method uses one image from a clinical site to generate an image that matches the intensity scale of the collaborating sites. Our approach combines learning a feature extractor, neural style transfer, and adaptive instance normalization. We further propose a novel strategy to evaluate the effectiveness of image harmonization approaches with evaluation metrics that both measure image style harmonization and assess the preservation of anatomical structures. Experimental results demonstrate the effectiveness of our method in preserving patient anatomy while adjusting the image intensities to a new clinical site. Our general harmonization model can be used on unseen data from new sites, making it a valuable tool for real-world medical applications and clinical trials.

SelfFed: Self-supervised Federated Learning for Data Heterogeneity and Label Scarcity in IoMT

Self-supervised learning in federated learning paradigm has been gaining a lot of interest both in industry and research due to the collaborative learning capability on unlabeled yet isolated data. However, self-supervised based federated learning strategies suffer from performance degradation due to label scarcity and diverse data distributions, i.e., data heterogeneity. In this paper, we propose the SelfFed framework for Internet of Medical Things (IoMT). Our proposed SelfFed framework works in two phases. The first phase is the pre-training paradigm that performs augmentive modeling using Swin Transformer based encoder in a decentralized manner. The first phase of SelfFed framework helps to overcome the data heterogeneity issue. The second phase is the fine-tuning paradigm that introduces contrastive network and a novel aggregation strategy that is trained on limited labeled data for a target task in a decentralized manner. This fine-tuning stage overcomes the label scarcity problem. We perform our experimental analysis on publicly available medical imaging datasets and show that our proposed SelfFed framework performs better when compared to existing baselines concerning non-independent and identically distributed (IID) data and label scarcity. Our method achieves a maximum improvement of 8.8% and 4.1% on Retina and COVID-FL datasets on non-IID dataset. Further, our proposed method outperforms existing baselines even when trained on a few (10%) labeled instances.

The Brain Tumor Segmentation (BraTS-METS) Challenge 2023: Brain Metastasis Segmentation on Pre-treatment MRI

Clinical monitoring of metastatic disease to the brain can be a laborious and time-consuming process, especially in cases involving multiple metastases when the assessment is performed manually. The Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM) guideline, which utilizes the unidimensional longest diameter, is commonly used in clinical and research settings to evaluate response to therapy in patients with brain metastases. However, accurate volumetric assessment of the lesion and surrounding peri-lesional edema holds significant importance in clinical decision-making and can greatly enhance outcome prediction. The unique challenge in performing segmentations of brain metastases lies in their common occurrence as small lesions. Detection and segmentation of lesions that are smaller than 10 mm in size has not demonstrated high accuracy in prior publications. The brain metastases challenge sets itself apart from previously conducted MICCAI challenges on glioma segmentation due to the significant variability in lesion size. Unlike gliomas, which tend to be larger on presentation scans, brain metastases exhibit a wide range of sizes and tend to include small lesions. We hope that the BraTS-METS dataset and challenge will advance the field of automated brain metastasis detection and segmentation.

The Brain Tumor Segmentation (BraTS) Challenge 2023: Brain MR Image Synthesis for Tumor Segmentation (BraSyn)

Automated brain tumor segmentation methods are well established, reaching performance levels with clear clinical utility. Most algorithms require four input magnetic resonance imaging (MRI) modalities, typically T1-weighted images with and without contrast enhancement, T2-weighted images, and FLAIR images. However, some of these sequences are often missing in clinical practice, e.g., because of time constraints and/or image artifacts (such as patient motion). Therefore, substituting missing modalities to recover segmentation performance in these scenarios is highly desirable and necessary for the more widespread adoption of such algorithms in clinical routine. In this work, we report the set-up of the Brain MR Image Synthesis Benchmark (BraSyn), organized in conjunction with the Medical Image Computing and Computer-Assisted Intervention (MICCAI) 2023. The objective of the challenge is to benchmark image synthesis methods that realistically synthesize missing MRI modalities given multiple available images to facilitate automated brain tumor segmentation pipelines. The image dataset is multi-modal and diverse, created in collaboration with various hospitals and research institutions.

