arXiv subjects

Pew-Thian Yap

Publications and source records attributed to Pew-Thian Yap.

At least 19 recordsLinked to original sources

arXiv2026

RelA-Diffusion: Relativistic Adversarial Diffusion for Multi-Tracer PET Synthesis from Multi-Sequence MRI

Multi-tracer positron emission tomography (PET) provides critical insights into diverse neuropathological processes such as tau accumulation, neuroinflammation, and $β$-amyloid deposition in the brain, making it indispensable for comprehensive neurological assessment. However, routine acquisition of multi-tracer PET is limited by high costs, radiation exposure, and restricted tracer availability. Recent efforts have explored deep learning approaches for synthesizing PET images from structural MRI. While some methods rely solely on T1-weighted MRI, others incorporate additional sequences such as T2-FLAIR to improve pathological sensitivity. However, existing methods often struggle to capture fine-grained anatomical and pathological details, resulting in artifacts and unrealistic outputs. To this end, we propose RelA-Diffusion, a Relativistic Adversarial Diffusion framework for multi-tracer PET synthesis from multi-sequence MRI. By leveraging both T1-weighted and T2-FLAIR scans as complementary inputs, RelA-Diffusion captures richer structural information to guide image generation. To improve synthesis fidelity, we introduce a gradient-penalized relativistic adversarial loss to the intermediate clean predictions of the diffusion model. This loss compares real and generated images in a relative manner, encouraging the synthesis of more realistic local structures. Both the relativistic formulation and the gradient penalty contribute to stabilizing the training, while adversarial feedback at each diffusion timestep enables consistent refinement throughout the generation process. Extensive experiments on two datasets demonstrate that RelA-Diffusion outperforms existing methods in both visual fidelity and quantitative metrics, highlighting its potential for accurate synthesis of multi-tracer PET.

eess.IV↗

arXiv2026

Unified Multi-Site Multi-Sequence Brain MRI Harmonization Enriched by Biomedical Semantic Style

Aggregating multi-site brain MRI data can enhance deep learning model training, but also introduces non-biological heterogeneity caused by site-specific variations (e.g., differences in scanner vendors, acquisition parameters, and imaging protocols) that can undermine generalizability. Recent retrospective MRI harmonization seeks to reduce such site effects by standardizing image style (e.g., intensity, contrast, noise patterns) while preserving anatomical content. However, existing methods often rely on limited paired traveling-subject data or fail to effectively disentangle style from anatomy. Furthermore, most current approaches address only single-sequence harmonization, restricting their use in real-world settings where multi-sequence MRI is routinely acquired. To this end, we introduce MMH, a unified framework for multi-site multi-sequence brain MRI harmonization that leverages biomedical semantic priors for sequence-aware style alignment. MMH operates in two stages: (1) a diffusion-based global harmonizer that maps MR images to a sequence-specific unified domain using style-agnostic gradient conditioning, and (2) a target-specific fine-tuner that adapts globally aligned images to desired target domains. A tri-planar attention BiomedCLIP encoder aggregates multi-view embeddings to characterize volumetric style information, allowing explicit disentanglement of image styles from anatomy without requiring paired data. Evaluations on 4,163 T1- and T2-weighted MRIs demonstrate MMH's superior harmonization over state-of-the-art methods in image feature clustering, voxel-level comparison, tissue segmentation, and downstream age and site classification.

cs.CV↗

arXiv2024

SinoSynth: A Physics-based Domain Randomization Approach for Generalizable CBCT Image Enhancement

Cone Beam Computed Tomography (CBCT) finds diverse applications in medicine. Ensuring high image quality in CBCT scans is essential for accurate diagnosis and treatment delivery. Yet, the susceptibility of CBCT images to noise and artifacts undermines both their usefulness and reliability. Existing methods typically address CBCT artifacts through image-to-image translation approaches. These methods, however, are limited by the artifact types present in the training data, which may not cover the complete spectrum of CBCT degradations stemming from variations in imaging protocols. Gathering additional data to encompass all possible scenarios can often pose a challenge. To address this, we present SinoSynth, a physics-based degradation model that simulates various CBCT-specific artifacts to generate a diverse set of synthetic CBCT images from high-quality CT images without requiring pre-aligned data. Through extensive experiments, we demonstrate that several different generative networks trained on our synthesized data achieve remarkable results on heterogeneous multi-institutional datasets, outperforming even the same networks trained on actual data. We further show that our degradation model conveniently provides an avenue to enforce anatomical constraints in conditional generative models, yielding high-quality and structure-preserving synthetic CT images.

