Arie Kaufman

Shawn Mathew, Saad Nadeem, Arie Kaufman

Automated analysis of optical colonoscopy (OC) video frames (to assist endoscopists during OC) is challenging due to variations in color, lighting, texture, and specular reflections. Previous methods either remove some of these variations via preprocessing (making pipelines cumbersome) or add diverse training data with annotations (but expensive and time-consuming). We present CLTS-GAN, a new deep learning model that gives fine control over color, lighting, texture, and specular reflection synthesis for OC video frames. We show that adding these colonoscopy-specific augmentations to the training data can improve state-of-the-art polyp detection/segmentation methods as well as drive next generation of OC simulators for training medical students. The code and pre-trained models for CLTS-GAN are available on Computational Endoscopy Platform GitHub (https://github.com/nadeemlab/CEP).

Shawn Mathew, Saad Nadeem, Alvin C. Goh et al.

Fourteen million colonoscopies are performed annually just in the U.S. However, the videos from these colonoscopies are not saved due to storage constraints (each video from a high-definition colonoscope camera can be in tens of gigabytes). Instead, a few relevant individual frames are saved for documentation/reporting purposes and these are the frames on which most current colonoscopy AI models are trained on. While developing new unsupervised domain translation methods for colonoscopy (e.g. to translate between real optical and virtual/CT colonoscopy), it is thus typical to start with approaches that initially work for individual frames without temporal consistency. Once an individual-frame model has been finalized, additional contiguous frames are added with a modified deep learning architecture to train a new model from scratch for temporal consistency. This transition to temporally-consistent deep learning models, however, requires significantly more computational and memory resources for training. In this paper, we present a lightweight solution with a tunable temporal parameter, RT-GAN (Recurrent Temporal GAN), for adding temporal consistency to individual frame-based approaches that reduces training requirements by a factor of 5. We demonstrate the effectiveness of our approach on two challenging use cases in colonoscopy: haustral fold segmentation (indicative of missed surface) and realistic colonoscopy simulator video generation. We also release a first-of-its kind temporal dataset for colonoscopy for the above use cases. The datasets, accompanying code, and pretrained models will be made available on our Computational Endoscopy Platform GitHub (https://github.com/nadeemlab/CEP). The supplementary video is available at https://youtu.be/UMVP-uIXwWk.

Yoonsang Kim, Swapnil Dey, Arie Kaufman

In time-critical eXtended reality (XR) scenarios where users must rapidly reorient their attention to hazards, alerts, or instructions while engaged in a primary task, spatial audio can provide an immediate directional cue without occupying visual bandwidth. However, such scenarios can afford only a brief auditory exposure, requiring users to interpret sound direction quickly and without extended listening or head-driven refinement. This paper reports a controlled exploratory study of rapid spatial-audio localization in XR. Using HRTF-rendered broadband stimuli presented from a semi-dense set of directions around the listener, we quantify how accurately users can infer coarse direction from brief audio alone. We further examine the effects of short-term visuo-auditory feedback training as a lightweight calibration mechanism. Our findings show that brief spatial cues can convey coarse directional information, and that even short calibration can improve users' perception of aural signals. While these results highlight the potential of spatial audio for rapid attention guidance, they also show that auditory cues alone may not provide sufficient precision for complex or high-stakes tasks, and that spatial audio may be most effective when complemented by other sensory modalities or visual cues, without relying on head-driven refinement. We leverage this study on spatial audio as a preliminary investigation into a first-stage attention-guidance channel for wearable XR (e.g., VR head-mounted displays and AR smart glasses), and provide design insights on stimulus selection and calibration for time-critical use.

Shawn Mathew, Saad Nadeem, Arie Kaufman

Haustral folds are colon wall protrusions implicated for high polyp miss rate during optical colonoscopy procedures. If segmented accurately, haustral folds can allow for better estimation of missed surface and can also serve as valuable landmarks for registering pre-treatment virtual (CT) and optical colonoscopies, to guide navigation towards the anomalies found in pre-treatment scans. We present a novel generative adversarial network, FoldIt, for feature-consistent image translation of optical colonoscopy videos to virtual colonoscopy renderings with haustral fold overlays. A new transitive loss is introduced in order to leverage ground truth information between haustral fold annotations and virtual colonoscopy renderings. We demonstrate the effectiveness of our model on real challenging optical colonoscopy videos as well as on textured virtual colonoscopy videos with clinician-verified haustral fold annotations. All code and scripts to reproduce the experiments of this paper will be made available via our Computational Endoscopy Platform at https://github.com/nadeemlab/CEP.

