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Nassir Navab

Publications and source records attributed to Nassir Navab.

At least 199 records · Page 11Linked to original sources

Neural Semantic Map-Learning for Autonomous Vehicles

Autonomous vehicles demand detailed maps to maneuver reliably through traffic, which need to be kept up-to-date to ensure a safe operation. A promising way to adapt the maps to the ever-changing road-network is to use crowd-sourced data from a fleet of vehicles. In this work, we present a mapping system that fuses local submaps gathered from a fleet of vehicles at a central instance to produce a coherent map of the road environment including drivable area, lane markings, poles, obstacles and more as a 3D mesh. Each vehicle contributes locally reconstructed submaps as lightweight meshes, making our method applicable to a wide range of reconstruction methods and sensor modalities. Our method jointly aligns and merges the noisy and incomplete local submaps using a scene-specific Neural Signed Distance Field, which is supervised using the submap meshes to predict a fused environment representation. We leverage memory-efficient sparse feature-grids to scale to large areas and introduce a confidence score to model uncertainty in scene reconstruction. Our approach is evaluated on two datasets with different local mapping methods, showing improved pose alignment and reconstruction over existing methods. Additionally, we demonstrate the benefit of multi-session mapping and examine the required amount of data to enable high-fidelity map learning for autonomous vehicles.

cs.RO↗

SANGRIA: Surgical Video Scene Graph Optimization for Surgical Workflow Prediction

Graph-based holistic scene representations facilitate surgical workflow understanding and have recently demonstrated significant success. However, this task is often hindered by the limited availability of densely annotated surgical scene data. In this work, we introduce an end-to-end framework for the generation and optimization of surgical scene graphs on a downstream task. Our approach leverages the flexibility of graph-based spectral clustering and the generalization capability of foundation models to generate unsupervised scene graphs with learnable properties. We reinforce the initial spatial graph with sparse temporal connections using local matches between consecutive frames to predict temporally consistent clusters across a temporal neighborhood. By jointly optimizing the spatiotemporal relations and node features of the dynamic scene graph with the downstream task of phase segmentation, we address the costly and annotation-burdensome task of semantic scene comprehension and scene graph generation in surgical videos using only weak surgical phase labels. Further, by incorporating effective intermediate scene representation disentanglement steps within the pipeline, our solution outperforms the SOTA on the CATARACTS dataset by 8% accuracy and 10% F1 score in surgical workflow recognition

cs.CV↗

Physics-Informed Latent Diffusion for Multimodal Brain MRI Synthesis

Recent advances in generative models for medical imaging have shown promise in representing multiple modalities. However, the variability in modality availability across datasets limits the general applicability of the synthetic data they produce. To address this, we present a novel physics-informed generative model capable of synthesizing a variable number of brain MRI modalities, including those not present in the original dataset. Our approach utilizes latent diffusion models and a two-step generative process: first, unobserved physical tissue property maps are synthesized using a latent diffusion model, and then these maps are combined with a physical signal model to generate the final MRI scan. Our experiments demonstrate the efficacy of this approach in generating unseen MR contrasts and preserving physical plausibility. Furthermore, we validate the distributions of generated tissue properties by comparing them to those measured in real brain tissue.

eess.IV↗

Counterfactual Explanations for Medical Image Classification and Regression using Diffusion Autoencoder

Counterfactual explanations (CEs) aim to enhance the interpretability of machine learning models by illustrating how alterations in input features would affect the resulting predictions. Common CE approaches require an additional model and are typically constrained to binary counterfactuals. In contrast, we propose a novel method that operates directly on the latent space of a generative model, specifically a Diffusion Autoencoder (DAE). This approach offers inherent interpretability by enabling the generation of CEs and the continuous visualization of the model's internal representation across decision boundaries. Our method leverages the DAE's ability to encode images into a semantically rich latent space in an unsupervised manner, eliminating the need for labeled data or separate feature extraction models. We show that these latent representations are helpful for medical condition classification and the ordinal regression of severity pathologies, such as vertebral compression fractures (VCF) and diabetic retinopathy (DR). Beyond binary CEs, our method supports the visualization of ordinal CEs using a linear model, providing deeper insights into the model's decision-making process and enhancing interpretability. Experiments across various medical imaging datasets demonstrate the method's advantages in interpretability and versatility. The linear manifold of the DAE's latent space allows for meaningful interpolation and manipulation, making it a powerful tool for exploring medical image properties. Our code is available at https://doi.org/10.5281/zenodo.13859266.

