The accuracy and robustness of image classification with supervised deep learning are dependent on the availability of large-scale, annotated training data. However, there is a paucity of annotated data available due to the complexity of manual annotation. To overcome this problem, a popular approach is to use transferable knowledge across different domains by: 1) using a generic feature extractor that has been pre-trained on large-scale general images (i.e., transfer-learned) but which not suited to capture characteristics from medical images; or 2) fine-tuning generic knowledge with a relatively smaller number of annotated images. Our aim is to reduce the reliance on annotated training data by using a new hierarchical unsupervised feature extractor with a convolutional auto-encoder placed atop of a pre-trained convolutional neural network. Our approach constrains the rich and generic image features from the pre-trained domain to a sophisticated representation of the local image characteristics from the unannotated medical image domain. Our approach has a higher classification accuracy than transfer-learned approaches and is competitive with state-of-the-art supervised fine-tuned methods.
University of Stuttgart（斯图加特大学）；University of Tübingen（蒂宾根大学）；King’s College London（伦敦国王学院）
Image-to-image translation is a new field in computer vision with multiple potential applications in the medical domain. However, for supervised image translation frameworks, co-registered datasets, paired in a pixel-wise sense, are required. This is often difficult to acquire in realistic medical scenarios. On the other hand, unsupervised translation frameworks often result in blurred translated images with unrealistic details. In this work, we propose a new unsupervised translation framework which is titled Cycle-MedGAN. The proposed framework utilizes new non-adversarial cycle losses which …
Australian Institute for Machine Learning, The University of Adelaide（阿德莱德大学澳大利亚机器学习研究所）；Institute for Systems and Robotics, Instituto Superior Tecnico（高等技术学院系统与机器人研究所）
Meta-training has been empirically demonstrated to be the most effective pre-training method for few-shot learning of medical image classifiers (i.e., classifiers modeled with small training sets). However, the effectiveness of meta-training relies on the availability of a reasonable number of hand-designed classification tasks, which are costly to obtain, and consequently rarely available. In this paper, we propose a new method to unsupervisedly design a large number of classification tasks to meta-train medical image classifiers. We evaluate our method on a breast dynamically contrast enhanc…
University of Sydney（悉尼大学）；Royal Prince Alfred Hospital（皇家阿尔弗雷德王子医院）；Shanghai Jiao Tong University（上海交通大学）
Medical image analysis using supervised deep learning methods remains problematic because of the reliance of deep learning methods on large amounts of labelled training data. Although medical imaging data repositories continue to expand there has not been a commensurate increase in the amount of annotated data. Hence, we propose a new unsupervised feature learning method that learns feature representations to then differentiate dissimilar medical images using an ensemble of different convolutional neural networks (CNNs) and K-means clustering. It jointly learns feature representations and clus…
As digital medical imaging becomes more prevalent and archives increase in size, representation learning exposes an interesting opportunity for enhanced medical decision support systems. On the other hand, medical imaging data is often scarce and short on annotations. In this paper, we present an assessment of unsupervised feature learning approaches for images in the biomedical literature, which can be applied to automatic biomedical concept detection. Six unsupervised representation learning methods were built, including traditional bags of visual words, autoencoders, and generative adversar…
Institute for Interdisciplinary Information Sciences, Tsinghua University（清华大学交叉信息研究院）；Beihang University（北京航空航天大学）；Microsoft Research（微软研究院）
3D medical image registration is of great clinical importance. However, supervised learning methods require a large amount of accurately annotated corresponding control points (or morphing), which are very difficult to obtain. Unsupervised learning methods ease the burden of manual annotation by exploiting unlabeled data without supervision. In this paper, we propose a new unsupervised learning method using convolutional neural networks under an end-to-end framework, Volume Tweening Network (VTN), for 3D medical image registration. We propose three innovative technical components: (1) An end-t…
Polytechnique Montreal（蒙特利尔综合理工大学）；Pontifícia Universidade Católica do Rio Grande do Sul（南里奥格兰德天主教大学）；Universite de Montreal（蒙特利尔大学）
