Dimitri A. Kessler

Shuaiyu Yuan, Tristan Whitmarsh, Dimitri A Kessler et al.

New multinuclear MRI techniques, such as sodium MRI, generally suffer from low image quality due to an inherently low signal. Postprocessing methods, such as image denoising, have been developed for image enhancement. However, the assessment of these enhanced images is challenging especially considering when there is a lack of high resolution and high signal images as reference, such as in sodium MRI. No-reference Image Quality Assessment (NR-IQA) metrics are approaches to solve this problem. Existing learning-based NR-IQA metrics rely on labels derived from subjective human opinions or metrics like Signal-to-Noise Ratio (SNR), which are either time-consuming or lack accurate ground truths, resulting in unreliable assessment. We note that deep learning (DL) models have a unique characteristic in that they are specialized to a characteristic training set, meaning that deviations between the input testing data from the training data will reduce prediction accuracy. Therefore, we propose a novel DL-based NR-IQA metric, the Model Specialization Metric (MSM), which does not depend on ground-truth images or labels. MSM measures the difference between the input image and the model's prediction for evaluating the quality of the input image. Experiments conducted on both simulated distorted proton T1-weighted MR images and denoised sodium MR images demonstrate that MSM exhibits a superior evaluation performance on various simulated noises and distortions. MSM also has a substantial agreement with the expert evaluations, achieving an averaged Cohen's Kappa coefficient of 0.6528, outperforming the existing NR-IQA metrics.

Smriti Joshi, Richard Osuala, Lidia Garrucho et al.

Test-time adaptation enables a trained model to adjust to a new domain during inference, making it particularly valuable in clinical settings where such on-the-fly adaptation is required. However, existing techniques depend on large target domain datasets, which are often impractical and unavailable in medical scenarios that demand per-patient, real-time inference. Moreover, current methods commonly focus on two-dimensional images, failing to leverage the volumetric richness of medical imaging data. Bridging this gap, we propose a Patch-Based Multi-View Co-Training method for Single Image Test-Time adaptation. Our method enforces feature and prediction consistency through uncertainty-guided self-training, enabling effective volumetric segmentation in the target domain with only a single test-time image. Validated on three publicly available breast magnetic resonance imaging datasets for tumor segmentation, our method achieves performance close to the upper bound supervised benchmark while also outperforming all existing state-of-the-art methods, on average by a Dice Similarity Coefficient of 3.75%. We publicly share our accessible codebase, readily integrable with the popular nnUNet framework, at https://github.com/smriti-joshi/muvi.git.

Grzegorz Skorupko, Fotios Avgoustidis, Carlos Martín-Isla et al.

The nnU-Net framework has played a crucial role in medical image segmentation and has become the gold standard in multitudes of applications targeting different diseases, organs, and modalities. However, so far it has been used primarily in a centralized approach where the collected data is stored in the same location where nnU-Net is trained. This centralized approach has various limitations, such as potential leakage of sensitive patient information and violation of patient privacy. Federated learning has emerged as a key approach for training segmentation models in a decentralized manner, enabling collaborative development while prioritising patient privacy. In this paper, we propose FednnU-Net, a plug-and-play, federated learning extension of the nnU-Net framework. To this end, we contribute two federated methodologies to unlock decentralized training of nnU-Net, namely, Federated Fingerprint Extraction (FFE) and Asymmetric Federated Averaging (AsymFedAvg). We conduct a comprehensive set of experiments demonstrating high and consistent performance of our methods for breast, cardiac and fetal segmentation based on a multi-modal collection of 6 datasets representing samples from 18 different institutions. To democratize research as well as real-world deployments of decentralized training in clinical centres, we publicly share our framework at https://github.com/faildeny/FednnUNet .

Shuaiyu Yuan, Tristan Whitmarsh, Dimitri A Kessler et al.

Sodium MRI is an imaging technique used to visualize and quantify sodium concentrations in vivo, playing a role in many biological processes and potentially aiding in breast cancer characterization. Sodium MRI, however, suffers from inherently low signal-to-noise ratios (SNR) and spatial resolution, compared with conventional proton MRI. A deep-learning method, the Denoising Diffusion Probabilistic Models (DDPM), has demonstrated success across a wide range of denoising tasks, yet struggles with sodium MRI's unique noise profile, as DDPM primarily targets Gaussian noise. DDPM can distort features when applied to sodium MRI. This paper advances the DDPM by introducing the Rician Denoising Diffusion Probabilistic Models (RDDPM) for sodium MRI denoising. RDDPM converts Rician noise to Gaussian noise at each timestep during the denoising process. The model's performance is evaluated using three non-reference image quality assessment metrics, where RDDPM consistently outperforms DDPM and other CNN-based denoising methods.