cs.CV↗

KLDD: Kalman Filter based Linear Deformable Diffusion Model in Retinal Image Segmentation

AI-based vascular segmentation is becoming increasingly common in enhancing the screening and treatment of ophthalmic diseases. Deep learning structures based on U-Net have achieved relatively good performance in vascular segmentation. However, small blood vessels and capillaries tend to be lost during segmentation when passed through the traditional U-Net downsampling module. To address this gap, this paper proposes a novel Kalman filter based Linear Deformable Diffusion (KLDD) model for retinal vessel segmentation. Our model employs a diffusion process that iteratively refines the segmentation, leveraging the flexible receptive fields of deformable convolutions in feature extraction modules to adapt to the detailed tubular vascular structures. More specifically, we first employ a feature extractor with linear deformable convolution to capture vascular structure information form the input images. To better optimize the coordinate positions of deformable convolution, we employ the Kalman filter to enhance the perception of vascular structures in linear deformable convolution. Subsequently, the features of the vascular structures extracted are utilized as a conditioning element within a diffusion model by the Cross-Attention Aggregation module (CAAM) and the Channel-wise Soft Attention module (CSAM). These aggregations are designed to enhance the diffusion model's capability to generate vascular structures. Experiments are evaluated on retinal fundus image datasets (DRIVE, CHASE_DB1) as well as the 3mm and 6mm of the OCTA-500 dataset, and the results show that the diffusion model proposed in this paper outperforms other methods.

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Intraoperative Registration by Cross-Modal Inverse Neural Rendering

We present in this paper a novel approach for 3D/2D intraoperative registration during neurosurgery via cross-modal inverse neural rendering. Our approach separates implicit neural representation into two components, handling anatomical structure preoperatively and appearance intraoperatively. This disentanglement is achieved by controlling a Neural Radiance Field's appearance with a multi-style hypernetwork. Once trained, the implicit neural representation serves as a differentiable rendering engine, which can be used to estimate the surgical camera pose by minimizing the dissimilarity between its rendered images and the target intraoperative image. We tested our method on retrospective patients' data from clinical cases, showing that our method outperforms state-of-the-art while meeting current clinical standards for registration. Code and additional resources can be found at https://maxfehrentz.github.io/style-ngp/.

cs.CV↗

XR Prototyping of Mixed Reality Visualizations: Compensating Interaction Latency for a Medical Imaging Robot

Researching novel user experiences in medicine is challenging due to limited access to equipment and strict ethical protocols. Extended Reality (XR) simulation technologies offer a cost- and time-efficient solution for developing interactive systems. Recent work has shown Extended Reality Prototyping (XRP)'s potential, but its applicability to specific domains like controlling complex machinery needs further exploration. This paper explores the benefits and limitations of XRP in controlling a mobile medical imaging robot. We compare two XR visualization techniques to reduce perceived latency between user input and robot activation. Our XRP validation study demonstrates its potential for comparative studies, but identifies a gap in modeling human behavior in the analytic XRP validation framework.

cs.HC↗

Co-Designing Dynamic Mixed Reality Drill Positioning Widgets: A Collaborative Approach with Dentists in a Realistic Setup

Mixed Reality (MR) is proven in the literature to support precise spatial dental drill positioning by superimposing 3D widgets. Despite this, the related knowledge about widget's visual design and interactive user feedback is still limited. Therefore, this study is contributed to by co-designed MR drill tool positioning widgets with two expert dentists and three MR experts. The results of co-design are two static widgets (SWs): a simple entry point, a target axis, and two dynamic widgets (DWs), variants of dynamic error visualization with and without a target axis (DWTA and DWEP). We evaluated the co-designed widgets in a virtual reality simulation supported by a realistic setup with a tracked phantom patient, a virtual magnifying loupe, and a dentist's foot pedal. The user study involved 35 dentists with various backgrounds and years of experience. The findings demonstrated significant results; DWs outperform SWs in positional and rotational precision, especially with younger generations and subjects with gaming experiences. The user preference remains for DWs (19) instead of SWs (16). However, findings indicated that the precision positively correlates with the time trade-off. The post-experience questionnaire (NASA-TLX) showed that DWs increase mental and physical demand, effort, and frustration more than SWs. Comparisons between DWEP and DWTA show that the DW's complexity level influences time, physical and mental demands. The DWs are extensible to diverse medical and industrial scenarios that demand precision.

