arXiv subjects

Nassir Navab

Publications and source records attributed to Nassir Navab.

At least 289 records · Page 16Linked to original sources

arXiv2023

SCOPE: Structural Continuity Preservation for Medical Image Segmentation

Although the preservation of shape continuity and physiological anatomy is a natural assumption in the segmentation of medical images, it is often neglected by deep learning methods that mostly aim for the statistical modeling of input data as pixels rather than interconnected structures. In biological structures, however, organs are not separate entities; for example, in reality, a severed vessel is an indication of an underlying problem, but traditional segmentation models are not designed to strictly enforce the continuity of anatomy, potentially leading to inaccurate medical diagnoses. To address this issue, we propose a graph-based approach that enforces the continuity and connectivity of anatomical topology in medical images. Our method encodes the continuity of shapes as a graph constraint, ensuring that the network's predictions maintain this continuity. We evaluate our method on two public benchmarks on retinal vessel segmentation, showing significant improvements in connectivity metrics compared to traditional methods while getting better or on-par performance on segmentation metrics.

cs.CV↗

arXiv2023

SceneGenie: Scene Graph Guided Diffusion Models for Image Synthesis

Text-conditioned image generation has made significant progress in recent years with generative adversarial networks and more recently, diffusion models. While diffusion models conditioned on text prompts have produced impressive and high-quality images, accurately representing complex text prompts such as the number of instances of a specific object remains challenging. To address this limitation, we propose a novel guidance approach for the sampling process in the diffusion model that leverages bounding box and segmentation map information at inference time without additional training data. Through a novel loss in the sampling process, our approach guides the model with semantic features from CLIP embeddings and enforces geometric constraints, leading to high-resolution images that accurately represent the scene. To obtain bounding box and segmentation map information, we structure the text prompt as a scene graph and enrich the nodes with CLIP embeddings. Our proposed model achieves state-of-the-art performance on two public benchmarks for image generation from scene graphs, surpassing both scene graph to image and text-based diffusion models in various metrics. Our results demonstrate the effectiveness of incorporating bounding box and segmentation map guidance in the diffusion model sampling process for more accurate text-to-image generation.

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arXiv2023

Ultra-NeRF: Neural Radiance Fields for Ultrasound Imaging

We present a physics-enhanced implicit neural representation (INR) for ultrasound (US) imaging that learns tissue properties from overlapping US sweeps. Our proposed method leverages a ray-tracing-based neural rendering for novel view US synthesis. Recent publications demonstrated that INR models could encode a representation of a three-dimensional scene from a set of two-dimensional US frames. However, these models fail to consider the view-dependent changes in appearance and geometry intrinsic to US imaging. In our work, we discuss direction-dependent changes in the scene and show that a physics-inspired rendering improves the fidelity of US image synthesis. In particular, we demonstrate experimentally that our proposed method generates geometrically accurate B-mode images for regions with ambiguous representation owing to view-dependent differences of the US images. We conduct our experiments using simulated B-mode US sweeps of the liver and acquired US sweeps of a spine phantom tracked with a robotic arm. The experiments corroborate that our method generates US frames that enable consistent volume compounding from previously unseen views. To the best of our knowledge, the presented work is the first to address view-dependent US image synthesis using INR.

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arXiv2023

Whether and When does Endoscopy Domain Pretraining Make Sense?

Automated endoscopy video analysis is a challenging task in medical computer vision, with the primary objective of assisting surgeons during procedures. The difficulty arises from the complexity of surgical scenes and the lack of a sufficient amount of annotated data. In recent years, large-scale pretraining has shown great success in natural language processing and computer vision communities. These approaches reduce the need for annotated data, which is always a concern in the medical domain. However, most works on endoscopic video understanding use models pretrained on natural images, creating a domain gap between pretraining and finetuning. In this work, we investigate the need for endoscopy domain-specific pretraining based on downstream objectives. To this end, we first collect Endo700k, the largest publicly available corpus of endoscopic images, extracted from nine public Minimally Invasive Surgery (MIS) datasets. Endo700k comprises more than 700,000 unannotated raw images. Next, we introduce EndoViT, an endoscopy pretrained Vision Transformer (ViT). Through ablations, we demonstrate that domain-specific pretraining is particularly beneficial for more complex downstream tasks, such as Action Triplet Detection, and less effective and even unnecessary for simpler tasks, such as Surgical Phase Recognition. We will release both our code and pretrained models upon acceptance to facilitate further research in this direction.

