Statistical shape modeling is an essential tool for the quantitative analysis of anatomical populations. Point distribution models (PDMs) represent the anatomical surface via a dense set of correspondences, an intuitive and easy-to-use shape representation for subsequent applications. These correspondences are exhibited in two coordinate spaces: the local coordinates describing the geometrical features of each individual anatomical surface and the world coordinates representing the population-level statistical shape information after removing global alignment differences across samples in the given cohort. We propose a deep-learning-based framework that simultaneously learns these two coordinate spaces directly from the volumetric images. The proposed joint model serves a dual purpose; the world correspondences can directly be used for shape analysis applications, circumventing the heavy pre-processing and segmentation involved in traditional PDM models. Additionally, the local correspondences can be used for anatomy segmentation. We demonstrate the efficacy of this joint model for both shape modeling applications on two datasets and its utility in inferring the anatomical surface.
Pathological area segmentation in cardiac magnetic resonance (MR) images plays a vital role in the clinical diagnosis of cardiovascular diseases. Because of the irregular shape and small area, pathological segmentation has always been a challenging task. We propose an anatomy prior based framework, which combines the U-net segmentation network with the attention technique. Leveraging the fact that the pathology is inclusive, we propose a neighborhood penalty strategy to gauge the inclusion relationship between the myocardium and the myocardial infarction and no-reflow areas. This neighborhood …
Shanghai Jiao Tong University（上海交通大学）；Peking Union Medical College Hospital（北京协和医院）
The segmentation of coronary arteries by convolutional neural network is promising yet requires a large amount of labor-intensive manual annotations. Transferring knowledge from retinal vessels in widely-available public labeled fundus images (FIs) has a potential to reduce the annotation requirement for coronary artery segmentation in X-ray angiograms (XAs) due to their common tubular structures. However, it is challenged by the cross-anatomy domain shift due to the intrinsically different vesselness characteristics in different anatomical regions under even different imaging protocols. To so…
A large amount of manual segmentation is typically required to train a robust segmentation network so that it can segment objects of interest in a new imaging modality. The manual efforts can be alleviated if the manual segmentation in one imaging modality (e.g., CT) can be utilized to train a segmentation network in another imaging modality (e.g., CBCT/MRI/PET). In this work, we developed an anatomy-constrained contrastive synthetic segmentation network (AccSeg-Net) to train a segmentation network for a target imaging modality without using its ground truth. Specifically, we proposed to use a…
Yale University（耶鲁大学）；Yale School of Medicine（耶鲁大学医学院）；University of Science and Technology of China（中国科学技术大学）；Suzhou Institute for Advanced Research, University of Science and Technology of China（中国科学技术大学苏州高等研究院）；Chinese Academy of Sciences（中国科学院）
Multimodal image registration has many applications in diagnostic medical imaging and image-guided interventions, such as Transcatheter Arterial Chemoembolization (TACE) of liver cancer guided by intraprocedural CBCT and pre-operative MR. The ability to register peri-procedurally acquired diagnostic images into the intraprocedural environment can potentially improve the intra-procedural tumor targeting, which will significantly improve therapeutic outcomes. However, the intra-procedural CBCT often suffers from suboptimal image quality due to lack of signal calibration for Hounsfield unit, limi…
Cardiovascular Research Centre, Royal Brompton Hospital（皇家布朗普顿医院心血管研究中心）；National Heart and Lung Institute, Imperial College London（帝国理工学院国家心肺研究所）；Anhui University（安徽大学）；Western University（西安大略大学）；University College London（伦敦大学学院）；Alan Turing Institute（阿兰·图灵研究所）；NIHR Imperial Biomedical Research Centre（NIHR帝国生物医学研究中心）；Beijing Anzhen Hospital, Capital Medical University（首都医科大学附属北京安贞医院）；School of Biomedical Engineering, Sun Yat-Sen University（中山大学医学院生物医学工程学院）