cs.HC↗

SURGIVID: Annotation-Efficient Surgical Video Object Discovery

Surgical scenes convey crucial information about the quality of surgery. Pixel-wise localization of tools and anatomical structures is the first task towards deeper surgical analysis for microscopic or endoscopic surgical views. This is typically done via fully-supervised methods which are annotation greedy and in several cases, demanding medical expertise. Considering the profusion of surgical videos obtained through standardized surgical workflows, we propose an annotation-efficient framework for the semantic segmentation of surgical scenes. We employ image-based self-supervised object discovery to identify the most salient tools and anatomical structures in surgical videos. These proposals are further refined within a minimally supervised fine-tuning step. Our unsupervised setup reinforced with only 36 annotation labels indicates comparable localization performance with fully-supervised segmentation models. Further, leveraging surgical phase labels as weak labels can better guide model attention towards surgical tools, leading to $\sim 2\%$ improvement in tool localization. Extensive ablation studies on the CaDIS dataset validate the effectiveness of our proposed solution in discovering relevant surgical objects with minimal or no supervision.

cs.CV↗

CathFlow: Self-Supervised Segmentation of Catheters in Interventional Ultrasound Using Optical Flow and Transformers

In minimally invasive endovascular procedures, contrast-enhanced angiography remains the most robust imaging technique. However, it is at the expense of the patient and clinician's health due to prolonged radiation exposure. As an alternative, interventional ultrasound has notable benefits such as being radiation-free, fast to deploy, and having a small footprint in the operating room. Yet, ultrasound is hard to interpret, and highly prone to artifacts and noise. Additionally, interventional radiologists must undergo extensive training before they become qualified to diagnose and treat patients effectively, leading to a shortage of staff, and a lack of open-source datasets. In this work, we seek to address both problems by introducing a self-supervised deep learning architecture to segment catheters in longitudinal ultrasound images, without demanding any labeled data. The network architecture builds upon AiAReSeg, a segmentation transformer built with the Attention in Attention mechanism, and is capable of learning feature changes across time and space. To facilitate training, we used synthetic ultrasound data based on physics-driven catheter insertion simulations, and translated the data into a unique CT-Ultrasound common domain, CACTUSS, to improve the segmentation performance. We generated ground truth segmentation masks by computing the optical flow between adjacent frames using FlowNet2, and performed thresholding to obtain a binary map estimate. Finally, we validated our model on a test dataset, consisting of unseen synthetic data and images collected from silicon aorta phantoms, thus demonstrating its potential for applications to clinical data in the future.

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MAGDA: Multi-agent guideline-driven diagnostic assistance

In emergency departments, rural hospitals, or clinics in less developed regions, clinicians often lack fast image analysis by trained radiologists, which can have a detrimental effect on patients' healthcare. Large Language Models (LLMs) have the potential to alleviate some pressure from these clinicians by providing insights that can help them in their decision-making. While these LLMs achieve high test results on medical exams showcasing their great theoretical medical knowledge, they tend not to follow medical guidelines. In this work, we introduce a new approach for zero-shot guideline-driven decision support. We model a system of multiple LLM agents augmented with a contrastive vision-language model that collaborate to reach a patient diagnosis. After providing the agents with simple diagnostic guidelines, they will synthesize prompts and screen the image for findings following these guidelines. Finally, they provide understandable chain-of-thought reasoning for their diagnosis, which is then self-refined to consider inter-dependencies between diseases. As our method is zero-shot, it is adaptable to settings with rare diseases, where training data is limited, but expert-crafted disease descriptions are available. We evaluate our method on two chest X-ray datasets, CheXpert and ChestX-ray 14 Longtail, showcasing performance improvement over existing zero-shot methods and generalizability to rare diseases.

