Johanna P. Müller

Matthew Baugh, Jeremy Tan, Johanna P. Müller et al.

There is a growing interest in single-class modelling and out-of-distribution detection as fully supervised machine learning models cannot reliably identify classes not included in their training. The long tail of infinitely many out-of-distribution classes in real-world scenarios, e.g., for screening, triage, and quality control, means that it is often necessary to train single-class models that represent an expected feature distribution, e.g., from only strictly healthy volunteer data. Conventional supervised machine learning would require the collection of datasets that contain enough samples of all possible diseases in every imaging modality, which is not realistic. Self-supervised learning methods with synthetic anomalies are currently amongst the most promising approaches, alongside generative auto-encoders that analyse the residual reconstruction error. However, all methods suffer from a lack of structured validation, which makes calibration for deployment difficult and dataset-dependant. Our method alleviates this by making use of multiple visually-distinct synthetic anomaly learning tasks for both training and validation. This enables more robust training and generalisation. With our approach we can readily outperform state-of-the-art methods, which we demonstrate on exemplars in brain MRI and chest X-rays. Code is available at https://github.com/matt-baugh/many-tasks-make-light-work .

Mischa Dombrowski, Hadrien Reynaud, Johanna P. Müller et al.

Recent advancements in diffusion models have significantly impacted the trajectory of generative machine learning research, with many adopting the strategy of fine-tuning pre-trained models using domain-specific text-to-image datasets. Notably, this method has been readily employed for medical applications, such as X-ray image synthesis, leveraging the plethora of associated radiology reports. Yet, a prevailing concern is the lack of assurance on whether these models genuinely comprehend their generated content. With the evolution of text-conditional image generation, these models have grown potent enough to facilitate object localization scrutiny. Our research underscores this advancement in the critical realm of medical imaging, emphasizing the crucial role of interpretability. We further unravel a consequential trade-off between image fidelity as gauged by conventional metrics and model interpretability in generative diffusion models. Specifically, the adoption of learnable text encoders when fine-tuning results in diminished interpretability. Our in-depth exploration uncovers the underlying factors responsible for this divergence. Consequently, we present a set of design principles for the development of truly interpretable generative models. Code is available at https://github.com/MischaD/chest-distillation.

Matthew Baugh, James Batten, Johanna P. Müller et al.

This technical report outlines our submission to the zero-shot track of the Visual Anomaly and Novelty Detection (VAND) 2023 Challenge. Building on the performance of the WINCLIP framework, we aim to enhance the system's localization capabilities by integrating zero-shot segmentation models. In addition, we perform foreground instance segmentation which enables the model to focus on the relevant parts of the image, thus allowing the models to better identify small or subtle deviations. Our pipeline requires no external data or information, allowing for it to be directly applied to new datasets. Our team (Variance Vigilance Vanguard) ranked third in the zero-shot track of the VAND challenge, and achieve an average F1-max score of 81.5/24.2 at a sample/pixel level on the VisA dataset.

Johanna P. Müller, Matthew Baugh, Jeremy Tan et al.

Universal anomaly detection still remains a challenging problem in machine learning and medical image analysis. It is possible to learn an expected distribution from a single class of normative samples, e.g., through epistemic uncertainty estimates, auto-encoding models, or from synthetic anomalies in a self-supervised way. The performance of self-supervised anomaly detection approaches is still inferior compared to methods that use examples from known unknown classes to shape the decision boundary. However, outlier exposure methods often do not identify unknown unknowns. Here we discuss an improved self-supervised single-class training strategy that supports the approximation of probabilistic inference with loosen feature locality constraints. We show that up-scaling of gradients with histogram-equalised images is beneficial for recently proposed self-supervision tasks. Our method is integrated into several out-of-distribution (OOD) detection models and we show evidence that our method outperforms the state-of-the-art on various benchmark datasets.

Matthew Baugh, Jeremy Tan, Athanasios Vlontzos et al.

The wide variety of in-distribution and out-of-distribution data in medical imaging makes universal anomaly detection a challenging task. Recently a number of self-supervised methods have been developed that train end-to-end models on healthy data augmented with synthetic anomalies. However, it is difficult to compare these methods as it is not clear whether gains in performance are from the task itself or the training pipeline around it. It is also difficult to assess whether a task generalises well for universal anomaly detection, as they are often only tested on a limited range of anomalies. To assist with this we have developed nnOOD, a framework that adapts nnU-Net to allow for comparison of self-supervised anomaly localisation methods. By isolating the synthetic, self-supervised task from the rest of the training process we perform a more faithful comparison of the tasks, whilst also making the workflow for evaluating over a given dataset quick and easy. Using this we have implemented the current state-of-the-art tasks and evaluated them on a challenging X-ray dataset.

Zhe Li, Hadrien Reynaud, Johanna P Müller et al.

Ultrasound echocardiography is essential for the non-invasive, real-time assessment of cardiac function, but the scarcity of labelled data, driven by privacy restrictions and the complexity of expert annotation, remains a major obstacle for deep learning methods. We propose the Motion Conditioned Diffusion Model (MCDM), a label-free latent diffusion framework that synthesises realistic echocardiography videos conditioned on self-supervised motion features. To extract these features, we design the Motion and Appearance Feature Extractor (MAFE), which disentangles motion and appearance representations from videos. Feature learning is further enhanced by two auxiliary objectives: a re-identification loss guided by pseudo appearance features and an optical flow loss guided by pseudo flow fields. Evaluated on the EchoNet-Dynamic dataset, MCDM achieves competitive video generation performance, producing temporally coherent and clinically realistic sequences without reliance on manual labels. These results demonstrate the potential of self-supervised conditioning for scalable echocardiography synthesis. Our code is available at https://github.com/ZheLi2020/LabelfreeMCDM.