Recent advances in deep learning methods have come to define the state-of-the-art for many medical imaging applications, surpassing even human judgment in several tasks. Those models, however, when trained to reduce the empirical risk on a single domain, fail to generalize when applied to other domains, a very common scenario in medical imaging due to the variability of images and anatomical structures, even across the same imaging modality. In this work, we extend the method of unsupervised domain adaptation using self-ensembling for the semantic segmentation task and explore multiple facets …
This paper presents a novel unsupervised segmentation method for 3D medical images. Convolutional neural networks (CNNs) have brought significant advances in image segmentation. However, most of the recent methods rely on supervised learning, which requires large amounts of manually annotated data. Thus, it is challenging for these methods to cope with the growing amount of medical images. This paper proposes a unified approach to unsupervised deep representation learning and clustering for segmentation. Our proposed method consists of two phases. In the first phase, we learn deep feature repr…
We propose a registration algorithm for 2D CT/MRI medical images with a new unsupervised end-to-end strategy using convolutional neural networks. The contributions of our algorithm are threefold: (1) We transplant traditional image registration algorithms to an end-to-end convolutional neural network framework, while maintaining the unsupervised nature of image registration problems. The image-to-image integrated framework can simultaneously learn both image features and transformation matrix for registration. (2) Training with additional data without any label can further improve the registra…
Medical image registration and segmentation are critical tasks for several clinical procedures. Manual realisation of those tasks is time-consuming and the quality is highly dependent on the level of expertise of the physician. To mitigate that laborious task, automatic tools have been developed where the majority of solutions are supervised techniques. However, in medical domain, the strong assumption of having a well-representative ground truth is far from being realistic. To overcome this challenge, unsupervised techniques have been investigated. However, they are still limited in performan…
School of Computer Science, University of Sydney（悉尼大学计算机科学学院）；Royal Prince Alfred Hospital（皇家阿尔弗雷德王子医院）；Sydney Medical School, University of Sydney（悉尼大学悉尼医学院）；Med-X Research Institute, Shanghai Jiao Tong University（上海交通大学Med-X研究院）
The availability of large-scale annotated image datasets and recent advances in supervised deep learning methods enable the end-to-end derivation of representative image features that can impact a variety of image analysis problems. Such supervised approaches, however, are difficult to implement in the medical domain where large volumes of labelled data are difficult to obtain due to the complexity of manual annotation and inter- and intra-observer variability in label assignment. We propose a new convolutional sparse kernel network (CSKN), which is a hierarchical unsupervised feature learning…
Local discriminative representation is needed in many medical image analysis tasks such as identifying sub-types of lesion or segmenting detailed components of anatomical structures. However, the commonly applied supervised representation learning methods require a large amount of annotated data, and unsupervised discriminative representation learning distinguishes different images by learning a global feature, both of which are not suitable for localized medical image analysis tasks. In order to avoid the limitations of these two methods, we introduce local discrimination into unsupervised re…
We explore different curriculum learning methods for training convolutional neural networks on the task of deformable pairwise 3D medical image registration. To the best of our knowledge, we are the first to attempt to improve performance by training medical image registration models using curriculum learning, starting from an easy training setup in the first training stages, and gradually increasing the complexity of the setup. On the one hand, we consider two existing curriculum learning approaches, namely curriculum dropout and curriculum by smoothing. On the other hand, we propose a novel …
We present a new unsupervised learning algorithm, "FAIM", for 3D medical image registration. With a different architecture than the popular "U-net", the network takes a pair of full image volumes and predicts the displacement fields needed to register source to target. Compared with "U-net" based registration networks such as VoxelMorph, FAIM has fewer trainable parameters but can achieve higher registration accuracy as judged by Dice score on region labels in the Mindboggle-101 dataset. Moreover, with the proposed penalty loss on negative Jacobian determinants, FAIM produces deformations with…
