TumorFlow: Physics-Guided Longitudinal MRI Synthesis of Glioblastoma Growth
Technical University of Munich (TUM), Germany（慕尼黑技术大学（TUM））；Munich Center for Machine Learning (MCML)（慕尼黑机器学习中心）；AI for Image-Guided Diagnosis and Therapy（图像引导诊断与治疗的AI）；Chair for AI in Healthcare and Medicine, TUM and TUM University Hospital, Munich, Germany（医疗与医学中的AI主任，慕尼黑技术大学及慕尼黑大学医院）
Valentin Biller, Niklas Bubeck, Lucas Zimmer, Ayhan Can Erdur, Sandeep Nagar, Anke Meyer-Baese, Daniel Rückert, Benedikt Wiestler, Jonas Weidner
Glioblastoma exhibits diverse, infiltrative, and patient-specific growth patterns that are only partially visible on routine MRI, making it difficult to reliably assess true tumor extent and personalize treatment planning and follow-up. We present a biophysically-conditioned generative framework that synthesizes biologically realistic 3D brain MRI volumes from estimated, spatially continuous tumor-concentration fields. Our approach combines a generative model with tumor-infiltration maps that can be propagated through time using a biophysical growth model, enabling fine-grained control over tumor shape and growth while preserving patient anatomy. This enables us to synthesize consistent tumor growth trajectories directly in the space of real patients, providing interpretable, controllable estimation of tumor infiltration and progression beyond what is explicitly observed in imaging. We evaluate the framework on longitudinal glioblastoma cases and demonstrate that it can generate temporally coherent sequences with realistic changes in tumor appearance and surrounding tissue response. These results suggest that integrating mechanistic tumor growth priors with modern generative modeling can provide a practical tool for patient-specific progression visualization and for generating controlled synthetic data to support downstream neuro-oncology workflows. In longitudinal extrapolation, we achieve a consistent 75% Dice overlap with the biophysical model while maintaining a constant PSNR of 25 in the surrounding tissue. Our code is available at: https://github.com/valentin-biller/lgm.git
Multi-View MRI Approach for Classification of MGMT Methylation in Glioblastoma Patients
National Center for Artificial Intelligence (NCAI), SDAIA, Riyadh, Saudi Arabia（国家人工智能中心（NCAI）、SDAIA、沙特阿拉伯利雅得）；King Abdullah University of Science and Technology (KAUST), CEMSE Division, Thuwal, Saudi Arabia（国王阿卜杜勒阿齐兹大学科学与技术学院（KAUST）、CEMSE部门、沙特阿拉伯图瓦尔）；Aramco Research Center, R&D Center Department, Dhahran, Saudi Arabia（阿姆科研究中心、研发中心部门、沙特阿拉伯达黑兰）
The Rio Hortega University Hospital Glioblastoma dataset: a comprehensive collection of preoperative, early postoperative and recurrence MRI scans (RHUH-GBM)
This paper proposes to use deep radiomic features (DRFs) from a convolutional neural network (CNN) to model fine-grained texture signatures in the radiomic analysis of recurrent glioblastoma (rGBM). We use DRFs to predict survival of rGBM patients with preoperative T1-weighted post-contrast MR images (n=100). DRFs are extracted from regions of interest labelled by a radiation oncologist and used to compare between short-term and long-term survival patient groups. Random forest (RF) classification is employed to predict survival outcome (i.e., short or long survival), as well as to identify hig…
Future Processing Healthcare（未来医疗处理公司）；Silesian University of Technology（西里西亚工业大学）；Medical University of Silesia in Katowice（卡托维兹西里西亚医科大学）；ZSM Chorzów（霍茹夫ZSM医院）；University Clinical Centre（大学临床中心）；Roche Pharmaceutical Research & Early Development（罗氏制药研究与早期开发部）
Tumor burden assessment by magnetic resonance imaging (MRI) is central to the evaluation of treatment response for glioblastoma. This assessment is complex to perform and associated with high variability due to the high heterogeneity and complexity of the disease. In this work, we tackle this issue and propose a deep learning pipeline for the fully automated end-to-end analysis of glioblastoma patients. Our approach simultaneously identifies tumor sub-regions, including the enhancing tumor, peritumoral edema and surgical cavity in the first step, and then calculates the volumetric and bidimens…
Treatment-wise Glioblastoma Survival Inference with Multi-parametric Preoperative MRI
