Three-Dimensional Medical Image Fusion with Deformable Cross-Attention

Multimodal medical image fusion plays an instrumental role in several areas of medical image processing, particularly in disease recognition and tumor detection. Traditional fusion methods tend to process each modality independently before combining the features and reconstructing the fusion image. However, this approach often neglects the fundamental commonalities and disparities between multimodal information. Furthermore, the prevailing methodologies are largely confined to fusing two-dimensional (2D) medical image slices, leading to a lack of contextual supervision in the fusion images and subsequently, a decreased information yield for physicians relative to three-dimensional (3D) images. In this study, we introduce an innovative unsupervised feature mutual learning fusion network designed to rectify these limitations. Our approach incorporates a Deformable Cross Feature Blend (DCFB) module that facilitates the dual modalities in discerning their respective similarities and differences. We have applied our model to the fusion of 3D MRI and PET images obtained from 660 patients in the Alzheimer's Disease Neuroimaging Initiative (ADNI) dataset. Through the application of the DCFB module, our network generates high-quality MRI-PET fusion images. Experimental results demonstrate that our method surpasses traditional 2D image fusion methods in performance metrics such as Peak Signal to Noise Ratio (PSNR) and Structural Similarity Index Measure (SSIM). Importantly, the capacity of our method to fuse 3D images enhances the information available to physicians and researchers, thus marking a significant step forward in the field. The code will soon be available online

A MEDICAL X-RAY IMAGE CLASSIFICATION AND RETRIEVAL SYSTEM

Medical image retrieval systems have gained high interest in the scientific community due to the advances in medical imaging technologies. The semantic gap is one of the biggest challenges in retrieval from large medical databases. This paper presents a retrieval system that aims at addressing this challenge by learning the main concept of every image in the medical database. The proposed system contains two modules: a classification/annotation and a retrieval module. The first module aims at classifying and subsequently annotating all medical images automatically. SIFT (Scale Invariant Feature Transform) and LBP (Local Binary Patterns) are two descriptors used in this process. Image-based and patch-based features are used as approaches to build a bag of words (BoW) using these descriptors. The impact on the classification performance is also evaluated. The results show that the classification accuracy obtained incorporating image-based integration techniques is higher than the accuracy obtained by other techniques. The retrieval module enables the search based on text, visual and multimodal queries. The text-based query supports retrieval of medical images based on categories, as it is carried out via the category that the images were annotated with, within the classification module. The multimodal query applies a late fusion technique on the retrieval results obtained from text-based and image-based queries. This fusion is used to enhance the retrieval performance by incorporating the advantages of both text-based and content-based image retrieval

A new framework for the integrative analytics of intravascular ultrasound and optical coherence tomography images

Abstract:The integrative analysis of multimodal medical images plays an important role in the diagnosis of coronary artery disease by providing additional comprehensive information that cannot be found in an individual source image. Intravascular ultrasound (IVUS) and optical coherence tomography (IV-OCT) are two imaging modalities that have been widely used in the medical practice for the assessment of arterial health and the detection of vascular lumen lesions. IV-OCT has a high resolution and poor penetration, while IVUS has a low resolution and high detection depth. This paper proposes a new approach for the fusion of intravascular ultrasound and optical coherence tomography pullbacks to significantly improve the use of those two types of medical images. It also presents a new two-phase multimodal fusion framework using a coarse-to-fine registration and a wavelet fusion method. In the coarse-registration process, we define a set of new feature points to match the IVUS image and IV-OCT image. Then, the improved quality image is obtained based on the integration of the mutual information of two types of images. Finally, the matched registered images are fused with an approach based on the new proposed wavelet algorithm. The experimental results demonstrate the performance of the proposed new approach for significantly enhancing both the precision and computational stability. The proposed approach is shown to be promising for providing additional information to enhance the diagnosis and enable a deeper understanding of atherosclerosis

Learning Deep Similarity Metric for 3D MR-TRUS Registration

Purpose: The fusion of transrectal ultrasound (TRUS) and magnetic resonance (MR) images for guiding targeted prostate biopsy has significantly improved the biopsy yield of aggressive cancers. A key component of MR-TRUS fusion is image registration. However, it is very challenging to obtain a robust automatic MR-TRUS registration due to the large appearance difference between the two imaging modalities. The work presented in this paper aims to tackle this problem by addressing two challenges: (i) the definition of a suitable similarity metric and (ii) the determination of a suitable optimization strategy. Methods: This work proposes the use of a deep convolutional neural network to learn a similarity metric for MR-TRUS registration. We also use a composite optimization strategy that explores the solution space in order to search for a suitable initialization for the second-order optimization of the learned metric. Further, a multi-pass approach is used in order to smooth the metric for optimization. Results: The learned similarity metric outperforms the classical mutual information and also the state-of-the-art MIND feature based methods. The results indicate that the overall registration framework has a large capture range. The proposed deep similarity metric based approach obtained a mean TRE of 3.86mm (with an initial TRE of 16mm) for this challenging problem. Conclusion: A similarity metric that is learned using a deep neural network can be used to assess the quality of any given image registration and can be used in conjunction with the aforementioned optimization framework to perform automatic registration that is robust to poor initialization.Comment: To appear on IJCAR

Automatic Brain Tumor Segmentation using Cascaded Anisotropic Convolutional Neural Networks

A cascade of fully convolutional neural networks is proposed to segment multi-modal Magnetic Resonance (MR) images with brain tumor into background and three hierarchical regions: whole tumor, tumor core and enhancing tumor core. The cascade is designed to decompose the multi-class segmentation problem into a sequence of three binary segmentation problems according to the subregion hierarchy. The whole tumor is segmented in the first step and the bounding box of the result is used for the tumor core segmentation in the second step. The enhancing tumor core is then segmented based on the bounding box of the tumor core segmentation result. Our networks consist of multiple layers of anisotropic and dilated convolution filters, and they are combined with multi-view fusion to reduce false positives. Residual connections and multi-scale predictions are employed in these networks to boost the segmentation performance. Experiments with BraTS 2017 validation set show that the proposed method achieved average Dice scores of 0.7859, 0.9050, 0.8378 for enhancing tumor core, whole tumor and tumor core, respectively. The corresponding values for BraTS 2017 testing set were 0.7831, 0.8739, and 0.7748, respectively.Comment: 12 pages, 5 figures. MICCAI Brats Challenge 201

Label-driven weakly-supervised learning for multimodal deformable image registration

Spatially aligning medical images from different modalities remains a challenging task, especially for intraoperative applications that require fast and robust algorithms. We propose a weakly-supervised, label-driven formulation for learning 3D voxel correspondence from higher-level label correspondence, thereby bypassing classical intensity-based image similarity measures. During training, a convolutional neural network is optimised by outputting a dense displacement field (DDF) that warps a set of available anatomical labels from the moving image to match their corresponding counterparts in the fixed image. These label pairs, including solid organs, ducts, vessels, point landmarks and other ad hoc structures, are only required at training time and can be spatially aligned by minimising a cross-entropy function of the warped moving label and the fixed label. During inference, the trained network takes a new image pair to predict an optimal DDF, resulting in a fully-automatic, label-free, real-time and deformable registration. For interventional applications where large global transformation prevails, we also propose a neural network architecture to jointly optimise the global- and local displacements. Experiment results are presented based on cross-validating registrations of 111 pairs of T2-weighted magnetic resonance images and 3D transrectal ultrasound images from prostate cancer patients with a total of over 4000 anatomical labels, yielding a median target registration error of 4.2 mm on landmark centroids and a median Dice of 0.88 on prostate glands.Comment: Accepted to ISBI 201