Teeth Localization and Lesion Segmentation in CBCT Images using SpatialConfiguration-Net and U-Net

The localization of teeth and segmentation of periapical lesions in cone-beam computed tomography (CBCT) images are crucial tasks for clinical diagnosis and treatment planning, which are often time-consuming and require a high level of expertise. However, automating these tasks is challenging due to variations in shape, size, and orientation of lesions, as well as similar topologies among teeth. Moreover, the small volumes occupied by lesions in CBCT images pose a class imbalance problem that needs to be addressed. In this study, we propose a deep learning-based method utilizing two convolutional neural networks: the SpatialConfiguration-Net (SCN) and a modified version of the U-Net. The SCN accurately predicts the coordinates of all teeth present in an image, enabling precise cropping of teeth volumes that are then fed into the U-Net which detects lesions via segmentation. To address class imbalance, we compare the performance of three reweighting loss functions. After evaluation on 144 CBCT images, our method achieves a 97.3% accuracy for teeth localization, along with a promising sensitivity and specificity of 0.97 and 0.88, respectively, for subsequent lesion detection.Comment: Accepted for VISIGRAPP 2024 (Track: VISAPP), 8 page

CaRe-CNN: Cascading Refinement CNN for Myocardial Infarct Segmentation with Microvascular Obstructions

Late gadolinium enhanced (LGE) magnetic resonance (MR) imaging is widely established to assess the viability of myocardial tissue of patients after acute myocardial infarction (MI). We propose the Cascading Refinement CNN (CaRe-CNN), which is a fully 3D, end-to-end trained, 3-stage CNN cascade that exploits the hierarchical structure of such labeled cardiac data. Throughout the three stages of the cascade, the label definition changes and CaRe-CNN learns to gradually refine its intermediate predictions accordingly. Furthermore, to obtain more consistent qualitative predictions, we propose a series of post-processing steps that take anatomical constraints into account. Our CaRe-CNN was submitted to the FIMH 2023 MYOSAIQ challenge, where it ranked second out of 18 participating teams. CaRe-CNN showed great improvements most notably when segmenting the difficult but clinically most relevant myocardial infarct tissue (MIT) as well as microvascular obstructions (MVO). When computing the average scores over all labels, our method obtained the best score in eight out of ten metrics. Thus, accurate cardiac segmentation after acute MI via our CaRe-CNN allows generating patient-specific models of the heart serving as an important step towards personalized medicine.Comment: Accepted at VISIGRAPP 2024, 12 page

Attacking the Loop: Adversarial Attacks on Graph-based Loop Closure Detection

With the advancement in robotics, it is becoming increasingly common for large factories and warehouses to incorporate visual SLAM (vSLAM) enabled automated robots that operate closely next to humans. This makes any adversarial attacks on vSLAM components potentially detrimental to humans working alongside them. Loop Closure Detection (LCD) is a crucial component in vSLAM that minimizes the accumulation of drift in mapping, since even a small drift can accumulate into a significant drift over time. A prior work by Kim et al., SymbioLCD2, unified visual features and semantic objects into a single graph structure for finding loop closure candidates. While this provided a performance improvement over visual feature-based LCD, it also created a single point of vulnerability for potential graph-based adversarial attacks. Unlike previously reported visual-patch based attacks, small graph perturbations are far more challenging to detect, making them a more significant threat. In this paper, we present Adversarial-LCD, a novel black-box evasion attack framework that employs an eigencentrality-based perturbation method and an SVM-RBF surrogate model with a Weisfeiler-Lehman feature extractor for attacking graph-based LCD. Our evaluation shows that the attack performance of Adversarial-LCD with the SVM-RBF surrogate model was superior to that of other machine learning surrogate algorithms, including SVM-linear, SVM-polynomial, and Bayesian classifier, demonstrating the effectiveness of our attack framework. Furthermore, we show that our eigencentrality-based perturbation method outperforms other algorithms, such as Random-walk and Shortest-path, highlighting the efficiency of Adversarial-LCD's perturbation selection method.Comment: Accepted at VISIGRAPP 2024, 8 page

Anatomy-Aware Inference of the 3D Standing Spine Posture from 2D Radiographs

An important factor for the development of spinal degeneration, pain and the outcome of spinal surgery is known to be the balance of the spine. It must be analyzed in an upright, standing position to ensure physiological loading conditions and visualize load-dependent deformations. Despite the complex 3D shape of the spine, this analysis is currently performed using 2D radiographs, as all frequently used 3D imaging techniques require the patient to be scanned in a prone position. To overcome this limitation, we propose a deep neural network to reconstruct the 3D spinal pose in an upright standing position, loaded naturally. Specifically, we propose a novel neural network architecture, which takes orthogonal 2D radiographs and infers the spine’s 3D posture using vertebral shape priors. In this work, we define vertebral shape priors using an atlas and a spine shape prior, incorporating both into our proposed network architecture. We validate our architecture on digitally reconstructed radiographs, achieving a 3D reconstruction Dice of 0.95, indicating an almost perfect 2D-to-3D domain translation. Validating the reconstruction accuracy of a 3D standing spine on real data is infeasible due to the lack of a valid ground truth. Hence, we design a novel experiment for this purpose, using an orientation invariant distance metric, to evaluate our model’s ability to synthesize full-3D, upright, and patient-specific spine models. We compare the synthesized spine shapes from clinical upright standing radiographs to the same patient’s 3D spinal posture in the prone position from CT