Zihao Tang

Dongnan Liu, Mariano Cabezas, Dongang Wang et al.

Federated learning (FL) has been widely employed for medical image analysis to facilitate multi-client collaborative learning without sharing raw data. Despite great success, FL's performance is limited for multiple sclerosis (MS) lesion segmentation tasks, due to variance in lesion characteristics imparted by different scanners and acquisition parameters. In this work, we propose the first FL MS lesion segmentation framework via two effective re-weighting mechanisms. Specifically, a learnable weight is assigned to each local node during the aggregation process, based on its segmentation performance. In addition, the segmentation loss function in each client is also re-weighted according to the lesion volume for the data during training. Comparison experiments on two FL MS segmentation scenarios using public and clinical datasets have demonstrated the effectiveness of the proposed method by outperforming other FL methods significantly. Furthermore, the segmentation performance of FL incorporating our proposed aggregation mechanism can exceed centralised training with all the raw data. The extensive evaluation also indicated the superiority of our method when estimating brain volume differences estimation after lesion inpainting.

Zihao Tang, Xinyi Wang, Lihaowen Zhu et al.

Diffusion Weighted Imaging (DWI) is an advanced imaging technique commonly used in neuroscience and neurological clinical research through a Diffusion Tensor Imaging (DTI) model. Volumetric scalar metrics including fractional anisotropy, mean diffusivity, and axial diffusivity can be derived from the DTI model to summarise water diffusivity and other quantitative microstructural information for clinical studies. However, clinical practice constraints can lead to sub-optimal DWI acquisitions with missing slices (either due to a limited field of view or the acquisition of disrupted slices). To avoid discarding valuable subjects for group-wise studies, we propose a novel 3D Tensor-Wise Brain-Aware Gate network (TW-BAG) for inpainting disrupted DTIs. The proposed method is tailored to the problem with a dynamic gate mechanism and independent tensor-wise decoders. We evaluated the proposed method on the publicly available Human Connectome Project (HCP) dataset using common image similarity metrics derived from the predicted tensors and scalar DTI metrics. Our experimental results show that the proposed approach can reconstruct the original brain DTI volume and recover relevant clinical imaging information.

Sheng Chen, Zihao Tang, Dongnan Liu et al.

Precise thigh muscle volumes are crucial to monitor the motor functionality of patients with diseases that may result in various degrees of thigh muscle loss. T1-weighted MRI is the default surrogate to obtain thigh muscle masks due to its contrast between muscle and fat signals. Deep learning approaches have recently been widely used to obtain these masks through segmentation. However, due to the insufficient amount of precise annotations, thigh muscle masks generated by deep learning approaches tend to misclassify intra-muscular fat (IMF) as muscle impacting the analysis of muscle volumetrics. As IMF is infiltrated inside the muscle, human annotations require expertise and time. Thus, precise muscle masks where IMF is excluded are limited in practice. To alleviate this, we propose a few-shot segmentation framework to generate thigh muscle masks excluding IMF. In our framework, we design a novel pseudo-label correction and evaluation scheme, together with a new noise robust loss for exploiting high certainty areas. The proposed framework only takes $1\%$ of the fine-annotated training dataset, and achieves comparable performance with fully supervised methods according to the experimental results.

Sheng Chen, Zihao Tang, Mariano Cabezas et al.

Diffusion-weighted imaging (DWI) is a type of Magnetic Resonance Imaging (MRI) technique sensitised to the diffusivity of water molecules, offering the capability to inspect tissue microstructures and is the only in-vivo method to reconstruct white matter fiber tracts non-invasively. The DWI signal can be analysed with the diffusion tensor imaging (DTI) model to estimate the directionality of water diffusion within voxels. Several scalar metrics, including axial diffusivity (AD), mean diffusivity (MD), radial diffusivity (RD), and fractional anisotropy (FA), can be further derived from DTI to quantitatively summarise the microstructural integrity of brain tissue. These scalar metrics have played an important role in understanding the organisation and health of brain tissue at a microscopic level in clinical studies. However, reliable DTI metrics rely on DWI acquisitions with high gradient directions, which often go beyond the commonly used clinical protocols. To enhance the utility of clinically acquired DWI and save scanning time for robust DTI analysis, this work proposes DirGeo-DTI, a deep learning-based method to estimate reliable DTI metrics even from a set of DWIs acquired with the minimum theoretical number (6) of gradient directions. DirGeo-DTI leverages directional encoding and geometric constraints to facilitate the training process. Two public DWI datasets were used for evaluation, demonstrating the effectiveness of the proposed method. Extensive experimental results show that the proposed method achieves the best performance compared to existing DTI enhancement methods and potentially reveals further clinical insights with routine clinical DWI scans.

