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In this follow-up paper to [Local geometry of Equilibria and a Poincare-Bendixson-type Theorem for Holomorphic Flows, Nicolas Kainz, Dirk Lebiedz (2024)] we investigate the global topology and geometry of dynamical systems $\dot{x} = F(x)$ with entire vector field $F$ by exploiting and extending the local structure of finite elliptic decompositions. We prove topological properties of the basins of centers, nodes, and foci, while excluding isolated equilibria at the boundaries of the latter two. We propose a definition of global elliptic sectors and introduce the notion of a sector-forming orbit allowing global topological analysis. The structure of heteroclinic regions between two equilibria is characterized., Comment: 26 pages, 2 figures, to be published in Topology Proceedings

Although powerful for image generation, consistent and controllable video is a longstanding problem for diffusion models. Video models require extensive training and computational resources, leading to high costs and large environmental impacts. Moreover, video models currently offer limited control of the output motion. This paper introduces a novel approach to video generation by augmenting image diffusion models to create sequential animation frames while maintaining fine detail. These techniques can be applied to existing image models without training any video parameters (zero-shot) by altering the input noise in a latent diffusion model. Two complementary methods are presented. Noise crystallization ensures consistency but is limited to large movements due to reduced latent embedding sizes. Liquid noise trades consistency for greater flexibility without resolution limitations. The core concepts also allow other applications such as relighting, seamless upscaling, and improved video style transfer. Furthermore, an exploration of the VAE embedding used for latent diffusion models is performed, resulting in interesting theoretical insights such as a method for human-interpretable latent spaces.

Considering turbulence is crucial to understanding clouds. However, covering all scales involved in the turbulent mixing of clouds with their environment is computationally challenging, urging the development of simpler models to represent some of the processes involved. By using full direct numerical simulations as a reference, this study compares several statistical approaches for representing small-scale turbulent mixing. All models use a comparable Lagrangian representation of cloud microphysics, and simulate the same cases of cloud-edge mixing, covering different ambient humidities and turbulence intensities. It is demonstrated that all statistical models represent the evolution of thermodynamics successfully, but not all models capture the changes in cloud microphysics (cloud droplet number concentration, droplet mean radius, and spectral width). Implications of these results for using the presented models as subgrid-scale schemes are discussed.

Large Language Models (LLMs) often produce outputs that -- though plausible -- can lack consistency and reliability, particularly in ambiguous or complex scenarios. Challenges arise from ensuring that outputs align with both factual correctness and human intent. This is problematic in existing approaches that trade improved consistency for lower accuracy. To mitigate these challenges, we propose a novel game-theoretic approach to enhance consistency and reliability during the decoding stage of LLM output generation. Our method models the decoding process as a multistage Bayesian decoding game. This ensures consistency through Correctness Alignment and enhances reliability via Ambiguity Calibration. The model dynamically converges to a consensus on the most reliable outputs and distinguishes {Valid, Specious} outputs without human feedback or additional training. Our game design allows smaller models to outperform much larger models through game mechanisms (e.g., 78.1 LLaMA13B vs 76.6 PaLM540B), as well as integrating various LL strategies and models, demonstrating the potential of game-theoretic tools to improve the truthfulness and reliability of LLMs.

Machine Learning (ML) models have gained popularity in medical imaging analysis given their expert level performance in many medical domains. To enhance the trustworthiness, acceptance, and regulatory compliance of medical imaging models and to facilitate their integration into clinical settings, we review and categorise methods for ensuring ML reliability, both during development and throughout the model's lifespan. Specifically, we provide an overview of methods assessing models' inner-workings regarding bias encoding and detection of data drift for disease classification models. Additionally, to evaluate the severity in case of a significant drift, we provide an overview of the methods developed for classifier accuracy estimation in case of no access to ground truth labels. This should enable practitioners to implement methods ensuring reliable ML deployment and consistent prediction performance over time.

We introduce the Joint Video-Image Diffusion model (JVID), a novel approach to generating high-quality and temporally coherent videos. We achieve this by integrating two diffusion models: a Latent Image Diffusion Model (LIDM) trained on images and a Latent Video Diffusion Model (LVDM) trained on video data. Our method combines these models in the reverse diffusion process, where the LIDM enhances image quality and the LVDM ensures temporal consistency. This unique combination allows us to effectively handle the complex spatio-temporal dynamics in video generation. Our results demonstrate quantitative and qualitative improvements in producing realistic and coherent videos.

