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Two key questions in cardiac image analysis are to assess the anatomy and motion of the heart from images; and to understand how they are associated with non-imaging clinical factors such as gender, age and diseases. While the first question can often be addressed by image segmentation and motion tracking algorithms, our capability to model and to answer the second question is still limited. In this work, we propose a novel conditional generative model to describe the 4D spatio-temporal anatomy of the heart and its interaction with non-imaging clinical factors. The clinical factors are integrated as the conditions of the generative modelling, which allows us to investigate how these factors influence the cardiac anatomy. We evaluate the model performance in mainly two tasks, anatomical sequence completion and sequence generation. The model achieves a high performance in anatomical sequence completion, comparable to or outperforming other state-of-the-art generative models. In terms of sequence generation, given clinical conditions, the model can generate realistic synthetic 4D sequential anatomies that share similar distributions with the real data., Comment: Accepted by IEEE Transactions on Medical Imaging

Hyperspectral imaging (HSI) is an optical technique that processes the electromagnetic spectrum at a multitude of monochromatic, adjacent frequency bands. The wide-bandwidth spectral signature of a target object's reflectance allows fingerprinting its physical, biochemical, and physiological properties. HSI has been applied for various applications, such as remote sensing and biological tissue analysis. Recently, HSI was also used to differentiate between healthy and pathological tissue under operative conditions in a surgery room on patients diagnosed with brain tumors. In this article, we perform a statistical analysis of the brain tumor patients' HSI scans from the HELICoiD dataset with the aim of identifying the correlation between reflectance spectra and absorption spectra of tissue chromophores. By using the principal component analysis (PCA), we determine the most relevant spectral features for intra- and inter-tissue class differentiation. Furthermore, we demonstrate that such spectral features are correlated with the spectra of cytochrome, i.e., the chromophore highly involved in (hyper) metabolic processes. Identifying such fingerprints of chromophores in reflectance spectra is a key step for automated molecular profiling and, eventually, expert-free biomarker discovery.

Age-related macular degeneration (AMD) is the leading cause of blindness in the elderly. Current grading systems based on imaging biomarkers only coarsely group disease stages into broad categories and are unable to predict future disease progression. It is widely believed that this is due to their focus on a single point in time, disregarding the dynamic nature of the disease. In this work, we present the first method to automatically discover biomarkers that capture temporal dynamics of disease progression. Our method represents patient time series as trajectories in a latent feature space built with contrastive learning. Then, individual trajectories are partitioned into atomic sub-sequences that encode transitions between disease states. These are clustered using a newly introduced distance metric. In quantitative experiments we found our method yields temporal biomarkers that are predictive of conversion to late AMD. Furthermore, these clusters were highly interpretable to ophthalmologists who confirmed that many of the clusters represent dynamics that have previously been linked to the progression of AMD, even though they are currently not included in any clinical grading system., Comment: Submitted to MICCAI2023

Machine learning models are typically evaluated by computing similarity with reference annotations and trained by maximizing similarity with such. Especially in the biomedical domain, annotations are subjective and suffer from low inter- and intra-rater reliability. Since annotations only reflect one interpretation of the real world, this can lead to sub-optimal predictions even though the model achieves high similarity scores. Here, the theoretical concept of PGT is introduced. PGT marks the point beyond which an increase in similarity with the \emph{reference annotation} stops translating to better RWMP. Additionally, a quantitative technique to approximate PGT by computing inter- and intra-rater reliability is proposed. Finally, four categories of PGT-aware strategies to evaluate and improve model performance are reviewed., Comment: 7pages, 2 figures (minor corrections to text, affiliations and layout)

In this work, we propose a novel image reconstruction framework that directly learns a neural implicit representation in k-space for ECG-triggered non-Cartesian Cardiac Magnetic Resonance Imaging (CMR). While existing methods bin acquired data from neighboring time points to reconstruct one phase of the cardiac motion, our framework allows for a continuous, binning-free, and subject-specific k-space representation.We assign a unique coordinate that consists of time, coil index, and frequency domain location to each sampled k-space point. We then learn the subject-specific mapping from these unique coordinates to k-space intensities using a multi-layer perceptron with frequency domain regularization. During inference, we obtain a complete k-space for Cartesian coordinates and an arbitrary temporal resolution. A simple inverse Fourier transform recovers the image, eliminating the need for density compensation and costly non-uniform Fourier transforms for non-Cartesian data. This novel imaging framework was tested on 42 radially sampled datasets from 6 subjects. The proposed method outperforms other techniques qualitatively and quantitatively using data from four and one heartbeat(s) and 30 cardiac phases. Our results for one heartbeat reconstruction of 50 cardiac phases show improved artifact removal and spatio-temporal resolution, leveraging the potential for real-time CMR.

