Kenny Erleben

Peidi Xu, Faezeh Moshfeghifar, Torkan Gholamalizadeh et al.

Accurate geometry representation is essential in developing finite element models. Although generally good, deep-learning segmentation approaches with only few data have difficulties in accurately segmenting fine features, e.g., gaps and thin structures. Subsequently, segmented geometries need labor-intensive manual modifications to reach a quality where they can be used for simulation purposes. We propose a strategy that uses transfer learning to reuse datasets with poor segmentation combined with an interactive learning step where fine-tuning of the data results in anatomically accurate segmentations suitable for simulations. We use a modified MultiPlanar UNet that is pre-trained using inferior hip joint segmentation combined with a dedicated loss function to learn the gap regions and post-processing to correct tiny inaccuracies on symmetric classes due to rotational invariance. We demonstrate this robust yet conceptually simple approach applied with clinically validated results on publicly available computed tomography scans of hip joints. Code and resulting 3D models are available at: https://github.com/MICCAI2022-155/AuToSeg}

Jiahao Lu, Chong Yin, Oswin Krause et al.

Feature-based self-explanatory methods explain their classification in terms of human-understandable features. In the medical imaging community, this semantic matching of clinical knowledge adds significantly to the trustworthiness of the AI. However, the cost of additional annotation of features remains a pressing issue. We address this problem by proposing cRedAnno, a data-/annotation-efficient self-explanatory approach for lung nodule diagnosis. cRedAnno considerably reduces the annotation need by introducing self-supervised contrastive learning to alleviate the burden of learning most parameters from annotation, replacing end-to-end training with two-stage training. When training with hundreds of nodule samples and only 1% of their annotations, cRedAnno achieves competitive accuracy in predicting malignancy, meanwhile significantly surpassing most previous works in predicting nodule attributes. Visualisation of the learned space further indicates that the correlation between the clustering of malignancy and nodule attributes coincides with clinical knowledge. Our complete code is open-source available: https://github.com/diku-dk/credanno.

Jiahao Lu, Chong Yin, Kenny Erleben et al.

Recently, attempts have been made to reduce annotation requirements in feature-based self-explanatory models for lung nodule diagnosis. As a representative, cRedAnno achieves competitive performance with considerably reduced annotation needs by introducing self-supervised contrastive learning to do unsupervised feature extraction. However, it exhibits unstable performance under scarce annotation conditions. To improve the accuracy and robustness of cRedAnno, we propose an annotation exploitation mechanism by conducting semi-supervised active learning with sparse seeding and training quenching in the learned semantically meaningful reasoning space to jointly utilise the extracted features, annotations, and unlabelled data. The proposed approach achieves comparable or even higher malignancy prediction accuracy with 10x fewer annotations, meanwhile showing better robustness and nodule attribute prediction accuracy under the condition of 1% annotations. Our complete code is open-source available: https://github.com/diku-dk/credanno.

Peidi Xu, Niels-Henrik Holstein-Rathlou, Stinne Byrholdt Søgaard et al.

The renal vasculature, acting as a resource distribution network, plays an important role in both the physiology and pathophysiology of the kidney. However, no imaging techniques allow an assessment of the structure and function of the renal vasculature due to limited spatial and temporal resolution. To develop realistic computer simulations of renal function, and to develop new image-based diagnostic methods based on artificial intelligence, it is necessary to have a realistic full-scale model of the renal vasculature. We propose a hybrid framework to build subject-specific models of the renal vascular network by using semi-automated segmentation of large arteries and estimation of cortex area from a micro-CT scan as a starting point, and by adopting the Global Constructive Optimization algorithm for generating smaller vessels. Our results show a statistical correspondence between the reconstructed data and existing anatomical data obtained from a rat kidney with respect to morphometric and hemodynamic parameters.

Faezeh Moshfeghifar, Max Kragballe Nielsen, José D. Tascón-Vidarte et al.