Although existing medical image segmentation methods provide impressive pixel-wise accuracy, they often neglect topological correctness, making their segmentations unusable for many downstream tasks. One option is to retrain such models whilst including a topology-driven loss component. However, this is computationally expensive and often impractical. A better solution would be to have a versatile plug-and-play topology refinement method that is compatible with any domain-specific segmentation pipeline. Directly training a post-processing model to mitigate topological errors often fails as such models tend to be biased towards the topological errors of a target segmentation network. The diversity of these errors is confined to the information provided by a labelled training set, which is especially problematic for small datasets. Our method solves this problem by training a model-agnostic topology refinement network with synthetic segmentations that cover a wide variety of topological errors. Inspired by the Stone-Weierstrass theorem, we synthesize topology-perturbation masks with randomly sampled coefficients of orthogonal polynomial bases, which ensures a complete and unbiased representation. Practically, we verified the efficiency and effectiveness of our methods as being compatible with multiple families of polynomial bases, and show evidence that our universal plug-and-play topology refinement network outperforms both existing topology-driven learning-based and post-processing methods. We also show that combining our method with learning-based models provides an effortless add-on, which can further improve the performance of existing approaches., Comment: Accepted by the 27th International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI 2024)

While deep learning techniques have proven successful in image-related tasks, the exponentially increased data storage and computation costs become a significant challenge. Dataset distillation addresses these challenges by synthesizing only a few images for each class that encapsulate all essential information. Most current methods focus on matching. The problems lie in the synthetic images not being human-readable and the dataset performance being insufficient for downstream learning tasks. Moreover, the distillation time can quickly get out of bounds when the number of synthetic images per class increases even slightly. To address this, we train a class conditional latent diffusion model capable of generating realistic synthetic images with labels. The sampling time can be reduced to several tens of images per seconds. We demonstrate that models can be effectively trained using only a small set of synthetic images and evaluated on a large real test set. Our approach achieved rank \(1\) in The First Dataset Distillation Challenge at ECCV 2024 on the CIFAR100 and TinyImageNet datasets., Comment: 13 pages, 7 figures

Diagnosing medical conditions from histopathology data requires a thorough analysis across the various resolutions of Whole Slide Images (WSI). However, existing generative methods fail to consistently represent the hierarchical structure of WSIs due to a focus on high-fidelity patches. To tackle this, we propose Ultra-Resolution Cascaded Diffusion Models (URCDMs) which are capable of synthesising entire histopathology images at high resolutions whilst authentically capturing the details of both the underlying anatomy and pathology at all magnification levels. We evaluate our method on three separate datasets, consisting of brain, breast and kidney tissue, and surpass existing state-of-the-art multi-resolution models. Furthermore, an expert evaluation study was conducted, demonstrating that URCDMs consistently generate outputs across various resolutions that trained evaluators cannot distinguish from real images. All code and additional examples can be found on GitHub., Comment: arXiv admin note: text overlap with arXiv:2312.01152

Unsupervised Anomaly Detection (UAD) methods aim to identify anomalies in test samples comparing them with a normative distribution learned from a dataset known to be anomaly-free. Approaches based on generative models offer interpretability by generating anomaly-free versions of test images, but are typically unable to identify subtle anomalies. Alternatively, approaches using feature modelling or self-supervised methods, such as the ones relying on synthetically generated anomalies, do not provide out-of-the-box interpretability. In this work, we present a novel method that combines the strengths of both strategies: a generative cold-diffusion pipeline (i.e., a diffusion-like pipeline which uses corruptions not based on noise) that is trained with the objective of turning synthetically-corrupted images back to their normal, original appearance. To support our pipeline we introduce a novel synthetic anomaly generation procedure, called DAG, and a novel anomaly score which ensembles restorations conditioned with different degrees of abnormality. Our method surpasses the prior state-of-the art for unsupervised anomaly detection in three different Brain MRI datasets., Comment: 8 pages, 3 figures. MICCAI 2024

We introduce a fast Self-adapting Forward-Forward Network (SaFF-Net) for medical imaging analysis, mitigating power consumption and resource limitations, which currently primarily stem from the prevalent reliance on back-propagation for model training and fine-tuning. Building upon the recently proposed Forward-Forward Algorithm (FFA), we introduce the Convolutional Forward-Forward Algorithm (CFFA), a parameter-efficient reformulation that is suitable for advanced image analysis and overcomes the speed and generalisation constraints of the original FFA. To address hyper-parameter sensitivity of FFAs we are also introducing a self-adapting framework SaFF-Net fine-tuning parameters during warmup and training in parallel. Our approach enables more effective model training and eliminates the previously essential requirement for an arbitrarily chosen Goodness function in FFA. We evaluate our approach on several benchmarking datasets in comparison with standard Back-Propagation (BP) neural networks showing that FFA-based networks with notably fewer parameters and function evaluations can compete with standard models, especially, in one-shot scenarios and large batch sizes. The code will be available at the time of the conference., Comment: Accepted for MICCAI Workshop MLMI 2024

