Chengjia Wang

Giorgos Papanastasiou, Nikolaos Dikaios, Jiahao Huang et al.

Medical imaging is a key component in clinical diagnosis, treatment planning and clinical trial design, accounting for almost 90% of all healthcare data. CNNs achieved performance gains in medical image analysis (MIA) over the last years. CNNs can efficiently model local pixel interactions and be trained on small-scale MI data. The main disadvantage of typical CNN models is that they ignore global pixel relationships within images, which limits their generalisation ability to understand out-of-distribution data with different 'global' information. The recent progress of Artificial Intelligence gave rise to Transformers, which can learn global relationships from data. However, full Transformer models need to be trained on large-scale data and involve tremendous computational complexity. Attention and Transformer compartments (Transf/Attention) which can well maintain properties for modelling global relationships, have been proposed as lighter alternatives of full Transformers. Recently, there is an increasing trend to co-pollinate complementary local-global properties from CNN and Transf/Attention architectures, which led to a new era of hybrid models. The past years have witnessed substantial growth in hybrid CNN-Transf/Attention models across diverse MIA problems. In this systematic review, we survey existing hybrid CNN-Transf/Attention models, review and unravel key architectural designs, analyse breakthroughs, and evaluate current and future opportunities as well as challenges. We also introduced a comprehensive analysis framework on generalisation opportunities of scientific and clinical impact, based on which new data-driven domain generalisation and adaptation methods can be stimulated.

Chengjia Wang, Guang Yang, Giorgos Papanastasiou

Magnetic Resonance Imaging (MRI) typically recruits multiple sequences (defined here as "modalities"). As each modality is designed to offer different anatomical and functional clinical information, there are evident disparities in the imaging content across modalities. Inter- and intra-modality affine and non-rigid image registration is an essential medical image analysis process in clinical imaging, as for example before imaging biomarkers need to be derived and clinically evaluated across different MRI modalities, time phases and slices. Although commonly needed in real clinical scenarios, affine and non-rigid image registration is not extensively investigated using a single unsupervised model architecture. In our work, we present an un-supervised deep learning registration methodology which can accurately model affine and non-rigid trans-formations, simultaneously. Moreover, inverse-consistency is a fundamental inter-modality registration property that is not considered in deep learning registration algorithms. To address inverse-consistency, our methodology performs bi-directional cross-modality image synthesis to learn modality-invariant latent rep-resentations, while involves two factorised transformation networks and an inverse-consistency loss to learn topology-preserving anatomical transformations. Overall, our model (named "FIRE") shows improved performances against the reference standard baseline method on multi-modality brain 2D and 3D MRI and intra-modality cardiac 4D MRI data experiments.

Xiaodan Xing, Jiahao Huang, Yang Nan et al.

The destitution of image data and corresponding expert annotations limit the training capacities of AI diagnostic models and potentially inhibit their performance. To address such a problem of data and label scarcity, generative models have been developed to augment the training datasets. Previously proposed generative models usually require manually adjusted annotations (e.g., segmentation masks) or need pre-labeling. However, studies have found that these pre-labeling based methods can induce hallucinating artifacts, which might mislead the downstream clinical tasks, while manual adjustment could be onerous and subjective. To avoid manual adjustment and pre-labeling, we propose a novel controllable and simultaneous synthesizer (dubbed CS$^2$) in this study to generate both realistic images and corresponding annotations at the same time. Our CS$^2$ model is trained and validated using high resolution CT (HRCT) data collected from COVID-19 patients to realize an efficient infections segmentation with minimal human intervention. Our contributions include 1) a conditional image synthesis network that receives both style information from reference CT images and structural information from unsupervised segmentation masks, and 2) a corresponding segmentation mask synthesis network to automatically segment these synthesized images simultaneously. Our experimental studies on HRCT scans collected from COVID-19 patients demonstrate that our CS$^2$ model can lead to realistic synthesized datasets and promising segmentation results of COVID infections compared to the state-of-the-art nnUNet trained and fine-tuned in a fully supervised manner.

