Alan Wang

Xinzi He, Alan Wang, Mert R. Sabuncu

Head MRI pre-processing involves converting raw images to an intensity-normalized, skull-stripped brain in a standard coordinate space. In this paper, we propose an end-to-end weakly supervised learning approach, called Neural Pre-processing (NPP), for solving all three sub-tasks simultaneously via a neural network, trained on a large dataset without individual sub-task supervision. Because the overall objective is highly under-constrained, we explicitly disentangle geometric-preserving intensity mapping (skull-stripping and intensity normalization) and spatial transformation (spatial normalization). Quantitative results show that our model outperforms state-of-the-art methods which tackle only a single sub-task. Our ablation experiments demonstrate the importance of the architecture design we chose for NPP. Furthermore, NPP affords the user the flexibility to control each of these tasks at inference time. The code and model are freely-available at \url{https://github.com/Novestars/Neural-Pre-processing}.

Jiaxing Xu, Yunhan Yang, David Tse Jung Huang et al.

This paper presents a comprehensive and quality collection of functional human brain network data for potential research in the intersection of neuroscience, machine learning, and graph analytics. Anatomical and functional MRI images have been used to understand the functional connectivity of the human brain and are particularly important in identifying underlying neurodegenerative conditions such as Alzheimer's, Parkinson's, and Autism. Recently, the study of the brain in the form of brain networks using machine learning and graph analytics has become increasingly popular, especially to predict the early onset of these conditions. A brain network, represented as a graph, retains rich structural and positional information that traditional examination methods are unable to capture. However, the lack of publicly accessible brain network data prevents researchers from data-driven explorations. One of the main difficulties lies in the complicated domain-specific preprocessing steps and the exhaustive computation required to convert the data from MRI images into brain networks. We bridge this gap by collecting a large amount of MRI images from public databases and a private source, working with domain experts to make sensible design choices, and preprocessing the MRI images to produce a collection of brain network datasets. The datasets originate from 6 different sources, cover 4 brain conditions, and consist of a total of 2,702 subjects. We test our graph datasets on 12 machine learning models to provide baselines and validate the data quality on a recent graph analysis model. To lower the barrier to entry and promote the research in this interdisciplinary field, we release our brain network data and complete preprocessing details including codes at https://doi.org/10.17608/k6.auckland.21397377 and https://github.com/brainnetuoa/data_driven_network_neuroscience.

Raghav Mehta, Angelos Filos, Ujjwal Baid et al.

Deep learning (DL) models have provided state-of-the-art performance in various medical imaging benchmarking challenges, including the Brain Tumor Segmentation (BraTS) challenges. However, the task of focal pathology multi-compartment segmentation (e.g., tumor and lesion sub-regions) is particularly challenging, and potential errors hinder translating DL models into clinical workflows. Quantifying the reliability of DL model predictions in the form of uncertainties could enable clinical review of the most uncertain regions, thereby building trust and paving the way toward clinical translation. Several uncertainty estimation methods have recently been introduced for DL medical image segmentation tasks. Developing scores to evaluate and compare the performance of uncertainty measures will assist the end-user in making more informed decisions. In this study, we explore and evaluate a score developed during the BraTS 2019 and BraTS 2020 task on uncertainty quantification (QU-BraTS) and designed to assess and rank uncertainty estimates for brain tumor multi-compartment segmentation. This score (1) rewards uncertainty estimates that produce high confidence in correct assertions and those that assign low confidence levels at incorrect assertions, and (2) penalizes uncertainty measures that lead to a higher percentage of under-confident correct assertions. We further benchmark the segmentation uncertainties generated by 14 independent participating teams of QU-BraTS 2020, all of which also participated in the main BraTS segmentation task. Overall, our findings confirm the importance and complementary value that uncertainty estimates provide to segmentation algorithms, highlighting the need for uncertainty quantification in medical image analyses. Finally, in favor of transparency and reproducibility, our evaluation code is made publicly available at: https://github.com/RagMeh11/QU-BraTS.

Fangrui Huang, Alan Wang, Binxu Li et al.

Deep generative models have demonstrated remarkable success in medical image synthesis. However, ensuring conditioning faithfulness and high-quality synthetic images for direct or counterfactual generation remains a challenge. In this work, we introduce a cycle training framework to fine-tune diffusion models for improved conditioning adherence and enhanced synthetic image realism. Our approach, Cycle Diffusion Model (CDM), enforces consistency between generated and original images by incorporating cycle constraints, enabling more reliable direct and counterfactual generation. Experiments on a combined 3D brain MRI dataset (from ABCD, HCP aging & young adults, ADNI, and PPMI) show that our method improves conditioning accuracy and enhances image quality as measured by FID and SSIM. The results suggest that the cycle strategy used in CDM can be an effective method for refining diffusion-based medical image generation, with applications in data augmentation, counterfactual, and disease progression modeling.

Jinwei Zhang, Hang Zhang, Alan Wang et al.

The previously established LOUPE (Learning-based Optimization of the Under-sampling Pattern) framework for optimizing the k-space sampling pattern in MRI was extended in three folds: firstly, fully sampled multi-coil k-space data from the scanner, rather than simulated k-space data from magnitude MR images in LOUPE, was retrospectively under-sampled to optimize the under-sampling pattern of in-vivo k-space data; secondly, binary stochastic k-space sampling, rather than approximate stochastic k-space sampling of LOUPE during training, was applied together with a straight-through (ST) estimator to estimate the gradient of the threshold operation in a neural network; thirdly, modified unrolled optimization network, rather than modified U-Net in LOUPE, was used as the reconstruction network in order to reconstruct multi-coil data properly and reduce the dependency on training data. Experimental results show that when dealing with the in-vivo k-space data, unrolled optimization network with binary under-sampling block and ST estimator had better reconstruction performance compared to the ones with either U-Net reconstruction network or approximate sampling pattern optimization network, and once trained, the learned optimal sampling pattern worked better than the hand-crafted variable density sampling pattern when deployed with other conventional reconstruction methods.

Edward Ferdian, Avan Suinesiaputra, David Dubowitz et al.

4D-flow magnetic resonance imaging (MRI) is an emerging imaging technique where spatiotemporal 3D blood velocity can be captured with full volumetric coverage in a single non-invasive examination. This enables qualitative and quantitative analysis of hemodynamic flow parameters of the heart and great vessels. An increase in the image resolution would provide more accuracy and allow better assessment of the blood flow, especially for patients with abnormal flows. However, this must be balanced with increasing imaging time. The recent success of deep learning in generating super resolution images shows promise for implementation in medical images. We utilized computational fluid dynamics simulations to generate fluid flow simulations and represent them as synthetic 4D flow MRI data. We built our training dataset to mimic actual 4D flow MRI data with its corresponding noise distribution. Our novel 4DFlowNet network was trained on this synthetic 4D flow data and was capable in producing noise-free super resolution 4D flow phase images with upsample factor of 2. We also tested the 4DFlowNet in actual 4D flow MR images of a phantom and normal volunteer data, and demonstrated comparable results with the actual flow rate measurements giving an absolute relative error of 0.6 to 5.8% and 1.1 to 3.8% in the phantom data and normal volunteer data, respectively.