arXiv subjects

Aaron Carass

Publications and source records attributed to Aaron Carass.

At least 55 records · Page 3Linked to original sources

arXiv2023

Automated Ventricle Parcellation and Evan's Ratio Computation in Pre- and Post-Surgical Ventriculomegaly

Normal pressure hydrocephalus~(NPH) is a brain disorder associated with enlarged ventricles and multiple cognitive and motor symptoms. The degree of ventricular enlargement can be measured using magnetic resonance images~(MRIs) and characterized quantitatively using the Evan's ratio (ER). Automatic computation of ER is desired to avoid the extra time and variations associated with manual measurements on MRI. Because shunt surgery is often used to treat NPH, it is necessary that this process be robust to image artifacts caused by the shunt and related implants. In this paper, we propose a 3D regions-of-interest aware (ROI-aware) network for segmenting the ventricles. The method achieves state-of-the-art performance on both pre-surgery MRIs and post-surgery MRIs with artifacts. Based on our segmentation results, we also describe an automated approach to compute ER from these results. Experimental results on multiple datasets demonstrate the potential of the proposed method to assist clinicians in the diagnosis and management of NPH.

eess.IV↗

arXiv2023

FastCod: Fast Brain Connectivity in Diffusion Imaging

Connectivity information derived from diffusion-weighted magnetic resonance images~(DW-MRIs) plays an important role in studying human subcortical gray matter structures. However, due to the $O(N^2)$ complexity of computing the connectivity of each voxel to every other voxel (or multiple ROIs), the current practice of extracting connectivity information is highly inefficient. This makes the processing of high-resolution images and population-level analyses very computationally demanding. To address this issue, we propose a more efficient way to extract connectivity information; briefly, we consider two regions/voxels to be connected if a white matter fiber streamline passes through them -- no matter where the streamline originates. We consider the thalamus parcellation task for demonstration purposes; our experiments show that our approach brings a 30 to 120 times speedup over traditional approaches with comparable qualitative parcellation results. We also demonstrate high-resolution connectivity features can be super-resolved from low-resolution DW-MRI in our framework. Together, these two innovations enable higher resolution connectivity analysis from DW-MRI. Our source code is availible at jasonbian97.github.io/fastcod.

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arXiv2023

A latent space for unsupervised MR image quality control via artifact assessment

Image quality control (IQC) can be used in automated magnetic resonance (MR) image analysis to exclude erroneous results caused by poorly acquired or artifact-laden images. Existing IQC methods for MR imaging generally require human effort to craft meaningful features or label large datasets for supervised training. The involvement of human labor can be burdensome and biased, as labeling MR images based on their quality is a subjective task. In this paper, we propose an automatic IQC method that evaluates the extent of artifacts in MR images without supervision. In particular, we design an artifact encoding network that learns representations of artifacts based on contrastive learning. We then use a normalizing flow to estimate the density of learned representations for unsupervised classification. Our experiments on large-scale multi-cohort MR datasets show that the proposed method accurately detects images with high levels of artifacts, which can inform downstream analysis tasks about potentially flawed data.

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arXiv2023

Segmenting thalamic nuclei from manifold projections of multi-contrast MRI

The thalamus is a subcortical gray matter structure that plays a key role in relaying sensory and motor signals within the brain. Its nuclei can atrophy or otherwise be affected by neurological disease and injuries including mild traumatic brain injury. Segmenting both the thalamus and its nuclei is challenging because of the relatively low contrast within and around the thalamus in conventional magnetic resonance (MR) images. This paper explores imaging features to determine key tissue signatures that naturally cluster, from which we can parcellate thalamic nuclei. Tissue contrasts include T1-weighted and T2-weighted images, MR diffusion measurements including FA, mean diffusivity, Knutsson coefficients that represent fiber orientation, and synthetic multi-TI images derived from FGATIR and T1-weighted images. After registration of these contrasts and isolation of the thalamus, we use the uniform manifold approximation and projection (UMAP) method for dimensionality reduction to produce a low-dimensional representation of the data within the thalamus. Manual labeling of the thalamus provides labels for our UMAP embedding from which k nearest neighbors can be used to label new unseen voxels in that same UMAP embedding. N -fold cross-validation of the method reveals comparable performance to state-of-the-art methods for thalamic parcellation.