cs.CV↗

arXiv2024

Unpaired Volumetric Harmonization of Brain MRI with Conditional Latent Diffusion

Multi-site structural MRI is increasingly used in neuroimaging studies to diversify subject cohorts. However, combining MR images acquired from various sites/centers may introduce site-related non-biological variations. Retrospective image harmonization helps address this issue, but current methods usually perform harmonization on pre-extracted hand-crafted radiomic features, limiting downstream applicability. Several image-level approaches focus on 2D slices, disregarding inherent volumetric information, leading to suboptimal outcomes. To this end, we propose a novel 3D MRI Harmonization framework through Conditional Latent Diffusion (HCLD) by explicitly considering image style and brain anatomy. It comprises a generalizable 3D autoencoder that encodes and decodes MRIs through a 4D latent space, and a conditional latent diffusion model that learns the latent distribution and generates harmonized MRIs with anatomical information from source MRIs while conditioned on target image style. This enables efficient volume-level MRI harmonization through latent style translation, without requiring paired images from target and source domains during training. The HCLD is trained and evaluated on 4,158 T1-weighted brain MRIs from three datasets in three tasks, assessing its ability to remove site-related variations while retaining essential biological features. Qualitative and quantitative experiments suggest the effectiveness of HCLD over several state-of-the-arts

eess.IV↗

arXiv2024

Simulation-based Inference of Developmental EEG Maturation with the Spectral Graph Model

The spectral content of macroscopic neural activity evolves throughout development, yet how this maturation relates to underlying brain network formation and dynamics remains unknown. Here, we assess the developmental maturation of electroencephalogram spectra via Bayesian model inversion of the spectral graph model, a parsimonious whole-brain model of spatiospectral neural activity derived from linearized neural field models coupled by the structural connectome. Simulation-based inference was used to estimate age-varying spectral graph model parameter posterior distributions from electroencephalogram spectra spanning the developmental period. This model-fitting approach accurately captures observed developmental electroencephalogram spectral maturation via a neurobiologically consistent progression of key neural parameters: long-range coupling, axonal conduction speed, and excitatory:inhibitory balance. These results suggest that the spectral maturation of macroscopic neural activity observed during typical development is supported by age-dependent functional adaptations in localized neural dynamics and their long-range coupling across the macroscopic structural network.

q-bio.NC↗

arXiv2024

Towards Architecture-Agnostic Untrained Network Priors for Image Reconstruction with Frequency Regularization

Untrained networks inspired by deep image priors have shown promising capabilities in recovering high-quality images from noisy or partial measurements without requiring training sets. Their success is widely attributed to implicit regularization due to the spectral bias of suitable network architectures. However, the application of such network-based priors often entails superfluous architectural decisions, risks of overfitting, and lengthy optimization processes, all of which hinder their practicality. To address these challenges, we propose efficient architecture-agnostic techniques to directly modulate the spectral bias of network priors: 1) bandwidth-constrained input, 2) bandwidth-controllable upsamplers, and 3) Lipschitz-regularized convolutional layers. We show that, with just a few lines of code, we can reduce overfitting in underperforming architectures and close performance gaps with high-performing counterparts, minimizing the need for extensive architecture tuning. This makes it possible to employ a more compact model to achieve performance similar or superior to larger models while reducing runtime. Demonstrated on inpainting-like MRI reconstruction task, our results signify for the first time that architectural biases, overfitting, and runtime issues of untrained network priors can be simultaneously addressed without architectural modifications. Our code is publicly available.

eess.IV↗

arXiv2024

Federated Learning for Medical Image Analysis: A Survey

Machine learning in medical imaging often faces a fundamental dilemma, namely, the small sample size problem. Many recent studies suggest using multi-domain data pooled from different acquisition sites/centers to improve statistical power. However, medical images from different sites cannot be easily shared to build large datasets for model training due to privacy protection reasons. As a promising solution, federated learning, which enables collaborative training of machine learning models based on data from different sites without cross-site data sharing, has attracted considerable attention recently. In this paper, we conduct a comprehensive survey of the recent development of federated learning methods in medical image analysis. In this survey, we first introduce the background knowledge of federated learning for dealing with privacy protection and collaborative learning issues in medical imaging. We then present a comprehensive review of recent advances in federated learning methods for medical image analysis. Specifically, existing methods are categorized based on three critical aspects of a federated learning system, including client end, server end, and communication techniques. In each category, we summarize the existing federated learning methods according to specific research problems in medical image analysis and also provide insights into the motivations of different approaches. In addition, we provide a review of existing benchmark medical imaging datasets and software platforms for current federated learning research. We also conduct an experimental study to empirically evaluate typical federated learning methods for medical image analysis. This survey can help to better understand the current research status, challenges, and potential research opportunities in this promising research field.

