Sailesh Conjeti

Leonie Henschel, Sailesh Conjeti, Santiago Estrada et al.

Traditional neuroimage analysis pipelines involve computationally intensive, time-consuming optimization steps, and thus, do not scale well to large cohort studies with thousands or tens of thousands of individuals. In this work we propose a fast and accurate deep learning based neuroimaging pipeline for the automated processing of structural human brain MRI scans, replicating FreeSurfer's anatomical segmentation including surface reconstruction and cortical parcellation. To this end, we introduce an advanced deep learning architecture capable of whole brain segmentation into 95 classes. The network architecture incorporates local and global competition via competitive dense blocks and competitive skip pathways, as well as multi-slice information aggregation that specifically tailor network performance towards accurate segmentation of both cortical and sub-cortical structures. Further, we perform fast cortical surface reconstruction and thickness analysis by introducing a spectral spherical embedding and by directly mapping the cortical labels from the image to the surface. This approach provides a full FreeSurfer alternative for volumetric analysis (in under 1 minute) and surface-based thickness analysis (within only around 1h runtime). For sustainability of this approach we perform extensive validation: we assert high segmentation accuracy on several unseen datasets, measure generalizability and demonstrate increased test-retest reliability, and high sensitivity to group differences in dementia.

Santiago Estrada, Ran Lu, Sailesh Conjeti et al.

Purpose: Development of a fast and fully automated deep learning pipeline (FatSegNet) to accurately identify, segment, and quantify abdominal adipose tissue on Dixon MRI from the Rhineland Study - a large prospective population-based study. Method: FatSegNet is composed of three stages: (i) consistent localization of the abdominal region using two 2D-Competitive Dense Fully Convolutional Networks (CDFNet), (ii) segmentation of adipose tissue on three views by independent CDFNets, and (iii) view aggregation. FatSegNet is trained with 33 manually annotated subjects, and validated by: 1) comparison of segmentation accuracy against a testingset covering a wide range of body mass index (BMI), 2) test-retest reliability, and 3) robustness in a large cohort study. Results: The CDFNet demonstrates increased robustness compared to traditional deep learning networks. FatSegNet dice score outperforms manual raters on the abdominal visceral adipose tissue (VAT, 0.828 vs. 0.788), and produces comparable results on subcutaneous adipose tissue (SAT, 0.973 vs. 0.982). The pipeline has very small test-retest absolute percentage difference and excellent agreement between scan sessions (VAT: APD = 2.957%, ICC=0.998 and SAT: APD= 3.254%, ICC=0.996). Conclusion: FatSegNet can reliably analyze a 3D Dixon MRI in1 min. It generalizes well to different body shapes, sensitively replicates known VAT and SAT volume effects in a large cohort study, and permits localized analysis of fat compartments.

Abhijit Guha Roy, Sailesh Conjeti, Nassir Navab et al.

We introduce Bayesian QuickNAT for the automated quality control of whole-brain segmentation on MRI T1 scans. Next to the Bayesian fully convolutional neural network, we also present inherent measures of segmentation uncertainty that allow for quality control per brain structure. For estimating model uncertainty, we follow a Bayesian approach, wherein, Monte Carlo (MC) samples from the posterior distribution are generated by keeping the dropout layers active at test time. Entropy over the MC samples provides a voxel-wise model uncertainty map, whereas expectation over the MC predictions provides the final segmentation. Next to voxel-wise uncertainty, we introduce four metrics to quantify structure-wise uncertainty in segmentation for quality control. We report experiments on four out-of-sample datasets comprising of diverse age range, pathology and imaging artifacts. The proposed structure-wise uncertainty metrics are highly correlated with the Dice score estimated with manual annotation and therefore present an inherent measure of segmentation quality. In particular, the intersection over union over all the MC samples is a suitable proxy for the Dice score. In addition to quality control at scan-level, we propose to incorporate the structure-wise uncertainty as a measure of confidence to do reliable group analysis on large data repositories. We envisage that the introduced uncertainty metrics would help assess the fidelity of automated deep learning based segmentation methods for large-scale population studies, as they enable automated quality control and group analyses in processing large data repositories.

Shubham Kumar, Sailesh Conjeti, Abhijit Guha Roy et al.

