Adrian V. Dalca

Nalini M. Singh, Neel Dey, Malte Hoffmann et al. · mit

Motion artifacts are a pervasive problem in MRI, leading to misdiagnosis or mischaracterization in population-level imaging studies. Current retrospective rigid intra-slice motion correction techniques jointly optimize estimates of the image and the motion parameters. In this paper, we use a deep network to reduce the joint image-motion parameter search to a search over rigid motion parameters alone. Our network produces a reconstruction as a function of two inputs: corrupted k-space data and motion parameters. We train the network using simulated, motion-corrupted k-space data generated with known motion parameters. At test-time, we estimate unknown motion parameters by minimizing a data consistency loss between the motion parameters, the network-based image reconstruction given those parameters, and the acquired measurements. Intra-slice motion correction experiments on simulated and realistic 2D fast spin echo brain MRI achieve high reconstruction fidelity while providing the benefits of explicit data consistency optimization. Our code is publicly available at https://www.github.com/nalinimsingh/neuroMoCo.

Neel Dey, S. Mazdak Abulnaga, Benjamin Billot et al. · mit

Star-convex shapes arise across bio-microscopy and radiology in the form of nuclei, nodules, metastases, and other units. Existing instance segmentation networks for such structures train on densely labeled instances for each dataset, which requires substantial and often impractical manual annotation effort. Further, significant reengineering or finetuning is needed when presented with new datasets and imaging modalities due to changes in contrast, shape, orientation, resolution, and density. We present AnyStar, a domain-randomized generative model that simulates synthetic training data of blob-like objects with randomized appearance, environments, and imaging physics to train general-purpose star-convex instance segmentation networks. As a result, networks trained using our generative model do not require annotated images from unseen datasets. A single network trained on our synthesized data accurately 3D segments C. elegans and P. dumerilii nuclei in fluorescence microscopy, mouse cortical nuclei in micro-CT, zebrafish brain nuclei in EM, and placental cotyledons in human fetal MRI, all without any retraining, finetuning, transfer learning, or domain adaptation. Code is available at https://github.com/neel-dey/AnyStar.

Sean I. Young, Yaël Balbastre, Adrian V. Dalca et al. · harvard

In recent years, learning-based image registration methods have gradually moved away from direct supervision with target warps to instead use self-supervision, with excellent results in several registration benchmarks. These approaches utilize a loss function that penalizes the intensity differences between the fixed and moving images, along with a suitable regularizer on the deformation. In this paper, we argue that the relative failure of supervised registration approaches can in part be blamed on the use of regular U-Nets, which are jointly tasked with feature extraction, feature matching, and estimation of deformation. We introduce one simple but crucial modification to the U-Net that disentangles feature extraction and matching from deformation prediction, allowing the U-Net to warp the features, across levels, as the deformation field is evolved. With this modification, direct supervision using target warps begins to outperform self-supervision approaches that require segmentations, presenting new directions for registration when images do not have segmentations. We hope that our findings in this preliminary workshop paper will re-ignite research interest in supervised image registration techniques. Our code is publicly available from https://github.com/balbasty/superwarp.

Alan Q. Wang, Evan M. Yu, Adrian V. Dalca et al.

We present KeyMorph, a deep learning-based image registration framework that relies on automatically detecting corresponding keypoints. State-of-the-art deep learning methods for registration often are not robust to large misalignments, are not interpretable, and do not incorporate the symmetries of the problem. In addition, most models produce only a single prediction at test-time. Our core insight which addresses these shortcomings is that corresponding keypoints between images can be used to obtain the optimal transformation via a differentiable closed-form expression. We use this observation to drive the end-to-end learning of keypoints tailored for the registration task, and without knowledge of ground-truth keypoints. This framework not only leads to substantially more robust registration but also yields better interpretability, since the keypoints reveal which parts of the image are driving the final alignment. Moreover, KeyMorph can be designed to be equivariant under image translations and/or symmetric with respect to the input image ordering. Finally, we show how multiple deformation fields can be computed efficiently and in closed-form at test time corresponding to different transformation variants. We demonstrate the proposed framework in solving 3D affine and spline-based registration of multi-modal brain MRI scans. In particular, we show registration accuracy that surpasses current state-of-the-art methods, especially in the context of large displacements. Our code is available at https://github.com/alanqrwang/keymorph.

Ruisheng Su, Matthijs van der Sluijs, Sandra Cornelissen et al.

Cerebral X-ray digital subtraction angiography (DSA) is the standard imaging technique for visualizing blood flow and guiding endovascular treatments. The quality of DSA is often negatively impacted by body motion during acquisition, leading to decreased diagnostic value. Time-consuming iterative methods address motion correction based on non-rigid registration, and employ sparse key points and non-rigidity penalties to limit vessel distortion. Recent methods alleviate subtraction artifacts by predicting the subtracted frame from the corresponding unsubtracted frame, but do not explicitly compensate for motion-induced misalignment between frames. This hinders the serial evaluation of blood flow, and often causes undesired vasculature and contrast flow alterations, leading to impeded usability in clinical practice. To address these limitations, we present AngioMoCo, a learning-based framework that generates motion-compensated DSA sequences from X-ray angiography. AngioMoCo integrates contrast extraction and motion correction, enabling differentiation between patient motion and intensity changes caused by contrast flow. This strategy improves registration quality while being substantially faster than iterative elastix-based methods. We demonstrate AngioMoCo on a large national multi-center dataset (MR CLEAN Registry) of clinically acquired angiographic images through comprehensive qualitative and quantitative analyses. AngioMoCo produces high-quality motion-compensated DSA, removing motion artifacts while preserving contrast flow. Code is publicly available at https://github.com/RuishengSu/AngioMoCo.

Andrew Hoopes, Jocelyn S. Mora, Adrian V. Dalca et al.

The removal of non-brain signal from magnetic resonance imaging (MRI) data, known as skull-stripping, is an integral component of many neuroimage analysis streams. Despite their abundance, popular classical skull-stripping methods are usually tailored to images with specific acquisition properties, namely near-isotropic resolution and T1-weighted (T1w) MRI contrast, which are prevalent in research settings. As a result, existing tools tend to adapt poorly to other image types, such as stacks of thick slices acquired with fast spin-echo (FSE) MRI that are common in the clinic. While learning-based approaches for brain extraction have gained traction in recent years, these methods face a similar burden, as they are only effective for image types seen during the training procedure. To achieve robust skull-stripping across a landscape of imaging protocols, we introduce SynthStrip, a rapid, learning-based brain-extraction tool. By leveraging anatomical segmentations to generate an entirely synthetic training dataset with anatomies, intensity distributions, and artifacts that far exceed the realistic range of medical images, SynthStrip learns to successfully generalize to a variety of real acquired brain images, removing the need for training data with target contrasts. We demonstrate the efficacy of SynthStrip for a diverse set of image acquisitions and resolutions across subject populations, ranging from newborn to adult. We show substantial improvements in accuracy over popular skull-stripping baselines -- all with a single trained model. Our method and labeled evaluation data are available at https://w3id.org/synthstrip.