cs.CV↗

arXiv2024

Disentangled Latent Energy-Based Style Translation: An Image-Level Structural MRI Harmonization Framework

Brain magnetic resonance imaging (MRI) has been extensively employed across clinical and research fields, but often exhibits sensitivity to site effects arising from non-biological variations such as differences in field strength and scanner vendors. Numerous retrospective MRI harmonization techniques have demonstrated encouraging outcomes in reducing the site effects at the image level. However, existing methods generally suffer from high computational requirements and limited generalizability, restricting their applicability to unseen MRIs. In this paper, we design a novel disentangled latent energy-based style translation (DLEST) framework for unpaired image-level MRI harmonization, consisting of (a) site-invariant image generation (SIG), (b) site-specific style translation (SST), and (c) site-specific MRI synthesis (SMS). Specifically, the SIG employs a latent autoencoder to encode MRIs into a low-dimensional latent space and reconstruct MRIs from latent codes. The SST utilizes an energy-based model to comprehend the global latent distribution of a target domain and translate source latent codes toward the target domain, while SMS enables MRI synthesis with a target-specific style. By disentangling image generation and style translation in latent space, the DLEST can achieve efficient style translation. Our model was trained on T1-weighted MRIs from a public dataset (with 3,984 subjects across 58 acquisition sites/settings) and validated on an independent dataset (with 9 traveling subjects scanned in 11 sites/settings) in four tasks: histogram and feature visualization, site classification, brain tissue segmentation, and site-specific structural MRI synthesis. Qualitative and quantitative results demonstrate the superiority of our method over several state-of-the-arts.

eess.IV↗

arXiv2024

Automatic treatment planning for radiotherapy: a cross-modality and protocol study

This study investigates the applicability of 3D dose predictions from a model trained on one modality to a cross-modality automated planning workflow. Additionally, we explore the impact of integrating a multi-criteria optimizer on adapting predictions to different clinical preferences. Using a previously created three-stage UNet in-house model trained on the 2020 AAPM OpenKBP challenge dataset (340 head and neck plans, planned using 9-field static IMRT), we retrospectively generated dose predictions for 20 patients. These dose predictions were used to generate deliverable IMRT, VMAT, and Tomotherapy plans using the fallback plan functionality in Raystation. The deliverable plans were evaluated against the dose predictions based on primary clinical goals. A new set of plans was also generated using MCO-based optimization with predicted dose values as constraints. The mimicking approach accurately replicated the predicted dose distributions across different modalities, with slight deviations in spinal cord and external contour maximum doses. MCO customization significantly reduced doses to OARs prioritized by our institution while maintaining target coverage. All tested plans met clinical deliverability standards, evidenced by a delivery QA gamma analysis passing rate above 98%. Our findings show that a model trained only on IMRT plans can contribute to planning across various modalities. Additionally, integrating predictions as constraints in an MCO-based workflow, rather than direct dose mimicking, enables a flexible, warm-start approach for treatment planning. Together, these approaches have the potential to significantly decrease plan turnaround time and quality variance, both at high resource medical centers that can train in-house models, and smaller centers that can adapt a model from another institution with minimal effort.

physics.med-ph↗

arXiv2023

Reconstruction of Cortical Surfaces with Spherical Topology from Infant Brain MRI via Recurrent Deformation Learning

Cortical surface reconstruction (CSR) from MRI is key to investigating brain structure and function. While recent deep learning approaches have significantly improved the speed of CSR, a substantial amount of runtime is still needed to map the cortex to a topologically-correct spherical manifold to facilitate downstream geometric analyses. Moreover, this mapping is possible only if the topology of the surface mesh is homotopic to a sphere. Here, we present a method for simultaneous CSR and spherical mapping efficiently within seconds. Our approach seamlessly connects two sub-networks for white and pial surface generation. Residual diffeomorphic deformations are learned iteratively to gradually warp a spherical template mesh to the white and pial surfaces while preserving mesh topology and uniformity. The one-to-one vertex correspondence between the template sphere and the cortical surfaces allows easy and direct mapping of geometric features like convexity and curvature to the sphere for visualization and downstream processing. We demonstrate the efficacy of our approach on infant brain MRI, which poses significant challenges to CSR due to tissue contrast changes associated with rapid brain development during the first postnatal year. Performance evaluation based on a dataset of infants from 0 to 12 months demonstrates that our method substantially enhances mesh regularity and reduces geometric errors, outperforming state-of-the-art deep learning approaches, all while maintaining high computational efficiency.