Inverse problems describe the process of estimating the causal factors from a set of measurements or data. Mapping of often incomplete or degraded data to parameters is ill-posed, thus data-driven iterative solutions are required, for example when reconstructing clean images from poor signals. Diffusion models have shown promise as potent generative tools for solving inverse problems due to their superior reconstruction quality and their compatibility with iterative solvers. However, most existing approaches are limited to linear inverse problems represented as Stochastic Differential Equations (SDEs). This simplification falls short of addressing the challenging nature of real-world problems, leading to amplified cumulative errors and biases. We provide an explanation for this gap through the lens of measure-preserving dynamics of Random Dynamical Systems (RDS) with which we analyse Temporal Distribution Discrepancy and thus introduce a theoretical framework based on RDS for SDE diffusion models. We uncover several strategies that inherently enhance the stability and generalizability of diffusion models for inverse problems and introduce a novel score-based diffusion framework, the \textbf{D}ynamics-aware S\textbf{D}E \textbf{D}iffusion \textbf{G}enerative \textbf{M}odel (D$^3$GM). The \textit{Measure-preserving property} can return the degraded measurement to the original state despite complex degradation with the RDS concept of \textit{stability}. Our extensive experimental results corroborate the effectiveness of D$^3$GM across multiple benchmarks including a prominent application for inverse problems, magnetic resonance imaging. Code and data will be publicly available.

Histopathology can help clinicians make accurate diagnoses, determine disease prognosis, and plan appropriate treatment strategies. As deep learning techniques prove successful in the medical domain, the primary challenges become limited data availability and concerns about data sharing and privacy. Federated learning has addressed this challenge by training models locally and updating parameters on a server. However, issues, such as domain shift and bias, persist and impact overall performance. Dataset distillation presents an alternative approach to overcoming these challenges. It involves creating a small synthetic dataset that encapsulates essential information, which can be shared without constraints. At present, this paradigm is not practicable as current distillation approaches only generate non human readable representations and exhibit insufficient performance for downstream learning tasks. We train a latent diffusion model and construct a new distilled synthetic dataset with a small number of human readable synthetic images. Selection of maximally informative synthetic images is done via graph community analysis of the representation space. We compare downstream classification models trained on our synthetic distillation data to models trained on real data and reach performances suitable for practical application., Comment: accepted at MICCAI 2024

Existing learning-based cortical surface reconstruction approaches heavily rely on the supervision of pseudo ground truth (pGT) cortical surfaces for training. Such pGT surfaces are generated by traditional neuroimage processing pipelines, which are time consuming and difficult to generalize well to low-resolution brain MRI, e.g., from fetuses and neonates. In this work, we present CoSeg, a learning-based cortical surface reconstruction framework weakly supervised by brain segmentations without the need for pGT surfaces. CoSeg introduces temporal attention networks to learn time-varying velocity fields from brain MRI for diffeomorphic surface deformations, which fit an initial surface to target cortical surfaces within only 0.11 seconds for each brain hemisphere. A weakly supervised loss is designed to reconstruct pial surfaces by inflating the white surface along the normal direction towards the boundary of the cortical gray matter segmentation. This alleviates partial volume effects and encourages the pial surface to deform into deep and challenging cortical sulci. We evaluate CoSeg on 1,113 adult brain MRI at 1mm and 2mm resolution. CoSeg achieves superior geometric and morphological accuracy compared to existing learning-based approaches. We also verify that CoSeg can extract high-quality cortical surfaces from fetal brain MRI on which traditional pipelines fail to produce acceptable results., Comment: Accepted by the 27th International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI 2024)

To make medical datasets accessible without sharing sensitive patient information, we introduce a novel end-to-end approach for generative de-identification of dynamic medical imaging data. Until now, generative methods have faced constraints in terms of fidelity, spatio-temporal coherence, and the length of generation, failing to capture the complete details of dataset distributions. We present a model designed to produce high-fidelity, long and complete data samples with near-real-time efficiency and explore our approach on a challenging task: generating echocardiogram videos. We develop our generation method based on diffusion models and introduce a protocol for medical video dataset anonymization. As an exemplar, we present EchoNet-Synthetic, a fully synthetic, privacy-compliant echocardiogram dataset with paired ejection fraction labels. As part of our de-identification protocol, we evaluate the quality of the generated dataset and propose to use clinical downstream tasks as a measurement on top of widely used but potentially biased image quality metrics. Experimental outcomes demonstrate that EchoNet-Synthetic achieves comparable dataset fidelity to the actual dataset, effectively supporting the ejection fraction regression task. Code, weights and dataset are available at https://github.com/HReynaud/EchoNet-Synthetic., Comment: Accepted at MICCAI 2024

The Developing Human Connectome Project (dHCP) aims to explore developmental patterns of the human brain during the perinatal period. An automated processing pipeline has been developed to extract high-quality cortical surfaces from structural brain magnetic resonance (MR) images for the dHCP neonatal dataset. However, the current implementation of the pipeline requires more than 6.5 hours to process a single MRI scan, making it expensive for large-scale neuroimaging studies. In this paper, we propose a fast deep learning (DL) based pipeline for dHCP neonatal cortical surface reconstruction, incorporating DL-based brain extraction, cortical surface reconstruction and spherical projection, as well as GPU-accelerated cortical surface inflation and cortical feature estimation. We introduce a multiscale deformation network to learn diffeomorphic cortical surface reconstruction end-to-end from T2-weighted brain MRI. A fast unsupervised spherical mapping approach is integrated to minimize metric distortions between cortical surfaces and projected spheres. The entire workflow of our DL-based dHCP pipeline completes within only 24 seconds on a modern GPU, which is nearly 1000 times faster than the original dHCP pipeline. Manual quality control demonstrates that for 82.5% of the test samples, our DL-based pipeline produces superior (54.2%) or equal quality (28.3%) cortical surfaces compared to the original dHCP pipeline.

