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John Pauly

Publications and source records attributed to John Pauly.

At least 19 recordsLinked to original sources

Motion-Robust Deep Reconstruction for Free-Breathing Cardiac Cine MRI

Conventional cardiac cine MRI relies on breath-hold Cartesian acquisitions, which are vulnerable to motion artifacts and can be uncomfortable or infeasible, particularly for pediatric and other noncompliant patients who cannot reliably hold their breath. Free-breathing radial acquisitions can alleviate these limitations, but robust reconstruction at high acceleration remains challenging due to prominent streak artifacts. To address these limitations, we propose Cine-DL, a clinically oriented framework that couples targeted k-space preprocessing with fast, model-based deep reconstruction. In this pipeline, raw free-breathing radial data undergo retrospective cardiac binning and respiratory gating to resolve cardiac phases and discard motion-corrupted spokes. We then introduce Streak Optimized Coil Compression (SOC), which explicitly preserves cardiac signals while suppressing peripheral interference that typically drives the streak artifacts. The resulting 2D+t cine series is reconstructed with an unrolled network that alternates a ResNet proximal operator with physics-based data consistency updates solved via conjugate gradient. We further employ a memory-efficient training strategy that reduces peak memory usage. We evaluate Cine-DL on free-breathing volunteer data against established baselines (k-t SENSE and iGRASP) and demonstrate clinical translation via hospital deployment on newly acquired patient data. Our experiments show that Cine-DL consistently improves quantitative metrics and visual fidelity, supporting a practical route toward routine, time-sensitive clinical adoption of free-breathing cine MRI.

eess.IV

Principled Design of Diffusion-based Optimizers for Inverse Problems

Score-based diffusion models achieve state-of-the-art performance for inverse problems, but their practical deployment is hindered by long inference times and cumbersome hyperparameter tuning. While pretrained diffusion models can be reused across tasks without retraining, inference-time hyperparameters such as the noise schedule and posterior sampling weights typically require ad-hoc adjustment for each problem setup. We propose principled reparameterizations that induce invariances, allowing the same hyperparameters to be reused across multiple problems without re-tuning. In addition, building on the RED-diff framework, which reformulates posterior sampling as an optimization problem, we further develop the OptDiff pipeline. OptDiff provides a simplified tuning framework that facilitates the integration of convex optimization tools to accelerate inference. Experiments on image reconstruction, deblurring, and super-resolution show substantial speedups and improved image quality.

cs.CV

LTDA-Drive: LLMs-guided Generative Models based Long-tail Data Augmentation for Autonomous Driving

3D perception plays an essential role for improving the safety and performance of autonomous driving. Yet, existing models trained on real-world datasets, which naturally exhibit long-tail distributions, tend to underperform on rare and safety-critical, vulnerable classes, such as pedestrians and cyclists. Existing studies on reweighting and resampling techniques struggle with the scarcity and limited diversity within tail classes. To address these limitations, we introduce LTDA-Drive, a novel LLM-guided data augmentation framework designed to synthesize diverse, high-quality long-tail samples. LTDA-Drive replaces head-class objects in driving scenes with tail-class objects through a three-stage process: (1) text-guided diffusion models remove head-class objects, (2) generative models insert instances of the tail classes, and (3) an LLM agent filters out low-quality synthesized images. Experiments conducted on the KITTI dataset show that LTDA-Drive significantly improves tail-class detection, achieving 34.75\% improvement for rare classes over counterpart methods. These results further highlight the effectiveness of LTDA-Drive in tackling long-tail challenges by generating high-quality and diverse data.

cs.RO

Adapted Large Language Models Can Outperform Medical Experts in Clinical Text Summarization

Analyzing vast textual data and summarizing key information from electronic health records imposes a substantial burden on how clinicians allocate their time. Although large language models (LLMs) have shown promise in natural language processing (NLP), their effectiveness on a diverse range of clinical summarization tasks remains unproven. In this study, we apply adaptation methods to eight LLMs, spanning four distinct clinical summarization tasks: radiology reports, patient questions, progress notes, and doctor-patient dialogue. Quantitative assessments with syntactic, semantic, and conceptual NLP metrics reveal trade-offs between models and adaptation methods. A clinical reader study with ten physicians evaluates summary completeness, correctness, and conciseness; in a majority of cases, summaries from our best adapted LLMs are either equivalent (45%) or superior (36%) compared to summaries from medical experts. The ensuing safety analysis highlights challenges faced by both LLMs and medical experts, as we connect errors to potential medical harm and categorize types of fabricated information. Our research provides evidence of LLMs outperforming medical experts in clinical text summarization across multiple tasks. This suggests that integrating LLMs into clinical workflows could alleviate documentation burden, allowing clinicians to focus more on patient care.