Three-dimensional late gadolinium enhanced (LGE) cardiac MR (CMR) of left atrial scar in patients with atrial fibrillation (AF) has recently emerged as a promising technique to stratify patients, to guide ablation therapy and to predict treatment success. This requires a segmentation of the high intensity scar tissue and also a segmentation of the left atrium (LA) anatomy, the latter usually being derived from a separate bright-blood acquisition. Performing both segmentations automatically from a single 3D LGE CMR acquisition would eliminate the need for an additional acquisition and avoid sub…
Whiting School of Engineering, Johns Hopkins University（约翰斯·霍普金斯大学怀廷工程学院）；Rutgers, The State University of New Jersey（罗格斯新泽西州立大学）
Automatic segmentation of anatomical landmarks from ultrasound (US) plays an important role in the management of preterm neonates with a very low birth weight due to the increased risk of developing intraventricular hemorrhage (IVH) or other complications. One major problem in developing an automatic segmentation method for this task is the limited availability of annotated data. To tackle this issue, we propose a novel image synthesis method using multi-scale self attention generator to synthesize US images from various segmentation masks. We show that our method can synthesize high-quality U…
University of Strasbourg（斯特拉斯堡大学）；CNRS（法国国家科学研究中心）；Fondazione Policlinico Universitario A. Gemelli IRCCS（杰梅利大学医院基金会）；IHU-Strasbourg, Institute of Image-Guided Surgery（斯特拉斯堡大学医院-图像引导手术研究所）；Institute for Research against Digestive Cancer (IRCAD)（消化癌症研究所）
Minimally invasive image-guided surgery heavily relies on vision. Deep learning models for surgical video analysis could therefore support visual tasks such as assessing the critical view of safety (CVS) in laparoscopic cholecystectomy (LC), potentially contributing to surgical safety and efficiency. However, the performance, reliability and reproducibility of such models are deeply dependent on the quality of data and annotations used in their development. Here, we present a protocol, checklists, and visual examples to promote consistent annotation of hepatocystic anatomy and CVS criteria. We…
GAPNet: Granularity Attention Network with Anatomy-Prior-Constraint for Carotid Artery Segmentation
Shandong Artificial Intelligence Institute, Qilu University of Technology (Shandong Academy of Sciences)（齐鲁工业大学（山东省科学院）山东省人工智能研究院）；School of Artificial Intelligence, Hebei University of Technology（河北工业大学人工智能学院）；School of Computer, Electronics and Information, Guangxi University（广西大学计算机与电子信息学院）；School of Intelligence Science and Technology, Nanjing University（南京大学智能科学与技术学院）；University Paris Dauphine, PSL Research University, CNRS, UMR 7534, CEREMADE（巴黎多芬大学（PSL研究大学）、法国国家科学研究中心UMR 7534、CEREMADE）
AG-CRC: Anatomy-Guided Colorectal Cancer Segmentation in CT with Imperfect Anatomical Knowledge
Shanghai Artificial Intelligence Laboratory（上海人工智能实验室）；Shanghai Digital Medicine Innovation Center（上海数字医学创新中心）；Ruijin Hospital（瑞金医院）；Shanghai Jiao Tong University School of Medicine（上海交通大学医学院）
Z 2 Sky Technologies Inc.（Z 2 天工科技公司）；University of Rochester（罗切斯特大学）；Key Lab of Intelligent Information Processing of Chinese Academy of Sciences (CAS), Institute of Computing Technology, CAS（中国科学院计算技术研究所 中国科学院智能信息处理重点实验室）；University of Science and Technology of China（中国科学技术大学）；Suzhou Institute for Advance Research, University of Science and Technology of China（中国科学技术大学苏州高等研究院）
Spinal surgery planning necessitates automatic segmentation of vertebrae in cone-beam computed tomography (CBCT), an intraoperative imaging modality that is widely used in intervention. However, CBCT images are of low-quality and artifact-laden due to noise, poor tissue contrast, and the presence of metallic objects, causing vertebra segmentation, even manually, a demanding task. In contrast, there exists a wealth of artifact-free, high quality CT images with vertebra annotations. This motivates us to build a CBCT vertebra segmentation model using unpaired CT images with annotations. To overco…
Towards Unifying Anatomy Segmentation: Automated Generation of a Full-body CT Dataset via Knowledge Aggregation and Anatomical Guidelines
