The evaluation of white matter lesion progression is an important biomarker in the follow-up of MS patients and plays a crucial role when deciding the course of treatment. Current automated lesion segmentation algorithms are susceptible to variability in image characteristics related to MRI scanner or protocol differences. We propose a model that improves the consistency of MS lesion segmentations in inter-scanner studies. First, we train a CNN base model to approximate the performance of icobrain, an FDA-approved clinically available lesion segmentation software. A discriminator model is then trained to predict if two lesion segmentations are based on scans acquired using the same scanner type or not, achieving a 78% accuracy in this task. Finally, the base model and the discriminator are trained adversarially on multi-scanner longitudinal data to improve the inter-scanner consistency of the base model. The performance of the models is evaluated on an unseen dataset containing manual delineations. The inter-scanner variability is evaluated on test-retest data, where the adversarial network produces improved results over the base model and the FDA-approved solution.
Exploiting Longitudinal Context in Clinician-Verified Interactive Lesion Tracking
German Cancer Research Center (DKFZ) Heidelberg, Division of Medical Image Computing, Germany（德国癌症研究中心（DKFZ）海德堡，医学图像计算部，德国）；Faculty of Mathematics and Computer Science, Heidelberg University, Germany（海德堡大学数学与计算机科学学院，德国）；HIDSS4Health -- Helmholtz Information and Data Science School for Health, Karlsruhe/Heidelberg, Germany（HIDSS4Health——海德堡信息与数据科学健康学校，卡尔斯鲁厄/海德堡，德国）；Medical Faculty, Heidelberg University, Germany（海德堡大学医学学院，德国）；University Hospital Brandenburg an der Havel, Brandenburg Medical School Theodor Fontane, Germany（勃兰登堡运河大学医院，布兰登堡泰奥多尔·冯·_fontane医学学校，德国）；Pattern Analysis and Learning Group, Department of Radiation Oncology, Heidelberg University Hospital, Germany（放射肿瘤科模式分析与学习组，海德堡大学医院，德国）
Istituto Italiano di Tecnologia（意大利理工学院）；Simon Fraser University（西蒙弗雷泽大学）；University of Verona（维罗纳大学）；Fondation Campus Biotech（生物科技园区基金会）；University of British Columbia（不列颠哥伦比亚大学）；Fondazione Bruno Kessler（布鲁诺·凯斯勒基金会）
This paper presents a simple and effective generalization method for magnetic resonance imaging (MRI) segmentation when data is collected from multiple MRI scanning sites and as a consequence is affected by (site-)domain shifts. We propose to integrate a traditional encoder-decoder network with a regularization network. This added network includes an auxiliary loss term which is responsible for the reduction of the domain shift problem and for the resulting improved generalization. The proposed method was evaluated on multiple sclerosis lesion segmentation from MRI data. We tested the proposed…
Technical University of Denmark（丹麦技术大学）；Athinoula A. Martinos Center for Biomedical Imaging（阿西努拉·A·马丁诺斯生物医学成像中心）；Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）；Technical University of Munich（慕尼黑工业大学）
In this paper we propose a novel method for the segmentation of longitudinal brain MRI scans of patients suffering from Multiple Sclerosis. The method builds upon an existing cross-sectional method for simultaneous whole-brain and lesion segmentation, introducing subject-specific latent variables to encourage temporal consistency between longitudinal scans. It is very generally applicable, as it does not make any prior assumptions on the scanner, the MRI protocol, or the number and timing of longitudinal follow-up scans. Preliminary experiments on three longitudinal datasets indicate that the …
Longitudinal Segmentation of MS Lesions via Temporal Difference Weighting
German Cancer Research Center (DKFZ)（德国癌症研究中心）；Heidelberg University（海德堡大学）；Helmholtz Information and Data Science School for Health（亥姆霍兹健康信息与数据科学学院）；Helmholtz Imaging（亥姆霍兹影像中心）
