Prasoon Ambalathankandy

Haolin Wang, Yafei Ou, Prasoon Ambalathankandy et al.

Conventional radiography is the widely used imaging technology in diagnosing, monitoring, and prognosticating musculoskeletal (MSK) diseases because of its easy availability, versatility, and cost-effectiveness. In conventional radiographs, bone overlaps are prevalent, and can impede the accurate assessment of bone characteristics by radiologists or algorithms, posing significant challenges to conventional and computer-aided diagnoses. This work initiated the study of a challenging scenario - bone layer separation in conventional radiographs, in which separate overlapped bone regions enable the independent assessment of the bone characteristics of each bone layer and lay the groundwork for MSK disease diagnosis and its automation. This work proposed a Bone Layer Separation GAN (BLS-GAN) framework that can produce high-quality bone layer images with reasonable bone characteristics and texture. This framework introduced a reconstructor based on conventional radiography imaging principles, which achieved efficient reconstruction and mitigates the recurrent calculations and training instability issues caused by soft tissue in the overlapped regions. Additionally, pre-training with synthetic images was implemented to enhance the stability of both the training process and the results. The generated images passed the visual Turing test, and improved performance in downstream tasks. This work affirms the feasibility of extracting bone layer images from conventional radiographs, which holds promise for leveraging bone layer separation technology to facilitate more comprehensive analytical research in MSK diagnosis, monitoring, and prognosis. Code and dataset: https://github.com/pokeblow/BLS-GAN.git.

Haolin Wang, Yafei Ou, Wanxuan Fang et al.

Rheumatoid arthritis (RA) is a chronic autoimmune inflammatory disease that results in progressive articular destruction and severe disability. Joint space narrowing (JSN) progression has been regarded as an important indicator for RA progression and has received sustained attention. In the diagnosis and monitoring of RA, radiology plays a crucial role to monitor joint space. A new framework for monitoring joint space by quantifying JSN progression through image registration in radiographic images has been developed. This framework offers the advantage of high accuracy, however, challenges do exist in reducing mismatches and improving reliability. In this work, a deep intra-subject rigid registration network is proposed to automatically quantify JSN progression in the early stage of RA. In our experiments, the mean-square error of Euclidean distance between moving and fixed image is 0.0031, standard deviation is 0.0661 mm, and the mismatching rate is 0.48\%. The proposed method has sub-pixel level accuracy, exceeding manual measurements by far, and is equipped with immune to noise, rotation, and scaling of joints. Moreover, this work provides loss visualization, which can aid radiologists and rheumatologists in assessing quantification reliability, with important implications for possible future clinical applications. As a result, we are optimistic that this proposed work will make a significant contribution to the automatic quantification of JSN progression in RA.

Yafei Ou, Prasoon Ambalathankandy, Ryunosuke Furuya et al.

Rheumatoid arthritis (RA) is a chronic autoimmune disease that primarily affects peripheral synovial joints, like fingers, wrist and feet. Radiology plays a critical role in the diagnosis and monitoring of RA. Limited by the current spatial resolution of radiographic imaging, joint space narrowing (JSN) progression of RA with the same reason above can be less than one pixel per year with universal spatial resolution. Insensitive monitoring of JSN can hinder the radiologist/rheumatologist from making a proper and timely clinical judgment. In this paper, we propose a novel and sensitive method that we call partial image phase-only correlation which aims to automatically quantify JSN progression in the early stages of RA. The majority of the current literature utilizes the mean error, root-mean-square deviation and standard deviation to report the accuracy at pixel level. Our work measures JSN progression between a baseline and its follow-up finger joint images by using the phase spectrum in the frequency domain. Using this study, the mean error can be reduced to 0.0130mm when applied to phantom radiographs with ground truth, and 0.0519mm standard deviation for clinical radiography. With its sub-pixel accuracy far beyond manual measurement, we are optimistic that our work is promising for automatically quantifying JSN progression.

Prasoon Ambalathankandy, Yafei Ou, Sae Kaneko et al.

Grayscale images are essential in image processing and computer vision tasks. They effectively emphasize luminance and contrast, highlighting important visual features, while also being easily compatible with other algorithms. Moreover, their simplified representation makes them efficient for storage and transmission purposes. While preserving contrast is important for maintaining visual quality, other factors such as preserving information relevant to the specific application or task at hand may be more critical for achieving optimal performance. To evaluate and compare different decolorization algorithms, we designed a psychological experiment. During the experiment, participants were instructed to imagine color images in a hypothetical "colorless world" and select the grayscale image that best resembled their mental visualization. We conducted a comparison between two types of algorithms: (i) perceptual-based simple color space conversion algorithms, and (ii) spatial contrast-based algorithms, including iteration-based methods. Our experimental findings indicate that CIELAB exhibited superior performance on average, providing further evidence for the effectiveness of perception-based decolorization algorithms. On the other hand, the spatial contrast-based algorithms showed relatively poorer performance, possibly due to factors such as DC-offset and artificial contrast generation. However, these algorithms demonstrated shorter selection times. Notably, no single algorithm consistently outperformed the others across all test images. In this paper, we will delve into a comprehensive discussion on the significance of contrast and luminance in color-to-grayscale mapping based on our experimental results and analysis.

Prasoon Ambalathankandy, Yafei Ou, Masayuki Ikebe

Halo artifacts significantly impact display quality. We propose a method to reduce halos in Local Histogram Equalization (LHE) algorithms by separately addressing dark and light variants. This approach results in visually natural images by exploring the relationship between lateral inhibition and halo artifacts in the human visual system.

Haolin Wang, Yafei Ou, Prasoon Ambalathankandy et al.

Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by joint inflammation and progressive structural damage. Joint space width (JSW) is a critical indicator in conventional radiography for evaluating disease progression, which has become a prominent research topic in computer-aided diagnostic (CAD) systems. However, deep learning-based radiological CAD systems for JSW analysis face significant challenges in data quality, including data imbalance, limited variety, and annotation difficulties. This work introduced a challenging image synthesis scenario and proposed Layer Separation Networks (LSN) to accurately separate the soft tissue layer, the upper bone layer, and the lower bone layer in conventional radiographs of finger joints. Using these layers, the adjustable JSW images can be synthesized to address data quality challenges and achieve ground truth (GT) generation. Experimental results demonstrated that LSN-based synthetic images closely resemble real radiographs, and significantly enhanced the performance in downstream tasks. The code and dataset will be available.