Anatomical atlases are widely used for population analysis. Conditional atlases target a particular sub-population defined via certain conditions (e.g. demographics or pathologies) and allow for the investigation of fine-grained anatomical differences - such as morphological changes correlated with age. Existing approaches use either registration-based methods that are unable to handle large anatomical variations or generative models, which can suffer from training instabilities and hallucinations. To overcome these limitations, we use latent diffusion models to generate deformation fields, which transform a general population atlas into one representing a specific sub-population. By generating a deformation field and registering the conditional atlas to a neighbourhood of images, we ensure structural plausibility and avoid hallucinations, which can occur during direct image synthesis. We compare our method to several state-of-the-art atlas generation methods in experiments using 5000 brain as well as whole-body MR images from UK Biobank. Our method generates highly realistic atlases with smooth transformations and high anatomical fidelity, outperforming the baselines.

Deep learning-based image generation has seen significant advancements with diffusion models, notably improving the quality of generated images. Despite these developments, generating images with unseen characteristics beneficial for downstream tasks has received limited attention. To bridge this gap, we propose Style-Extracting Diffusion Models, featuring two conditioning mechanisms. Specifically, we utilize 1) a style conditioning mechanism which allows to inject style information of previously unseen images during image generation and 2) a content conditioning which can be targeted to a downstream task, e.g., layout for segmentation. We introduce a trainable style encoder to extract style information from images, and an aggregation block that merges style information from multiple style inputs. This architecture enables the generation of images with unseen styles in a zero-shot manner, by leveraging styles from unseen images, resulting in more diverse generations. In this work, we use the image layout as target condition and first show the capability of our method on a natural image dataset as a proof-of-concept. We further demonstrate its versatility in histopathology, where we combine prior knowledge about tissue composition and unannotated data to create diverse synthetic images with known layouts. This allows us to generate additional synthetic data to train a segmentation network in a semi-supervised fashion. We verify the added value of the generated images by showing improved segmentation results and lower performance variability between patients when synthetic images are included during segmentation training. Our code will be made publicly available at [LINK].

This paper presents Arc2Face, an identity-conditioned face foundation model, which, given the ArcFace embedding of a person, can generate diverse photo-realistic images with an unparalleled degree of face similarity than existing models. Despite previous attempts to decode face recognition features into detailed images, we find that common high-resolution datasets (e.g. FFHQ) lack sufficient identities to reconstruct any subject. To that end, we meticulously upsample a significant portion of the WebFace42M database, the largest public dataset for face recognition (FR). Arc2Face builds upon a pretrained Stable Diffusion model, yet adapts it to the task of ID-to-face generation, conditioned solely on ID vectors. Deviating from recent works that combine ID with text embeddings for zero-shot personalization of text-to-image models, we emphasize on the compactness of FR features, which can fully capture the essence of the human face, as opposed to hand-crafted prompts. Crucially, text-augmented models struggle to decouple identity and text, usually necessitating some description of the given face to achieve satisfactory similarity. Arc2Face, however, only needs the discriminative features of ArcFace to guide the generation, offering a robust prior for a plethora of tasks where ID consistency is of paramount importance. As an example, we train a FR model on synthetic images from our model and achieve superior performance to existing synthetic datasets., Comment: ECCV 2024 (Oral), 29 pages, 20 figures. Project page: https://arc2face.github.io/

In this paper, we explore the local geometry of dynamical systems $\dot{x}=F(x)$ with real time parameterization, where $F$ is holomorphic on connected open subsets of $\mathbb{C}\stackrel{\sim}{=}\mathbb{R}^2$. We describe the geometry of first-order equilibria. For equilibria of higher orders, we establish an equivalent condition for "definite directions", allowing us to reverse the implication in Theorem 2 of Chapter 2.10 in [Differential equations and dynamical systems, Lawrence Perko (1990)] under the additional condition of holomorphy. This enables the geometric construction of a finite elliptic decomposition. We derive a holomorphic Poincar\'e-Bendixson-type theorem, leading to the conclusion that bounded non-periodic orbits are always homoclinic or heteroclinic., Comment: 18 pages, 3 figures, to be published in Topology Proceedings; small changes, typos corrected, clarification of notation

