-
Integrating language into medical visual recognition and reasoning: A survey Med. Image Anal. (IF 10.7) Pub Date : 2025-02-27 Yinbin Lu, Alan Wang
Vision-Language Models (VLMs) are regarded as efficient paradigms that build a bridge between visual perception and textual interpretation. For medical visual tasks, they can benefit from expert observation and physician knowledge extracted from textual context, thereby improving the visual understanding of models. Motivated by the fact that extensive medical reports are commonly attached to medical
-
Beyond the eye: A relational model for early dementia detection using retinal OCTA images Med. Image Anal. (IF 10.7) Pub Date : 2025-02-26 Shouyue Liu, Ziyi Zhang, Yuanyuan Gu, Jinkui Hao, Yonghuai Liu, Huazhu Fu, Xinyu Guo, Hong Song, Shuting Zhang, Yitian Zhao
Early detection of dementia, such as Alzheimer’s disease (AD) or mild cognitive impairment (MCI), is essential to enable timely intervention and potential treatment. Accurate detection of AD/MCI is challenging due to the high complexity, cost, and often invasive nature of current diagnostic techniques, which limit their suitability for large-scale population screening. Given the shared embryological
-
Interpretable modality-specific and interactive graph convolutional network on brain functional and structural connectomes Med. Image Anal. (IF 10.7) Pub Date : 2025-02-25 Jing Xia, Yi Hao Chan, Deepank Girish, Jagath C. Rajapakse
Both brain functional connectivity (FC) and structural connectivity (SC) provide distinct neural mechanisms for cognition and neurological disease. In addition, interactions between SC and FC within distributed association regions are related to alterations in cognition or neurological diseases, considering the inherent linkage between neural function and structure. However, there is a scarcity of
-
Exploring the values underlying machine learning research in medical image analysis Med. Image Anal. (IF 10.7) Pub Date : 2025-02-25 John S.H. Baxter, Roy Eagleson
Machine learning has emerged as a crucial tool for medical image analysis, largely due to recent developments in deep artificial neural networks addressing numerous, diverse clinical problems. As with any conceptual tool, the effective use of machine learning should be predicated on an understanding of its underlying motivations just as much as algorithms or theory — and to do so, we need to explore
-
MSTNet: Multi-scale spatial-aware transformer with multi-instance learning for diabetic retinopathy classification Med. Image Anal. (IF 10.7) Pub Date : 2025-02-24 Xin Wei, Yanbei Liu, Fang Zhang, Lei Geng, Chunyan Shan, Xiangyu Cao, Zhitao Xiao
Diabetic retinopathy (DR), the leading cause of vision loss among diabetic adults worldwide, underscores the importance of early detection and timely treatment using fundus images to prevent vision loss. However, existing deep learning methods struggle to capture the correlation and contextual information of subtle lesion features with the current scale of dataset. To this end, we propose a novel Multi-scale
-
CVFSNet: A Cross View Fusion Scoring Network for end-to-end mTICI scoring Med. Image Anal. (IF 10.7) Pub Date : 2025-02-22 Weijin Xu, Tao Tan, Huihua Yang, Wentao Liu, Yifu Chen, Ling Zhang, Xipeng Pan, Feng Gao, Yiming Deng, Theo van Walsum, Matthijs van der Sluijs, Ruisheng Su
The modified Thrombolysis In Cerebral Infarction (mTICI) score serves as one of the key clinical indicators to assess the success of the Mechanical Thrombectomy (MT), requiring physicians to inspect Digital Subtraction Angiography (DSA) images in both the coronal and sagittal views. However, assessing mTICI scores manually is time-consuming and has considerable observer variability. An automatic, objective
-
MERIT: Multi-view evidential learning for reliable and interpretable liver fibrosis staging Med. Image Anal. (IF 10.7) Pub Date : 2025-02-22 Yuanye Liu, Zheyao Gao, Nannan Shi, Fuping Wu, Yuxin Shi, Qingchao Chen, Xiahai Zhuang
