Explainable cardiac pathology classification on cine MRI with motion characterization by semi-supervised learning of apparent flow

We propose a method to classify cardiac pathology based on a novel approach to extract image derived features to characterize the shape and motion of the heart. An original semi-supervised learning procedure, which makes efficient use of a large amount of non-segmented images and a small amount of images segmented manually by experts, is developed to generate pixel-wise apparent flow between two time points of a 2D+t cine MRI image sequence. Combining the apparent flow maps and cardiac segmentation masks, we obtain a local apparent flow corresponding to the 2D motion of myocardium and ventricular cavities. This leads to the generation of time series of the radius and thickness of myocardial segments to represent cardiac motion. These time series of motion features are reliable and explainable characteristics of pathological cardiac motion. Furthermore, they are combined with shape-related features to classify cardiac pathologies. Using only nine feature values as input, we propose an explainable, simple and flexible model for pathology classification. On ACDC training set and testing set, the model achieves 95% and 94% respectively as classification accuracy. Its performance is hence comparable to that of the state-of-the-art. Comparison with various other models is performed to outline some advantages of our model

Deep Learning in Cardiology

The medical field is creating large amount of data that physicians are unable to decipher and use efficiently. Moreover, rule-based expert systems are inefficient in solving complicated medical tasks or for creating insights using big data. Deep learning has emerged as a more accurate and effective technology in a wide range of medical problems such as diagnosis, prediction and intervention. Deep learning is a representation learning method that consists of layers that transform the data non-linearly, thus, revealing hierarchical relationships and structures. In this review we survey deep learning application papers that use structured data, signal and imaging modalities from cardiology. We discuss the advantages and limitations of applying deep learning in cardiology that also apply in medicine in general, while proposing certain directions as the most viable for clinical use.Comment: 27 pages, 2 figures, 10 table

Pathological Evidence Exploration in Deep Retinal Image Diagnosis

Though deep learning has shown successful performance in classifying the label and severity stage of certain disease, most of them give few evidence on how to make prediction. Here, we propose to exploit the interpretability of deep learning application in medical diagnosis. Inspired by Koch's Postulates, a well-known strategy in medical research to identify the property of pathogen, we define a pathological descriptor that can be extracted from the activated neurons of a diabetic retinopathy detector. To visualize the symptom and feature encoded in this descriptor, we propose a GAN based method to synthesize pathological retinal image given the descriptor and a binary vessel segmentation. Besides, with this descriptor, we can arbitrarily manipulate the position and quantity of lesions. As verified by a panel of 5 licensed ophthalmologists, our synthesized images carry the symptoms that are directly related to diabetic retinopathy diagnosis. The panel survey also shows that our generated images is both qualitatively and quantitatively superior to existing methods.Comment: to appear in AAAI (2019). The first two authors contributed equally to the paper. Corresponding Author: Feng L