We present a method to generate subject-specific cartilage for the hip joint. Given bone geometry, our approach is agnostic to image modality, creates conforming interfaces, and is well suited for finite element analysis. We demonstrate our method on ten hip joints showing anatomical shape consistency and well-behaved stress patterns. Our method is fast and may assist in large-scale biomechanical population studies of the hip joint when manual segmentation or training data is not feasible.

Rasmus Netterstrøm, Nikolay Kutuzov, Sune Darkner et al.

Tracking single molecules is instrumental for quantifying the transport of molecules and nanoparticles in biological samples, e.g., in brain drug delivery studies. Existing intensity-based localisation methods are not developed for imaging with a scanning microscope, typically used for in vivo imaging. Low signal-to-noise ratios, movement of molecules out-of-focus, and high motion blur on images recorded with scanning two-photon microscopy (2PM) in vivo pose a challenge to the accurate localisation of molecules. Using data-driven models is challenging due to low data volumes, typical for in vivo experiments. We developed a 2PM image simulator to supplement scarce training data. The simulator mimics realistic motion blur, background fluorescence, and shot noise observed in vivo imaging. Training a data-driven model with simulated data improves localisation quality in simulated images and shows why intensity-based methods fail.

Jiahao Lu, Chong Yin, Silvia Ingala et al.

Lung cancer, a leading cause of cancer-related deaths globally, emphasises the importance of early detection for better patient outcomes. Pulmonary nodules, often early indicators of lung cancer, necessitate accurate, timely diagnosis. Despite Explainable Artificial Intelligence (XAI) advances, many existing systems struggle providing clear, comprehensive explanations, especially with limited labelled data. This study introduces MERA, a Multimodal and Multiscale self-Explanatory model designed for lung nodule diagnosis with considerably Reduced Annotation requirements. MERA integrates unsupervised and weakly supervised learning strategies (self-supervised learning techniques and Vision Transformer architecture for unsupervised feature extraction) and a hierarchical prediction mechanism leveraging sparse annotations via semi-supervised active learning in the learned latent space. MERA explains its decisions on multiple levels: model-level global explanations via semantic latent space clustering, instance-level case-based explanations showing similar instances, local visual explanations via attention maps, and concept explanations using critical nodule attributes. Evaluations on the public LIDC dataset show MERA's superior diagnostic accuracy and self-explainability. With only 1% annotated samples, MERA achieves diagnostic accuracy comparable to or exceeding state-of-the-art methods requiring full annotation. The model's inherent design delivers comprehensive, robust, multilevel explanations aligned closely with clinical practice, enhancing trustworthiness and transparency. Demonstrated viability of unsupervised and weakly supervised learning lowers the barrier to deploying diagnostic AI in broader medical domains. Our complete code is open-source available: https://github.com/diku-dk/credanno.

Martina Finocchiaro, Ronja Stern, Abraham George Smith et al.

High-resolution colon segmentation is crucial for clinical and research applications, such as digital twins and personalized medicine. However, the leading open-source abdominal segmentation tool, TotalSegmentator, struggles with accuracy for the colon, which has a complex and variable shape, requiring time-intensive labeling. Here, we present the first fully automatic high-resolution colon segmentation method. To develop it, we first created a high resolution colon dataset using a pipeline that combines region growing with interactive machine learning to efficiently and accurately label the colon on CT colonography (CTC) images. Based on the generated dataset consisting of 435 labeled CTC images we trained an nnU-Net model for fully automatic colon segmentation. Our fully automatic model achieved an average symmetric surface distance of 0.2 mm (vs. 4.0 mm from TotalSegmentator) and a 95th percentile Hausdorff distance of 1.0 mm (vs. 18 mm from TotalSegmentator). Our segmentation accuracy substantially surpasses TotalSegmentator. We share our trained model and pipeline code, providing the first and only open-source tool for high-resolution colon segmentation. Additionally, we created a large-scale dataset of publicly available high-resolution colon labels.