Kathleen M. Lewis, Emily Mu, Adrian V. Dalca et al.

Recent vision-language models outperform vision-only models on many image classification tasks. However, because of the absence of paired text/image descriptions, it remains difficult to fine-tune these models for fine-grained image classification. In this work, we propose a method, GIST, for generating image-specific fine-grained text descriptions from image-only datasets, and show that these text descriptions can be used to improve classification. Key parts of our method include 1. prompting a pretrained large language model with domain-specific prompts to generate diverse fine-grained text descriptions for each class and 2. using a pretrained vision-language model to match each image to label-preserving text descriptions that capture relevant visual features in the image. We demonstrate the utility of GIST by fine-tuning vision-language models on the image-and-generated-text pairs to learn an aligned vision-language representation space for improved classification. We evaluate our learned representation space in full-shot and few-shot scenarios across four diverse fine-grained classification datasets, each from a different domain. Our method achieves an average improvement of $4.1\%$ in accuracy over CLIP linear probes and an average of $1.1\%$ improvement in accuracy over the previous state-of-the-art image-text classification method on the full-shot datasets. Our method achieves similar improvements across few-shot regimes. Code is available at https://github.com/emu1729/GIST.

Victor Ion Butoi, Jose Javier Gonzalez Ortiz, Tianyu Ma et al.

While deep learning models have become the predominant method for medical image segmentation, they are typically not capable of generalizing to unseen segmentation tasks involving new anatomies, image modalities, or labels. Given a new segmentation task, researchers generally have to train or fine-tune models, which is time-consuming and poses a substantial barrier for clinical researchers, who often lack the resources and expertise to train neural networks. We present UniverSeg, a method for solving unseen medical segmentation tasks without additional training. Given a query image and example set of image-label pairs that define a new segmentation task, UniverSeg employs a new Cross-Block mechanism to produce accurate segmentation maps without the need for additional training. To achieve generalization to new tasks, we have gathered and standardized a collection of 53 open-access medical segmentation datasets with over 22,000 scans, which we refer to as MegaMedical. We used this collection to train UniverSeg on a diverse set of anatomies and imaging modalities. We demonstrate that UniverSeg substantially outperforms several related methods on unseen tasks, and thoroughly analyze and draw insights about important aspects of the proposed system. The UniverSeg source code and model weights are freely available at https://universeg.csail.mit.edu

Malte Hoffmann, Andrew Hoopes, Douglas N. Greve et al.

Affine image registration is a cornerstone of medical image analysis. While classical algorithms can achieve excellent accuracy, they solve a time-consuming optimization for every image pair. Deep-learning (DL) methods learn a function that maps an image pair to an output transform. Evaluating the function is fast, but capturing large transforms can be challenging, and networks tend to struggle if a test-image characteristic shifts from the training domain, such as resolution. Most affine methods are agnostic to the anatomy the user wishes to align, meaning the registration will be inaccurate if algorithms consider all structures in the image. We address these shortcomings with SynthMorph, a fast, symmetric, diffeomorphic, and easy-to-use DL tool for joint affine-deformable registration of any brain image without preprocessing. First, we leverage a strategy that trains networks with widely varying images synthesized from label maps, yielding robust performance for image types unseen at training. Second, we optimize the spatial overlap of select anatomical labels. This enables networks to distinguish anatomy of interest from irrelevant structures, removing the need for preprocessing that excludes content that may impinge on anatomy-specific registration. Third, we combine the affine model with a deformable hypernetwork that lets users choose the optimal deformation-field regularity for their specific data, at registration time, in a fraction of the time required by classical methods. We analyze how competing architectures learn affine transforms and compare state-of-the-art registration tools across an extremely diverse set of neuroimaging data, aiming to truly capture the behavior of methods in the real world. SynthMorph demonstrates high accuracy and is available at https://w3id.org/synthmorph, as a single complete end-to-end solution for registration of brain MRI.

Jose Javier Gonzalez Ortiz, John Guttag, Adrian Dalca

Hypernetworks, neural networks that predict the parameters of another neural network, are powerful models that have been successfully used in diverse applications from image generation to multi-task learning. Unfortunately, existing hypernetworks are often challenging to train. Training typically converges far more slowly than for non-hypernetwork models, and the rate of convergence can be very sensitive to hyperparameter choices. In this work, we identify a fundamental and previously unidentified problem that contributes to the challenge of training hypernetworks: a magnitude proportionality between the inputs and outputs of the hypernetwork. We demonstrate both analytically and empirically that this can lead to unstable optimization, thereby slowing down convergence, and sometimes even preventing any learning. We present a simple solution to this problem using a revised hypernetwork formulation that we call Magnitude Invariant Parametrizations (MIP). We demonstrate the proposed solution on several hypernetwork tasks, where it consistently stabilizes training and achieves faster convergence. Furthermore, we perform a comprehensive ablation study including choices of activation function, normalization strategies, input dimensionality, and hypernetwork architecture; and find that MIP improves training in all scenarios. We provide easy-to-use code that can turn existing networks into MIP-based hypernetworks.

Heejong Kim, Victor Ion Butoi, Adrian V. Dalca et al.

Most state-of-the-art techniques for medical image segmentation rely on deep-learning models. These models, however, are often trained on narrowly-defined tasks in a supervised fashion, which requires expensive labeled datasets. Recent advances in several machine learning domains, such as natural language generation have demonstrated the feasibility and utility of building foundation models that can be customized for various downstream tasks with little to no labeled data. This likely represents a paradigm shift for medical imaging, where we expect that foundation models may shape the future of the field. In this paper, we consider a recently developed foundation model for medical image segmentation, UniverSeg. We conduct an empirical evaluation study in the context of prostate imaging and compare it against the conventional approach of training a task-specific segmentation model. Our results and discussion highlight several important factors that will likely be important in the development and adoption of foundation models for medical image segmentation.

Jian Li, Greta Tuckute, Evelina Fedorenko et al.

Surface-based cortical registration is an important topic in medical image analysis and facilitates many downstream applications. Current approaches for cortical registration are mainly driven by geometric features, such as sulcal depth and curvature, and often assume that registration of folding patterns leads to alignment of brain function. However, functional variability of anatomically corresponding areas across subjects has been widely reported, particularly in higher-order cognitive areas. In this work, we present JOSA, a novel cortical registration framework that jointly models the mismatch between geometry and function while simultaneously learning an unbiased population-specific atlas. Using a semi-supervised training strategy, JOSA achieves superior registration performance in both geometry and function to the state-of-the-art methods but without requiring functional data at inference. This learning framework can be extended to any auxiliary data to guide spherical registration that is available during training but is difficult or impossible to obtain during inference, such as parcellations, architectonic identity, transcriptomic information, and molecular profiles. By recognizing the mismatch between geometry and function, JOSA provides new insights into the future development of registration methods using joint analysis of the brain structure and function.

