Post-Training Network Compression for 3D Medical Image Segmentation: Reducing Computational Efforts via Tucker Decomposition

We address the computational barrier of deploying advanced deep learning segmentation models in clinical settings by studying the efficacy of network compression through tensor decomposition. We propose a post-training Tucker factorization that enables the decomposition of pre-existing models to reduce computational requirements without impeding segmentation accuracy. We applied Tucker decomposition to the convolutional kernels of the TotalSegmentator (TS) model, an nnU-Net model trained on a comprehensive dataset for automatic segmentation of 117 anatomical structures. Our approach reduced the floating-point operations (FLOPs) and memory required during inference, offering an adjustable trade-off between computational efficiency and segmentation quality. This study utilized the publicly available TS dataset, employing various downsampling factors to explore the relationship between model size, inference speed, and segmentation performance. The application of Tucker decomposition to the TS model substantially reduced the model parameters and FLOPs across various compression rates, with limited loss in segmentation accuracy. We removed up to 88% of the model's parameters with no significant performance changes in the majority of classes after fine-tuning. Practical benefits varied across different graphics processing unit (GPU) architectures, with more distinct speed-ups on less powerful hardware. Post-hoc network compression via Tucker decomposition presents a viable strategy for reducing the computational demand of medical image segmentation models without substantially sacrificing accuracy. This approach enables the broader adoption of advanced deep learning technologies in clinical practice, offering a way to navigate the constraints of hardware capabilities.

Unreading Race: Purging Protected Features from Chest X-ray Embeddings

Purpose: To analyze and remove protected feature effects in chest radiograph embeddings of deep learning models. Materials and Methods: An orthogonalization is utilized to remove the influence of protected features (e.g., age, sex, race) in chest radiograph embeddings, ensuring feature-independent results. To validate the efficacy of the approach, we retrospectively study the MIMIC and CheXpert datasets using three pre-trained models, namely a supervised contrastive, a self-supervised contrastive, and a baseline classifier model. Our statistical analysis involves comparing the original versus the orthogonalized embeddings by estimating protected feature influences and evaluating the ability to predict race, age, or sex using the two types of embeddings. Results: Our experiments reveal a significant influence of protected features on predictions of pathologies. Applying orthogonalization removes these feature effects. Apart from removing any influence on pathology classification, while maintaining competitive predictive performance, orthogonalized embeddings further make it infeasible to directly predict protected attributes and mitigate subgroup disparities. Conclusion: The presented work demonstrates the successful application and evaluation of the orthogonalization technique in the domain of chest X-ray classification.

Adversarial Anomaly Detection using Gaussian Priors and Nonlinear Anomaly Scores

Anomaly detection in imbalanced datasets is a frequent and crucial problem, especially in the medical domain where retrieving and labeling irregularities is often expensive. By combining the generative stability of a $\beta$-variational autoencoder (VAE) with the discriminative strengths of generative adversarial networks (GANs), we propose a novel model, $\beta$-VAEGAN. We investigate methods for composing anomaly scores based on the discriminative and reconstructive capabilities of our model. Existing work focuses on linear combinations of these components to determine if data is anomalous. We advance existing work by training a kernelized support vector machine (SVM) on the respective error components to also consider nonlinear relationships. This improves anomaly detection performance, while allowing faster optimization. Lastly, we use the deviations from the Gaussian prior of $\beta$-VAEGAN to form a novel anomaly score component. In comparison to state-of-the-art work, we improve the $F_1$ score during anomaly detection from 0.85 to 0.92 on the widely used MITBIH Arrhythmia Database.

Constrained Probabilistic Mask Learning for Task-specific Undersampled MRI Reconstruction

Undersampling is a common method in Magnetic Resonance Imaging (MRI) to subsample the number of data points in k-space and thereby reduce acquisition times at the cost of decreased image quality. In this work, we directly learn the undersampling masks to derive task- and domain-specific patterns. To solve this discrete optimization challenge, we propose a general optimization routine called ProM: A fully probabilistic, differentiable, versatile, and model-free framework for mask optimization that enforces acceleration factors through a convex constraint. Analyzing knee, brain, and cardiac MRI datasets with our method, we discover that different anatomic regions reveal distinct optimal undersampling masks. Furthermore, ProM can create undersampling masks that maximize performance in downstream tasks like segmentation with networks trained on fully-sampled MRIs. Even with extreme acceleration factors, ProM yields reasonable performance while being more versatile than existing methods, paving the way for data-driven all-purpose mask generation.