Deformable image registration is widely utilized in medical image analysis, but most proposed methods fail in the situation of complex deformations. In this paper, we pre-sent a cascaded feature warping network to perform the coarse-to-fine registration. To achieve this, a shared-weights encoder network is adopted to generate the feature pyramids for the unaligned images. The feature warping registration module is then used to estimate the deformation field at each level. The coarse-to-fine manner is implemented by cascading the module from the bottom level to the top level. Furthermore, the m…
Interpretation of medical images for diagnosis and treatment of complex disease from high-dimensional and heterogeneous data remains a key challenge in transforming healthcare. In the last few years, both supervised and unsupervised deep learning achieved promising results in the area of medical imaging and image analysis. Unlike supervised learning which is biased towards how it is being supervised and manual efforts to create class label for the algorithm, unsupervised learning derive insights directly from the data itself, group the data and help to make data driven decisions without any ex…
We present recursive cascaded networks, a general architecture that enables learning deep cascades, for deformable image registration. The proposed architecture is simple in design and can be built on any base network. The moving image is warped successively by each cascade and finally aligned to the fixed image; this procedure is recursive in a way that every cascade learns to perform a progressive deformation for the current warped image. The entire system is end-to-end and jointly trained in an unsupervised manner. In addition, enabled by the recursive architecture, one cascade can be itera…
We present a fast learning-based algorithm for deformable, pairwise 3D medical image registration. Current registration methods optimize an objective function independently for each pair of images, which can be time-consuming for large data. We define registration as a parametric function, and optimize its parameters given a set of images from a collection of interest. Given a new pair of scans, we can quickly compute a registration field by directly evaluating the function using the learned parameters. We model this function using a convolutional neural network (CNN), and use a spatial transf…
University of Rome Tor Vergata（罗马第二大学）；University of Cambridge（剑桥大学）；Athinoula A. Martinos Center for Biomedical Imaging（阿西诺拉·A·马蒂诺斯生物医学成像中心）
The lack of large labeled medical imaging datasets, along with significant inter-individual variability compared to clinically established disease classes, poses significant challenges in exploiting medical imaging information in a precision medicine paradigm, where in principle dense patient-specific data can be employed to formulate individual predictions and/or stratify patients into finer-grained groups which may follow more homogeneous trajectories and therefore empower clinical trials. In order to efficiently explore the effective degrees of freedom underlying variability in medical imag…
South China University of Technology（华南理工大学）；Pazhou Lab（琶洲实验室）；Tencent AI Lab（腾讯人工智能实验室）
Deep learning based medical image diagnosis has shown great potential in clinical medicine. However, it often suffers two major difficulties in real-world applications: 1) only limited labels are available for model training, due to expensive annotation costs over medical images; 2) labeled images may contain considerable label noise (e.g., mislabeling labels) due to diagnostic difficulties of diseases. To address these, we seek to exploit rich labeled data from relevant domains to help the learning in the target task via {Unsupervised Domain Adaptation} (UDA). Unlike most UDA methods that rel…
Registration networks have shown great application potentials in medical image analysis. However, supervised training methods have a great demand for large and high-quality labeled datasets, which is time-consuming and sometimes impractical due to data sharing issues. Unsupervised image registration algorithms commonly employ intensity-based similarity measures as loss functions without any manual annotations. These methods estimate the parameterized transformations between pairs of moving and fixed images through the optimization of the network parameters during training. However, these metho…
University of Copenhagen（哥本哈根大学）；Rigshospitalet（哥本哈根大学国立医院）
Generative models such as Generative Adversarial Networks (GANs) and Variational Autoencoders (VAEs) play an increasingly important role in medical image analysis. The latent spaces of these models often show semantically meaningful directions corresponding to human-interpretable image transformations. However, until now, their exploration for medical images has been limited due to the requirement of supervised data. Several methods for unsupervised discovery of interpretable directions in GAN latent spaces have shown interesting results on natural images. This work explores the potential of a…