The current approach to fetal anomaly screening is based on biometric measurements derived from individually selected ultrasound images. In this paper, we introduce a paradigm shift that attains human-level performance in biometric measurement by aggregating automatically extracted biometrics from every frame across an entire scan, with no need for operator intervention. We use a convolutional neural network to classify each frame of an ultrasound video recording. We then measure fetal biometrics in every frame where appropriate anatomy is visible. We use a Bayesian method to estimate the true value of each biometric from a large number of measurements and probabilistically reject outliers. We performed a retrospective experiment on 1457 recordings (comprising 48 million frames) of 20-week ultrasound scans, estimated fetal biometrics in those scans and compared our estimates to the measurements sonographers took during the scan. Our method achieves human-level performance in estimating fetal biometrics and estimates well-calibrated credible intervals in which the true biometric value is expected to lie., Comment: 14 pages, 16 figures. Submitted to NPJ digital medicine. For associated video file, see http://wp.doc.ic.ac.uk/ifind/wp-content/uploads/sites/79/2023/12/realtime.gif

Diagnoses from histopathology images rely on information from both high and low resolutions of Whole Slide Images. Ultra-Resolution Cascaded Diffusion Models (URCDMs) allow for the synthesis of high-resolution images that are realistic at all magnification levels, focusing not only on fidelity but also on long-distance spatial coherency. Our model beats existing methods, improving the pFID-50k [2] score by 110.63 to 39.52 pFID-50k. Additionally, a human expert evaluation study was performed, reaching a weighted Mean Absolute Error (MAE) of 0.11 for the Lower Resolution Diffusion Models and a weighted MAE of 0.22 for the URCDM., Comment: MedNeurIPS 2023 poster

Unsupervised Anomaly Detection (UAD) techniques aim to identify and localize anomalies without relying on annotations, only leveraging a model trained on a dataset known to be free of anomalies. Diffusion models learn to modify inputs $x$ to increase the probability of it belonging to a desired distribution, i.e., they model the score function $\nabla_x \log p(x)$. Such a score function is potentially relevant for UAD, since $\nabla_x \log p(x)$ is itself a pixel-wise anomaly score. However, diffusion models are trained to invert a corruption process based on Gaussian noise and the learned score function is unlikely to generalize to medical anomalies. This work addresses the problem of how to learn a score function relevant for UAD and proposes DISYRE: Diffusion-Inspired SYnthetic REstoration. We retain the diffusion-like pipeline but replace the Gaussian noise corruption with a gradual, synthetic anomaly corruption so the learned score function generalizes to medical, naturally occurring anomalies. We evaluate DISYRE on three common Brain MRI UAD benchmarks and substantially outperform other methods in two out of the three tasks., Comment: 5 pages, 3 figures. Accepted for publication in ISBI 2024

This work presents an extensive hyperparameter search on Image Diffusion Models for Echocardiogram generation. The objective is to establish foundational benchmarks and provide guidelines within the realm of ultrasound image and video generation. This study builds over the latest advancements, including cutting-edge model architectures and training methodologies. We also examine the distribution shift between real and generated samples and consider potential solutions, crucial to train efficient models on generated data. We determine an Optimal FID score of $0.88$ for our research problem and achieve an FID of $2.60$. This work is aimed at contributing valuable insights and serving as a reference for further developments in the specialized field of ultrasound image and video generation., Comment: MedNeurIPS 2023 poster

Optical blur is an inherent property of any lens system and is challenging to model in modern cameras because of their complex optical elements. To tackle this challenge, we introduce a high-dimensional neural representation of blur$-$$\textit{the lens blur field}$$-$and a practical method for acquiring it. The lens blur field is a multilayer perceptron (MLP) designed to (1) accurately capture variations of the lens 2D point spread function over image plane location, focus setting and, optionally, depth and (2) represent these variations parametrically as a single, sensor-specific function. The representation models the combined effects of defocus, diffraction, aberration, and accounts for sensor features such as pixel color filters and pixel-specific micro-lenses. To learn the real-world blur field of a given device, we formulate a generalized non-blind deconvolution problem that directly optimizes the MLP weights using a small set of focal stacks as the only input. We also provide a first-of-its-kind dataset of 5D blur fields$-$for smartphone cameras, camera bodies equipped with a variety of lenses, etc. Lastly, we show that acquired 5D blur fields are expressive and accurate enough to reveal, for the first time, differences in optical behavior of smartphone devices of the same make and model.

Breast cancer is a major concern for women's health globally, with axillary lymph node (ALN) metastasis identification being critical for prognosis evaluation and treatment guidance. This paper presents a deep learning (DL) classification pipeline for quantifying clinical information from digital core-needle biopsy (CNB) images, with one step less than existing methods. A publicly available dataset of 1058 patients was used to evaluate the performance of different baseline state-of-the-art (SOTA) DL models in classifying ALN metastatic status based on CNB images. An extensive ablation study of various data augmentation techniques was also conducted. Finally, the manual tumor segmentation and annotation step performed by the pathologists was assessed., Comment: Accepted for MICCAI DEMI Workshop 2023