Jian Li, Greta Tuckute, Evelina Fedorenko et al.

Brain surface-based image registration, an important component of brain image analysis, establishes spatial correspondence between cortical surfaces. Existing iterative and learning-based approaches focus on accurate registration of folding patterns of the cerebral cortex, and assume that geometry predicts function and thus functional areas will also be well aligned. However, structure/functional variability of anatomically corresponding areas across subjects has been widely reported. In this work, we introduce a learning-based cortical registration framework, JOSA, which jointly aligns folding patterns and functional maps while simultaneously learning an optimal atlas. We demonstrate that JOSA can substantially improve registration performance in both anatomical and functional domains over existing methods. By employing a semi-supervised training strategy, the proposed framework obviates the need for functional data during inference, enabling its use in broad neuroscientific domains where functional data may not be observed. The source code of JOSA will be released to the public at https://voxelmorph.net.

Zihui Wu, Tianwei Yin, Yu Sun et al.

Compressed sensing magnetic resonance imaging (CS-MRI) seeks to recover visual information from subsampled measurements for diagnostic tasks. Traditional CS-MRI methods often separately address measurement subsampling, image reconstruction, and task prediction, resulting in a suboptimal end-to-end performance. In this work, we propose TACKLE as a unified co-design framework for jointly optimizing subsampling, reconstruction, and prediction strategies for the performance on downstream tasks. The naïve approach of simply appending a task prediction module and training with a task-specific loss leads to suboptimal downstream performance. Instead, we develop a training procedure where a backbone architecture is first trained for a generic pre-training task (image reconstruction in our case), and then fine-tuned for different downstream tasks with a prediction head. Experimental results on multiple public MRI datasets show that TACKLE achieves an improved performance on various tasks over traditional CS-MRI methods. We also demonstrate that TACKLE is robust to distribution shifts by showing that it generalizes to a new dataset we experimentally collected using different acquisition setups from the training data. Without additional fine-tuning, TACKLE leads to both numerical and visual improvements compared to existing baselines. We have further implemented a learned 4$\times$-accelerated sequence on a Siemens 3T MRI Skyra scanner. Compared to the fully-sampling scan that takes 335 seconds, our optimized sequence only takes 84 seconds, achieving a four-fold time reduction as desired, while maintaining high performance.

Marianne Rakic, Siyu Gai, Etienne Chollet et al.

A single biomedical image can be meaningfully segmented in multiple ways, depending on the desired application. For instance, a brain MRI can be segmented according to tissue types, vascular territories, broad anatomical regions, fine-grained anatomy, or pathology, etc. Existing automatic segmentation models typically either (1) support only a single protocol, the one they were trained on, or (2) require labor-intensive manual prompting to specify the desired segmentation. We introduce Pancakes, a framework that, given a new image from a previously unseen domain, automatically generates multi-label segmentation maps for multiple plausible protocols, while maintaining semantic consistency across related images. Pancakes introduces a new problem formulation that is not currently attainable by existing foundation models. In a series of experiments on seven held-out datasets, we demonstrate that our model can significantly outperform existing foundation models in producing several plausible whole-image segmentations, that are semantically coherent across images.

Jose Javier Gonzalez Ortiz, John Guttag, Adrian Dalca

Convolutional Neural Networks (CNNs) are the predominant model used for a variety of medical image analysis tasks. At inference time, these models are computationally intensive, especially with volumetric data. In principle, it is possible to trade accuracy for computational efficiency by manipulating the rescaling factor in the downsample and upsample layers of CNN architectures. However, properly exploring the accuracy-efficiency trade-off is prohibitively expensive with existing models. To address this, we introduce Scale-Space HyperNetworks (SSHN), a method that learns a spectrum of CNNs with varying internal rescaling factors. A single SSHN characterizes an entire Pareto accuracy-efficiency curve of models that match, and occasionally surpass, the outcomes of training many separate networks with fixed rescaling factors. We demonstrate the proposed approach in several medical image analysis applications, comparing SSHN against strategies with both fixed and dynamic rescaling factors. We find that SSHN consistently provides a better accuracy-efficiency trade-off at a fraction of the training cost. Trained SSHNs enable the user to quickly choose a rescaling factor that appropriately balances accuracy and computational efficiency for their particular needs at inference.

S. Mazdak Abulnaga, Andrew Hoopes, Malte Hoffmann et al.

Accurate registration of brain MRI scans is fundamental for cross-subject analysis in neuroscientific studies. This involves aligning both the cortical surface of the brain and the interior volume. Traditional methods treat volumetric and surface-based registration separately, which often leads to inconsistencies that limit downstream analyses. We propose a deep learning framework, NeurAlign, that registers $3$D brain MRI images by jointly aligning both cortical and subcortical regions through a unified volume-and-surface-based representation. Our approach leverages an intermediate spherical coordinate space to bridge anatomical surface topology with volumetric anatomy, enabling consistent and anatomically accurate alignment. By integrating spherical registration into the learning, our method ensures geometric coherence between volume and surface domains. In a series of experiments on both in-domain and out-of-domain datasets, our method consistently outperforms both classical and machine learning-based registration methods -- improving the Dice score by up to 7 points while maintaining regular deformation fields. Additionally, it is orders of magnitude faster than the standard method for this task, and is simpler to use because it requires no additional inputs beyond an MRI scan. With its superior accuracy, fast inference, and ease of use, NeurAlign sets a new standard for joint cortical and subcortical registration.

Jian Li, Karthik Gopinath, Brian L. Edlow et al.

Cortical surface parcellation is a fundamental task in both basic neuroscience research and clinical applications, enabling more accurate mapping of brain regions. Model-based and learning-based approaches for automated parcellation alleviate the need for manual labeling. Despite the advancement in parcellation performance, learning-based methods shift away from registration and atlas propagation without exploring the reason for the improvement compared to traditional methods. In this study, we present JParc, a joint cortical registration and parcellation framework, that outperforms existing state-of-the-art parcellation methods. In rigorous experiments, we demonstrate that the enhanced performance of JParc is primarily attributable to accurate cortical registration and a learned parcellation atlas. By leveraging a shallow subnetwork to fine-tune the propagated atlas labels, JParc achieves a Dice score greater than 90% on the Mindboggle dataset, using only basic geometric features (sulcal depth, curvature) that describe cortical folding patterns. The superior accuracy of JParc can significantly increase the statistical power in brain mapping studies as well as support applications in surgical planning and many other downstream neuroscientific and clinical tasks.

