As acquiring MRIs is expensive, neuroscience studies struggle to attain a sufficient number of them for properly training deep learning models. This challenge could be reduced by MRI synthesis, for which Generative Adversarial Networks (GANs) are popular. GANs, however, are commonly unstable and struggle with creating diverse and high-quality data. A more stable alternative is Diffusion Probabilistic Models (DPMs) with a fine-grained training strategy. To overcome their need for extensive computational resources, we propose a conditional DPM (cDPM) with a memory-efficient process that generates realistic-looking brain MRIs. To this end, we train a 2D cDPM to generate an MRI subvolume conditioned on another subset of slices from the same MRI. By generating slices using arbitrary combinations between condition and target slices, the model only requires limited computational resources to learn interdependencies between slices even if they are spatially far apart. After having learned these dependencies via an attention network, a new anatomy-consistent 3D brain MRI is generated by repeatedly applying the cDPM. Our experiments demonstrate that our method can generate high-quality 3D MRIs that share a similar distribution to real MRIs while still diversifying the training set. The code is available at https://github.com/xiaoiker/mask3DMRI_diffusion and also will be released as part of MONAI, at https://github.com/Project-MONAI/GenerativeModels.
Metadata-Conditioned Generative Models to Synthesize Anatomically-Plausible 3D Brain MRIs
Stanford University（斯坦福大学）；University of Missouri（密苏里大学）；Missouri Institute of Mental Health（密苏里精神卫生研究所）；Weill Cornell Medicine（威尔康奈尔医学院）；SRI International（SRI国际研究所）
MRExtrap: Longitudinal Aging of Brain MRIs using Linear Modeling in Latent Space
University of Tübingen（图宾根大学）；Tübingen AI Center（图宾根人工智能中心）；Max Planck Institute for Intelligent Systems（马克斯·普朗克智能系统研究所）；Cluster of Excellence: Machine Learning – New Perspectives for Science（卓越中心：机器学习——科学的新视角）；University of Lucerne（卢塞恩大学）
Multimodal brain tumor segmentation challenge (BraTS) brings together researchers to improve automated methods for 3D MRI brain tumor segmentation. Tumor segmentation is one of the fundamental vision tasks necessary for diagnosis and treatment planning of the disease. Previous years winning methods were all deep-learning based, thanks to the advent of modern GPUs, which allow fast optimization of deep convolutional neural network architectures. In this work, we explore best practices of 3D semantic segmentation, including conventional encoder-decoder architecture, as well combined loss functio…
Another year of the multimodal brain tumor segmentation challenge (BraTS) 2021 provides an even larger dataset to facilitate collaboration and research of brain tumor segmentation methods, which are necessary for disease analysis and treatment planning. A large dataset size of BraTS 2021 and the advent of modern GPUs provide a better opportunity for deep-learning based approaches to learn tumor representation from the data. In this work, we maintained an encoder-decoder based segmentation network, but focused on a modification of network training process that minimizes redundancy under perturb…
Magnetic Resonance Images (MRIs) are extremely used in the medical field to detect and better understand diseases. In order to fasten automatic processing of scans and enhance medical research, this project focuses on automatically segmenting targeted parts of MRIs and generating new MRI datasets from random noise. More specifically, a Deep Neural Network architecture called U-net is used to segment bones and cartilages of Knee MRIs, and several Generative Adversarial Networks (GANs) are compared and tuned to create new realistic and high quality brain MRIs that can be used as training set for…
Evaluation of 3D Counterfactual Brain MRI Generation
Wu Tsai Neurosciences Institute, Stanford University, Stanford, CA, USA Department of Radiology, Stanford University, Stanford, CA, USA Dept. of Psychiatry \& Behavioral Sciences, Stanford University, Stanford, CA, USA Department of Computer Science, Stanford University, Stanford, CA, USA Department of Bioengineering, Stanford University, Stanford, CA, USA Department of Electrical Engineering, Stanford University, Stanford, CA, USA
Fluid intelligence (Gf) has been defined as the ability to reason and solve previously unseen problems. Links to Gf have been found in magnetic resonance imaging (MRI) sequences such as functional MRI and diffusion tensor imaging. As part of the Adolescent Brain Cognitive Development Neurocognitive Prediction Challenge 2019, we sought to predict Gf in children aged 9-10 from T1-weighted (T1W) MRIs. The data included atlas-aligned volumetric T1W images, atlas-defined segmented regions, age, and sex for 3739 subjects used for training and internal validation and 415 subjects used for external va…