Computational Imaging Research Lab (CIR)（计算成像研究实验室（CIR））；Department of Biomedical Imaging and Image-guided Therapy（生物医学成像与影像引导治疗系）；Medical University of Vienna（维也纳医科大学）
Predictive marker patterns in imaging data are a means to quantify disease and progression, but their identification is challenging, if the underlying biology is poorly understood. Here, we present a method to identify predictive texture patterns in medical images in an unsupervised way. Based on deep clustering networks, we simultaneously encode and cluster medical image patches in a low-dimensional latent space. The resulting clusters serve as features for disease staging, linking them to the underlying disease. We evaluate the method on 70 T1-weighted magnetic resonance images of patients w…
LLaMA-Reg: Using LLaMA 2 for Unsupervised Medical Image Registration
Faculty of Information Science Engineering and Automation, Kunming University of Science and Technology（昆明理工大学信息科学工程与自动化学院）；Taizhou Hospital of Zhejiang Province Affiliated with Wenzhou Medical University（温州医科大学附属浙江省台州医院）；Enze Hospital, Taizhou Enze Medical Centre (Group)（台州恩泽医疗中心（集团）恩泽医院）；The Second Affiliated Hospital of Dalian Medical University（大连医科大学附属第二医院）
Shanghai Jiao Tong University（上海交通大学）；Xi’an Jiaotong University（西安交通大学）；The University of Sydney（悉尼大学）；Shanghai Tenth People’s Hospital, Tongji University（同济大学附属上海市第十人民医院）；Changchun GeneScience Pharmaceutical Co. LTD（长春金赛药业股份有限公司）
Contrastive learning, which aims to capture general representation from unlabeled images to initialize the medical analysis models, has been proven effective in alleviating the high demand for expensive annotations. Current methods mainly focus on instance-wise comparisons to learn the global discriminative features, however, pretermitting the local details to distinguish tiny anatomical structures, lesions, and tissues. To address this challenge, in this paper, we propose a general unsupervised representation learning framework, named local discrimination (LD), to learn local discriminative f…
Low-Rank Velocity Fields as a Structural Prior for Unsupervised 4D Medical Image Interpolation
Southern University of Science and Technology（南方科技大学）；Shenzhen University of Advanced Technology（深圳先进技术研究院）；Shenzhen University Medical School（深圳大学医学院）；Shenzhen University（深圳大学）；Research Institute of Trustworthy Autonomous Systems（可信自主系统研究院）
Southern Medical University（南方医科大学）；Shenzhen University（深圳大学）
Deformation field estimation is an important and challenging issue in many medical image registration applications. In recent years, deep learning technique has become a promising approach for simplifying registration problems, and has been gradually applied to medical image registration. However, most existing deep learning registrations do not consider the problem that when the receptive field cannot cover the corresponding features in the moving image and the fixed image, it cannot output accurate displacement values. In fact, due to the limitation of the receptive field, the 3 x 3 kernel h…
Universidad San Francisco de Quito（旧金山基多大学）；University of South Florida（南佛罗里达大学）
Deep learning models have obtained state-of-the-art results for medical image analysis. However, when these models are tested on an unseen domain there is a significant performance degradation. In this work, we present an unsupervised Cross-Modality Adversarial Domain Adaptation (C-MADA) framework for medical image segmentation. C-MADA implements an image- and feature-level adaptation method in a sequential manner. First, images from the source domain are translated to the target domain through an un-paired image-to-image adversarial translation with cycle-consistency loss. Then, a U-Net netwo…
Unsupervised Multimodal 3D Medical Image Registration with Multilevel Correlation Balanced Optimization
College of Electrical and Information Engineering, Hunan University（湖南大学电气与信息工程学院）；National Engineering Research Center of Robot Visual Perception and Control Technology, Hunan University（湖南大学机器人视觉感知与控制技术国家工程研究中心）；Cornell University（康奈尔大学）
Peking University（北京大学）；Yale University（耶鲁大学）；Tencent（腾讯）；University of Washington（华盛顿大学）
Medical report generation, which aims to automatically generate a long and coherent report of a given medical image, has been receiving growing research interests. Existing approaches mainly adopt a supervised manner and heavily rely on coupled image-report pairs. However, in the medical domain, building a large-scale image-report paired dataset is both time-consuming and expensive. To relax the dependency on paired data, we propose an unsupervised model Knowledge Graph Auto-Encoder (KGAE) which accepts independent sets of images and reports in training. KGAE consists of a pre-constructed know…
University of Georgia（佐治亚大学）；Zhongnan Hospital of Wuhan University（武汉大学中南医院）；Shanghai Jiao Tong University（上海交通大学）