Gordon Center for Medical Imaging, Massachusetts General Hospital and Harvard Medical School（戈登医学影像中心，麻省总医院和哈佛医学院）；University of Southern California（南加州大学）；Yale University（耶鲁大学）
Glioblastoma Overall Survival Prediction With Vision Transformers
Department of Electronic, Information and Bioengineering, Politecnico di Milano（电子、信息与生物工程系，米兰理工大学）；Department of Neuroradiology, Fondazione IRCCS Istituto Neurologico Carlo Besta（放射学系，IRCCS神经科学卡洛·贝斯塔研究所）
Segmentation of glioblastomas in early post-operative multi-modal MRI with deep neural networks
SINTEF Digital（SINTEF数字研究所）；Norwegian University of Science and Technology（挪威科技大学）；Amsterdam University Medical Centers（阿姆斯特丹大学医学中心）；Twee Steden Hospital（双城医院）；University College London（伦敦大学学院）
Quantifying intra-tumoral genetic heterogeneity of glioblastoma toward precision medicine using MRI and a data-inclusive machine learning algorithm
Georgia Institute of Technology（佐治亚理工学院）；Columbia University Medical Center（哥伦比亚大学医学中心）；Mayo Clinic Arizona（妙佑医疗国际亚利桑那分院）；Barrow Neurological Institute - St. Joseph’s Hospital and Medical Center（巴罗神经学研究所 - 圣约瑟夫医院和医疗中心）；University of Naples “Federico II”（那不勒斯“费德里科二世”大学）
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）
Glioblastomas are the most aggressive fast-growing primary brain cancer which originate in the glial cells of the brain. Accurate identification of the malignant brain tumor and its sub-regions is still one of the most challenging problems in medical image segmentation. The Brain Tumor Segmentation Challenge (BraTS) has been a popular benchmark for automatic brain glioblastomas segmentation algorithms since its initiation. In this year, BraTS 2021 challenge provides the largest multi-parametric (mpMRI) dataset of 2,000 pre-operative patients. In this paper, we propose a new aggregation of two …
This thesis focuses on the research and development of the Hemodynamic Tissue Signature (HTS) method: an unsupervised machine learning approach to describe the vascular heterogeneity of glioblastomas by means of perfusion MRI analysis. The HTS builds on the concept of habitats. An habitat is defined as a sub-region of the lesion with a particular MRI profile describing a specific physiological behavior. The HTS method delineates four habitats within the glioblastoma: the High Angiogenic Tumor (HAT) habitat, as the most perfused region of the enhancing tumor; the Low Angiogenic Tumor (LAT) habi…
Indian Statistical Institute（印度统计研究所）；DAV Institute of Engineering and Technology（DAV工程技术学院）
Inspired by the success of Convolutional Neural Networks (CNN), we develop a novel Computer Aided Detection (CADe) system using CNN for Glioblastoma Multiforme (GBM) detection and segmentation from multi channel MRI data. A two-stage approach first identifies the presence of GBM. This is followed by a GBM localization in each "abnormal" MR slice. As part of the CADe system, two CNN architectures viz. Classification CNN (C-CNN) and Detection CNN (D-CNN) are employed. The CADe system considers MRI data consisting of four sequences ($T_1$, $T_{1c},$ $T_2$, and $T_{2FLAIR}$) as input, and automati…
Convolutional Neural Networks (CNN) have emerged as powerful tools for learning discriminative image features. In this paper, we propose a framework of 3-D fully CNN models for Glioblastoma segmentation from multi-modality MRI data. By generalizing CNN models to true 3-D convolutions in learning 3-D tumor MRI data, the proposed approach utilizes a unique network architecture to decouple image pixels. Specifically, we design a convolutional layer with pre-defined Difference- of-Gaussian (DoG) filters to perform true 3-D convolution incorporating local neighborhood information at each pixel. We …
Tel Aviv Medical Center（特拉维夫医疗中心）；Tel Aviv University（特拉维夫大学）
Purpose: Repeated brain MRI scans are performed in many clinical scenarios, such as follow up of patients with tumors and therapy response assessment. In this paper, the authors show an approach to utilize former scans of the patient for the acceleration of repeated MRI scans. Methods: The proposed approach utilizes the possible similarity of the repeated scans in longitudinal MRI studies. Since similarity is not guaranteed, sampling and reconstruction are adjusted during acquisition to match the actual similarity between the scans. The baseline MR scan is utilized both in the sampling stage, …