University of Oulu（奥卢大学）；KFUPM（法赫德国王石油与矿业大学）；King Fahd Specialist Hospital Dammam（达曼法赫德国王专科医院）
Introduction: Multiple Sclerosis (MS) is a chronic disease that affects millions of people across the globe. MS can critically affect different organs of the central nervous system such as the eyes, the spinal cord, and the brain. Background: To help physicians in diagnosing MS lesions, computer-aided methods are widely used. In this regard, a considerable research has been carried out in the area of automatic detection and segmentation of MS lesions in magnetic resonance images (MRIs). Methodology: In this study, we review the different approaches that have been used in computer-aided detecti…
Institute of Medical Technology and Intelligent Systems, Hamburg University of Technology（汉堡工业大学医疗技术与智能系统研究所）；jung diagnostics GmbH（jung diagnostics GmbH公司）；Hamburg University of Technology（汉堡工业大学）
Lesion detection in brain Magnetic Resonance Images (MRIs) remains a challenging task. MRIs are typically read and interpreted by domain experts, which is a tedious and time-consuming process. Recently, unsupervised anomaly detection (UAD) in brain MRI with deep learning has shown promising results to provide a quick, initial assessment. So far, these methods only rely on the visual appearance of healthy brain anatomy for anomaly detection. Another biomarker for abnormal brain development is the deviation between the brain age and the chronological age, which is unexplored in combination with …
Automated MRI Quality Assessment of Brain T1-weighted MRI in Clinical Data Warehouses: A Transfer Learning Approach Relying on Artefact Simulation
Sorbonne Université（索邦大学）；Institut du Cerveau – Paris Brain Institute - ICM（大脑研究所——巴黎脑研究所 - ICM）；CNRS（法国国家科学研究中心）；Inria（法国国家信息与自动化研究所）；Inserm（法国国家健康与医学研究院）；AP-HP（巴黎公共医疗集团）；Hôpital de la Pitié-Salpêtrière（皮蒂-萨尔皮特里医院）
University of Tennessee Health Science Center（田纳西大学健康科学中心）；Le Bonheur Children’s Hospital（勒邦赫尔儿童医院）；University of Memphis（孟菲斯大学）
Human brain development is rapid during infancy and early childhood. Many disease processes impair this development. Therefore, brain developmental age estimation (BDAE) is essential for all diseases affecting cognitive development. Brain magnetic resonance imaging (MRI) of infants shows brain growth and morphologic patterns during childhood. Therefore, we can estimate the developmental age from brain images. However, MRI analysis is time-consuming because each scan contains millions of data points (voxels). We investigated the three-dimensional convolutional neural network (3D CNN), a deep le…
Otto von Guericke University Magdeburg（马格德堡奥托·冯·格里克大学）；Center for Behavioral Brain Sciences（行为脑科学研究中心）；German Center for Neurodegenerative Disease（德国神经退行性疾病研究中心）
Expert interpretation of anatomical images of the human brain is the central part of neuro-radiology. Several machine learning-based techniques have been proposed to assist in the analysis process. However, the ML models typically need to be trained to perform a specific task, e.g., brain tumour segmentation or classification. Not only do the corresponding training data require laborious manual annotations, but a wide variety of abnormalities can be present in a human brain MRI - even more than one simultaneously, which renders representation of all possible anomalies very challenging. Hence, …
Romanian Institute of Science and Technology（罗马尼亚科学技术研究所）；Babeş-Bolyai University（巴贝什-博尧依大学）
Anomaly detection for Magnetic Resonance Images (MRIs) can be solved with unsupervised methods by learning the distribution of healthy images and identifying anomalies as outliers. In presence of an additional dataset of unlabelled data containing also anomalies, the task can be framed as a semi-supervised task with negative and unlabelled sample points. Recently, in Albu et al., 2020, we have proposed a slice-wise semi-supervised method for tumour detection based on the computation of a dissimilarity function in the latent space of a Variational AutoEncoder, trained on unlabelled data. The di…
University of California, Los Angeles（加利福尼亚大学洛杉矶分校）；Chung-Ang University（中央大学）
We present a method to segment MRI scans of the human brain into ischemic stroke lesion and normal tissues. We propose a neural network architecture in the form of a standard encoder-decoder where predictions are guided by a spatial expansion embedding network. Our embedding network learns features that can resolve detailed structures in the brain without the need for high-resolution training images, which are often unavailable and expensive to acquire. Alternatively, the encoder-decoder learns global structures by means of striding and max pooling. Our embedding network complements the encode…
