arXiv subjects

Daniel Rueckert

Publications and source records attributed to Daniel Rueckert.

At least 91 records · Page 5Linked to original sources

arXiv2025

Fast and Explicit: Slice-to-Volume Reconstruction via 3D Gaussian Primitives with Analytic Point Spread Function Modeling

Recovering high-fidelity 3D images from sparse or degraded 2D images is a fundamental challenge in medical imaging, with broad applications ranging from 3D ultrasound reconstruction to MRI super-resolution. In the context of fetal MRI, high-resolution 3D reconstruction of the brain from motion-corrupted low-resolution 2D acquisitions is a prerequisite for accurate neurodevelopmental diagnosis. While implicit neural representations (INRs) have recently established state-of-the-art performance in self-supervised slice-to-volume reconstruction (SVR), they suffer from a critical computational bottleneck: accurately modeling the image acquisition physics requires expensive stochastic Monte Carlo sampling to approximate the point spread function (PSF). In this work, we propose a shift from neural network based implicit representations to Gaussian based explicit representations. By parameterizing the HR 3D image volume as a field of anisotropic Gaussian primitives, we leverage the property of Gaussians being closed under convolution and thus derive a \textit{closed-form analytical solution} for the forward model. This formulation reduces the previously intractable acquisition integral to an exact covariance addition ($\mathbfΣ_{obs} = \mathbfΣ_{HR} + \mathbfΣ_{PSF}$), effectively bypassing the need for compute-intensive stochastic sampling while ensuring exact gradient propagation. We demonstrate that our approach matches the reconstruction quality of self-supervised state-of-the-art SVR frameworks while delivering a 5$\times$--10$\times$ speed-up on neonatal and fetal data. With convergence often reached in under 30 seconds, our framework paves the way towards translation into clinical routine of real-time fetal 3D MRI. Code will be public at {https://github.com/m-dannecker/Gaussian-Primitives-for-Fast-SVR}.

cs.CV↗

arXiv2025

Disentangling Progress in Medical Image Registration: Beyond Trend-Driven Architectures towards Domain-Specific Strategies

Medical image registration drives quantitative analysis across organs, modalities, and patient populations. Recent deep learning methods often combine low-level "trend-driven" computational blocks from computer vision, such as large-kernel CNNs, Transformers, and state-space models, with high-level registration-specific designs like motion pyramids, correlation layers, and iterative refinement. Yet, their relative contributions remain unclear and entangled. This raises a central question: should future advances in registration focus on importing generic architectural trends or on refining domain-specific design principles? Through a modular framework spanning brain, lung, cardiac, and abdominal registration, we systematically disentangle the influence of these two paradigms. Our evaluation reveals that low-level "trend-driven" computational blocks offer only marginal or inconsistent gains, while high-level registration-specific designs consistently deliver more accurate, smoother, and more robust deformations. These domain priors significantly elevate the performance of a standard U-Net baseline, far more than variants incorporating "trend-driven" blocks, achieving an average relative improvement of $\sim3\%$. All models and experiments are released within a transparent, modular benchmark that enables plug-and-play comparison for new architectures and registration tasks (https://github.com/BailiangJ/rethink-reg). This dynamic and extensible platform establishes a common ground for reproducible and fair evaluation, inviting the community to isolate genuine methodological contributions from domain priors. Our findings advocate a shift in research emphasis: from following architectural trends to embracing domain-specific design principles as the true drivers of progress in learning-based medical image registration.

eess.IV↗

arXiv2025

LungEvaty: A Scalable, Open-Source Transformer-based Deep Learning Model for Lung Cancer Risk Prediction in LDCT Screening

Lung cancer risk estimation is gaining increasing importance as more countries introduce population-wide screening programs using low-dose CT (LDCT). As imaging volumes grow, scalable methods that can process entire lung volumes efficiently are essential to tap into the full potential of these large screening datasets. Existing approaches either over-rely on pixel-level annotations, limiting scalability, or analyze the lung in fragments, weakening performance. We present LungEvaty, a fully transformer-based framework for predicting 1-6 year lung cancer risk from a single LDCT scan. The model operates on whole-lung inputs, learning directly from large-scale screening data to capture comprehensive anatomical and pathological cues relevant for malignancy risk. Using only imaging data and no region supervision, LungEvaty matches state-of-the-art performance, refinable by an optional Anatomically Informed Attention Guidance (AIAG) loss that encourages anatomically focused attention. In total, LungEvaty was trained on more than 90,000 CT scans, including over 28,000 for fine-tuning and 6,000 for evaluation. The framework offers a simple, data-efficient, and fully open-source solution that provides an extensible foundation for future research in longitudinal and multimodal lung cancer risk prediction.