Centre for Intelligent Machines（智能机器中心）；McGill University（麦吉尔大学）；MILA（蒙特利尔学习算法研究所）；Montreal Neurological Institute（蒙特利尔神经学研究所）
There are many clinical contexts which require accurate detection and segmentation of all focal pathologies (e.g. lesions, tumours) in patient images. In cases where there are a mix of small and large lesions, standard binary cross entropy loss will result in better segmentation of large lesions at the expense of missing small ones. Adjusting the operating point to accurately detect all lesions generally leads to oversegmentation of large lesions. In this work, we propose a novel reweighing strategy to eliminate this performance gap, increasing small pathology detection performance while maint…
Promptable Longitudinal Lesion Segmentation in Whole-Body CT
German Cancer Research Center (DKFZ) Heidelberg（德国癌症研究中心（DKFZ）海德堡）；Division of Medical Image Computing（医学影像计算 division）；HIDSS4Health - Helmholtz Information and Data Science School for Health（HIDSS4Health - 赫尔姆霍茨信息与数据科学健康学校）；Faculty of Mathematics and Computer Science（数学与计算机科学学院）；Heidelberg University（海德堡大学）；Helmholtz Imaging（赫尔姆霍茨成像）；Pattern Analysis and Learning Group（模式分析与学习小组）；Department of Radiation Oncology（放射肿瘤科）
MGH & BWH Center for Clinical Data Science（MGH与BWH临床数据科学中心）；Brigham and Women’s Hospital（布莱根妇女医院）；Harvard Medical School（哈佛医学院）
As interest in applying machine learning techniques for medical images continues to grow at a rapid pace, models are starting to be developed and deployed for clinical applications. In the clinical AI model development lifecycle (described by Lu et al. [1]), a crucial phase for machine learning scientists and clinicians is the proper design and collection of the data cohort. The ability to recognize various forms of biases and distribution shifts in the dataset is critical at this step. While it remains difficult to account for all potential sources of bias, techniques can be developed to iden…
Flinders University（弗林德斯大学）；Flinders Medical Centre（弗林德斯医疗中心）；Dr Jones & Partners Medical Imaging（琼斯博士及合伙人医疗影像中心）；University of Oxford（牛津大学）；University of Adelaide（阿德莱德大学）
Longitudinal imaging forms an essential component in the management and follow-up of many medical conditions. The presence of lesion changes on serial imaging can have significant impact on clinical decision making, highlighting the important role for automated change detection. Lesion changes can represent anomalies in serial imaging, which implies a limited availability of annotations and a wide variety of possible changes that need to be considered. Hence, we introduce a new unsupervised anomaly detection and localisation method trained exclusively with serial images that do not contain any…
Khalifa University（哈利法大学）；National University of Sciences and Technology（国立科技大学）
Retinal lesions play a vital role in the accurate classification of retinal abnormalities. Many researchers have proposed deep lesion-aware screening systems that analyze and grade the progression of retinopathy. However, to the best of our knowledge, no literature exploits the tendency of these systems to generalize across multiple scanner specifications and multi-modal imagery. Towards this end, this paper presents a detailed evaluation of semantic segmentation, scene parsing and hybrid deep learning systems for extracting the retinal lesions such as intra-retinal fluid, sub-retinal fluid, h…
Technical University of Munich（慕尼黑工业大学）；University of Ljubljana（卢布尔雅那大学）；Johns Hopkins University（约翰斯·霍普金斯大学）
Segmentation of Multiple Sclerosis (MS) lesions in longitudinal brain MR scans is performed for monitoring the progression of MS lesions. We hypothesize that the spatio-temporal cues in longitudinal data can aid the segmentation algorithm. Therefore, we propose a multi-task learning approach by defining an auxiliary self-supervised task of deformable registration between two time-points to guide the neural network toward learning from spatio-temporal changes. We show the efficacy of our method on a clinical dataset comprised of 70 patients with one follow-up study for each patient. Our results…