A multi-institutional pediatric dataset of clinical radiology MRIs by the Children's Brain Tumor Network
Children’s Hospital of Philadelphia（费城儿童医院）；Perelman School of Medicine, University of Pennsylvania（宾夕法尼亚大学佩雷尔曼医学院）；National Cancer Institute（美国国家癌症研究所）；Children's National Hospital（儿童国家医院）；Sheikh Zayed Institute for Pediatric Surgical Innovation（谢赫扎耶德儿科外科创新研究院）
Rowan University（罗文大学）；University of Alabama at Birmingham（阿拉巴马大学伯明翰分校）
Magnetic resonance imaging (MRI) is routinely used for brain tumor diagnosis, treatment planning, and post-treatment surveillance. Recently, various models based on deep neural networks have been proposed for the pixel-level segmentation of tumors in brain MRIs. However, the structural variations, spatial dissimilarities, and intensity inhomogeneity in MRIs make segmentation a challenging task. We propose a new end-to-end brain tumor segmentation architecture based on U-Net that integrates Inception modules and dilated convolutions into its contracting and expanding paths. This allows us to ex…
Hosei University（法政大学）；Johns Hopkins University School of Medicine（约翰斯·霍普金斯大学医学院）
Increasing numbers of MRI brain scans, improvements in image resolution, and advancements in MRI acquisition technology are causing significant increases in the demand for and burden on radiologists' efforts in terms of reading and interpreting brain MRIs. Content-based image retrieval (CBIR) is an emerging technology for reducing this burden by supporting the reading of medical images. High dimensionality is a major challenge in developing a CBIR system that is applicable for 3D brain MRIs. In this study, we propose a system called disease-oriented data concentration with metric learning (DDC…
Automatic segmentation of brain abnormalities is challenging, as they vary considerably from one pathology to another. Current methods are supervised and require numerous annotated images for each pathology, a strenuous task. To tackle anatomical variability, Unsupervised Anomaly Detection (UAD) methods are proposed, detecting anomalies as outliers of a healthy model learned using a Variational Autoencoder (VAE). Previous work on UAD adopted a 2D approach, meaning that MRIs are processed as a collection of independent slices. Yet, it does not fully exploit the spatial information contained in …
School of Biomedical Engineering & Imaging Sciences, King’s College London, UK（伦敦国王学院生物医学工程与成像科学学院）；Department of Radiology, University Hospitals Leuven, Belgium（鲁汶大学医院放射科）；Institute for Women’s Health, University College London, UK（伦敦大学学院妇女健康研究所）；Department of Obstetrics and Gynaecology, University Hospitals Leuven, Belgium（鲁汶大学医院妇产科）；Department of Gynecology and Obstetrics, University Hospitals Tanta, Egypt（坦塔大学医院妇产科）；Department of Biomedical Imaging and Image-guided Therapy Medical University of Vienna, Austria（维也纳医科大学生物医学成像与图像引导治疗系）
The performance of deep neural networks typically increases with the number of training images. However, not all images have the same importance towards improved performance and robustness. In fetal brain MRI, abnormalities exacerbate the variability of the developing brain anatomy compared to non-pathological cases. A small number of abnormal cases, as is typically available in clinical datasets used for training, are unlikely to fairly represent the rich variability of abnormal developing brains. This leads machine learning systems trained by maximizing the average performance to be biased t…
SFCNeXt: a simple fully convolutional network for effective brain age estimation with small sample size
Zhejiang University（浙江大学）；Binjiang Institute of Zhejiang University（浙江大学滨江研究院）；Arizona State University（亚利桑那州立大学）；The First Hospital of Lanzhou University（兰州大学第一医院）
Institute of Medical Technology and Intelligent Systems, Hamburg University of Technology（汉堡工业大学医学技术与智能系统研究所）；jung diagnostics GmbH（jung diagnostics 有限公司）
Purpose. Brain Magnetic Resonance Images (MRIs) are essential for the diagnosis of neurological diseases. Recently, deep learning methods for unsupervised anomaly detection (UAD) have been proposed for the analysis of brain MRI. These methods rely on healthy brain MRIs and eliminate the requirement of pixel-wise annotated data compared to supervised deep learning. While a wide range of methods for UAD have been proposed, these methods are mostly 2D and only learn from MRI slices, disregarding that brain lesions are inherently 3D and the spatial context of MRI volumes remains unexploited. Metho…