Malte Hoffmann, Lilla Zöllei, Adrian V. Dalca

Segmentation of magnetic resonance images (MRI) facilitates analysis of human brain development by delineating anatomical structures. However, in infants and young children, accurate segmentation is challenging due to development and imaging constraints. Pediatric brain MRI is notoriously difficult to acquire, with inconsistent availability of imaging modalities, substantial non-head anatomy in the field of view, and frequent motion artifacts. This has led to specialized segmentation models that are often limited to specific image types or narrow age groups, or that are fragile for more variable images such as those acquired clinically. We address this method fragmentation with BabySeg, a deep learning brain segmentation framework for infants and young children that supports diverse MRI protocols, including repeat scans and image types unavailable during training. Our approach builds on recent domain randomization techniques, which synthesize training images far beyond realistic bounds to promote dataset shift invariance. We also describe a mechanism that enables models to flexibly pool and interact features from any number of input scans. We demonstrate state-of-the-art performance that matches or exceeds the accuracy of several existing methods for various age cohorts and input configurations using a single model, in a fraction of the runtime required by many existing tools.

Jesper Duemose Nielsen, Karthik Gopinath, Andrew Hoopes et al.

Surface-based cortical analysis is valuable for a variety of neuroimaging tasks, such as spatial normalization, parcellation, and gray matter (GM) thickness estimation. However, most tools for estimating cortical surfaces work exclusively on scans with at least 1 mm isotropic resolution and are tuned to a specific magnetic resonance (MR) contrast, often T1-weighted (T1w). This precludes application using most clinical MR scans, which are very heterogeneous in terms of contrast and resolution. Here, we use synthetic domain-randomized data to train the first neural network for explicit estimation of cortical surfaces from scans of any contrast and resolution, without retraining. Our method deforms a template mesh to the white matter (WM) surface, which guarantees topological correctness. This mesh is further deformed to estimate the GM surface. We compare our method to recon-all-clinical (RAC), an implicit surface reconstruction method which is currently the only other tool capable of processing heterogeneous clinical MR scans, on ADNI and a large clinical dataset (n=1,332). We show a approximately 50 % reduction in cortical thickness error (from 0.50 to 0.24 mm) with respect to RAC and better recovery of the aging-related cortical thinning patterns detected by FreeSurfer on high-resolution T1w scans. Our method enables fast and accurate surface reconstruction of clinical scans, allowing studies (1) with sample sizes far beyond what is feasible in a research setting, and (2) of clinical populations that are difficult to enroll in research studies. The code is publicly available at https://github.com/simnibs/brainnet.

Alan Q. Wang, Rachit Saluja, Heejong Kim et al.

We present a keypoint-based foundation model for general purpose brain MRI registration, based on the recently-proposed KeyMorph framework. Our model, called BrainMorph, serves as a tool that supports multi-modal, pairwise, and scalable groupwise registration. BrainMorph is trained on a massive dataset of over 100,000 3D volumes, skull-stripped and non-skull-stripped, from nearly 16,000 unique healthy and diseased subjects. BrainMorph is robust to large misalignments, interpretable via interrogating automatically-extracted keypoints, and enables rapid and controllable generation of many plausible transformations with different alignment types and different degrees of nonlinearity at test-time. We demonstrate the superiority of BrainMorph in solving 3D rigid, affine, and nonlinear registration on a variety of multi-modal brain MRI scans of healthy and diseased subjects, in both the pairwise and groupwise setting. In particular, we show registration accuracy and speeds that surpass many classical and learning-based methods, especially in the context of large initial misalignments and large group settings. All code and models are available at https://github.com/alanqrwang/brainmorph.

Alan Q. Wang, Adrian V. Dalca, Mert R. Sabuncu

Deep learning based techniques achieve state-of-the-art results in a wide range of image reconstruction tasks like compressed sensing. These methods almost always have hyperparameters, such as the weight coefficients that balance the different terms in the optimized loss function. The typical approach is to train the model for a hyperparameter setting determined with some empirical or theoretical justification. Thus, at inference time, the model can only compute reconstructions corresponding to the pre-determined hyperparameter values. In this work, we present a hypernetwork-based approach, called HyperRecon, to train reconstruction models that are agnostic to hyperparameter settings. At inference time, HyperRecon can efficiently produce diverse reconstructions, which would each correspond to different hyperparameter values. In this framework, the user is empowered to select the most useful output(s) based on their own judgement. We demonstrate our method in compressed sensing, super-resolution and denoising tasks, using two large-scale and publicly-available MRI datasets. Our code is available at https://github.com/alanqrwang/hyperrecon.

Tianyu Ma, Alan Q. Wang, Adrian V. Dalca et al.

The convolutional neural network (CNN) is one of the most commonly used architectures for computer vision tasks. The key building block of a CNN is the convolutional kernel that aggregates information from the pixel neighborhood and shares weights across all pixels. A standard CNN's capacity, and thus its performance, is directly related to the number of learnable kernel weights, which is determined by the number of channels and the kernel size (support). In this paper, we present the \textit{hyper-convolution}, a novel building block that implicitly encodes the convolutional kernel using spatial coordinates. Hyper-convolutions decouple kernel size from the total number of learnable parameters, enabling a more flexible architecture design. We demonstrate in our experiments that replacing regular convolutions with hyper-convolutions can improve performance with less parameters, and increase robustness against noise. We provide our code here: \emph{https://github.com/tym002/Hyper-Convolution}

Sungmin Hong, Anna K. Bonkhoff, Andrew Hoopes et al.

Despite the superior performance of Deep Learning (DL) on numerous segmentation tasks, the DL-based approaches are notoriously overconfident about their prediction with highly polarized label probability. This is often not desirable for many applications with the inherent label ambiguity even in human annotations. This challenge has been addressed by leveraging multiple annotations per image and the segmentation uncertainty. However, multiple per-image annotations are often not available in a real-world application and the uncertainty does not provide full control on segmentation results to users. In this paper, we propose novel methods to improve the segmentation probability estimation without sacrificing performance in a real-world scenario that we have only one ambiguous annotation per image. We marginalize the estimated segmentation probability maps of networks that are encouraged to under-/over-segment with the varying Tversky loss without penalizing balanced segmentation. Moreover, we propose a unified hypernetwork ensemble method to alleviate the computational burden of training multiple networks. Our approaches successfully estimated the segmentation probability maps that reflected the underlying structures and provided the intuitive control on segmentation for the challenging 3D medical image segmentation. Although the main focus of our proposed methods is not to improve the binary segmentation performance, our approaches marginally outperformed the state-of-the-arts. The codes are available at \url{https://github.com/sh4174/HypernetEnsemble}.

Sungmin Hong, Razvan Marinescu, Adrian V. Dalca et al.