Yuchen Mao, Hongwei Li, Wei Pang et al.

The persistent challenge of medical image synthesis posed by the scarcity of annotated data and the need to synthesize `missing modalities' for multi-modal analysis, underscored the imperative development of effective synthesis methods. Recently, the combination of Low-Rank Adaptation (LoRA) with latent diffusion models (LDMs) has emerged as a viable approach for efficiently adapting pre-trained large language models, in the medical field. However, the direct application of LoRA assumes uniform ranking across all linear layers, overlooking the significance of different weight matrices, and leading to sub-optimal outcomes. Prior works on LoRA prioritize the reduction of trainable parameters, and there exists an opportunity to further tailor this adaptation process to the intricate demands of medical image synthesis. In response, we present SeLoRA, a Self-Expanding Low-Rank Adaptation Module, that dynamically expands its ranking across layers during training, strategically placing additional ranks on crucial layers, to allow the model to elevate synthesis quality where it matters most. The proposed method not only enables LDMs to fine-tune on medical data efficiently but also empowers the model to achieve improved image quality with minimal ranking. The code of our SeLoRA method is publicly available on https://anonymous.4open.science/r/SeLoRA-980D .

Chengjia Wang, Giorgos Papanastasiou

Clinical decision making from magnetic resonance imaging (MRI) combines complementary information from multiple MRI sequences (defined as 'modalities'). MRI image registration aims to geometrically 'pair' diagnoses from different modalities, time points and slices. Both intra- and inter-modality MRI registration are essential components in clinical MRI settings. Further, an MRI image processing pipeline that can address both afine and non-rigid registration is critical, as both types of deformations may be occuring in real MRI data scenarios. Unlike image classification, explainability is not commonly addressed in image registration deep learning (DL) methods, as it is challenging to interpet model-data behaviours against transformation fields. To properly address this, we incorporate Grad-CAM-based explainability frameworks in each major component of our unsupervised multi-modal and multi-organ image registration DL methodology. We previously demonstrated that we were able to reach superior performance (against the current standard Syn method). In this work, we show that our DL model becomes fully explainable, setting the framework to generalise our approach on further medical imaging data.

Qin Jiang, Chengjia Wang, Michael Lones et al.

We address two fundamental challenges in Graph Neural Networks (GNNs): (1) the lack of theoretical support for invariance learning, a critical property in image processing, and (2) the absence of a unified model capable of excelling on both homophilic and heterophilic graph datasets. To tackle these issues, we establish and prove scale invariance in graphs, extending this key property to graph learning, and validate it through experiments on real-world datasets. Leveraging directed multi-scaled graphs and an adaptive self-loop strategy, we propose ScaleNet, a unified network architecture that achieves state-of-the-art performance across four homophilic and two heterophilic benchmark datasets. Furthermore, we show that through graph transformation based on scale invariance, uniform weights can replace computationally expensive edge weights in digraph inception networks while maintaining or improving performance. For another popular GNN approach to digraphs, we demonstrate the equivalence between Hermitian Laplacian methods and GraphSAGE with incidence normalization. ScaleNet bridges the gap between homophilic and heterophilic graph learning, offering both theoretical insights into scale invariance and practical advancements in unified graph learning. Our implementation is publicly available at https://github.com/Qin87/ScaleNet/tree/Aug23.

Qin Jiang, Chengjia Wang, Michael Lones et al.

