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Medical image segmentation is crucial in medical imaging, aiding detailed anatomical assessments and supporting diagnostic and therapeutic decisions. The introduction of deep learning has revolutionized this field, improving the accuracy and efficiency of segmenting complex images like CT scans, MRIs, and ultrasound. Deep learning excels by extracting hierarchical features from vast data volumes, enabling precise structure delineation from organ to cellular levels.Supervised learning dominates this space, requiring extensive annotated datasets where each image pixel is labeled with a class (e.g., tissue types). Convolutional Neural Networks (CNNs) are widely used due to their ability to handle spatial hierarchies and preserve local context, crucial for precise segmentation.However, the scarcity and cost of expert-labeled images have catalyzed interest in selfsupervised learning, which learns from unlabeled data, diminishing the reliance on annotated datasets. This involves pre-training models on large unlabeled datasets with auto-generated labels and fine-tuning on smaller labeled sets. This method has improved model robustness and adaptability, particularly valuable in varied imaging and demographic conditions.

Rib fractures are a common and potentially severe injury that can be challenging and labor-intensive to detect in CT scans. While there have been efforts to address this field, the lack of large-scale annotated datasets and evaluation benchmarks has hindered the development and validation of deep learning algorithms. To address this issue, the RibFrac Challenge was introduced, providing a benchmark dataset of over 5,000 rib fractures from 660 CT scans, with voxel-level instance mask annotations and diagnosis labels for four clinical categories (buckle, nondisplaced, displaced, or segmental). The challenge includes two tracks: a detection (instance segmentation) track evaluated by an FROC-style metric and a classification track evaluated by an F1-style metric. During the MICCAI 2020 challenge period, 243 results were evaluated, and seven teams were invited to participate in the challenge summary. The analysis revealed that several top rib fracture detection solutions achieved performance comparable or even better than human experts. Nevertheless, the current rib fracture classification solutions are hardly clinically applicable, which can be an interesting area in the future. As an active benchmark and research resource, the data and online evaluation of the RibFrac Challenge are available at the challenge website. As an independent contribution, we have also extended our previous internal baseline by incorporating recent advancements in large-scale pretrained networks and point-based rib segmentation techniques. The resulting FracNet+ demonstrates competitive performance in rib fracture detection, which lays a foundation for further research and development in AI-assisted rib fracture detection and diagnosis., Comment: Challenge paper for MICCAI RibFrac Challenge (https://ribfrac.grand-challenge.org/)

Acquiring and annotating sufficient labeled data is crucial in developing accurate and robust learning-based models, but obtaining such data can be challenging in many medical image segmentation tasks. One promising solution is to synthesize realistic data with ground-truth mask annotations. However, no prior studies have explored generating complete 3D volumetric images with masks. In this paper, we present MedGen3D, a deep generative framework that can generate paired 3D medical images and masks. First, we represent the 3D medical data as 2D sequences and propose the Multi-Condition Diffusion Probabilistic Model (MC-DPM) to generate multi-label mask sequences adhering to anatomical geometry. Then, we use an image sequence generator and semantic diffusion refiner conditioned on the generated mask sequences to produce realistic 3D medical images that align with the generated masks. Our proposed framework guarantees accurate alignment between synthetic images and segmentation maps. Experiments on 3D thoracic CT and brain MRI datasets show that our synthetic data is both diverse and faithful to the original data, and demonstrate the benefits for downstream segmentation tasks. We anticipate that MedGen3D's ability to synthesize paired 3D medical images and masks will prove valuable in training deep learning models for medical imaging tasks., Comment: Accepted by MICCAI 2023. Project Page: https://krishan999.github.io/MedGen3D

Recent advancements in self-supervised learning have demonstrated that effective visual representations can be learned from unlabeled images. This has led to increased interest in applying self-supervised learning to the medical domain, where unlabeled images are abundant and labeled images are difficult to obtain. However, most self-supervised learning approaches are modeled as image level discriminative or generative proxy tasks, which may not capture the finer level representations necessary for dense prediction tasks like multi-organ segmentation. In this paper, we propose a novel contrastive learning framework that integrates Localized Region Contrast (LRC) to enhance existing self-supervised pre-training methods for medical image segmentation. Our approach involves identifying Super-pixels by Felzenszwalb's algorithm and performing local contrastive learning using a novel contrastive sampling loss. Through extensive experiments on three multi-organ segmentation datasets, we demonstrate that integrating LRC to an existing self-supervised method in a limited annotation setting significantly improves segmentation performance. Moreover, we show that LRC can also be applied to fully-supervised pre-training methods to further boost performance.