Image synthesis via Generative Adversarial Networks (GANs) of three-dimensional (3D) medical images has great potential that can be extended to many medical applications, such as, image enhancement and disease progression modeling. However, current GAN technologies for 3D medical image synthesis need to be significantly improved to be readily adapted to real-world medical problems. In this paper, we extend the state-of-the-art StyleGAN2 model, which natively works with two-dimensional images, to enable 3D image synthesis. In addition to the image synthesis, we investigate the controllability and interpretability of the 3D-StyleGAN via style vectors inherited form the original StyleGAN2 that are highly suitable for medical applications: (i) the latent space projection and reconstruction of unseen real images, and (ii) style mixing. We demonstrate the 3D-StyleGAN's performance and feasibility with ~12,000 three-dimensional full brain MR T1 images, although it can be applied to any 3D volumetric images. Furthermore, we explore different configurations of hyperparameters to investigate potential improvement of the image synthesis with larger networks. The codes and pre-trained networks are available online: https://github.com/sh4174/3DStyleGAN.

Tianyu Ma, Adrian V. Dalca, Mert R. Sabuncu

The convolution operation is a central building block of neural network architectures widely used in computer vision. The size of the convolution kernels determines both the expressiveness of convolutional neural networks (CNN), as well as the number of learnable parameters. Increasing the network capacity to capture rich pixel relationships requires increasing the number of learnable parameters, often leading to overfitting and/or lack of robustness. In this paper, we propose a powerful novel building block, the hyper-convolution, which implicitly represents the convolution kernel as a function of kernel coordinates. Hyper-convolutions enable decoupling the kernel size, and hence its receptive field, from the number of learnable parameters. In our experiments, focused on challenging biomedical image segmentation tasks, we demonstrate that replacing regular convolutions with hyper-convolutions leads to more efficient architectures that achieve improved accuracy. Our analysis also shows that learned hyper-convolutions are naturally regularized, which can offer better generalization performance. We believe that hyper-convolutions can be a powerful building block in future neural network architectures for computer vision tasks. We provide all of our code here: https://github.com/tym002/Hyper-Convolution

Alan Q. Wang, Adrian V. Dalca, Mert R. Sabuncu

Reconstructing under-sampled k-space measurements in Compressed Sensing MRI (CS-MRI) is classically solved with regularized least-squares. Recently, deep learning has been used to amortize this optimization by training reconstruction networks on a dataset of under-sampled measurements. Here, a crucial design choice is the regularization function(s) and corresponding weight(s). In this paper, we explore a novel strategy of using a hypernetwork to generate the parameters of a separate reconstruction network as a function of the regularization weight(s), resulting in a regularization-agnostic reconstruction model. At test time, for a given under-sampled image, our model can rapidly compute reconstructions with different amounts of regularization. We analyze the variability of these reconstructions, especially in situations when the overall quality is similar. Finally, we propose and empirically demonstrate an efficient and data-driven way of maximizing reconstruction performance given limited hypernetwork capacity. Our code is publicly available at https://github.com/alanqrwang/RegAgnosticCSMRI.

Adrian V. Dalca, Ramesh Sridharan, Mert R. Sabuncu et al.

We present a semi-parametric generative model for predicting anatomy of a patient in subsequent scans following a single baseline image. Such predictive modeling promises to facilitate novel analyses in both voxel-level studies and longitudinal biomarker evaluation. We capture anatomical change through a combination of population-wide regression and a non-parametric model of the subject's health based on individual genetic and clinical indicators. In contrast to classical correlation and longitudinal analysis, we focus on predicting new observations from a single subject observation. We demonstrate prediction of follow-up anatomical scans in the ADNI cohort, and illustrate a novel analysis approach that compares a patient's scans to the predicted subject-specific healthy anatomical trajectory. The code is available at https://github.com/adalca/voxelorb.

Henry Tregidgo, Adria Casamitjana, Caitlin Latimer et al.

Neuroimaging to neuropathology correlation (NTNC) promises to enable the transfer of microscopic signatures of pathology to in vivo imaging with MRI, ultimately enhancing clinical care. NTNC traditionally requires a volumetric MRI scan, acquired either ex vivo or a short time prior to death. Unfortunately, ex vivo MRI is difficult and costly, and recent premortem scans of sufficient quality are seldom available. To bridge this gap, we present methodology to 3D reconstruct and segment full brain image volumes from brain dissection photographs, which are routinely acquired at many brain banks and neuropathology departments. The 3D reconstruction is achieved via a joint registration framework, which uses a reference volume other than MRI. This volume may represent either the sample at hand (e.g., a surface 3D scan) or the general population (a probabilistic atlas). In addition, we present a Bayesian method to segment the 3D reconstructed photographic volumes into 36 neuroanatomical structures, which is robust to nonuniform brightness within and across photographs. We evaluate our methods on a dataset with 24 brains, using Dice scores and volume correlations. The results show that dissection photography is a valid replacement for ex vivo MRI in many volumetric analyses, opening an avenue for MRI-free NTNC, including retrospective data. The code is available at https://github.com/htregidgo/DissectionPhotoVolumes.

Alan Q. Wang, Adrian V. Dalca, Mert R. Sabuncu

Compressed Sensing MRI (CS-MRI) has shown promise in reconstructing under-sampled MR images, offering the potential to reduce scan times. Classical techniques minimize a regularized least-squares cost function using an expensive iterative optimization procedure. Recently, deep learning models have been developed that model the iterative nature of classical techniques by unrolling iterations in a neural network. While exhibiting superior performance, these methods require large quantities of ground-truth images and have shown to be non-robust to unseen data. In this paper, we explore a novel strategy to train an unrolled reconstruction network in an unsupervised fashion by adopting a loss function widely-used in classical optimization schemes. We demonstrate that this strategy achieves lower loss and is computationally cheap compared to classical optimization solvers while also exhibiting superior robustness compared to supervised models. Code is available at https://github.com/alanqrwang/HQSNet.

Nalini M. Singh, Juan Eugenio Iglesias, Elfar Adalsteinsson et al.

We propose neural network layers that explicitly combine frequency and image feature representations and show that they can be used as a versatile building block for reconstruction from frequency space data. Our work is motivated by the challenges arising in MRI acquisition where the signal is a corrupted Fourier transform of the desired image. The proposed joint learning schemes enable both correction of artifacts native to the frequency space and manipulation of image space representations to reconstruct coherent image structures at every layer of the network. This is in contrast to most current deep learning approaches for image reconstruction that treat frequency and image space features separately and often operate exclusively in one of the two spaces. We demonstrate the advantages of joint convolutional learning for a variety of tasks, including motion correction, denoising, reconstruction from undersampled acquisitions, and combined undersampling and motion correction on simulated and real world multicoil MRI data. The joint models produce consistently high quality output images across all tasks and datasets. When integrated into a state of the art unrolled optimization network with physics-inspired data consistency constraints for undersampled reconstruction, the proposed architectures significantly improve the optimization landscape, which yields an order of magnitude reduction of training time. This result suggests that joint representations are particularly well suited for MRI signals in deep learning networks. Our code and pretrained models are publicly available at https://github.com/nalinimsingh/interlacer.

