Friederike Jungmann

Alexander Ziller, Ayhan Can Erdur, Friederike Jungmann et al.

The prediction of pancreatic ductal adenocarcinoma therapy response is a clinically challenging and important task in this high-mortality tumour entity. The training of neural networks able to tackle this challenge is impeded by a lack of large datasets and the difficult anatomical localisation of the pancreas. Here, we propose a hybrid deep neural network pipeline to predict tumour response to initial chemotherapy which is based on the Response Evaluation Criteria in Solid Tumors (RECIST) score, a standardised method for cancer response evaluation by clinicians as well as tumour markers, and clinical evaluation of the patients. We leverage a combination of representation transfer from segmentation to classification, as well as localisation and representation learning. Our approach yields a remarkably data-efficient method able to predict treatment response with a ROC-AUC of 63.7% using only 477 datasets in total.

Tamara T. Mueller, Siyu Zhou, Sophie Starck et al.

Body fat volume and distribution can be a strong indication for a person's overall health and the risk for developing diseases like type 2 diabetes and cardiovascular diseases. Frequently used measures for fat estimation are the body mass index (BMI), waist circumference, or the waist-hip-ratio. However, those are rather imprecise measures that do not allow for a discrimination between different types of fat or between fat and muscle tissue. The estimation of visceral (VAT) and abdominal subcutaneous (ASAT) adipose tissue volume has shown to be a more accurate measure for named risk factors. In this work, we show that triangulated body surface meshes can be used to accurately predict VAT and ASAT volumes using graph neural networks. Our methods achieve high performance while reducing training time and required resources compared to state-of-the-art convolutional neural networks in this area. We furthermore envision this method to be applicable to cheaper and easily accessible medical surface scans instead of expensive medical images.

Tamara T. Mueller, Stefan Kolek, Friederike Jungmann et al.

Differential privacy (DP) is typically formulated as a worst-case privacy guarantee over all individuals in a database. More recently, extensions to individual subjects or their attributes, have been introduced. Under the individual/per-instance DP interpretation, we study the connection between the per-subject gradient norm in DP neural networks and individual privacy loss and introduce a novel metric termed the Privacy Loss-Input Susceptibility (PLIS), which allows one to apportion the subject's privacy loss to their input attributes. We experimentally show how this enables the identification of sensitive attributes and of subjects at high risk of data reconstruction.

Alexander Ziller, Ayhan Can Erdur, Marwa Trigui et al.

Training Artificial Intelligence (AI) models on 3D images presents unique challenges compared to the 2D case: Firstly, the demand for computational resources is significantly higher, and secondly, the availability of large datasets for pre-training is often limited, impeding training success. This study proposes a simple approach of adapting 2D networks with an intermediate feature representation for processing 3D images. Our method employs attention pooling to learn to assign each slice an importance weight and, by that, obtain a weighted average of all 2D slices. These weights directly quantify the contribution of each slice to the contribution and thus make the model prediction inspectable. We show on all 3D MedMNIST datasets as benchmark and two real-world datasets consisting of several hundred high-resolution CT or MRI scans that our approach performs on par with existing methods. Furthermore, we compare the in-built interpretability of our approach to HiResCam, a state-of-the-art retrospective interpretability approach.

Hendrik Möller, Hanna Schön, Alina Dima et al.

Thoracolumbar stump ribs are one of the essential indicators of thoracolumbar transitional vertebrae or enumeration anomalies. While some studies manually assess these anomalies and describe the ribs qualitatively, this study aims to automate thoracolumbar stump rib detection and analyze their morphology quantitatively. To this end, we train a high-resolution deep-learning model for rib segmentation and show significant improvements compared to existing models (Dice score 0.997 vs. 0.779, p-value < 0.01). In addition, we use an iterative algorithm and piece-wise linear interpolation to assess the length of the ribs, showing a success rate of 98.2%. When analyzing morphological features, we show that stump ribs articulate more posteriorly at the vertebrae (-19.2 +- 3.8 vs -13.8 +- 2.5, p-value < 0.01), are thinner (260.6 +- 103.4 vs. 563.6 +- 127.1, p-value < 0.01), and are oriented more downwards and sideways within the first centimeters in contrast to full-length ribs. We show that with partially visible ribs, these features can achieve an F1-score of 0.84 in differentiating stump ribs from regular ones. We publish the model weights and masks for public use.

Tamara T. Mueller, Alexander Ziller, Dmitrii Usynin et al.

Differential privacy (DP) allows the quantification of privacy loss when the data of individuals is subjected to algorithmic processing such as machine learning, as well as the provision of objective privacy guarantees. However, while techniques such as individual Rényi DP (RDP) allow for granular, per-person privacy accounting, few works have investigated the impact of each input feature on the individual's privacy loss. Here we extend the view of individual RDP by introducing a new concept we call partial sensitivity, which leverages symbolic automatic differentiation to determine the influence of each input feature on the gradient norm of a function. We experimentally evaluate our approach on queries over private databases, where we obtain a feature-level contribution of private attributes to the DP guarantee of individuals. Furthermore, we explore our findings in the context of neural network training on synthetic data by investigating the partial sensitivity of input pixels on an image classification task.

Georgios Kaissis, Moritz Knolle, Friederike Jungmann et al.

The Gaussian mechanism (GM) represents a universally employed tool for achieving differential privacy (DP), and a large body of work has been devoted to its analysis. We argue that the three prevailing interpretations of the GM, namely $(\varepsilon, δ)$-DP, f-DP and Rényi DP can be expressed by using a single parameter $ψ$, which we term the sensitivity index. $ψ$ uniquely characterises the GM and its properties by encapsulating its two fundamental quantities: the sensitivity of the query and the magnitude of the noise perturbation. With strong links to the ROC curve and the hypothesis-testing interpretation of DP, $ψ$ offers the practitioner a powerful method for interpreting, comparing and communicating the privacy guarantees of Gaussian mechanisms.

Moritz Knolle, Georgios Kaissis, Friederike Jungmann et al.

For artificial intelligence-based image analysis methods to reach clinical applicability, the development of high-performance algorithms is crucial. For example, existent segmentation algorithms based on natural images are neither efficient in their parameter use nor optimized for medical imaging. Here we present MoNet, a highly optimized neural-network-based pancreatic segmentation algorithm focused on achieving high performance by efficient multi-scale image feature utilization.