Roberto Souza

Neha Gianchandani, Mahsa Dibaji, Johanna Ospel et al.

Brain aging is a regional phenomenon, a facet that remains relatively under-explored within the realm of brain age prediction research using machine learning methods. Voxel-level predictions can provide localized brain age estimates that can provide granular insights into the regional aging processes. This is essential to understand the differences in aging trajectories in healthy versus diseased subjects. In this work, a deep learning-based multitask model is proposed for voxel-level brain age prediction from T1-weighted magnetic resonance images. The proposed model outperforms the models existing in the literature and yields valuable clinical insights when applied to both healthy and diseased populations. Regional analysis is performed on the voxel-level brain age predictions to understand aging trajectories of known anatomical regions in the brain and show that there exist disparities in regional aging trajectories of healthy subjects compared to ones with underlying neurological disorders such as Dementia and more specifically, Alzheimer's disease. Our code is available at https://github.com/nehagianchandani/Voxel-level-brain-age-prediction.

Reza Kakavand, Mehrdad Palizi, Peyman Tahghighi et al.

Simulation studies like finite element (FE) modeling provide insight into knee joint mechanics without patient experimentation. Generic FE models represent biomechanical behavior of the tissue by overlooking variations in geometry, loading, and material properties of a population. On the other hand, subject-specific models include these specifics, resulting in enhanced predictive precision. However, creating such models is laborious and time-intensive. The present study aimed to enhance subject-specific knee joint FE modeling by incorporating a semi-automated segmentation algorithm. This segmentation was a 3D Swin UNETR for an initial segmentation of the femur and tibia, followed by a statistical shape model (SSM) adjustment to improve surface roughness and continuity. Five hundred and seven magnetic resonance images (MRIs) from the Osteoarthritis Initiative (OAI) database were used to build and validate the segmentation model. A semi-automated FE model was developed using this semi-automated segmentation. On the other hand, a manual FE model was developed through manual segmentation (i.e., the gold standard approach). Both FE models were subjected to gait loading. The predicted mechanical response of manual and semi-automated FE models were compared. In the result, our semi-automated segmentation achieved Dice similarity coefficient (DSC) over 98% for both femur and tibia. The mechanical results (max principal stress, max principal strain, fluid pressure, fibril strain, and contact area) showed no significant differences between the manual and semi-automated FE models, indicating the effectiveness of the proposed semi-automated segmentation in creating accurate knee joint FE models. ( https://data.mendeley.com/datasets/k5hdc9cz7w/1 ).

Farzaneh Dehghani, Mahsa Dibaji, Fahim Anzum et al.

Artificial Intelligence (AI) has paved the way for revolutionary decision-making processes, which if harnessed appropriately, can contribute to advancements in various sectors, from healthcare to economics. However, its black box nature presents significant ethical challenges related to bias and transparency. AI applications are hugely impacted by biases, presenting inconsistent and unreliable findings, leading to significant costs and consequences, highlighting and perpetuating inequalities and unequal access to resources. Hence, developing safe, reliable, ethical, and Trustworthy AI systems is essential. Our team of researchers working with Trustworthy and Responsible AI, part of the Transdisciplinary Scholarship Initiative within the University of Calgary, conducts research on Trustworthy and Responsible AI, including fairness, bias mitigation, reproducibility, generalization, interpretability, and authenticity. In this paper, we review and discuss the intricacies of AI biases, definitions, methods of detection and mitigation, and metrics for evaluating bias. We also discuss open challenges with regard to the trustworthiness and widespread application of AI across diverse domains of human-centric decision making, as well as guidelines to foster Responsible and Trustworthy AI models.

Gabriel Dias, Rodrigo Pommot Berto, Mateus Oliveira et al.

Purpose: To investigate the use of a Vision Transformer (ViT) to reconstruct/denoise GABA-edited magnetic resonance spectroscopy (MRS) from a quarter of the typically acquired number of transients using spectrograms. Theory and Methods: A quarter of the typically acquired number of transients collected in GABA-edited MRS scans are pre-processed and converted to a spectrogram image representation using the Short-Time Fourier Transform (STFT). The image representation of the data allows the adaptation of a pre-trained ViT for reconstructing GABA-edited MRS spectra (Spectro-ViT). The Spectro-ViT is fine-tuned and then tested using \textit{in vivo} GABA-edited MRS data. The Spectro-ViT performance is compared against other models in the literature using spectral quality metrics and estimated metabolite concentration values. Results: The Spectro-ViT model significantly outperformed all other models in four out of five quantitative metrics (mean squared error, shape score, GABA+/water fit error, and full width at half maximum). The metabolite concentrations estimated (GABA+/water, GABA+/Cr, and Glx/water) were consistent with the metabolite concentrations estimated using typical GABA-edited MRS scans reconstructed with the full amount of typically collected transients. Conclusion: The proposed Spectro-ViT model achieved state-of-the-art results in reconstructing GABA-edited MRS, and the results indicate these scans could be up to four times faster.