Univ. Bordeaux（波尔多大学）；Bordeaux INP（波尔多国立理工学院）；CNRS（法国国家科学研究中心）；Universitat Politècnica de València（瓦伦西亚理工大学）；INSERM（法国国家健康与医学研究院）；Neurocentre Magendie（马让迪神经中心）
The detection of new multiple sclerosis (MS) lesions is an important marker of the evolution of the disease. The applicability of learning-based methods could automate this task efficiently. However, the lack of annotated longitudinal data with new-appearing lesions is a limiting factor for the training of robust and generalizing models. In this work, we describe a deep-learning-based pipeline addressing the challenging task of detecting and segmenting new MS lesions. First, we propose to use transfer-learning from a model trained on a segmentation task using single time-points. Therefore, we …
SegHeD: Segmentation of Heterogeneous Data for Multiple Sclerosis Lesions with Anatomical Constraints
Imperial College London（伦敦帝国学院）；Data Science Institute, Imperial College London（伦敦帝国学院数据科学研究所）；Beijing Institute of Technology（北京理工大学）；UK Dementia Research Institute（英国痴呆症研究所）；Rosalind Franklin Institute（罗莎琳德·富兰克林研究所）
Registration of Longitudinal Spine CTs for Monitoring Lesion Growth
Harvard Medical School（哈佛医学院）；Beth Israel Deaconess Medical Center（贝斯以色列女执事医疗中心）；Brigham and Women’s Hospital（布莱根妇女医院）；Isomics Inc（伊索米克斯公司）；Dana-Farber Cancer Institute（达纳-法伯癌症研究所）
Inter-scanner and inter-protocol discrepancy in MRI datasets are known to lead to significant quantification variability. Hence image-to-image or scanner-to-scanner translation is a crucial frontier in the area of medical image analysis with a lot of potential applications. Nonetheless, a significant percentage of existing algorithms cannot explicitly exploit and preserve texture details from target scanners and offers individual solutions towards specialized task-specific architectures. In this paper, we design a multi-scale texture transfer to enrich the reconstruction images with more detai…
Technical University of Denmark（丹麦技术大学）；Copenhagen University Hospital Hvidovre（哥本哈根大学医院维兹奥勒医院）；Medical Image Analysis Center (MIAC AG)（医学图像分析中心（MIAC AG））；Technical University of Munich（慕尼黑工业大学）；Copenhagen University Hospital Bispebjerg（哥本哈根大学医院比斯佩比约医院）；University of Copenhagen（哥本哈根大学）；Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）
Here we present a method for the simultaneous segmentation of white matter lesions and normal-appearing neuroanatomical structures from multi-contrast brain MRI scans of multiple sclerosis patients. The method integrates a novel model for white matter lesions into a previously validated generative model for whole-brain segmentation. By using separate models for the shape of anatomical structures and their appearance in MRI, the algorithm can adapt to data acquired with different scanners and imaging protocols without retraining. We validate the method using four disparate datasets, showing rob…
The University of Sydney（悉尼大学）；Sydney Neuroimaging Analysis Centre（悉尼神经影像分析中心）；NVIDIA Corporation（英伟达公司）
Federated learning (FL) has been widely employed for medical image analysis to facilitate multi-client collaborative learning without sharing raw data. Despite great success, FL's performance is limited for multiple sclerosis (MS) lesion segmentation tasks, due to variance in lesion characteristics imparted by different scanners and acquisition parameters. In this work, we propose the first FL MS lesion segmentation framework via two effective re-weighting mechanisms. Specifically, a learnable weight is assigned to each local node during the aggregation process, based on its segmentation perfo…
