Christiaan G. A. Viviers

Roman Pavelkin, Luis A. Zavala-Mondragon, Christiaan G. A. Viviers et al.

Numerous modern applications in signal processing and medical imaging necessitate acquiring high-dimensional signals under tight resource constraints. Traditional sampling theory suggests that accurate signal reconstruction requires a number of measurements proportional to the signal's ambient dimension, a requirement often too expensive or impractical. Compressed sensing challenges this notion by demonstrating that sparse signals can be recovered with fewer measurements, provided the measurement operator meets certain conditions. This proof-of-concept study presents a task-aware flow-based generative framework -- a reformulation of the conventional Flow Matching training paradigm with a flow model trained to optimize subsampling in compressed sensing applications. We establish the fundamental feasibility of the proposed framework of learning subsampling masks that substantially enhance the performance of compressed sensing for image classification, image reconstruction, and MRI acceleration. For the image reconstruction task, our method demonstrated state-of-the-art performance, achieving Peak Signal-to-Noise Ratio of 25.17 dB at the subsampling rate of 5\% on the CelebA dataset and 29.24 dB when reconstructing $8\times$ accelerated MRI measurements (fastMRI dataset) with the minimal computational overhead. These results highlight the effectiveness of task-conditioning within generative flow models and reveal a promising direction for representation learning strategies. Overall, the proposed framework offers a unified, flexible approach to designing data- and task-driven sensing schemes that can be potentially adapted to a broad range of inverse problems.

Christiaan G. A. Viviers, Mark Ramaekers, Peter H. N. de With et al.

Pancreatic cancer is one of the global leading causes of cancer-related deaths. Despite the success of Deep Learning in computer-aided diagnosis and detection (CAD) methods, little attention has been paid to the detection of Pancreatic Cancer. We propose a method for detecting pancreatic tumor that utilizes clinically-relevant features in the surrounding anatomical structures, thereby better aiming to exploit the radiologist's knowledge compared to other, conventional deep learning approaches. To this end, we collect a new dataset consisting of 99 cases with pancreatic ductal adenocarcinoma (PDAC) and 97 control cases without any pancreatic tumor. Due to the growth pattern of pancreatic cancer, the tumor may not be always visible as a hypodense lesion, therefore experts refer to the visibility of secondary external features that may indicate the presence of the tumor. We propose a method based on a U-Net-like Deep CNN that exploits the following external secondary features: the pancreatic duct, common bile duct and the pancreas, along with a processed CT scan. Using these features, the model segments the pancreatic tumor if it is present. This segmentation for classification and localization approach achieves a performance of 99% sensitivity (one case missed) and 99% specificity, which realizes a 5% increase in sensitivity over the previous state-of-the-art method. The model additionally provides location information with reasonable accuracy and a shorter inference time compared to previous PDAC detection methods. These results offer a significant performance improvement and highlight the importance of incorporating the knowledge of the clinical expert when developing novel CAD methods.

M. M. Amaan Valiuddin, Christiaan G. A. Viviers, Ruud J. G. van Sloun et al.

Melanoma is a serious form of skin cancer with high mortality rate at later stages. Fortunately, when detected early, the prognosis of melanoma is promising and malignant melanoma incidence rates are relatively low. As a result, datasets are heavily imbalanced which complicates training current state-of-the-art supervised classification AI models. We propose to use generative models to learn the benign data distribution and detect Out-of-Distribution (OOD) malignant images through density estimation. Normalizing Flows (NFs) are ideal candidates for OOD detection due to their ability to compute exact likelihoods. Nevertheless, their inductive biases towards apparent graphical features rather than semantic context hamper accurate OOD detection. In this work, we aim at using these biases with domain-level knowledge of melanoma, to improve likelihood-based OOD detection of malignant images. Our encouraging results demonstrate potential for OOD detection of melanoma using NFs. We achieve a 9% increase in Area Under Curve of the Receiver Operating Characteristics by using wavelet-based NFs. This model requires significantly less parameters for inference making it more applicable on edge devices. The proposed methodology can aid medical experts with diagnosis of skin-cancer patients and continuously increase survival rates. Furthermore, this research paves the way for other areas in oncology with similar data imbalance issues.

Christiaan G. A. Viviers, Joel de Bruijn, Lena Filatova et al.

Deep learning-based pose estimation algorithms can successfully estimate the pose of objects in an image, especially in the field of color images. 6D Object pose estimation based on deep learning models for X-ray images often use custom architectures that employ extensive CAD models and simulated data for training purposes. Recent RGB-based methods opt to solve pose estimation problems using small datasets, making them more attractive for the X-ray domain where medical data is scarcely available. We refine an existing RGB-based model (SingleShotPose) to estimate the 6D pose of a marked cube from grayscale X-ray images by creating a generic solution trained on only real X-ray data and adjusted for X-ray acquisition geometry. The model regresses 2D control points and calculates the pose through 2D/3D correspondences using Perspective-n-Point(PnP), allowing a single trained model to be used across all supporting cone-beam-based X-ray geometries. Since modern X-ray systems continuously adjust acquisition parameters during a procedure, it is essential for such a pose estimation network to consider these parameters in order to be deployed successfully and find a real use case. With a 5-cm/5-degree accuracy of 93% and an average 3D rotation error of 2.2 degrees, the results of the proposed approach are comparable with state-of-the-art alternatives, while requiring significantly less real training examples and being applicable in real-time applications.