cs.AI↗

Re-Nerfing: Improving Novel View Synthesis through Novel View Synthesis

Recent neural rendering and reconstruction techniques, such as NeRFs or Gaussian Splatting, have shown remarkable novel view synthesis capabilities but require hundreds of images of the scene from diverse viewpoints to render high-quality novel views. With fewer images available, these methods start to fail since they can no longer correctly triangulate the underlying 3D geometry and converge to a non-optimal solution. These failures can manifest as floaters or blurry renderings in sparsely observed areas of the scene. In this paper, we propose Re-Nerfing, a simple and general add-on approach that leverages novel view synthesis itself to tackle this problem. Using an already trained NVS method, we render novel views between existing ones and augment the training data to optimize a second model. This introduces additional multi-view constraints and allows the second model to converge to a better solution. With Re-Nerfing we achieve significant improvements upon multiple pipelines based on NeRF and Gaussian-Splatting in sparse view settings of the mip-NeRF 360 and LLFF datasets. Notably, Re-Nerfing does not require prior knowledge or extra supervision signals, making it a flexible and practical add-on.

cs.CV↗

Multimodal Analysis of White Blood Cell Differentiation in Acute Myeloid Leukemia Patients using a β-Variational Autoencoder

Biomedical imaging and RNA sequencing with single-cell resolution improves our understanding of white blood cell diseases like leukemia. By combining morphological and transcriptomic data, we can gain insights into cellular functions and trajectoriess involved in blood cell differentiation. However, existing methodologies struggle with integrating morphological and transcriptomic data, leaving a significant research gap in comprehensively understanding the dynamics of cell differentiation. Here, we introduce an unsupervised method that explores and reconstructs these two modalities and uncovers the relationship between different subtypes of white blood cells from human peripheral blood smears in terms of morphology and their corresponding transcriptome. Our method is based on a beta-variational autoencoder (ß-VAE) with a customized loss function, incorporating a R-CNN architecture to distinguish single-cell from background and to minimize any interference from artifacts. This implementation of ß-VAE shows good reconstruction capability along with continuous latent embeddings, while maintaining clear differentiation between single-cell classes. Our novel approach is especially helpful to uncover the correlation of two latent features in complex biological processes such as formation of granules in the cell (granulopoiesis) with gene expression patterns. It thus provides a unique tool to improve the understanding of white blood cell maturation for biomedicine and diagnostics.

cs.CV↗

PHOCUS: Physics-Based Deconvolution for Ultrasound Resolution Enhancement

Ultrasound is widely used in medical diagnostics allowing for accessible and powerful imaging but suffers from resolution limitations due to diffraction and the finite aperture of the imaging system, which restricts diagnostic use. The impulse function of an ultrasound imaging system is called the point spread function (PSF), which is convolved with the spatial distribution of reflectors in the image formation process. Recovering high-resolution reflector distributions by removing image distortions induced by the convolution process improves image clarity and detail. Conventionally, deconvolution techniques attempt to rectify the imaging system's dependent PSF, working directly on the radio-frequency (RF) data. However, RF data is often not readily accessible. Therefore, we introduce a physics-based deconvolution process using a modeled PSF, working directly on the more commonly available B-mode images. By leveraging Implicit Neural Representations (INRs), we learn a continuous mapping from spatial locations to their respective echogenicity values, effectively compensating for the discretized image space. Our contribution consists of a novel methodology for retrieving a continuous echogenicity map directly from a B-mode image through a differentiable physics-based rendering pipeline for ultrasound resolution enhancement. We qualitatively and quantitatively evaluate our approach on synthetic data, demonstrating improvements over traditional methods in metrics such as PSNR and SSIM. Furthermore, we show qualitative enhancements on an ultrasound phantom and an in-vivo acquisition of a carotid artery.