We present a novel, parameter-efficient and practical fully convolutional neural network architecture, termed InfiNet, aimed at voxel-wise semantic segmentation of infant brain MRI images at iso-intense stage, which can be easily extended for other segmentation tasks involving multi-modalities. InfiNet consists of double encoder arms for T1 and T2 input scans that feed into a joint-decoder arm that terminates in the classification layer. The novelty of InfiNet lies in the manner in which the decoder upsamples lower resolution input feature map(s) from multiple encoder arms. Specifically, the pooled indices computed in the max-pooling layers of each of the encoder blocks are related to the corresponding decoder block to perform non-linear learning-free upsampling. The sparse maps are concatenated with intermediate encoder representations (skip connections) and convolved with trainable filters to produce dense feature maps. InfiNet is trained end-to-end to optimize for the Generalized Dice Loss, which is well-suited for high class imbalance. InfiNet achieves the whole-volume segmentation in under 50 seconds and we demonstrate competitive performance against multiple state-of-the art deep architectures and their multi-modal variants.

Shubham Kumar, Abhijit Guha Roy, Ping Wu et al.

Several diseases of parkinsonian syndromes present similar symptoms at early stage and no objective widely used diagnostic methods have been approved until now. Positron emission tomography (PET) with $^{18}$F-FDG was shown to be able to assess early neuronal dysfunction of synucleinopathies and tauopathies. Tensor factorization (TF) based approaches have been applied to identify characteristic metabolic patterns for differential diagnosis. However, these conventional dimension-reduction strategies assume linear or multi-linear relationships inside data, and are therefore insufficient to distinguish nonlinear metabolic differences between various parkinsonian syndromes. In this paper, we propose a Deep Projection Neural Network (DPNN) to identify characteristic metabolic pattern for early differential diagnosis of parkinsonian syndromes. We draw our inspiration from the existing TF methods. The network consists of a (i) compression part: which uses a deep network to learn optimal 2D projections of 3D scans, and a (ii) classification part: which maps the 2D projections to labels. The compression part can be pre-trained using surplus unlabelled datasets. Also, as the classification part operates on these 2D projections, it can be trained end-to-end effectively with limited labelled data, in contrast to 3D approaches. We show that DPNN is more effective in comparison to existing state-of-the-art and plausible baselines.

Huseyin Coskun, David Joseph Tan, Sailesh Conjeti et al.

Effectively measuring the similarity between two human motions is necessary for several computer vision tasks such as gait analysis, person identi- fication and action retrieval. Nevertheless, we believe that traditional approaches such as L2 distance or Dynamic Time Warping based on hand-crafted local pose metrics fail to appropriately capture the semantic relationship across motions and, as such, are not suitable for being employed as metrics within these tasks. This work addresses this limitation by means of a triplet-based deep metric learning specifically tailored to deal with human motion data, in particular with the prob- lem of varying input size and computationally expensive hard negative mining due to motion pair alignment. Specifically, we propose (1) a novel metric learn- ing objective based on a triplet architecture and Maximum Mean Discrepancy; as well as, (2) a novel deep architecture based on attentive recurrent neural networks. One benefit of our objective function is that it enforces a better separation within the learned embedding space of the different motion categories by means of the associated distribution moments. At the same time, our attentive recurrent neural network allows processing varying input sizes to a fixed size of embedding while learning to focus on those motion parts that are semantically distinctive. Our ex- periments on two different datasets demonstrate significant improvements over conventional human motion metrics.

Santiago Estrada, Sailesh Conjeti, Muneer Ahmad et al.

Increased information sharing through short and long-range skip connections between layers in fully convolutional networks have demonstrated significant improvement in performance for semantic segmentation. In this paper, we propose Competitive Dense Fully Convolutional Networks (CDFNet) by introducing competitive maxout activations in place of naive feature concatenation for inducing competition amongst layers. Within CDFNet, we propose two architectural contributions, namely competitive dense block (CDB) and competitive unpooling block (CUB) to induce competition at local and global scales for short and long-range skip connections respectively. This extension is demonstrated to boost learning of specialized sub-networks targeted at segmenting specific anatomies, which in turn eases the training of complex tasks. We present the proof-of-concept on the challenging task of whole body segmentation in the publicly available VISCERAL benchmark and demonstrate improved performance over multiple learning and registration based state-of-the-art methods.

Muneer Ahmad Dedmari, Sailesh Conjeti, Santiago Estrada et al.

Undersampling the k-space data is widely adopted for acceleration of Magnetic Resonance Imaging (MRI). Current deep learning based approaches for supervised learning of MRI image reconstruction employ real-valued operations and representations by treating complex valued k-space/spatial-space as real values. In this paper, we propose complex dense fully convolutional neural network ($\mathbb{C}$DFNet) for learning to de-alias the reconstruction artifacts within undersampled MRI images. We fashioned a densely-connected fully convolutional block tailored for complex-valued inputs by introducing dedicated layers such as complex convolution, batch normalization, non-linearities etc. $\mathbb{C}$DFNet leverages the inherently complex-valued nature of input k-space and learns richer representations. We demonstrate improved perceptual quality and recovery of anatomical structures through $\mathbb{C}$DFNet in contrast to its real-valued counterparts.

