Il Dong Yun

Seung Yeon Shin, Soochahn Lee, Kyoung Jin Noh et al.

We present a method to extract coronary vessels from fluoroscopic x-ray sequences. Given the vessel structure for the source frame, vessel correspondence candidates in the subsequent frame are generated by a novel hierarchical search scheme to overcome the aperture problem. Optimal correspondences are determined within a Markov random field optimization framework. Post-processing is performed to extract vessel branches newly visible due to the inflow of contrast agent. Quantitative and qualitative evaluation conducted on a dataset of 18 sequences demonstrates the effectiveness of the proposed method.

Myung Jin Kim, YeongHyeon Park, Il Dong Yun

This paper proposes a simple yet effective convolutional module for long-term time series forecasting. The proposed block, inspired by the Auto-Regressive Integrated Moving Average (ARIMA) model, consists of two convolutional components: one for capturing the trend (autoregression) and the other for refining local variations (moving average). Unlike conventional ARIMA, which requires iterative multi-step forecasting, the block directly performs multi-step forecasting, making it easily extendable to multivariate settings. Experiments on nine widely used benchmark datasets demonstrate that our method ARMA achieves competitive accuracy, particularly on datasets exhibiting strong trend variations, while maintaining architectural simplicity. Furthermore, analysis shows that the block inherently encodes absolute positional information, suggesting its potential as a lightweight replacement for positional embeddings in sequential models.

Walid Abdullah Al, Il Dong Yun, Yun Jung Bae

Dopamine transporter (DAT) imaging is commonly used for monitoring Parkinson's disease (PD), where striatal DAT uptake amount is computed to assess PD severity. However, DAT imaging has a high cost and the risk of radiance exposure and is not available in general clinics. Recently, MRI patch of the nigral region has been proposed as a safer and easier alternative. This paper proposes a symmetric regressor for predicting the DAT uptake amount from the nigral MRI patch. Acknowledging the symmetry between the right and left nigrae, the proposed regressor incorporates a paired input-output model that simultaneously predicts the DAT uptake amounts for both the right and left striata. Moreover, it employs a symmetric loss that imposes a constraint on the difference between right-to-left predictions, resembling the high correlation in DAT uptake amounts in the two lateral sides. Additionally, we propose a symmetric Monte-Carlo (MC) dropout method for providing a fruitful uncertainty estimate of the DAT uptake prediction, which utilizes the above symmetry. We evaluated the proposed approach on 734 nigral patches, which demonstrated significantly improved performance of the symmetric regressor compared with the standard regressors while giving better explainability and feature representation. The symmetric MC dropout also gave precise uncertainty ranges with a high probability of including the true DAT uptake amounts within the range.

YeongHyeon Park, Il Dong Yun, Si-Hyuck Kang

The Coronary Artery Occlusion (CAO) acutely comes to human, and it highly threats the human's life. When CAO detected, Percutaneous Coronary Intervention (PCI) should be conducted timely. Before PCI, localizing the CAO is needed firstly, because the heart is covered with various arteries. We handle the three kinds of CAO in this paper and our purpose is not only localization of CAO but also improving the localizing performance via preprocessing method. We improve localization performance from a minimum of 0.150 to a maximum of 0.372 via our noise reduction and pulse extraction based method.

Walid Abdullah Al, Il Dong Yun, Kyong Joon Lee

Acute appendicitis characterized by a painful inflammation of the vermiform appendix is one of the most common surgical emergencies. Localizing the appendix is challenging due to its unclear anatomy amidst the complex colon-structure as observed in the conventional CT views, resulting in a time-consuming diagnosis. End-to-end learning of a convolutional neural network (CNN) is also not likely to be useful because of the negligible size of the appendix compared with the abdominal CT volume. With no prior computational approaches to the best of our knowledge, we propose the first computerized automation for acute appendicitis diagnosis. In our approach, we utilize a reinforcement learning agent deployed in the lower abdominal region to obtain the appendix location first to reduce the search space for diagnosis. Then, we obtain the classification scores (i.e., the likelihood of acute appendicitis) for the local neighborhood around the localized position, using a CNN trained only on a small appendix patch per volume. From the spatial representation of the resultant scores, we finally define a region of low-entropy (RLE) to choose the optimal diagnosis score, which helps improve the classification accuracy showing robustness even under high appendix localization error cases. In our experiment with 319 abdominal CT volumes, the proposed RLE-based decision with prior localization showed significant improvement over the standard CNN-based diagnosis approaches.

Walid Abdullah Al, Il Dong Yun

With the advents of deep learning, improved image classification with complex discriminative models has been made possible. However, such deep models with increased complexity require a huge set of labeled samples to generalize the training. Such classification models can easily overfit when applied for medical images because of limited training data, which is a common problem in the field of medical image analysis. This paper proposes and investigates a reinforced classifier for improving the generalization under a few available training data. Partially following the idea of reinforcement learning, the proposed classifier uses a generalization-feedback from a subset of the training data to update its parameter instead of only using the conventional cross-entropy loss about the training data. We evaluate the improvement of the proposed classifier by applying it on three different classification problems against the standard deep classifiers equipped with existing overfitting-prevention techniques. Besides an overall improvement in classification performance, the proposed classifier showed remarkable characteristics of generalized learning, which can have great potential in medical classification tasks.