Institute for Anthropomatics and Robotics, Karlsruhe Institute of Technology（卡尔斯鲁厄理工学院人机交互与机器人学研究所）；Institute for AI in Medicine, University Hospital Essen（埃森大学医院医学人工智能研究所）；Steinbuch Center for Computing, Karlsruhe Institute of Technology (KIT)（卡尔斯鲁厄理工学院（KIT）施泰因布赫计算中心）；Department of Medical Physics in Radiation Oncology, German Cancer Research Center (DKFZ)（德国癌症研究中心（DKFZ）放射肿瘤学医学物理科）；Heidelberg Institute of Radiation Oncology (HIRO)（海德堡放射肿瘤学研究所（HIRO））；National Center for Radiation Research in Oncology (NCRO)（国家肿瘤放射研究中心（NCRO））；Helmholtz Information and Data Science School for Health (HIDSS4Health)（亥姆霍兹健康信息与数据科学学院（HIDSS4Health））；Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen（埃森大学医院诊断与介入放射学及神经放射学系）
Anatomy-Informed Deep Learning and Radiomics for Automated Neurofibroma Segmentation in Whole-Body MRI
Institute for Applied Medical Informatics（应用医学信息学研究所）；Institute of Computational Neuroscience（计算神经科学研究所）；Center for Biomedical Artificial Intelligence (bAIome)（生物医学人工智能中心）；University Medical Center Hamburg-Eppendorf（汉堡埃彭多夫大学医学中心）；Department of Diagnostic and Interventional Radiology and Nuclear Medicine（诊断与介入放射学及核医学部门）；Department of Neurology（神经内科部门）
Magnetic Resonance Imaging (MRI) plays an important role in diagnosing the parotid tumor, where accurate segmentation of tumors is highly desired for determining appropriate treatment plans and avoiding unnecessary surgery. However, the task remains nontrivial and challenging due to ambiguous boundaries and various sizes of the tumor, as well as the presence of a large number of anatomical structures around the parotid gland that are similar to the tumor. To overcome these problems, we propose a novel anatomy-aware framework for automatic segmentation of parotid tumors from multimodal MRI. Fir…
Segmentation has been a major task in neuroimaging. A large number of automated methods have been developed for segmenting healthy and diseased brain tissues. In recent years, deep learning techniques have attracted a lot of attention as a result of their high accuracy in different segmentation problems. We present a new deep learning based segmentation method, DeepMRSeg, that can be applied in a generic way to a variety of segmentation tasks. The proposed architecture combines recent advances in the field of biomedical image segmentation and computer vision. We use a modified UNet architectur…
Nanjing University of Information Science & Technology（南京信息工程大学）
Cerebrovascular accident, or commonly known as stroke, is an acute disease with extreme impact on patients and healthcare systems and is the second largest cause of death worldwide. Fast and precise stroke lesion detection and location is an extreme important process with regards to stroke diagnosis, treatment, and prognosis. Except from the manual segmentation approach, machine learning based segmentation methods are the most promising ones when considering efficiency and accuracy, and convolutional neural network based models are the first of its kind. However, most of these neural network m…
In search of truth: Evaluating concordance of AI-based anatomy segmentation models
RWTH Aachen University（亚琛工业大学）；Brigham and Women’s Hospital（布里格姆妇女医院）；PixelMed Publishing；University Hospital of Basel（巴塞尔大学医院）；Ludwig Maximilian University Munich（慕尼黑路德维希-马克西米利安大学）；NVIDIA（英伟达）；German Cancer Research Center (DKFZ)（德国癌症研究中心）；University of Zurich（苏黎世大学）；Isomics Inc（Isomics公司）
PAII Inc.（PAII公司）；Stony Brook University（石溪大学）；Harvard University（哈佛大学）；Ping An Technology（平安科技）；Changhai Hospital（长海医院）
The pancreatic disease taxonomy includes ten types of masses (tumors or cysts)[20,8]. Previous work focuses on developing segmentation or classification methods only for certain mass types. Differential diagnosis of all mass types is clinically highly desirable [20] but has not been investigated using an automated image understanding approach. We exploit the feasibility to distinguish pancreatic ductal adenocarcinoma (PDAC) from the nine other nonPDAC masses using multi-phase CT imaging. Both image appearance and the 3D organ-mass geometry relationship are critical. We propose a holistic segme…
We propose an atlas-based method to segment the intracochlear anatomy (ICA) in the post-implantation CT (Post-CT) images of cochlear implant (CI) recipients that preserves the point-to-point correspondence between the meshes in the atlas and the segmented volumes. To solve this problem, which is challenging because of the strong artifacts produced by the implant, we use a pair of co-trained deep networks that generate dense deformation fields (DDFs) in opposite directions. One network is tasked with registering an atlas image to the Post-CT images and the other network is tasked with registeri…