Quantifying the perceptual similarity of two images is a long-standing problem in low-level computer vision. The natural image domain commonly relies on supervised learning, e.g., a pre-trained VGG, to obtain a latent representation. However, due to domain shift, pre-trained models from the natural image domain might not apply to other image domains, such as medical imaging. Notably, in medical imaging, evaluating the perceptual similarity is exclusively performed by specialists trained extensively in diverse medical fields. Thus, medical imaging remains devoid of task-specific, objective perceptual measures. This work answers the question: Is it necessary to rely on supervised learning to obtain an effective representation that could measure perceptual similarity, or is self-supervision sufficient? To understand whether recent contrastive self-supervised representation (CSR) may come to the rescue, we start with natural images and systematically evaluate CSR as a metric across numerous contemporary architectures and tasks and compare them with existing methods. We find that in the natural image domain, CSR behaves on par with the supervised one on several perceptual tests as a metric, and in the medical domain, CSR better quantifies perceptual similarity concerning the experts' ratings. We also demonstrate that CSR can significantly improve image quality in two image synthesis tasks. Finally, our extensive results suggest that perceptuality is an emergent property of CSR, which can be adapted to many image domains without requiring annotations., Comment: under review

Differential privacy (DP) is typically formulated as a worst-case privacy guarantee over all individuals in a database. More recently, extensions to individual subjects or their attributes, have been introduced. Under the individual/per-instance DP interpretation, we study the connection between the per-subject gradient norm in DP neural networks and individual privacy loss and introduce a novel metric termed the Privacy Loss-Input Susceptibility (PLIS), which allows one to apportion the subject's privacy loss to their input attributes. We experimentally show how this enables the identification of sensitive attributes and of subjects at high risk of data reconstruction.

Image-text contrastive learning has proven effective for pretraining medical image models. When targeting localized downstream tasks like semantic segmentation or object detection, additional local contrastive losses that align image regions with sentences have shown promising results. We study how local contrastive losses are related to global (per-sample) contrastive losses and which effects they have on localized medical downstream tasks. Based on a theoretical comparison, we propose to remove some components of local losses and replace others by a novel distribution prior which enforces uniformity of representations within each sample. We empirically study this approach on chest X-ray tasks and find it to be very effective, outperforming methods without local losses on 12 of 18 tasks., Comment: NeurIPS 2022 Workshop: Self-Supervised Learning - Theory and Practice (Reason for updated version: correction of a typo in Eq. (2) and (3))

The prediction of pancreatic ductal adenocarcinoma therapy response is a clinically challenging and important task in this high-mortality tumour entity. The training of neural networks able to tackle this challenge is impeded by a lack of large datasets and the difficult anatomical localisation of the pancreas. Here, we propose a hybrid deep neural network pipeline to predict tumour response to initial chemotherapy which is based on the Response Evaluation Criteria in Solid Tumors (RECIST) score, a standardised method for cancer response evaluation by clinicians as well as tumour markers, and clinical evaluation of the patients. We leverage a combination of representation transfer from segmentation to classification, as well as localisation and representation learning. Our approach yields a remarkably data-efficient method able to predict treatment response with a ROC-AUC of 63.7% using only 477 datasets in total.

Recent studies suggest that early stages of diabetic retinopathy (DR) can be diagnosed by monitoring vascular changes in the deep vascular complex. In this work, we investigate a novel method for automated DR grading based on optical coherence tomography angiography (OCTA) images. Our work combines OCTA scans with their vessel segmentations, which then serve as inputs to task specific networks for lesion segmentation, image quality assessment and DR grading. For this, we generate synthetic OCTA images to train a segmentation network that can be directly applied on real OCTA data. We test our approach on MICCAI 2022's DR analysis challenge (DRAC). In our experiments, the proposed method performs equally well as the baseline model., Comment: Submission for MICCAI 2022 Diabetic Retinopathy Analysis Challenge (DRAC) Proceedings, DOI: 10.5281/zenodo.6362349

Differential Privacy (DP) provides tight upper bounds on the capabilities of optimal adversaries, but such adversaries are rarely encountered in practice. Under the hypothesis testing/membership inference interpretation of DP, we examine the Gaussian mechanism and relax the usual assumption of a Neyman-Pearson-Optimal (NPO) adversary to a Generalized Likelihood Test (GLRT) adversary. This mild relaxation leads to improved privacy guarantees, which we express in the spirit of Gaussian DP and $(\varepsilon, \delta)$-DP, including composition and sub-sampling results. We evaluate our results numerically and find them to match the theoretical upper bounds.

In learning tasks with label noise, improving model robustness against overfitting is a pivotal challenge because the model eventually memorizes labels, including the noisy ones. Identifying the samples with noisy labels and preventing the model from learning them is a promising approach to address this challenge. When training with noisy labels, the per-class confidence scores of the model, represented by the class probabilities, can be reliable criteria for assessing whether the input label is the true label or the corrupted one. In this work, we exploit this observation and propose a novel discriminator metric called confidence error and a sieving strategy called CONFES to differentiate between the clean and noisy samples effectively. We provide theoretical guarantees on the probability of error for our proposed metric. Then, we experimentally illustrate the superior performance of our proposed approach compared to recent studies on various settings, such as synthetic and real-world label noise. Moreover, we show CONFES can be combined with other state-of-the-art approaches, such as Co-teaching and DivideMix to further improve model performance., Comment: https://openreview.net/forum?id=3taIQG4C7H

