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Orcun Goksel

Publications and source records attributed to Orcun Goksel.

At least 55 records · Page 3Linked to original sources

Reinforcement Learning of Musculoskeletal Control from Functional Simulations

To diagnose, plan, and treat musculoskeletal pathologies, understanding and reproducing muscle recruitment for complex movements is essential. With muscle activations for movements often being highly redundant, nonlinear, and time dependent, machine learning can provide a solution for their modeling and control for anatomy-specific musculoskeletal simulations. Sophisticated biomechanical simulations often require specialized computational environments, being numerically complex and slow, hindering their integration with typical deep learning frameworks. In this work, a deep reinforcement learning (DRL) based inverse dynamics controller is trained to control muscle activations of a biomechanical model of the human shoulder. In a generalizable end-to-end fashion, muscle activations are learned given current and desired position-velocity pairs. A customized reward functions for trajectory control is introduced, enabling straightforward extension to additional muscles and higher degrees of freedom. Using the biomechanical model, multiple episodes are simulated on a cluster simultaneously using the evolving neural models of the DRL being trained. Results are presented for a single-axis motion control of shoulder abduction for the task of following randomly generated angular trajectories.

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Mitosis Detection Under Limited Annotation: A Joint Learning Approach

Mitotic counting is a vital prognostic marker of tumor proliferation in breast cancer. Deep learning-based mitotic detection is on par with pathologists, but it requires large labeled data for training. We propose a deep classification framework for enhancing mitosis detection by leveraging class label information, via softmax loss, and spatial distribution information among samples, via distance metric learning. We also investigate strategies towards steadily providing informative samples to boost the learning. The efficacy of the proposed framework is established through evaluation on ICPR 2012 and AMIDA 2013 mitotic data. Our framework significantly improves the detection with small training data and achieves on par or superior performance compared to state-of-the-art methods for using the entire training data.

cs.CV↗

Towards Explainable Graph Representations in Digital Pathology

Explainability of machine learning (ML) techniques in digital pathology (DP) is of great significance to facilitate their wide adoption in clinics. Recently, graph techniques encoding relevant biological entities have been employed to represent and assess DP images. Such paradigm shift from pixel-wise to entity-wise analysis provides more control over concept representation. In this paper, we introduce a post-hoc explainer to derive compact per-instance explanations emphasizing diagnostically important entities in the graph. Although we focus our analyses to cells and cellular interactions in breast cancer subtyping, the proposed explainer is generic enough to be extended to other topological representations in DP. Qualitative and quantitative analyses demonstrate the efficacy of the explainer in generating comprehensive and compact explanations.

cs.CV↗

HACT-Net: A Hierarchical Cell-to-Tissue Graph Neural Network for Histopathological Image Classification

Cancer diagnosis, prognosis, and therapeutic response prediction are heavily influenced by the relationship between the histopathological structures and the function of the tissue. Recent approaches acknowledging the structure-function relationship, have linked the structural and spatial patterns of cell organization in tissue via cell-graphs to tumor grades. Though cell organization is imperative, it is insufficient to entirely represent the histopathological structure. We propose a novel hierarchical cell-to-tissue-graph (HACT) representation to improve the structural depiction of the tissue. It consists of a low-level cell-graph, capturing cell morphology and interactions, a high-level tissue-graph, capturing morphology and spatial distribution of tissue parts, and cells-to-tissue hierarchies, encoding the relative spatial distribution of the cells with respect to the tissue distribution. Further, a hierarchical graph neural network (HACT-Net) is proposed to efficiently map the HACT representations to histopathological breast cancer subtypes. We assess the methodology on a large set of annotated tissue regions of interest from H\&E stained breast carcinoma whole-slides. Upon evaluation, the proposed method outperformed recent convolutional neural network and graph neural network approaches for breast cancer multi-class subtyping. The proposed entity-based topological analysis is more inline with the pathological diagnostic procedure of the tissue. It provides more command over the tissue modelling, therefore encourages the further inclusion of pathological priors into task-specific tissue representation.