Memorial Sloan Kettering Cancer Center（纪念斯隆凯特琳癌症中心）
Vision transformers, with their ability to more efficiently model long-range context, have demonstrated impressive accuracy gains in several computer vision and medical image analysis tasks including segmentation. However, such methods need large labeled datasets for training, which is hard to obtain for medical image analysis. Self-supervised learning (SSL) has demonstrated success in medical image segmentation using convolutional networks. In this work, we developed a \underline{s}elf-distillation learning with \underline{m}asked \underline{i}mage modeling method to perform SSL for vision \u…
F2PASeg: Feature Fusion for Pituitary Anatomy Segmentation in Endoscopic Surgery
1Centre for Artificial Intelligence；Robotics, Hong Kong Institute of Science \& Innovation, Chinese Academy of Sciences 2The University of Hong Kong 3Peking Union Medical College Hospital, Chinese Academy of Medical Science
Brains with complex distortion of cerebral anatomy present several challenges to automatic tissue segmentation methods of T1-weighted MR images. First, the very high variability in the morphology of the tissues can be incompatible with the prior knowledge embedded within the algorithms. Second, the availability of MR images of distorted brains is very scarce, so the methods in the literature have not addressed such cases so far. In this work, we present the first evaluation of state-of-the-art automatic tissue segmentation pipelines on T1-weighted images of brains with different severity of co…
Anatomy-Preserving Latent Diffusion for Generation of Brain Segmentation Masks with Ischemic Infarct
Department of Diagnostic Imaging Hospital de la Santa Creu i Sant Pau Barcelona, Spain（诊断影像部门 塞拉·克鲁与圣帕乌医院 巴塞罗那西班牙）；Department of Medical Physics Hospital de la Santa Creu i Sant Pau Barcelona, Spain（医学物理部门 塞拉·克鲁与圣帕乌医院 巴塞罗那西班牙）
Full-Head Segmentation of MRI with Abnormal Brain Anatomy: Model and Data Release
The City College of New York（纽约市立学院）；New York University（纽约大学）；Georgetown University（乔治城大学）；University of North Carolina School of Medicine（北卡罗来纳大学医学院）；Soterix Medical
University of Edinburgh（爱丁堡大学）；Canon Medical Research Europe（佳能医疗欧洲研究中心）；The Alan Turing Institute（艾伦·图灵研究所）
Acquiring annotated data at scale with rare diseases or conditions remains a challenge. It would be extremely useful to have a method that controllably synthesizes images that can correct such underrepresentation. Assuming a proper latent representation, the idea of a "latent vector arithmetic" could offer the means of achieving such synthesis. A proper representation must encode the fidelity of the input data, preserve invariance and equivariance, and permit arithmetic operations. Motivated by the ability to disentangle images into spatial anatomy (tensor) factors and accompanying imaging (ve…
MRAnnotator: multi-Anatomy and many-Sequence MRI segmentation of 44 structures
BioMedical Engineering and Imaging Institute, Icahn School of Medicine at Mount Sinai（西奈山伊坎医学院生物医学工程与影像研究所）；Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai（西奈山伊坎医学院诊断、分子与介入放射学系）；Rotterdam School of Management, Erasmus University Rotterdam（伊拉斯姆斯大学鹿特丹管理学院）；East River Medical Imaging（东河医学影像中心）；Department of Radiology, Cornell Medicine（康奈尔医学院放射学系）；Windreich Department of Artificial Intelligence and Human Health, Icahn School of Medicine at Mount Sinai（西奈山伊坎医学院温赖克人工智能与人类健康系）
Department of Biomedical Engineering, Yale University（耶鲁大学生物医学工程系）；Department of Radiology & Biomedical Imaging, Yale School of Medicine（耶鲁大学医学院放射科与生物医学成像系）；Department of Electrical Engineering, Yale University（耶鲁大学电气工程系）；Department of Statistics & Data Science, Yale University（耶鲁大学统计与数据科学系）；Yale School of Medicine（耶鲁大学医学院）
Domain Adaptation (DA) has the potential to greatly help the generalization of deep learning models. However, the current literature usually assumes to transfer the knowledge from the source domain to a specific known target domain. Domain Agnostic Learning (DAL) proposes a new task of transferring knowledge from the source domain to data from multiple heterogeneous target domains. In this work, we propose the Domain-Agnostic Learning framework with Anatomy-Consistent Embedding (DALACE) that works on both domain-transfer and task-transfer to learn a disentangled representation, aiming to not o…