Automated wildlife image classification: An active learning tool for ecological applications

Wildlife camera trap images are being used extensively to investigate animal abundance, habitat associations, and behavior, which is complicated by the fact that experts must first classify the images manually. Artificial intelligence systems can take over this task but usually need a large number of already-labeled training images to achieve sufficient performance. This requirement necessitates human expert labor and poses a particular challenge for projects with few cameras or short durations. We propose a label-efficient learning strategy that enables researchers with small or medium-sized image databases to leverage the potential of modern machine learning, thus freeing crucial resources for subsequent analyses. Our methodological proposal is two-fold: (1) We improve current strategies of combining object detection and image classification by tuning the hyperparameters of both models. (2) We provide an active learning (AL) system that allows training deep learning models very efficiently in terms of required human-labeled training images. We supply a software package that enables researchers to use these methods directly and thereby ensure the broad applicability of the proposed framework in ecological practice. We show that our tuning strategy improves predictive performance. We demonstrate how the AL pipeline reduces the amount of pre-labeled data needed to achieve a specific predictive performance and that it is especially valuable for improving out-of-sample predictive performance. We conclude that the combination of tuning and AL increases predictive performance substantially. Furthermore, we argue that our work can broadly impact the community through the ready-to-use software package provided. Finally, the publication of our models tailored to European wildlife data enriches existing model bases mostly trained on data from Africa and North America.

Cascaded Latent Diffusion Models for High-Resolution Chest X-ray Synthesis

While recent advances in large-scale foundational models show promising results, their application to the medical domain has not yet been explored in detail. In this paper, we progress into the realms of large-scale modeling in medical synthesis by proposing Cheff - a foundational cascaded latent diffusion model, which generates highly-realistic chest radiographs providing state-of-the-art quality on a 1-megapixel scale. We further propose MaCheX, which is a unified interface for public chest datasets and forms the largest open collection of chest X-rays up to date. With Cheff conditioned on radiological reports, we further guide the synthesis process over text prompts and unveil the research area of report-to-chest-X-ray generation.

ChatGPT Makes Medicine Easy to Swallow: An Exploratory Case Study on Simplified Radiology Reports

The release of ChatGPT, a language model capable of generating text that appears human-like and authentic, has gained significant attention beyond the research community. We expect that the convincing performance of ChatGPT incentivizes users to apply it to a variety of downstream tasks, including prompting the model to simplify their own medical reports. To investigate this phenomenon, we conducted an exploratory case study. In a questionnaire, we asked 15 radiologists to assess the quality of radiology reports simplified by ChatGPT. Most radiologists agreed that the simplified reports were factually correct, complete, and not potentially harmful to the patient. Nevertheless, instances of incorrect statements, missed key medical findings, and potentially harmful passages were reported. While further studies are needed, the initial insights of this study indicate a great potential in using large language models like ChatGPT to improve patient-centered care in radiology and other medical domains.

Towards modelling hazard factors in unstructured data spaces using gradient-based latent interpolation

The application of deep learning in survival analysis (SA) allows utilizing unstructured and high-dimensional data types uncommon in traditional survival methods. This allows to advance methods in fields such as digital health, predictive maintenance, and churn analysis, but often yields less interpretable and intuitively understandable models due to the black-box character of deep learning-based approaches. We close this gap by proposing 1) a multi-task variational autoencoder (VAE) with survival objective, yielding survival-oriented embeddings, and 2) a novel method HazardWalk that allows to model hazard factors in the original data space. HazardWalk transforms the latent distribution of our autoencoder into areas of maximized/minimized hazard and then uses the decoder to project changes to the original domain. Our procedure is evaluated on a simulated dataset as well as on a dataset of CT imaging data of patients with liver metastases.

Survival-oriented embeddings for improving accessibility to complex data structures

Deep learning excels in the analysis of unstructured data and recent advancements allow to extend these techniques to survival analysis. In the context of clinical radiology, this enables, e.g., to relate unstructured volumetric images to a risk score or a prognosis of life expectancy and support clinical decision making. Medical applications are, however, associated with high criticality and consequently, neither medical personnel nor patients do usually accept black box models as reason or basis for decisions. Apart from averseness to new technologies, this is due to missing interpretability, transparency and accountability of many machine learning methods. We propose a hazard-regularized variational autoencoder that supports straightforward interpretation of deep neural architectures in the context of survival analysis, a field highly relevant in healthcare. We apply the proposed approach to abdominal CT scans of patients with liver tumors and their corresponding survival times.