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arXiv2023

On the Importance of Accurate Geometry Data for Dense 3D Vision Tasks

Learning-based methods to solve dense 3D vision problems typically train on 3D sensor data. The respectively used principle of measuring distances provides advantages and drawbacks. These are typically not compared nor discussed in the literature due to a lack of multi-modal datasets. Texture-less regions are problematic for structure from motion and stereo, reflective material poses issues for active sensing, and distances for translucent objects are intricate to measure with existing hardware. Training on inaccurate or corrupt data induces model bias and hampers generalisation capabilities. These effects remain unnoticed if the sensor measurement is considered as ground truth during the evaluation. This paper investigates the effect of sensor errors for the dense 3D vision tasks of depth estimation and reconstruction. We rigorously show the significant impact of sensor characteristics on the learned predictions and notice generalisation issues arising from various technologies in everyday household environments. For evaluation, we introduce a carefully designed dataset\footnote{dataset available at https://github.com/Junggy/HAMMER-dataset} comprising measurements from commodity sensors, namely D-ToF, I-ToF, passive/active stereo, and monocular RGB+P. Our study quantifies the considerable sensor noise impact and paves the way to improved dense vision estimates and targeted data fusion.

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arXiv2023

LABRAD-OR: Lightweight Memory Scene Graphs for Accurate Bimodal Reasoning in Dynamic Operating Rooms

Modern surgeries are performed in complex and dynamic settings, including ever-changing interactions between medical staff, patients, and equipment. The holistic modeling of the operating room (OR) is, therefore, a challenging but essential task, with the potential to optimize the performance of surgical teams and aid in developing new surgical technologies to improve patient outcomes. The holistic representation of surgical scenes as semantic scene graphs (SGG), where entities are represented as nodes and relations between them as edges, is a promising direction for fine-grained semantic OR understanding. We propose, for the first time, the use of temporal information for more accurate and consistent holistic OR modeling. Specifically, we introduce memory scene graphs, where the scene graphs of previous time steps act as the temporal representation guiding the current prediction. We design an end-to-end architecture that intelligently fuses the temporal information of our lightweight memory scene graphs with the visual information from point clouds and images. We evaluate our method on the 4D-OR dataset and demonstrate that integrating temporality leads to more accurate and consistent results achieving an +5% increase and a new SOTA of 0.88 in macro F1. This work opens the path for representing the entire surgery history with memory scene graphs and improves the holistic understanding in the OR. Introducing scene graphs as memory representations can offer a valuable tool for many temporal understanding tasks.

cs.CV↗

arXiv2023

Semantic Latent Space Regression of Diffusion Autoencoders for Vertebral Fracture Grading

Vertebral fractures are a consequence of osteoporosis, with significant health implications for affected patients. Unfortunately, grading their severity using CT exams is hard and subjective, motivating automated grading methods. However, current approaches are hindered by imbalance and scarcity of data and a lack of interpretability. To address these challenges, this paper proposes a novel approach that leverages unlabelled data to train a generative Diffusion Autoencoder (DAE) model as an unsupervised feature extractor. We model fracture grading as a continuous regression, which is more reflective of the smooth progression of fractures. Specifically, we use a binary, supervised fracture classifier to construct a hyperplane in the DAE's latent space. We then regress the severity of the fracture as a function of the distance to this hyperplane, calibrating the results to the Genant scale. Importantly, the generative nature of our method allows us to visualize different grades of a given vertebra, providing interpretability and insight into the features that contribute to automated grading.