M. M. Amaan Valiuddin, Christiaan G. A. Viviers, Ruud J. G. van Sloun et al.

Data uncertainties, such as sensor noise, occlusions or limitations in the acquisition method can introduce irreducible ambiguities in images, which result in varying, yet plausible, semantic hypotheses. In Machine Learning, this ambiguity is commonly referred to as aleatoric uncertainty. In image segmentation, latent density models can be utilized to address this problem. The most popular approach is the Probabilistic U-Net (PU-Net), which uses latent Normal densities to optimize the conditional data log-likelihood Evidence Lower Bound. In this work, we demonstrate that the PU-Net latent space is severely sparse and heavily under-utilized. To address this, we introduce mutual information maximization and entropy-regularized Sinkhorn Divergence in the latent space to promote homogeneity across all latent dimensions, effectively improving gradient-descent updates and latent space informativeness. Our results show that by applying this on public datasets of various clinical segmentation problems, our proposed methodology receives up to 11% performance gains compared against preceding latent variable models for probabilistic segmentation on the Hungarian-Matched Intersection over Union. The results indicate that encouraging a homogeneous latent space significantly improves latent density modeling for medical image segmentation.

Christiaan G. A. Viviers, Lena Filatova, Maurice Termeer et al.

Accurate 6-DoF pose estimation of surgical instruments during minimally invasive surgeries can substantially improve treatment strategies and eventual surgical outcome. Existing deep learning methods have achieved accurate results, but they require custom approaches for each object and laborious setup and training environments often stretching to extensive simulations, whilst lacking real-time computation. We propose a general-purpose approach of data acquisition for 6-DoF pose estimation tasks in X-ray systems, a novel and general purpose YOLOv5-6D pose architecture for accurate and fast object pose estimation and a complete method for surgical screw pose estimation under acquisition geometry consideration from a monocular cone-beam X-ray image. The proposed YOLOv5-6D pose model achieves competitive results on public benchmarks whilst being considerably faster at 42 FPS on GPU. In addition, the method generalizes across varying X-ray acquisition geometry and semantic image complexity to enable accurate pose estimation over different domains. Finally, the proposed approach is tested for bone-screw pose estimation for computer-aided guidance during spine surgeries. The model achieves a 92.41% by the 0.1 ADD-S metric, demonstrating a promising approach for enhancing surgical precision and patient outcomes. The code for YOLOv5-6D is publicly available at https://github.com/cviviers/YOLOv5-6D-Pose

Christiaan G. A. Viviers, Koen de Bruin, Mirre M. Trines et al.

Nanomedicine research spans delivery chemistry, immunology, imaging, biomaterials, and disease-specific translational science, yet its conceptual design space remains fragmented across a large and heterogeneous literature. To date, artificial intelligence in nanomedicine has focused primarily on property prediction and formulation optimization, with much less attention to evidence-grounded discovery support at the level of research direction selection. We introduce pArticleMap, a literature-mapping and research-hypothesis-generation system that combines article embeddings, similarity-graph analysis, sparse frontier extraction, structured evidence-pack retrieval, and an audited large-language-model (LLM) workflow for grounded ideation. Rather than forecasting future concept co-occurrence, pArticleMap targets low-density article-level bridge regions and cluster interfaces, then generates and scores citation-grounded hypotheses with large language models in an agentic setup. We evaluate the system with a retrospective realization benchmark (generate later literature under a historical cutoff) and a blinded human reader assessment layer across cue-conditioned nanomedicine tasks. Across 4 selected retrospective bundles, pArticleMap generated ideas and selected task-retained hypotheses (winner ideas) under the benchmark protocol. For task-level retained hypotheses, a pooled gold recovery rate of 10.8% was obtained, with a recall@10 of 15.9% and a future-neighborhood rate of 61.0%, indicating that the system often reached the correct forward-looking neighborhood (paper ideas) even without exact paper-level recovery. Human-agent agreement is modest overall, indicating that internal scoring is useful as a support signal but does not replace expert judgment. These results position pArticleMap as a conservative, evidence-grounded research assistant for nanomedicine.

Christiaan G. A. Viviers, Amaan M. M. Valiuddin, Peter H. N. de With et al.

Uncertainty quantification in medical images has become an essential addition to segmentation models for practical application in the real world. Although there are valuable developments in accurate uncertainty quantification methods using 2D images and slices of 3D volumes, in clinical practice, the complete 3D volumes (such as CT and MRI scans) are used to evaluate and plan the medical procedure. As a result, the existing 2D methods miss the rich 3D spatial information when resolving the uncertainty. A popular approach for quantifying the ambiguity in the data is to learn a distribution over the possible hypotheses. In recent work, this ambiguity has been modeled to be strictly Gaussian. Normalizing Flows (NFs) are capable of modelling more complex distributions and thus, better fit the embedding space of the data. To this end, we have developed a 3D probabilistic segmentation framework augmented with NFs, to enable capturing the distributions of various complexity. To test the proposed approach, we evaluate the model on the LIDC-IDRI dataset for lung nodule segmentation and quantify the aleatoric uncertainty introduced by the multi-annotator setting and inherent ambiguity in the CT data. Following this approach, we are the first to present a 3D Squared Generalized Energy Distance (GED) of 0.401 and a high 0.468 Hungarian-matched 3D IoU. The obtained results reveal the value in capturing the 3D uncertainty, using a flexible posterior distribution augmented with a Normalizing Flow. Finally, we present the aleatoric uncertainty in a visual manner with the aim to provide clinicians with additional insight into data ambiguity and facilitating more informed decision-making.