cs.CV↗

Deep Spectral Methods for Unsupervised Ultrasound Image Interpretation

Ultrasound imaging is challenging to interpret due to non-uniform intensities, low contrast, and inherent artifacts, necessitating extensive training for non-specialists. Advanced representation with clear tissue structure separation could greatly assist clinicians in mapping underlying anatomy and distinguishing between tissue layers. Decomposing an image into semantically meaningful segments is mainly achieved using supervised segmentation algorithms. Unsupervised methods are beneficial, as acquiring large labeled datasets is difficult and costly, but despite their advantages, they still need to be explored in ultrasound. This paper proposes a novel unsupervised deep learning strategy tailored to ultrasound to obtain easily interpretable tissue separations. We integrate key concepts from unsupervised deep spectral methods, which combine spectral graph theory with deep learning methods. We utilize self-supervised transformer features for spectral clustering to generate meaningful segments based on ultrasound-specific metrics and shape and positional priors, ensuring semantic consistency across the dataset. We evaluate our unsupervised deep learning strategy on three ultrasound datasets, showcasing qualitative results across anatomical contexts without label requirements. We also conduct a comparative analysis against other clustering algorithms to demonstrate superior segmentation performance, boundary preservation, and label consistency.

cs.CV↗

Neural Cellular Automata for Lightweight, Robust and Explainable Classification of White Blood Cell Images

Diagnosis of hematological malignancies depends on accurate identification of white blood cells in peripheral blood smears. Deep learning techniques are emerging as a viable solution to scale and optimize this process by automatic cell classification. However, these techniques face several challenges such as limited generalizability, sensitivity to domain shifts, and lack of explainability. Here, we introduce a novel approach for white blood cell classification based on neural cellular automata (NCA). We test our approach on three datasets of white blood cell images and show that we achieve competitive performance compared to conventional methods. Our NCA-based method is significantly smaller in terms of parameters and exhibits robustness to domain shifts. Furthermore, the architecture is inherently explainable, providing insights into the decision process for each classification, which helps to understand and validate model predictions. Our results demonstrate that NCA can be used for image classification, and that they address key challenges of conventional methods, indicating a high potential for applicability in clinical practice.

cs.CV↗

Needle Segmentation Using GAN: Restoring Thin Instrument Visibility in Robotic Ultrasound

Ultrasound-guided percutaneous needle insertion is a standard procedure employed in both biopsy and ablation in clinical practices. However, due to the complex interaction between tissue and instrument, the needle may deviate from the in-plane view, resulting in a lack of close monitoring of the percutaneous needle. To address this challenge, we introduce a robot-assisted ultrasound (US) imaging system designed to seamlessly monitor the insertion process and autonomously restore the visibility of the inserted instrument when misalignment happens. To this end, the adversarial structure is presented to encourage the generation of segmentation masks that align consistently with the ground truth in high-order space. This study also systematically investigates the effects on segmentation performance by exploring various training loss functions and their combinations. When misalignment between the probe and the percutaneous needle is detected, the robot is triggered to perform transverse searching to optimize the positional and rotational adjustment to restore needle visibility. The experimental results on ex-vivo porcine samples demonstrate that the proposed method can precisely segment the percutaneous needle (with a tip error of $0.37\pm0.29mm$ and an angle error of $1.19\pm 0.29^{\circ}$). Furthermore, the needle appearance can be successfully restored under the repositioned probe pose in all 45 trials, with repositioning errors of $1.51\pm0.95mm$ and $1.25\pm0.79^{\circ}$. from latex to text with math symbols

cs.RO↗

Hybrid Functional Maps for Crease-Aware Non-Isometric Shape Matching

Non-isometric shape correspondence remains a fundamental challenge in computer vision. Traditional methods using Laplace-Beltrami operator (LBO) eigenmodes face limitations in characterizing high-frequency extrinsic shape changes like bending and creases. We propose a novel approach of combining the non-orthogonal extrinsic basis of eigenfunctions of the elastic thin-shell hessian with the intrinsic ones of the LBO, creating a hybrid spectral space in which we construct functional maps. To this end, we present a theoretical framework to effectively integrate non-orthogonal basis functions into descriptor- and learning-based functional map methods. Our approach can be incorporated easily into existing functional map pipelines across varying applications and is able to handle complex deformations beyond isometries. We show extensive evaluations across various supervised and unsupervised settings and demonstrate significant improvements. Notably, our approach achieves up to 15% better mean geodesic error for non-isometric correspondence settings and up to 45% improvement in scenarios with topological noise.

cs.CV↗