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arXiv2023

Pixel-Level Explanation of Multiple Instance Learning Models in Biomedical Single Cell Images

Explainability is a key requirement for computer-aided diagnosis systems in clinical decision-making. Multiple instance learning with attention pooling provides instance-level explainability, however for many clinical applications a deeper, pixel-level explanation is desirable, but missing so far. In this work, we investigate the use of four attribution methods to explain a multiple instance learning models: GradCAM, Layer-Wise Relevance Propagation (LRP), Information Bottleneck Attribution (IBA), and InputIBA. With this collection of methods, we can derive pixel-level explanations on for the task of diagnosing blood cancer from patients' blood smears. We study two datasets of acute myeloid leukemia with over 100 000 single cell images and observe how each attribution method performs on the multiple instance learning architecture focusing on different properties of the white blood single cells. Additionally, we compare attribution maps with the annotations of a medical expert to see how the model's decision-making differs from the human standard. Our study addresses the challenge of implementing pixel-level explainability in multiple instance learning models and provides insights for clinicians to better understand and trust decisions from computer-aided diagnosis systems.

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arXiv2023

Unsupervised Traffic Scene Generation with Synthetic 3D Scene Graphs

Image synthesis driven by computer graphics achieved recently a remarkable realism, yet synthetic image data generated this way reveals a significant domain gap with respect to real-world data. This is especially true in autonomous driving scenarios, which represent a critical aspect for overcoming utilizing synthetic data for training neural networks. We propose a method based on domain-invariant scene representation to directly synthesize traffic scene imagery without rendering. Specifically, we rely on synthetic scene graphs as our internal representation and introduce an unsupervised neural network architecture for realistic traffic scene synthesis. We enhance synthetic scene graphs with spatial information about the scene and demonstrate the effectiveness of our approach through scene manipulation.

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arXiv2023

TexPose: Neural Texture Learning for Self-Supervised 6D Object Pose Estimation

In this paper, we introduce neural texture learning for 6D object pose estimation from synthetic data and a few unlabelled real images. Our major contribution is a novel learning scheme which removes the drawbacks of previous works, namely the strong dependency on co-modalities or additional refinement. These have been previously necessary to provide training signals for convergence. We formulate such a scheme as two sub-optimisation problems on texture learning and pose learning. We separately learn to predict realistic texture of objects from real image collections and learn pose estimation from pixel-perfect synthetic data. Combining these two capabilities allows then to synthesise photorealistic novel views to supervise the pose estimator with accurate geometry. To alleviate pose noise and segmentation imperfection present during the texture learning phase, we propose a surfel-based adversarial training loss together with texture regularisation from synthetic data. We demonstrate that the proposed approach significantly outperforms the recent state-of-the-art methods without ground-truth pose annotations and demonstrates substantial generalisation improvements towards unseen scenes. Remarkably, our scheme improves the adopted pose estimators substantially even when initialised with much inferior performance.

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arXiv2023

Active Learning Enhances Classification of Histopathology Whole Slide Images with Attention-based Multiple Instance Learning

In many histopathology tasks, sample classification depends on morphological details in tissue or single cells that are only visible at the highest magnification. For a pathologist, this implies tedious zooming in and out, while for a computational decision support algorithm, it leads to the analysis of a huge number of small image patches per whole slide image (WSI). Attention-based multiple instance learning (MIL), where attention estimation is learned in a weakly supervised manner, has been successfully applied in computational histopathology, but it is challenged by large numbers of irrelevant patches, reducing its accuracy. Here, we present an active learning approach to the problem. Querying the expert to annotate regions of interest in a WSI guides the formation of high-attention regions for MIL. We train an attention-based MIL and calculate a confidence metric for every image in the dataset to select the most uncertain WSIs for expert annotation. We test our approach on the CAMELYON17 dataset classifying metastatic lymph node sections in breast cancer. With a novel attention guiding loss, this leads to an accuracy boost of the trained models with few regions annotated for each class. Active learning thus improves WSIs classification accuracy, leads to faster and more robust convergence, and speeds up the annotation process. It may in the future serve as an important contribution to train MIL models in the clinically relevant context of cancer classification in histopathology.