Currently, commercially available intelligent transport robots that are capable of carrying up to 90kg of load can cost \$5,000 or even more. This makes real-world experimentation prohibitively expensive and limits the applicability of such systems to everyday home or industrial tasks. Aside from their high cost, the majority of commercially available platforms are either closed-source, platform-specific or use difficult-to-customize hardware and firmware. In this work, we present a low-cost, open-source and modular alternative, referred to herein as "ROS-based Open-source Mobile Robot ($ROMR$)". $ROMR$ utilizes off-the-shelf (OTS) components, additive manufacturing technologies, aluminium profiles, and a consumer hoverboard with high-torque brushless direct current (BLDC) motors. $ROMR$ is fully compatible with the robot operating system (ROS), has a maximum payload of 90kg, and costs less than \$1500. Furthermore, ROMR offers a simple yet robust framework for contextualizing simultaneous localization and mapping (SLAM) algorithms, an essential prerequisite for autonomous robot navigation. The robustness and performance of the $ROMR$ were validated through real-world and simulation experiments. All the design, construction and software files are freely available online under the GNU GPL v3 licence at https://doi.org/10.17605/OSF.IO/K83X7. A descriptive video of $ROMR$ can be found at https://osf.io/ku8ag.

Normalization is an important but understudied challenge in privacy-related application domains such as federated learning (FL), differential privacy (DP), and differentially private federated learning (DP-FL). While the unsuitability of batch normalization for these domains has already been shown, the impact of other normalization methods on the performance of federated or differentially private models is not well-known. To address this, we draw a performance comparison among layer normalization (LayerNorm), group normalization (GroupNorm), and the recently proposed kernel normalization (KernelNorm) in FL, DP, and DP-FL settings. Our results indicate LayerNorm and GroupNorm provide no performance gain compared to the baseline (i.e. no normalization) for shallow models in FL and DP. They, on the other hand, considerably enhance the performance of shallow models in DP-FL and deeper models in FL and DP. KernelNorm, moreover, significantly outperforms its competitors in terms of accuracy and convergence rate (or communication efficiency) for both shallow and deeper models in all considered learning environments. Given these key observations, we propose a kernel normalized ResNet architecture called KNResNet-13 for differentially private learning. Using the proposed architecture, we provide new state-of-the-art accuracy values on the CIFAR-10 and Imagenette datasets, when trained from scratch., Comment: To appear in the IEEE Conference on Secure and Trustworthy Machine Learning (SaTML), February 2023

Artificial intelligence (AI) and Machine Learning (ML) have shown great potential in improving the medical imaging workflow, from image acquisition and reconstruction to disease diagnosis and treatment. Particularly, in recent years, there has been a significant growth in the use of AI and ML algorithms, especially Deep Learning (DL) based methods, for medical image reconstruction. DL techniques have shown to be competitive and often superior over conventional reconstruction methods in terms of both reconstruction quality and computational efficiency. The use of DL-based image reconstruction also provides promising opportunities to transform the way cardiac images are acquired and reconstructed. In this chapter, we will review recent advances in DL-based reconstruction techniques for cardiac imaging, with emphasis on cardiac magnetic resonance (CMR) image reconstruction. We mainly focus on supervised DL methods for the application, including image post-processing techniques, model-driven approaches and k-space based methods. Current limitations, challenges and future opportunities of DL for cardiac image reconstruction are also discussed., Comment: Book Chapter in Artificial Intelligence in Cardiothoracic Imaging

As diffusion tensor imaging (DTI) gains popularity in cardiac imaging due to its unique ability to non-invasively assess the cardiac microstructure, deep learning-based Artificial Intelligence is becoming a crucial tool in mitigating some of its drawbacks, such as the long scan times. As it often happens in fast-paced research environments, a lot of emphasis has been put on showing the capability of deep learning while often not enough time has been spent investigating what input and architectural properties would benefit cardiac DTI acceleration the most. In this work, we compare the effect of several input types (magnitude images vs complex images), multiple dimensionalities (2D vs 3D operations), and multiple input types (single slice vs multi-slice) on the performance of a model trained to remove artefacts caused by a simultaneous multi-slice (SMS) acquisition. Despite our initial intuition, our experiments show that, for a fixed number of parameters, simpler 2D real-valued models outperform their more advanced 3D or complex counterparts. The best performance is although obtained by a real-valued model trained using both the magnitude and phase components of the acquired data. We believe this behaviour to be due to real-valued models making better use of the lower number of parameters, and to 3D models not being able to exploit the spatial information because of the low SMS acceleration factor used in our experiments., Comment: 11 pages, 3 tables, 1 figure. To be published at the STACOM workshop, MICCAI 2022

Machine learning with formal privacy-preserving techniques like Differential Privacy (DP) allows one to derive valuable insights from sensitive medical imaging data while promising to protect patient privacy, but it usually comes at a sharp privacy-utility trade-off. In this work, we propose to use steerable equivariant convolutional networks for medical image analysis with DP. Their improved feature quality and parameter efficiency yield remarkable accuracy gains, narrowing the privacy-utility gap., Comment: Accepted as extended abstract at GeoMedIA Workshop 2022 (https://openreview.net/forum?id=rGYfMrMxI17)