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arXiv 2502.08560cs.CVcs.AI

脑部潜在进展:基于潜在扩散的 3D 脑部 MRI 个体化时空疾病进展

Brain Latent Progression: Individual-based Spatiotemporal Disease Progression on 3D Brain MRIs via Latent Diffusion

Dept. of Math and Computer Science, University of Catania(数学与计算机科学系,卡塔尼亚大学);Centre for Medical Image Computing, University College London(医学影像计算中心,伦敦大学学院);MIFT Department, University of Messina(MIFT系,梅斯ina大学)

Lemuel Puglisi, Daniel C. Alexander, Daniele Ravì

AI总结:

提出 BrLP 时空模型,通过在小型潜在空间运行、整合受试者元数据与疾病动力学先验,并引入 LAS 算法,实现了 3D 脑部 MRI 个体化疾病进展的高精度预测。

摘要:

纵向磁共振成像(MRI)数据集的日益普及促进了人工智能(AI)驱动的疾病进展建模,使得为个体患者预测未来医学扫描成为可能。然而,尽管 AI 取得了重大进展,当前方法仍面临挑战,包括实现患者特异性个体化、确保时空一致性、有效利用纵向数据以及管理 3D 扫描的大量内存需求。为了应对这些挑战,我们提出了 Brain Latent Progression(BrLP),这是一种新颖的时空模型,旨在预测 3D 脑部 MRI 中的个体层面疾病进展。BrLP 的关键贡献有四方面:(i)它在小型潜在空间中运行,缓解了高维成像数据带来的计算挑战;(ii)它显式整合受试者元数据以增强预测的个体化;(iii)它通过辅助模型纳入疾病动力学的先验知识,促进纵向数据的整合;(iv)它引入了 Latent Average Stabilization(LAS)算法,该算法(a)在推理时强制预测进展中的时空一致性,并且(b)允许我们得出全局和体素层面预测的不确定性度量。我们在来自 2,805 名受试者的 11,730 张 T1 加权(T1w)脑部 MRI 上训练和评估 BrLP,并在包含来自 962 名受试者的 2,257 张 MRI 的外部测试集上验证其泛化能力。我们的实验将 BrLP 生成的 MRI 扫描与真实随访 MRI 进行比较,证明了与现有方法相比具有最先进的准确性。代码公开于:https://github.com/LemuelPuglisi/BrLP。

英文摘要:

The growing availability of longitudinal Magnetic Resonance Imaging (MRI) datasets has facilitated Artificial Intelligence (AI)-driven modeling of disease progression, making it possible to predict future medical scans for individual patients. However, despite significant advancements in AI, current methods continue to face challenges including achieving patient-specific individualization, ensuring spatiotemporal consistency, efficiently utilizing longitudinal data, and managing the substantial memory demands of 3D scans. To address these challenges, we propose Brain Latent Progression (BrLP), a novel spatiotemporal model designed to predict individual-level disease progression in 3D brain MRIs. The key contributions in BrLP are fourfold: (i) it operates in a small latent space, mitigating the computational challenges posed by high-dimensional imaging data; (ii) it explicitly integrates subject metadata to enhance the individualization of predictions; (iii) it incorporates prior knowledge of disease dynamics through an auxiliary model, facilitating the integration of longitudinal data; and (iv) it introduces the Latent Average Stabilization (LAS) algorithm, which (a) enforces spatiotemporal consistency in the predicted progression at inference time and (b) allows us to derive a measure of the uncertainty for the prediction at the global and voxel level. We train and evaluate BrLP on 11,730 T1-weighted (T1w) brain MRIs from 2,805 subjects and validate its generalizability on an external test set comprising 2,257 MRIs from 962 subjects. Our experiments compare BrLP-generated MRI scans with real follow-up MRIs, demonstrating state-of-the-art accuracy compared to existing methods. The code is publicly available at: https://github.com/LemuelPuglisi/BrLP.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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