Graph Neural Networks (GNNs) have advanced relational data analysis but lack invariance learning techniques common in image classification. In node classification with GNNs, it is actually the ego-graph of the center node that is classified. This research extends the scale invariance concept to node classification by drawing an analogy to image processing: just as scale invariance being used in image classification to capture multi-scale features, we propose the concept of ``scaled ego-graphs''. Scaled ego-graphs generalize traditional ego-graphs by replacing undirected single-edges with ``scaled-edges'', which are ordered sequences of multiple directed edges. We empirically assess the performance of the proposed scale invariance in graphs on seven benchmark datasets, across both homophilic and heterophilic structures. Our scale-invariance-based graph learning outperforms inception models derived from random walks by being simpler, faster, and more accurate. The scale invariance explains inception models' success on homophilic graphs and limitations on heterophilic graphs. To ensure applicability of inception model to heterophilic graphs as well, we further present ScaleNet, an architecture that leverages multi-scaled features. ScaleNet achieves state-of-the-art results on five out of seven datasets (four homophilic and one heterophilic) and matches top performance on the remaining two, demonstrating its excellent applicability. This represents a significant advance in graph learning, offering a unified framework that enhances node classification across various graph types. Our code is available at https://github.com/Qin87/ScaleNet/tree/July25.

Tian Xia, Agisilaos Chartsias, Chengjia Wang et al.

How will my face look when I get older? Or, for a more challenging question: How will my brain look when I get older? To answer this question one must devise (and learn from data) a multivariate auto-regressive function which given an image and a desired target age generates an output image. While collecting data for faces may be easier, collecting longitudinal brain data is not trivial. We propose a deep learning-based method that learns to simulate subject-specific brain ageing trajectories without relying on longitudinal data. Our method synthesises images conditioned on two factors: age (a continuous variable), and status of Alzheimer's Disease (AD, an ordinal variable). With an adversarial formulation we learn the joint distribution of brain appearance, age and AD status, and define reconstruction losses to address the challenging problem of preserving subject identity. We compare with several benchmarks using two widely used datasets. We evaluate the quality and realism of synthesised images using ground-truth longitudinal data and a pre-trained age predictor. We show that, despite the use of cross-sectional data, our model learns patterns of gray matter atrophy in the middle temporal gyrus in patients with AD. To demonstrate generalisation ability, we train on one dataset and evaluate predictions on the other. In conclusion, our model shows an ability to separate age, disease influence and anatomy using only 2D cross-sectional data that should be useful in large studies into neurodegenerative disease, that aim to combine several data sources. To facilitate such future studies by the community at large our code is made available at https://github.com/xiat0616/BrainAgeing.

Agisilaos Chartsias, Giorgos Papanastasiou, Chengjia Wang et al.

Magnetic resonance (MR) protocols rely on several sequences to assess pathology and organ status properly. Despite advances in image analysis, we tend to treat each sequence, here termed modality, in isolation. Taking advantage of the common information shared between modalities (an organ's anatomy) is beneficial for multi-modality processing and learning. However, we must overcome inherent anatomical misregistrations and disparities in signal intensity across the modalities to obtain this benefit. We present a method that offers improved segmentation accuracy of the modality of interest (over a single input model), by learning to leverage information present in other modalities, even if few (semi-supervised) or no (unsupervised) annotations are available for this specific modality. Core to our method is learning a disentangled decomposition into anatomical and imaging factors. Shared anatomical factors from the different inputs are jointly processed and fused to extract more accurate segmentation masks. Image misregistrations are corrected with a Spatial Transformer Network, which non-linearly aligns the anatomical factors. The imaging factor captures signal intensity characteristics across different modality data and is used for image reconstruction, enabling semi-supervised learning. Temporal and slice pairing between inputs are learned dynamically. We demonstrate applications in Late Gadolinium Enhanced (LGE) and Blood Oxygenation Level Dependent (BOLD) cardiac segmentation, as well as in T2 abdominal segmentation. Code is available at https://github.com/vios-s/multimodal_segmentation.

Qin Jiang, Chengjia Wang, Michael Lones et al.