cs.CL

RadAdapt: Radiology Report Summarization via Lightweight Domain Adaptation of Large Language Models

We systematically investigate lightweight strategies to adapt large language models (LLMs) for the task of radiology report summarization (RRS). Specifically, we focus on domain adaptation via pretraining (on natural language, biomedical text, or clinical text) and via discrete prompting or parameter-efficient fine-tuning. Our results consistently achieve best performance by maximally adapting to the task via pretraining on clinical text and fine-tuning on RRS examples. Importantly, this method fine-tunes a mere 0.32% of parameters throughout the model, in contrast to end-to-end fine-tuning (100% of parameters). Additionally, we study the effect of in-context examples and out-of-distribution (OOD) training before concluding with a radiologist reader study and qualitative analysis. Our findings highlight the importance of domain adaptation in RRS and provide valuable insights toward developing effective natural language processing solutions for clinical tasks.

cs.CL

NeRP: Implicit Neural Representation Learning with Prior Embedding for Sparsely Sampled Image Reconstruction

Image reconstruction is an inverse problem that solves for a computational image based on sampled sensor measurement. Sparsely sampled image reconstruction poses addition challenges due to limited measurements. In this work, we propose an implicit Neural Representation learning methodology with Prior embedding (NeRP) to reconstruct a computational image from sparsely sampled measurements. The method differs fundamentally from previous deep learning-based image reconstruction approaches in that NeRP exploits the internal information in an image prior, and the physics of the sparsely sampled measurements to produce a representation of the unknown subject. No large-scale data is required to train the NeRP except for a prior image and sparsely sampled measurements. In addition, we demonstrate that NeRP is a general methodology that generalizes to different imaging modalities such as CT and MRI. We also show that NeRP can robustly capture the subtle yet significant image changes required for assessing tumor progression.

eess.IV

SLfRank: Shinnar-Le-Roux Pulse Design with Reduced Energy and Accurate Phase Profiles using Rank Factorization

The Shinnar-Le-Roux (SLR) algorithm is widely used to design frequency selective pulses with large flip angles. We improve its design process to generate pulses with lower energy (by as much as 26%) and more accurate phase profiles. Concretely, the SLR algorithm consists of two steps: (1) an invertible transform between frequency selective pulses and polynomial pairs that represent Cayley-Klein (CK) parameters and (2) the design of the CK polynomial pair to match the desired magnetization profiles. Because the CK polynomial pair is bi-linearly coupled, the original algorithm sequentially solves for each polynomial instead of jointly. This results in sub-optimal pulses. Instead, we leverage a convex relaxation technique, commonly used for low rank matrix recovery, to address the bi-linearity. Our numerical experiments show that the resulting pulses are almost always globally optimal in practice. For slice excitation, the proposed algorithm results in more accurate linear phase profiles. And in general the improved pulses have lower energy than the original SLR pulses.

physics.med-ph

Scale-Agnostic Super-Resolution in MRI using Feature-Based Coordinate Networks

We propose using a coordinate network decoder for the task of super-resolution in MRI. The continuous signal representation of coordinate networks enables this approach to be scale-agnostic, i.e. one can train over a continuous range of scales and subsequently query at arbitrary resolutions. Due to the difficulty of performing super-resolution on inherently noisy data, we analyze network behavior under multiple denoising strategies. Lastly we compare this method to a standard convolutional decoder using both quantitative metrics and a radiologist study implemented in Voxel, our newly developed tool for web-based evaluation of medical images.

cs.CV

Unraveling Attention via Convex Duality: Analysis and Interpretations of Vision Transformers

Vision transformers using self-attention or its proposed alternatives have demonstrated promising results in many image related tasks. However, the underpinning inductive bias of attention is not well understood. To address this issue, this paper analyzes attention through the lens of convex duality. For the non-linear dot-product self-attention, and alternative mechanisms such as MLP-mixer and Fourier Neural Operator (FNO), we derive equivalent finite-dimensional convex problems that are interpretable and solvable to global optimality. The convex programs lead to {\it block nuclear-norm regularization} that promotes low rank in the latent feature and token dimensions. In particular, we show how self-attention networks implicitly clusters the tokens, based on their latent similarity. We conduct experiments for transferring a pre-trained transformer backbone for CIFAR-100 classification by fine-tuning a variety of convex attention heads. The results indicate the merits of the bias induced by attention compared with the existing MLP or linear heads.