Reconstructing personalized animatable head avatars has significant implications in the fields of AR/VR. Existing methods for achieving explicit face control of 3D Morphable Models (3DMM) typically rely on multi-view images or videos of a single subject, making the reconstruction process complex. Additionally, the traditional rendering pipeline is time-consuming, limiting real-time animation possibilities. In this paper, we introduce CVTHead, a novel approach that generates controllable neural head avatars from a single reference image using point-based neural rendering. CVTHead considers the sparse vertices of mesh as the point set and employs the proposed Vertex-feature Transformer to learn local feature descriptors for each vertex. This enables the modeling of long-range dependencies among all the vertices. Experimental results on the VoxCeleb dataset demonstrate that CVTHead achieves comparable performance to state-of-the-art graphics-based methods. Moreover, it enables efficient rendering of novel human heads with various expressions, head poses, and camera views. These attributes can be explicitly controlled using the coefficients of 3DMMs, facilitating versatile and realistic animation in real-time scenarios., Comment: WACV2024

We present Hybrid-CSR, a geometric deep-learning model that combines explicit and implicit shape representations for cortical surface reconstruction. Specifically, Hybrid-CSR begins with explicit deformations of template meshes to obtain coarsely reconstructed cortical surfaces, based on which the oriented point clouds are estimated for the subsequent differentiable poisson surface reconstruction. By doing so, our method unifies explicit (oriented point clouds) and implicit (indicator function) cortical surface reconstruction. Compared to explicit representation-based methods, our hybrid approach is more friendly to capture detailed structures, and when compared with implicit representation-based methods, our method can be topology aware because of end-to-end training with a mesh-based deformation module. In order to address topology defects, we propose a new topology correction pipeline that relies on optimization-based diffeomorphic surface registration. Experimental results on three brain datasets show that our approach surpasses existing implicit and explicit cortical surface reconstruction methods in numeric metrics in terms of accuracy, regularity, and consistency.

Reconstructing 3D hand meshes from monocular RGB images has attracted increasing amount of attention due to its enormous potential applications in the field of AR/VR. Most state-of-the-art methods attempt to tackle this task in an anonymous manner. Specifically, the identity of the subject is ignored even though it is practically available in real applications where the user is unchanged in a continuous recording session. In this paper, we propose an identity-aware hand mesh estimation model, which can incorporate the identity information represented by the intrinsic shape parameters of the subject. We demonstrate the importance of the identity information by comparing the proposed identity-aware model to a baseline which treats subject anonymously. Furthermore, to handle the use case where the test subject is unseen, we propose a novel personalization pipeline to calibrate the intrinsic shape parameters using only a few unlabeled RGB images of the subject. Experiments on two large scale public datasets validate the state-of-the-art performance of our proposed method., Comment: ECCV 2022. Github https://github.com/deyingk/PersonalizedHandMeshEstimation

Recently, the vision transformer and its variants have played an increasingly important role in both monocular and multi-view human pose estimation. Considering image patches as tokens, transformers can model the global dependencies within the entire image or across images from other views. However, global attention is computationally expensive. As a consequence, it is difficult to scale up these transformer-based methods to high-resolution features and many views. In this paper, we propose the token-Pruned Pose Transformer (PPT) for 2D human pose estimation, which can locate a rough human mask and performs self-attention only within selected tokens. Furthermore, we extend our PPT to multi-view human pose estimation. Built upon PPT, we propose a new cross-view fusion strategy, called human area fusion, which considers all human foreground pixels as corresponding candidates. Experimental results on COCO and MPII demonstrate that our PPT can match the accuracy of previous pose transformer methods while reducing the computation. Moreover, experiments on Human 3.6M and Ski-Pose demonstrate that our Multi-view PPT can efficiently fuse cues from multiple views and achieve new state-of-the-art results., Comment: ECCV 2022. Code is available at https://github.com/HowieMa/PPT