Leveraging ML advancements to augment healthcare systems can improve patient outcomes. Yet, uninformed engineering decisions in early-stage research inadvertently hinder the feasibility of such solutions for high-throughput, on-device inference, particularly in settings involving legacy hardware and multi-modal gigapixel images. Through a preliminary case study concerning segmentation in cardiology, we highlight the excess operational complexity in a suboptimally configured ML model from prior work and demonstrate that it can be sculpted away using pruning to meet deployment criteria. Our results show a compression rate of 1148x with minimal loss in quality (~4%) and, at higher rates, achieve faster inference on a CPU than the GPU baseline, stressing the need to consider task complexity and architectural details when using off-the-shelf models. With this, we consider avenues for future research in streamlining workflows for clinical researchers to develop models quicker and better suited for real-world use., Comment: Accepted at MedNeurIPS 2023

Data augmentation has become a de facto component of deep learning-based medical image segmentation methods. Most data augmentation techniques used in medical imaging focus on spatial and intensity transformations to improve the diversity of training images. They are often designed at the image level, augmenting the full image, and do not pay attention to specific abnormalities within the image. Here, we present LesionMix, a novel and simple lesion-aware data augmentation method. It performs augmentation at the lesion level, increasing the diversity of lesion shape, location, intensity and load distribution, and allowing both lesion populating and inpainting. Experiments on different modalities and different lesion datasets, including four brain MR lesion datasets and one liver CT lesion dataset, demonstrate that LesionMix achieves promising performance in lesion image segmentation, outperforming several recent Mix-based data augmentation methods. The code will be released at https://github.com/dogabasaran/lesionmix., Comment: 13 pages, 5 figures, 4 tables, MICCAI DALI Workshop 2023

Cortical surface reconstruction plays a fundamental role in modeling the rapid brain development during the perinatal period. In this work, we propose Conditional Temporal Attention Network (CoTAN), a fast end-to-end framework for diffeomorphic neonatal cortical surface reconstruction. CoTAN predicts multi-resolution stationary velocity fields (SVF) from neonatal brain magnetic resonance images (MRI). Instead of integrating multiple SVFs, CoTAN introduces attention mechanisms to learn a conditional time-varying velocity field (CTVF) by computing the weighted sum of all SVFs at each integration step. The importance of each SVF, which is estimated by learned attention maps, is conditioned on the age of the neonates and varies with the time step of integration. The proposed CTVF defines a diffeomorphic surface deformation, which reduces mesh self-intersection errors effectively. It only requires 0.21 seconds to deform an initial template mesh to cortical white matter and pial surfaces for each brain hemisphere. CoTAN is validated on the Developing Human Connectome Project (dHCP) dataset with 877 3D brain MR images acquired from preterm and term born neonates. Compared to state-of-the-art baselines, CoTAN achieves superior performance with only 0.12mm geometric error and 0.07% self-intersecting faces. The visualization of our attention maps illustrates that CoTAN indeed learns coarse-to-fine surface deformations automatically without intermediate supervision., Comment: Accepted by the 26th International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2023

There is a growing interest in single-class modelling and out-of-distribution detection as fully supervised machine learning models cannot reliably identify classes not included in their training. The long tail of infinitely many out-of-distribution classes in real-world scenarios, e.g., for screening, triage, and quality control, means that it is often necessary to train single-class models that represent an expected feature distribution, e.g., from only strictly healthy volunteer data. Conventional supervised machine learning would require the collection of datasets that contain enough samples of all possible diseases in every imaging modality, which is not realistic. Self-supervised learning methods with synthetic anomalies are currently amongst the most promising approaches, alongside generative auto-encoders that analyse the residual reconstruction error. However, all methods suffer from a lack of structured validation, which makes calibration for deployment difficult and dataset-dependant. Our method alleviates this by making use of multiple visually-distinct synthetic anomaly learning tasks for both training and validation. This enables more robust training and generalisation. With our approach we can readily outperform state-of-the-art methods, which we demonstrate on exemplars in brain MRI and chest X-rays. Code is available at https://github.com/matt-baugh/many-tasks-make-light-work ., Comment: Early accepted to MICCAI 2023

This technical report outlines our submission to the zero-shot track of the Visual Anomaly and Novelty Detection (VAND) 2023 Challenge. Building on the performance of the WINCLIP framework, we aim to enhance the system's localization capabilities by integrating zero-shot segmentation models. In addition, we perform foreground instance segmentation which enables the model to focus on the relevant parts of the image, thus allowing the models to better identify small or subtle deviations. Our pipeline requires no external data or information, allowing for it to be directly applied to new datasets. Our team (Variance Vigilance Vanguard) ranked third in the zero-shot track of the VAND challenge, and achieve an average F1-max score of 81.5/24.2 at a sample/pixel level on the VisA dataset., Comment: Ranked 3rd in zero-shot track of the Visual Anomaly and Novelty Detection (VAND) 2023 Challenge