Walid Abdullah Al, Il Dong Yun, Eun Ju Chun

Left atrial appendage (LAA) closure (LAAC) is a minimally invasive implant-based method to prevent cardiovascular stroke in patients with non-valvular atrial fibrillation. Assessing the LAA orifice in preoperative CT angiography plays a crucial role in choosing an appropriate LAAC implant size and a proper C-arm angulation. However, accurate orifice localization is hard because of the high anatomic variation of LAA, and unclear position and orientation of the orifice in available CT views. Deep localization models also yield high error in localizing the orifice in CT image because of the tiny structure of orifice compared to the vastness of CT image. In this paper, we propose a centerline depth-based reinforcement learning (RL) world for effective orifice localization in a small search space. In our scheme, an RL agent observes the centerline-to-surface distance and navigates through the LAA centerline to localize the orifice. Thus, the search space is significantly reduced facilitating improved localization. The proposed formulation could result in high localization accuracy comparing to the expert-annotations in 98 CT images. Moreover, the localization process takes about 8 seconds which is 18 times more efficient than the existing method. Therefore, this can be a useful aid to physicians during the preprocedural planning of LAAC.

Dong Yul Oh, Il Dong Yun

Suppressing bones on chest X-rays such as ribs and clavicle is often expected to improve pathologies classification. These bones can interfere with a broad range of diagnostic tasks on pulmonary disease except for musculoskeletal system. Current conventional method for acquisition of bone suppressed X-rays is dual energy imaging, which captures two radiographs at a very short interval with different energy levels; however, the patient is exposed to radiation twice and the artifacts arise due to heartbeats between two shots. In this paper, we introduce a deep generative model trained to predict bone suppressed images on single energy chest X-rays, analyzing a finite set of previously acquired dual energy chest X-rays. Since the relatively small amount of data is available, such approach relies on the methodology maximizing the data utilization. Here we integrate the following two approaches. First, we use a conditional generative adversarial network that complements the traditional regression method minimizing the pairwise image difference. Second, we use Haar 2D wavelet decomposition to offer a perceptual guideline in frequency details to allow the model to converge quickly and efficiently. As a result, we achieve state-of-the-art performance on bone suppression as compared to the existing approaches with dual energy chest X-rays.

YeongHyeon Park, Il Dong Yun

In this paper, we compare different types of Recurrent Neural Network (RNN) Encoder-Decoders in anomaly detection viewpoint. We focused on finding the model that can learn the same data more effectively. We compared multiple models under the same conditions, such as the number of parameters, optimizer, and learning rate. However, the difference is whether to predict the future sequence or restore the current sequence. We constructed the dataset with simple vectors and used them for the experiment. Finally, we experimentally confirmed that the model performs better when the model restores the current sequence, rather than predict the future sequence.

Walid Abdullah Al, Il Dong Yun

Deploying the idea of long-term cumulative return, reinforcement learning has shown remarkable performance in various fields. We propose a formulation of the landmark localization in 3D medical images as a reinforcement learning problem. Whereas value-based methods have been widely used to solve similar problems, we adopt an actor-critic based direct policy search method framed in a temporal difference learning approach. Successful behavior learning is challenging in large state and/or action spaces, requiring many trials. We introduce a partial policy-based reinforcement learning to enable solving the large problem of localization by learning the optimal policy on smaller partial domains. Independent actors efficiently learn the corresponding partial policies, each utilizing their own independent critic. The proposed policy reconstruction from the partial policies ensures a robust and efficient localization utilizing the sub-agents solving simple binary decision problems in their corresponding partial action spaces. The proposed reinforcement learning requires a small number of trials to learn the optimal behavior compared with the original behavior learning scheme.

Seung Yeon Shin, Soochahn Lee, Il Dong Yun et al.

We propose a novel deep-learning-based system for vessel segmentation. Existing methods using CNNs have mostly relied on local appearances learned on the regular image grid, without considering the graphical structure of vessel shape. To address this, we incorporate a graph convolutional network into a unified CNN architecture, where the final segmentation is inferred by combining the different types of features. The proposed method can be applied to expand any type of CNN-based vessel segmentation method to enhance the performance. Experiments show that the proposed method outperforms the current state-of-the-art methods on two retinal image datasets as well as a coronary artery X-ray angiography dataset.

Seung Yeon Shin, Soochahn Lee, Il Dong Yun et al.

We propose a framework for localization and classification of masses in breast ultrasound (BUS) images. We have experimentally found that training convolutional neural network based mass detectors with large, weakly annotated datasets presents a non-trivial problem, while overfitting may occur with those trained with small, strongly annotated datasets. To overcome these problems, we use a weakly annotated dataset together with a smaller strongly annotated dataset in a hybrid manner. We propose a systematic weakly and semi-supervised training scenario with appropriate training loss selection. Experimental results show that the proposed method can successfully localize and classify masses with less annotation effort. The results trained with only 10 strongly annotated images along with weakly annotated images were comparable to results trained from 800 strongly annotated images, with the 95% confidence interval of difference -3.00%--5.00%, in terms of the correct localization (CorLoc) measure, which is the ratio of images with intersection over union with ground truth higher than 0.5. With the same number of strongly annotated images, additional weakly annotated images can be incorporated to give a 4.5% point increase in CorLoc, from 80.00% to 84.50% (with 95% confidence intervals 76.00%--83.75% and 81.00%--88.00%). The effects of different algorithmic details and varied amount of data are presented through ablative analysis.