Franciskus Xaverius Erick, Johanna Paula Müller, Bernhard Kainz

Vision-language models (VLMs) can couple visual perception with open-ended clinical reasoning, making them attractive for computational histopathology. However, fine-tuning billions of parameters on scarce, expert-annotated pathology data is prohibitive, while in-context learning (ICL), which conditions the VLM on demonstrative image-text pairs without parameter updates, suffers from high sensitivity to which examples are selected and how the query is phrased, producing unreliable diagnostics. Existing selection strategies rely on query-dependent nearest-neighbour retrieval that ignores global data structure, require costly parameter updates, or disregard the joint vision-text embedding geometry of VLMs. We propose GAUC, a training-free coreset selection method operating directly in the pre-trained multimodal embedding space. GAUC jointly optimises three objectives: (1) a Maximum Mean Discrepancy term enforcing distributional fidelity between coreset and full dataset, (2) an Effective Mutual Information Difference regulariser bounding performance degradation under prompt paraphrases by exploiting the VLM's joint vision-text alignment, and (3) a predictive-variance penalty suppressing overconfident, unstable outputs. On CRC-100K and MHIST across multiple open-source VLM architectures, GAUC consistently improves accuracy, calibration, and prompt robustness over recent ICL selection methods and dataset-distillation baselines, all without a single gradient update.

Glejdis Shkëmbi, Johanna P. Müller, Zhe Li et al.

Breast cancer is a major concern for women's health globally, with axillary lymph node (ALN) metastasis identification being critical for prognosis evaluation and treatment guidance. This paper presents a deep learning (DL) classification pipeline for quantifying clinical information from digital core-needle biopsy (CNB) images, with one step less than existing methods. A publicly available dataset of 1058 patients was used to evaluate the performance of different baseline state-of-the-art (SOTA) DL models in classifying ALN metastatic status based on CNB images. An extensive ablation study of various data augmentation techniques was also conducted. Finally, the manual tumor segmentation and annotation step performed by the pathologists was assessed.

Franciskus Xaverius Erick, Mina Rezaei, Johanna Paula Müller et al.

Self-supervised learning is one of the most promising approaches to acquiring knowledge from limited labeled data. Despite the substantial advancements made in recent years, self-supervised models have posed a challenge to practitioners, as they do not readily provide insight into the model's confidence and uncertainty. Tackling this issue is no simple feat, primarily due to the complexity involved in implementing techniques that can make use of the latent representations learned during pre-training without relying on explicit labels. Motivated by this, we introduce a new stochastic vision transformer that integrates uncertainty and distance awareness into self-supervised learning (SSL) pipelines. Instead of the conventional deterministic vector embedding, our novel stochastic vision transformer encodes image patches into elliptical Gaussian distributional embeddings. Notably, the attention matrices of these stochastic representational embeddings are computed using Wasserstein distance-based attention, effectively capitalizing on the distributional nature of these embeddings. Additionally, we propose a regularization term based on Wasserstein distance for both pre-training and fine-tuning processes, thereby incorporating distance awareness into latent representations. We perform extensive experiments across different tasks such as in-distribution generalization, out-of-distribution detection, dataset corruption, semi-supervised settings, and transfer learning to other datasets and tasks. Our proposed method achieves superior accuracy and calibration, surpassing the self-supervised baseline in a wide range of experiments on a variety of datasets.

Johanna P. Müller, Robert Wright, Thomas G. Day et al.

Accurate analysis of prenatal ultrasound (US) is essential for early detection of developmental anomalies. However, operator dependency and technical limitations (e.g. intrinsic artefacts and effects, setting errors) can complicate image interpretation and the assessment of diagnostic uncertainty. We present L-FUSION (Laplacian Fetal US Segmentation with Integrated FoundatiON models), a framework that integrates uncertainty quantification through unsupervised, normative learning and large-scale foundation models for robust segmentation of fetal structures in normal and pathological scans. We propose to utilise the aleatoric logit distributions of Stochastic Segmentation Networks and Laplace approximations with fast Hessian estimations to estimate epistemic uncertainty only from the segmentation head. This enables us to achieve reliable abnormality quantification for instant diagnostic feedback. Combined with an integrated Dropout component, L-FUSION enables reliable differentiation of lesions from normal fetal anatomy with enhanced uncertainty maps and segmentation counterfactuals in US imaging. It improves epistemic and aleatoric uncertainty interpretation and removes the need for manual disease-labelling. Evaluations across multiple datasets show that L-FUSION achieves superior segmentation accuracy and consistent uncertainty quantification, supporting on-site decision-making and offering a scalable solution for advancing fetal ultrasound analysis in clinical settings.

Johanna P. Müller, Bernhard Kainz

We introduce a fast Self-adapting Forward-Forward Network (SaFF-Net) for medical imaging analysis, mitigating power consumption and resource limitations, which currently primarily stem from the prevalent reliance on back-propagation for model training and fine-tuning. Building upon the recently proposed Forward-Forward Algorithm (FFA), we introduce the Convolutional Forward-Forward Algorithm (CFFA), a parameter-efficient reformulation that is suitable for advanced image analysis and overcomes the speed and generalisation constraints of the original FFA. To address hyper-parameter sensitivity of FFAs we are also introducing a self-adapting framework SaFF-Net fine-tuning parameters during warmup and training in parallel. Our approach enables more effective model training and eliminates the previously essential requirement for an arbitrarily chosen Goodness function in FFA. We evaluate our approach on several benchmarking datasets in comparison with standard Back-Propagation (BP) neural networks showing that FFA-based networks with notably fewer parameters and function evaluations can compete with standard models, especially, in one-shot scenarios and large batch sizes. The code will be available at the time of the conference.