cs.CV↗

arXiv2025

Evaluating Reasoning Faithfulness in Medical Vision-Language Models using Multimodal Perturbations

Vision-language models (VLMs) often produce chain-of-thought (CoT) explanations that sound plausible yet fail to reflect the underlying decision process, undermining trust in high-stakes clinical use. Existing evaluations rarely catch this misalignment, prioritizing answer accuracy or adherence to formats. We present a clinically grounded framework for chest X-ray visual question answering (VQA) that probes CoT faithfulness via controlled text and image modifications across three axes: clinical fidelity, causal attribution, and confidence calibration. In a reader study (n=4), evaluator-radiologist correlations fall within the observed inter-radiologist range for all axes, with strong alignment for attribution (Kendall's $τ_b=0.670$), moderate alignment for fidelity ($τ_b=0.387$), and weak alignment for confidence tone ($τ_b=0.091$), which we report with caution. Benchmarking six VLMs shows that answer accuracy and explanation quality can be decoupled, acknowledging injected cues does not ensure grounding, and text cues shift explanations more than visual cues. While some open-source models match final answer accuracy, proprietary models score higher on attribution (25.0% vs. 1.4%) and often on fidelity (36.1% vs. 31.7%), highlighting deployment risks and the need to evaluate beyond final answer accuracy.

cs.CL↗

arXiv2025

Video Dataset for Surgical Phase, Keypoint, and Instrument Recognition in Laparoscopic Surgery (PhaKIR)

Robotic- and computer-assisted minimally invasive surgery (RAMIS) is increasingly relying on computer vision methods for reliable instrument recognition and surgical workflow understanding. Developing such systems often requires large, well-annotated datasets, but existing resources often address isolated tasks, neglect temporal dependencies, or lack multi-center variability. We present the Surgical Procedure Phase, Keypoint, and Instrument Recognition (PhaKIR) dataset, comprising eight complete laparoscopic cholecystectomy videos recorded at three medical centers. The dataset provides frame-level annotations for three interconnected tasks: surgical phase recognition (485,875 frames), instrument keypoint estimation (19,435 frames), and instrument instance segmentation (19,435 frames). PhaKIR is, to our knowledge, the first multi-institutional dataset to jointly provide phase labels, instrument pose information, and pixel-accurate instrument segmentations, while also enabling the exploitation of temporal context since full surgical procedure sequences are available. It served as the basis for the PhaKIR Challenge as part of the Endoscopic Vision (EndoVis) Challenge at MICCAI 2024 to benchmark methods in surgical scene understanding, thereby further validating the dataset's quality and relevance. The dataset is publicly available upon request via the Zenodo platform.

cs.CV↗

arXiv2025

Reconstruction-free segmentation from undersampled k-space using transformers

Motivation: High acceleration factors place a limit on MRI image reconstruction. This limit is extended to segmentation models when treating these as subsequent independent processes. Goal: Our goal is to produce segmentations directly from sparse k-space measurements without the need for intermediate image reconstruction. Approach: We employ a transformer architecture to encode global k-space information into latent features. The produced latent vectors condition queried coordinates during decoding to generate segmentation class probabilities. Results: The model is able to produce better segmentations across high acceleration factors than image-based segmentation baselines. Impact: Cardiac segmentation directly from undersampled k-space samples circumvents the need for an intermediate image reconstruction step. This allows the potential to assess myocardial structure and function on higher acceleration factors than methods that rely on images as input.

eess.IV↗

arXiv2025

Unsupervised whole-heart function assessment

Motivation: CMR is the golden standard for cardiac diagnosis, and medical data annotation is time-consuming. Thus, screening techniques from unlabeled data can help streamline the cardiac diagnosis process. Goal: This work aims to enable cardiac function assessment from unlabeled cardiac MR images using an unsupervised approach with masked image modeling. Approach: Our model creates a robust latent space by reconstructing sparse 2D+T planes (SAX, 2CH, 3CH, and 4CH views) with 70\% masking, which can be further disentangled into distinct cardiac temporal states. Results: t-SNE visualization and kNN clustering analysis confirm the association between latent space and cardiac phenotypes, highlighting strong temporal feature extraction. Impact: This method offers a scalable approach for cardiac screening by creating a latent space as well as distinct time-segment embeddings, enabling diverse preliminary analysis of cardiac function and potentially advancing research in cardiovascular disease applications.