eess.IV↗

arXiv2023

Attention-Guided Autoencoder for Automated Progression Prediction of Subjective Cognitive Decline with Structural MRI

Subjective cognitive decline (SCD) is a preclinical stage of Alzheimer's disease (AD) which occurs even before mild cognitive impairment (MCI). Progressive SCD will convert to MCI with the potential of further evolving to AD. Therefore, early identification of progressive SCD with neuroimaging techniques (e.g., structural MRI) is of great clinical value for early intervention of AD. However, existing MRI-based machine/deep learning methods usually suffer the small-sample-size problem which poses a great challenge to related neuroimaging analysis. The central question we aim to tackle in this paper is how to leverage related domains (e.g., AD/NC) to assist the progression prediction of SCD. Meanwhile, we are concerned about which brain areas are more closely linked to the identification of progressive SCD. To this end, we propose an attention-guided autoencoder model for efficient cross-domain adaptation which facilitates the knowledge transfer from AD to SCD. The proposed model is composed of four key components: 1) a feature encoding module for learning shared subspace representations of different domains, 2) an attention module for automatically locating discriminative brain regions of interest defined in brain atlases, 3) a decoding module for reconstructing the original input, 4) a classification module for identification of brain diseases. Through joint training of these four modules, domain invariant features can be learned. Meanwhile, the brain disease related regions can be highlighted by the attention mechanism. Extensive experiments on the publicly available ADNI dataset and a private CLAS dataset have demonstrated the effectiveness of the proposed method. The proposed model is straightforward to train and test with only 5-10 seconds on CPUs and is suitable for medical tasks with small datasets.

cs.CV↗

arXiv2023

Source-Free Unsupervised Domain Adaptation: A Survey

Unsupervised domain adaptation (UDA) via deep learning has attracted appealing attention for tackling domain-shift problems caused by distribution discrepancy across different domains. Existing UDA approaches highly depend on the accessibility of source domain data, which is usually limited in practical scenarios due to privacy protection, data storage and transmission cost, and computation burden. To tackle this issue, many source-free unsupervised domain adaptation (SFUDA) methods have been proposed recently, which perform knowledge transfer from a pre-trained source model to unlabeled target domain with source data inaccessible. A comprehensive review of these works on SFUDA is of great significance. In this paper, we provide a timely and systematic literature review of existing SFUDA approaches from a technical perspective. Specifically, we categorize current SFUDA studies into two groups, i.e., white-box SFUDA and black-box SFUDA, and further divide them into finer subcategories based on different learning strategies they use. We also investigate the challenges of methods in each subcategory, discuss the advantages/disadvantages of white-box and black-box SFUDA methods, conclude the commonly used benchmark datasets, and summarize the popular techniques for improved generalizability of models learned without using source data. We finally discuss several promising future directions in this field.

cs.CV↗

arXiv2023

Brain Tissue Segmentation Across the Human Lifespan via Supervised Contrastive Learning

Automatic segmentation of brain MR images into white matter (WM), gray matter (GM), and cerebrospinal fluid (CSF) is critical for tissue volumetric analysis and cortical surface reconstruction. Due to dramatic structural and appearance changes associated with developmental and aging processes, existing brain tissue segmentation methods are only viable for specific age groups. Consequently, methods developed for one age group may fail for another. In this paper, we make the first attempt to segment brain tissues across the entire human lifespan (0-100 years of age) using a unified deep learning model. To overcome the challenges related to structural variability underpinned by biological processes, intensity inhomogeneity, motion artifacts, scanner-induced differences, and acquisition protocols, we propose to use contrastive learning to improve the quality of feature representations in a latent space for effective lifespan tissue segmentation. We compared our approach with commonly used segmentation methods on a large-scale dataset of 2,464 MR images. Experimental results show that our model accurately segments brain tissues across the lifespan and outperforms existing methods.

eess.IV↗

arXiv2022

Learn2Reg: comprehensive multi-task medical image registration challenge, dataset and evaluation in the era of deep learning