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arXiv2023

BEL: A Bag Embedding Loss for Transformer enhances Multiple Instance Whole Slide Image Classification

Multiple Instance Learning (MIL) has become the predominant approach for classification tasks on gigapixel histopathology whole slide images (WSIs). Within the MIL framework, single WSIs (bags) are decomposed into patches (instances), with only WSI-level annotation available. Recent MIL approaches produce highly informative bag level representations by utilizing the transformer architecture's ability to model the dependencies between instances. However, when applied to high magnification datasets, problems emerge due to the large number of instances and the weak supervisory learning signal. To address this problem, we propose to additionally train transformers with a novel Bag Embedding Loss (BEL). BEL forces the model to learn a discriminative bag-level representation by minimizing the distance between bag embeddings of the same class and maximizing the distance between different classes. We evaluate BEL with the Transformer architecture TransMIL on two publicly available histopathology datasets, BRACS and CAMELYON17. We show that with BEL, TransMIL outperforms the baseline models on both datasets, thus contributing to the clinically highly relevant AI-based tumor classification of histological patient material.

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arXiv2023

MonoGraspNet: 6-DoF Grasping with a Single RGB Image

6-DoF robotic grasping is a long-lasting but unsolved problem. Recent methods utilize strong 3D networks to extract geometric grasping representations from depth sensors, demonstrating superior accuracy on common objects but perform unsatisfactorily on photometrically challenging objects, e.g., objects in transparent or reflective materials. The bottleneck lies in that the surface of these objects can not reflect back accurate depth due to the absorption or refraction of light. In this paper, in contrast to exploiting the inaccurate depth data, we propose the first RGB-only 6-DoF grasping pipeline called MonoGraspNet that utilizes stable 2D features to simultaneously handle arbitrary object grasping and overcome the problems induced by photometrically challenging objects. MonoGraspNet leverages keypoint heatmap and normal map to recover the 6-DoF grasping poses represented by our novel representation parameterized with 2D keypoints with corresponding depth, grasping direction, grasping width, and angle. Extensive experiments in real scenes demonstrate that our method can achieve competitive results in grasping common objects and surpass the depth-based competitor by a large margin in grasping photometrically challenging objects. To further stimulate robotic manipulation research, we additionally annotate and open-source a multi-view and multi-scene real-world grasping dataset, containing 120 objects of mixed photometric complexity with 20M accurate grasping labels.

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arXiv2023

On the Importance of Patient Acceptance for Medical Robotic Imaging

Purpose: Mutual acceptance is required for any human-to-human interaction. Therefore, one would assume that this also holds for robot-patient interactions. However, the medical robotic imaging field lacks research in the area of acceptance. This work, therefore, aims at analyzing the influence of robot-patient interactions on acceptance in an exemplary medical robotic imaging system. Methods: We designed an interactive human-robot scenario, including auditive and gestural cues, and compared this pipeline to a non-interactive scenario. Both scenarios were evaluated through a questionnaire to measure acceptance. Heart rate monitoring was also used to measure stress. The impact of the interaction was quantified in the use case of robotic ultrasound scanning of the neck. Results: We conducted the first user study on patient acceptance of robotic ultrasound. Results show that verbal interactions impacts trust more than gestural ones. Furthermore, through interaction, the robot is perceived to be friendlier. The heart rate data indicates that robot-patient interaction could reduce stress. Conclusion: Robot-patient interactions are crucial for improving acceptance in medical robotic imaging systems. While verbal interaction is most important, the preferred interaction type and content are participant-dependent. Heart rate values indicate that such interactions can also reduce stress. Overall, this initial work showed that interactions improve patient acceptance in medical robotic imaging, and other medical robot-patient systems can benefit from the design proposals to enhance acceptance in interactive scenarios.

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arXiv2023

Investigating Pulse-Echo Sound Speed Estimation in Breast Ultrasound with Deep Learning

