Incorporating Task-Specific Structural Knowledge into CNNs for Brain Midline Shift Detection
Skolkovo Institute of Science and Technology（斯科尔科沃科学技术研究院）；Kharkevich Institute for Information Transmission Problems（哈尔克维奇信息传输问题研究所）；Moscow Institute of Physics and Technology（莫斯科物理技术学院）；Center for Diagnostics and Telemedicine（诊断与远程医疗中心）；Burdenko Neurosurgery Institute（布尔坚科神经外科研究所）
Maxim Pisov, Mikhail Goncharov, Nadezhda Kurochkina, Sergey Morozov, Victor Gombolevskiy, Valeria Chernina, Anton Vladzymyrskyy, Ksenia Zamyatina, Anna Chesnoko… 展开作者
Maxim Pisov, Mikhail Goncharov, Nadezhda Kurochkina, Sergey Morozov, Victor Gombolevskiy, Valeria Chernina, Anton Vladzymyrskyy, Ksenia Zamyatina, Anna Chesnokova, Igor Pronin, Michael Shifrin, Mikhail Belyaev
Midline shift (MLS) is a well-established factor used for outcome prediction in traumatic brain injury, stroke and brain tumors. The importance of automatic estimation of MLS was recently highlighted by ACR Data Science Institute. In this paper we introduce a novel deep learning based approach for the problem of MLS detection, which exploits task-specific structural knowledge. We evaluate our method on a large dataset containing heterogeneous images with significant MLS and show that its mean error approaches the inter-expert variability. Finally, we show the robustness of our approach by validating it on an external dataset, acquired during routine clinical practice.
Peking University（北京大学）；Deepwise AI Lab（深智人工智能实验室）；Beijing Institute of Technology（北京理工大学）
The midline related pathological image features are crucial for evaluating the severity of brain compression caused by stroke or traumatic brain injury (TBI). The automated midline delineation not only improves the assessment and clinical decision making for patients with stroke symptoms or head trauma but also reduces the time of diagnosis. Nevertheless, most of the previous methods model the midline by localizing the anatomical points, which are hard to detect or even missing in severe cases. In this paper, we formulate the brain midline delineation as a segmentation task and propose a three…
Segmentation of brain structures from magnetic resonance (MR) scans plays an important role in the quantification of brain morphology. Since 3D deep learning models suffer from high computational cost, 2D deep learning methods are favored for their computational efficiency. However, existing 2D deep learning methods are not equipped to effectively capture 3D spatial contextual information that is needed to achieve accurate brain structure segmentation. In order to overcome this limitation, we develop an Anatomical Context-Encoding Network (ACEnet) to incorporate 3D spatial and anatomical conte…
University College London（伦敦大学学院）；Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）；Massachusetts Institute of Technology（麻省理工学院）
Retrospective analysis of brain MRI scans acquired in the clinic has the potential to enable neuroimaging studies with sample sizes much larger than those found in research datasets. However, analysing such clinical images "in the wild" is challenging, since subjects are scanned with highly variable protocols (MR contrast, resolution, orientation, etc.). Nevertheless, recent advances in convolutional neural networks (CNNs) and domain randomisation for image segmentation, best represented by the publicly available method SynthSeg, may enable morphometry of clinical MRI at scale. In this work, w…
We apply an ensemble of modified TransBTS, nnU-Net, and a combination of both for the segmentation task of the BraTS 2021 challenge. In fact, we change the original architecture of the TransBTS model by adding Squeeze-and-Excitation blocks, an increasing number of CNN layers, replacing positional encoding in Transformer block with a learnable Multilayer Perceptron (MLP) embeddings, which makes Transformer adjustable to any input size during inference. With these modifications, we are able to largely improve TransBTS performance. Inspired by a nnU-Net framework we decided to combine it with our…
Universitat Politècnica de Catalunya. BarcelonaTech（加泰罗尼亚理工大学）
Automation of brain tumors in 3D magnetic resonance images (MRIs) is key to assess the diagnostic and treatment of the disease. In recent years, convolutional neural networks (CNNs) have shown improved results in the task. However, high memory consumption is still a problem in 3D-CNNs. Moreover, most methods do not include uncertainty information, which is specially critical in medical diagnosis. This work proposes a 3D encoder-decoder architecture, based on V-Net \cite{vnet} which is trained with patching techniques to reduce memory consumption and decrease the effect of unbalanced data. We a…
CNRS（法国国家科学研究中心）；Univ. Bordeaux（波尔多大学）；Bordeaux INP（波尔多国立综合理工学院）；Universitat Politècnica de València（瓦伦西亚理工大学）
Whole brain segmentation using deep learning (DL) is a very challenging task since the number of anatomical labels is very high compared to the number of available training images. To address this problem, previous DL methods proposed to use a single convolution neural network (CNN) or few independent CNNs. In this paper, we present a novel ensemble method based on a large number of CNNs processing different overlapping brain areas. Inspired by parliamentary decision-making systems, we propose a framework called AssemblyNet, made of two "assemblies" of U-Nets. Such a parliamentary system is ca…
The Hospital for Sick Children（病童医院）；University of Toronto（多伦多大学）；Vector Institute（Vector研究所）
