Ayodeji Ijishakin

Ayodeji Ijishakin, Adamos Hadjasavilou, Ahmed Abdulaal et al.

Predicting survival in Amyotrophic Lateral Sclerosis (ALS) is a challenging task. Magnetic resonance imaging (MRI) data provide in vivo insight into brain health, but the low prevalence of the condition and resultant data scarcity limit training set sizes for prediction models. Survival models are further hindered by the subtle and often highly localised profile of ALS-related neurodegeneration. Normative models present a solution as they increase statistical power by leveraging large healthy cohorts. Separately, diffusion models excel in capturing the semantics embedded within images including subtle signs of accelerated brain ageing, which may help predict survival in ALS. Here, we combine the benefits of generative and normative modelling by introducing the normative diffusion autoencoder framework. To our knowledge, this is the first use of normative modelling within a diffusion autoencoder, as well as the first application of normative modelling to ALS. Our approach outperforms generative and non-generative normative modelling benchmarks in ALS prognostication, demonstrating enhanced predictive accuracy in the context of ALS survival prediction and normative modelling in general.

Ayodeji Ijishakin, Ahmed Abdulaal, Adamos Hadjivasiliou et al.

In visual object classification, humans often justify their choices by comparing objects to prototypical examples within that class. We may therefore increase the interpretability of deep learning models by imbuing them with a similar style of reasoning. In this work, we apply this principle by classifying Alzheimer's Disease based on the similarity of images to training examples within the latent space. We use a contrastive loss combined with a diffusion autoencoder backbone, to produce a semantically meaningful latent space, such that neighbouring latents have similar image-level features. We achieve a classification accuracy comparable to black box approaches on a dataset of 2D MRI images, whilst producing human interpretable model explanations. Therefore, this work stands as a contribution to the pertinent development of accurate and interpretable deep learning within medical imaging.

Ayodeji Ijishakin, Ana Lawry Aguila, Elizabeth Levitis et al.

Combining neuroimaging datasets from multiple sites and scanners can help increase statistical power and thus provide greater insight into subtle neuroanatomical effects. However, site-specific effects pose a challenge by potentially obscuring the biological signal and introducing unwanted variance. Existing harmonization techniques, which use statistical models to remove such effects, have been shown to incompletely remove site effects while also failing to preserve biological variability. More recently, generative models using GANs or autoencoder-based approaches, have been proposed for site adjustment. However, such methods are known for instability during training or blurry image generation. In recent years, diffusion models have become increasingly popular for their ability to generate high-quality synthetic images. In this work, we introduce the disentangled diffusion autoencoder (DDAE), a novel diffusion model designed for controlling specific aspects of an image. We apply the DDAE to the task of harmonizing MR images by generating high-quality site-adjusted images that preserve biological variability. We use data from 7 different sites and demonstrate the DDAE's superiority in generating high-resolution, harmonized 2D MR images over previous approaches. As far as we are aware, this work marks the first diffusion-based model for site adjustment of neuroimaging data.

Ayodeji Ijishakin, Sophie Martin, Florence Townend et al.

Brain age prediction models have succeeded in predicting clinical outcomes in neurodegenerative diseases, but can struggle with tasks involving faster progressing diseases and low quality data. To enhance their performance, we employ a semi-supervised diffusion model, obtaining a 0.83(p<0.01) correlation between chronological and predicted age on low quality T1w MR images. This was competitive with state-of-the-art non-generative methods. Furthermore, the predictions produced by our model were significantly associated with survival length (r=0.24, p<0.05) in Amyotrophic Lateral Sclerosis. Thus, our approach demonstrates the value of diffusion-based architectures for the task of brain age prediction.