q-bio.TO↗

arXiv2025

Gradient-Weight Alignment as a Train-Time Proxy for Generalization in Classification Tasks

Robust validation metrics remain essential in contemporary deep learning, not only to detect overfitting and poor generalization, but also to monitor training dynamics. In the supervised classification setting, we investigate whether interactions between training data and model weights can yield such a metric that both tracks generalization during training and attributes performance to individual training samples. We introduce Gradient-Weight Alignment (GWA), quantifying the coherence between per-sample gradients and model weights. We show that effective learning corresponds to coherent alignment, while misalignment indicates deteriorating generalization. GWA is efficiently computable during training and reflects both sample-specific contributions and dataset-wide learning dynamics. Extensive experiments show that GWA accurately predicts optimal early stopping, enables principled model comparisons, and identifies influential training samples, providing a validation-set-free approach for model analysis directly from the training data.

cs.LG↗

arXiv2025

Fine-tuning Large Language Models with Limited Data: A Survey and Practical Guide

Fine-tuning large language models (LLMs) with limited data poses a practical challenge in low-resource languages, specialized domains, and constrained deployment settings. While pre-trained LLMs provide strong foundations, effective adaptation under data scarcity requires focused and efficient fine-tuning techniques. This paper presents a structured and practical survey of recent methods for fine-tuning LLMs in data-scarce scenarios. We systematically review parameter-efficient fine-tuning techniques that lower training and deployment costs, domain and cross-lingual adaptation methods for both encoder and decoder models, and model specialization strategies. We further examine preference alignment approaches that guide model behavior using limited human or synthetic feedback, emphasizing sample and compute efficiency. Throughout, we highlight empirical trade-offs, selection criteria, and best practices for choosing suitable techniques based on task constraints, including model scaling, data scaling, and the mitigation of catastrophic forgetting. The aim is to equip researchers and practitioners with actionable insights for effectively fine-tuning LLMs when data and resources are limited.

cs.CL↗

arXiv2025

Evaluation of Deformable Image Registration under Alignment-Regularity Trade-off

Evaluating deformable image registration (DIR) is challenging due to the inherent trade-off between achieving high alignment accuracy and maintaining deformation regularity. However, most existing DIR works either address this trade-off inadequately or overlook it altogether. In this paper, we highlight the issues with existing practices and propose an evaluation scheme that captures the trade-off continuously to holistically evaluate DIR methods. We first introduce the alignment regularity characteristic (ARC) curves, which describe the performance of a given registration method as a spectrum under various degrees of regularity. We demonstrate that the ARC curves reveal unique insights that are not evident from existing evaluation practices, using experiments on representative deep learning DIR methods with various network architectures and transformation models. We further adopt a HyperNetwork based approach that learns to continuously interpolate across the full regularization range, accelerating the construction and improving the sample density of ARC curves. Finally, we provide general guidelines for a nuanced model evaluation and selection using our evaluation scheme for both practitioners and registration researchers.

cs.CV↗

arXiv2025

MultiMAE for Brain MRIs: Robustness to Missing Inputs Using Multi-Modal Masked Autoencoder

Missing input sequences are common in medical imaging data, posing a challenge for deep learning models reliant on complete input data. In this work, inspired by MultiMAE [2], we develop a masked autoencoder (MAE) paradigm for multi-modal, multi-task learning in 3D medical imaging with brain MRIs. Our method treats each MRI sequence as a separate input modality, leveraging a late-fusion-style transformer encoder to integrate multi-sequence information (multi-modal) and individual decoder streams for each modality for multi-task reconstruction. This pretraining strategy guides the model to learn rich representations per modality while also equipping it to handle missing inputs through cross-sequence reasoning. The result is a flexible and generalizable encoder for brain MRIs that infers missing sequences from available inputs and can be adapted to various downstream applications. We demonstrate the performance and robustness of our method against an MAE-ViT baseline in downstream segmentation and classification tasks, showing absolute improvement of $10.1$ overall Dice score and $0.46$ MCC over the baselines with missing input sequences. Our experiments demonstrate the strength of this pretraining strategy. The implementation is made available.

