Hunting imaging biomarkers in pulmonary fibrosis: Benchmarks of the AIIB23 challenge

Airway-related quantitative imaging biomarkers are crucial for examination, diagnosis, and prognosis in pulmonary diseases. However, the manual delineation of airway trees remains prohibitively time-consuming. While significant efforts have been made towards enhancing airway modelling, current public-available datasets concentrate on lung diseases with moderate morphological variations. The intricate honeycombing patterns present in the lung tissues of fibrotic lung disease patients exacerbate the challenges, often leading to various prediction errors. To address this issue, the 'Airway-Informed Quantitative CT Imaging Biomarker for Fibrotic Lung Disease 2023' (AIIB23) competition was organized in conjunction with the official 2023 International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI). The airway structures were meticulously annotated by three experienced radiologists. Competitors were encouraged to develop automatic airway segmentation models with high robustness and generalization abilities, followed by exploring the most correlated QIB of mortality prediction. A training set of 120 high-resolution computerised tomography (HRCT) scans were publicly released with expert annotations and mortality status. The online validation set incorporated 52 HRCT scans from patients with fibrotic lung disease and the offline test set included 140 cases from fibrosis and COVID-19 patients. The results have shown that the capacity of extracting airway trees from patients with fibrotic lung disease could be enhanced by introducing voxel-wise weighted general union loss and continuity loss. In addition to the competitive image biomarkers for prognosis, a strong airway-derived biomarker (Hazard ratio>1.5, p<0.0001) was revealed for survival prognostication compared with existing clinical measurements, clinician assessment and AI-based biomarkers.

Multiple Noises in Diffusion Model for Semi-Supervised Multi-Domain Translation

Domain-to-domain translation involves generating a target domain sample given a condition in the source domain. Most existing methods focus on fixed input and output domains, i.e. they only work for specific configurations (i.e. for two domains, either $D_1\rightarrow{}D_2$ or $D_2\rightarrow{}D_1$). This paper proposes Multi-Domain Diffusion (MDD), a conditional diffusion framework for multi-domain translation in a semi-supervised context. Unlike previous methods, MDD does not require defining input and output domains, allowing translation between any partition of domains within a set (such as $(D_1, D_2)\rightarrow{}D_3$, $D_2\rightarrow{}(D_1, D_3)$, $D_3\rightarrow{}D_1$, etc. for 3 domains), without the need to train separate models for each domain configuration. The key idea behind MDD is to leverage the noise formulation of diffusion models by incorporating one noise level per domain, which allows missing domains to be modeled with noise in a natural way. This transforms the training task from a simple reconstruction task to a domain translation task, where the model relies on less noisy domains to reconstruct more noisy domains. We present results on a multi-domain (with more than two domains) synthetic image translation dataset with challenging semantic domain inversion.

Domain Translation via Latent Space Mapping

In this paper, we investigate the problem of multi-domain translation: given an element $a$ of domain $A$, we would like to generate a corresponding $b$ sample in another domain $B$, and vice versa. Acquiring supervision in multiple domains can be a tedious task, also we propose to learn this translation from one domain to another when supervision is available as a pair $(a,b)\sim A\times B$ and leveraging possible unpaired data when only $a\sim A$ or only $b\sim B$ is available. We introduce a new unified framework called Latent Space Mapping (\model) that exploits the manifold assumption in order to learn, from each domain, a latent space. Unlike existing approaches, we propose to further regularize each latent space using available domains by learning each dependency between pairs of domains. We evaluate our approach in three tasks performing i) synthetic dataset with image translation, ii) real-world task of semantic segmentation for medical images, and iii) real-world task of facial landmark detection.