Deepa Gunashekar, Sailesh Conjeti, Abhijit Guha Roy et al.

Cross modal image syntheses is gaining significant interests for its ability to estimate target images of a different modality from a given set of source images,like estimating MR to MR, MR to CT, CT to PET etc, without the need for an actual acquisition.Though they show potential for applications in radiation therapy planning,image super resolution, atlas construction, image segmentation etc.The synthesis results are not as accurate as the actual acquisition.In this paper,we address the problem of multi modal image synthesis by proposing a fully convolutional deep learning architecture called the SynNet.We extend the proposed architecture for various input output configurations. And finally, we propose a structure preserving custom loss function for cross-modal image synthesis.We validate the proposed SynNet and its extended framework on BRATS dataset with comparisons against three state-of-the art methods.And the results of the proposed custom loss function is validated against the traditional loss function used by the state-of-the-art methods for cross modal image synthesis.

Abhijit Guha Roy, Sailesh Conjeti, Nassir Navab et al.

We introduce inherent measures for effective quality control of brain segmentation based on a Bayesian fully convolutional neural network, using model uncertainty. Monte Carlo samples from the posterior distribution are efficiently generated using dropout at test time. Based on these samples, we introduce next to a voxel-wise uncertainty map also three metrics for structure-wise uncertainty. We then incorporate these structure-wise uncertainty in group analyses as a measure of confidence in the observation. Our results show that the metrics are highly correlated to segmentation accuracy and therefore present an inherent measure of segmentation quality. Furthermore, group analysis with uncertainty results in effect sizes closer to that of manual annotations. The introduced uncertainty metrics can not only be very useful in translation to clinical practice but also provide automated quality control and group analyses in processing large data repositories.

Fernando Navarro, Sailesh Conjeti, Federico Tombari et al.

Within medical imaging, manual curation of sufficient well-labeled samples is cost, time and scale-prohibitive. To improve the representativeness of the training dataset, for the first time, we present an approach to utilize large amounts of freely available web data through web-crawling. To handle noise and weak nature of web annotations, we propose a two-step transfer learning based training process with a robust loss function, termed as Webly Supervised Learning (WSL) to train deep models for the task. We also leverage search by image to improve the search specificity of our web-crawling and reduce cross-domain noise. Within WSL, we explicitly model the noise structure between classes and incorporate it to selectively distill knowledge from the web data during model training. To demonstrate improved performance due to WSL, we benchmarked on a publicly available 10-class fine-grained skin lesion classification dataset and report a significant improvement of top-1 classification accuracy from 71.25 % to 80.53 % due to the incorporation of web-supervision.

Magdalini Paschali, Sailesh Conjeti, Fernando Navarro et al.

In this paper, for the first time, we propose an evaluation method for deep learning models that assesses the performance of a model not only in an unseen test scenario, but also in extreme cases of noise, outliers and ambiguous input data. To this end, we utilize adversarial examples, images that fool machine learning models, while looking imperceptibly different from original data, as a measure to evaluate the robustness of a variety of medical imaging models. Through extensive experiments on skin lesion classification and whole brain segmentation with state-of-the-art networks such as Inception and UNet, we show that models that achieve comparable performance regarding generalizability may have significant variations in their perception of the underlying data manifold, leading to an extensive performance gap in their robustness.

Abhijit Guha Roy, Sailesh Conjeti, Nassir Navab et al.

Whole brain segmentation from structural magnetic resonance imaging (MRI) is a prerequisite for most morphological analyses, but is computationally intense and can therefore delay the availability of image markers after scan acquisition. We introduce QuickNAT, a fully convolutional, densely connected neural network that segments a \revision{MRI brain scan} in 20 seconds. To enable training of the complex network with millions of learnable parameters using limited annotated data, we propose to first pre-train on auxiliary labels created from existing segmentation software. Subsequently, the pre-trained model is fine-tuned on manual labels to rectify errors in auxiliary labels. With this learning strategy, we are able to use large neuroimaging repositories without manual annotations for training. In an extensive set of evaluations on eight datasets that cover a wide age range, pathology, and different scanners, we demonstrate that QuickNAT achieves superior segmentation accuracy and reliability in comparison to state-of-the-art methods, while being orders of magnitude faster. The speed up facilitates processing of large data repositories and supports translation of imaging biomarkers by making them available within seconds for fast clinical decision making.

Abhijit Guha Roy, Sailesh Conjeti, Debdoot Sheet et al.