Deep convolutional neural networks (CNNs) have become an essential tool in the medical imaging-based computer-aided diagnostic pipeline. However, training accurate and reliable CNNs requires large fine-grain annotated datasets. To alleviate this, weakly-supervised methods can be used to obtain local information from global labels. This work proposes the use of localized perturbations as a weakly-supervised solution to extract segmentation masks of brain tumours from a pretrained 3D classification model. Furthermore, we propose a novel optimal perturbation method that exploits 3D superpixels to…
Brain tumors are masses or abnormal growths of cells within the brain or the central spinal canal with symptoms such as headaches, seizures, weakness or numbness in the arms or legs, changes in personality or behaviour, nausea, vomiting, vision or hearing problems and dizziness. Conventional diagnosis of brain tumour involves some tests and procedure which may include the consideration of medical history, physical examination, imaging tests (such as CT or MRI scans), and biopsy (removal and examination of a small piece of the tumor tissue). These procedures, while effective, are mentally stren…
Columbia University（哥伦比亚大学）；Mortimer B. Zuckerman Mind Brain Behavior Institute（Mortimer B. Zuckerman 心智与脑行为研究所）
Brain tissue segmentation has demonstrated great utility in quantifying MRI data through Voxel-Based Morphometry and highlighting subtle structural changes associated with various conditions within the brain. However, manual segmentation is highly labor-intensive, and automated approaches have struggled due to properties inherent to MRI acquisition, leaving a great need for an effective segmentation tool. Despite the recent success of deep convolutional neural networks (CNNs) for brain tissue segmentation, many such solutions do not generalize well to new datasets, which is critical for a reli…
University College London（伦敦大学学院）；Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）；Copenhagen University Hospital（哥本哈根大学医院）；Technical University of Denmark（丹麦技术大学）；Massachusetts Institute of Technology（麻省理工学院）
Despite advances in data augmentation and transfer learning, convolutional neural networks (CNNs) difficultly generalise to unseen domains. When segmenting brain scans, CNNs are highly sensitive to changes in resolution and contrast: even within the same MRI modality, performance can decrease across datasets. Here we introduce SynthSeg, the first segmentation CNN robust against changes in contrast and resolution. SynthSeg is trained with synthetic data sampled from a generative model conditioned on segmentations. Crucially, we adopt a domain randomisation strategy where we fully randomise the …
University of California, Davis（加州大学戴维斯分校）；MIT（麻省理工学院）；McGovern Institute for Brain Research, MIT（麻省理工学院麦戈文脑科学研究所）；Harvard University（哈佛大学）；Center for Brains, Minds and Machines, MIT（麻省理工学院大脑、心智与机器中心）
While some convolutional neural networks (CNNs) have surpassed human visual abilities in object classification, they often struggle to recognize objects in images corrupted with different types of common noise patterns, highlighting a major limitation of this family of models. Recently, it has been shown that simulating a primary visual cortex (V1) at the front of CNNs leads to small improvements in robustness to these image perturbations. In this study, we start with the observation that different variants of the V1 model show gains for specific corruption types. We then build a new model usi…
a Division of Medical Informatics, Department of Biomedical Engineering b Division of Statistics \& Machine Learning, Department of Computer；Information Science c Center for Social；Affective Neuroscience, Department of Biomedical；Clinical Sciences d Center for Medical Image Science；Visualization (CMIV) \ \" o ping University, Sweden
Using 3D CNNs on high resolution medical volumes is very computationally demanding, especially for large datasets like the UK Biobank which aims to scan 100,000 subjects. Here we demonstrate that using 2D CNNs on a few 2D projections (representing mean and standard deviation across axial, sagittal and coronal slices) of the 3D volumes leads to reasonable test accuracy when predicting the age from brain volumes. Using our approach, one training epoch with 20,324 subjects takes 20 - 50 seconds using a single GPU, which two orders of magnitude faster compared to a small 3D CNN. These results are …
FANCL: Feature-Guided Attention Network with Curriculum Learning for Brain Metastases Segmentation
Digital Medical Research Center, School of Basic Medical Science, Fudan University（复旦大学基础医学院数字医学研究中心）；Shanghai Key Lab of Medical Image Computing and Computer Assisted Intervention（上海市医学影像计算与计算机辅助介入重点实验室）
Skolkovo Institute of Science and Technology（斯科尔科沃科学技术研究院）
Deep learning shows high potential for many medical image analysis tasks. Neural networks can work with full-size data without extensive preprocessing and feature generation and, thus, information loss. Recent work has shown that the morphological difference in specific brain regions can be found on MRI with the means of Convolution Neural Networks (CNN). However, interpretation of the existing models is based on a region of interest and can not be extended to voxel-wise image interpretation on a whole image. In the current work, we consider the classification task on a large-scale open-source…