cs.LG

Scale-Equivariant Unrolled Neural Networks for Data-Efficient Accelerated MRI Reconstruction

Unrolled neural networks have enabled state-of-the-art reconstruction performance and fast inference times for the accelerated magnetic resonance imaging (MRI) reconstruction task. However, these approaches depend on fully-sampled scans as ground truth data which is either costly or not possible to acquire in many clinical medical imaging applications; hence, reducing dependence on data is desirable. In this work, we propose modeling the proximal operators of unrolled neural networks with scale-equivariant convolutional neural networks in order to improve the data-efficiency and robustness to drifts in scale of the images that might stem from the variability of patient anatomies or change in field-of-view across different MRI scanners. Our approach demonstrates strong improvements over the state-of-the-art unrolled neural networks under the same memory constraints both with and without data augmentations on both in-distribution and out-of-distribution scaled images without significantly increasing the train or inference time.

eess.IV

Demystifying Batch Normalization in ReLU Networks: Equivalent Convex Optimization Models and Implicit Regularization

Batch Normalization (BN) is a commonly used technique to accelerate and stabilize training of deep neural networks. Despite its empirical success, a full theoretical understanding of BN is yet to be developed. In this work, we analyze BN through the lens of convex optimization. We introduce an analytic framework based on convex duality to obtain exact convex representations of weight-decay regularized ReLU networks with BN, which can be trained in polynomial-time. Our analyses also show that optimal layer weights can be obtained as simple closed-form formulas in the high-dimensional and/or overparameterized regimes. Furthermore, we find that Gradient Descent provides an algorithmic bias effect on the standard non-convex BN network, and we design an approach to explicitly encode this implicit regularization into the convex objective. Experiments with CIFAR image classification highlight the effectiveness of this explicit regularization for mimicking and substantially improving the performance of standard BN networks.

cs.LG

Hidden Convexity of Wasserstein GANs: Interpretable Generative Models with Closed-Form Solutions

Generative Adversarial Networks (GANs) are commonly used for modeling complex distributions of data. Both the generators and discriminators of GANs are often modeled by neural networks, posing a non-transparent optimization problem which is non-convex and non-concave over the generator and discriminator, respectively. Such networks are often heuristically optimized with gradient descent-ascent (GDA), but it is unclear whether the optimization problem contains any saddle points, or whether heuristic methods can find them in practice. In this work, we analyze the training of Wasserstein GANs with two-layer neural network discriminators through the lens of convex duality, and for a variety of generators expose the conditions under which Wasserstein GANs can be solved exactly with convex optimization approaches, or can be represented as convex-concave games. Using this convex duality interpretation, we further demonstrate the impact of different activation functions of the discriminator. Our observations are verified with numerical results demonstrating the power of the convex interpretation, with applications in progressive training of convex architectures corresponding to linear generators and quadratic-activation discriminators for CelebA image generation. The code for our experiments is available at https://github.com/ardasahiner/ProCoGAN.

cs.LG

Vector-output ReLU Neural Network Problems are Copositive Programs: Convex Analysis of Two Layer Networks and Polynomial-time Algorithms

We describe the convex semi-infinite dual of the two-layer vector-output ReLU neural network training problem. This semi-infinite dual admits a finite dimensional representation, but its support is over a convex set which is difficult to characterize. In particular, we demonstrate that the non-convex neural network training problem is equivalent to a finite-dimensional convex copositive program. Our work is the first to identify this strong connection between the global optima of neural networks and those of copositive programs. We thus demonstrate how neural networks implicitly attempt to solve copositive programs via semi-nonnegative matrix factorization, and draw key insights from this formulation. We describe the first algorithms for provably finding the global minimum of the vector output neural network training problem, which are polynomial in the number of samples for a fixed data rank, yet exponential in the dimension. However, in the case of convolutional architectures, the computational complexity is exponential in only the filter size and polynomial in all other parameters. We describe the circumstances in which we can find the global optimum of this neural network training problem exactly with soft-thresholded SVD, and provide a copositive relaxation which is guaranteed to be exact for certain classes of problems, and which corresponds with the solution of Stochastic Gradient Descent in practice.

