arXiv subjects

Ulrike Attenberger

Publications and source records attributed to Ulrike Attenberger.

5 recordsLinked to original sources

arXiv2026

SynSeq: End-to-End SYNTAX Score Prediction from Coronary Angiography Videos

The SYNTAX score is an established tool for assessing coronary artery disease and guiding revascularization treatment decisions. However, its manual estimation from coronary angiography videos by clinical experts is time-consuming and subject to inter-reader variability. While machine learning has shown promise in automating this process, prior work has primarily focused on lesion detection, characterization, or binary disease classification, leaving direct SYNTAX score prediction relatively unexplored. We propose SynSeq, a video-based method for direct SYNTAX score prediction. It combines targeted preprocessing with a tailored training strategy using a zero-inflation-aware loss and linear target scaling. Evaluated on the public CardioSyntax dataset, SynSeq significantly outperforms previous state-of-the-art methods, improving $R^2$ by 0.55, reducing prediction bias by 93.1% and achieving more consistent performance across annotations from three independent expert graders. In addition, SynSeq achieves a weighted $F_1$-score of 0.80 for revascularization treatment recommendations, slightly below inter-expert agreement. These results demonstrate the potential of SynSeq to provide consistent, automated SYNTAX score assessment and reliable decision support for coronary revascularization planning.

cs.CV↗

arXiv2026

MApLe: Multi-instance Alignment of Diagnostic Reports and Large Medical Images

In diagnostic reports, experts encode complex imaging data into clinically actionable information. They describe subtle pathological findings that are meaningful in their anatomical context. Reports follow relatively consistent structures, expressing diagnostic information with few words that are often associated with tiny but consequential image observations. Standard vision language models struggle to identify the associations between these informative text components and small locations in the images. Here, we propose "MApLe", a multi-task, multi-instance vision language alignment approach that overcomes these limitations. It disentangles the concepts of anatomical region and diagnostic finding, and links local image information to sentences in a patch-wise approach. Our method consists of a text embedding trained to capture anatomical and diagnostic concepts in sentences, a patch-wise image encoder conditioned on anatomical structures, and a multi-instance alignment of these representations. We demonstrate that MApLe can successfully align different image regions and multiple diagnostic findings in free-text reports. We show that our model improves the alignment performance compared to state-of-the-art baseline models when evaluated on several downstream tasks. The code is available at https://github.com/cirmuw/MApLe.

cs.CV↗

arXiv2026

Efficient 3D affinely equivariant CNNs with adaptive fusion of augmented spherical Fourier-Bessel bases

Filter-decomposition-based group equivariant convolutional neural networks (CNNs) have shown promising stability and data efficiency for 3D image feature extraction. However, these networks, which rely on parameter sharing and discrete transformation groups, often underperform in modern deep neural network architectures for processing volumetric images with dense 3D textures, such as the common 3D medical images. To address these limitations, this paper presents an efficient non-parameter-sharing continuous 3D affine group equivariant neural network for volumetric images. This network uses an adaptive aggregation of Monte Carlo augmented spherical Fourier-Bessel filter bases to improve the efficiency and flexibility of 3D group equivariant CNNs for volumetric data. Unlike existing methods that focus only on angular orthogonality in filter bases, the introduced spherical Bessel Fourier filter base incorporates both angular and radial orthogonality to improve feature extraction. Experiments on four medical image segmentation datasets and two seismic datasets show that the proposed methods achieve better affine group equivariance and superior segmentation accuracy than existing 3D group equivariant convolutional neural network layers, significantly improving the training stability and data efficiency of conventional CNN layers (at 0.05 significance level). The code is available at https://github.com/ZhaoWenzhao/WMCSFB.

cs.CV↗

arXiv2024

Informed Deep Abstaining Classifier: Investigating noise-robust training for diagnostic decision support systems

Image-based diagnostic decision support systems (DDSS) utilizing deep learning have the potential to optimize clinical workflows. However, developing DDSS requires extensive datasets with expert annotations and is therefore costly. Leveraging report contents from radiological data bases with Natural Language Processing to annotate the corresponding image data promises to replace labor-intensive manual annotation. As mining "real world" databases can introduce label noise, noise-robust training losses are of great interest. However, current noise-robust losses do not consider noise estimations that can for example be derived based on the performance of the automatic label generator used. In this study, we expand the noise-robust Deep Abstaining Classifier (DAC) loss to an Informed Deep Abstaining Classifier (IDAC) loss by incorporating noise level estimations during training. Our findings demonstrate that IDAC enhances the noise robustness compared to DAC and several state-of-the-art loss functions. The results are obtained on various simulated noise levels using a public chest X-ray data set. These findings are reproduced on an in-house noisy data set, where labels were extracted from the clinical systems of the University Hospital Bonn by a text-based transformer. The IDAC can therefore be a valuable tool for researchers, companies or clinics aiming to develop accurate and reliable DDSS from routine clinical data.

cs.CV↗

arXiv2022

Improving Chest X-Ray Classification by RNN-based Patient Monitoring

Chest X-Ray imaging is one of the most common radiological tools for detection of various pathologies related to the chest area and lung function. In a clinical setting, automated assessment of chest radiographs has the potential of assisting physicians in their decision making process and optimize clinical workflows, for example by prioritizing emergency patients. Most work analyzing the potential of machine learning models to classify chest X-ray images focuses on vision methods processing and predicting pathologies for one image at a time. However, many patients undergo such a procedure multiple times during course of a treatment or during a single hospital stay. The patient history, that is previous images and especially the corresponding diagnosis contain useful information that can aid a classification system in its prediction. In this study, we analyze how information about diagnosis can improve CNN-based image classification models by constructing a novel dataset from the well studied CheXpert dataset of chest X-rays. We show that a model trained on additional patient history information outperforms a model trained without the information by a significant margin. We provide code to replicate the dataset creation and model training.

cs.LG↗