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Synthetic medical data generation has opened up new possibilities in the healthcare domain, offering a powerful tool for simulating clinical scenarios, enhancing diagnostic and treatment quality, gaining granular medical knowledge, and accelerating the development of unbiased algorithms. In this context, we present a novel approach called ViewXGen, designed to overcome the limitations of existing methods that rely on general domain pipelines using only radiology reports to generate frontal-view chest X-rays. Our approach takes into consideration the diverse view positions found in the dataset, enabling the generation of chest X-rays with specific views, which marks a significant advancement in the field. To achieve this, we introduce a set of specially designed tokens for each view position, tailoring the generation process to the user's preferences. Furthermore, we leverage multi-view chest X-rays as input, incorporating valuable information from different views within the same study. This integration rectifies potential errors and contributes to faithfully capturing abnormal findings in chest X-ray generation. To validate the effectiveness of our approach, we conducted statistical analyses, evaluating its performance in a clinical efficacy metric on the MIMIC-CXR dataset. Also, human evaluation demonstrates the remarkable capabilities of ViewXGen, particularly in producing realistic view-specific X-rays that closely resemble the original images., Comment: Accepted at CHIL 2024

Recently, deep learning approaches for accelerated MRI have been extensively studied thanks to their high performance reconstruction in spite of significantly reduced runtime complexity. These neural networks are usually trained in a supervised manner, so matched pairs of subsampled and fully sampled k-space data are required. Unfortunately, it is often difficult to acquire matched fully sampled k-space data, since the acquisition of fully sampled k-space data requires long scan time and often leads to the change of the acquisition protocol. Therefore, unpaired deep learning without matched label data has become a very important research topic. In this paper, we propose an unpaired deep learning approach using a optimal transport driven cycle-consistent generative adversarial network (OT-cycleGAN) that employs a single pair of generator and discriminator. The proposed OT-cycleGAN architecture is rigorously derived from a dual formulation of the optimal transport formulation using a specially designed penalized least squares cost. The experimental results show that our method can reconstruct high resolution MR images from accelerated k- space data from both single and multiple coil acquisition, without requiring matched reference data., Comment: Accepted for IEEE Transactions on Computational Imaging

Time-of-flight magnetic resonance angiography (TOF-MRA) is one of the most widely used non-contrast MR imaging methods to visualize blood vessels, but due to the 3-D volume acquisition highly accelerated acquisition is necessary. Accordingly, high quality reconstruction from undersampled TOF-MRA is an important research topic for deep learning. However, most existing deep learning works require matched reference data for supervised training, which are often difficult to obtain. By extending the recent theoretical understanding of cycleGAN from the optimal transport theory, here we propose a novel two-stage unsupervised deep learning approach, which is composed of the multi-coil reconstruction network along the coronal plane followed by a multi-planar refinement network along the axial plane. Specifically, the first network is trained in the square-root of sum of squares (SSoS) domain to achieve high quality parallel image reconstruction, whereas the second refinement network is designed to efficiently learn the characteristics of highly-activated blood flow using double-headed max-pool discriminator. Extensive experiments demonstrate that the proposed learning process without matched reference exceeds performance of state-of-the-art compressed sensing (CS)-based method and provides comparable or even better results than supervised learning approaches.

The annihilating filter-based low-rank Hankel matrix approach (ALOHA) is one of the state-of-the-art compressed sensing approaches that directly interpolates the missing k-space data using low-rank Hankel matrix completion. The success of ALOHA is due to the concise signal representation in the k-space domain thanks to the duality between structured low-rankness in the k-space domain and the image domain sparsity. Inspired by the recent mathematical discovery that links convolutional neural networks to Hankel matrix decomposition using data-driven framelet basis, here we propose a fully data-driven deep learning algorithm for k-space interpolation. Our network can be also easily applied to non-Cartesian k-space trajectories by simply adding an additional regridding layer. Extensive numerical experiments show that the proposed deep learning method consistently outperforms the existing image-domain deep learning approaches., Comment: Accepted to IEEE Transactions on Medical Imaging