Image and Video Processing (eess.IV)

Abstract: The Segment Anything Model (SAM) is a new image segmentation tool trained with the largest segmentation dataset at this time. The model has demonstrated that it can create high-quality masks for image segmentation with good promptability and generalizability. However, the performance of the model on medical images requires further validation. To assist with the development, assessment, and utilization of SAM on medical images, we introduce Segment Any Medical Model (SAMM), an extension of SAM on 3D Slicer, a widely-used open-source image processing and visualization software that has been extensively used in the medical imaging community. This open-source extension to 3D Slicer and its demonstrations are posted on GitHub (https://github.com/bingogome/samm). SAMM achieves 0.6-second latency of a complete cycle and can infer image masks in nearly real-time.

Abstract: Recently, a new form of magnetic resonance imaging (MRI) called synthetic correlated diffusion (CDI$^s$) imaging was introduced and showed considerable promise for clinical decision support for cancers such as prostate cancer when compared to current gold-standard MRI techniques. However, the efficacy for CDI$^s$ for other forms of cancers such as breast cancer has not been as well-explored nor have CDI$^s$ data been previously made publicly available. Motivated to advance efforts in the development of computer-aided clinical decision support for breast cancer using CDI$^s$, we introduce Cancer-Net BCa, a multi-institutional open-source benchmark dataset of volumetric CDI$^s$ imaging data of breast cancer patients. Cancer-Net BCa contains CDI$^s$ volumetric images from a pre-treatment cohort of 253 patients across ten institutions, along with detailed annotation metadata (the lesion type, genetic subtype, longest diameter on the MRI (MRLD), the Scarff-Bloom-Richardson (SBR) grade, and the post-treatment breast cancer pathologic complete response (pCR) to neoadjuvant chemotherapy). We further examine the demographic and tumour diversity of the Cancer-Net BCa dataset to gain deeper insights into potential biases. Cancer-Net BCa is publicly available as a part of a global open-source initiative dedicated to accelerating advancement in machine learning to aid clinicians in the fight against cancer.

Abstract: Federated learning (FL) enables multiple sites to collaboratively train powerful deep models without compromising data privacy and security. The statistical heterogeneity (e.g., non-IID data and domain shifts) is a primary obstacle in FL, impairing the generalization performance of the global model. Weakly supervised segmentation, which uses sparsely-grained (i.e., point-, bounding box-, scribble-, block-wise) supervision, is increasingly being paid attention to due to its great potential of reducing annotation costs. However, there may exist label heterogeneity, i.e., different annotation forms across sites. In this paper, we propose a novel personalized FL framework for medical image segmentation, named FedICRA, which uniformly leverages heterogeneous weak supervision via adaptIve Contrastive Representation and Aggregation. Concretely, to facilitate personalized modeling and to avoid confusion, a channel selection based site contrastive representation module is employed to adaptively cluster intra-site embeddings and separate inter-site ones. To effectively integrate the common knowledge from the global model with the unique knowledge from each local model, an adaptive aggregation module is applied for updating and initializing local models at the element level. Additionally, a weakly supervised objective function that leverages a multiscale tree energy loss and a gated CRF loss is employed to generate more precise pseudo-labels and further boost the segmentation performance. Through extensive experiments on two distinct medical image segmentation tasks of different modalities, the proposed FedICRA demonstrates overwhelming performance over other state-of-the-art personalized FL methods. Its performance even approaches that of fully supervised training on centralized data. Our code and data are available at https://github.com/llmir/FedICRA.

Abstract: Early detection and correction of defects are critical in additive manufacturing (AM) to avoid build failures. In this paper, we present a multisensor fusion-based digital twin for in-situ quality monitoring and defect correction in a robotic laser direct energy deposition process. Multisensor fusion sources consist of an acoustic sensor, an infrared thermal camera, a coaxial vision camera, and a laser line scanner. The key novelty and contribution of this work are to develop a spatiotemporal data fusion method that synchronizes and registers the multisensor features within the part's 3D volume. The fused dataset can be used to predict location-specific quality using machine learning. On-the-fly identification of regions requiring material addition or removal is feasible. Robot toolpath and auto-tuned process parameters are generated for defecting correction. In contrast to traditional single-sensor-based monitoring, multisensor fusion allows for a more in-depth understanding of underlying process physics, such as pore formation and laser-material interactions. The proposed methods pave the way for self-adaptation AM with higher efficiency, less waste, and cleaner production.

Abstract: Quality control (QC) has long been considered essential to guarantee the reliability of neuroimaging studies. It is particularly important for fetal brain MRI, where large and unpredictable fetal motion can lead to substantial artifacts in the acquired images. Existing methods for fetal brain quality assessment operate at the \textit{slice} level, and fail to get a comprehensive picture of the quality of an image, that can only be achieved by looking at the \textit{entire} brain volume. In this work, we propose FetMRQC, a machine learning framework for automated image quality assessment tailored to fetal brain MRI, which extracts an ensemble of quality metrics that are then used to predict experts' ratings. Based on the manual ratings of more than 1000 low-resolution stacks acquired across two different institutions, we show that, compared with existing quality metrics, FetMRQC is able to generalize out-of-domain, while being interpretable and data efficient. We also release a novel manual quality rating tool designed to facilitate and optimize quality rating of fetal brain images. Our tool, along with all the code to generate, train and evaluate the model will be released upon acceptance of the paper.

Abstract: The assessment of aortic valve pathology using magnetic resonance imaging (MRI) typically relies on blood velocity estimates acquired using phase contrast (PC) MRI. However, abnormalities in blood flow through the aortic valve often manifest by the dephasing of blood signal in gated balanced steady-state free precession (bSSFP) scans (Cine MRI). We propose a 3D classification neural network (NN) to automatically identify aortic valve pathology (aortic regurgitation, aortic stenosis, mixed valve disease) from Cine MR images. We train and test our approach on a retrospective clinical dataset from three UK hospitals, using single-slice 3-chamber cine MRI from N = 576 patients. Our classification model accurately predicts the presence of aortic valve pathology (AVD) with an accuracy of 0.85 +/- 0.03 and can also correctly discriminate the type of AVD pathology (accuracy: 0.75 +/- 0.03). Gradient-weighted class activation mapping (Grad-CAM) confirms that the blood pool voxels close to the aortic root contribute the most to the classification. Our approach can be used to improve the diagnosis of AVD and optimise clinical CMR protocols for accurate and efficient AVD detection.

Abstract: Medical image segmentation is an increasingly popular area of research in medical imaging processing and analysis. However, many researchers who are new to the field struggle with basic concepts. This tutorial paper aims to provide an overview of the fundamental concepts of medical imaging, with a focus on Magnetic Resonance and Computerized Tomography. We will also discuss deep learning algorithms, tools, and frameworks used for segmentation tasks, and suggest best practices for method development and image analysis. Our tutorial includes sample tasks using public data, and accompanying code is available on GitHub (https://github.com/MICLab-Unicamp/Medical-ImagingTutorial). By sharing our insights gained from years of experience in the field and learning from relevant literature, we hope to assist researchers in overcoming the initial challenges they may encounter in this exciting and important area of research.