No Arabic abstract
Quantification of anatomical shape changes currently relies on scalar global indexes which are largely insensitive to regional or asymmetric modifications. Accurate assessment of pathology-driven anatomical remodeling is a crucial step for the diagnosis and treatment of many conditions. Deep learning approaches have recently achieved wide success in the analysis of medical images, but they lack interpretability in the feature extraction and decision processes. In this work, we propose a new interpretable deep learning model for shape analysis. In particular, we exploit deep generative networks to model a population of anatomical segmentations through a hierarchy of conditional latent variables. At the highest level of this hierarchy, a two-dimensional latent space is simultaneously optimised to discriminate distinct clinical conditions, enabling the direct visualisation of the classification space. Moreover, the anatomical variability encoded by this discriminative latent space can be visualised in the segmentation space thanks to the generative properties of the model, making the classification task transparent. This approach yielded high accuracy in the categorisation of healthy and remodelled left ventricles when tested on unseen segmentations from our own multi-centre dataset as well as in an external validation set, and on hippocampi from healthy controls and patients with Alzheimers disease when tested on ADNI data. More importantly, it enabled the visualisation in three-dimensions of both global and regional anatomical features which better discriminate between the conditions under exam. The proposed approach scales effectively to large populations, facilitating high-throughput analysis of normal anatomy and pathology in large-scale studies of volumetric imaging.
Alterations in the geometry and function of the heart define well-established causes of cardiovascular disease. However, current approaches to the diagnosis of cardiovascular diseases often rely on subjective human assessment as well as manual analysis of medical images. Both factors limit the sensitivity in quantifying complex structural and functional phenotypes. Deep learning approaches have recently achieved success for tasks such as classification or segmentation of medical images, but lack interpretability in the feature extraction and decision processes, limiting their value in clinical diagnosis. In this work, we propose a 3D convolutional generative model for automatic classification of images from patients with cardiac diseases associated with structural remodeling. The model leverages interpretable task-specific anatomic patterns learned from 3D segmentations. It further allows to visualise and quantify the learned pathology-specific remodeling patterns in the original input space of the images. This approach yields high accuracy in the categorization of healthy and hypertrophic cardiomyopathy subjects when tested on unseen MR images from our own multi-centre dataset (100%) as well on the ACDC MICCAI 2017 dataset (90%). We believe that the proposed deep learning approach is a promising step towards the development of interpretable classifiers for the medical imaging domain, which may help clinicians to improve diagnostic accuracy and enhance patient risk-stratification.
With an increase in deep learning-based methods, the call for explainability of such methods grows, especially in high-stakes decision making areas such as medical image analysis. This survey presents an overview of eXplainable Artificial Intelligence (XAI) used in deep learning-based medical image analysis. A framework of XAI criteria is introduced to classify deep learning-based medical image analysis methods. Papers on XAI techniques in medical image analysis are then surveyed and categorized according to the framework and according to anatomical location. The paper concludes with an outlook of future opportunities for XAI in medical image analysis.
Public satellite missions are commonly bound to a trade-off between spatial and temporal resolution as no single sensor provides fine-grained acquisitions with frequent coverage. This hinders their potential to assist vegetation monitoring or humanitarian actions, which require detecting rapid and detailed terrestrial surface changes. In this work, we probe the potential of deep generative models to produce high-resolution optical imagery by fusing products with different spatial and temporal characteristics. We introduce a dataset of co-registered Moderate Resolution Imaging Spectroradiometer (MODIS) and Landsat surface reflectance time series and demonstrate the ability of our generative model to blend coarse daily reflectance information into low-paced finer acquisitions. We benchmark our proposed model against state-of-the-art reflectance fusion algorithms.
Segmentation of multiple anatomical structures is of great importance in medical image analysis. In this study, we proposed a $mathcal{W}$-net to simultaneously segment both the optic disc (OD) and the exudates in retinal images based on the multi-task learning (MTL) scheme. We introduced a class-balanced loss and a multi-task weighted loss to alleviate the imbalanced problem and to improve the robustness and generalization property of the $mathcal{W}$-net. We demonstrated the effectiveness of our approach by applying five-fold cross-validation experiments on two public datasets e_ophtha_EX and DiaRetDb1. We achieved F1-score of 94.76% and 95.73% for OD segmentation, and 92.80% and 94.14% for exudates segmentation. To further prove the generalization property of the proposed method, we applied the trained model on the DRIONS-DB dataset for OD segmentation and on the MESSIDOR dataset for exudate segmentation. Our results demonstrated that by choosing the optimal weights of each task, the MTL based $mathcal{W}$-net outperformed separate models trained individually on each task. Code and pre-trained models will be available at: url{https://github.com/FundusResearch/MTL_for_OD_and_exudates.git}.
Deep neural network approaches to inverse imaging problems have produced impressive results in the last few years. In this paper, we consider the use of generative models in a variational regularisation approach to inverse problems. The considered regularisers penalise images that are far from the range of a generative model that has learned to produce images similar to a training dataset. We name this family textit{generative regularisers}. The success of generative regularisers depends on the quality of the generative model and so we propose a set of desired criteria to assess models and guide future research. In our numerical experiments, we evaluate three common generative models, autoencoders, variational autoencoders and generative adversarial networks, against our desired criteria. We also test three different generative regularisers on the inverse problems of deblurring, deconvolution, and tomography. We show that the success of solutions restricted to lie exactly in the range of the generator is highly dependent on the ability of the generative model but that allowing small deviations from the range of the generator produces more consistent results.