cs.LG

Quantitative Parametric Mapping of Tissues Properties from Standard Magnetic Resonance Imaging Enabled by Deep Learning

Magnetic resonance imaging (MRI) offers superior soft tissue contrast and is widely used in biomedicine. However, conventional MRI is not quantitative, which presents a bottleneck in image analysis and digital healthcare. Typically, additional scans are required to disentangle the effect of multiple parameters of MR and extract quantitative tissue properties. Here we investigate a data-driven strategy Q^2 MRI (Qualitative and Quantitative MRI) to derive quantitative parametric maps from standard MR images without additional data acquisition. By taking advantage of the interdependency between various MRI parametric maps buried in training data, the proposed deep learning strategy enables accurate prediction of tissue relaxation properties as well as other biophysical and biochemical characteristics from a single or a few images with conventional T_1/T_2 weighting. Superior performance has been achieved in quantitative MR imaging of the knee and liver. Q^2 MRI promises to provide a powerful tool for a variety of biomedical applications and facilitate the next generation of digital medicine.

physics.med-ph

A Geometry-Informed Deep Learning Framework for Ultra-Sparse 3D Tomographic Image Reconstruction

Deep learning affords enormous opportunities to augment the armamentarium of biomedical imaging, albeit its design and implementation have potential flaws. Fundamentally, most deep learning models are driven entirely by data without consideration of any prior knowledge, which dramatically increases the complexity of neural networks and limits the application scope and model generalizability. Here we establish a geometry-informed deep learning framework for ultra-sparse 3D tomographic image reconstruction. We introduce a novel mechanism for integrating geometric priors of the imaging system. We demonstrate that the seamless inclusion of known priors is essential to enhance the performance of 3D volumetric computed tomography imaging with ultra-sparse sampling. The study opens new avenues for data-driven biomedical imaging and promises to provide substantially improved imaging tools for various clinical imaging and image-guided interventions.

cs.CV

OUTCOMES: Rapid Under-sampling Optimization achieves up to 50% improvements in reconstruction accuracy for multi-contrast MRI sequences

Multi-contrast Magnetic Resonance Imaging (MRI) acquisitions from a single scan have tremendous potential to streamline exams and reduce imaging time. However, maintaining clinically feasible scan time necessitates significant undersampling, pushing the limits on compressed sensing and other low-dimensional techniques. During MRI scanning, one of the possible solutions is by using undersampling designs which can effectively improve the acquisition and achieve higher reconstruction accuracy. However, existing undersampling optimization methods are time-consuming and the limited performance prevents their clinical applications. In this paper, we proposed an improved undersampling trajectory optimization scheme to generate an optimized trajectory within seconds and apply it to subsequent multi-contrast MRI datasets on a per-subject basis, where we named it OUTCOMES. By using a data-driven method combined with improved algorithm design, GPU acceleration, and more efficient computation, the proposed method can optimize a trajectory within 5-10 seconds and achieve 30%-50% reconstruction improvement with the same acquisition cost, which makes real-time under-sampling optimization possible for clinical applications.

eess.IV

Convex Regularization Behind Neural Reconstruction

Neural networks have shown tremendous potential for reconstructing high-resolution images in inverse problems. The non-convex and opaque nature of neural networks, however, hinders their utility in sensitive applications such as medical imaging. To cope with this challenge, this paper advocates a convex duality framework that makes a two-layer fully-convolutional ReLU denoising network amenable to convex optimization. The convex dual network not only offers the optimum training with convex solvers, but also facilitates interpreting training and prediction. In particular, it implies training neural networks with weight decay regularization induces path sparsity while the prediction is piecewise linear filtering. A range of experiments with MNIST and fastMRI datasets confirm the efficacy of the dual network optimization problem.

cs.LG

multiMap: A Gradient Spoiled Sequence for Simultaneously Measuring B1+, B0, T1/M0, T2, T2*, and Fat Fraction of a Slice

We propose multiMap, a single scan that can generate several quantitative maps simultaneously. The sequence acquires multiple images in a time-efficient manner, which can be modeled for T_2, T2*, main- and transmit-field inhomogeneity, T_1:equilibrium magnetization, and water and fat content. The sequence is constructed so that cross-dependencies between parameters are isolated. Thus, each parameter can be estimated independently. Estimates of all parameters are shown on bottle phantoms, the brain, and the knee. The results are compared to estimates from established techniques.

eess.IV