Segmentation of the developing fetal brain is an important step in quantitative analyses. However, manual segmentation is a very time-consuming task which is prone to error and must be completed by highly specialized indi-viduals. Super-resolution reconstruction of fetal MRI has become standard for processing such data as it improves image quality and resolution. However, dif-ferent pipelines result in slightly different outputs, further complicating the gen-eralization of segmentation methods aiming to segment super-resolution data. Therefore, we propose using transfer learning with noisy mul…
Mayo Clinic（梅奥诊所）；Moffitt Cancer Center and Research Institute（莫菲特癌症中心与研究所）
Whole brain extraction, also known as skull stripping, is a process in neuroimaging in which non-brain tissue such as skull, eyeballs, skin, etc. are removed from neuroimages. Skull striping is a preliminary step in presurgical planning, cortical reconstruction, and automatic tumor segmentation. Despite a plethora of skull stripping approaches in the literature, few are sufficiently accurate for processing pathology-presenting MRIs, especially MRIs with brain tumors. In this work we propose a deep learning approach for skull striping common MRI sequences in oncology such as T1-weighted with ga…
University of Tübingen（图宾根大学）；Max Planck Institute for Intelligent Systems（马克斯·普朗克智能系统研究所）
Generative modeling of 3D brain MRIs presents difficulties in achieving high visual fidelity while ensuring sufficient coverage of the data distribution. In this work, we propose to address this challenge with composable, multiscale morphological transformations in a variational autoencoder (VAE) framework. These transformations are applied to a chosen reference brain image to generate MRI volumes, equipping the model with strong anatomical inductive biases. We structure the VAE latent space in a way such that the model covers the data distribution sufficiently well. We show substantial perfor…
Brain tumor is one of the most high-risk cancers which causes the 5-year survival rate of only about 36%. Accurate diagnosis of brain tumor is critical for the treatment planning. However, complete data are not always available in clinical scenarios. In this paper, we propose a novel brain tumor segmentation network to deal with the missing data issue. To compensate for missing data, we propose to use a conditional generator to generate the missing modality under the condition of the available modalities. As the multi-modality has a strong correlation in tumor region, we design a correlation c…
Language Models for Automated Classification of Brain MRI Reports and Growth Chart Generation
Children’s Hospital of Philadelphia (CHOP)（费城儿童医院）；Lifespan Brain Institute (LiBI)（Lifespan脑研究所）；Penn Medicine（宾夕法尼亚大学医学院）；University of Pennsylvania（宾夕法尼亚大学）；Geisinger（盖辛格医疗中心）；Drexel University（德雷塞尔大学）
Image-based brain cancer prediction models, based on radiomics, quantify the radiologic phenotype from magnetic resonance imaging (MRI). However, these features are difficult to reproduce because of variability in acquisition and preprocessing pipelines. Despite evidence of intra-tumor phenotypic heterogeneity, the spatial diversity between different slices within an MRI scan has been relatively unexplored using such methods. In this work, we propose a deep anchor attention aggregation strategy with a Vision Transformer to predict survival risk for brain cancer patients. A Deep Anchor Attentio…
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…
Otto von Guericke University Magdeburg（马格德堡奥托·冯·格里克大学）；University Hospital Magdeburg（马格德堡大学医院）；German Centre for Neurodegenerative Diseases（德国神经退行性疾病中心）；Center for Behavioral Brain Sciences（行为脑科学中心）；Leibniz Institute for Neurobiology（莱布尼茨神经生物学研究所）；MedDigit
Diffusion-weighted magnetic resonance imaging (DW-MRI) can be used to characterise the microstructure of the nervous tissue, e.g. to delineate brain white matter connections in a non-invasive manner via fibre tracking. Magnetic Resonance Imaging (MRI) in high spatial resolution would play an important role in visualising such fibre tracts in a superior manner. However, obtaining an image of such resolution comes at the expense of longer scan time. Longer scan time can be associated with the increase of motion artefacts, due to the patient's psychological and physical conditions. Single Image S…
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
King’s College London（伦敦国王学院）；University Hospitals Leuven（鲁汶大学医院）；Technical University of Munich（慕尼黑工业大学）；University College London（伦敦大学学院）