Shawn Mathew, Saad Nadeem, Arie Kaufman

Optical colonoscopy (OC), the most prevalent colon cancer screening tool, has a high miss rate due to a number of factors, including the geometry of the colon (haustral fold and sharp bends occlusions), endoscopist inexperience or fatigue, endoscope field of view, etc. We present a framework to visualize the missed regions per-frame during the colonoscopy, and provides a workable clinical solution. Specifically, we make use of 3D reconstructed virtual colonoscopy (VC) data and the insight that VC and OC share the same underlying geometry but differ in color, texture and specular reflections, embedded in the OC domain. A lossy unpaired image-to-image translation model is introduced with enforced shared latent space for OC and VC. This shared latent space captures the geometric information while deferring the color, texture, and specular information creation to additional Gaussian noise input. This additional noise input can be utilized to generate one-to-many mappings from VC to OC and OC to OC. The code, data and trained models will be released via our Computational Endoscopy Platform at https://github.com/nadeemlab/CEP.

Shawn Mathew, Saad Nadeem, Sruti Kumari et al.

Colorectal cancer screening modalities, such as optical colonoscopy (OC) and virtual colonoscopy (VC), are critical for diagnosing and ultimately removing polyps (precursors of colon cancer). The non-invasive VC is normally used to inspect a 3D reconstructed colon (from CT scans) for polyps and if found, the OC procedure is performed to physically traverse the colon via endoscope and remove these polyps. In this paper, we present a deep learning framework, Extended and Directional CycleGAN, for lossy unpaired image-to-image translation between OC and VC to augment OC video sequences with scale-consistent depth information from VC, and augment VC with patient-specific textures, color and specular highlights from OC (e.g, for realistic polyp synthesis). Both OC and VC contain structural information, but it is obscured in OC by additional patient-specific texture and specular highlights, hence making the translation from OC to VC lossy. The existing CycleGAN approaches do not handle lossy transformations. To address this shortcoming, we introduce an extended cycle consistency loss, which compares the geometric structures from OC in the VC domain. This loss removes the need for the CycleGAN to embed OC information in the VC domain. To handle a stronger removal of the textures and lighting, a Directional Discriminator is introduced to differentiate the direction of translation (by creating paired information for the discriminator), as opposed to the standard CycleGAN which is direction-agnostic. Combining the extended cycle consistency loss and the Directional Discriminator, we show state-of-the-art results on scale-consistent depth inference for phantom, textured VC and for real polyp and normal colon video sequences. We also present results for realistic pendunculated and flat polyp synthesis from bumps introduced in 3D VC models. Code/models: https://github.com/nadeemlab/CEP.

Yoonsang Kim, Devshree Jadeja, Divyansh Pradhan et al.

Speaking aloud to a wearable AR assistant in public can be socially awkward, and re-articulating the same requests every day creates unnecessary effort. We present SpeechLess, a wearable AR assistant that introduces a speech-based intent granularity control paradigm grounded in personalized spatial memory. SpeechLess helps users "speak less," while still obtaining the information they need, and supports gradual explicitation of intent when more complex expression is required. SpeechLess binds prior interactions to multimodal personal context-space, time, activity, and referents-to form spatial memories, and leverages them to extrapolate missing intent dimensions from under-specified user queries. This enables users to dynamically adjust how explicitly they express their informational needs, from full-utterance to micro/zero-utterance interaction. We motivate our design through a week-long formative study using a commercial smart glasses platform, revealing discomfort with public voice use, frustration with repetitive speech, and hardware constraints. Building on these insights, we design SpeechLess, and evaluate it through controlled lab and in-the-wild studies. Our results indicate that regulated speech-based interaction, can improve everyday information access, reduce articulation effort, and support socially acceptable use without substantially degrading perceived usability or intent resolution accuracy across diverse everyday environments.

Yoonsang Kim, Divyansh Pradhan, Devshree Jadeja et al.

We introduce Speech-to-Spatial, a referent disambiguation framework that converts verbal remote-assistance instructions into spatially grounded AR guidance. Unlike prior systems that rely on additional cues (e.g., gesture, gaze) or manual expert annotations, Speech-to-Spatial infers the intended target solely from spoken references (speech input). Motivated by our formative study of speech referencing patterns, we characterize recurring ways people specify targets (Direct Attribute, Relational, Remembrance, and Chained) and ground them to our object-centric relational graph. Given an utterance, referent cues are parsed and rendered as persistent in-situ AR visual guidance, reducing iterative micro-guidance ("a bit more to the right", "now, stop.") during remote guidance. We demonstrate the use cases of our system with remote guided assistance and intent disambiguation scenarios. Our evaluation shows that Speechto-Spatial improves task efficiency, reduces cognitive load, and enhances usability compared to a conventional voice-only baseline, transforming disembodied verbal instruction into visually explainable, actionable guidance on a live shared view.

