Patients diagnosed with metastatic breast cancer (mBC) typically undergo several radiographic assessments during their treatment. mBC often involves multiple metastatic lesions in different organs, it is imperative to accurately track and assess these lesions to gain a comprehensive understanding of the disease's response to treatment. Computerized analysis methods that rely on lesion-level tracking have often used manual matching of corresponding lesions, a time-consuming process that is prone to errors. This paper introduces an automated lesion correspondence algorithm designed to precisely track both targets' lesions and non-targets' lesions in longitudinal data. Here we demonstrate the applicability of our algorithm on the anonymized data from two Phase III trials. The dataset contains imaging data of patients for different follow-up timepoints and the radiologist annotations for the patients enrolled in the trials. Target and non-target lesions are annotated by either one or two groups of radiologists. To facilitate accurate tracking, we have developed a registration-assisted lesion correspondence algorithm. The algorithm employs a sequential two-step pipeline: (a) Firstly, an adaptive Hungarian algorithm is used to establish correspondence among lesions within a single volumetric image series which have been annotated by multiple radiologists at a specific timepoint. (b) Secondly, after establishing correspondence and assigning unique names to the lesions, three-dimensional rigid registration is applied to various image series at the same timepoint. Registration is followed by ongoing lesion correspondence based on the adaptive Hungarian algorithm and updating lesion names for accurate tracking. Validation of our automated lesion correspondence algorithm is performed through triaxial plots based on axial, sagittal, and coronal views, confirming its efficacy in matching lesions.
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）
Brain lesions, including stroke and tumours, have a high degree of variability in terms of location, size, intensity and form, making automatic segmentation difficult. We propose an improvement to existing segmentation methods by exploiting the bilateral quasi-symmetry of healthy brains, which breaks down when lesions are present. Specifically, we use nonlinear registration of a neuroimage to a reflected version of itself ("reflective registration") to determine for each voxel its homologous (corresponding) voxel in the other hemisphere. A patch around the homologous voxel is added as a set of…
Deep learning and classical computer vision techniques in medical image analysis: Case studies on brain MRI tissue segmentation, lung CT COPD registration, and skin lesion classification
University of Exeter（埃克塞特大学）；Georgia Institute of Technology（佐治亚理工学院）；Emory University（埃默里大学）；Sorbonne Université（索邦大学）
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）
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…
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…
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 …
University of Cambridge（剑桥大学）；Cancer Research UK Cambridge Centre（英国癌症研究中心剑桥中心）；Medical University Vienna（维也纳医科大学）；Cambridge University Hospitals National Health Service (NHS) Foundation Trust（剑桥大学医院国民保健服务基金会信托）；Eindhoven University of Technology（埃因霍温理工大学）；Leiden University（莱顿大学）；University College London（伦敦大学学院）；Cancer Research UK Cambridge Institute（英国癌症研究中心剑桥研究所）
This study investigates the use of the unsupervised deep learning framework VoxelMorph for deformable registration of longitudinal abdominopelvic CT images acquired in patients with bone metastases from breast cancer. The CT images were refined prior to registration by automatically removing the CT table and all other extra-corporeal components. To improve the learning capabilities of VoxelMorph when only a limited amount of training data is available, a novel incremental training strategy is proposed based on simulated deformations of consecutive CT images. In a 4-fold cross-validation scheme…
Learning accurate rigid registration for longitudinal brain MRI from synthetic data
1 Division of Biomedical Imaging, KTH Royal Institute of Technology, Huddinge, Sweden 2 Athinoula A.\ Martinos Center for Biomedical Imaging, Charlestown, USA 3 Department of Radiology, Massachusetts General Hospital, Boston, USA 4 Department of Radiology, Harvard Medical School, Boston, USA 5 Computer Science \& Artificial Intelligence Laboratory, MIT, Cambridge, USA