In this paper we consider the problem of unsupervised anomaly segmentation in medical images, which has attracted increasing attention in recent years due to the expensive pixel-level annotations from experts and the existence of a large amount of unannotated normal and abnormal image scans. We introduce a segmentation network that utilizes adversarial learning to partition an image into two cuts, with one of them falling into a reference distribution provided by the user. This Adversarial-based Selective Cutting network (ASC-Net) bridges the two domains of cluster-based deep segmentation and …
This paper presents a new approach of transfer learning-based medical image classification to mitigate insufficient labeled data problem in medical domain. Instead of direct transfer learning from source to small number of labeled target data, we propose a modality-bridge transfer learning which employs the bridge database in the same medical imaging acquisition modality as target database. By learning the projection function from source to bridge and from bridge to target, the domain difference between source (e.g., natural images) and target (e.g., X-ray images) can be mitigated. Experimenta…
Latent Diffusion Autoencoders: Toward Efficient and Meaningful Unsupervised Representation Learning in Medical Imaging
Department of Electrical and Information Engineering (DIEI), University of Cassino and Southern Lazio（电气与信息工程系（DIEI），卡斯诺和南部拉齐亚大学）；Diagnostic Image Analysis Group, Radboud University Medical Center（影像诊断分析组，拉德堡德大学医学中心）；Department of Medical Imaging, Radboud University Medical Center（医学成像系，拉德堡德大学医学中心）
Building RadiologyNET: Unsupervised annotation of a large-scale multimodal medical database
University of Rijeka – Faculty of Engineering（里耶卡大学工程学院）；Center for Artificial Intelligence and Cybersecurity（人工智能与网络安全中心）；Medical University of Graz（格拉茨医科大学）
Xi’an Jiaotong University（西安交通大学）；The Hong Kong University of Science and Technology (Guangzhou)（香港科技大学（广州））；University of California, Santa Cruz（加州大学圣克鲁兹分校）
The Diffusion Probabilistic Model (DPM) has emerged as a highly effective generative model in the field of computer vision. Its intermediate latent vectors offer rich semantic information, making it an attractive option for various downstream tasks such as segmentation and detection. In order to explore its potential further, we have taken a step forward and considered a more complex scenario in the medical image domain, specifically, under an unsupervised adaptation condition. To this end, we propose a Diffusion-based and Prototype-guided network (DP-Net) for unsupervised domain adaptive segm…
Transfer learning is a standard technique to improve performance on tasks with limited data. However, for medical imaging, the value of transfer learning is less clear. This is likely due to the large domain mismatch between the usual natural-image pre-training (e.g. ImageNet) and medical images. However, recent advances in transfer learning have shown substantial improvements from scale. We investigate whether modern methods can change the fortune of transfer learning for medical imaging. For this, we study the class of large-scale pre-trained networks presented by Kolesnikov et al. on three …
Australian Institute for Machine Learning, University of Adelaide（阿德莱德大学澳大利亚机器学习研究所）；South Australian Health and Medical Research Institute（南澳大利亚健康与医学研究所）；Faculty of Health and Medical Sciences, University of Adelaide（阿德莱德大学健康与医学科学学院）
Unsupervised anomaly detection (UAD) learns one-class classifiers exclusively with normal (i.e., healthy) images to detect any abnormal (i.e., unhealthy) samples that do not conform to the expected normal patterns. UAD has two main advantages over its fully supervised counterpart. Firstly, it is able to directly leverage large datasets available from health screening programs that contain mostly normal image samples, avoiding the costly manual labelling of abnormal samples and the subsequent issues involved in training with extremely class-imbalanced data. Further, UAD approaches can potential…
City, University of London（伦敦大学城市学院）；Imperial College（帝国理工学院）
We propose a novel unsupervised out-of-distribution detection method for medical images based on implicit fields image representations. In our approach, an auto-decoder feed-forward neural network learns the distribution of healthy images in the form of a mapping between spatial coordinates and probabilities over a proxy for tissue types. At inference time, the learnt distribution is used to retrieve, from a given test image, a restoration, i.e. an image maximally consistent with the input one but belonging to the healthy distribution. Anomalies are localized using the voxel-wise probability p…
The Chinese University of Hong Kong（香港中文大学）；Imsight Medical Technology Co. Ltd.（视见医疗科技有限公司）；The Hong Kong Polytechnic University（香港理工大学）