cs.CV↗

arXiv2025

A Graph-Based Framework for Interpretable Whole Slide Image Analysis

The histopathological analysis of whole-slide images (WSIs) is fundamental to cancer diagnosis but is a time-consuming and expert-driven process. While deep learning methods show promising results, dominant patch-based methods artificially fragment tissue, ignore biological boundaries, and produce black-box predictions. We overcome these limitations with a novel framework that transforms gigapixel WSIs into biologically-informed graph representations and is interpretable by design. Our approach builds graph nodes from tissue regions that respect natural structures, not arbitrary grids. We introduce an adaptive graph coarsening technique, guided by learned embeddings, to efficiently merge homogeneous regions while preserving diagnostically critical details in heterogeneous areas. Each node is enriched with a compact, interpretable feature set capturing clinically-motivated priors. A graph attention network then performs diagnosis on this compact representation. We demonstrate strong performance on challenging cancer staging and survival prediction tasks. Crucially, our resource-efficient model ($>$13x fewer parameters and $>$300x less data) achieves results competitive with a massive foundation model, while offering full interpretability through feature attribution. Our code is publicly available at https://github.com/HistoGraph31/pix2pathology.

eess.IV↗

arXiv2025

Sensitivity, Specificity, and Consistency: A Tripartite Evaluation of Privacy Filters for Synthetic Data Generation

The generation of privacy-preserving synthetic datasets is a promising avenue for overcoming data scarcity in medical AI research. Post-hoc privacy filtering techniques, designed to remove samples containing personally identifiable information, have recently been proposed as a solution. However, their effectiveness remains largely unverified. This work presents a rigorous evaluation of a filtering pipeline applied to chest X-ray synthesis. Contrary to claims from the original publications, our results demonstrate that current filters exhibit limited specificity and consistency, achieving high sensitivity only for real images while failing to reliably detect near-duplicates generated from training data. These results demonstrate a critical limitation of post-hoc filtering: rather than effectively safeguarding patient privacy, these methods may provide a false sense of security while leaving unacceptable levels of patient information exposed. We conclude that substantial advances in filter design are needed before these methods can be confidently deployed in sensitive applications.

cs.LG↗

arXiv2025

From Mean to Extreme: Formal Differential Privacy Bounds on the Success of Real-World Data Reconstruction Attacks

The gold standard for privacy in machine learning, Differential Privacy (DP), is often interpreted through its guarantees against membership inference. However, translating DP budgets into quantitative protection against the more damaging threat of data reconstruction remains a challenging open problem. Existing theoretical analyses of reconstruction risk are typically based on an "identification" threat model, where an adversary with a candidate set seeks a perfect match. When applied to the realistic threat of "from-scratch" attacks, these bounds can lead to an inefficient privacy-utility trade-off. This paper bridges this critical gap by deriving the first formal privacy bounds tailored to the mechanics of demonstrated Analytic Gradient Inversion Attacks (AGIAs). We first formalize the optimal from-scratch attack strategy for an adversary with no prior knowledge, showing it reduces to a mean estimation problem. We then derive closed-form, probabilistic bounds on this adversary's success, measured by Mean Squared Error (MSE) and Peak Signal-to-Noise Ratio (PSNR). Our empirical evaluation confirms these bounds remain tight even when the attack is concealed within large, complex network architectures. Our work provides a crucial second anchor for risk assessment. By establishing a tight, worst-case bound for the from-scratch threat model, we enable practitioners to assess a "risk corridor" bounded by the identification-based worst case on one side and our from-scratch worst case on the other. This allows for a more holistic, context-aware judgment of privacy risk, empowering practitioners to move beyond abstract budgets toward a principled reasoning framework for calibrating the privacy of their models.

cs.LG↗

arXiv2025

Efficient Deep Learning-based Forward Solvers for Brain Tumor Growth Models

Glioblastoma, a highly aggressive brain tumor, poses major challenges due to its poor prognosis and high morbidity rates. Partial differential equation-based models offer promising potential to enhance therapeutic outcomes by simulating patient-specific tumor behavior for improved radiotherapy planning. However, model calibration remains a bottleneck due to the high computational demands of optimization methods like Monte Carlo sampling and evolutionary algorithms. To address this, we recently introduced an approach leveraging a neural forward solver with gradient-based optimization to significantly reduce calibration time. This approach requires a highly accurate and fully differentiable forward model. We investigate multiple architectures, including (i) an enhanced TumorSurrogate, (ii) a modified nnU-Net, and (iii) a 3D Vision Transformer (ViT). The nnU-Net achieved the best overall results, excelling in both tumor outline matching and voxel-level prediction of tumor cell concentration. It yielded the lowest MSE in tumor cell concentration compared to ground truth numerical simulation and the highest Dice score across all tumor cell concentration thresholds. Our study demonstrates significant enhancement in forward solver performance and outlines important future research directions.