University College London（伦敦大学学院）；InstaDeep；University College London Hospital NHS Foundation Trust（伦敦大学学院医院NHS基金会信托）；University of Oxford（牛津大学）
Morphological analysis of longitudinal MR images plays a key role in monitoring disease progression for prostate cancer patients, who are placed under an active surveillance program. In this paper, we describe a learning-based image registration algorithm to quantify changes on regions of interest between a pair of images from the same patient, acquired at two different time points. Combining intensity-based similarity and gland segmentation as weak supervision, the population-data-trained registration networks significantly lowered the target registration errors (TREs) on holdout patient data…
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）
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…
Deformable MRI Sequence Registration for AI-based Prostate Cancer Diagnosis
Radboudumc（拉德堡德大学医学中心）；Fraunhofer MEVIS（弗劳恩霍夫梅维斯研究所）；Universität zu Lübeck（吕贝克大学）；University Medical Center Groningen（格罗宁根大学医学中心）；Netherlands Cancer Institute（荷兰癌症研究所）；Norwegian University of Science and Technology（挪威科技大学）
Deep learning-based group-wise registration for longitudinal MRI analysis in glioma
Erasmus MC（伊拉斯姆斯大学医学中心）；Medical Delta（医疗三角洲）；Delft University of Technology（代尔夫特理工大学）；Amsterdam UMC / VU Medical Center（阿姆斯特丹大学医学中心/自由大学医学中心）；Princess Máxima Center for Pediatric Oncology（马克西玛公主儿童肿瘤中心）；The Jackson Laboratory for Genomic Medicine（杰克逊基因组医学实验室）
Erasmus MC（伊拉斯姆斯大学医学中心）；Delft University of Technology（代尔夫特理工大学）
This work presents a single-step deep-learning framework for longitudinal image analysis, coined Segis-Net. To optimally exploit information available in longitudinal data, this method concurrently learns a multi-class segmentation and nonlinear registration. Segmentation and registration are modeled using a convolutional neural network and optimized simultaneously for their mutual benefit. An objective function that optimizes spatial correspondence for the segmented structures across time-points is proposed. We applied Segis-Net to the analysis of white matter tracts from N=8045 longitudinal …
Center for Image Sciences, University Medical Center Utrecht, the Netherlands（荷兰乌得勒支大学医学中心影像科学中心）；Department of Radiology, University Medical Center Utrecht, the Netherlands（荷兰乌得勒支大学医学中心放射科）
Motion correction of dynamic contrast enhanced magnetic resonance images (DCE-MRI) is a challenging task, due to changes in image appearance. In this study a groupwise registration, using a principle component analysis (PCA) based metric,1 is evaluated for clinical DCE MRI of the liver. The groupwise registration transforms the images to a common space, rather than to a reference volume as conventional pairwise methods do, and computes the similarity metric on all volumes simultaneously. This groupwise registration method is compared to a pairwise approach using a mutual information metric. Cl…
KU Leuven（鲁汶大学）；icometrix（伊科梅特里克斯公司）；Technical University of Denmark（丹麦技术大学）
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…
TimeFlow: Temporal Conditioning for Longitudinal Brain MRI Registration and Aging Analysis
Technical University of Munich, TUM University Hospital（慕尼黑工业大学，慕尼黑工业大学附属医院）；Munich Center for Machine Learning (MCML)（慕尼黑机器学习中心）；Munich Data Science Institute (MDSI)（慕尼黑数据科学研究所）；Imperial College London（伦敦帝国理工学院）
Reutlingen University（罗伊特林根大学）；Menoufia University（梅努菲亚大学）；Karlsruhe Institute of Technology（卡尔斯鲁厄理工学院）
Reliable and accurate registration of patient-specific brain magnetic resonance imaging (MRI) scans containing pathologies is challenging due to tissue appearance changes. This paper describes our contribution to the Registration of the longitudinal brain MRI task of the Brain Tumor Sequence Registration Challenge 2022 (BraTS-Reg 2022). We developed an enhanced unsupervised learning-based method that extends the iRegNet. In particular, incorporating an unsupervised learning-based paradigm as well as several minor modifications to the network pipeline, allows the enhanced iRegNet method to achi…
Erasmus MC（伊拉斯姆斯医学中心）；Delft University of Technology（代尔夫特理工大学）
Analysis of longitudinal changes in imaging studies often involves both segmentation of structures of interest and registration of multiple timeframes. The accuracy of such analysis could benefit from a tailored framework that jointly optimizes both tasks to fully exploit the information available in the longitudinal data. Most learning-based registration algorithms, including joint optimization approaches, currently suffer from bias due to selection of a fixed reference frame and only support pairwise transformations. We here propose an analytical framework based on an unbiased learning strat…