We hypothesize that probabilistic voxel-level classification of anatomy and malignancy in prostate MRI, although typically posed as near-identical segmentation tasks via U-Nets, require different loss functions for optimal performance due to inherent differences in their clinical objectives. We investigate distribution, region and boundary-based loss functions for both tasks across 200 patient exams from the publicly-available ProstateX dataset. For evaluation, we conduct a thorough comparative analysis of model predictions and calibration, measured with respect to multi-class volume segmentat…
Medical University Vienna（维也纳医科大学）；University of Vienna（维也纳大学）；NVIDIA Corporation（英伟达公司）
Diagnosis and treatment guidance are aided by detecting relevant biomarkers in medical images. Although supervised deep learning can perform accurate segmentation of pathological areas, it is limited by requiring a-priori definitions of these regions, large-scale annotations, and a representative patient cohort in the training set. In contrast, anomaly detection is not limited to specific definitions of pathologies and allows for training on healthy samples without annotation. Anomalous regions can then serve as candidates for biomarker discovery. Knowledge about normal anatomical structure br…
The goal of unsupervised anomaly segmentation (UAS) is to detect the pixel-level anomalies unseen during training. It is a promising field in the medical imaging community, e.g, we can use the model trained with only healthy data to segment the lesions of rare diseases. Existing methods are mainly based on Information Bottleneck, whose underlying principle is modeling the distribution of normal anatomy via learning to compress and recover the healthy data with a low-dimensional manifold, and then detecting lesions as the outlier from this learned distribution. However, this dimensionality redu…
Philips Research（飞利浦研究院）；Skolkovo Institute of Science and Technology（斯科尔科沃科技学院）
Domain Adaptation (DA) methods are widely used in medical image segmentation tasks to tackle the problem of differently distributed train (source) and test (target) data. We consider the supervised DA task with a limited number of annotated samples from the target domain. It corresponds to one of the most relevant clinical setups: building a sufficiently accurate model on the minimum possible amount of annotated data. Existing methods mostly fine-tune specific layers of the pretrained Convolutional Neural Network (CNN). However, there is no consensus on which layers are better to fine-tune, e.…
Anatomy-constrained modelling of image-derived input functions in dynamic PET using multi-organ segmentation
Department of diagnostic and interventional Radiology and Neuroradiology, University Hospital Augsburg（诊断与介入放射学及神经放射学系，奥格斯堡大学医院）；Computer-Aided Medical Procedures and Augmented Reality, Technical University of Munich（计算机辅助医疗程序与增强现实，慕尼黑技术大学）；Digital Medicine, University Hospital Augsburg（数字医学，奥格斯堡大学医院）；Center of Advanced Analytics and Predictive Sciences, University of Augsburg（高级分析与预测科学中心，奥格斯堡大学）
Brain Tissues Segmentation on MR Perfusion Images Using CUSUM Filter for Boundary Pixels
National Technical University of Ukraine “Igor Sikorsky Kyiv Polytechnic Institute”（乌克兰国立技术大学“伊戈尔·西科尔斯基基辅理工学院”）；Taras Shevchenko National University of Kyiv（基辅塔拉斯·舍甫琴科国立大学）
City College New York（纽约市立学院）；Memorial Sloan Kettering Cancer Center（纪念斯隆凯特琳癌症中心）
Purpose: Conventional automated segmentation of the head anatomy in MRI distinguishes different brain and non-brain tissues based on image intensities and prior tissue probability maps (TPM). This works well for normal head anatomies, but fails in the presence of unexpected lesions. Deep convolutional neural networks leverage instead spatial patterns and can learn to segment lesions, but often ignore prior probabilities. Approach: We add three sources of prior information to a three-dimensional convolutional network, namely, spatial priors with a TPM, morphological priors with conditional rand…
Organ image segmentation can be improved by implementing prior knowledge about the anatomy. One way of doing this is by training an autoencoder to learn a lowdimensional representation of the segmentation. In this paper, this is applied in multi-label prostate MR segmentation, with some positive results.