Perelman School of Medicine, University of Pennsylvania（宾夕法尼亚大学佩雷尔曼医学院）
Multi-modal biological, imaging, and neuropsychological markers have demonstrated promising performance for distinguishing Alzheimer's disease (AD) patients from cognitively normal elders. However, it remains difficult to early predict when and which mild cognitive impairment (MCI) individuals will convert to AD dementia. Informed by pattern classification studies which have demonstrated that pattern classifiers built on longitudinal data could achieve better classification performance than those built on cross-sectional data, we develop a deep learning model based on recurrent neural networks…
Fraunhofer MEVIS: Institute for Digital Medicine（弗劳恩霍夫数字医学MEVIS研究所）；icometrix（icometrix公司）；Universitätsklinikum Knappschaftskrankenhaus Bochum（波鸿克纳普沙夫特医院大学诊所）
In this work, we compare five deep learning solutions to automatically segment the resection cavity in postoperative MRI. The proposed methods are based on the same 3D U-Net architecture. We use a dataset of postoperative MRI volumes, each including four MRI sequences and the ground truth of the corresponding resection cavity. Four solutions are trained with a different MRI sequence. Besides, a method designed with all the available sequences is also presented. Our experiments show that the method trained only with the T1 weighted contrast-enhanced MRI sequence achieves the best results, with …
Mohamed Bin Zayed University of Artificial Intelligence（穆罕默德·本·扎耶德人工智能大学）
Glioblastoma is a common brain malignancy that tends to occur in older adults and is almost always lethal. The effectiveness of chemotherapy, being the standard treatment for most cancer types, can be improved if a particular genetic sequence in the tumor known as MGMT promoter is methylated. However, to identify the state of the MGMT promoter, the conventional approach is to perform a biopsy for genetic analysis, which is time and effort consuming. A couple of recent publications proposed a connection between the MGMT promoter state and the MRI scans of the tumor and hence suggested the use o…
Stanford University（斯坦福大学）；Stanford School of Medicine（斯坦福医学院）；University of California San Diego（加州大学圣地亚哥分校）；SRI International（斯坦福国际研究院）
Many neurological diseases are characterized by gradual deterioration of brain structure and function. Large longitudinal MRI datasets have revealed such deterioration, in part, by applying machine and deep learning to predict diagnosis. A popular approach is to apply Convolutional Neural Networks (CNN) to extract informative features from each visit of the longitudinal MRI and then use those features to classify each visit via Recurrent Neural Networks (RNNs). Such modeling neglects the progressive nature of the disease, which may result in clinically implausible classifications across visits…
Columbia University（哥伦比亚大学）；Columbia University Irving Medical Center（哥伦比亚大学欧文医学中心）；Zuckerman Institute（扎克曼研究所）
Cerebral blood volume (CBV) is a hemodynamic correlate of oxygen metabolism and reflects brain activity and function. High-resolution CBV maps can be generated using the steady-state gadolinium-enhanced MRI technique. Such a technique requires an intravenous injection of exogenous gadolinium based contrast agent (GBCA) and recent studies suggest that the GBCA can accumulate in the brain after frequent use. We hypothesize that endogenous sources of contrast might exist within the most conventional and commonly acquired structural MRI, potentially obviating the need for exogenous contrast. Here,…
Treatment-aware Diffusion Probabilistic Model for Longitudinal MRI Generation and Diffuse Glioma Growth Prediction
Oslo University Hospital（奥斯陆大学医院）；Universitat Politècnica de València（瓦伦西亚理工大学）；Instituto Universitario de Tecnologías de la Información y Comunicaciones（信息技术与通信大学学院）
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
The Netherlands Cancer Institute（荷兰癌症研究所）；Nanjing University of Information Science and Technology（南京信息工程大学）
