This paper investigates discrepancies in how neural networks learn from different imaging domains, which are commonly overlooked when adopting computer vision techniques from the domain of natural images to other specialized domains such as medical images. Recent works have found that the generalization error of a trained network typically increases with the intrinsic dimension ($d_{data}$) of its training set. Yet, the steepness of this relationship varies significantly between medical (radiological) and natural imaging domains, with no existing theoretical explanation. We address this gap in knowledge by establishing and empirically validating a generalization scaling law with respect to $d_{data}$, and propose that the substantial scaling discrepancy between the two considered domains may be at least partially attributed to the higher intrinsic ``label sharpness'' ($K_\mathcal{F}$) of medical imaging datasets, a metric which we propose. Next, we demonstrate an additional benefit of measuring the label sharpness of a training set: it is negatively correlated with the trained model's adversarial robustness, which notably leads to models for medical images having a substantially higher vulnerability to adversarial attack. Finally, we extend our $d_{data}$ formalism to the related metric of learned representation intrinsic dimension ($d_{repr}$), derive a generalization scaling law with respect to $d_{repr}$, and show that $d_{data}$ serves as an upper bound for $d_{repr}$. Our theoretical results are supported by thorough experiments with six models and eleven natural and medical imaging datasets over a range of training set sizes. Our findings offer insights into the influence of intrinsic dataset properties on generalization, representation learning, and robustness in deep neural networks. Code link: https://github.com/mazurowski-lab/intrinsic-properties
Towards unraveling calibration biases in medical image analysis
Hospital Italiano de Buenos Aires(布宜诺斯艾利斯意大利医院);Universidad Tecnológica Nacional(国立技术大学);Research Institute for Signals, Systems and Computational Intelligence sinc(i) (FICH-UNL/CONICET)(信号、系统与计算智能研究所sinc(i)(FICH-UNL/阿根廷国家科学与技术研究理事会))
Huawei Cloud Computing Technologies Company Limited(华为云计算技术有限公司);Tianjin University(天津大学)
Machine learning based medical image analysis highly depends on datasets. Biases in the dataset can be learned by the model and degrade the generalizability of the applications. There are studies on debiased models. However, scientists and practitioners are difficult to identify implicit biases in the datasets, which causes lack of reliable unbias test datasets to valid models. To tackle this issue, we first define the data intrinsic bias attribute, and then propose a novel bias identification framework for medical image datasets. The framework contains two major components, KlotskiNet and Bia…
Medical image analysis benefits Computer Aided Diagnosis (CADx). A fundamental analyzing approach is the classification of medical images, which serves for skin lesion diagnosis, diabetic retinopathy grading, and cancer classification on histological images. When learning these discriminative classifiers, we observe that the convolutional neural networks (CNNs) are vulnerable to distractor interference. This is due to the similar sample appearances from different categories (i.e., small inter-class distance). Existing attempts select distractors from input images by empirically estimating thei…
Johns Hopkins University(约翰斯·霍普金斯大学);Johns Hopkins Hospital(约翰斯·霍普金斯医院);Technical University of Munich(慕尼黑工业大学)
We present a novel methodology to detect imperfect bilateral symmetry in CT of human anatomy. In this paper, the structurally symmetric nature of the pelvic bone is explored and is used to provide interventional image augmentation for treatment of unilateral fractures in patients with traumatic injuries. The mathematical basis of our solution is on the incorporation of attributes and characteristics that satisfy the properties of intrinsic and extrinsic symmetry and are robust to outliers. In the first step, feature points that satisfy intrinsic symmetry are automatically detected in the Möbiu…
Deep learning (DL) methods where interpretability is intrinsically considered as part of the model are required to better understand the relationship of clinical and imaging-based attributes with DL outcomes, thus facilitating their use in the reasoning behind medical decisions. Latent space representations built with variational autoencoders (VAE) do not ensure individual control of data attributes. Attribute-based methods enforcing attribute disentanglement have been proposed in the literature for classical computer vision tasks in benchmark data. In this paper, we propose a VAE approach, th…