The Brain Tumor Segmentation (BraTS) Challenge 2023: Local Synthesis of Healthy Brain Tissue via Inpainting

A myriad of algorithms for the automatic analysis of brain MR images is available to support clinicians in their decision-making. For brain tumor patients, the image acquisition time series typically starts with a scan that is already pathological. This poses problems, as many algorithms are designed to analyze healthy brains and provide no guarantees for images featuring lesions. Examples include but are not limited to algorithms for brain anatomy parcellation, tissue segmentation, and brain extraction. To solve this dilemma, we introduce the BraTS 2023 inpainting challenge. Here, the participants' task is to explore inpainting techniques to synthesize healthy brain scans from lesioned ones. The following manuscript contains the task formulation, dataset, and submission procedure. Later it will be updated to summarize the findings of the challenge. The challenge is organized as part of the BraTS 2023 challenge hosted at the MICCAI 2023 conference in Vancouver, Canada.

The ASNR-MICCAI Brain Tumor Segmentation (BraTS) Challenge 2023: Intracranial Meningioma

Meningiomas are the most common primary intracranial tumor in adults and can be associated with significant morbidity and mortality. Radiologists, neurosurgeons, neuro-oncologists, and radiation oncologists rely on multiparametric MRI (mpMRI) for diagnosis, treatment planning, and longitudinal treatment monitoring; yet automated, objective, and quantitative tools for non-invasive assessment of meningiomas on mpMRI are lacking. The BraTS meningioma 2023 challenge will provide a community standard and benchmark for state-of-the-art automated intracranial meningioma segmentation models based on the largest expert annotated multilabel meningioma mpMRI dataset to date. Challenge competitors will develop automated segmentation models to predict three distinct meningioma sub-regions on MRI including enhancing tumor, non-enhancing tumor core, and surrounding nonenhancing T2/FLAIR hyperintensity. Models will be evaluated on separate validation and held-out test datasets using standardized metrics utilized across the BraTS 2023 series of challenges including the Dice similarity coefficient and Hausdorff distance. The models developed during the course of this challenge will aid in incorporation of automated meningioma MRI segmentation into clinical practice, which will ultimately improve care of patients with meningioma.

Upper Limb Movement Execution Classification using Electroencephalography for Brain Computer Interface

An accurate classification of upper limb movements using electroencephalography (EEG) signals is gaining significant importance in recent years due to the prevalence of brain-computer interfaces. The upper limbs in the human body are crucial since different skeletal segments combine to make a range of motion that helps us in our trivial daily tasks. Decoding EEG-based upper limb movements can be of great help to people with spinal cord injury (SCI) or other neuro-muscular diseases such as amyotrophic lateral sclerosis (ALS), primary lateral sclerosis, and periodic paralysis. This can manifest in a loss of sensory and motor function, which could make a person reliant on others to provide care in day-to-day activities. We can detect and classify upper limb movement activities, whether they be executed or imagined using an EEG-based brain-computer interface (BCI). Toward this goal, we focus our attention on decoding movement execution (ME) of the upper limb in this study. For this purpose, we utilize a publicly available EEG dataset that contains EEG signal recordings from fifteen subjects acquired using a 61-channel EEG device. We propose a method to classify four ME classes for different subjects using spectrograms of the EEG data through pre-trained deep learning (DL) models. Our proposed method of using EEG spectrograms for the classification of ME has shown significant results, where the highest average classification accuracy (for four ME classes) obtained is 87.36%, with one subject achieving the best classification accuracy of 97.03%.

Development of a Modular Real-time Shared-control System for a Smart Wheelchair

In this paper, we propose a modular navigation system that can be mounted on a regular powered wheelchair to assist disabled children and the elderly with autonomous mobility and shared-control features. The lack of independent mobility drastically affects an individual's mental and physical health making them feel less self-reliant, especially children with Cerebral Palsy and limited cognitive skills. To address this problem, we propose a comparatively inexpensive and modular system that uses a stereo camera to perform tasks such as path planning, obstacle avoidance, and collision detection in environments with narrow corridors. We avoid any major changes to the hardware of the wheelchair for an easy installation by replacing wheel encoders with a stereo camera for visual odometry. An open source software package, the Real-Time Appearance Based Mapping package, running on top of the Robot Operating System (ROS) allows us to perform visual SLAM that allows mapping and localizing itself in the environment. The path planning is performed by the move base package provided by ROS, which quickly and efficiently computes the path trajectory for the wheelchair. In this work, we present the design and development of the system along with its significant functionalities. Further, we report experimental results from a Gazebo simulation and real-world scenarios to prove the effectiveness of our proposed system with a compact form factor and a single stereo camera.