Maximilian Baust

Wenqi Li, Fausto Milletarì, Daguang Xu et al.

Due to medical data privacy regulations, it is often infeasible to collect and share patient data in a centralised data lake. This poses challenges for training machine learning algorithms, such as deep convolutional networks, which often require large numbers of diverse training examples. Federated learning sidesteps this difficulty by bringing code to the patient data owners and only sharing intermediate model training updates among them. Although a high-accuracy model could be achieved by appropriately aggregating these model updates, the model shared could indirectly leak the local training examples. In this paper, we investigate the feasibility of applying differential-privacy techniques to protect the patient data in a federated learning setup. We implement and evaluate practical federated learning systems for brain tumour segmentation on the BraTS dataset. The experimental results show that there is a trade-off between model performance and privacy protection costs.

Rüdiger Göbl, Diana Mateus, Christoph Hennersperger et al.

Freehand three-dimensional ultrasound (3D-US) has gained considerable interest in research, but even today suffers from its high inter-operator variability in clinical practice. The high variability mainly arises from tracking inaccuracies as well as the directionality of the ultrasound data, being neglected in most of today's reconstruction methods. By providing a novel paradigm for the acquisition and reconstruction of tracked freehand 3D ultrasound, this work presents the concept of Computational Sonography (CS) to model the directionality of ultrasound information. CS preserves the directionality of the acquired data, and allows for its exploitation by computational algorithms. In this regard, we propose a set of mathematical models to represent 3D-US data, inspired by the physics of ultrasound imaging. We compare different models of Computational Sonography to classical scalar compounding for freehand acquisitions, providing both an improved preservation of US directionality as well as improved image quality in 3D. The novel concept is evaluated for a set of phantom datasets, as well as for in-vivo acquisitions of muscoloskeletal and vascular applications.

Guilherme Aresta, Teresa Araújo, Scotty Kwok et al.

Breast cancer is the most common invasive cancer in women, affecting more than 10% of women worldwide. Microscopic analysis of a biopsy remains one of the most important methods to diagnose the type of breast cancer. This requires specialized analysis by pathologists, in a task that i) is highly time- and cost-consuming and ii) often leads to nonconsensual results. The relevance and potential of automatic classification algorithms using hematoxylin-eosin stained histopathological images has already been demonstrated, but the reported results are still sub-optimal for clinical use. With the goal of advancing the state-of-the-art in automatic classification, the Grand Challenge on BreAst Cancer Histology images (BACH) was organized in conjunction with the 15th International Conference on Image Analysis and Recognition (ICIAR 2018). A large annotated dataset, composed of both microscopy and whole-slide images, was specifically compiled and made publicly available for the BACH challenge. Following a positive response from the scientific community, a total of 64 submissions, out of 677 registrations, effectively entered the competition. From the submitted algorithms it was possible to push forward the state-of-the-art in terms of accuracy (87%) in automatic classification of breast cancer with histopathological images. Convolutional neuronal networks were the most successful methodology in the BACH challenge. Detailed analysis of the collective results allowed the identification of remaining challenges in the field and recommendations for future developments. The BACH dataset remains publically available as to promote further improvements to the field of automatic classification in digital pathology.

Julia Rackerseder, Maximilian Baust, Rüdiger Göbl et al.

Registration of partial-view 3D US volumes with MRI data is influenced by initialization. The standard of practice is using extrinsic or intrinsic landmarks, which can be very tedious to obtain. To overcome the limitations of registration initialization, we present a novel approach that is based on Euclidean distance maps derived from easily obtainable coarse segmentations. We evaluate our approach quantitatively on the publicly available RESECT dataset and show that it is robust regarding overlap of target area and initial position. Furthermore, our method provides initializations that are suitable for state-of-the-art nonlinear, deformable image registration algorithm's capture ranges.

Fausto Milletari, Nicola Rieke, Maximilian Baust et al.