cs.CV↗

GramGAN: Deep 3D Texture Synthesis From 2D Exemplars

We present a novel texture synthesis framework, enabling the generation of infinite, high-quality 3D textures given a 2D exemplar image. Inspired by recent advances in natural texture synthesis, we train deep neural models to generate textures by non-linearly combining learned noise frequencies. To achieve a highly realistic output conditioned on an exemplar patch, we propose a novel loss function that combines ideas from both style transfer and generative adversarial networks. In particular, we train the synthesis network to match the Gram matrices of deep features from a discriminator network. In addition, we propose two architectural concepts and an extrapolation strategy that significantly improve generalization performance. In particular, we inject both model input and condition into hidden network layers by learning to scale and bias hidden activations. Quantitative and qualitative evaluations on a diverse set of exemplars motivate our design decisions and show that our system performs superior to previous state of the art. Finally, we conduct a user study that confirms the benefits of our framework.

cs.CV↗

Training Variational Networks with Multi-Domain Simulations: Speed-of-Sound Image Reconstruction

Speed-of-sound has been shown as a potential biomarker for breast cancer imaging, successfully differentiating malignant tumors from benign ones. Speed-of-sound images can be reconstructed from time-of-flight measurements from ultrasound images acquired using conventional handheld ultrasound transducers. Variational Networks (VN) have recently been shown to be a potential learning-based approach for optimizing inverse problems in image reconstruction. Despite earlier promising results, these methods however do not generalize well from simulated to acquired data, due to the domain shift. In this work, we present for the first time a VN solution for a pulse-echo SoS image reconstruction problem using diverging waves with conventional transducers and single-sided tissue access. This is made possible by incorporating simulations with varying complexity into training. We use loop unrolling of gradient descent with momentum, with an exponentially weighted loss of outputs at each unrolled iteration in order to regularize training. We learn norms as activation functions regularized to have smooth forms for robustness to input distribution variations. We evaluate reconstruction quality on ray-based and full-wave simulations as well as on tissue-mimicking phantom data, in comparison to a classical iterative (L-BFGS) optimization of this image reconstruction problem. We show that the proposed regularization techniques combined with multi-source domain training yield substantial improvements in the domain adaptation capabilities of VN, reducing median RMSE by 54% on a wave-based simulation dataset compared to the baseline VN. We also show that on data acquired from a tissue-mimicking breast phantom the proposed VN provides improved reconstruction in 12 milliseconds.

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Deep Image Translation for Enhancing Simulated Ultrasound Images

Ultrasound simulation based on ray tracing enables the synthesis of highly realistic images. It can provide an interactive environment for training sonographers as an educational tool. However, due to high computational demand, there is a trade-off between image quality and interactivity, potentially leading to sub-optimal results at interactive rates. In this work we introduce a deep learning approach based on adversarial training that mitigates this trade-off by improving the quality of simulated images with constant computation time. An image-to-image translation framework is utilized to translate low quality images into high quality versions. To incorporate anatomical information potentially lost in low quality images, we additionally provide segmentation maps to image translation. Furthermore, we propose to leverage information from acoustic attenuation maps to better preserve acoustic shadows and directional artifacts, an invaluable feature for ultrasound image interpretation. The proposed method yields an improvement of 7.2% in Fréchet Inception Distance and 8.9% in patch-based Kullback-Leibler divergence.

cs.CV↗

Deep Network for Scatterer Distribution Estimation for Ultrasound Image Simulation

Simulation-based ultrasound training can be an essential educational tool. Realistic ultrasound image appearance with typical speckle texture can be modeled as convolution of a point spread function with point scatterers representing tissue microstructure. Such scatterer distribution, however, is in general not known and its estimation for a given tissue type is fundamentally an ill-posed inverse problem. In this paper, we demonstrate a convolutional neural network approach for probabilistic scatterer estimation from observed ultrasound data. We herein propose to impose a known statistical distribution on scatterers and learn the mapping between ultrasound image and distribution parameter map by training a convolutional neural network on synthetic images. In comparison with several existing approaches, we demonstrate in numerical simulations and with in-vivo images that the synthesized images from scatterer representations estimated with our approach closely match the observations with varying acquisition parameters such as compression and rotation of the imaged domain.