Unlike natural images, medical images often have intrinsic characteristics that can be leveraged for neural network learning. For example, images that belong to different stages of a disease may continuously follow a certain progression pattern. In this paper, we propose a novel method that leverages disease progression learning for medical image recognition. In our method, sequences of images ordered by disease stages are learned by a neural network that consists of a shared vision model for feature extraction and a long short-term memory network for the learning of stage sequences. Auxiliary…
HCDG: A Hierarchical Consistency Framework for Domain Generalization on Medical Image Segmentation
The Hong Kong University of Science and Technology (Guangzhou)(香港科技大学(广州));University of Cambridge(剑桥大学);The Hong Kong University of Science and Technology(香港科技大学);The University of Hong Kong(香港大学)
The manifold hypothesis is a core mechanism behind the success of deep learning, so understanding the intrinsic manifold structure of image data is central to studying how neural networks learn from the data. Intrinsic dataset manifolds and their relationship to learning difficulty have recently begun to be studied for the common domain of natural images, but little such research has been attempted for radiological images. We address this here. First, we compare the intrinsic manifold dimensionality of radiological and natural images. We also investigate the relationship between intrinsic dime…
Recent research on formal verification for Collective Adaptive Systems (CAS) pushed advancements in spatial and spatio-temporal model checking, and as a side result provided novel image analysis methodologies, rooted in logical methods for topological spaces. Medical Imaging (MI) is a field where such technologies show potential for ground-breaking innovation. In this position paper, we present a preliminary investigation centred on applications of spatial model checking to MI. The focus is shifted from pure logics to a mixture of logical, statistical and algorithmic approaches, driven by the …
Stable Vision Concept Transformers for Medical Diagnosis
Provable Responsible AI and Data Analytics (PRADA) Lab(可证责任AI与数据分析实验室);King Abdullah University of Science and Technology(卡瓦尔大学科学与技术大学);Tsinghua University(清华大学);University of Auckland(奥克兰大学)
Multimodal Learning for Scalable Representation of High-Dimensional Medical Data
Kimia Lab, Dept. of Artificial Intelligence & Informatics, Mayo Clinic, Rochester, MN, USA(Kimia实验室,人工智能与信息学系,梅奥诊所,罗切斯特,MN,美国);Division of Computational Biology, Dept. of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA(计算生物学部门,定量健康科学系,梅奥诊所,罗切斯特,MN,美国)
Université de Sherbrooke(舍布鲁克大学);Imagia cybernetics(Imagia cybernetics公司);Google(谷歌);Imeka Inc.(Imeka公司)
Segmentation of focal (localized) brain pathologies such as brain tumors and brain lesions caused by multiple sclerosis and ischemic strokes are necessary for medical diagnosis, surgical planning and disease development as well as other applications such as tractography. Over the years, attempts have been made to automate this process for both clinical and research reasons. In this regard, machine learning methods have long been a focus of attention. Over the past two years, the medical imaging field has seen a rise in the use of a particular branch of machine learning commonly known as deep l…
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)
The performance of medical image classification has been enhanced by deep convolutional neural networks (CNNs), which are typically trained with cross-entropy (CE) loss. However, when the label presents an intrinsic ordinal property in nature, e.g., the development from benign to malignant tumor, CE loss cannot take into account such ordinal information to allow for better generalization. To improve model generalization with ordinal information, we propose a novel meta ordinal regression forest (MORF) method for medical image classification with ordinal labels, which learns the ordinal relatio…
University of Oxford(牛津大学);University College London(伦敦大学学院);Thames Valley Deanery(泰晤士谷医学院);TU Wien(维也纳工业大学)
Most deep learning algorithms lack explanations for their predictions, which limits their deployment in clinical practice. Approaches to improve explainability, especially in medical imaging, have often been shown to convey limited information, be overly reassuring, or lack robustness. In this work, we introduce the task of generating natural language explanations (NLEs) to justify predictions made on medical images. NLEs are human-friendly and comprehensive, and enable the training of intrinsically explainable models. To this goal, we introduce MIMIC-NLE, the first, large-scale, medical imagi…