To deform or not: treatment-aware longitudinal registration for breast DCE-MRI during neoadjuvant chemotherapy via unsupervised keypoints detection
Radboud University Medical Centre（拉德堡德大学医学中心）；The Netherlands Cancer Institute（荷兰癌症研究所）；Macao Polytechnic University（澳门理工大学）；Maastricht University Medical Centre（马斯特里赫特大学医学中心）
Memorial Sloan Kettering Cancer Center（纪念斯隆凯特琳癌症中心）
Image-guided adaptive lung radiotherapy requires accurate tumor and organs segmentation from during treatment cone-beam CT (CBCT) images. Thoracic CBCTs are hard to segment because of low soft-tissue contrast, imaging artifacts, respiratory motion, and large treatment induced intra-thoracic anatomic changes. Hence, we developed a novel Patient-specific Anatomic Context and Shape prior or PACS-aware 3D recurrent registration-segmentation network for longitudinal thoracic CBCT segmentation. Segmentation and registration networks were concurrently trained in an end-to-end framework and implemente…
Northeastern University（东北大学）；Erasmus MC（伊拉斯姆斯医学中心）；Delft University of Technology（代尔夫特理工大学）
To accurately analyze changes of anatomical structures in longitudinal imaging studies, consistent segmentation across multiple time-points is required. Existing solutions often involve independent registration and segmentation components. Registration between time-points is used either as a prior for segmentation in a subsequent time point or to perform segmentation in a common space. In this work, we propose a novel hybrid convolutional neural network (CNN) that integrates segmentation and registration into a single procedure. We hypothesize that the joint optimization leads to increased per…
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）
USLR: an open-source tool for unbiased and smooth longitudinal registration of brain MR
Universitat Politècnica de Catalunya（加泰罗尼亚理工大学）；University of Barcelona（巴塞罗那大学）；University College London（伦敦大学学院）；Centro de Investigación Biomédica en Red de Bioingeniería, Biomateriales y Nanomedicina (CIBER-BBN)（生物工程、生物材料与纳米医学生物医学研究中心（CIBER-BBN））；Massachusetts General Hospital and Harvard Medical School（马萨诸塞总医院和哈佛医学院）；Massachusetts Institute of Technology（麻省理工学院）
Are Vision Foundation Models Ready for Out-of-the-Box Medical Image Registration?
Department of Electrical and Computer Engineering, Duke University（电子工程与计算机科学系，杜克大学）；Department of Biostatistics and Bioinformatics, Duke University（生物统计学与生物信息学系，杜克大学）；Departments of Biostatistics and Bioinformatics, Radiology, Electrical and Computer Engineering, and Computer Science, Duke University（生物统计学与生物信息学系、放射学、电子工程与计算机科学系，杜克大学）
KTH Royal Institute of Technology（瑞典皇家理工学院）；Karolinska Institute（卡罗林斯卡学院）；Karolinska University Hospital（卡罗林斯卡大学医院）；University Fernando Pessoa Canarias（费尔南多·佩索阿加那利群岛大学）；King’s College London（伦敦国王学院）
Analyzing and predicting brain aging is essential for early prognosis and accurate diagnosis of cognitive diseases. The technique of neuroimaging, such as Magnetic Resonance Imaging (MRI), provides a noninvasive means of observing the aging process within the brain. With longitudinal image data collection, data-intensive Artificial Intelligence (AI) algorithms have been used to examine brain aging. However, existing state-of-the-art algorithms tend to be restricted to group-level predictions and suffer from unreal predictions. This paper proposes a methodology for generating longitudinal MRI s…
A novel framework for fully-automated co-registration of intravascular ultrasound and optical coherence tomography imaging data
Barts Health NHS Trust（巴茨健康国民医疗服务信托）；Huazhong University of Science and Technology（华中科技大学）；Queen Mary, University of London（伦敦玛丽女王大学）；Queen Mary University London（伦敦玛丽女王大学）；University College London（伦敦大学学院）；Leiden University Medical Center（莱顿大学医学中心）；University of Bern（伯尔尼大学）
Paul C. Lauterbur Research Center for Biomedical Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences（中国科学院深圳先进技术研究院保罗·C·劳特伯生物医学成像研究中心）；Pengcheng Laboratory（鹏城实验室）；Pazhou Lab（琶洲实验室）；Guizhou Provincial People’s Hospital（贵州省人民医院）
Multi-contrast magnetic resonance (MR) image registration is useful in the clinic to achieve fast and accurate imaging-based disease diagnosis and treatment planning. Nevertheless, the efficiency and performance of the existing registration algorithms can still be improved. In this paper, we propose a novel unsupervised learning-based framework to achieve accurate and efficient multi-contrast MR image registrations. Specifically, an end-to-end coarse-to-fine network architecture consisting of affine and deformable transformations is designed to improve the robustness and achieve end-to-end reg…