Unsupervised domain adaptation has increasingly gained interest in medical image computing, aiming to tackle the performance degradation of deep neural networks when being deployed to unseen data with heterogeneous characteristics. In this work, we present a novel unsupervised domain adaptation framework, named as Synergistic Image and Feature Alignment (SIFA), to effectively adapt a segmentation network to an unlabeled target domain. Our proposed SIFA conducts synergistic alignment of domains from both image and feature perspectives. In particular, we simultaneously transform the appearance o…
Johns Hopkins Medical Institutes（约翰斯·霍普金斯医学院）；Johns Hopkins University（约翰斯·霍普金斯大学）；Department of Radiology and Radiological Science（放射学与放射科学系）；Department of Electrical and Computer Engineering（电气与计算机工程系）
For the majority of the learning-based segmentation methods, a large quantity of high-quality training data is required. In this paper, we present a novel learning-based segmentation model that could be trained semi- or un- supervised. Specifically, in the unsupervised setting, we parameterize the Active contour without edges (ACWE) framework via a convolutional neural network (ConvNet), and optimize the parameters of the ConvNet using a self-supervised method. In another setting (semi-supervised), the auxiliary segmentation ground truth is used during training. We show that the method provide…
Towards Universal Unsupervised Anomaly Detection in Medical Imaging
Technical University of Munich（慕尼黑工业大学）；Helmholtz AI and Helmholtz Center Munich（亥姆霍兹人工智能与亥姆霍兹慕尼黑中心）；Klinikum Rechts der Isar（伊萨尔河右岸医院）；Imperial College London（伦敦帝国理工学院）
Limited availability of annotated medical imaging data poses a challenge for deep learning algorithms. Although transfer learning minimizes this hurdle in general, knowledge transfer across disparate domains is shown to be less effective. On the other hand, smaller architectures were found to be more compelling in learning better features. Consequently, we propose a lightweight architecture that uses mixed asymmetric kernels (MAKNet) to reduce the number of parameters significantly. Additionally, we train the proposed architecture using semi-supervised learning to provide pseudo-labels for a l…
COSMOS: Cross-Modality Unsupervised Domain Adaptation for 3D Medical Image Segmentation based on Target-aware Domain Translation and Iterative Self-Training
Synomaly Noise and Multi-Stage Diffusion: A Novel Approach for Unsupervised Anomaly Detection in Medical Images
Computer Aided Medical Procedures, Technical University of Munich, Munich, Germany（技术大学慕尼黑计算机辅助医疗程序）；Munich Center of Machine Learning, Munich, Germany（慕尼黑机器学习中心）；Department for Vascular and Endovascular Surgery, rechts der Isar University Hospital, Technical University of Munich, Munich, Germany（技术大学慕尼黑血管和内血管外科部门）
Indian Institute of Information Technology Vadodara（瓦多达拉印度信息技术学院）
Medical image acquisition is often intervented by unwanted noise that corrupts the information content. This paper introduces an unsupervised medical image denoising technique that learns noise characteristics from the available images and constructs denoised images. It comprises of two blocks of data processing, viz., patch-based dictionaries that indirectly learn the noise and residual learning (RL) that directly learns the noise. The model is generalized to account for both 2D and 3D images considering different medical imaging instruments. The images are considered one-by-one from the stac…
Shanghai Jiao Tong University（上海交通大学）；University of Sydney（悉尼大学）；Ruijin Hospital, Shanghai Jiao Tong University School of Medicine（上海交通大学医学院瑞金医院）
Motion estimation is a fundamental step in dynamic medical image processing for the assessment of target organ anatomy and function. However, existing image-based motion estimation methods, which optimize the motion field by evaluating the local image similarity, are prone to produce implausible estimation, especially in the presence of large motion. In this study, we provide a novel motion estimation framework of Dense-Sparse-Dense (DSD), which comprises two stages. In the first stage, we process the raw dense image to extract sparse landmarks to represent the target organ anatomical topology…
Johns Hopkins Medical Institutes（约翰·霍普金斯医学院）；Johns Hopkins University（约翰·霍普金斯大学）；NVIDIA Corporation（英伟达公司）；Duke University Medical Center（杜克大学医学中心）；Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）
In the last decade, convolutional neural networks (ConvNets) have been a major focus of research in medical image analysis. However, the performances of ConvNets may be limited by a lack of explicit consideration of the long-range spatial relationships in an image. Recently Vision Transformer architectures have been proposed to address the shortcomings of ConvNets and have produced state-of-the-art performances in many medical imaging applications. Transformers may be a strong candidate for image registration because their substantially larger receptive field enables a more precise comprehensi…