Fudan University(复旦大学);University of Washington(华盛顿大学)
Multimodal groupwise registration aligns internal structures in a group of medical images. Current approaches to this problem involve developing similarity measures over the joint intensity profile of all images, which may be computationally prohibitive for large image groups and unstable under various conditions. To tackle these issues, we propose BInGo, a general unsupervised hierarchical Bayesian framework based on deep learning, to learn intrinsic structural representations to measure the similarity of multimodal images. Particularly, a variational auto-encoder with a novel posterior is pr…
I2I-Mamba: Multi-modal medical image synthesis via selective state space modeling
Department of Electrical and Electronics Engineering, and National Magnetic Resonance Research Center, Bilkent University(电子工程系和国家磁共振研究中心,比尔肯特大学);Department of Electrical Engineering, Stanford University(电气工程系,斯坦福大学)
Advancing Medical Radiograph Representation Learning: A Hybrid Pre-training Paradigm with Multilevel Semantic Granularity
The Chinese University of Hong Kong, Shenzhen(香港中文大学(深圳));The University of Georgia(佐治亚大学);Northwestern Polytechnical University(西北工业大学);University of Illinois at Urbana-Champaign(伊利诺伊大学厄巴纳-香槟分校)
SimulaMet(西穆拉大都会研究所);UIT The Artic University of Norway(挪威UIT北极大学);Sahlgrenska University Hospital-Mölndal(萨尔格伦斯卡大学医院-默恩达尔);Swedish Medical Group(瑞典医疗集团);Oslo Metropolitan University(奥斯陆城市大学);Norwegian University of Science and Technology(挪威科技大学)
Deep learning has in recent years achieved immense success in all areas of computer vision and has the potential of assisting medical doctors in analyzing visual content for disease and other abnormalities. However, the current state of deep learning is very much a black box, making medical professionals highly skeptical about integrating these methods into clinical practice. Several methods have been proposed in order to shine some light onto these black boxes, but there is no consensus on the opinion of the medical doctors that will consume these explanations. This paper presents a study ask…
Evaluating Post-hoc Interpretability with Intrinsic Interpretability
University of Coimbra(科英布拉大学);IPO-Porto Research Centre(波尔图肿瘤学研究所研究中心);University of Applied Sciences Western Switzerland (HES-SO Valais)(瑞士西部应用科学大学(瓦莱州高等专业学院))
SSFMamba: Learning Symmetry-driven Spatial-Frequency Modeling for Physically Consistent 3D Medical Image Segmentation
State Key Laboratory of Networking and Switching Technology, School of Computer Science (National Pilot Software Engineering School), Beijing University of Posts and Telecommunications(网络与交换技术国家重点实验室,计算机学院(国家试点软件工程学院),北京邮电大学);School of Intelligent Engineering and Automation, Beijing University of Posts and Telecommunications(智能工程与自动化学院,北京邮电大学);School of Information Science and Technology, University of Science and Technology of China(信息科学与技术学院,中国科学技术大学)
LLaVA-RadZ: Can Multimodal Large Language Models Effectively Tackle Zero-shot Radiology Recognition?
East China Normal University(华东师范大学);The Chinese University of Hong Kong(香港中文大学);Northwest A&F University(西北农林科技大学);Tencent Youtu Lab(腾讯优图实验室);Xiamen University(厦门大学)
Sichuan Normal University(四川师范大学);The Chinese University of Hong Kong, Shenzhen(香港中文大学(深圳))
Transformers have achieved remarkable success in medical image analysis owing to their powerful capability to use flexible self-attention mechanism. However, due to lacking intrinsic inductive bias in modeling visual structural information, they generally require a large-scale pre-training schedule, limiting the clinical applications over expensive small-scale medical data. To this end, we propose a parameter-efficient transformer to explore intrinsic inductive bias via position information for medical image segmentation. Specifically, we empirically investigate how different position encoding…
Computer-assisted diagnosis (CAD) based on deep learning has become a crucial diagnostic technology in the medical industry, effectively improving diagnosis accuracy. However, the scarcity of brain tumor Magnetic Resonance (MR) image datasets causes the low performance of deep learning algorithms. The distribution of transformed images generated by traditional data augmentation (DA) intrinsically resembles the original ones, resulting in a limited performance in terms of generalization ability. This work improves Progressive Growing of GANs with a structural similarity loss function (PGGAN-SSI…
National Institute of Technology Karnataka(卡纳塔克邦国家理工学院)