cs.CV↗

Nonlinear Characterization of Tissue Viscoelasticity with Acoustoelastic Attenuation of Shear-Waves

Shear-wave elastography (SWE) measures shear-wave speed (SWS), which is related to the underlying shear modulus of soft tissue. SWE methods generally assume that soft tissue viscoelasticity is independent of mechanical loading, however, soft tissues are known to have viscoelasticity changing nonlinearly with pre-compression. Hence, characterization by SWS alone is insufficient, where nonlinear properties can be seen as confounders but may also be utilized as additional bio-markers. The viscoelastic nature of a medium is fully characterized by its storage and loss moduli, which are related to SWS and shear-wave attenuation (SWA). In this work, we study SWA characteristics as a function of applied strain to measure nonlinear viscoelastic parameters in soft tissues. For this purpose, we apply incremental quasi-static compression on the samples while measuring SWS and SWA, from which we derive storage and loss moduli to estimate nonlinear viscoelastic parameters as a function of applied strain using acoustoelasticity (AE) theory. Results from tissue-mimicking phantoms with varying oil percentages and ex-vivo porcine liver experiments demonstrate the feasibility of the proposed approach. In both these experiments, SWA was observed to decrease with applied strain. For 10 % compression in ex-vivo livers, shear-wave attenuation decreased on average by 28 % (93 Np/m), while SWS increased on average by 20 % (0.26 m/s).

physics.med-ph↗

Delineating Bone Surfaces in B-Mode Images Constrained by Physics of Ultrasound Propagation

Bone surface delineation in ultrasound is of interest due to its potential in diagnosis, surgical planning, and post-operative follow-up in orthopedics, as well as the potential of using bones as anatomical landmarks in surgical navigation. We herein propose a method to encode the physics of ultrasound propagation into a factor graph formulation for the purpose of bone surface delineation. In this graph structure, unary node potentials encode the local likelihood for being a soft tissue or acoustic-shadow (behind bone surface) region, both learned through image descriptors. Pair-wise edge potentials encode ultrasound propagation constraints of bone surfaces given their large acoustic-impedance difference. We evaluate the proposed method in comparison with four earlier approaches, on in-vivo ultrasound images collected from dorsal and volar views of the forearm. The proposed method achieves an average root-mean-square error and symmetric Hausdorff distance of 0.28mm and 1.78mm, respectively. It detects 99.9% of the annotated bone surfaces with a mean scanline error (distance to annotations) of 0.39mm.

cs.CV↗

Active Learning for Segmentation Based on Bayesian Sample Queries

Segmentation of anatomical structures is a fundamental image analysis task for many applications in the medical field. Deep learning methods have been shown to perform well, but for this purpose large numbers of manual annotations are needed in the first place, which necessitate prohibitive levels of resources that are often unavailable. In an active learning framework of selecting informed samples for manual labeling, expert clinician time for manual annotation can be optimally utilized, enabling the establishment of large labeled datasets for machine learning. In this paper, we propose a novel method that combines representativeness with uncertainty in order to estimate ideal samples to be annotated, iteratively from a given dataset. Our novel representativeness metric is based on Bayesian sampling, by using information-maximizing autoencoders. We conduct experiments on a shoulder magnetic resonance imaging (MRI) dataset for the segmentation of four musculoskeletal tissue classes. Quantitative results show that the annotation of representative samples selected by our proposed querying method yields an improved segmentation performance at each active learning iteration, compared to a baseline method that also employs uncertainty and representativeness metrics. For instance, with only 10% of the dataset annotated, our method reaches within 5% of Dice score expected from the upper bound scenario of all the dataset given as annotated (an impractical scenario due to resource constraints), and this gap drops down to a mere 2% when less than a fifth of the dataset samples are annotated. Such active learning approach to selecting samples to annotate enables an optimal use of the expert clinician time, being often the bottleneck in realizing machine learning solutions in medicine.