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arXiv2022

Deep filter bank regression for super-resolution of anisotropic MR brain images

In 2D multi-slice magnetic resonance (MR) acquisition, the through-plane signals are typically of lower resolution than the in-plane signals. While contemporary super-resolution (SR) methods aim to recover the underlying high-resolution volume, the estimated high-frequency information is implicit via end-to-end data-driven training rather than being explicitly stated and sought. To address this, we reframe the SR problem statement in terms of perfect reconstruction filter banks, enabling us to identify and directly estimate the missing information. In this work, we propose a two-stage approach to approximate the completion of a perfect reconstruction filter bank corresponding to the anisotropic acquisition of a particular scan. In stage 1, we estimate the missing filters using gradient descent and in stage 2, we use deep networks to learn the mapping from coarse coefficients to detail coefficients. In addition, the proposed formulation does not rely on external training data, circumventing the need for domain shift correction. Under our approach, SR performance is improved particularly in "slice gap" scenarios, likely due to the constrained solution space imposed by the framework.

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arXiv2022

Deep Learning-based Segmentation of Pleural Effusion From Ultrasound Using Coordinate Convolutions

In many low-to-middle income (LMIC) countries, ultrasound is used for assessment of pleural effusion. Typically, the extent of the effusion is manually measured by a sonographer, leading to significant intra-/inter-observer variability. In this work, we investigate the use of deep learning (DL) to automate the process of pleural effusion segmentation from ultrasound images. On two datasets acquired in a LMIC setting, we achieve median Dice Similarity Coefficients (DSCs) of 0.82 and 0.74 respectively using the nnU-net DL model. We also investigate the use of coordinate convolutions in the DL model and find that this results in a statistically significant improvement in the median DSC on the first dataset to 0.85, with no significant change on the second dataset. This work showcases, for the first time, the potential of DL in automating the process of effusion assessment from ultrasound in LMIC settings where there is often a lack of experienced radiologists to perform such tasks.

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arXiv2022

Coordinate Translator for Learning Deformable Medical Image Registration

The majority of deep learning (DL) based deformable image registration methods use convolutional neural networks (CNNs) to estimate displacement fields from pairs of moving and fixed images. This, however, requires the convolutional kernels in the CNN to not only extract intensity features from the inputs but also understand image coordinate systems. We argue that the latter task is challenging for traditional CNNs, limiting their performance in registration tasks. To tackle this problem, we first introduce Coordinate Translator, a differentiable module that identifies matched features between the fixed and moving image and outputs their coordinate correspondences without the need for training. It unloads the burden of understanding image coordinate systems for CNNs, allowing them to focus on feature extraction. We then propose a novel deformable registration network, im2grid, that uses multiple Coordinate Translator's with the hierarchical features extracted from a CNN encoder and outputs a deformation field in a coarse-to-fine fashion. We compared im2grid with the state-of-the-art DL and non-DL methods for unsupervised 3D magnetic resonance image registration. Our experiments show that im2grid outperforms these methods both qualitatively and quantitatively.

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arXiv2022

Disentangling A Single MR Modality

Disentangling anatomical and contrast information from medical images has gained attention recently, demonstrating benefits for various image analysis tasks. Current methods learn disentangled representations using either paired multi-modal images with the same underlying anatomy or auxiliary labels (e.g., manual delineations) to provide inductive bias for disentanglement. However, these requirements could significantly increase the time and cost in data collection and limit the applicability of these methods when such data are not available. Moreover, these methods generally do not guarantee disentanglement. In this paper, we present a novel framework that learns theoretically and practically superior disentanglement from single modality magnetic resonance images. Moreover, we propose a new information-based metric to quantitatively evaluate disentanglement. Comparisons over existing disentangling methods demonstrate that the proposed method achieves superior performance in both disentanglement and cross-domain image-to-image translation tasks.