McGill University（麦吉尔大学）；MILA (Quebec Artificial Intelligence Institute)（魁北克人工智能研究所（MILA））；University of Edinburgh（爱丁堡大学）；The Alan Turing Institute（阿兰·图灵研究所）；NeuroRx Research（NeuroRx研究公司）
Many automatic machine learning models developed for focal pathology (e.g. lesions, tumours) detection and segmentation perform well, but do not generalize as well to new patient cohorts, impeding their widespread adoption into real clinical contexts. One strategy to create a more diverse, generalizable training set is to naively pool datasets from different cohorts. Surprisingly, training on this \it{big data} does not necessarily increase, and may even reduce, overall performance and model generalizability, due to the existence of cohort biases that affect label distributions. In this paper,…
The reliable and timely stratification of bone lesion evolution risk in smoldering Multiple Myeloma plays an important role in identifying prime markers of the disease's advance and in improving the patients' outcome. In this work we provide an asymmetric cascade network for the longitudinal prediction of future bone lesions for T1 weighted whole body MR images. The proposed cascaded architecture, consisting of two distinct configured U-Nets, first detects the bone regions and subsequently predicts lesions within bones in a patch based way. The algorithm provides a full volumetric risk score m…
University of Texas Health Science Center at San Antonio（德克萨斯大学圣安东尼奥健康科学中心）；University of Pennsylvania（宾夕法尼亚大学）；Boston University（波士顿大学）；National University of Singapore（新加坡国立大学）；National University Health System（国立大学健康系统）；University of Texas at Austin（德克萨斯大学奥斯汀分校）；Wake Forest School of Medicine（维克森林医学院）；National Institute on Aging（美国国家衰老研究所）；University of Washington（华盛顿大学）
BACKGROUND AND PURPOSE: Deep learning has been demonstrated effective in many neuroimaging applications. However, in many scenarios, the number of imaging sequences capturing information related to small vessel disease lesions is insufficient to support data-driven techniques. Additionally, cohort-based studies may not always have the optimal or essential imaging sequences for accurate lesion detection. Therefore, it is necessary to determine which imaging sequences are crucial for precise detection. This study introduces a novel deep learning framework to detect enlarged perivascular spaces (…
Multiple Sclerosis (MS) is a chronic progressive neurological disease characterized by the development of lesions in the white matter of the brain. T2-fluid-attenuated inversion recovery (FLAIR) brain magnetic resonance imaging (MRI) provides superior visualization and characterization of MS lesions, relative to other MRI modalities. Longitudinal brain FLAIR MRI in MS, involving repetitively imaging a patient over time, provides helpful information for clinicians towards monitoring disease progression. Predicting future whole brain MRI examinations with variable time lag has only been attempte…
Concordia University（康考迪亚大学）；Sunnybrook Health Sciences Centre（桑尼布鲁克健康科学中心）；University of Toronto（多伦多大学）；McGill University（麦吉尔大学）
Novel Coronavirus disease (COVID-19) is a highly contagious respiratory infection that has had devastating effects on the world. Recently, new COVID-19 variants are emerging making the situation more challenging and threatening. Evaluation and quantification of COVID-19 lung abnormalities based on chest Computed Tomography (CT) scans can help determining the disease stage, efficiently allocating limited healthcare resources, and making informed treatment decisions. During pandemic era, however, visual assessment and quantification of COVID-19 lung lesions by expert radiologists become expensiv…
PAII Inc.（PAII公司）；Ping An Technology（平安科技）；Beijing United Family Hospital（北京和睦家医院）；Chang Gung Memorial Hospital（长庚纪念医院）
