Niklas Gunnarsson

Niklas Gunnarsson, Jens Sjölund, Peter Kimstrand et al.

Image monitoring and guidance during medical examinations can aid both diagnosis and treatment. However, the sampling frequency is often too low, which creates a need to estimate the missing images. We present a probabilistic motion model for sequential medical images, with the ability to both estimate motion between acquired images and forecast the motion ahead of time. The core is a low-dimensional temporal process based on a linear Gaussian state-space model with analytically tractable solutions for forecasting, simulation, and imputation of missing samples. The results, from two experiments on publicly available cardiac datasets, show reliable motion estimates and an improved forecasting performance using patient-specific adaptation by online learning.

Alessa Hering, Lasse Hansen, Tony C. W. Mok et al.

Image registration is a fundamental medical image analysis task, and a wide variety of approaches have been proposed. However, only a few studies have comprehensively compared medical image registration approaches on a wide range of clinically relevant tasks. This limits the development of registration methods, the adoption of research advances into practice, and a fair benchmark across competing approaches. The Learn2Reg challenge addresses these limitations by providing a multi-task medical image registration data set for comprehensive characterisation of deformable registration algorithms. A continuous evaluation will be possible at https://learn2reg.grand-challenge.org. Learn2Reg covers a wide range of anatomies (brain, abdomen, and thorax), modalities (ultrasound, CT, MR), availability of annotations, as well as intra- and inter-patient registration evaluation. We established an easily accessible framework for training and validation of 3D registration methods, which enabled the compilation of results of over 65 individual method submissions from more than 20 unique teams. We used a complementary set of metrics, including robustness, accuracy, plausibility, and runtime, enabling unique insight into the current state-of-the-art of medical image registration. This paper describes datasets, tasks, evaluation methods and results of the challenge, as well as results of further analysis of transferability to new datasets, the importance of label supervision, and resulting bias. While no single approach worked best across all tasks, many methodological aspects could be identified that push the performance of medical image registration to new state-of-the-art performance. Furthermore, we demystified the common belief that conventional registration methods have to be much slower than deep-learning-based methods.

Niklas Gunnarsson, Peter Kimstrand, Jens Sjölund et al.

Spatiotemporal imaging has applications in e.g. cardiac diagnostics, surgical guidance, and radiotherapy monitoring, In this paper, we explain the temporal motion by identifying the underlying dynamics, only based on the sequential images. Our dynamical model maps the inputs of observed high-dimensional sequential images to a low-dimensional latent space wherein a linear relationship between a hidden state process and the lower-dimensional representation of the inputs holds. For this, we use a conditional variational auto-encoder (CVAE) to nonlinearly map the higher-dimensional image to a lower-dimensional space, wherein we model the dynamics with a linear Gaussian state-space model (LG-SSM). The model, a modified version of the Kalman variational auto-encoder, is end-to-end trainable, and the weights, both in the CVAE and LG-SSM, are simultaneously updated by maximizing the evidence lower bound of the marginal likelihood. In contrast to the original model, we explain the motion with a spatial transformation from one image to another. This results in sharper reconstructions and the possibility of transferring auxiliary information, such as segmentation, through the image sequence. Our experiments, on cardiac ultrasound time series, show that the dynamic model outperforms traditional image registration in execution time, to a similar performance. Further, our model offers the possibility to impute and extrapolate for missing samples.

Niklas Gunnarsson, Jens Sjölund, Thomas B. Schön

Our anatomy is in constant motion. With modern MR imaging it is possible to record this motion in real-time during an ongoing radiation therapy session. In this paper we present an image registration method that exploits the sequential nature of 2D MR images to estimate the corresponding displacement field. The method employs several discriminative correlation filters that independently track specific points. Together with a sparse-to-dense interpolation scheme we can then estimate of the displacement field. The discriminative correlation filters are trained online, and our method is modality agnostic. For the interpolation scheme we use a neural network with normalized convolutions that is trained using synthetic diffeomorphic displacement fields. The method is evaluated on a segmented cardiac dataset and when compared to two conventional methods we observe an improved performance. This improvement is especially pronounced when it comes to the detection of larger motions of small objects.