Deep Implicit Functions (DIFs) represent 3D geometry with continuous signed distance functions learned through deep neural nets. Recently DIFs-based methods have been proposed to handle shape reconstruction and dense point correspondences simultaneously, capturing semantic relationships across shapes of the same class by learning a DIFs-modeled shape template. These methods provide great flexibility and accuracy in reconstructing 3D shapes and inferring correspondences. However, the point correspondences built from these methods do not intrinsically preserve the topology of the shapes, unlike mesh-based template matching methods. This limits their applications on 3D geometries where underlying topological structures exist and matter, such as anatomical structures in medical images. In this paper, we propose a new model called Neural Diffeomorphic Flow (NDF) to learn deep implicit shape templates, representing shapes as conditional diffeomorphic deformations of templates, intrinsically preserving shape topologies. The diffeomorphic deformation is realized by an auto-decoder consisting of Neural Ordinary Differential Equation (NODE) blocks that progressively map shapes to implicit templates. We conduct extensive experiments on several medical image organ segmentation datasets to evaluate the effectiveness of NDF on reconstructing and aligning shapes. NDF achieves consistently state-of-the-art organ shape reconstruction and registration results in both accuracy and quality. The source code is publicly available at https://github.com/Siwensun/Neural_Diffeomorphic_Flow--NDF.

Diffeomorphic image registration, offering smooth transformation and topology preservation, is required in many medical image analysis tasks.Traditional methods impose certain modeling constraints on the space of admissible transformations and use optimization to find the optimal transformation between two images. Specifying the right space of admissible transformations is challenging: the registration quality can be poor if the space is too restrictive, while the optimization can be hard to solve if the space is too general. Recent learning-based methods, utilizing deep neural networks to learn the transformation directly, achieve fast inference, but face challenges in accuracy due to the difficulties in capturing the small local deformations and generalization ability. Here we propose a new optimization-based method named DNVF (Diffeomorphic Image Registration with Neural Velocity Field) which utilizes deep neural network to model the space of admissible transformations. A multilayer perceptron (MLP) with sinusoidal activation function is used to represent the continuous velocity field and assigns a velocity vector to every point in space, providing the flexibility of modeling complex deformations as well as the convenience of optimization. Moreover, we propose a cascaded image registration framework (Cas-DNVF) by combining the benefits of both optimization and learning based methods, where a fully convolutional neural network (FCN) is trained to predict the initial deformation, followed by DNVF for further refinement. Experiments on two large-scale 3D MR brain scan datasets demonstrate that our proposed methods significantly outperform the state-of-the-art registration methods., Comment: WACV 2023

Image registration is an essential step in many medical image analysis tasks. Traditional methods for image registration are primarily optimization-driven, finding the optimal deformations that maximize the similarity between two images. Recent learning-based methods, trained to directly predict transformations between two images, run much faster, but suffer from performance deficiencies due to model generalization and the inefficiency in handling individual image specific deformations. Here we present a new neural net based image registration framework, called NIR (Neural Image Registration), which is based on optimization but utilizes deep neural nets to model deformations between image pairs. NIR represents the transformation between two images with a continuous function implemented via neural fields, receiving a 3D coordinate as input and outputting the corresponding deformation vector. NIR provides two ways of generating deformation field: directly output a displacement vector field for general deformable registration, or output a velocity vector field and integrate the velocity field to derive the deformation field for diffeomorphic image registration. The optimal registration is discovered by updating the parameters of the neural field via stochastic gradient descent. We describe several design choices that facilitate model optimization, including coordinate encoding, sinusoidal activation, coordinate sampling, and intensity sampling. Experiments on two 3D MR brain scan datasets demonstrate that NIR yields state-of-the-art performance in terms of both registration accuracy and regularity, while running significantly faster than traditional optimization-based methods.

Recent advances in transformer-based models have drawn attention to exploring these techniques in medical image segmentation, especially in conjunction with the U-Net model (or its variants), which has shown great success in medical image segmentation, under both 2D and 3D settings. Current 2D based methods either directly replace convolutional layers with pure transformers or consider a transformer as an additional intermediate encoder between the encoder and decoder of U-Net. However, these approaches only consider the attention encoding within one single slice and do not utilize the axial-axis information naturally provided by a 3D volume. In the 3D setting, convolution on volumetric data and transformers both consume large GPU memory. One has to either downsample the image or use cropped local patches to reduce GPU memory usage, which limits its performance. In this paper, we propose Axial Fusion Transformer UNet (AFTer-UNet), which takes both advantages of convolutional layers' capability of extracting detailed features and transformers' strength on long sequence modeling. It considers both intra-slice and inter-slice long-range cues to guide the segmentation. Meanwhile, it has fewer parameters and takes less GPU memory to train than the previous transformer-based models. Extensive experiments on three multi-organ segmentation datasets demonstrate that our method outperforms current state-of-the-art methods.