UWAFA-GAN: Ultra-Wide-Angle Fluorescein Angiography Transformation via Multi-scale Generation and Registration Enhancement
Hangzhou Dianzi University（杭州电子科技大学）；Southern University of Science and Technology（南方科技大学）；Shenzhen University（深圳大学）；Misr Higher Institute for Commerce and Computers（米斯尔高等商务与计算机学院）
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…
Facebook Artificial Intelligence（脸书人工智能）；University of Southern California（南加州大学）；Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）
Deformable registration of magnetic resonance images between patients with brain tumors and healthy subjects has been an important tool to specify tumor geometry through location alignment and facilitate pathological analysis. Since tumor region does not match with any ordinary brain tissue, it has been difficult to deformably register a patients brain to a normal one. Many patient images are associated with irregularly distributed lesions, resulting in further distortion of normal tissue structures and complicating registration's similarity measure. In this work, we follow a multi-step contex…
Magnetic resonance imaging (MRI) has great potential to improve prostate cancer diagnosis. It can spare men with a normal exam from undergoing invasive biopsy while making biopsies more accurate in men with lesions suspicious for cancer. Yet, the subtle differences between cancer and confounding conditions, render the interpretation of MRI challenging. The tissue collected from patients that undergo pre-surgical MRI and radical prostatectomy provides a unique opportunity to correlate histopathology images of the entire prostate with MRI in order to accurately map the extent of prostate cancer …
University College London（伦敦大学学院）；InstaDeep；University College London Hospital NHS Foundation Trust（伦敦大学学院医院NHS基金会信托）
Organ morphology is a key indicator for prostate disease diagnosis and prognosis. For instance, In longitudinal study of prostate cancer patients under active surveillance, the volume, boundary smoothness and their changes are closely monitored on time-series MR image data. In this paper, we describe a new framework for forecasting prostate morphological changes, as the ability to detect such changes earlier than what is currently possible may enable timely treatment or avoiding unnecessary confirmatory biopsies. In this work, an efficient feature-based MR image registration is first developed…
UNC Chapel Hill（北卡罗来纳大学教堂山分校）；University of Pennsylvania（宾夕法尼亚大学）
Registration of images with pathologies is challenging due to tissue appearance changes and missing correspondences caused by the pathologies. Moreover, mass effects as observed for brain tumors may displace tissue, creating larger deformations over time than what is observed in a healthy brain. Deep learning models have successfully been applied to image registration to offer dramatic speed up and to use surrogate information (e.g., segmentations) during training. However, existing approaches focus on learning registration models using images from healthy patients. They are therefore not desi…
Towards AI Lesion Tracking in PET/CT Imaging: A Siamese-based CNN Pipeline applied on PSMA PET/CT Scans
Technical University of Munich（慕尼黑工业大学）；TUM School of Natural Sciences（慕尼黑工业大学自然科学学院）；Johns Hopkins University School of Medicine（约翰霍普金斯大学医学院）；Munich Institute of Biomedical Engineering（慕尼黑生物医学工程研究所）
In conventional 2D DCE-US, motion correction algorithms take advantage of accompanying side-by-side anatomical Bmode images that contain time-stable features. However, current commercial models of 3D DCE-US do not provide side-by-side Bmode images, which makes motion correction challenging. This work introduces a novel motion correction (MC) algorithm for 3D DCE-US and assesses its efficacy when handling clinical data sets. In brief, the algorithm uses a pyramidal approach whereby short temporal windows consisting of 3-6 consecutive frames are created to perform local registrations, which are …
GLIDE-Reg: Global-to-Local Deformable Registration Using Co-Optimized Foundation and Handcrafted Features
1 Medical \& Imaging Informatics, Department of Radiological Sciences, David Geffen School of Medicine at UCLA, USA 2 Magnetic Resonance Research Labs, Department of Radiological Sciences, David Geffen School of Medicine at UCLA, USA 3 Department of Radiation Oncology, David Geffen School of Medicine at UCLA, Los Angeles, USA