Desai Xie, Sai Bi, Zhixin Shu et al.

We present LRM-Zero, a Large Reconstruction Model (LRM) trained entirely on synthesized 3D data, achieving high-quality sparse-view 3D reconstruction. The core of LRM-Zero is our procedural 3D dataset, Zeroverse, which is automatically synthesized from simple primitive shapes with random texturing and augmentations (e.g., height fields, boolean differences, and wireframes). Unlike previous 3D datasets (e.g., Objaverse) which are often captured or crafted by humans to approximate real 3D data, Zeroverse completely ignores realistic global semantics but is rich in complex geometric and texture details that are locally similar to or even more intricate than real objects. We demonstrate that our LRM-Zero, trained with our fully synthesized Zeroverse, can achieve high visual quality in the reconstruction of real-world objects, competitive with models trained on Objaverse. We also analyze several critical design choices of Zeroverse that contribute to LRM-Zero's capability and training stability. Our work demonstrates that 3D reconstruction, one of the core tasks in 3D vision, can potentially be addressed without the semantics of real-world objects. The Zeroverse's procedural synthesis code and interactive visualization are available at: https://desaixie.github.io/lrm-zero/.

Ji Hwan Park, Saad Nadeem, Seyedkoosha Mirhosseini et al.

We present a medical crowdsourcing visual analytics platform called C{$^2$}A to visualize, classify and filter crowdsourced clinical data. More specifically, C$^2$A is used to build consensus on a clinical diagnosis by visualizing crowd responses and filtering out anomalous activity. Crowdsourcing medical applications have recently shown promise where the non-expert users (the crowd) were able to achieve accuracy similar to the medical experts. This has the potential to reduce interpretation/reading time and possibly improve accuracy by building a consensus on the findings beforehand and letting the medical experts make the final diagnosis. In this paper, we focus on a virtual colonoscopy (VC) application with the clinical technicians as our target users, and the radiologists acting as consultants and classifying segments as benign or malignant. In particular, C$^2$A is used to analyze and explore crowd responses on video segments, created from fly-throughs in the virtual colon. C$^2$A provides several interactive visualization components to build crowd consensus on video segments, to detect anomalies in the crowd data and in the VC video segments, and finally, to improve the non-expert user's work quality and performance by A/B testing for the optimal crowdsourcing platform and application-specific parameters. Case studies and domain experts feedback demonstrate the effectiveness of our framework in improving workers' output quality, the potential to reduce the radiologists' interpretation time, and hence, the potential to improve the traditional clinical workflow by marking the majority of the video segments as benign based on the crowd consensus.

Saad Nadeem, Arie Kaufman

We present a visualization framework for annotating and comparing colonoscopy videos, where these annotations can then be used for semi-automatic report generation at the end of the procedure. Currently, there are approximately 14 million colonoscopies performed every year in the US. In this work, we create a visualization tool to deal with the deluge of colonoscopy videos in a more effective way. We present an interactive visualization framework for the annotation and tagging of colonoscopy videos in an easy and intuitive way. These annotations and tags can later be used for report generation for electronic medical records and for comparison at an individual as well as group level. We also present important use cases and medical expert feedback for our visualization framework.

Saad Nadeem, Joseph Marino, Xianfeng Gu et al.

We present a method for registration and visualization of corresponding supine and prone virtual colonoscopy scans based on eigenfunction analysis and fold modeling. In virtual colonoscopy, CT scans are acquired with the patient in two positions, and their registration is desirable so that physicians can corroborate findings between scans. Our algorithm performs this registration efficiently through the use of Fiedler vector representation (the second eigenfunction of the Laplace-Beltrami operator). This representation is employed to first perform global registration of the two colon positions. The registration is then locally refined using the haustral folds, which are automatically segmented using the 3D level sets of the Fiedler vector. The use of Fiedler vectors and the segmented folds presents a precise way of visualizing corresponding regions across datasets and visual modalities. We present multiple methods of visualizing the results, including 2D flattened rendering and the corresponding 3D endoluminal views. The precise fold modeling is used to automatically find a suitable cut for the 2D flattening, which provides a less distorted visualization. Our approach is robust, and we demonstrate its efficiency and efficacy by showing matched views on both the 2D flattened colons and in the 3D endoluminal view. We analytically evaluate the results by measuring the distance between features on the registered colons, and we also assess our fold segmentation against 20 manually labeled datasets. We have compared our results analytically to previous methods, and have found our method to achieve superior results. We also prove the hot spots conjecture for modeling cylindrical topology using Fiedler vector representation, which allows our approach to be used for general cylindrical geometry modeling and feature extraction.