Recent advances in score-based generative models have led to a huge spike in the development of downstream applications using generative models ranging from data augmentation over image and video generation to anomaly detection. Despite publicly available trained models, their potential to be used for privacy preserving data sharing has not been fully explored yet. Training diffusion models on private data and disseminating the models and weights rather than the raw dataset paves the way for innovative large-scale data-sharing strategies, particularly in healthcare, where safeguarding patients' personal health information is paramount. However, publishing such models without individual consent of, e.g., the patients from whom the data was acquired, necessitates guarantees that identifiable training samples will never be reproduced, thus protecting personal health data and satisfying the requirements of policymakers and regulatory bodies. This paper introduces a method for estimating the upper bound of the probability of reproducing identifiable training images during the sampling process. This is achieved by designing an adversarial approach that searches for anatomic fingerprints, such as medical devices or dermal art, which could potentially be employed to re-identify training images. Our method harnesses the learned score-based model to estimate the probability of the entire subspace of the score function that may be utilized for one-to-one reproduction of training samples. To validate our estimates, we generate anomalies containing a fingerprint and investigate whether generated samples from trained generative models can be uniquely mapped to the original training samples. Overall our results show that privacy-breaching images are reproduced at sampling time if the models were trained without care., Comment: 10 pages, 6 figures

Flare frequency distributions represent a key approach to addressing one of the largest problems in solar and stellar physics: determining the mechanism that counter-intuitively heats coronae to temperatures that are orders of magnitude hotter than the corresponding photospheres. It is widely accepted that the magnetic field is responsible for the heating, but there are two competing mechanisms that could explain it: nanoflares or Alfv\'en waves. To date, neither can be directly observed. Nanoflares are, by definition, extremely small, but their aggregate energy release could represent a substantial heating mechanism, presuming they are sufficiently abundant. One way to test this presumption is via the flare frequency distribution, which describes how often flares of various energies occur. If the slope of the power law fitting the flare frequency distribution is above a critical threshold, $\alpha=2$ as established in prior literature, then there should be a sufficient abundance of nanoflares to explain coronal heating. We performed $>$600 case studies of solar flares, made possible by an unprecedented number of data analysts via three semesters of an undergraduate physics laboratory course. This allowed us to include two crucial, but nontrivial, analysis methods: pre-flare baseline subtraction and computation of the flare energy, which requires determining flare start and stop times. We aggregated the results of these analyses into a statistical study to determine that $\alpha = 1.63 \pm 0.03$. This is below the critical threshold, suggesting that Alfv\'en waves are an important driver of coronal heating., Comment: 1,002 authors, 14 pages, 4 figures, 3 tables, published by The Astrophysical Journal on 2023-05-09, volume 948, page 71

Poor performance of quantitative analysis in histopathological Whole Slide Images (WSI) has been a significant obstacle in clinical practice. Annotating large-scale WSIs manually is a demanding and time-consuming task, unlikely to yield the expected results when used for fully supervised learning systems. Rarely observed disease patterns and large differences in object scales are difficult to model through conventional patient intake. Prior methods either fall back to direct disease classification, which only requires learning a few factors per image, or report on average image segmentation performance, which is highly biased towards majority observations. Geometric image augmentation is commonly used to improve robustness for average case predictions and to enrich limited datasets. So far no method provided sampling of a realistic posterior distribution to improve stability, e.g. for the segmentation of imbalanced objects within images. Therefore, we propose a new approach, based on diffusion models, which can enrich an imbalanced dataset with plausible examples from underrepresented groups by conditioning on segmentation maps. Our method can simply expand limited clinical datasets making them suitable to train machine learning pipelines, and provides an interpretable and human-controllable way of generating histopathology images that are indistinguishable from real ones to human experts. We validate our findings on two datasets, one from the public domain and one from a Kidney Transplant study., Comment: 11 pages, 2 figures, 1 table

Wires and powerlines are common visual distractions that often undermine the aesthetics of photographs. The manual process of precisely segmenting and removing them is extremely tedious and may take up hours, especially on high-resolution photos where wires may span the entire space. In this paper, we present an automatic wire clean-up system that eases the process of wire segmentation and removal/inpainting to within a few seconds. We observe several unique challenges: wires are thin, lengthy, and sparse. These are rare properties of subjects that common segmentation tasks cannot handle, especially in high-resolution images. We thus propose a two-stage method that leverages both global and local contexts to accurately segment wires in high-resolution images efficiently, and a tile-based inpainting strategy to remove the wires given our predicted segmentation masks. We also introduce the first wire segmentation benchmark dataset, WireSegHR. Finally, we demonstrate quantitatively and qualitatively that our wire clean-up system enables fully automated wire removal with great generalization to various wire appearances., Comment: https://github.com/adobe-research/auto-wire-removal

Recent advancements in diffusion models have significantly impacted the trajectory of generative machine learning research, with many adopting the strategy of fine-tuning pre-trained models using domain-specific text-to-image datasets. Notably, this method has been readily employed for medical applications, such as X-ray image synthesis, leveraging the plethora of associated radiology reports. Yet, a prevailing concern is the lack of assurance on whether these models genuinely comprehend their generated content. With the evolution of text-conditional image generation, these models have grown potent enough to facilitate object localization scrutiny. Our research underscores this advancement in the critical realm of medical imaging, emphasizing the crucial role of interpretability. We further unravel a consequential trade-off between image fidelity as gauged by conventional metrics and model interpretability in generative diffusion models. Specifically, the adoption of learnable text encoders when fine-tuning results in diminished interpretability. Our in-depth exploration uncovers the underlying factors responsible for this divergence. Consequently, we present a set of design principles for the development of truly interpretable generative models. Code is available at https://github.com/MischaD/chest-distillation.

