Nicolae Verga

Mariana-Iuliana Georgescu, Radu Tudor Ionescu, Andreea-Iuliana Miron et al.

Super-resolving medical images can help physicians in providing more accurate diagnostics. In many situations, computed tomography (CT) or magnetic resonance imaging (MRI) techniques capture several scans (modes) during a single investigation, which can jointly be used (in a multimodal fashion) to further boost the quality of super-resolution results. To this end, we propose a novel multimodal multi-head convolutional attention module to super-resolve CT and MRI scans. Our attention module uses the convolution operation to perform joint spatial-channel attention on multiple concatenated input tensors, where the kernel (receptive field) size controls the reduction rate of the spatial attention, and the number of convolutional filters controls the reduction rate of the channel attention, respectively. We introduce multiple attention heads, each head having a distinct receptive field size corresponding to a particular reduction rate for the spatial attention. We integrate our multimodal multi-head convolutional attention (MMHCA) into two deep neural architectures for super-resolution and conduct experiments on three data sets. Our empirical results show the superiority of our attention module over the state-of-the-art attention mechanisms used in super-resolution. Moreover, we conduct an ablation study to assess the impact of the components involved in our attention module, e.g. the number of inputs or the number of heads. Our code is freely available at https://github.com/lilygeorgescu/MHCA.

Nicolae-Catalin Ristea, Andreea-Iuliana Miron, Olivian Savencu et al.

We propose a novel approach to translate unpaired contrast computed tomography (CT) scans to non-contrast CT scans and the other way around. Solving this task has two important applications: (i) to automatically generate contrast CT scans for patients for whom injecting contrast substance is not an option, and (ii) to enhance the alignment between contrast and non-contrast CT by reducing the differences induced by the contrast substance before registration. Our approach is based on cycle-consistent generative adversarial convolutional transformers, for short, CyTran. Our neural model can be trained on unpaired images, due to the integration of a multi-level cycle-consistency loss. Aside from the standard cycle-consistency loss applied at the image level, we propose to apply additional cycle-consistency losses between intermediate feature representations, which enforces the model to be cycle-consistent at multiple representations levels, leading to superior results. To deal with high-resolution images, we design a hybrid architecture based on convolutional and multi-head attention layers. In addition, we introduce a novel data set, Coltea-Lung-CT-100W, containing 100 3D triphasic lung CT scans (with a total of 37,290 images) collected from 100 female patients (there is one examination per patient). Each scan contains three phases (non-contrast, early portal venous, and late arterial), allowing us to perform experiments to compare our novel approach with state-of-the-art methods for image style transfer. Our empirical results show that CyTran outperforms all competing methods. Moreover, we show that CyTran can be employed as a preliminary step to improve a state-of-the-art medical image alignment method. We release our novel model and data set as open source at https://github.com/ristea/cycle-transformer.

Mihail Burduja, Radu Tudor Ionescu, Nicolae Verga

In this paper, we present our system for the RSNA Intracranial Hemorrhage Detection challenge. The proposed system is based on a lightweight deep neural network architecture composed of a convolutional neural network (CNN) that takes as input individual CT slices, and a Long Short-Term Memory (LSTM) network that takes as input feature embeddings provided by the CNN. For efficient processing, we consider various feature selection methods to produce a subset of useful CNN features for the LSTM. Furthermore, we reduce the CT slices by a factor of 2x, allowing ourselves to train the model faster. Even if our model is designed to balance speed and accuracy, we report a weighted mean log loss of 0.04989 on the final test set, which places us in the top 30 ranking (2%) from a total of 1345 participants. Although our computing infrastructure does not allow it, processing CT slices at their original scale is likely to improve performance. In order to enable others to reproduce our results, we provide our code as open source at https://github.com/warchildmd/ihd. After the challenge, we conducted a subjective intracranial hemorrhage detection assessment by radiologists, indicating that the performance of our deep model is on par with that of doctors specialized in reading CT scans. Another contribution of our work is to integrate Grad-CAM visualizations in our system, providing useful explanations for its predictions. We therefore consider our system as a viable option when a fast diagnosis or a second opinion on intracranial hemorrhage detection are needed.