Spectral Graph Neural Networks (Spectral GNNs) for node classification promise frequency-domain filtering on graphs, yet rest on flawed foundations. Recent work shows that graph Laplacian eigenvectors do not in general have the key properties of a true Fourier basis, but leaves the empirical success of Spectral GNNs unexplained. We identify two theoretical glitches: (1) commonly used "graph Fourier bases" are not classical Fourier bases for graph signals; (2) (n-1)-degree polynomials (n = number of nodes) can exactly interpolate any spectral response via a Vandermonde system, so the usual "polynomial approximation" narrative is not theoretically justified. The effectiveness of GCN is commonly attributed to spectral low-pass filtering, yet we prove that low- and high-pass behaviors arise solely from message-passing dynamics rather than Graph Fourier Transform-based spectral formulations. We then analyze two representative directed spectral models, MagNet and HoloNet. Their reported effectiveness is not spectral: it arises from implementation issues that reduce them to powerful MPNNs. When implemented consistently with the claimed spectral algorithms, performance becomes weak. This position paper argues that: for node classification, Spectral GNNs neither meaningfully capture the graph spectrum nor reliably improve performance; competitive results are better explained by their equivalence to MPNNs, sometimes aided by implementations inconsistent with their intended design.

Yuchen Mao, Hongwei Li, Yinyi Lai et al.

Large-scale vision models like SAM have extensive visual knowledge, yet their general nature and computational demands limit their use in specialized tasks like medical image segmentation. In contrast, task-specific models such as U-Net++ often underperform due to sparse labeled data. This study introduces a strategic knowledge mining method that leverages SAM's broad understanding to boost the performance of small, locally hosted deep learning models. In our approach, we trained a U-Net++ model on a limited labeled dataset and extend its capabilities by converting SAM's output infered on unlabeled images into prompts. This process not only harnesses SAM's generalized visual knowledge but also iteratively improves SAM's prediction to cater specialized medical segmentation tasks via U-Net++. The mined knowledge, serving as "pseudo labels", enriches the training dataset, enabling the fine-tuning of the local network. Applied to the Kvasir SEG and COVID-QU-Ex datasets which consist of gastrointestinal polyp and lung X-ray images respectively, our proposed method consistently enhanced the segmentation performance on Dice by 3% and 1% respectively over the baseline U-Net++ model, when the same amount of labelled data were used during training (75% and 50% of labelled data). Remarkably, our proposed method surpassed the baseline U-Net++ model even when the latter was trained exclusively on labeled data (100% of labelled data). These results underscore the potential of knowledge mining to overcome data limitations in specialized models by leveraging the broad, albeit general, knowledge of large-scale models like SAM, all while maintaining operational efficiency essential for clinical applications.

Peng Qi, Wenxi Qu, Tianliang Yao et al.

Percutaneous Coronary Intervention (PCI) is a minimally invasive procedure that improves coronary blood flow and treats coronary artery disease. Although PCI typically requires 2D X-ray angiography (XRA) to guide catheter placement at real-time, computed tomography angiography (CTA) may substantially improve PCI by providing precise information of 3D vascular anatomy and status. To leverage real-time XRA and detailed 3D CTA anatomy for PCI, accurate multimodal image registration of XRA and CTA is required, to guide the procedure and avoid complications. This is a challenging process as it requires registration of images from different geometrical modalities (2D -> 3D and vice versa), with variations in contrast and noise levels. In this paper, we propose a novel multimodal coronary artery image registration method based on a swarm optimization algorithm, which effectively addresses challenges such as large deformations, low contrast, and noise across these imaging modalities. Our algorithm consists of two main modules: 1) preprocessing of XRA and CTA images separately, and 2) a registration module based on feature extraction using the Steger and Superpixel Particle Swarm Optimization algorithms. Our technique was evaluated on a pilot dataset of 28 pairs of XRA and CTA images from 10 patients who underwent PCI. The algorithm was compared with four state-of-the-art (SOTA) methods in terms of registration accuracy, robustness, and efficiency. Our method outperformed the selected SOTA baselines in all aspects. Experimental results demonstrate the significant effectiveness of our algorithm, surpassing the previous benchmarks and proposes a novel clinical approach that can potentially have merit for improving patient outcomes in coronary artery disease.

Qin Jiang, Chengjia Wang, Michael Lones et al.