cs.CV↗

Speed-of-Sound Imaging using Diverging Waves

Recent ultrasound imaging modalities based on ultrasound computed tomography indicate a huge potential to detect pathologies is tissue due to altered biomechanical properties. Especially the imaging of speed-of-sound (SoS) distribution in tissue has shown clinical promise and thus gained increasing attention in the field -- with several methods proposed based on transmission mode tomography. SoS imaging using conventional ultrasound (US) systems would be convenient and easy for clinical translation, but this requires using conventional US probes with single-sides tissue access and thus pulse-echo imaging sequences. Recent pulse-echo SoS imaging methods rely on plane wave (PW) insonifications, which is prone to strong aberration effects for non-homogeneous tissue composition. In this paper we propose to use diverging waves (DW) for SoS imaging and thus substantially improve the reconstruction of SoS distributions. We study this proposition by first plane wavefront aberrations compared to DW. We then present the sensitivity of both approaches to major parameterization choices on a set of simulated phantoms. Using the optimum parameter combination for each method for a given transducer model and imaging sequence, we analyze the SoS imaging performance comparatively between the two approaches. Results indicate that using DW instead of PW, the reconstruction accuracy improves substantially, by over 22% in reconstruction error (RMSE) and by 55% in contrast (CNR). We also demonstrate improvements in SoS reconstructions from an actual US acquisition of a breast phantom with tumor- and cyst-representative inclusions, with high and low SoS contrast, respectively.

physics.med-ph↗

Ultrasound Aberration Correction based on Local Speed-of-Sound Map Estimation

For beamforming ultrasound (US) signals, typically a spatially constant speed-of-sound (SoS) is assumed to calculate delays. As SoS in tissue may vary relatively largely, this approximation may cause wavefront aberrations, thus degrading effective imaging resolution. In the literature, corrections have been proposed based on unidirectional SoS estimation or computationally-expensive a posteriori phase rectification. In this paper we demonstrate a direct delay correction approach for US beamforming, by leveraging 2D spatial SoS distribution estimates from plane-wave imaging. We show both in simulations and with ex vivo measurements that resolutions close to the wavelength limit can be achieved using our proposed local SoS-adaptive beamforming, yielding a lateral resolution improvement of 22% to 29% on tissue samples with up to 3% SoS-contrast (45m/s). We verify that our method accurately images absolute positions of tissue structures down to sub-pixel resolution of a tenth of a wavelength, whereas a global SoS assumption leads to artifactual localizations.

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Attenuation Imaging with Pulse-Echo Ultrasound based on an Acoustic Reflector

Ultrasound attenuation is caused by absorption and scattering in tissue and is thus a function of tissue composition, hence its imaging offers great potential for screening and differential diagnosis. In this paper we propose a novel method that allows to reconstruct spatial attenuation distribution in tissue based on computed tomography, using reflections from a passive acoustic reflector. This requires a standard ultrasound transducer operating in pulse-echo mode, thus it can be implemented on conventional ultrasound systems with minor modifications. We use calibration with water measurements in order to normalize measurements for quantitative imaging of attenuation. In contrast to earlier techniques, we herein show that attenuation reconstructions are possible without any geometric prior on the inclusion location or shape. We present a quantitative evaluation of reconstructions based on simulations, gelatin phantoms, and ex-vivo bovine skeletal muscle tissue, achieving contrast-to-noise ratio of up to 2.3 for an inclusion in ex-vivo tissue.

