Marina Crespo Aguirre

arXiv2026

Improving Neuropathological Reconstruction Fidelity via AI Slice Imputation

Neuropathological analyses benefit from spatially precise volumetric reconstructions that enhance anatomical delineation and improve morphometric accuracy. Our prior work has shown the feasibility of reconstructing 3D brain volumes from 2D dissection photographs. However these outputs sometimes exhibit coarse, overly smooth reconstructions of structures, especially under high anisotropy (i.e., reconstructions from thick slabs). Here, we introduce a computationally efficient super-resolution step that imputes slices to generate anatomically consistent isotropic volumes from anisotropic 3D reconstructions of dissection photographs. By training on domain-randomized synthetic data, we ensure that our method generalizes across dissection protocols and remains robust to large slab thicknesses. The imputed volumes yield improved automated segmentations, achieving higher Dice scores, particularly in cortical and white matter regions. Validation on surface reconstruction and atlas registration tasks demonstrates more accurate cortical surfaces and MRI registration. By enhancing the resolution and anatomical fidelity of photograph-based reconstructions, our approach strengthens the bridge between neuropathology and neuroimaging. Our method is publicly available at https://surfer.nmr.mgh.harvard.edu/fswiki/mri_3d_photo_recon

cs.CV↗

arXiv2025

Generating healthy counterfactuals with denoising diffusion bridge models

Generating healthy counterfactuals from pathological images holds significant promise in medical imaging, e.g., in anomaly detection or for application of analysis tools that are designed for healthy scans. These counterfactuals should represent what a patient's scan would plausibly look like in the absence of pathology, preserving individual anatomical characteristics while modifying only the pathological regions. Denoising diffusion probabilistic models (DDPMs) have become popular methods for generating healthy counterfactuals of pathology data. Typically, this involves training on solely healthy data with the assumption that a partial denoising process will be unable to model disease regions and will instead reconstruct a closely matched healthy counterpart. More recent methods have incorporated synthetic pathological images to better guide the diffusion process. However, it remains challenging to guide the generative process in a way that effectively balances the removal of anomalies with the retention of subject-specific features. To solve this problem, we propose a novel application of denoising diffusion bridge models (DDBMs) - which, unlike DDPMs, condition the diffusion process not only on the initial point (i.e., the healthy image), but also on the final point (i.e., a corresponding synthetically generated pathological image). Treating the pathological image as a structurally informative prior enables us to generate counterfactuals that closely match the patient's anatomy while selectively removing pathology. The results show that our DDBM outperforms previously proposed diffusion models and fully supervised approaches at segmentation and anomaly detection tasks.

cs.CV↗