Gregory A. Lodygensky

Farzad Beizaee, Gregory A. Lodygensky, Chris L. Adamson et al.

Lack of standardization and various intrinsic parameters for magnetic resonance (MR) image acquisition results in heterogeneous images across different sites and devices, which adversely affects the generalization of deep neural networks. To alleviate this issue, this work proposes a novel unsupervised harmonization framework that leverages normalizing flows to align MR images, thereby emulating the distribution of a source domain. The proposed strategy comprises three key steps. Initially, a normalizing flow network is trained to capture the distribution characteristics of the source domain. Then, we train a shallow harmonizer network to reconstruct images from the source domain via their augmented counterparts. Finally, during inference, the harmonizer network is updated to ensure that the output images conform to the learned source domain distribution, as modeled by the normalizing flow network. Our approach, which is unsupervised, source-free, and task-agnostic is assessed in the context of both adults and neonatal cross-domain brain MRI segmentation, as well as neonatal brain age estimation, demonstrating its generalizability across tasks and population demographics. The results underscore its superior performance compared to existing methodologies. The code is available at https://github.com/farzad-bz/Harmonizing-Flows

Farzad Beizaee, Christian Desrosiers, Gregory A. Lodygensky et al.

In this paper, we propose an unsupervised framework based on normalizing flows that harmonizes MR images to mimic the distribution of the source domain. The proposed framework consists of three steps. First, a shallow harmonizer network is trained to recover images of the source domain from their augmented versions. A normalizing flow network is then trained to learn the distribution of the source domain. Finally, at test time, a harmonizer network is modified so that the output images match the source domain's distribution learned by the normalizing flow model. Our unsupervised, source-free and task-independent approach is evaluated on cross-domain brain MRI segmentation using data from four different sites. Results demonstrate its superior performance compared to existing methods.

Martin Van Waerebeke, Gregory Lodygensky, Jose Dolz

Semi-supervised learning has emerged as an appealing strategy to train deep models with limited supervision. Most prior literature under this learning paradigm resorts to dual-based architectures, typically composed of a teacher-student duple. To drive the learning of the student, many of these models leverage the aleatoric uncertainty derived from the entropy of the predictions. While this has shown to work well in a binary scenario, we demonstrate in this work that this strategy leads to suboptimal results in a multi-class context, a more realistic and challenging setting. We argue, indeed, that these approaches underperform due to the erroneous uncertainty approximations in the presence of inter-class overlap. Furthermore, we propose an alternative solution to compute the uncertainty in a multi-class setting, based on divergence distances and which account for inter-class overlap. We evaluate the proposed solution on a challenging multi-class segmentation dataset and in two well-known uncertainty-based segmentation methods. The reported results demonstrate that by simply replacing the mechanism used to compute the uncertainty, our proposed solution brings substantial improvement on tested setups.

Farzad Beizaee, Gregory A. Lodygensky, Christian Desrosiers et al.

Recent advances in diffusion models have spurred research into their application for Reconstruction-based unsupervised anomaly detection. However, these methods may struggle with maintaining structural integrity and recovering the anomaly-free content of abnormal regions, especially in multi-class scenarios. Furthermore, diffusion models are inherently designed to generate images from pure noise and struggle to selectively alter anomalous regions of an image while preserving normal ones. This leads to potential degradation of normal regions during reconstruction, hampering the effectiveness of anomaly detection. This paper introduces a reformulation of the standard diffusion model geared toward selective region alteration, allowing the accurate identification of anomalies. By modeling anomalies as noise in the latent space, our proposed Deviation correction diffusion (DeCo-Diff) model preserves the normal regions and encourages transformations exclusively on anomalous areas. This selective approach enhances the reconstruction quality, facilitating effective unsupervised detection and localization of anomaly regions. Comprehensive evaluations demonstrate the superiority of our method in accurately identifying and localizing anomalies in complex images, with pixel-level AUPRC improvements of 11-14% over state-of-the-art models on well known anomaly detection datasets. The code is available at https://github.com/farzad-bz/DeCo-Diff

Farzad Beizaee, Gregory Lodygensky, Christian Desrosiers et al.

Unsupervised anomaly detection in brain images is crucial for identifying injuries and pathologies without access to labels. However, the accurate localization of anomalies in medical images remains challenging due to the inherent complexity and variability of brain structures and the scarcity of annotated abnormal data. To address this challenge, we propose a novel approach that incorporates masking within diffusion models, leveraging their generative capabilities to learn robust representations of normal brain anatomy. During training, our model processes only normal brain MRI scans and performs a forward diffusion process in the latent space that adds noise to the features of randomly-selected patches. Following a dual objective, the model learns to identify which patches are noisy and recover their original features. This strategy ensures that the model captures intricate patterns of normal brain structures while isolating potential anomalies as noise in the latent space. At inference, the model identifies noisy patches corresponding to anomalies and generates a normal counterpart for these patches by applying a reverse diffusion process. Our method surpasses existing unsupervised anomaly detection techniques, demonstrating superior performance in generating accurate normal counterparts and localizing anomalies. The code is available at hhttps://github.com/farzad-bz/MAD-AD.