Interactive Learning for the Analysis of Biomedical and Industrial Imagery

In der vorliegenden Dissertation werden Methoden des überwachten Lernens untersucht und auf die Analyse und die Segmentierung digitaler Bilddaten angewendet, die aus diversen Forschungsgebieten stammen. Die Segmentierung und die Klassifikation spielen eine wichtige Rolle in der biomedizinischen und industriellen Bildverarbeitung, häufig basiert darauf weitere Erkennung und Quantifikation. Viele problemspezifische Ansätze existieren für die unterschiedlichsten Fragestellungen und nutzen meist spezifisches Vorwissen aus den jeweiligen Bilddaten aus. In dieser Arbeit wird ein überwachtes Lernverfahren vorgestellt, das mehrere Objekte und deren Klassen gleichzeitig segmentieren und unterscheiden kann. Die Methode ist generell genug um einen wichtigen Bereich von Anwendungen abzudecken, für deren Lösung lokale Merkmale eine Rolle spielen. Segmentierungsergebnisse dieses Ansatzes werden auf verschiedenen Datensätzen mit unterschiedlichen Problemstellungen gezeigt. Die Resultate unterstreichen die Anwendbarkeit der Lernmethode für viele biomedizinische und industrielle Anwendungen, ohne dass explizite Kenntnisse der Bildverarbeitung und Programmierung vorausgesetzt werden müssen. Der Ansatz basiert auf generellen Merkmalsklassen, die es erlauben lokal Strukturen wie Farbe, Textur und Kanten zu beschreiben. Zu diesem Zweck wurde eine interaktive Software implementiert, welche, für gewöhnliche Bildgrößen, in Echtzeit arbeitet und es somit einem Domänenexperten erlaubt Segmentierungs- und Klassifikationsaufgaben interaktiv zu bearbeiten. Dafür sind keine Kenntnisse in der Bildverarbeitung nötig, da sich die Benutzerinteraktion auf intuitives Markieren mit einem Pinselwerkzeug beschränkt. Das interaktiv trainierte System kann dann ohne weitere Benutzerinteraktion auf viele neue Bilder angewendet werden. Der Ansatz ist auf Segmentierungsprobleme beschränkt, für deren Lösung lokale diskriminative Merkmale ausreichen. Innerhalb dieser Einschränkung zeigt der Algorithmus jedoch erstaunlich gute Resultate, die in einer applikationsspezifischen Prozedur weiter verbessert werden können. Das Verfahren unterstützt bis zu vierdimensionale, multispektrale Bilddaten in vereinheitlichter Weise. Um die Anwendbar- und Übertragbarkeit der Methode weiter zu illustrieren wurden mehrere echte Anwendungsfälle, kommend aus verschiedenen bildgebenden Bereichen, untersucht. Darunter sind u. A. die Segmentierung von Tumorgewebe, aufgenommen mittelsWeitfeldmikroskopie, die Quantifikation von Zellwanderungen in konfokalmikroskopischen Aufnahmen für die Untersuchung der adulten Neurogenese, die Segmentierung von Blutgefäßen in der Retina des Auges, das Verfolgen von Kupferdrähten in einer Anwendung zur Produktauthentifikation und die Qualitätskontrolle von Mikroskopiebildern im Kontext von Hochdurchsatz-Experimenten. Desweiteren wurde eine neue Klassifikationsmethode basierend auf globalen Frequenzschätzungen für die Prozesskontrolle des Papieranlegers an Druckmaschinen entwickelt

Segmentation of pelvic structures from preoperative images for surgical planning and guidance

Prostate cancer is one of the most frequently diagnosed malignancies globally and the second leading cause of cancer-related mortality in males in the developed world. In recent decades, many techniques have been proposed for prostate cancer diagnosis and treatment. With the development of imaging technologies such as CT and MRI, image-guided procedures have become increasingly important as a means to improve clinical outcomes. Analysis of the preoperative images and construction of 3D models prior to treatment would help doctors to better localize and visualize the structures of interest, plan the procedure, diagnose disease and guide the surgery or therapy. This requires efficient and robust medical image analysis and segmentation technologies to be developed. The thesis mainly focuses on the development of segmentation techniques in pelvic MRI for image-guided robotic-assisted laparoscopic radical prostatectomy and external-beam radiation therapy. A fully automated multi-atlas framework is proposed for bony pelvis segmentation in MRI, using the guidance of MRI AE-SDM. With the guidance of the AE-SDM, a multi-atlas segmentation algorithm is used to delineate the bony pelvis in a new \ac{MRI} where there is no CT available. The proposed technique outperforms state-of-the-art algorithms for MRI bony pelvis segmentation. With the SDM of pelvis and its segmented surface, an accurate 3D pelvimetry system is designed and implemented to measure a comprehensive set of pelvic geometric parameters for the examination of the relationship between these parameters and the difficulty of robotic-assisted laparoscopic radical prostatectomy. This system can be used in both manual and automated manner with a user-friendly interface. A fully automated and robust multi-atlas based segmentation has also been developed to delineate the prostate in diagnostic MR scans, which have large variation in both intensity and shape of prostate. Two image analysis techniques are proposed, including patch-based label fusion with local appearance-specific atlases and multi-atlas propagation via a manifold graph on a database of both labeled and unlabeled images when limited labeled atlases are available. The proposed techniques can achieve more robust and accurate segmentation results than other multi-atlas based methods. The seminal vesicles are also an interesting structure for therapy planning, particularly for external-beam radiation therapy. As existing methods fail for the very onerous task of segmenting the seminal vesicles, a multi-atlas learning framework via random decision forests with graph cuts refinement has further been proposed to solve this difficult problem. Motivated by the performance of this technique, I further extend the multi-atlas learning to segment the prostate fully automatically using multispectral (T1 and T2-weighted) MR images via hybrid \ac{RF} classifiers and a multi-image graph cuts technique. The proposed method compares favorably to the previously proposed multi-atlas based prostate segmentation. The work in this thesis covers different techniques for pelvic image segmentation in MRI. These techniques have been continually developed and refined, and their application to different specific problems shows ever more promising results.Open Acces