Evan M. Yu, Juan Eugenio Iglesias, Adrian V. Dalca et al.

Deep neural networks are powerful tools for biomedical image segmentation. These models are often trained with heavy supervision, relying on pairs of images and corresponding voxel-level labels. However, obtaining segmentations of anatomical regions on a large number of cases can be prohibitively expensive. Thus there is a strong need for deep learning-based segmentation tools that do not require heavy supervision and can continuously adapt. In this paper, we propose a novel perspective of segmentation as a discrete representation learning problem, and present a variational autoencoder segmentation strategy that is flexible and adaptive. Our method, called Segmentation Auto-Encoder (SAE), leverages all available unlabeled scans and merely requires a segmentation prior, which can be a single unpaired segmentation image. In experiments, we apply SAE to brain MRI scans. Our results show that SAE can produce good quality segmentations, particularly when the prior is good. We demonstrate that a Markov Random Field prior can yield significantly better results than a spatially independent prior. Our code is freely available at https://github.com/evanmy/sae.

Jieyu Cheng, Adrian V. Dalca, Bruce Fischl et al.

Non-rigid cortical registration is an important and challenging task due to the geometric complexity of the human cortex and the high degree of inter-subject variability. A conventional solution is to use a spherical representation of surface properties and perform registration by aligning cortical folding patterns in that space. This strategy produces accurate spatial alignment but often requires a high computational cost. Recently, convolutional neural networks (CNNs) have demonstrated the potential to dramatically speed up volumetric registration. However, due to distortions introduced by projecting a sphere to a 2D plane, a direct application of recent learning-based methods to surfaces yields poor results. In this study, we present SphereMorph, a diffeomorphic registration framework for cortical surfaces using deep networks that addresses these issues. SphereMorph uses a UNet-style network associated with a spherical kernel to learn the displacement field and warps the sphere using a modified spatial transformer layer. We propose a resampling weight in computing the data fitting loss to account for distortions introduced by polar projection, and demonstrate the performance of our proposed method on two tasks, including cortical parcellation and group-wise functional area alignment. The experiments show that the proposed SphereMorph is capable of modeling the geometric registration problem in a CNN framework and demonstrate superior registration accuracy and computational efficiency. The source code of SphereMorph will be released to the public upon acceptance of this manuscript at https://github.com/voxelmorph/spheremorph.

Benjamin Billot, Douglas Greve, Koen Van Leemput et al.

We present a deep learning strategy that enables, for the first time, contrast-agnostic semantic segmentation of completely unpreprocessed brain MRI scans, without requiring additional training or fine-tuning for new modalities. Classical Bayesian methods address this segmentation problem with unsupervised intensity models, but require significant computational resources. In contrast, learning-based methods can be fast at test time, but are sensitive to the data available at training. Our proposed learning method, SynthSeg, leverages a set of training segmentations (no intensity images required) to generate synthetic sample images of widely varying contrasts on the fly during training. These samples are produced using the generative model of the classical Bayesian segmentation framework, with randomly sampled parameters for appearance, deformation, noise, and bias field. Because each mini-batch has a different synthetic contrast, the final network is not biased towards any MRI contrast. We comprehensively evaluate our approach on four datasets comprising over 1,000 subjects and four types of MR contrast. The results show that our approach successfully segments every contrast in the data, performing slightly better than classical Bayesian segmentation, and three orders of magnitude faster. Moreover, even within the same type of MRI contrast, our strategy generalizes significantly better across datasets, compared to training using real images. Finally, we find that synthesizing a broad range of contrasts, even if unrealistic, increases the generalization of the neural network. Our code and model are open source at https://github.com/BBillot/SynthSeg.

Amy Zhao, Guha Balakrishnan, Kathleen M. Lewis et al.

We introduce a new video synthesis task: synthesizing time lapse videos depicting how a given painting might have been created. Artists paint using unique combinations of brushes, strokes, and colors. There are often many possible ways to create a given painting. Our goal is to learn to capture this rich range of possibilities. Creating distributions of long-term videos is a challenge for learning-based video synthesis methods. We present a probabilistic model that, given a single image of a completed painting, recurrently synthesizes steps of the painting process. We implement this model as a convolutional neural network, and introduce a novel training scheme to enable learning from a limited dataset of painting time lapses. We demonstrate that this model can be used to sample many time steps, enabling long-term stochastic video synthesis. We evaluate our method on digital and watercolor paintings collected from video websites, and show that human raters find our synthetic videos to be similar to time lapse videos produced by real artists. Our code is available at https://xamyzhao.github.io/timecraft.

Cagla D. Bahadir, Alan Q. Wang, Adrian V. Dalca et al.

In compressed sensing MRI (CS-MRI), k-space measurements are under-sampled to achieve accelerated scan times. CS-MRI presents two fundamental problems: (1) where to sample and (2) how to reconstruct an under-sampled scan. In this paper, we tackle both problems simultaneously for the specific case of 2D Cartesian sampling, using a novel end-to-end learning framework that we call LOUPE (Learning-based Optimization of the Under-sampling PattErn). Our method trains a neural network model on a set of full-resolution MRI scans, which are retrospectively under-sampled on a 2D Cartesian grid and forwarded to an anti-aliasing (a.k.a. reconstruction) model that computes a reconstruction, which is in turn compared with the input. This formulation enables a data-driven optimized under-sampling pattern at a given sparsity level. In our experiments, we demonstrate that LOUPE-optimized under-sampling masks are data-dependent, varying significantly with the imaged anatomy, and perform well with different reconstruction methods. We present empirical results obtained with a large-scale, publicly available knee MRI dataset, where LOUPE offered superior reconstruction quality across different conditions. Even with an aggressive 8-fold acceleration rate, LOUPE's reconstructions contained much of the anatomical detail that was missed by alternative masks and reconstruction methods. Our experiments also show how LOUPE yielded optimal under-sampling patterns that were significantly different for brain vs knee MRI scans. Our code is made freely available at https://github.com/cagladbahadir/LOUPE/.

Adrian V. Dalca, Guha Balakrishnan, John Guttag et al.

Classical deformable registration techniques achieve impressive results and offer a rigorous theoretical treatment, but are computationally intensive since they solve an optimization problem for each image pair. Recently, learning-based methods have facilitated fast registration by learning spatial deformation functions. However, these approaches use restricted deformation models, require supervised labels, or do not guarantee a diffeomorphic (topology-preserving) registration. Furthermore, learning-based registration tools have not been derived from a probabilistic framework that can offer uncertainty estimates. In this paper, we build a connection between classical and learning-based methods. We present a probabilistic generative model and derive an unsupervised learning-based inference algorithm that uses insights from classical registration methods and makes use of recent developments in convolutional neural networks (CNNs). We demonstrate our method on a 3D brain registration task for both images and anatomical surfaces, and provide extensive empirical analyses. Our principled approach results in state of the art accuracy and very fast runtimes, while providing diffeomorphic guarantees. Our implementation is available at http://voxelmorph.csail.mit.edu.