Estimating the 2D human poses in each view is typically the first step in calibrated multi-view 3D pose estimation. But the performance of 2D pose detectors suffers from challenging situations such as occlusions and oblique viewing angles. To address these challenges, previous works derive point-to-point correspondences between different views from epipolar geometry and utilize the correspondences to merge prediction heatmaps or feature representations. Instead of post-prediction merge/calibration, here we introduce a transformer framework for multi-view 3D pose estimation, aiming at directly improving individual 2D predictors by integrating information from different views. Inspired by previous multi-modal transformers, we design a unified transformer architecture, named TransFusion, to fuse cues from both current views and neighboring views. Moreover, we propose the concept of epipolar field to encode 3D positional information into the transformer model. The 3D position encoding guided by the epipolar field provides an efficient way of encoding correspondences between pixels of different views. Experiments on Human 3.6M and Ski-Pose show that our method is more efficient and has consistent improvements compared to other fusion methods. Specifically, we achieve 25.8 mm MPJPE on Human 3.6M with only 5M parameters on 256 x 256 resolution., Comment: BMVC 2021. Code is available at: https://github.com/HowieMa/TransFusion-Pose

Although having achieved great success in medical image segmentation, deep convolutional neural networks usually require a large dataset with manual annotations for training and are difficult to generalize to unseen classes. Few-shot learning has the potential to address these challenges by learning new classes from only a few labeled examples. In this work, we propose a new framework for few-shot medical image segmentation based on prototypical networks. Our innovation lies in the design of two key modules: 1) a context relation encoder (CRE) that uses correlation to capture local relation features between foreground and background regions; and 2) a recurrent mask refinement module that repeatedly uses the CRE and a prototypical network to recapture the change of context relationship and refine the segmentation mask iteratively. Experiments on two abdomen CT datasets and an abdomen MRI dataset show the proposed method obtains substantial improvement over the state-of-the-art methods by an average of 16.32%, 8.45% and 6.24% in terms of DSC, respectively. Code is publicly available., Comment: Accepted ICCV 2021

Hand pose estimation is more challenging than body pose estimation due to severe articulation, self-occlusion and high dexterity of the hand. Current approaches often rely on a popular body pose algorithm, such as the Convolutional Pose Machine (CPM), to learn 2D keypoint features. These algorithms cannot adequately address the unique challenges of hand pose estimation, because they are trained solely based on keypoint positions without seeking to explicitly model structural relationship between them. We propose a novel Nonparametric Structure Regularization Machine (NSRM) for 2D hand pose estimation, adopting a cascade multi-task architecture to learn hand structure and keypoint representations jointly. The structure learning is guided by synthetic hand mask representations, which are directly computed from keypoint positions, and is further strengthened by a novel probabilistic representation of hand limbs and an anatomically inspired composition strategy of mask synthesis. We conduct extensive studies on two public datasets - OneHand 10k and CMU Panoptic Hand. Experimental results demonstrate that explicitly enforcing structure learning consistently improves pose estimation accuracy of CPM baseline models, by 1.17% on the first dataset and 4.01% on the second one. The implementation and experiment code is freely available online. Our proposal of incorporating structural learning to hand pose estimation requires no additional training information, and can be a generic add-on module to other pose estimation models., Comment: The paper has be accepted and will be presented at 2020 IEEE Winter Conference on Applications of Computer Vision (WACV). The code is freely available at https://github.com/HowieMa/NSRMhand

In this paper, we propose a new architecture called Adaptive Graphical Model Network (AGMN) to tackle the task of 2D hand pose estimation from a monocular RGB image. The AGMN consists of two branches of deep convolutional neural networks for calculating unary and pairwise potential functions, followed by a graphical model inference module for integrating unary and pairwise potentials. Unlike existing architectures proposed to combine DCNNs with graphical models, our AGMN is novel in that the parameters of its graphical model are conditioned on and fully adaptive to individual input images. Experiments show that our approach outperforms the state-of-the-art method used in 2D hand keypoints estimation by a notable margin on two public datasets. Code can be found at https://github.com/deyingk/agmn., Comment: 30th British Machine Vision Conference (BMVC)