This paper describes our method for our participation in the FeTA challenge2021 (team name: TRABIT). The performance of convolutional neural networks for medical image segmentation is thought to correlate positively with the number of training data. The FeTA challenge does not restrict participants to using only the provided training data but also allows for using other publicly available sources. Yet, open access fetal brain data remains limited. An advantageous strategy could thus be to expand the training data to cover broader perinatal brain imaging sources. Perinatal brain MRIs, other tha…
As intensities of MRI volumes are inconsistent across institutes, it is essential to extract universal features of multi-modal MRIs to precisely segment brain tumors. In this concept, we propose a volumetric vision transformer that follows two windowing strategies in attention for extracting fine features and local distributional smoothness (LDS) during model training inspired by virtual adversarial training (VAT) to make the model robust. We trained and evaluated network architecture on the FeTS Challenge 2022 dataset. Our performance on the online validation dataset is as follows: Dice Simil…
A Dempster-Shafer approach to trustworthy AI with application to fetal brain MRI segmentation
University Hospitals Leuven（鲁汶大学医院）；Technical University Munich（慕尼黑工业大学）；University Hospital Zurich（苏黎世大学医院）；University of Zurich（苏黎世大学）；University College London（伦敦大学学院）；University Hospitals Tanta（坦塔大学医院）；Medical University of Vienna（维也纳医科大学）
Université Côte d’Azur（蔚蓝海岸大学）；Inria（法国国家信息与自动化研究所）；Centre Antoine Lacassagne（安托万·拉卡桑中心）
Planning of radiotherapy involves accurate segmentation of a large number of organs at risk, i.e. organs for which irradiation doses should be minimized to avoid important side effects of the therapy. We propose a deep learning method for segmentation of organs at risk inside the brain region, from Magnetic Resonance (MR) images. Our system performs segmentation of eight structures: eye, lens, optic nerve, optic chiasm, pituitary gland, hippocampus, brainstem and brain. We propose an efficient algorithm to train neural networks for an end-to-end segmentation of multiple and non-exclusive class…
Medical University of Vienna（维也纳医科大学）；Intel（英特尔公司）；Lobachevsky State University（罗巴切夫斯基国立大学）
The segmentation of brain tumors in multimodal MRIs is one of the most challenging tasks in medical image analysis. The recent state of the art algorithms solving this task is based on machine learning approaches and deep learning in particular. The amount of data used for training such models and its variability is a keystone for building an algorithm with high representation power. In this paper, we study the relationship between the performance of the model and the amount of data employed during the training process. On the example of brain tumor segmentation challenge, we compare the model…
The University of California San Francisco Brain Metastases Stereotactic Radiosurgery (UCSF-BMSR) MRI Dataset
University of California San Francisco（加州大学旧金山分校）；University of California, San Diego（加州大学圣地亚哥分校）；University of Pennsylvania（宾夕法尼亚大学）；Duke University（杜克大学）
Imperial College London（伦敦帝国学院）；King’s College London（伦敦国王学院）；FAU Erlangen-Nürnberg（埃尔朗根-纽伦堡大学）；Technical University of Munich（慕尼黑工业大学）
Fetal Magnetic Resonance Imaging (MRI) is used in prenatal diagnosis and to assess early brain development. Accurate segmentation of the different brain tissues is a vital step in several brain analysis tasks, such as cortical surface reconstruction and tissue thickness measurements. Fetal MRI scans, however, are prone to motion artifacts that can affect the correctness of both manual and automatic segmentation techniques. In this paper, we propose a novel network structure that can simultaneously generate conditional atlases and predict brain tissue segmentation, called CAS-Net. The condition…
Connectivity information derived from diffusion-weighted magnetic resonance images~(DW-MRIs) plays an important role in studying human subcortical gray matter structures. However, due to the $O(N^2)$ complexity of computing the connectivity of each voxel to every other voxel (or multiple ROIs), the current practice of extracting connectivity information is highly inefficient. This makes the processing of high-resolution images and population-level analyses very computationally demanding. To address this issue, we propose a more efficient way to extract connectivity information; briefly, we con…
SynthBA: Reliable Brain Age Estimation Across Multiple MRI Sequences and Resolutions
Dept. of Math and Computer Science（数学与计算机科学系）；Department of Neuroinflammation（神经炎症系）；School of Physics, Engineering and CS（物理、工程与计算机科学学校）；University of Hertfordshire（赫特福德大学）