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Deep Variational Networks with Exponential Weighting for Learning Computed Tomography

Tomographic image reconstruction is relevant for many medical imaging modalities including X-ray, ultrasound (US) computed tomography (CT) and photoacoustics, for which the access to full angular range tomographic projections might be not available in clinical practice due to physical or time constraints. Reconstruction from incomplete data in low signal-to-noise ratio regime is a challenging and ill-posed inverse problem that usually leads to unsatisfactory image quality. While informative image priors may be learned using generic deep neural network architectures, the artefacts caused by an ill-conditioned design matrix often have global spatial support and cannot be efficiently filtered out by means of convolutions. In this paper we propose to learn an inverse mapping in an end-to-end fashion via unrolling optimization iterations of a prototypical reconstruction algorithm. We herein introduce a network architecture that performs filtering jointly in both sinogram and spatial domains. To efficiently train such deep network we propose a novel regularization approach based on deep exponential weighting. Experiments on US and X-ray CT data show that our proposed method is qualitatively and quantitatively superior to conventional non-linear reconstruction methods as well as state-of-the-art deep networks for image reconstruction. Fast inference time of the proposed algorithm allows for sophisticated reconstructions in real-time critical settings, demonstrated with US SoS imaging of an ex vivo bovine phantom.

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Extending Pretrained Segmentation Networks with Additional Anatomical Structures

Comprehensive surgical planning require complex patient-specific anatomical models. For instance, functional muskuloskeletal simulations necessitate all relevant structures to be segmented, which could be performed in real-time using deep neural networks given sufficient annotated samples. Such large datasets of multiple structure annotations are costly to procure and are often unavailable in practice. Nevertheless, annotations from different studies and centers can be readily available, or become available in the future in an incremental fashion. We propose a class-incremental segmentation framework for extending a deep network trained for some anatomical structure to yet another structure using a small incremental annotation set. Through distilling knowledge from the current state of the framework, we bypass the need for a full retraining. This is a meta-method to extend any choice of desired deep segmentation network with only a minor addition per structure, which makes it suitable for lifelong class-incremental learning and applicable also for future deep neural network architectures. We evaluated our methods on a public knee dataset of 100 MR volumes. Through varying amount of incremental annotation ratios, we show how our proposed method can retain the previous anatomical structure segmentation performance superior to the conventional finetuning approach. In addition, our framework inherently exploits transferable knowledge from previously trained structures to incremental tasks, demonstrated by superior results compared to non-incremental training. With the presented method, new anatomical structures can be learned without catastrophic forgetting of older structures and without extensive increase of memory and complexity.

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Weighted Mean Curvature

In image processing tasks, spatial priors are essential for robust computations, regularization, algorithmic design and Bayesian inference. In this paper, we introduce weighted mean curvature (WMC) as a novel image prior and present an efficient computation scheme for its discretization in practical image processing applications. We first demonstrate the favorable properties of WMC, such as sampling invariance, scale invariance, and contrast invariance with Gaussian noise model; and we show the relation of WMC to area regularization. We further propose an efficient computation scheme for discretized WMC, which is demonstrated herein to process over 33.2 giga-pixels/second on GPU. This scheme yields itself to a convolutional neural network representation. Finally, WMC is evaluated on synthetic and real images, showing its superiority quantitatively to total-variation and mean curvature.

cs.CV↗

SCATGAN for Reconstruction of Ultrasound Scatterers Using Generative Adversarial Networks

Computational simulation of ultrasound (US) echography is essential for training sonographers. Realistic simulation of US interaction with microscopic tissue structures is often modeled by a tissue representation in the form of point scatterers, convolved with a spatially varying point spread function. This yields a realistic US B-mode speckle texture, given that a scatterer representation for a particular tissue type is readily available. This is often not the case and scatterers are nontrivial to determine. In this work we propose to estimate scatterer maps from sample US B-mode images of a tissue, by formulating this inverse mapping problem as image translation, where we learn the mapping with Generative Adversarial Networks, using a US simulation software for training. We demonstrate robust reconstruction results, invariant to US viewing and imaging settings such as imaging direction and center frequency. Our method is shown to generalize beyond the trained imaging settings, demonstrated on in-vivo US data. Our inference runs orders of magnitude faster than optimization-based techniques, enabling future extensions for reconstructing 3D B-mode volumes with only linear computational complexity.

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