Multi-scale Spatio-temporal Transformer-based Imbalanced Longitudinal Learning for Glaucoma Forecasting from Irregular Time Series Images

Glaucoma is one of the major eye diseases that leads to progressive optic nerve fiber damage and irreversible blindness, afflicting millions of individuals. Glaucoma forecast is a good solution to early screening and intervention of potential patients, which is helpful to prevent further deterioration of the disease. It leverages a series of historical fundus images of an eye and forecasts the likelihood of glaucoma occurrence in the future. However, the irregular sampling nature and the imbalanced class distribution are two challenges in the development of disease forecasting approaches. To this end, we introduce the Multi-scale Spatio-temporal Transformer Network (MST-former) based on the transformer architecture tailored for sequential image inputs, which can effectively learn representative semantic information from sequential images on both temporal and spatial dimensions. Specifically, we employ a multi-scale structure to extract features at various resolutions, which can largely exploit rich spatial information encoded in each image. Besides, we design a time distance matrix to scale time attention in a non-linear manner, which could effectively deal with the irregularly sampled data. Furthermore, we introduce a temperature-controlled Balanced Softmax Cross-entropy loss to address the class imbalance issue. Extensive experiments on the Sequential fundus Images for Glaucoma Forecast (SIGF) dataset demonstrate the superiority of the proposed MST-former method, achieving an AUC of 98.6% for glaucoma forecasting. Besides, our method shows excellent generalization capability on the Alzheimer's Disease Neuroimaging Initiative (ADNI) MRI dataset, with an accuracy of 90.3% for mild cognitive impairment and Alzheimer's disease prediction, outperforming the compared method by a large margin.

Multi-layer Clustering-based Residual Sparsifying Transform for Low-dose CT Image Reconstruction

The recently proposed sparsifying transform models incur low computational cost and have been applied to medical imaging. Meanwhile, deep models with nested network structure reveal great potential for learning features in different layers. In this study, we propose a network-structured sparsifying transform learning approach for X-ray computed tomography (CT), which we refer to as multi-layer clustering-based residual sparsifying transform (MCST) learning. The proposed MCST scheme learns multiple different unitary transforms in each layer by dividing each layer's input into several classes. We apply the MCST model to low-dose CT (LDCT) reconstruction by deploying the learned MCST model into the regularizer in penalized weighted least squares (PWLS) reconstruction. We conducted LDCT reconstruction experiments on XCAT phantom data and Mayo Clinic data and trained the MCST model with 2 (or 3) layers and with 5 clusters in each layer. The learned transforms in the same layer showed rich features while additional information is extracted from representation residuals. Our simulation results demonstrate that PWLS-MCST achieves better image reconstruction quality than the conventional FBP method and PWLS with edge-preserving (EP) regularizer. It also outperformed recent advanced methods like PWLS with a learned multi-layer residual sparsifying transform prior (MARS) and PWLS with a union of learned transforms (ULTRA), especially for displaying clear edges and preserving subtle details.

Two-layer clustering-based sparsifying transform learning for low-dose CT reconstruction

Achieving high-quality reconstructions from low-dose computed tomography (LDCT) measurements is of much importance in clinical settings. Model-based image reconstruction methods have been proven to be effective in removing artifacts in LDCT. In this work, we propose an approach to learn a rich two-layer clustering-based sparsifying transform model (MCST2), where image patches and their subsequent feature maps (filter residuals) are clustered into groups with different learned sparsifying filters per group. We investigate a penalized weighted least squares (PWLS) approach for LDCT reconstruction incorporating learned MCST2 priors. Experimental results show the superior performance of the proposed PWLS-MCST2 approach compared to other related recent schemes.

Multi-layer Residual Sparsifying Transform (MARS) Model for Low-dose CT Image Reconstruction

Signal models based on sparse representations have received considerable attention in recent years. On the other hand, deep models consisting of a cascade of functional layers, commonly known as deep neural networks, have been highly successful for the task of object classification and have been recently introduced to image reconstruction. In this work, we develop a new image reconstruction approach based on a novel multi-layer model learned in an unsupervised manner by combining both sparse representations and deep models. The proposed framework extends the classical sparsifying transform model for images to a Multi-lAyer Residual Sparsifying transform (MARS) model, wherein the transform domain data are jointly sparsified over layers. We investigate the application of MARS models learned from limited regular-dose images for low-dose CT reconstruction using Penalized Weighted Least Squares (PWLS) optimization. We propose new formulations for multi-layer transform learning and image reconstruction. We derive an efficient block coordinate descent algorithm to learn the transforms across layers, in an unsupervised manner from limited regular-dose images. The learned model is then incorporated into the low-dose image reconstruction phase. Low-dose CT experimental results with both the XCAT phantom and Mayo Clinic data show that the MARS model outperforms conventional methods such as FBP and PWLS methods based on the edge-preserving (EP) regularizer and the single-layer learned transform (ST) model, especially in terms of reducing noise and maintaining some subtle details.

Learned Multi-layer Residual Sparsifying Transform Model for Low-dose CT Reconstruction

Signal models based on sparse representation have received considerable attention in recent years. Compared to synthesis dictionary learning, sparsifying transform learning involves highly efficient sparse coding and operator update steps. In this work, we propose a Multi-layer Residual Sparsifying Transform (MRST) learning model wherein the transform domain residuals are jointly sparsified over layers. In particular, the transforms for the deeper layers exploit the more intricate properties of the residual maps. We investigate the application of the learned MRST model for low-dose CT reconstruction using Penalized Weighted Least Squares (PWLS) optimization. Experimental results on Mayo Clinic data show that the MRST model outperforms conventional methods such as FBP and PWLS methods based on edge-preserving (EP) regularizer and single-layer transform (ST) model, especially for maintaining some subtle details.