While Graph Neural Networks (GNNs) have achieved remarkable success, their design largely relies on empirical intuition rather than theoretical understanding. In this paper, we present a comprehensive analysis of GNN behavior through three fundamental aspects: (1) we establish that \textbf{$k$-layer} Message Passing Neural Networks efficiently aggregate \textbf{$k$-hop} neighborhood information through iterative computation, (2) analyze how different loop structures influence neighborhood computation, and (3) examine behavior across structure-feature hybrid and structure-only tasks. For deeper GNNs, we demonstrate that gradient-related issues, rather than just over-smoothing, can significantly impact performance in sparse graphs. We also analyze how different normalization schemes affect model performance and how GNNs make predictions with uniform node features, providing a theoretical framework that bridges the gap between empirical success and theoretical understanding.

Qinghao Ye, Yuan Gao, Weiping Ding et al.

The world is currently experiencing an ongoing pandemic of an infectious disease named coronavirus disease 2019 (i.e., COVID-19), which is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Computed Tomography (CT) plays an important role in assessing the severity of the infection and can also be used to identify those symptomatic and asymptomatic COVID-19 carriers. With a surge of the cumulative number of COVID-19 patients, radiologists are increasingly stressed to examine the CT scans manually. Therefore, an automated 3D CT scan recognition tool is highly in demand since the manual analysis is time-consuming for radiologists and their fatigue can cause possible misjudgment. However, due to various technical specifications of CT scanners located in different hospitals, the appearance of CT images can be significantly different leading to the failure of many automated image recognition approaches. The multi-domain shift problem for the multi-center and multi-scanner studies is therefore nontrivial that is also crucial for a dependable recognition and critical for reproducible and objective diagnosis and prognosis. In this paper, we proposed a COVID-19 CT scan recognition model namely coronavirus information fusion and diagnosis network (CIFD-Net) that can efficiently handle the multi-domain shift problem via a new robust weakly supervised learning paradigm. Our model can resolve the problem of different appearance in CT scan images reliably and efficiently while attaining higher accuracy compared to other state-of-the-art methods.

Haochuan Jiang, Chengjia Wang, Agisilaos Chartsias et al.

Automatic segmentation of multi-sequence (multi-modal) cardiac MR (CMR) images plays a significant role in diagnosis and management for a variety of cardiac diseases. However, the performance of relevant algorithms is significantly affected by the proper fusion of the multi-modal information. Furthermore, particular diseases, such as myocardial infarction, display irregular shapes on images and occupy small regions at random locations. These facts make pathology segmentation of multi-modal CMR images a challenging task. In this paper, we present the Max-Fusion U-Net that achieves improved pathology segmentation performance given aligned multi-modal images of LGE, T2-weighted, and bSSFP modalities. Specifically, modality-specific features are extracted by dedicated encoders. Then they are fused with the pixel-wise maximum operator. Together with the corresponding encoding features, these representations are propagated to decoding layers with U-Net skip-connections. Furthermore, a spatial-attention module is applied in the last decoding layer to encourage the network to focus on those small semantically meaningful pathological regions that trigger relatively high responses by the network neurons. We also use a simple image patch extraction strategy to dynamically resample training examples with varying spacial and batch sizes. With limited GPU memory, this strategy reduces the imbalance of classes and forces the model to focus on regions around the interested pathology. It further improves segmentation accuracy and reduces the mis-classification of pathology. We evaluate our methods using the Myocardial pathology segmentation (MyoPS) combining the multi-sequence CMR dataset which involves three modalities. Extensive experiments demonstrate the effectiveness of the proposed model which outperforms the related baselines.

Jingyu Hao, Chengjia Wang, Heye Zhang et al.