Being able to adequately process and combine data arising from different sites is crucial in neuroimaging, but is difficult, owing to site, sequence and acquisition-parameter dependent biases. It is important therefore to design algorithms that are not only robust to images of differing contrasts, but also be able to generalise well to unseen ones, with a quantifiable measure of uncertainty. In this paper we demonstrate the efficacy of a physics-informed, uncertainty-aware, segmentation network that employs augmentation-time MR simulations and homogeneous batch feature stratification to achiev…
Deep Convolutional Neural Networks (CNNs) are becoming prominent models for semi-automated diagnosis of Alzheimer's Disease (AD) using brain Magnetic Resonance Imaging (MRI). Although being highly accurate, deep CNN models lack transparency and interpretability, precluding adequate clinical reasoning and not complying with most current regulatory demands. One popular choice for explaining deep image models is occluding regions of the image to isolate their influence on the prediction. However, existing methods for occluding patches of brain scans generate images outside the distribution to whi…
The University of Maryland, College Park（马里兰大学帕克分校）；University of Rochester（罗切斯特大学）；Chinese Academy of Sciences（中国科学院）；Peng Cheng Laboratory（鹏城实验室）
We propose a marginal super-resolution (MSR) approach based on 2D convolutional neural networks (CNNs) for interpolating an anisotropic brain magnetic resonance scan along the highly under-sampled direction, which is assumed to axial without loss of generality. Previous methods for slice interpolation only consider data from pairs of adjacent 2D slices. The possibility of fusing information from the direction orthogonal to the 2D slices remains unexplored. Our approach performs MSR in both sagittal and coronal directions, which provides an initial estimate for slice interpolation. The interpol…
Universitat Politècnica de Catalunya. BarcelonaTech（加泰罗尼亚理工大学·巴塞罗那理工）
Automation of brain tumor segmentation in 3D magnetic resonance images (MRIs) is key to assess the diagnostic and treatment of the disease. In recent years, convolutional neural networks (CNNs) have shown improved results in the task. However, high memory consumption is still a problem in 3D-CNNs. Moreover, most methods do not include uncertainty information, which is especially critical in medical diagnosis. This work studies 3D encoder-decoder architectures trained with patch-based techniques to reduce memory consumption and decrease the effect of unbalanced data. The different trained model…
Discriminative convolutional neural networks (CNNs), for which a voxel-wise conditional Multinoulli distribution is assumed, have performed well in many brain lesion segmentation tasks. For a trained discriminative CNN to be used in clinical practice, the patient's radiological features are inputted into the model, in which case a conditional distribution of segmentations is produced. Capturing the uncertainty of the predictions can be useful in deciding whether to abandon a model, or choose amongst competing models. In practice, however, we never know the ground truth segmentation, and theref…
Accurate segmentation of brain resection cavities (RCs) aids in postoperative analysis and determining follow-up treatment. Convolutional neural networks (CNNs) are the state-of-the-art image segmentation technique, but require large annotated datasets for training. Annotation of 3D medical images is time-consuming, requires highly-trained raters, and may suffer from high inter-rater variability. Self-supervised learning strategies can leverage unlabeled data for training. We developed an algorithm to simulate resections from preoperative magnetic resonance images (MRIs). We performed self-sup…
Convolutional neural networks (CNNs) have achieved remarkable success in automatically segmenting organs or lesions on 3D medical images. Recently, vision transformer networks have exhibited exceptional performance in 2D image classification tasks. Compared with CNNs, transformer networks have an appealing advantage of extracting long-range features due to their self-attention algorithm. Therefore, we propose a CNN-Transformer combined model, called BiTr-Unet, with specific modifications for brain tumor segmentation on multi-modal MRI scans. Our BiTr-Unet achieves good performance on the BraTS…
Neuroimaging of large populations is valuable to identify factors that promote or resist brain disease, and to assist diagnosis, subtyping, and prognosis. Data-driven models such as convolutional neural networks (CNNs) have increasingly been applied to brain images to perform diagnostic and prognostic tasks by learning robust features. Vision transformers (ViT) - a new class of deep learning architectures - have emerged in recent years as an alternative to CNNs for several computer vision applications. Here we tested variants of the ViT architecture for a range of desired neuroimaging downstre…
Convolutional neural network (CNN) methods have been proposed to quantify lesions in medical imaging. Commonly more than one imaging examination is available for a patient, but the serial information in these images often remains unused. CNN-based methods have the potential to extract valuable information from previously acquired imaging to better quantify current imaging of the same patient. A pre-trained CNN can be updated with a patient's previously acquired imaging: patient-specific fine-tuning. In this work, we studied the improvement in performance of lesion quantification methods on MR …