Ultrasound is an adjunct tool to mammography that can quickly and safely aid physicians with diagnosing breast abnormalities. Clinical ultrasound often assumes a constant sound speed to form B-mode images for diagnosis. However, the various types of breast tissue, such as glandular, fat, and lesions, differ in sound speed. These differences can degrade the image reconstruction process. Alternatively, sound speed can be a powerful tool for identifying disease. To this end, we propose a deep-learning approach for sound speed estimation from in-phase and quadrature ultrasound signals. First, we develop a large-scale simulated ultrasound dataset that generates quasi-realistic breast tissue by modeling breast gland, skin, and lesions with varying echogenicity and sound speed. We developed a fully convolutional neural network architecture trained on a simulated dataset to produce an estimated sound speed map from inputting three complex-value in-phase and quadrature ultrasound images formed from plane-wave transmissions at separate angles. Furthermore, thermal noise augmentation is used during model optimization to enhance generalizability to real ultrasound data. We evaluate the model on simulated, phantom, and in-vivo breast ultrasound data, demonstrating its ability to accurately estimate sound speeds consistent with previously reported values in the literature. Our simulated dataset and model will be publicly available to provide a step towards accurate and generalizable sound speed estimation for pulse-echo ultrasound imaging.

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arXiv2023

KST-Mixer: Kinematic Spatio-Temporal Data Mixer For Colon Shape Estimation

We propose a spatio-temporal mixing kinematic data estimation method to estimate the shape of the colon with deformations caused by colonoscope insertion. Endoscope tracking or a navigation system that navigates physicians to target positions is needed to reduce such complications as organ perforations. Although many previous methods focused to track bronchoscopes and surgical endoscopes, few number of colonoscope tracking methods were proposed. This is because the colon largely deforms during colonoscope insertion. The deformation causes significant tracking errors. Colon deformation should be taken into account in the tracking process. We propose a colon shape estimation method using a Kinematic Spatio-Temporal data Mixer (KST-Mixer) that can be used during colonoscope insertions to the colon. Kinematic data of a colonoscope and the colon, including positions and directions of their centerlines, are obtained using electromagnetic and depth sensors. The proposed method separates the data into sub-groups along the spatial and temporal axes. The KST-Mixer extracts kinematic features and mix them along the spatial and temporal axes multiple times. We evaluated colon shape estimation accuracies in phantom studies. The proposed method achieved 11.92 mm mean Euclidean distance error, the smallest of the previous methods. Statistical analysis indicated that the proposed method significantly reduced the error compared to the previous methods.

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arXiv2023

Lidar Upsampling with Sliced Wasserstein Distance

Lidar became an important component of the perception systems in autonomous driving. But challenges of training data acquisition and annotation made emphasized the role of the sensor to sensor domain adaptation. In this work, we address the problem of lidar upsampling. Learning on lidar point clouds is rather a challenging task due to their irregular and sparse structure. Here we propose a method for lidar point cloud upsampling which can reconstruct fine-grained lidar scan patterns. The key idea is to utilize edge-aware dense convolutions for both feature extraction and feature expansion. Additionally applying a more accurate Sliced Wasserstein Distance facilitates learning of the fine lidar sweep structures. This in turn enables our method to employ a one-stage upsampling paradigm without the need for coarse and fine reconstruction. We conduct several experiments to evaluate our method and demonstrate that it provides better upsampling.

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arXiv2023

Robotic Navigation Autonomy for Subretinal Injection via Intelligent Real-Time Virtual iOCT Volume Slicing

In the last decade, various robotic platforms have been introduced that could support delicate retinal surgeries. Concurrently, to provide semantic understanding of the surgical area, recent advances have enabled microscope-integrated intraoperative Optical Coherent Tomography (iOCT) with high-resolution 3D imaging at near video rate. The combination of robotics and semantic understanding enables task autonomy in robotic retinal surgery, such as for subretinal injection. This procedure requires precise needle insertion for best treatment outcomes. However, merging robotic systems with iOCT introduces new challenges. These include, but are not limited to high demands on data processing rates and dynamic registration of these systems during the procedure. In this work, we propose a framework for autonomous robotic navigation for subretinal injection, based on intelligent real-time processing of iOCT volumes. Our method consists of an instrument pose estimation method, an online registration between the robotic and the iOCT system, and trajectory planning tailored for navigation to an injection target. We also introduce intelligent virtual B-scans, a volume slicing approach for rapid instrument pose estimation, which is enabled by Convolutional Neural Networks (CNNs). Our experiments on ex-vivo porcine eyes demonstrate the precision and repeatability of the method. Finally, we discuss identified challenges in this work and suggest potential solutions to further the development of such systems.

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