Adrian V. Dalca, John Guttag, Mert R. Sabuncu

A wide range of systems exhibit high dimensional incomplete data. Accurate estimation of the missing data is often desired, and is crucial for many downstream analyses. Many state-of-the-art recovery methods involve supervised learning using datasets containing full observations. In contrast, we focus on unsupervised estimation of missing image data, where no full observations are available - a common situation in practice. Unsupervised imputation methods for images often employ a simple linear subspace to capture correlations between data dimensions, omitting more complex relationships. In this work, we introduce a general probabilistic model that describes sparse high dimensional imaging data as being generated by a deep non-linear embedding. We derive a learning algorithm using a variational approximation based on convolutional neural networks and discuss its relationship to linear imputation models, the variational auto encoder, and deep image priors. We introduce sparsity-aware network building blocks that explicitly model observed and missing data. We analyze proposed sparsity-aware network building blocks, evaluate our method on public domain imaging datasets, and conclude by showing that our method enables imputation in an important real-world problem involving medical images. The code is freely available as part of the \verb|neuron| library at http://github.com/adalca/neuron.

Amy Zhao, Guha Balakrishnan, Frédo Durand et al.

Image segmentation is an important task in many medical applications. Methods based on convolutional neural networks attain state-of-the-art accuracy; however, they typically rely on supervised training with large labeled datasets. Labeling medical images requires significant expertise and time, and typical hand-tuned approaches for data augmentation fail to capture the complex variations in such images. We present an automated data augmentation method for synthesizing labeled medical images. We demonstrate our method on the task of segmenting magnetic resonance imaging (MRI) brain scans. Our method requires only a single segmented scan, and leverages other unlabeled scans in a semi-supervised approach. We learn a model of transformations from the images, and use the model along with the labeled example to synthesize additional labeled examples. Each transformation is comprised of a spatial deformation field and an intensity change, enabling the synthesis of complex effects such as variations in anatomy and image acquisition procedures. We show that training a supervised segmenter with these new examples provides significant improvements over state-of-the-art methods for one-shot biomedical image segmentation. Our code is available at https://github.com/xamyzhao/brainstorm.

Cagla Deniz Bahadir, Adrian V. Dalca, Mert R. Sabuncu

Acquisition of Magnetic Resonance Imaging (MRI) scans can be accelerated by under-sampling in k-space (i.e., the Fourier domain). In this paper, we consider the problem of optimizing the sub-sampling pattern in a data-driven fashion. Since the reconstruction model's performance depends on the sub-sampling pattern, we combine the two problems. For a given sparsity constraint, our method optimizes the sub-sampling pattern and reconstruction model, using an end-to-end learning strategy. Our algorithm learns from full-resolution data that are under-sampled retrospectively, yielding a sub-sampling pattern and reconstruction model that are customized to the type of images represented in the training data. The proposed method, which we call LOUPE (Learning-based Optimization of the Under-sampling PattErn), was implemented by modifying a U-Net, a widely-used convolutional neural network architecture, that we append with the forward model that encodes the under-sampling process. Our experiments with T1-weighted structural brain MRI scans show that the optimized sub-sampling pattern can yield significantly more accurate reconstructions compared to standard random uniform, variable density or equispaced under-sampling schemes. The code is made available at: https://github.com/cagladbahadir/LOUPE .

Adrian V. Dalca, Katherine L. Bouman, William T. Freeman et al.

We present an algorithm for creating high resolution anatomically plausible images consistent with acquired clinical brain MRI scans with large inter-slice spacing. Although large data sets of clinical images contain a wealth of information, time constraints during acquisition result in sparse scans that fail to capture much of the anatomy. These characteristics often render computational analysis impractical as many image analysis algorithms tend to fail when applied to such images. Highly specialized algorithms that explicitly handle sparse slice spacing do not generalize well across problem domains. In contrast, we aim to enable application of existing algorithms that were originally developed for high resolution research scans to significantly undersampled scans. We introduce a generative model that captures fine-scale anatomical structure across subjects in clinical image collections and derive an algorithm for filling in the missing data in scans with large inter-slice spacing. Our experimental results demonstrate that the resulting method outperforms state-of-the-art upsampling super-resolution techniques, and promises to facilitate subsequent analysis not previously possible with scans of this quality. Our implementation is freely available at https://github.com/adalca/papago .

Adrian V. Dalca, Guha Balakrishnan, John Guttag et al.

Traditional deformable registration techniques achieve impressive results and offer a rigorous theoretical treatment, but are computationally intensive since they solve an optimization problem for each image pair. Recently, learning-based methods have facilitated fast registration by learning spatial deformation functions. However, these approaches use restricted deformation models, require supervised labels, or do not guarantee a diffeomorphic (topology-preserving) registration. Furthermore, learning-based registration tools have not been derived from a probabilistic framework that can offer uncertainty estimates. In this paper, we present a probabilistic generative model and derive an unsupervised learning-based inference algorithm that makes use of recent developments in convolutional neural networks (CNNs). We demonstrate our method on a 3D brain registration task, and provide an empirical analysis of the algorithm. Our approach results in state of the art accuracy and very fast runtimes, while providing diffeomorphic guarantees and uncertainty estimates. Our implementation is available online at http://voxelmorph.csail.mit.edu .

Hallee E. Wong, Marianne Rakic, John Guttag et al.

Biomedical image segmentation is a crucial part of both scientific research and clinical care. With enough labelled data, deep learning models can be trained to accurately automate specific biomedical image segmentation tasks. However, manually segmenting images to create training data is highly labor intensive and requires domain expertise. We present \emph{ScribblePrompt}, a flexible neural network based interactive segmentation tool for biomedical imaging that enables human annotators to segment previously unseen structures using scribbles, clicks, and bounding boxes. Through rigorous quantitative experiments, we demonstrate that given comparable amounts of interaction, ScribblePrompt produces more accurate segmentations than previous methods on datasets unseen during training. In a user study with domain experts, ScribblePrompt reduced annotation time by 28% while improving Dice by 15% compared to the next best method. ScribblePrompt's success rests on a set of careful design decisions. These include a training strategy that incorporates both a highly diverse set of images and tasks, novel algorithms for simulated user interactions and labels, and a network that enables fast inference. We showcase ScribblePrompt in an interactive demo, provide code, and release a dataset of scribble annotations at https://scribbleprompt.csail.mit.edu

Neel Dey, Benjamin Billot, Hallee E. Wong et al. · mit

Current volumetric biomedical foundation models struggle to generalize as public 3D datasets are small and do not cover the broad diversity of medical procedures, conditions, anatomical regions, and imaging protocols. We address this by creating a representation learning method that instead anticipates strong domain shifts at training time itself. We first propose a data engine that synthesizes highly variable training samples that would enable generalization to new biomedical contexts. To then train a single 3D network for any voxel-level task, we develop a contrastive learning method that pretrains the network to be stable against nuisance imaging variation simulated by the data engine, a key inductive bias for generalization. This network's features can be used as robust representations of input images for downstream tasks and its weights provide a strong, dataset-agnostic initialization for finetuning on new datasets. As a result, we set new standards across both multimodality registration and few-shot segmentation, a first for any 3D biomedical vision model, all without (pre-)training on any existing dataset of real images.