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arXiv2022

Data-driven Uncertainty Quantification in Computational Human Head Models

Computational models of the human head are promising tools for estimating the impact-induced response of brain, and thus play an important role in the prediction of traumatic brain injury. Modern biofidelic head model simulations are associated with very high computational cost, and high-dimensional inputs and outputs, which limits the applicability of traditional uncertainty quantification (UQ) methods on these systems. In this study, a two-stage, data-driven manifold learning-based framework is proposed for UQ of computational head models. This framework is demonstrated on a 2D subject-specific head model, where the goal is to quantify uncertainty in the simulated strain fields (i.e., output), given variability in the material properties of different brain substructures (i.e., input). In the first stage, a data-driven method based on multi-dimensional Gaussian kernel-density estimation and diffusion maps is used to generate realizations of the input random vector directly from the available data. Computational simulations of a small number of realizations provide input-output pairs for training data-driven surrogate models in the second stage. The surrogate models employ nonlinear dimensionality reduction using Grassmannian diffusion maps, Gaussian process regression to create a low-cost mapping between the input random vector and the reduced solution space, and geometric harmonics models for mapping between the reduced space and the Grassmann manifold. It is demonstrated that the surrogate models provide highly accurate approximations of the computational model while significantly reducing the computational cost. Monte Carlo simulations of the surrogate models are used for uncertainty propagation. UQ of strain fields highlight significant spatial variation in model uncertainty, and reveal key differences in uncertainty among commonly used strain-based brain injury predictor variables.

physics.bio-ph↗

arXiv2021

A Structural Causal Model for MR Images of Multiple Sclerosis

Precision medicine involves answering counterfactual questions such as "Would this patient respond better to treatment A or treatment B?" These types of questions are causal in nature and require the tools of causal inference to be answered, e.g., with a structural causal model (SCM). In this work, we develop an SCM that models the interaction between demographic information, disease covariates, and magnetic resonance (MR) images of the brain for people with multiple sclerosis. Inference in the SCM generates counterfactual images that show what an MR image of the brain would look like if demographic or disease covariates are changed. These images can be used for modeling disease progression or used for image processing tasks where controlling for confounders is necessary.

cs.CV↗

arXiv2021

MR Slice Profile Estimation by Learning to Match Internal Patch Distributions

To super-resolve the through-plane direction of a multi-slice 2D magnetic resonance (MR) image, its slice selection profile can be used as the degeneration model from high resolution (HR) to low resolution (LR) to create paired data when training a supervised algorithm. Existing super-resolution algorithms make assumptions about the slice selection profile since it is not readily known for a given image. In this work, we estimate a slice selection profile given a specific image by learning to match its internal patch distributions. Specifically, we assume that after applying the correct slice selection profile, the image patch distribution along HR in-plane directions should match the distribution along the LR through-plane direction. Therefore, we incorporate the estimation of a slice selection profile as part of learning a generator in a generative adversarial network (GAN). In this way, the slice selection profile can be learned without any external data. Our algorithm was tested using simulations from isotropic MR images, incorporated in a through-plane super-resolution algorithm to demonstrate its benefits, and also used as a tool to measure image resolution. Our code is at https://github.com/shuohan/espreso2.

cs.CV↗

arXiv2021

Information-based Disentangled Representation Learning for Unsupervised MR Harmonization

Accuracy and consistency are two key factors in computer-assisted magnetic resonance (MR) image analysis. However, contrast variation from site to site caused by lack of standardization in MR acquisition impedes consistent measurements. In recent years, image harmonization approaches have been proposed to compensate for contrast variation in MR images. Current harmonization approaches either require cross-site traveling subjects for supervised training or heavily rely on site-specific harmonization models to encourage harmonization accuracy. These requirements potentially limit the application of current harmonization methods in large-scale multi-site studies. In this work, we propose an unsupervised MR harmonization framework, CALAMITI (Contrast Anatomy Learning and Analysis for MR Intensity Translation and Integration), based on information bottleneck theory. CALAMITI learns a disentangled latent space using a unified structure for multi-site harmonization without the need for traveling subjects. Our model is also able to adapt itself to harmonize MR images from a new site with fine tuning solely on images from the new site. Both qualitative and quantitative results show that the proposed method achieves superior performance compared with other unsupervised harmonization approaches.

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arXiv2021

Dual-cycle Constrained Bijective VAE-GAN For Tagged-to-Cine Magnetic Resonance Image Synthesis

Tagged magnetic resonance imaging (MRI) is a widely used imaging technique for measuring tissue deformation in moving organs. Due to tagged MRI's intrinsic low anatomical resolution, another matching set of cine MRI with higher resolution is sometimes acquired in the same scanning session to facilitate tissue segmentation, thus adding extra time and cost. To mitigate this, in this work, we propose a novel dual-cycle constrained bijective VAE-GAN approach to carry out tagged-to-cine MR image synthesis. Our method is based on a variational autoencoder backbone with cycle reconstruction constrained adversarial training to yield accurate and realistic cine MR images given tagged MR images. Our framework has been trained, validated, and tested using 1,768, 416, and 1,560 subject-independent paired slices of tagged and cine MRI from twenty healthy subjects, respectively, demonstrating superior performance over the comparison methods. Our method can potentially be used to reduce the extra acquisition time and cost, while maintaining the same workflow for further motion analyses.