Image registration is a fundamental medical image analysis task, and a wide variety of approaches have been proposed. However, only a few studies have comprehensively compared medical image registration approaches on a wide range of clinically relevant tasks. This limits the development of registration methods, the adoption of research advances into practice, and a fair benchmark across competing approaches. The Learn2Reg challenge addresses these limitations by providing a multi-task medical image registration data set for comprehensive characterisation of deformable registration algorithms. A continuous evaluation will be possible at https://learn2reg.grand-challenge.org. Learn2Reg covers a wide range of anatomies (brain, abdomen, and thorax), modalities (ultrasound, CT, MR), availability of annotations, as well as intra- and inter-patient registration evaluation. We established an easily accessible framework for training and validation of 3D registration methods, which enabled the compilation of results of over 65 individual method submissions from more than 20 unique teams. We used a complementary set of metrics, including robustness, accuracy, plausibility, and runtime, enabling unique insight into the current state-of-the-art of medical image registration. This paper describes datasets, tasks, evaluation methods and results of the challenge, as well as results of further analysis of transferability to new datasets, the importance of label supervision, and resulting bias. While no single approach worked best across all tasks, many methodological aspects could be identified that push the performance of medical image registration to new state-of-the-art performance. Furthermore, we demystified the common belief that conventional registration methods have to be much slower than deep-learning-based methods.

eess.IV↗

arXiv2022

Longitudinal Prediction of Postnatal Brain Magnetic Resonance Images via a Metamorphic Generative Adversarial Network

Missing scans are inevitable in longitudinal studies due to either subject dropouts or failed scans. In this paper, we propose a deep learning framework to predict missing scans from acquired scans, catering to longitudinal infant studies. Prediction of infant brain MRI is challenging owing to the rapid contrast and structural changes particularly during the first year of life. We introduce a trustworthy metamorphic generative adversarial network (MGAN) for translating infant brain MRI from one time-point to another. MGAN has three key features: (i) Image translation leveraging spatial and frequency information for detail-preserving mapping; (ii) Quality-guided learning strategy that focuses attention on challenging regions. (iii) Multi-scale hybrid loss function that improves translation of tissue contrast and structural details. Experimental results indicate that MGAN outperforms existing GANs by accurately predicting both contrast and anatomical details.

eess.IV↗

arXiv2022

Localizing the Recurrent Laryngeal Nerve via Ultrasound with a Bayesian Shape Framework

Tumor infiltration of the recurrent laryngeal nerve (RLN) is a contraindication for robotic thyroidectomy and can be difficult to detect via standard laryngoscopy. Ultrasound (US) is a viable alternative for RLN detection due to its safety and ability to provide real-time feedback. However, the tininess of the RLN, with a diameter typically less than 3mm, poses significant challenges to the accurate localization of the RLN. In this work, we propose a knowledge-driven framework for RLN localization, mimicking the standard approach surgeons take to identify the RLN according to its surrounding organs. We construct a prior anatomical model based on the inherent relative spatial relationships between organs. Through Bayesian shape alignment (BSA), we obtain the candidate coordinates of the center of a region of interest (ROI) that encloses the RLN. The ROI allows a decreased field of view for determining the refined centroid of the RLN using a dual-path identification network, based on multi-scale semantic information. Experimental results indicate that the proposed method achieves superior hit rates and substantially smaller distance errors compared with state-of-the-art methods.

eess.IV↗

arXiv2021

SkullEngine: A Multi-stage CNN Framework for Collaborative CBCT Image Segmentation and Landmark Detection

We propose a multi-stage coarse-to-fine CNN-based framework, called SkullEngine, for high-resolution segmentation and large-scale landmark detection through a collaborative, integrated, and scalable JSD model and three segmentation and landmark detection refinement models. We evaluated our framework on a clinical dataset consisting of 170 CBCT/CT images for the task of segmenting 2 bones (midface and mandible) and detecting 175 clinically common landmarks on bones, teeth, and soft tissues.

eess.IV↗

arXiv2021

Deformable Registration of Brain MR Images via a Hybrid Loss

Unsupervised learning strategy is widely adopted by the deformable registration models due to the lack of ground truth of deformation fields. These models typically depend on the intensity-based similarity loss to obtain the learning convergence. Despite the success, such dependence is insufficient. For the deformable registration of mono-modality image, well-aligned two images not only have indistinguishable intensity differences, but also are close in the statistical distribution and the boundary areas. Considering that well-designed loss functions can facilitate a learning model into a desirable convergence, we learn a deformable registration model for T1-weighted MR images by integrating multiple image characteristics via a hybrid loss. Our method registers the OASIS dataset with high accuracy while preserving deformation smoothness.

eess.IV↗