Peidi Xu, Olga Sosnovtseva, Charlotte Mehlin Sørensen et al.

Accurate analysis and modeling of renal functions require a precise segmentation of the renal blood vessels. Micro-CT scans provide image data at higher resolutions, making more small vessels near the renal cortex visible. Although deep-learning-based methods have shown state-of-the-art performance in automatic blood vessel segmentations, they require a large amount of labeled training data. However, voxel-wise labeling in micro-CT scans is extremely time-consuming given the huge volume sizes. To mitigate the problem, we simulate synthetic renal vascular trees physiologically while generating corresponding scans of the simulated trees by training a generative model on unlabeled scans. This enables the generative model to learn the mapping implicitly without the need for explicit functions to emulate the image acquisition process. We further propose an additional segmentation branch over the generative model trained on the generated scans. We demonstrate that the model can directly segment blood vessels on real scans and validate our method on both 3D micro-CT scans of rat kidneys and a proof-of-concept experiment on 2D retinal images. Code and 3D results are available at https://github.com/miccai2023anony/RenalVesselSeg

Yibo Liu, Zhixin Fang, Sune Darkner et al.

We propose mesh-free fluid simulations that exploit a kinematic neural basis for velocity fields represented by an MLP. We design a set of losses that ensures that these neural bases approximate fundamental physical properties such as orthogonality, divergence-free, boundary alignment, and smoothness. Our neural bases can then be used to fit an input sketch of a flow, which will inherit the same fundamental properties from the bases. We then can animate such flow in real-time using standard time integrators. Our neural bases can accommodate different domains, moving boundaries, and naturally extend to three dimensions.

Krishna Murthy Jatavallabhula, Miles Macklin, Florian Golemo et al.

We consider the problem of estimating an object's physical properties such as mass, friction, and elasticity directly from video sequences. Such a system identification problem is fundamentally ill-posed due to the loss of information during image formation. Current solutions require precise 3D labels which are labor-intensive to gather, and infeasible to create for many systems such as deformable solids or cloth. We present gradSim, a framework that overcomes the dependence on 3D supervision by leveraging differentiable multiphysics simulation and differentiable rendering to jointly model the evolution of scene dynamics and image formation. This novel combination enables backpropagation from pixels in a video sequence through to the underlying physical attributes that generated them. Moreover, our unified computation graph -- spanning from the dynamics and through the rendering process -- enables learning in challenging visuomotor control tasks, without relying on state-based (3D) supervision, while obtaining performance competitive to or better than techniques that rely on precise 3D labels.

Miles Macklin, Kenny Erleben, Matthias Müller et al.

We present a framework for the simulation of rigid and deformable bodies in the presence of contact and friction. Our method is based on a non-smooth Newton iteration that solves the underlying nonlinear complementarity problems (NCPs) directly. This approach allows us to support nonlinear dynamics models, including hyperelastic deformable bodies and articulated rigid mechanisms, coupled through a smooth isotropic friction model. The fixed-point nature of our method means it requires only the solution of a symmetric linear system as a building block. We propose a new complementarity preconditioner for NCP functions that improves convergence, and we develop an efficient GPU-based solver based on the conjugate residual (CR) method that is suitable for interactive simulations. We show how to improve robustness using a new geometric stiffness approximation and evaluate our method's performance on a number of robotics simulation scenarios, including dexterous manipulation and training using reinforcement learning.

Renato Gasoto, Miles Macklin, Xuan Liu et al.

In this work we present a framework that is capable of accurately representing soft robotic actuators in a multiphysics environment in real-time. We propose a constraint-based dynamics model of a 1-dimensional pneumatic soft actuator that accounts for internal pressure forces, as well as the effect of actuator latency and damping under inflation and deflation and demonstrate its accuracy a full soft robotic snake with the composition of multiple 1D actuators. We verify our model's accuracy in static deformation and dynamic locomotion open-loop control experiments. To achieve real-time performance we leverage the parallel computation power of GPUs to allow interactive control and feedback.