Accurately segmenting a variety of clinically significant lesions from whole body computed tomography (CT) scans is a critical task on precision oncology imaging, denoted as universal lesion segmentation (ULS). Manual annotation is the current clinical practice, being highly time-consuming and inconsistent on tumor's longitudinal assessment. Effectively training an automatic segmentation model is desirable but relies heavily on a large number of pixel-wise labelled data. Existing weakly-supervised segmentation approaches often struggle with regions nearby the lesion boundaries. In this paper, …
Fudan University（复旦大学）；Shanghai Center for Brain Science and Brain-inspired Technology（上海脑科学与类脑研究中心）
There are considerable interests in automatic stroke lesion segmentation on magnetic resonance (MR) images in the medical imaging field, as stroke is an important cerebrovascular disease. Although deep learning-based models have been proposed for this task, generalizing these models to unseen sites is difficult due to not only the large inter-site discrepancy among different scanners, imaging protocols, and populations, but also the variations in stroke lesion shape, size, and location. To tackle this issue, we introduce a self-adaptive normalization network, termed SAN-Net, to achieve adaptiv…
UNISELF: A Unified Network with Instance Normalization and Self-Ensembled Lesion Fusion for Multiple Sclerosis Lesion Segmentation
Department of Electrical and Computer Engineering, Johns Hopkins University, Baltimore, MD 21218, USA（电气与计算机工程系，约翰霍普金斯大学）；Department of Electrical and Computer Engineering, Vanderbilt University, Nashville, TN 37215, USA（电气与计算机工程系，范德比尔特大学）；Department of Neurology, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA（神经病学系，约翰霍普金斯医学院）；Department of Computer Science, Johns Hopkins University, Baltimore, MD 21218, USA（计算机科学系，约翰霍普金斯大学）；Department of Radiology, Uniformed Services University of the Health Sciences, Bethesda, MD, 20814, USA（放射学系，统一服务大学健康科学学院）
Automatically measuring lesion/tumor size with RECIST (Response Evaluation Criteria In Solid Tumors) diameters and segmentation is important for computer-aided diagnosis. Although it has been studied in recent years, there is still space to improve its accuracy and robustness, such as (1) enhancing features by incorporating rich contextual information while keeping a high spatial resolution and (2) involving new tasks and losses for joint optimization. To reach this goal, this paper proposes a transformer-based network (MeaFormer, Measurement transFormer) for lesion RECIST diameter prediction …
Ecole Centrale de Nantes（南特中央理工学院）；Keosys Medical Imaging（Keosys医学影像公司）；University of Nantes（南特大学）；University of Angers（昂热大学）；ICO Cancer Center（ICO癌症中心）
Longitudinal image registration is challenging and has not yet benefited from major performance improvements thanks to deep-learning. Inspired by Deep Image Prior, this paper introduces a different use of deep architectures as regularizers to tackle the image registration question. We propose a subject-specific deformable registration method called MIRRBA, relying on a deep pyramidal architecture to be the prior parametric model constraining the deformation field. Diverging from the supervised learning paradigm, MIRRBA does not require a learning database, but only the pair of images to be reg…
Univ Lyon（里昂大学）；CNRS（法国国家科学研究中心）；Inserm（法国国家健康与医学研究院）；INSA Lyon（里昂国立应用科学学院）；UCBL（里昂第一大学）；CREATIS（里昂影像与信息处理研究中心）；Hospices Civils de Lyon（里昂民用医院集团）；Hôpital Edouard Herriot（爱德华·埃里奥医院）；University of Sherbrooke（舍布鲁克大学）
Multiparametric magnetic resonance imaging (mp-MRI) has shown excellent results in the detection of prostate cancer (PCa). However, characterizing prostate lesions aggressiveness in mp-MRI sequences is impossible in clinical practice, and biopsy remains the reference to determine the Gleason score (GS). In this work, we propose a novel end-to-end multi-class network that jointly segments the prostate gland and cancer lesions with GS group grading. After encoding the information on a latent space, the network is separated in two branches: 1) the first branch performs prostate segmentation 2) th…