William Kelley, Nathan Ngo, Adrian V. Dalca et al.

Skull-stripping is the removal of background and non-brain anatomical features from brain images. While many skull-stripping tools exist, few target pediatric populations. With the emergence of multi-institutional pediatric data acquisition efforts to broaden the understanding of perinatal brain development, it is essential to develop robust and well-tested tools ready for the relevant data processing. However, the broad range of neuroanatomical variation in the developing brain, combined with additional challenges such as high motion levels, as well as shoulder and chest signal in the images, leaves many adult-specific tools ill-suited for pediatric skull-stripping. Building on an existing framework for robust and accurate skull-stripping, we propose developmental SynthStrip (d-SynthStrip), a skull-stripping model tailored to pediatric images. This framework exposes networks to highly variable images synthesized from label maps. Our model substantially outperforms pediatric baselines across scan types and age cohorts. In addition, the <1-minute runtime of our tool compares favorably to the fastest baselines. We distribute our model at https://w3id.org/synthstrip.

S. Mazdak Abulnaga, Andrew Hoopes, Neel Dey et al. · mit

We present MultiMorph, a fast and efficient method for constructing anatomical atlases on the fly. Atlases capture the canonical structure of a collection of images and are essential for quantifying anatomical variability across populations. However, current atlas construction methods often require days to weeks of computation, thereby discouraging rapid experimentation. As a result, many scientific studies rely on suboptimal, precomputed atlases from mismatched populations, negatively impacting downstream analyses. MultiMorph addresses these challenges with a feedforward model that rapidly produces high-quality, population-specific atlases in a single forward pass for any 3D brain dataset, without any fine-tuning or optimization. MultiMorph is based on a linear group-interaction layer that aggregates and shares features within the group of input images. Further, by leveraging auxiliary synthetic data, MultiMorph generalizes to new imaging modalities and population groups at test-time. Experimentally, MultiMorph outperforms state-of-the-art optimization-based and learning-based atlas construction methods in both small and large population settings, with a 100-fold reduction in time. This makes MultiMorph an accessible framework for biomedical researchers without machine learning expertise, enabling rapid, high-quality atlas generation for diverse studies.

Jingru Fu, Adrian V. Dalca, Bruce Fischl et al.

Rigid registration aims to determine the translations and rotations necessary to align features in a pair of images. While recent machine learning methods have become state-of-the-art for linear and deformable registration across subjects, they have demonstrated limitations when applied to longitudinal (within-subject) registration, where achieving precise alignment is critical. Building on an existing framework for anatomy-aware, acquisition-agnostic affine registration, we propose a model optimized for longitudinal, rigid brain registration. By training the model with synthetic within-subject pairs augmented with rigid and subtle nonlinear transforms, the model estimates more accurate rigid transforms than previous cross-subject networks and performs robustly on longitudinal registration pairs within and across magnetic resonance imaging (MRI) contrasts.

Hallee E. Wong, Jose Javier Gonzalez Ortiz, John Guttag et al.

Medical researchers and clinicians often need to perform novel segmentation tasks on a set of related images. Existing methods for segmenting a new dataset are either interactive, requiring substantial human effort for each image, or require an existing set of previously labeled images. We introduce a system, MultiverSeg, that enables practitioners to rapidly segment an entire new dataset without requiring access to any existing labeled data from that task or domain. Along with the image to segment, the model takes user interactions such as clicks, bounding boxes or scribbles as input, and predicts a segmentation. As the user segments more images, those images and segmentations become additional inputs to the model, providing context. As the context set of labeled images grows, the number of interactions required to segment each new image decreases. We demonstrate that MultiverSeg enables users to interactively segment new datasets efficiently, by amortizing the number of interactions per image to achieve an accurate segmentation. Compared to using a state-of-the-art interactive segmentation method, MultiverSeg reduced the total number of clicks by 36% and scribble steps by 25% to achieve 90% Dice on sets of images from unseen tasks. We release code and model weights at https://multiverseg.csail.mit.edu

Marianne Rakic, Andrew Hoopes, S. Mazdak Abulnaga et al.

Deformable templates, or atlases, are images that represent a prototypical anatomy for a population, and are often enhanced with probabilistic anatomical label maps. They are commonly used in medical image analysis for population studies and computational anatomy tasks such as registration and segmentation. Because developing a template is a computationally expensive process, relatively few templates are available. As a result, analysis is often conducted with sub-optimal templates that are not truly representative of the study population, especially when there are large variations within this population. We propose a machine learning framework that uses convolutional registration neural networks to efficiently learn a function that outputs templates conditioned on subject-specific attributes, such as age and sex. We also leverage segmentations, when available, to produce anatomical segmentation maps for the resulting templates. The learned network can also be used to register subject images to the templates. We demonstrate our method on a compilation of 3D brain MRI datasets, and show that it can learn high-quality templates that are representative of populations. We find that annotated conditional templates enable better registration than their unlabeled unconditional counterparts, and outperform other templates construction methods.

Marianne Rakic, Hallee E. Wong, Jose Javier Gonzalez Ortiz et al.

Existing learning-based solutions to medical image segmentation have two important shortcomings. First, for most new segmentation task, a new model has to be trained or fine-tuned. This requires extensive resources and machine learning expertise, and is therefore often infeasible for medical researchers and clinicians. Second, most existing segmentation methods produce a single deterministic segmentation mask for a given image. In practice however, there is often considerable uncertainty about what constitutes the correct segmentation, and different expert annotators will often segment the same image differently. We tackle both of these problems with Tyche, a model that uses a context set to generate stochastic predictions for previously unseen tasks without the need to retrain. Tyche differs from other in-context segmentation methods in two important ways. (1) We introduce a novel convolution block architecture that enables interactions among predictions. (2) We introduce in-context test-time augmentation, a new mechanism to provide prediction stochasticity. When combined with appropriate model design and loss functions, Tyche can predict a set of plausible diverse segmentation candidates for new or unseen medical images and segmentation tasks without the need to retrain.