Shreeraj Jadhav, Saad Nadeem, Arie Kaufman

We present a volume exploration framework, FeatureLego, that uses a novel voxel clustering approach for efficient selection of semantic features. We partition the input volume into a set of compact super-voxels that represent the finest selection granularity. We then perform an exhaustive clustering of these super-voxels using a graph-based clustering method. Unlike the prevalent brute-force parameter sampling approaches, we propose an efficient algorithm to perform this exhaustive clustering. By computing an exhaustive set of clusters, we aim to capture as many boundaries as possible and ensure that the user has sufficient options for efficiently selecting semantically relevant features. Furthermore, we merge all the computed clusters into a single tree of meta-clusters that can be used for hierarchical exploration. We implement an intuitive user-interface to interactively explore volumes using our clustering approach. Finally, we show the effectiveness of our framework on multiple real-world datasets of different modalities.

Saad Nadeem, Xianfeng Gu, Arie Kaufman

Visualization of medical organs and biological structures is a challenging task because of their complex geometry and the resultant occlusions. Global spherical and planar mapping techniques simplify the complex geometry and resolve the occlusions to aid in visualization. However, while resolving the occlusions these techniques do not preserve the geometric context, making them less suitable for mission-critical biomedical visualization tasks. In this paper, we present a shape-preserving local mapping technique for resolving occlusions locally while preserving the overall geometric context. More specifically, we present a novel visualization algorithm, LMap, for conformally parameterizing and deforming a selected local region-of-interest (ROI) on an arbitrary surface. The resultant shape-preserving local mappings help to visualize complex surfaces while preserving the overall geometric context. The algorithm is based on the robust and efficient extrinsic Ricci flow technique, and uses the dynamic Ricci flow algorithm to guarantee the existence of a local map for a selected ROI on an arbitrary surface. We show the effectiveness and efficacy of our method in three challenging use cases: (1) multimodal brain visualization, (2) optimal coverage of virtual colonoscopy centerline flythrough, and (3) molecular surface visualization.

Liang Shen, Dengming Zhu, Saad Nadeem et al.

We introduce a novel approach for flame volume reconstruction from videos using inexpensive charge-coupled device (CCD) consumer cameras. The approach includes an economical data capture technique using inexpensive CCD cameras. Leveraging the smear feature of the CCD chip, we present a technique for synchronizing CCD cameras while capturing flame videos from different views. Our reconstruction is based on the radiative transport equation which enables complex phenomena such as emission, extinction, and scattering to be used in the rendering process. Both the color intensity and temperature reconstructions are implemented using the CUDA parallel computing framework, which provides real-time performance and allows visualization of reconstruction results after every iteration. We present the results of our approach using real captured data and physically-based simulated data. Finally, we also compare our approach against the other state-of-the-art flame volume reconstruction methods and demonstrate the efficacy and efficiency of our approach in four different applications: (1) rendering of reconstructed flames in virtual environments, (2) rendering of reconstructed flames in augmented reality, (3) flame stylization, and (4) reconstruction of other semitransparent phenomena.

Ji Hwan Park, Saad Nadeem, Joseph Marino et al.

Virtual colonoscopy (VC) allows a radiologist to navigate through a 3D colon model reconstructed from a computed tomography scan of the abdomen, looking for polyps, the precursors of colon cancer. Polyps are seen as protrusions on the colon wall and haustral folds, visible in the VC fly-through videos. A complete review of the colon surface requires full navigation from the rectum to the cecum in antegrade and retrograde directions, which is a tedious task that takes an average of 30 minutes. Crowdsourcing is a technique for non-expert users to perform certain tasks, such as image or video annotation. In this work, we use crowdsourcing for the examination of complete VC fly-through videos for polyp annotation by non-experts. The motivation for this is to potentially help the radiologist reach a diagnosis in a shorter period of time, and provide a stronger confirmation of the eventual diagnosis. The crowdsourcing interface includes an interactive tool for the crowd to annotate suspected polyps in the video with an enclosing box. Using our workflow, we achieve an overall polyps-per-patient sensitivity of 87.88% (95.65% for polyps $\geq$5mm and 70% for polyps $<$5mm). We also demonstrate the efficacy and effectiveness of a non-expert user in detecting and annotating polyps and discuss their possibility in aiding radiologists in VC examinations.