The key to overcome class imbalance problems is to capture the distribution of minority class accurately. Generative Adversarial Networks (GANs) have shown some potentials to tackle class imbalance problems due to their capability of reproducing data distributions given ample training data samples. However, the scarce samples of one or more classes still pose a great challenge for GANs to learn accurate distributions for the minority classes. In this work, we propose an Annealing Genetic GAN (AGGAN) method, which aims to reproduce the distributions closest to the ones of the minority classes using only limited data samples. Our AGGAN renovates the training of GANs as an evolutionary process that incorporates the mechanism of simulated annealing. In particular, the generator uses different training strategies to generate multiple offspring and retain the best. Then, we use the Metropolis criterion in the simulated annealing to decide whether we should update the best offspring for the generator. As the Metropolis criterion allows a certain chance to accept the worse solutions, it enables our AGGAN steering away from the local optimum. According to both theoretical analysis and experimental studies on multiple imbalanced image datasets, we prove that the proposed training strategy can enable our AGGAN to reproduce the distributions of minority classes from scarce samples and provide an effective and robust solution for the class imbalance problem.

Yifeng Guo, Chengjia Wang, Heye Zhang et al.

The performance of traditional compressive sensing-based MRI (CS-MRI) reconstruction is affected by its slow iterative procedure and noise-induced artefacts. Although many deep learning-based CS-MRI methods have been proposed to mitigate the problems of traditional methods, they have not been able to achieve more robust results at higher acceleration factors. Most of the deep learning-based CS-MRI methods still can not fully mine the information from the k-space, which leads to unsatisfactory results in the MRI reconstruction. In this study, we propose a new deep learning-based CS-MRI reconstruction method to fully utilise the relationship among sequential MRI slices by coupling Wasserstein Generative Adversarial Networks (WGAN) with Recurrent Neural Networks. Further development of an attentive unit enables our model to reconstruct more accurate anatomical structures for the MRI data. By experimenting on different MRI datasets, we have demonstrated that our method can not only achieve better results compared to the state-of-the-arts but can also effectively reduce residual noise generated during the reconstruction process.

Ming Li, Weiwei Zhang, Guang Yang et al.

Multi-view echocardiographic sequences segmentation is crucial for clinical diagnosis. However, this task is challenging due to limited labeled data, huge noise, and large gaps across views. Here we propose a recurrent aggregation learning method to tackle this challenging task. By pyramid ConvBlocks, multi-level and multi-scale features are extracted efficiently. Hierarchical ConvLSTMs next fuse these features and capture spatial-temporal information in multi-level and multi-scale space. We further introduce a double-branch aggregation mechanism for segmentation and classification which are mutually promoted by deep aggregation of multi-level and multi-scale features. The segmentation branch provides information to guide the classification while the classification branch affords multi-view regularization to refine segmentations and further lessen gaps across views. Our method is built as an end-to-end framework for segmentation and classification. Adequate experiments on our multi-view dataset (9000 labeled images) and the CAMUS dataset (1800 labeled images) corroborate that our method achieves not only superior segmentation and classification accuracy but also prominent temporal stability.

Chengjia Wang, Giorgos Papanastasiou, Agisilaos Chartsias et al.

Inter-modality image registration is an critical preprocessing step for many applications within the routine clinical pathway. This paper presents an unsupervised deep inter-modality registration network that can learn the optimal affine and non-rigid transformations simultaneously. Inverse-consistency is an important property commonly ignored in recent deep learning based inter-modality registration algorithms. We address this issue through the proposed multi-task architecture and the new comprehensive transformation network. Specifically, the proposed model learns a modality-independent latent representation to perform cycle-consistent cross-modality synthesis, and use an inverse-consistent loss to learn a pair of transformations to align the synthesized image with the target. We name this proposed framework as FIRE due to the shape of its structure. Our method shows comparable and better performances with the popular baseline method in experiments on multi-sequence brain MR data and intra-modality 4D cardiac Cine-MR data.

Xiahai Zhuang, Lei Li, Christian Payer et al.

