Valentin Samokhin

Mikhail Goncharov, Valentin Samokhin, Eugenia Soboleva et al.

We propose a self-supervised model producing 3D anatomical positional embeddings (APE) of individual medical image voxels. APE encodes voxels' anatomical closeness, i.e., voxels of the same organ or nearby organs always have closer positional embeddings than the voxels of more distant body parts. In contrast to the existing models of anatomical positional embeddings, our method is able to efficiently produce a map of voxel-wise embeddings for a whole volumetric input image, which makes it an optimal choice for different downstream applications. We train our APE model on 8400 publicly available CT images of abdomen and chest regions. We demonstrate its superior performance compared with the existing models on anatomical landmark retrieval and weakly-supervised few-shot localization of 13 abdominal organs. As a practical application, we show how to cheaply train APE to crop raw CT images to different anatomical regions of interest with 0.99 recall, while reducing the image volume by 10-100 times. The code and the pre-trained APE model are available at https://github.com/mishgon/ape .

Farukh Yaushev, Daria Nogina, Valentin Samokhin et al.

Understanding body part geometry is crucial for precise medical diagnostics. Curves effectively describe anatomical structures and are widely used in medical imaging applications related to cardiovascular, respiratory, and skeletal diseases. Traditional curve detection methods are often task-specific, relying heavily on domain-specific features, limiting their broader applicability. This paper introduces a novel approach for detecting non-branching curves, which does not require prior knowledge of the object's orientation, shape, or position. Our method uses neural networks to predict (1) an attraction field, which offers subpixel accuracy, and (2) a closeness map, which limits the region of interest and essentially eliminates outliers far from the desired curve. We tested our curve detector on several clinically relevant tasks with diverse morphologies and achieved impressive subpixel-level accuracy results that surpass existing methods, highlighting its versatility and robustness. Additionally, to support further advancements in this field, we provide our private annotations of aortic centerlines and masks, which can serve as a benchmark for future research. The dataset can be found at https://github.com/neuro-ml/curve-detection.

Boris Shirokikh, Anvar Kurmukov, Mariia Donskova et al.

Domain shift presents a significant challenge in applying Deep Learning to the segmentation of 3D medical images from sources like Magnetic Resonance Imaging (MRI) and Computed Tomography (CT). Although numerous Domain Adaptation methods have been developed to address this issue, they are often evaluated under impractical data shift scenarios. Specifically, the medical imaging datasets used are often either private, too small for robust training and evaluation, or limited to single or synthetic tasks. To overcome these limitations, we introduce a M3DA /"mEd@/ benchmark comprising four publicly available, multiclass segmentation datasets. We have designed eight domain pairs featuring diverse and practically relevant distribution shifts. These include inter-modality shifts between MRI and CT and intra-modality shifts among various MRI acquisition parameters, different CT radiation doses, and presence/absence of contrast enhancement in images. Within the proposed benchmark, we evaluate more than ten existing domain adaptation methods. Our results show that none of them can consistently close the performance gap between the domains. For instance, the most effective method reduces the performance gap by about 62% across the tasks. This highlights the need for developing novel domain adaptation algorithms to enhance the robustness and scalability of deep learning models in medical imaging. We made our M3DA benchmark publicly available: https://github.com/BorisShirokikh/M3DA.

Valentin Samokhin, Boris Shirokikh, Mikhail Goncharov et al.

Radiography Report Generation (RRG) has gained significant attention in medical image analysis as a promising tool for alleviating the growing workload of radiologists. However, despite numerous advancements, existing methods have yet to achieve the quality required for deployment in real-world clinical settings. Meanwhile, large Visual Language Models (VLMs) have demonstrated remarkable progress in the general domain by adopting training strategies originally designed for Large Language Models (LLMs), such as alignment techniques. In this paper, we introduce a model-agnostic framework to enhance RRG accuracy using Direct Preference Optimization (DPO). Our approach leverages random contrastive sampling to construct training pairs, eliminating the need for reward models or human preference annotations. Experiments on supplementing three state-of-the-art models with our Random DPO show that our method improves clinical performance metrics by up to 5%, without requiring any additional training data.

