Maik Stille

Solveig Thrun, Stine Hansen, Zijun Sun et al.

Regular mammography screening is crucial for early breast cancer detection. By leveraging deep learning-based risk models, screening intervals can be personalized, especially for high-risk individuals. While recent methods increasingly incorporate longitudinal information from prior mammograms, accurate spatial alignment across time points remains a key challenge. Misalignment can obscure meaningful tissue changes and degrade model performance. In this study, we provide insights into various alignment strategies, image-based registration, feature-level (representation space) alignment with and without regularization, and implicit alignment methods, for their effectiveness in longitudinal deep learning-based risk modeling. Using two large-scale mammography datasets, we assess each method across key metrics, including predictive accuracy, precision, recall, and deformation field quality. Our results show that image-based registration consistently outperforms the more recently favored feature-based and implicit approaches across all metrics, enabling more accurate, temporally consistent predictions and generating smooth, anatomically plausible deformation fields. Although regularizing the deformation field improves deformation quality, it reduces the risk prediction performance of feature-level alignment. Applying image-based deformation fields within the feature space yields the best risk prediction performance. These findings underscore the importance of image-based deformation fields for spatial alignment in longitudinal risk modeling, offering improved prediction accuracy and robustness. This approach has strong potential to enhance personalized screening and enable earlier interventions for high-risk individuals. The code is available at https://github.com/sot176/Mammogram_Alignment_Study_Risk_Prediction.git, allowing full reproducibility of the results.

Solveig Thrun, Stine Hansen, Zijun Sun et al.

Regular mammography screening is essential for early breast cancer detection. Deep learning-based risk prediction methods have sparked interest to adjust screening intervals for high-risk groups. While early methods focused only on current mammograms, recent approaches leverage the temporal aspect of screenings to track breast tissue changes over time, requiring spatial alignment across different time points. Two main strategies for this have emerged: explicit feature alignment through deformable registration and implicit learned alignment using techniques like transformers, with the former providing more control. However, the optimal approach for explicit alignment in mammography remains underexplored. In this study, we provide insights into where explicit alignment should occur (input space vs. representation space) and if alignment and risk prediction should be jointly optimized. We demonstrate that jointly learning explicit alignment in representation space while optimizing risk estimation performance, as done in the current state-of-the-art approach, results in a trade-off between alignment quality and predictive performance and show that image-level alignment is superior to representation-level alignment, leading to better deformation field quality and enhanced risk prediction accuracy. The code is available at https://github.com/sot176/Longitudinal_Mammogram_Alignment.git.

Laura Hellwege, Johann Christopher Engster, Moritz Schaar et al.

Assume you encounter an inverse problem that shall be solved for a large number of data, but no ground-truth data is available. To emulate this encounter, in this study, we assume it is unknown how to solve the imaging problem of Computed Tomography (CT). An unsupervised deep learning approach is introduced, that leverages the inherent similarities between deep neural network training, deep image prior (DIP) and unrolled optimization schemes. We demonstrate the feasibility of reconstructing images from measurement data by pure network inference, without relying on ground-truth images in the training process or additional gradient steps for unseen samples. Our method is evaluated on the two-dimensional 2DeteCT dataset, showcasing superior performance in terms of mean squared error (MSE) and structural similarity index (SSIM) compared to traditional filtered backprojection (FBP) and maximum likelihood (ML) reconstruction techniques as well as similar performance compared to a supervised DL reconstruction. Additionally, our approach significantly reduces reconstruction time, making it a promising alternative for real-time medical imaging applications. Future work will focus on extending this methodology for adaptability of the projection geometry and other use-cases in medical imaging.

Roland Gruber, Johann Christopher Engster, Markus Michen et al.

Instance segmentation of compound objects in XXL-CT imagery poses a unique challenge in non-destructive testing. This complexity arises from the lack of known reference segmentation labels, limited applicable segmentation tools, as well as partially degraded image quality. To asses recent advancements in the field of machine learning-based image segmentation, the "Instance Segmentation XXL-CT Challenge of a Historic Airplane" was conducted. The challenge aimed to explore automatic or interactive instance segmentation methods for an efficient delineation of the different aircraft components, such as screws, rivets, metal sheets or pressure tubes. We report the organization and outcome of this challenge and describe the capabilities and limitations of the submitted segmentation methods.