Saeed Boorboor, Saad Nadeem, Ji Hwan Park et al.

We present crowdsourcing as an additional modality to aid radiologists in the diagnosis of lung cancer from clinical chest computed tomography (CT) scans. More specifically, a complete workflow is introduced which can help maximize the sensitivity of lung nodule detection by utilizing the collective intelligence of the crowd. We combine the concept of overlapping thin-slab maximum intensity projections (TS-MIPs) and cine viewing to render short videos that can be outsourced as an annotation task to the crowd. These videos are generated by linearly interpolating overlapping TS-MIPs of CT slices through the depth of each quadrant of a patient's lung. The resultant videos are outsourced to an online community of non-expert users who, after a brief tutorial, annotate suspected nodules in these video segments. Using our crowdsourcing workflow, we achieved a lung nodule detection sensitivity of over 90% for 20 patient CT datasets (containing 178 lung nodules with sizes between 1-30mm), and only 47 false positives from a total of 1021 annotations on nodules of all sizes (96% sensitivity for nodules$>$4mm). These results show that crowdsourcing can be a robust and scalable modality to aid radiologists in screening for lung cancer, directly or in combination with computer-aided detection (CAD) algorithms. For CAD algorithms, the presented workflow can provide highly accurate training data to overcome the high false-positive rate (per scan) problem. We also provide, for the first time, analysis on nodule size and position which can help improve CAD algorithms.

Saad Nadeem, Arie Kaufman

We present a computer-aided detection algorithm for polyps in optical colonoscopy images. Polyps are the precursors to colon cancer. In the US alone, more than 14 million optical colonoscopies are performed every year, mostly to screen for polyps. Optical colonoscopy has been shown to have an approximately 25% polyp miss rate due to the convoluted folds and bends present in the colon. In this work, we present an automatic detection algorithm to detect these polyps in the optical colonoscopy images. We use a machine learning algorithm to infer a depth map for a given optical colonoscopy image and then use a detailed pre-built polyp profile to detect and delineate the boundaries of polyps in this given image. We have achieved the best recall of 84.0% and the best specificity value of 83.4%.

Ji Hwan Park, Seyedkoosha Mirhosseini, Saad Nadeem et al.

Virtual colonoscopy (VC) allows a physician to virtually navigate within a reconstructed 3D colon model searching for colorectal polyps. Though VC is widely recognized as a highly sensitive and specific test for identifying polyps, one limitation is the reading time, which can take over 30 minutes per patient. Large amounts of the colon are often devoid of polyps, and a way of identifying these polyp-free segments could be of valuable use in reducing the required reading time for the interrogating radiologist. To this end, we have tested the ability of the collective crowd intelligence of non-expert workers to identify polyp candidates and polyp-free regions. We presented twenty short videos flying through a segment of a virtual colon to each worker, and the crowd was asked to determine whether or not a possible polyp was observed within that video segment. We evaluated our framework on Amazon Mechanical Turk and found that the crowd was able to achieve a sensitivity of 80.0% and specificity of 86.5% in identifying video segments which contained a clinically proven polyp. Since each polyp appeared in multiple consecutive segments, all polyps were in fact identified. Using the crowd results as a first pass, 80% of the video segments could in theory be skipped by the radiologist, equating to a significant time savings and enabling more VC examinations to be performed.

Xin Zhao, Arie Kaufman

Radiological imaging of prostate is becoming more popular among researchers and clinicians in searching for diseases, primarily cancer. Scans might be acquired at different times, with patient movement between scans, or with different equipment, resulting in multiple datasets that need to be registered. For this issue, we introduce a registration method using anatomical feature-guided mutual information. Prostate scans of the same patient taken in three different orientations are first aligned for the accurate detection of anatomical features in 3D. Then, our pipeline allows for multiple modalities registration through the use of anatomical features, such as the interior urethra of prostate and gland utricle, in a bijective way. The novelty of this approach is the application of anatomical features as the pre-specified corresponding landmarks for prostate registration. We evaluate the registration results through both artificial and clinical datasets. Registration accuracy is evaluated by performing statistical analysis of local intensity differences or spatial differences of anatomical landmarks between various MR datasets. Evaluation results demonstrate that our method statistics-significantly improves the quality of registration. Although this strategy is tested for MRI-guided brachytherapy, the preliminary results from these experiments suggest that it can be also applied to other settings such as transrectal ultrasound-guided or CT-guided therapy, where the integration of preoperative MRI may have a significant impact upon treatment planning and guidance.