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Juan Fortea

Publications and source records attributed to Juan Fortea.

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Generative Latent Representations of 3D Brain MRI for Multi-Task Downstream Analysis in Down Syndrome

Generative models have emerged as powerful tools in medical imaging, enabling tasks such as segmentation, anomaly detection, and high-quality synthetic data generation. These models typically rely on learning meaningful latent representations, which are particularly valuable given the high-dimensional nature of 3D medical images like brain magnetic resonance imaging (MRI) scans. Despite their potential, latent representations remain underexplored in terms of their structure, information content, and applicability to downstream clinical tasks. Investigating these representations is crucial for advancing the use of generative models in neuroimaging research and clinical decision-making. In this work, we develop multiple variational autoencoders (VAEs) to encode 3D brain MRI scans into compact latent space representations for generative and predictive applications. We systematically evaluate the effectiveness of the learned representations through three key analyses: (i) a quantitative and qualitative assessment of MRI reconstruction quality, (ii) a visualisation of the latent space structure using Principal Component Analysis, and (iii) downstream classification tasks on a proprietary dataset of euploid and Down syndrome individuals brain MRI scans. Our results demonstrate that the VAE successfully captures essential brain features while maintaining high reconstruction fidelity. The latent space exhibits clear clustering patterns, particularly in distinguishing individuals with Down syndrome from euploid controls.

cs.CV

BioFace3D: A fully automatic pipeline for facial biomarkers extraction of 3D face reconstructions segmented from MRI

Facial dysmorphologies have emerged as potential critical indicators in the diagnosis and prognosis of genetic, psychotic and rare disorders. While in certain conditions these dysmorphologies are severe, in other cases may be subtle and not perceivable to the human eye, requiring precise quantitative tools for their identification. Manual coding of facial dysmorphologies is a burdensome task and is subject to inter- and intra-observer variability. To overcome this gap, we present BioFace3D as a fully automatic tool for the calculation of facial biomarkers using facial models reconstructed from magnetic resonance images. The tool is divided into three automatic modules for the extraction of 3D facial models from magnetic resonance images, the registration of homologous 3D landmarks encoding facial morphology, and the calculation of facial biomarkers from anatomical landmarks coordinates using geometric morphometrics techniques.

cs.CV

Towards the Discovery of Down Syndrome Brain Biomarkers Using Generative Models

Brain imaging has allowed neuroscientists to analyze brain morphology in genetic and neurodevelopmental disorders, such as Down syndrome, pinpointing regions of interest to unravel the neuroanatomical underpinnings of cognitive impairment and memory deficits. However, the connections between brain anatomy, cognitive performance and comorbidities like Alzheimer's disease are still poorly understood in the Down syndrome population. The latest advances in artificial intelligence constitute an opportunity for developing automatic tools to analyze large volumes of brain magnetic resonance imaging scans, overcoming the bottleneck of manual analysis. In this study, we propose the use of generative models for detecting brain alterations in people with Down syndrome affected by various degrees of neurodegeneration caused by Alzheimer's disease. To that end, we evaluate state-of-the-art brain anomaly detection models based on Variational Autoencoders and Diffusion Models, leveraging a proprietary dataset of brain magnetic resonance imaging scans. Following a comprehensive evaluation process, our study includes several key analyses. First, we conducted a qualitative evaluation by expert neuroradiologists. Second, we performed both quantitative and qualitative reconstruction fidelity studies for the generative models. Third, we carried out an ablation study to examine how the incorporation of histogram post-processing can enhance model performance. Finally, we executed a quantitative volumetric analysis of subcortical structures. Our findings indicate that some models effectively detect the primary alterations characterizing Down syndrome's brain anatomy, including a smaller cerebellum, enlarged ventricles, and cerebral cortex reduction, as well as the parietal lobe alterations caused by Alzheimer's disease.

cs.CV