Recent neural-network-based architectures for image segmentation make extensive usage of feature forwarding mechanisms to integrate information from multiple scales. Although yielding good results, even deeper architectures and alternative methods for feature fusion at different resolutions have been scarcely investigated for medical applications. In this work we propose to implement segmentation via an encoder-decoder architecture which differs from any other previously published method since (i) it employs a very deep architecture based on residual learning and (ii) combines features via a convolutional Long Short Term Memory (LSTM), instead of concatenation or summation. The intuition is that the memory mechanism implemented by LSTMs can better integrate features from different scales through a coarse-to-fine strategy; hence the name Coarse-to-Fine Context Memory (CFCM). We demonstrate the remarkable advantages of this approach on two datasets: the Montgomery county lung segmentation dataset, and the EndoVis 2015 challenge dataset for surgical instrument segmentation.

Maximilian Baust, Florian Ludwig, Christian Rupprecht et al.

Variational methods for revealing visual concepts learned by convolutional neural networks have gained significant attention during the last years. Being based on noisy gradients obtained via back-propagation such methods require the application of regularization strategies. We present a mathematical framework unifying previously employed regularization methods. Within this framework, we propose a novel technique based on Sobolev gradients which can be implemented via convolutions and does not require specialized numerical treatment, such as total variation regularization. The experiments performed on feature inversion and activation maximization demonstrate the benefit of a unified approach to regularization, such as sharper reconstructions via the proposed Sobolev filters and a better control over reconstructed scales.

Matthias Kohl, Christoph Walz, Florian Ludwig et al.

Breast cancer is the most frequently diagnosed cancer and leading cause of cancer-related death among females worldwide. In this article, we investigate the applicability of densely connected convolutional neural networks to the problems of histology image classification and whole slide image segmentation in the area of computer-aided diagnoses for breast cancer. To this end, we study various approaches for transfer learning and apply them to the data set from the 2018 grand challenge on breast cancer histology images (BACH).

Christian Rupprecht, Iro Laina, Robert DiPietro et al.

Many prediction tasks contain uncertainty. In some cases, uncertainty is inherent in the task itself. In future prediction, for example, many distinct outcomes are equally valid. In other cases, uncertainty arises from the way data is labeled. For example, in object detection, many objects of interest often go unlabeled, and in human pose estimation, occluded joints are often labeled with ambiguous values. In this work we focus on a principled approach for handling such scenarios. In particular, we propose a framework for reformulating existing single-prediction models as multiple hypothesis prediction (MHP) models and an associated meta loss and optimization procedure to train them. To demonstrate our approach, we consider four diverse applications: human pose estimation, future prediction, image classification and segmentation. We find that MHP models outperform their single-hypothesis counterparts in all cases, and that MHP models simultaneously expose valuable insights into the variability of predictions.

Christian Rupprecht, Elizabeth Huaroc, Maximilian Baust et al.

We propose a method for interactive boundary extraction which combines a deep, patch-based representation with an active contour framework. We train a class-specific convolutional neural network which predicts a vector pointing from the respective point on the evolving contour towards the closest point on the boundary of the object of interest. These predictions form a vector field which is then used for evolving the contour by the Sobolev active contour framework proposed by Sundaramoorthi et al. The resulting interactive segmentation method is very efficient in terms of required computational resources and can even be trained on comparatively small graphics cards. We evaluate the potential of the proposed method on both medical and non-medical challenge data sets, such as the STACOM data set and the PASCAL VOC 2012 data set.

Kanishka Sharma, Loic Peter, Christian Rupprecht et al.

This paper presents a method for 3D segmentation of kidneys from patients with autosomal dominant polycystic kidney disease (ADPKD) and severe renal insufficiency, using computed tomography (CT) data. ADPKD severely alters the shape of the kidneys due to non-uniform formation of cysts. As a consequence, fully automatic segmentation of such kidneys is very challenging. We present a segmentation method with minimal user interaction based on a random forest classifier. One of the major novelties of the proposed approach is the usage of geodesic distance volumes as additional source of information. These volumes contain the intensity weighted distance to a manual outline of the respective kidney in only one slice (for each kidney) of the CT volume. We evaluate our method qualitatively and quantitatively on 55 CT acquisitions using ground truth annotations from clinical experts.