Stewart Mclachlin

Vignesh Sivan, Teodora Vujovic, Raj Ranabhat et al.

We present Recurrence with Correlation Network (RWCNet), a medical image registration network with multi-scale features and a cost volume layer. We demonstrate that these architectural features improve medical image registration accuracy in two image registration datasets prepared for the MICCAI 2022 Learn2Reg Workshop Challenge. On the large-displacement National Lung Screening Test (NLST) dataset, RWCNet is able to achieve a total registration error (TRE) of 2.11mm between corresponding keypoints without instance fine-tuning. On the OASIS brain MRI dataset, RWCNet is able to achieve an average dice overlap of 81.7% for 35 different anatomical labels. It outperforms another multi-scale network, the Laplacian Image Registration Network (LapIRN), on both datasets. Ablation experiments are performed to highlight the contribution of the various architectural features. While multi-scale features improved validation accuracy for both datasets, the cost volume layer and number of recurrent steps only improved performance on the large-displacement NLST dataset. This result suggests that cost volume layer and iterative refinement using RNN provide good support for optimization and generalization in large-displacement medical image registration. The code for RWCNet is available at https://github.com/vigsivan/optimization-based-registration.

David Burns, Nathan Leung, Michael Hardisty et al.

Objective: Participation in a physical therapy program is considered one of the greatest predictors of successful conservative management of common shoulder disorders. However, adherence to these protocols is often poor and typically worse for unsupervised home exercise programs. Currently, there are limited tools available for objective measurement of adherence in the home setting. The goal of this study was to develop and evaluate the potential for performing home shoulder physiotherapy monitoring using a commercial smartwatch. Approach: Twenty healthy adult subjects with no prior shoulder disorders performed seven exercises from an evidence-based rotator cuff physiotherapy protocol, while 6-axis inertial sensor data was collected from the active extremity. Within an activity recognition chain (ARC) framework, four supervised learning algorithms were trained and optimized to classify the exercises: k-nearest neighbor (k-NN), random forest (RF), support vector machine classifier (SVC), and a convolutional recurrent neural network (CRNN). Algorithm performance was evaluated using 5-fold cross-validation stratified first temporally and then by subject. Main Results: Categorical classification accuracy was above 94% for all algorithms on the temporally stratified cross validation, with the best performance achieved by the CRNN algorithm (99.4%). The subject stratified cross validation, which evaluated classifier performance on unseen subjects, yielded lower accuracies scores again with CRNN performing best (88.9%). Significance: This proof of concept study demonstrates the technical feasibility of a smartwatch device and supervised machine learning approach to more easily monitor and assess the at-home adherence of shoulder physiotherapy exercise protocols.