Training deep fully convolutional neural networks (F-CNNs) for semantic image segmentation requires access to abundant labeled data. While large datasets of unlabeled image data are available in medical applications, access to manually labeled data is very limited. We propose to automatically create auxiliary labels on initially unlabeled data with existing tools and to use them for pre-training. For the subsequent fine-tuning of the network with manually labeled data, we introduce error corrective boosting (ECB), which emphasizes parameter updates on classes with lower accuracy. Furthermore, we introduce SkipDeconv-Net (SD-Net), a new F-CNN architecture for brain segmentation that combines skip connections with the unpooling strategy for upsampling. The SD-Net addresses challenges of severe class imbalance and errors along boundaries. With application to whole-brain MRI T1 scan segmentation, we generate auxiliary labels on a large dataset with FreeSurfer and fine-tune on two datasets with manual annotations. Our results show that the inclusion of auxiliary labels and ECB yields significant improvements. SD-Net segments a 3D scan in 7 secs in comparison to 30 hours for the closest multi-atlas segmentation method, while reaching similar performance. It also outperforms the latest state-of-the-art F-CNN models.

Abhijit Guha Roy, Sailesh Conjeti, Sri Phani Krishna Karri et al.

Optical coherence tomography (OCT) is used for non-invasive diagnosis of diabetic macular edema assessing the retinal layers. In this paper, we propose a new fully convolutional deep architecture, termed ReLayNet, for end-to-end segmentation of retinal layers and fluid masses in eye OCT scans. ReLayNet uses a contracting path of convolutional blocks (encoders) to learn a hierarchy of contextual features, followed by an expansive path of convolutional blocks (decoders) for semantic segmentation. ReLayNet is trained to optimize a joint loss function comprising of weighted logistic regression and Dice overlap loss. The framework is validated on a publicly available benchmark dataset with comparisons against five state-of-the-art segmentation methods including two deep learning based approaches to substantiate its effectiveness.

Sailesh Conjeti, Magdalini Paschali, Amin Katouzian et al.

In this paper, for the first time, we introduce a multiple instance (MI) deep hashing technique for learning discriminative hash codes with weak bag-level supervision suited for large-scale retrieval. We learn such hash codes by aggregating deeply learnt hierarchical representations across bag members through a dedicated MI pool layer. For better trainability and retrieval quality, we propose a two-pronged approach that includes robust optimization and training with an auxiliary single instance hashing arm which is down-regulated gradually. We pose retrieval for tumor assessment as an MI problem because tumors often coexist with benign masses and could exhibit complementary signatures when scanned from different anatomical views. Experimental validations on benchmark mammography and histology datasets demonstrate improved retrieval performance over the state-of-the-art methods.

Sailesh Conjeti, Anees Kazi, Nassir Navab et al.

This paper presents a new scalable algorithm for cross-modal similarity preserving retrieval in a learnt manifold space. Unlike existing approaches that compromise between preserving global and local geometries, the proposed technique respects both simultaneously during manifold alignment. The global topologies are maintained by recovering underlying mapping functions in the joint manifold space by deploying partially corresponding instances. The inter-, and intra-modality affinity matrices are then computed to reinforce original data skeleton using perturbed minimum spanning tree (pMST), and maximizing the affinity among similar cross-modal instances, respectively. The performance of proposed algorithm is evaluated upon two multimodal image datasets (coronary atherosclerosis histology and brain MRI) for two applications: classification, and regression. Our exhaustive validations and results demonstrate the superiority of our technique over comparative methods and its feasibility for improving computer-assisted diagnosis systems, where disease-specific complementary information shall be aggregated and interpreted across modalities to form the final decision.

Sailesh Conjeti, Abhijit Guha Roy, Amin Katouzian et al.

Hashing aims at generating highly compact similarity preserving code words which are well suited for large-scale image retrieval tasks. Most existing hashing methods first encode the images as a vector of hand-crafted features followed by a separate binarization step to generate hash codes. This two-stage process may produce sub-optimal encoding. In this paper, for the first time, we propose a deep architecture for supervised hashing through residual learning, termed Deep Residual Hashing (DRH), for an end-to-end simultaneous representation learning and hash coding. The DRH model constitutes four key elements: (1) a sub-network with multiple stacked residual blocks; (2) hashing layer for binarization; (3) supervised retrieval loss function based on neighbourhood component analysis for similarity preserving embedding; and (4) hashing related losses and regularisation to control the quantization error and improve the quality of hash coding. We present results of extensive experiments on a large public chest x-ray image database with co-morbidities and discuss the outcome showing substantial improvements over the latest state-of-the art methods.