Alexandros Karagyris

Florian Kofler, Felix Meissen, Felix Steinbauer et al.

A myriad of algorithms for the automatic analysis of brain MR images is available to support clinicians in their decision-making. For brain tumor patients, the image acquisition time series typically starts with an already pathological scan. This poses problems, as many algorithms are designed to analyze healthy brains and provide no guarantee for images featuring lesions. Examples include, but are not limited to, algorithms for brain anatomy parcellation, tissue segmentation, and brain extraction. To solve this dilemma, we introduce the BraTS inpainting challenge. Here, the participants explore inpainting techniques to synthesize healthy brain scans from lesioned ones. The following manuscript contains the task formulation, dataset, and submission procedure. Later, it will be updated to summarize the findings of the challenge. The challenge is organized as part of the ASNR-BraTS MICCAI challenge.

Jayaraman J. Thiagarajan, Satyananda Kashyap, Alexandros Karagyris

Weakly supervised instance labeling using only image-level labels, in lieu of expensive fine-grained pixel annotations, is crucial in several applications including medical image analysis. In contrast to conventional instance segmentation scenarios in computer vision, the problems that we consider are characterized by a small number of training images and non-local patterns that lead to the diagnosis. In this paper, we explore the use of multiple instance learning (MIL) to design an instance label generator under this weakly supervised setting. Motivated by the observation that an MIL model can handle bags of varying sizes, we propose to repurpose an MIL model originally trained for bag-level classification to produce reliable predictions for single instances, i.e., bags of size $1$. To this end, we introduce a novel regularization strategy based on virtual adversarial training for improving MIL training, and subsequently develop a knowledge distillation technique for repurposing the trained MIL model. Using empirical studies on colon cancer and breast cancer detection from histopathological images, we show that the proposed approach produces high-quality instance-level prediction and significantly outperforms state-of-the MIL methods.