Neha Gianchandani, Mahsa Dibaji, Mariana Bento et al.

Deep learning models have achieved state-of-the-art results in estimating brain age, which is an important brain health biomarker, from magnetic resonance (MR) images. However, most of these models only provide a global age prediction, and rely on techniques, such as saliency maps to interpret their results. These saliency maps highlight regions in the input image that were significant for the model's predictions, but they are hard to be interpreted, and saliency map values are not directly comparable across different samples. In this work, we reframe the age prediction problem from MR images to an image-to-image regression problem where we estimate the brain age for each brain voxel in MR images. We compare voxel-wise age prediction models against global age prediction models and their corresponding saliency maps. The results indicate that voxel-wise age prediction models are more interpretable, since they provide spatial information about the brain aging process, and they benefit from being quantitative.

Mahsa Dibaji, Neha Gianchandani, Akhil Nair et al.

While utilizing machine learning models, one of the most crucial aspects is how bias and fairness affect model outcomes for diverse demographics. This becomes especially relevant in the context of machine learning for medical imaging applications as these models are increasingly being used for diagnosis and treatment planning. In this paper, we study biases related to sex when developing a machine learning model based on brain magnetic resonance images (MRI). We investigate the effects of sex by performing brain age prediction considering different experimental designs: model trained using only female subjects, only male subjects and a balanced dataset. We also perform evaluation on multiple MRI datasets (Calgary-Campinas(CC359) and CamCAN) to assess the generalization capability of the proposed models. We found disparities in the performance of brain age prediction models when trained on distinct sex subgroups and datasets, in both final predictions and decision making (assessed using interpretability models). Our results demonstrated variations in model generalizability across sex-specific subgroups, suggesting potential biases in models trained on unbalanced datasets. This underlines the critical role of careful experimental design in generating fair and reliable outcomes.

Amin Eslami Abyane, Derui Zhu, Roberto Souza et al.

Federated learning (FL) is a distributed learning paradigm that preserves users' data privacy while leveraging the entire dataset of all participants. In FL, multiple models are trained independently on the clients and aggregated centrally to update a global model in an iterative process. Although this approach is excellent at preserving privacy, FL still suffers from quality issues such as attacks or byzantine faults. Recent attempts have been made to address such quality challenges on the robust aggregation techniques for FL. However, the effectiveness of state-of-the-art (SOTA) robust FL techniques is still unclear and lacks a comprehensive study. Therefore, to better understand the current quality status and challenges of these SOTA FL techniques in the presence of attacks and faults, we perform a large-scale empirical study to investigate the SOTA FL's quality from multiple angles of attacks, simulated faults (via mutation operators), and aggregation (defense) methods. In particular, we study FL's performance on the image classification tasks and use DNNs as our model type. Furthermore, we perform our study on two generic image datasets and one real-world federated medical image dataset. We also investigate the effect of the proportion of affected clients and the dataset distribution factors on the robustness of FL. After a large-scale analysis with 496 configurations, we find that most mutators on each user have a negligible effect on the final model in the generic datasets, and only one of them is effective in the medical dataset. Furthermore, we show that model poisoning attacks are more effective than data poisoning attacks. Moreover, choosing the most robust FL aggregator depends on the attacks and datasets. Finally, we illustrate that a simple ensemble of aggregators achieves a more robust solution than any single aggregator and is the best choice in 75% of the cases.

Oeslle Lucena, Roberto Souza, Leticia Rittner et al.

Convolutional neural networks (CNN) for medical imaging are constrained by the number of annotated data required in the training stage. Usually, manual annotation is considered to be the "gold standard". However, medical imaging datasets that include expert manual segmentation are scarce as this step is time-consuming, and therefore expensive. Moreover, single-rater manual annotation is most often used in data-driven approaches making the network optimal with respect to only that single expert. In this work, we propose a CNN for brain extraction in magnetic resonance (MR) imaging, that is fully trained with what we refer to as silver standard masks. Our method consists of 1) developing a dataset with "silver standard" masks as input, and implementing both 2) a tri-planar method using parallel 2D U-Net-based CNNs (referred to as CONSNet) and 3) an auto-context implementation of CONSNet. The term CONSNet refers to our integrated approach, i.e., training with silver standard masks and using a 2D U-Net-based architecture. Our results showed that we outperformed (i.e., larger Dice coefficients) the current state-of-the-art SS methods. Our use of silver standard masks reduced the cost of manual annotation, decreased inter-intra-rater variability, and avoided CNN segmentation super-specialization towards one specific manual annotation guideline that can occur when gold standard masks are used. Moreover, the usage of silver standard masks greatly enlarges the volume of input annotated data because we can relatively easily generate labels for unlabeled data. In addition, our method has the advantage that, once trained, it takes only a few seconds to process a typical brain image volume using modern hardware, such as a high-end graphics processing unit. In contrast, many of the other competitive methods have processing times in the order of minutes.