cs.CV↗

arXiv2025

VIBESegmentator: Full Body MRI Segmentation for the NAKO and UK Biobank

Objectives: To present a publicly available deep learning-based torso segmentation model that provides comprehensive voxel-wise coverage, including delineations that extend to the boundaries of anatomical compartments. Materials and Methods: We extracted preliminary segmentations from TotalSegmentator, spine, and body composition models for Magnetic Resonance Tomography (MR) images, then improved them iteratively and retrained an nnUNet model. Using a random retrospective subset of German National Cohort (NAKO), UK Biobank, internal MR and Computed Tomography (CT) data (Training: 2897 series from 626 subjects, 290 female; mean age 53+-16; 3-fold-cross validation (20% hold-out). Internal testing 36 series from 12 subjects, 6 male; mean age 60+-11), we segmented 71 structures in torso MR and 72 in CT images: 20 organs, 10 muscles, 19 vessels, 16 bones, ribs in CT, intervertebral discs, spinal cord, spinal canal and body composition (subcutaneous fat, unclassified muscles and visceral fat). For external validation, we used existing automatic organ segmentations, independent ground truth segmentations on gradient echo images, and the Amos data. We used non-parametric bootstrapping for confidence intervals and Wilcoxon rank-sum test for computing statistical significance. Results: We achieved an average Dice score of 0.90+-0.06 on our internal gradient echo test set, which included 71 semantic segmentation labels. Our model ties with the best model on Amos with a Dice of 0,81+-0.14, while having a larger field of view and a considerably higher number structures included. Conclusion: Our work presents a publicly available full-torso segmentation model for MRI and CT images that classifies almost all subject voxels to date.

eess.IV↗

arXiv2025

Contrastive Anatomy-Contrast Disentanglement: A Domain-General MRI Harmonization Method

Magnetic resonance imaging (MRI) is an invaluable tool for clinical and research applications. Yet, variations in scanners and acquisition parameters cause inconsistencies in image contrast, hindering data comparability and reproducibility across datasets and clinical studies. Existing scanner harmonization methods, designed to address this challenge, face limitations, such as requiring traveling subjects or struggling to generalize to unseen domains. We propose a novel approach using a conditioned diffusion autoencoder with a contrastive loss and domain-agnostic contrast augmentation to harmonize MR images across scanners while preserving subject-specific anatomy. Our method enables brain MRI synthesis from a single reference image. It outperforms baseline techniques, achieving a +7% PSNR improvement on a traveling subjects dataset and +18% improvement on age regression in unseen. Our model provides robust, effective harmonization of brain MRIs to target scanners without requiring fine-tuning. This advancement promises to enhance comparability, reproducibility, and generalizability in multi-site and longitudinal clinical studies, ultimately contributing to improved healthcare outcomes.

eess.IV↗

arXiv2025

MM-DINOv2: Adapting Foundation Models for Multi-Modal Medical Image Analysis

Vision foundation models like DINOv2 demonstrate remarkable potential in medical imaging despite their origin in natural image domains. However, their design inherently works best for uni-modal image analysis, limiting their effectiveness for multi-modal imaging tasks that are common in many medical fields, such as neurology and oncology. While supervised models perform well in this setting, they fail to leverage unlabeled datasets and struggle with missing modalities, a frequent challenge in clinical settings. To bridge these gaps, we introduce MM-DINOv2, a novel and efficient framework that adapts the pre-trained vision foundation model DINOv2 for multi-modal medical imaging. Our approach incorporates multi-modal patch embeddings, enabling vision foundation models to effectively process multi-modal imaging data. To address missing modalities, we employ full-modality masking, which encourages the model to learn robust cross-modality relationships. Furthermore, we leverage semi-supervised learning to harness large unlabeled datasets, enhancing both the accuracy and reliability of medical predictions. Applied to glioma subtype classification from multi-sequence brain MRI, our method achieves a Matthews Correlation Coefficient (MCC) of 0.6 on an external test set, surpassing state-of-the-art supervised approaches by +11.1%. Our work establishes a scalable and robust solution for multi-modal medical imaging tasks, leveraging powerful vision foundation models pre-trained on natural images while addressing real-world clinical challenges such as missing data and limited annotations.

eess.IV↗