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arXiv2020

Self domain adapted network

Domain shift is a major problem for deploying deep networks in clinical practice. Network performance drops significantly with (target) images obtained differently than its (source) training data. Due to a lack of target label data, most work has focused on unsupervised domain adaptation (UDA). Current UDA methods need both source and target data to train models which perform image translation (harmonization) or learn domain-invariant features. However, training a model for each target domain is time consuming and computationally expensive, even infeasible when target domain data are scarce or source data are unavailable due to data privacy. In this paper, we propose a novel self domain adapted network (SDA-Net) that can rapidly adapt itself to a single test subject at the testing stage, without using extra data or training a UDA model. The SDA-Net consists of three parts: adaptors, task model, and auto-encoders. The latter two are pre-trained offline on labeled source images. The task model performs tasks like synthesis, segmentation, or classification, which may suffer from the domain shift problem. At the testing stage, the adaptors are trained to transform the input test image and features to reduce the domain shift as measured by the auto-encoders, and thus perform domain adaptation. We validated our method on retinal layer segmentation from different OCT scanners and T1 to T2 synthesis with T1 from different MRI scanners and with different imaging parameters. Results show that our SDA-Net, with a single test subject and a short amount of time for self adaptation at the testing stage, can achieve significant improvements.

cs.CV↗

arXiv2020

Finding novelty with uncertainty

Medical images are often used to detect and characterize pathology and disease; however, automatically identifying and segmenting pathology in medical images is challenging because the appearance of pathology across diseases varies widely. To address this challenge, we propose a Bayesian deep learning method that learns to translate healthy computed tomography images to magnetic resonance images and simultaneously calculates voxel-wise uncertainty. Since high uncertainty occurs in pathological regions of the image, this uncertainty can be used for unsupervised anomaly segmentation. We show encouraging experimental results on an unsupervised anomaly segmentation task by combining two types of uncertainty into a novel quantity we call scibilic uncertainty.

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arXiv2020

Validating uncertainty in medical image translation

Medical images are increasingly used as input to deep neural networks to produce quantitative values that aid researchers and clinicians. However, standard deep neural networks do not provide a reliable measure of uncertainty in those quantitative values. Recent work has shown that using dropout during training and testing can provide estimates of uncertainty. In this work, we investigate using dropout to estimate epistemic and aleatoric uncertainty in a CT-to-MR image translation task. We show that both types of uncertainty are captured, as defined, providing confidence in the output uncertainty estimates.

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arXiv2019

Why rankings of biomedical image analysis competitions should be interpreted with care

International challenges have become the standard for validation of biomedical image analysis methods. Given their scientific impact, it is surprising that a critical analysis of common practices related to the organization of challenges has not yet been performed. In this paper, we present a comprehensive analysis of biomedical image analysis challenges conducted up to now. We demonstrate the importance of challenges and show that the lack of quality control has critical consequences. First, reproducibility and interpretation of the results is often hampered as only a fraction of relevant information is typically provided. Second, the rank of an algorithm is generally not robust to a number of variables such as the test data used for validation, the ranking scheme applied and the observers that make the reference annotations. To overcome these problems, we recommend best practice guidelines and define open research questions to be addressed in the future.

cs.CV↗

arXiv2018

Evaluating the Impact of Intensity Normalization on MR Image Synthesis

Image synthesis learns a transformation from the intensity features of an input image to yield a different tissue contrast of the output image. This process has been shown to have application in many medical image analysis tasks including imputation, registration, and segmentation. To carry out synthesis, the intensities of the input images are typically scaled--i.e., normalized--both in training to learn the transformation and in testing when applying the transformation, but it is not presently known what type of input scaling is optimal. In this paper, we consider seven different intensity normalization algorithms and three different synthesis methods to evaluate the impact of normalization. Our experiments demonstrate that intensity normalization as a preprocessing step improves the synthesis results across all investigated synthesis algorithms. Furthermore, we show evidence that suggests intensity normalization is vital for successful deep learning-based MR image synthesis.

cs.CV↗