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Christoforos Galazis

Publications and source records attributed to Christoforos Galazis.

6 recordsLinked to original sources

Multi-Tiered Self-Contrastive Learning for Medical Microwave Radiometry (MWR) Breast Cancer Detection

Improving breast cancer detection and monitoring techniques is a critical objective in healthcare, driving the need for innovative imaging technologies and diagnostic approaches. This study introduces a novel multi-tiered self-contrastive model tailored for microwave radiometry (MWR) in breast cancer detection. Our approach incorporates three distinct models: Local-MWR (L-MWR), Regional-MWR (R-MWR), and Global-MWR (G-MWR), designed to analyze varying sub-regional comparisons within the breasts. These models are integrated through the Joint-MWR (J-MWR) network, which leverages self-contrastive results at each analytical level to improve diagnostic accuracy. Utilizing a dataset of 4,932 female patients, our research demonstrates the efficacy of our proposed models. Notably, the J-MWR model achieves a Matthew's correlation coefficient of 0.74 $\pm$ 0.018, surpassing existing MWR neural networks and contrastive methods. These findings highlight the potential of self-contrastive learning techniques in improving the diagnostic accuracy and generalizability for MWR-based breast cancer detection. This advancement holds considerable promise for future investigations into enabling point-of-care testing. The source code is available at: https://github.com/cgalaz01/self_contrastive_mwr.

eess.IV

PINNing Cerebral Blood Flow: Analysis of Perfusion MRI in Infants using Physics-Informed Neural Networks

Arterial spin labeling (ASL) magnetic resonance imaging (MRI) enables cerebral perfusion measurement, which is crucial in detecting and managing neurological issues in infants born prematurely or after perinatal complications. However, cerebral blood flow (CBF) estimation in infants using ASL remains challenging due to the complex interplay of network physiology, involving dynamic interactions between cardiac output and cerebral perfusion, as well as issues with parameter uncertainty and data noise. We propose a new spatial uncertainty-based physics-informed neural network (PINN), SUPINN, to estimate CBF and other parameters from infant ASL data. SUPINN employs a multi-branch architecture to concurrently estimate regional and global model parameters across multiple voxels. It computes regional spatial uncertainties to weigh the signal. SUPINN can reliably estimate CBF (relative error $-0.3 \pm 71.7$), bolus arrival time (AT) ($30.5 \pm 257.8$), and blood longitudinal relaxation time ($T_{1b}$) ($-4.4 \pm 28.9$), surpassing parameter estimates performed using least squares or standard PINNs. Furthermore, SUPINN produces physiologically plausible spatially smooth CBF and AT maps. Our study demonstrates the successful modification of PINNs for accurate multi-parameter perfusion estimation from noisy and limited ASL data in infants. Frameworks like SUPINN have the potential to advance our understanding of the complex cardio-brain network physiology, aiding in the detection and management of diseases. Source code is provided at: https://github.com/cgalaz01/supinn.

cs.CV

High-Resolution Maps of Left Atrial Displacements and Strains Estimated with 3D Cine MRI using Online Learning Neural Networks

The functional analysis of the left atrium (LA) is important for evaluating cardiac health and understanding diseases like atrial fibrillation. Cine MRI is ideally placed for the detailed 3D characterization of LA motion and deformation but is lacking appropriate acquisition and analysis tools. Here, we propose tools for the Analysis for Left Atrial Displacements and DeformatIons using online learning neural Networks (Aladdin) and present a technical feasibility study on how Aladdin can characterize 3D LA function globally and regionally. Aladdin includes an online segmentation and image registration network, and a strain calculation pipeline tailored to the LA. We create maps of LA Displacement Vector Field (DVF) magnitude and LA principal strain values from images of 10 healthy volunteers and 8 patients with cardiovascular disease (CVD), of which 2 had large left ventricular ejection fraction (LVEF) impairment. We additionally create an atlas of these biomarkers using the data from the healthy volunteers. Results showed that Aladdin can accurately track the LA wall across the cardiac cycle and characterize its motion and deformation. Global LA function markers assessed with Aladdin agree well with estimates from 2D Cine MRI. A more marked active contraction phase was observed in the healthy cohort, while the CVD LVEF group showed overall reduced LA function. Aladdin is uniquely able to identify LA regions with abnormal deformation metrics that may indicate focal pathology. We expect Aladdin to have important clinical applications as it can non-invasively characterize atrial pathophysiology. All source code and data are available at: https://github.com/cgalaz01/aladdin_cmr_la.

cs.CV

Physics-Informed Neural Networks can accurately model cardiac electrophysiology in 3D geometries and fibrillatory conditions

Physics-Informed Neural Networks (PINNs) are fast becoming an important tool to solve differential equations rapidly and accurately, and to identify the systems parameters that best agree with a given set of measurements. PINNs have been used for cardiac electrophysiology (EP), but only in simple 1D and 2D geometries and for sinus rhythm or single rotor dynamics. Here, we demonstrate how PINNs can be used to accurately reconstruct the propagation of cardiac action potential in more complex geometries and dynamical regimes. These include 3D spherical geometries and spiral break-up conditions that model cardiac fibrillation, with a mean RMSE $< 5.1\times 10^{-2}$ overall. We also demonstrate that PINNs can be used to reliably parameterise cardiac EP models with some biological detail. We estimate the diffusion coefficient and parameters related to ion channel conductances in the Fenton-Karma model in a 2D setup, achieving a mean relative error of $-0.09\pm 0.33$. Our results are an important step towards the deployment of PINNs to realistic cardiac geometries and arrhythmic conditions.

q-bio.QM

High-resolution 3D Maps of Left Atrial Displacements using an Unsupervised Image Registration Neural Network

Functional analysis of the left atrium (LA) plays an increasingly important role in the prognosis and diagnosis of cardiovascular diseases. Echocardiography-based measurements of LA dimensions and strains are useful biomarkers, but they provide an incomplete picture of atrial deformations. High-resolution dynamic magnetic resonance images (Cine MRI) offer the opportunity to examine LA motion and deformation in 3D, at higher spatial resolution and with full LA coverage. However, there are no dedicated tools to automatically characterise LA motion in 3D. Thus, we propose a tool that automatically segments the LA and extracts the displacement fields across the cardiac cycle. The pipeline is able to accurately track the LA wall across the cardiac cycle with an average Hausdorff distance of $2.51 \pm 1.3~mm$ and Dice score of $0.96 \pm 0.02$.

eess.IV

Tempera: Spatial Transformer Feature Pyramid Network for Cardiac MRI Segmentation

Assessing the structure and function of the right ventricle (RV) is important in the diagnosis of several cardiac pathologies. However, it remains more challenging to segment the RV than the left ventricle (LV). In this paper, we focus on segmenting the RV in both short (SA) and long-axis (LA) cardiac MR images simultaneously. For this task, we propose a new multi-input/output architecture, hybrid 2D/3D geometric spatial TransformEr Multi-Pass fEature pyRAmid (Tempera). Our feature pyramid extends current designs by allowing not only a multi-scale feature output but multi-scale SA and LA input images as well. Tempera transfers learned features between SA and LA images via layer weight sharing and incorporates a geometric target transformer to map the predicted SA segmentation to LA space. Our model achieves an average Dice score of 0.836 and 0.798 for the SA and LA, respectively, and 26.31 mm and 31.19 mm Hausdorff distances. This opens up the potential for the incorporation of RV segmentation models into clinical workflows.

eess.IV