Multi-sequence MRIs can be necessary for reliable diagnosis in clinical practice due to the complimentary information within sequences. However, redundant information exists across sequences, which interferes with mining efficient representations by modern machine learning or deep learning models. To handle various clinical scenarios, we propose a sequence-to-sequence generation framework (Seq2Seq) for imaging-differentiation representation learning. In this study, not only do we propose arbitrary 3D/4D sequence generation within one model to generate any specified target sequence, but also we…
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 …
A significant proportion of patients scanned in a clinical setting have follow-up scans. We show in this work that such longitudinal scans alone can be used as a form of 'free' self-supervision for training a deep network. We demonstrate this self-supervised learning for the case of T2-weighted sagittal lumbar Magnetic Resonance Images (MRIs). A Siamese convolutional neural network (CNN) is trained using two losses: (i) a contrastive loss on whether the scan is of the same person (i.e. longitudinal) or not, together with (ii) a classification loss on predicting the level of vertebral bodies. T…
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）
University of Minho（米尼奥大学）；University Hospital Inselspital（因塞尔施皮塔尔大学医院）；University of Bern（伯尔尼大学）
Glioblastoma Multiforme is a high grade, very aggressive, brain tumor, with patients having a poor prognosis. Lower grade gliomas are less aggressive, but they can evolve into higher grade tumors over time. Patient management and treatment can vary considerably with tumor grade, ranging from tumor resection followed by a combined radio- and chemotherapy to a "wait and see" approach. Hence, tumor grading is important for adequate treatment planning and monitoring. The gold standard for tumor grading relies on histopathological diagnosis of biopsy specimens. However, this procedure is invasive, …
LesiOnTime -- Joint Temporal and Clinical Modeling for Small Breast Lesion Segmentation in Longitudinal DCE-MRI
Computational Imaging Research Lab, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Austria（医学影像研究实验室，生物医学影像与影像引导治疗系，维也纳医科大学）；Comprehensive Center for AI in Medicine, Medical University of Vienna, Austria（医学人工智能综合中心，维也纳医科大学）；Breast Health Center, Privatklinik Döbling, Austria（乳腺健康中心，多克林根私人诊所）；Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Austria（生物医学影像与影像引导治疗系，维也纳医科大学）；Department of Obstetrics and Gynecology, Medical University of Vienna, Austria（妇产科系，维也纳医科大学）；Department of Pathology, Medical University of Vienna, Austria（病理学系，维也纳医科大学）；Comprehensive Cancer Center, Medical University of Vienna, Austria（综合癌症中心，维也纳医科大学）
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）
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…
National University of Singapore（新加坡国立大学）；University of Moratuwa（莫拉图瓦大学）
The accurate prognosis of Glioblastoma Multiforme (GBM) plays an essential role in planning correlated surgeries and treatments. The conventional models of survival prediction rely on radiomic features using magnetic resonance imaging (MRI). In this paper, we propose a radiogenomic overall survival (OS) prediction approach by incorporating gene expression data with radiomic features such as shape, geometry, and clinical information. We exploit TCGA (The Cancer Genomic Atlas) dataset and synthesize the missing MRI modalities using a fully convolutional network (FCN) in a conditional Generative …
USC Stevens Neuroimaging and Informatics Institute（南加州大学史蒂文斯神经影像与信息学研究所）；Zilkha Neurogenetic Institute, Keck School of Medicine of USC（南加州大学凯克医学院齐尔卡神经遗传学研究所）；Martinos Center for Biomedical Imaging, Massachusetts General Hospital（麻省总医院马蒂诺斯生物医学成像中心）；Yale University（耶鲁大学）；University of Iowa（爱荷华大学）；Augusta University（奥古斯塔大学）；University of Texas（德克萨斯大学）；Kennedy Krieger Institute, Johns Hopkins University（约翰斯·霍普金斯大学肯尼迪·克里格研究所）
While ischemic stroke is a leading cause of death worldwide, there has been little success translating putative cerebroprotectants from rodent preclinical trials to human patients. We investigated computational image-based assessment tools for practical improvement of the quality, scalability, and outlook for large scale preclinical screening for potential therapeutic interventions in rodent models. We developed, evaluated, and deployed a pipeline for image-based stroke outcome quantification for the Stroke Preclinical Assessment Network (SPAN), a multi-site, multi-arm, multi-stage study evalu…