P-Count: Persistence-based Counting of White Matter Hyperintensities in Brain MRI
Martinos Center for Biomedical Imaging, MGH and Harvard Medical School（马蒂诺斯生物医学成像中心，麻省总医院与哈佛医学院）；Center for Medical Image Computing, University College London（伦敦大学学院医学影像计算中心）；Amsterdam University Medical Center（阿姆斯特丹大学医学中心）；Danish Research Centre for Magnetic Resonance, Copenhagen University Hospital（哥本哈根大学医院丹麦磁共振研究中心）；Computer Science and Artificial Intelligence Laboratory, MIT（麻省理工学院计算机科学与人工智能实验室）
Univ. Bordeaux（波尔多大学）；Bordeaux INP（波尔多国立理工学院）；CNRS（法国国家科学研究中心）；INSERM（法国国家健康与医学研究院）；Neurocentre Magendie（马让迪神经中心）；Universitat Politècnica de València（瓦伦西亚理工大学）
Recently, segmentation methods based on Convolutional Neural Networks (CNNs) showed promising performance in automatic Multiple Sclerosis (MS) lesions segmentation. These techniques have even outperformed human experts in controlled evaluation conditions such as Longitudinal MS Lesion Segmentation Challenge (ISBI Challenge). However state-of-the-art approaches trained to perform well on highly-controlled datasets fail to generalize on clinical data from unseen datasets. Instead of proposing another improvement of the segmentation accuracy, we propose a novel method robust to domain shift and p…
Université Clermont Auvergne（克莱蒙奥弗涅大学）；CNRS（法国国家科学研究中心）；ENSMSE（圣艾蒂安国立高等矿业学校）；LIMOS（LIMOS实验室）；INRAE（法国国家农业食品与环境研究院）；VetAgro Sup（维塔格罗高等兽医学校）；UMR EPIA（EPIA混合研究单位）；Université de Lyon（里昂大学）；Université d'Orléans（奥尔良大学）；CHU Clermont-Ferrand（克莱蒙费朗大学医院）；CRIOA（CRIOA中心）
Diagnosing erythema migrans (EM) skin lesion, the most common early symptom of Lyme disease using deep learning techniques can be effective to prevent long-term complications. Existing works on deep learning based EM recognition only utilizes lesion image due to the lack of a dataset of Lyme disease related images with associated patient data. Physicians rely on patient information about the background of the skin lesion to confirm their diagnosis. In order to assist the deep learning model with a probability score calculated from patient data, this study elicited opinion from fifteen doctors.…
Brain tumor imaging has been part of the clinical routine for many years to perform non-invasive detection and grading of tumors. Tumor segmentation is a crucial step for managing primary brain tumors because it allows a volumetric analysis to have a longitudinal follow-up of tumor growth or shrinkage to monitor disease progression and therapy response. In addition, it facilitates further quantitative analysis such as radiomics. Deep learning models, in particular CNNs, have been a methodology of choice in many applications of medical image analysis including brain tumor segmentation. In this …
Improving Virtual Contrast Enhancement using Longitudinal Data
Guerbet Research（Guerbet研究机构）；LMA, Université de Poitiers, France（LMA，波蒂埃大学，法国）；CHU de Poitiers, Poitiers, France（波蒂埃大学医院，法国）；XLIM, Université de Poitiers, France（XLIM，波蒂埃大学，法国）；I3M, Common Laboratory CNRS-Siemens, France（I3M，CNRS-西门子联合实验室，法国）
How We Won the ISLES'24 Challenge by Preprocessing
Department of Mechanical Engineering, University of Washington（华盛顿大学机械工程系）；Paul G. Allen School of Computer Science, University of Washington（华盛顿大学保罗·G·阿伦计算机科学学院）；Department of Bioengineering, University of Washington（华盛顿大学生物工程系）
Curriculum-Based Augmented Fourier Domain Adaptation for Robust Medical Image Segmentation
The Chinese University of Hong Kong（香港中文大学）；Shun Hing Institute of Advanced Engineering（信兴高等工程研究所）；National University of Singapore（新加坡国立大学）；NUSRI Suzhou（新加坡国立大学苏州研究院）；University College London（伦敦大学学院）；Wellcome/EPSRC Centre for Interventional and Surgical Sciences（维康/英国工程与自然科学研究委员会介入与外科科学中心）
