Amanda Chang

Fahim Ahmed Zaman, Mathews Jacob, Amanda Chang et al.

Diffusion Probabilistic Models (DPMs) suffer from inefficient inference due to their slow sampling and high memory consumption, which limits their applicability to various medical imaging applications. In this work, we propose a novel conditional diffusion modeling framework (LDSeg) for medical image segmentation, utilizing the learned inherent low-dimensional latent shape manifolds of the target objects and the embeddings of the source image with an end-to-end framework. Conditional diffusion in latent space not only ensures accurate image segmentation for multiple interacting objects, but also tackles the fundamental issues of traditional DPM-based segmentation methods: (1) high memory consumption, (2) time-consuming sampling process, and (3) unnatural noise injection in the forward and reverse processes. The end-to-end training strategy enables robust representation learning in the latent space related to segmentation features, ensuring significantly faster sampling from the posterior distribution for segmentation generation in the inference phase. Our experiments demonstrate that LDSeg achieved state-of-the-art segmentation accuracy on three medical image datasets with different imaging modalities. In addition, we showed that our proposed model was significantly more robust to noise compared to traditional deterministic segmentation models. The code is available at https://github.com/FahimZaman/LDSeg.git.

Fahim Ahmed Zaman, Wahidul Alam, Tarun Kanti Roy et al.

Researchers have shown significant correlations among segmented objects in various medical imaging modalities and disease related pathologies. Several studies showed that using hand crafted features for disease prediction neglects the immense possibility to use latent features from deep learning (DL) models which may reduce the overall accuracy of differential diagnosis. However, directly using classification or segmentation models on medical to learn latent features opt out robust feature selection and may lead to overfitting. To fill this gap, we propose a novel feature selection technique using the latent space of a segmentation model that can aid diagnosis. We evaluated our method in differentiating a rare cardiac disease: Takotsubo Syndrome (TTS) from the ST elevation myocardial infarction (STEMI) using echocardiogram videos (echo). TTS can mimic clinical features of STEMI in echo and extremely hard to distinguish. Our approach shows promising results in differential diagnosis of TTS with 82% diagnosis accuracy beating the previous state-of-the-art (SOTA) approach. Moreover, the robust feature selection technique using LASSO algorithm shows great potential in reducing the redundant features and creates a robust pipeline for short- and long-term disease prognoses in the downstream analysis.

Fahim Ahmed Zaman, Mathews Jacob, Amanda Chang et al.

Diffusion models have shown impressive performance for image generation, often times outperforming other generative models. Since their introduction, researchers have extended the powerful noise-to-image denoising pipeline to discriminative tasks, including image segmentation. In this work we propose a conditional score-based generative modeling framework for medical image segmentation which relies on a parametric surface representation for the segmentation masks. The surface re-parameterization allows the direct application of standard diffusion theory, as opposed to when the mask is represented as a binary mask. Moreover, we adapted an extended variant of the diffusion technique known as the "cold-diffusion" where the diffusion model can be constructed with deterministic perturbations instead of Gaussian noise, which facilitates significantly faster convergence in the reverse diffusion. We evaluated our method on the segmentation of the left ventricle from 65 transthoracic echocardiogram videos (2230 echo image frames) and compared its performance to the most popular and widely used image segmentation models. Our proposed model not only outperformed the compared methods in terms of segmentation accuracy, but also showed potential in estimating segmentation uncertainties for further downstream analyses due to its inherent generative nature.