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Medical imaging plays a vital role in modern diagnostics and treatment. The temporal nature of disease or treatment progression often results in longitudinal data. Due to the cost and potential harm, acquiring large medical datasets necessary for deep learning can be difficult. Medical image synthesis could help mitigate this problem. However, until now, the availability of GANs capable of synthesizing longitudinal volumetric data has been limited. To address this, we use the recent advances in latent space-based image editing to propose a novel joint learning scheme to explicitly embed temporal dependencies in the latent space of GANs. This, in contrast to previous methods, allows us to synthesize continuous, smooth, and high-quality longitudinal volumetric data with limited supervision. We show the effectiveness of our approach on three datasets containing different longitudinal dependencies. Namely, modeling a simple image transformation, breathing motion, and tumor regression, all while showing minimal disentanglement. The implementation is made available online at https://github.com/julschoen/Temp-GAN.

The accelerated development of machine learning methods, primarily deep learning, are causal to the recent breakthroughs in medical image analysis and computer aided intervention. The resource consumption of deep learning models in terms of amount of training data, compute and energy costs are known to be massive. These large resource costs can be barriers in deploying these models in clinics, globally. To address this, there are cogent efforts within the machine learning community to introduce notions of resource efficiency. For instance, using quantisation to alleviate memory consumption. While most of these methods are shown to reduce the resource utilisation, they could come at a cost in performance. In this work, we probe into the trade-off between resource consumption and performance, specifically, when dealing with models that are used in critical settings such as in clinics., Comment: Source code available at https://github.com/raghavian/redl

Generative models such as Generative Adversarial Networks (GANs) and Variational Autoencoders (VAEs) play an increasingly important role in medical image analysis. The latent spaces of these models often show semantically meaningful directions corresponding to human-interpretable image transformations. However, until now, their exploration for medical images has been limited due to the requirement of supervised data. Several methods for unsupervised discovery of interpretable directions in GAN latent spaces have shown interesting results on natural images. This work explores the potential of applying these techniques on medical images by training a GAN and a VAE on thoracic CT scans and using an unsupervised method to discover interpretable directions in the resulting latent space. We find several directions corresponding to non-trivial image transformations, such as rotation or breast size. Furthermore, the directions show that the generative models capture 3D structure despite being presented only with 2D data. The results show that unsupervised methods to discover interpretable directions in GANs generalize to VAEs and can be applied to medical images. This opens a wide array of future work using these methods in medical image analysis., Accepted for presentation at DGM4MICCAI 2022