Glioblastoma, an aggressive brain cancer, is amongst the most lethal of all cancers. Expression of the O6-methylguanine-DNA-methyltransferase (MGMT) gene in glioblastoma tumor tissue is of clinical importance as it has a significant effect on the efficacy of Temozolomide, the primary chemotherapy treatment administered to glioblastoma patients. Currently, MGMT methylation is determined through an invasive brain biopsy and subsequent genetic analysis of the extracted tumor tissue. In this work, we present novel Bayesian classifiers that make probabilistic predictions of MGMT methylation status …
Despite its tremendous value for the diagnosis, treatment monitoring and surveillance of children with cancer, whole body staging with positron emission tomography (PET) is time consuming and associated with considerable radiation exposure. 100x (1% of the standard clinical dosage) ultra-low-dose/ultra-fast whole-body PET reconstruction has the potential for cancer imaging with unprecedented speed and improved safety, but it cannot be achieved by the naive use of machine learning techniques. In this study, we utilize the global similarity between baseline and follow-up PET and magnetic resonan…
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…
Thomas Jefferson High School for Science and Technology（托马斯·杰斐逊科技高中）
Glioblastoma Multiforme (GBM) is a malignant brain cancer forming around 48% of al brain and Central Nervous System (CNS) cancers. It is estimated that annually over 13,000 deaths occur in the US due to GBM, making it crucial to have early diagnosis systems that can lead to predictable and effective treatment. The most common treatment after GBM diagnosis is chemotherapy, which works by sending rapidly dividing cells to apoptosis. However, this form of treatment is not effective when the MGMT promoter sequence is methylated, and instead leads to severe side effects decreasing patient survivabi…
Iowa Institute for Biomedical Imaging（爱荷华生物医学影像研究所）；The University of Iowa（爱荷华大学）
State-of-the-art automated segmentation algorithms are not 100\% accurate especially when segmenting difficult to interpret datasets like those with severe osteoarthritis (OA). We present a novel interactive method called just-enough interaction (JEI), which adds a fast correction step to the automated layered optimal graph segmentation of multiple objects and surfaces (LOGISMOS). After LOGISMOS segmentation in knee MRI, the JEI user interaction does not modify boundary surfaces of the bones and cartilages directly. Local costs of underlying graph nodes are modified instead and the graph is re…
Energy-based Tissue Manifolds for Longitudinal Multiparametric MRI Analysis
Dept. of diagnostic and interventional Radiology and Neuroradiology, University Hospital Augsburg, Germany（诊断与介入放射科和神经放射科，奥格斯堡大学医院，德国）；Digital Medicine, University Hospital Augsburg, Germany（数字医学，奥格斯堡大学医院，德国）；Chair for Computer Aided Medical Procedures and Augmented Reality, Technical University of Munich, Germany（计算机辅助医疗程序与增强现实 chair，慕尼黑技术大学，德国）；Bavarian Center for Cancer Research (BZKF) Augsburg, Germany（巴伐利亚癌症研究中心（BZKF）奥格斯堡，德国）；Dept. of Pediatrics and Adolescent Medicine, University Hospital Augsburg, Germany（儿科和青少年医学科，奥格斯堡大学医院，德国）；Center for Advanced Analytics and Predictive Sciences, University of Augsburg, Germany（高级分析与预测科学中心，奥格斯堡大学，德国）
Deep learning algorithms for predicting neuroimaging data have shown considerable promise in various applications. Prior work has demonstrated that deep learning models that take advantage of the data's 3D structure can outperform standard machine learning on several learning tasks. However, most prior research in this area has focused on neuroimaging data from adults. Within the Adolescent Brain and Cognitive Development (ABCD) dataset, a large longitudinal development study, we examine structural MRI data to predict gender and identify gender-related changes in brain structure. Results demon…