Anvar Kurmukov, Valeria Chernina, Regina Gareeva et al.

Interpretation of chest computed tomography (CT) is time-consuming. Previous studies have measured the time-saving effect of using a deep-learning-based aid (DLA) for CT interpretation. We evaluated the joint impact of a multi-pathology DLA on the time and accuracy of radiologists' reading. 40 radiologists were randomly split into three experimental arms: control (10), who interpret studies without assistance; informed group (10), who were briefed about DLA pathologies, but performed readings without it; and the experimental group (20), who interpreted half studies with DLA, and half without. Every arm used the same 200 CT studies retrospectively collected from BIMCV-COVID19 dataset; each radiologist provided readings for 20 CT studies. We compared interpretation time, and accuracy of participants diagnostic report with respect to 12 pathological findings. Mean reading time per study was 15.6 minutes [SD 8.5] in the control arm, 13.2 minutes [SD 8.7] in the informed arm, 14.4 [SD 10.3] in the experimental arm without DLA, and 11.4 minutes [SD 7.8] in the experimental arm with DLA. Mean sensitivity and specificity were 41.5 [SD 30.4], 86.8 [SD 28.3] in the control arm; 53.5 [SD 22.7], 92.3 [SD 9.4] in the informed non-assisted arm; 63.2 [SD 16.4], 92.3 [SD 8.2] in the experimental arm without DLA; and 91.6 [SD 7.2], 89.9 [SD 6.0] in the experimental arm with DLA. DLA speed up interpretation time per study by 2.9 minutes (CI95 [1.7, 4.3], p<0.0005), increased sensitivity by 28.4 (CI95 [23.4, 33.4], p<0.0005), and decreased specificity by 2.4 (CI95 [0.6, 4.3], p=0.13). Of 20 radiologists in the experimental arm, 16 have improved reading time and sensitivity, two improved their time with a marginal drop in sensitivity, and two participants improved sensitivity with increased time. Overall, DLA introduction decreased reading time by 20.6%.

Aleksandr Beznosikov, Pavel Dvurechensky, Anastasia Koloskova et al.

We consider distributed stochastic variational inequalities (VIs) on unbounded domains with the problem data that is heterogeneous (non-IID) and distributed across many devices. We make a very general assumption on the computational network that, in particular, covers the settings of fully decentralized calculations with time-varying networks and centralized topologies commonly used in Federated Learning. Moreover, multiple local updates on the workers can be made for reducing the communication frequency between the workers. We extend the stochastic extragradient method to this very general setting and theoretically analyze its convergence rate in the strongly-monotone, monotone, and non-monotone (when a Minty solution exists) settings. The provided rates explicitly exhibit the dependence on network characteristics (e.g., mixing time), iteration counter, data heterogeneity, variance, number of devices, and other standard parameters. As a special case, our method and analysis apply to distributed stochastic saddle-point problems (SPP), e.g., to the training of Deep Generative Adversarial Networks (GANs) for which decentralized training has been reported to be extremely challenging. In experiments for the decentralized training of GANs we demonstrate the effectiveness of our proposed approach.

Aleksandr Beznosikov, Valentin Samokhin, Alexander Gasnikov

This paper focuses on the distributed optimization of stochastic saddle point problems. The first part of the paper is devoted to lower bounds for the centralized and decentralized distributed methods for smooth (strongly) convex-(strongly) concave saddle point problems, as well as the near-optimal algorithms by which these bounds are achieved. Next, we present a new federated algorithm for centralized distributed saddle-point problems - Extra Step Local SGD. The theoretical analysis of the new method is carried out for strongly convex-strongly concave and non-convex-non-concave problems. In the experimental part of the paper, we show the effectiveness of our method in practice. In particular, we train GANs in a distributed manner.