Knowledge of whole heart anatomy is a prerequisite for many clinical applications. Whole heart segmentation (WHS), which delineates substructures of the heart, can be very valuable for modeling and analysis of the anatomy and functions of the heart. However, automating this segmentation can be arduous due to the large variation of the heart shape, and different image qualities of the clinical data. To achieve this goal, a set of training data is generally needed for constructing priors or for training. In addition, it is difficult to perform comparisons between different methods, largely due to differences in the datasets and evaluation metrics used. This manuscript presents the methodologies and evaluation results for the WHS algorithms selected from the submissions to the Multi-Modality Whole Heart Segmentation (MM-WHS) challenge, in conjunction with MICCAI 2017. The challenge provides 120 three-dimensional cardiac images covering the whole heart, including 60 CT and 60 MRI volumes, all acquired in clinical environments with manual delineation. Ten algorithms for CT data and eleven algorithms for MRI data, submitted from twelve groups, have been evaluated. The results show that many of the deep learning (DL) based methods achieved high accuracy, even though the number of training datasets was limited. A number of them also reported poor results in the blinded evaluation, probably due to overfitting in their training. The conventional algorithms, mainly based on multi-atlas segmentation, demonstrated robust and stable performance, even though the accuracy is not as good as the best DL method in CT segmentation. The challenge, including the provision of the annotated training data and the blinded evaluation for submitted algorithms on the test data, continues as an ongoing benchmarking resource via its homepage (\url{www.sdspeople.fudan.edu.cn/zhuangxiahai/0/mmwhs/}).

Chengjia Wang, Gillian Macnaught, Giorgos Papanastasiou et al.

Recently, the cycle-consistent generative adversarial networks (CycleGAN) has been widely used for synthesis of multi-domain medical images. The domain-specific nonlinear deformations captured by CycleGAN make the synthesized images difficult to be used for some applications, for example, generating pseudo-CT for PET-MR attenuation correction. This paper presents a deformation-invariant CycleGAN (DicycleGAN) method using deformable convolutional layers and new cycle-consistency losses. Its robustness dealing with data that suffer from domain-specific nonlinear deformations has been evaluated through comparison experiments performed on a multi-sequence brain MR dataset and a multi-modality abdominal dataset. Our method has displayed its ability to generate synthesized data that is aligned with the source while maintaining a proper quality of signal compared to CycleGAN-generated data. The proposed model also obtained comparable performance with CycleGAN when data from the source and target domains are alignable through simple affine transformations.

Chengjia Wang, Tom MacGillivray, Gillian Macnaught et al.

Deep convolutional neural networks (CNNs) have been intensively used for multi-class segmentation of data from different modalities and achieved state-of-the-art performances. However, a common problem when dealing with large, high resolution 3D data is that the volumes input into the deep CNNs has to be either cropped or downsampled due to limited memory capacity of computing devices. These operations lead to loss of resolution and increment of class imbalance in the input data batches, which can downgrade the performances of segmentation algorithms. Inspired by the architecture of image super-resolution CNN (SRCNN) and self-normalization network (SNN), we developed a two-stage modified Unet framework that simultaneously learns to detect a ROI within the full volume and to classify voxels without losing the original resolution. Experiments on a variety of multi-modal volumes demonstrated that, when trained with a simply weighted dice coefficients and our customized learning procedure, this framework shows better segmentation performances than state-of-the-art Deep CNNs with advanced similarity metrics.

Chengjia Wang, Keith A. Goatman, James Boardman et al.

In this paper we describe improvements to the particle swarm optimizer (PSO) made by inclusion of an unscented Kalman filter to guide particle motion. We demonstrate the effectiveness of the unscented Kalman filter PSO by comparing it with the original PSO algorithm and its variants designed to improve performance. The PSOs were tested firstly on a number of common synthetic benchmarking functions, and secondly applied to a practical three-dimensional image registration problem. The proposed methods displayed better performances for 4 out of 8 benchmark functions, and reduced the target registration errors by at least 2mm when registering down-sampled benchmark brain images. Our methods also demonstrated an ability to align images featuring motion related artefacts which all other methods failed to register. These new PSO methods provide a novel, efficient mechanism to integrate prior knowledge into each iteration of the optimization process, which can enhance the accuracy and speed of convergence in the application of medical image registration.