Medical Image Retrieval is a challenging field in Visual information retrieval, due to the multi-dimensional and multi-modal context of the underlying content. Traditional models often fail to take the intrinsic characteristics of data into consideration, and have thus achieved limited accuracy when applied to medical images. The Bag of Visual Words (BoVW) is a technique that can be used to effectively represent intrinsic image features in vector space, so that applications like image classification and similar-image search can be optimized. In this paper, we present a MedIR approach based on …
College of Computer Science and Technology, Huaqiao University(华侨大学计算机科学与技术学院);School of Economics and Finance, Huaqiao University(华侨大学经济与金融学院)
Despite the remarkable performance of deep learning methods on various tasks, most cutting-edge models rely heavily on large-scale annotated training examples, which are often unavailable for clinical and health care tasks. The labeling costs for medical images are very high, especially in medical image segmentation, which typically requires intensive pixel/voxel-wise labeling. Therefore, the strong capability of learning and generalizing from limited supervision, including a limited amount of annotations, sparse annotations, and inaccurate annotations, is crucial for the successful applicatio…
IBM Research China(IBM中国研究院);IBM Research, Almaden Research Center(IBM研究院阿尔马登研究中心)
Visual Question Answering (VQA) becomes one of the most active research problems in the medical imaging domain. A well-known VQA challenge is the intrinsic diversity between the image and text modalities, and in the medical VQA task, there is another critical problem relying on the limited size of labelled image-question-answer data. In this study we propose an encoder-decoder framework that leverages the image-text joint representation learned from large-scaled medical image-caption data and adapted to the small-sized medical VQA task. The encoder embeds across the image-text dual modalities …
From Noisy Labels to Intrinsic Structure: A Geometric-Structural Dual-Guided Framework for Noise-Robust Medical Image Segmentation
College of physics;information engineering, Fuzhou University, Xueyuan Road No.2, Fuzhou, 350108, China;Bioengineering Department;Imperial-X, Imperial College London, London W12 7SL, UK;Lung Institute, Imperial College London, London SW7 2AZ, UK;Cardiovascular Research Centre, Royal Brompton Hospital, London SW3 6NP, UK;School of Biomedical Engineering \& Imaging Sciences, King's College London, London WC2R 2LS, UK;Faculty of Applied Science, Macao Polytechnic University, Macao Special Administrative Region of China
RWTH Aachen University(亚琛工业大学);Iran University of Science and Technology(伊朗科技大学);Tehran University of Medical Sciences(德黑兰医科大学);Shahid Beheshti University(沙希德·贝赫什提大学);Stanford University(斯坦福大学);Fraunhofer Institute for Digital Medicine MEVIS(弗劳恩霍夫数字医学研究所MEVIS)
Convolutional neural networks (CNNs) have been the de facto standard in a diverse set of computer vision tasks for many years. Especially, deep neural networks based on seminal architectures such as U-shaped models with skip-connections or atrous convolution with pyramid pooling have been tailored to a wide range of medical image analysis tasks. The main advantage of such architectures is that they are prone to detaining versatile local features. However, as a general consensus, CNNs fail to capture long-range dependencies and spatial correlations due to the intrinsic property of confined rece…
The University of Tokyo(东京大学);LPIXEL Inc.(LPIXEL公司);National Institute of Informatics(国立信息学研究所);University of Cambridge(剑桥大学);Keio University(庆应义塾大学)
Despite the success of Convolutional Neural Network-based Computer-Aided Diagnosis research, its clinical applications remain challenging. Accordingly, developing medical Artificial Intelligence (AI) fitting into a clinical environment requires identifying/bridging the gap between AI and Healthcare sides. Since the biggest problem in Medical Imaging lies in data paucity, confirming the clinical relevance for diagnosis of research-proven image augmentation techniques is essential. Therefore, we hold a clinically valuable AI-envisioning workshop among Japanese Medical Imaging experts, physicians…
United States Food and Drug Administration(美国食品药品监督管理局)
Machine learning-based segmentation in medical imaging is widely used in clinical applications from diagnostics to radiotherapy treatment planning. Segmented medical images with ground truth are useful for investigating the properties of different segmentation performance metrics to inform metric selection. Regular geometrical shapes are often used to synthesize segmentation errors and illustrate properties of performance metrics, but they lack the complexity of anatomical variations in real images. In this study, we present a tool to emulate segmentations by adjusting the reference (truth) ma…