Universal anomaly detection still remains a challenging problem in machine learning and medical image analysis. It is possible to learn an expected distribution from a single class of normative samples, e.g., through epistemic uncertainty estimates, auto-encoding models, or from synthetic anomalies in a self-supervised way. The performance of self-supervised anomaly detection approaches is still inferior compared to methods that use examples from known unknown classes to shape the decision boundary. However, outlier exposure methods often do not identify unknown unknowns. Here we discuss an improved self-supervised single-class training strategy that supports the approximation of probabilistic inference with loosen feature locality constraints. We show that up-scaling of gradients with histogram-equalised images is beneficial for recently proposed self-supervision tasks. Our method is integrated into several out-of-distribution (OOD) detection models and we show evidence that our method outperforms the state-of-the-art on various benchmark datasets., Comment: Accepted for MICCAI UNSURE Workshop 2023 (Spotlight)

Image synthesis is expected to provide value for the translation of machine learning methods into clinical practice. Fundamental problems like model robustness, domain transfer, causal modelling, and operator training become approachable through synthetic data. Especially, heavily operator-dependant modalities like Ultrasound imaging require robust frameworks for image and video generation. So far, video generation has only been possible by providing input data that is as rich as the output data, e.g., image sequence plus conditioning in, video out. However, clinical documentation is usually scarce and only single images are reported and stored, thus retrospective patient-specific analysis or the generation of rich training data becomes impossible with current approaches. In this paper, we extend elucidated diffusion models for video modelling to generate plausible video sequences from single images and arbitrary conditioning with clinical parameters. We explore this idea within the context of echocardiograms by looking into the variation of the Left Ventricle Ejection Fraction, the most essential clinical metric gained from these examinations. We use the publicly available EchoNet-Dynamic dataset for all our experiments. Our image to sequence approach achieves an $R^2$ score of 93%, which is 38 points higher than recently proposed sequence to sequence generation methods. Code and models will be available at: https://github.com/HReynaud/EchoDiffusion., Comment: Published in MICCAI 2023 proceedings. https://link.springer.com/chapter/10.1007/978-3-031-43999-5_14

Validation metrics are key for the reliable tracking of scientific progress and for bridging the current chasm between artificial intelligence (AI) research and its translation into practice. However, increasing evidence shows that particularly in image analysis, metrics are often chosen inadequately in relation to the underlying research problem. This could be attributed to a lack of accessibility of metric-related knowledge: While taking into account the individual strengths, weaknesses, and limitations of validation metrics is a critical prerequisite to making educated choices, the relevant knowledge is currently scattered and poorly accessible to individual researchers. Based on a multi-stage Delphi process conducted by a multidisciplinary expert consortium as well as extensive community feedback, the present work provides the first reliable and comprehensive common point of access to information on pitfalls related to validation metrics in image analysis. Focusing on biomedical image analysis but with the potential of transfer to other fields, the addressed pitfalls generalize across application domains and are categorized according to a newly created, domain-agnostic taxonomy. To facilitate comprehension, illustrations and specific examples accompany each pitfall. As a structured body of information accessible to researchers of all levels of expertise, this work enhances global comprehension of a key topic in image analysis validation., Comment: Shared first authors: Annika Reinke and Minu D. Tizabi; shared senior authors: Lena Maier-Hein and Paul F. J\"ager. Published in Nature Methods. arXiv admin note: text overlap with arXiv:2206.01653

Curating datasets for object segmentation is a difficult task. With the advent of large-scale pre-trained generative models, conditional image generation has been given a significant boost in result quality and ease of use. In this paper, we present a novel method that enables the generation of general foreground-background segmentation models from simple textual descriptions, without requiring segmentation labels. We leverage and explore pre-trained latent diffusion models, to automatically generate weak segmentation masks for concepts and objects. The masks are then used to fine-tune the diffusion model on an inpainting task, which enables fine-grained removal of the object, while at the same time providing a synthetic foreground and background dataset. We demonstrate that using this method beats previous methods in both discriminative and generative performance and closes the gap with fully supervised training while requiring no pixel-wise object labels. We show results on the task of segmenting four different objects (humans, dogs, cars, birds) and a use case scenario in medical image analysis. The code is available at https://github.com/MischaD/fobadiffusion., Comment: Accepted at ICCV2023