Automated surgical planning with nnU-Net: delineation of the anatomy in hepatobiliary phase MRI
The Netherlands Cancer Institute – Antoni van Leeuwenhoek（荷兰癌症研究所 – 安东尼·范·列文虎克）；National Center for Tumor Diseases (NCT), NCT/UCC Dresden（国家肿瘤疾病中心（NCT），NCT/UCC 德累斯顿）；DKFZ（德国癌症研究中心）；Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology（德累斯顿工业大学医学院及卡尔·古斯塔夫·卡鲁斯大学医院）；The Centre for Tactile Internet with Human-in-the-Loop (CeTI), TUD Dresden University of Technology（德累斯顿工业大学触觉互联网与人机协同中心）；University of Twente（特文特大学）
Bangladesh University of Engineering and Technology（孟加拉国工程技术大学）；Georgia Institute of Technology（佐治亚理工学院）
Thoracic disease detection from chest radiographs using deep learning methods has been an active area of research in the last decade. Most previous methods attempt to focus on the diseased organs of the image by identifying spatial regions responsible for significant contributions to the model's prediction. In contrast, expert radiologists first locate the prominent anatomical structures before determining if those regions are anomalous. Therefore, integrating anatomical knowledge within deep learning models could bring substantial improvement in automatic disease classification. Motivated by …
Medical image computing has advanced rapidly with the advent of deep learning techniques such as convolutional neural networks. Deep convolutional neural networks can perform exceedingly well given full supervision. However, the success of such fully-supervised models for various image analysis tasks (e.g., anatomy or lesion segmentation from medical images) is limited to the availability of massive amounts of labeled data. Given small sample sizes, such models are prohibitively data biased with large domain shift. To tackle this problem, we propose a novel end-to-end medical image segmentatio…
Computer-aided diagnosis (CAD) has long become an integral part of radiological management of breast disease, facilitating a number of important clinical applications, including quantitative assessment of breast density and early detection of malignancies based on X-ray mammography. Common to such applications is the need to automatically discriminate between breast tissue and adjacent anatomy, with the latter being predominantly represented by pectoralis major (or pectoral muscle). Especially in the case of mammograms acquired in the mediolateral oblique (MLO) view, the muscle is easily confu…
Two-View Topogram-Based Anatomy-Guided CT Reconstruction for Prospective Risk Minimization
Pattern Recognition Lab, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU)（埃尔朗根-纽伦堡大学模式识别实验室）；Division of X-Ray Imaging and Computed Tomography, German Cancer Research Center (DKFZ)（德国癌症研究中心X射线成像与计算机断层扫描部门）；Department of Physics and Astronomy, Ruprecht-Karls-University Heidelberg（海德堡大学物理与天文学系）；Department of Radiation Oncology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU)（埃尔朗根-纽伦堡大学埃尔朗根大学医院放射肿瘤科）；Department of Radiology and Nuclear Medicine, Klinikum Nürnberg, Paracelsus Medical University（帕拉塞尔苏斯医科大学纽伦堡医院放射与核医学科）