Zihao Tang, Boyuan Wang, Chuan Wen et al.

Conformal prediction is widely adopted in uncertainty quantification, due to its post-hoc, distribution-free, and model-agnostic properties. In the realm of modern deep learning, researchers have proposed Feature Conformal Prediction (FCP), which deploys conformal prediction in a feature space, yielding reduced band lengths. However, the practical utility of FCP is limited due to the time-consuming non-linear operations required to transform confidence bands from feature space to output space. In this paper, we introduce Fast Feature Conformal Prediction (FFCP), which features a novel non-conformity score and is convenient for practical applications. FFCP serves as a fast version of FCP, in that it equivalently employs a Taylor expansion to approximate the aforementioned non-linear operations in FCP. Empirical validations showcase that FFCP performs comparably with FCP (both outperforming the vanilla version) while achieving a significant reduction in computational time by approximately 50x. The code is available at https://github.com/ElvisWang1111/FastFeatureCP

Sheng Chen, Zihao Tang, Xinyi Wang et al.

Diffusion magnetic resonance imaging (dMRI) is a crucial technique in neuroimaging studies, allowing for the non-invasive probing of the underlying structures of brain tissues. Clinical dMRI data is susceptible to various artifacts during acquisition, which can lead to unreliable subsequent analyses. Therefore, dMRI preprocessing is essential for improving image quality, and manual inspection is often required to ensure that the preprocessed data is sufficiently corrected. However, manual inspection requires expertise and is time-consuming, especially with large-scale dMRI datasets. Given these challenges, an automated dMRI artifact detection tool is necessary to increase the productivity and reliability of dMRI data analysis. To this end, we propose a novel unsupervised deep learning framework called $\textbf{U}$nsupervised $\textbf{d}$MRI $\textbf{A}$rtifact $\textbf{D}$etection via $\textbf{A}$ngular Resolution Enhancement and $\textbf{C}$ycle Consistency Learning (UdAD-AC). UdAD-AC leverages dMRI angular resolution enhancement and cycle consistency learning to capture the effective representation of artifact-free dMRI data during training, and it identifies data containing artifacts using designed confidence score during inference. To assess the capability of UdAD-AC, several commonly reported dMRI artifacts, including bias field, susceptibility distortion, and corrupted volume, were added to the testing data. Experimental results demonstrate that UdAD-AC achieves the best performance compared to competitive methods in unsupervised dMRI artifact detection.

Yang Ma, Chaoyi Zhang, Mariano Cabezas et al.

Multiple sclerosis (MS) is a chronic inflammatory and degenerative disease of the central nervous system, characterized by the appearance of focal lesions in the white and gray matter that topographically correlate with an individual patient's neurological symptoms and signs. Magnetic resonance imaging (MRI) provides detailed in-vivo structural information, permitting the quantification and categorization of MS lesions that critically inform disease management. Traditionally, MS lesions have been manually annotated on 2D MRI slices, a process that is inefficient and prone to inter-/intra-observer errors. Recently, automated statistical imaging analysis techniques have been proposed to detect and segment MS lesions based on MRI voxel intensity. However, their effectiveness is limited by the heterogeneity of both MRI data acquisition techniques and the appearance of MS lesions. By learning complex lesion representations directly from images, deep learning techniques have achieved remarkable breakthroughs in the MS lesion segmentation task. Here, we provide a comprehensive review of state-of-the-art automatic statistical and deep-learning MS segmentation methods and discuss current and future clinical applications. Further, we review technical strategies, such as domain adaptation, to enhance MS lesion segmentation in real-world clinical settings.