Accurate staging of liver fibrosis from magnetic resonance imaging (MRI) is crucial in clinical practice. While conventional methods often focus on a specific sub-region, multi-view learning captures more information by analyzing multiple patches simultaneously. However, previous multi-view approaches could not typically calculate uncertainty by nature, and they generally integrate features from different
-
Joint modeling histology and molecular markers for cancer classification Med. Image Anal. (IF 10.7) Pub Date : 2025-02-22 Xiaofei Wang, Hanyu Liu, Yupei Zhang, Boyang Zhao, Hao Duan, Wanming Hu, Yonggao Mou, Stephen Price, Chao Li
Cancers are characterized by remarkable heterogeneity and diverse prognosis. Accurate cancer classification is essential for patient stratification and clinical decision-making. Although digital pathology has been advancing cancer diagnosis and prognosis, the paradigm in cancer pathology has shifted from purely relying on histology features to incorporating molecular markers. There is an urgent need
-
Preoperative fracture reduction planning for image-guided pelvic trauma surgery: A comprehensive pipeline with learning Med. Image Anal. (IF 10.7) Pub Date : 2025-02-21 Yanzhen Liu, Sutuke Yibulayimu, Yudi Sang, Gang Zhu, Chao Shi, Chendi Liang, Qiyong Cao, Chunpeng Zhao, Xinbao Wu, Yu Wang
Pelvic fractures are among the most complex challenges in orthopedic trauma, which usually involve hipbone and sacrum fractures, as well as joint dislocations. Traditional preoperative surgical planning relies on the operator’s subjective interpretation of CT images, which is both time-consuming and prone to inaccuracies. This study introduces an automated preoperative planning solution for pelvic
-
Navigating prevalence shifts in image analysis algorithm deployment Med. Image Anal. (IF 10.7) Pub Date : 2025-02-19 Patrick Godau, Piotr Kalinowski, Evangelia Christodoulou, Annika Reinke, Minu Tizabi, Luciana Ferrer, Paul Jäger, Lena Maier-Hein
Domain gaps are significant obstacles to the clinical implementation of machine learning (ML) solutions for medical image analysis. Although current research emphasizes new training methods and network architectures, the specific impact of prevalence shifts on algorithms in real-world applications is often overlooked. Differences in class frequencies between development and deployment data are crucial
-
MBSS-T1: Model-based subject-specific self-supervised motion correction for robust cardiac T1 mapping Med. Image Anal. (IF 10.7) Pub Date : 2025-02-19 Eyal Hanania, Adi Zehavi-Lenz, Ilya Volovik, Daphna Link-Sourani, Israel Cohen, Moti Freiman
Cardiac T1 mapping is a valuable quantitative MRI technique for diagnosing diffuse myocardial diseases. Traditional methods, relying on breath-hold sequences and cardiac triggering based on an ECG signal, face challenges with patient compliance, limiting their effectiveness. Image registration can enable motion-robust cardiac T1 mapping, but inherent intensity differences between time points pose a
-
MedIAnomaly: A comparative study of anomaly detection in medical images Med. Image Anal. (IF 10.7) Pub Date : 2025-02-17 Yu Cai, Weiwen Zhang, Hao Chen, Kwang-Ting Cheng
Anomaly detection (AD) aims at detecting abnormal samples that deviate from the expected normal patterns. Generally, it can be trained merely on normal data, without a requirement for abnormal samples, and thereby plays an important role in rare disease recognition and health screening in the medical domain. Despite the emergence of numerous methods for medical AD, the lack of a fair and comprehensive
-
Neighbor-aware calibration of segmentation networks with penalty-based constraints Med. Image Anal. (IF 10.7) Pub Date : 2025-02-15 Balamurali Murugesan, Sukesh Adiga Vasudeva, Bingyuan Liu, Herve Lombaert, Ismail Ben Ayed, Jose Dolz
Ensuring reliable confidence scores from deep neural networks is of paramount significance in critical decision-making systems, particularly in real-world domains such as healthcare. Recent literature on calibrating deep segmentation networks has resulted in substantial progress. Nevertheless, these approaches are strongly inspired by the advancements in classification tasks, and thus their uncertainty
-
A-Eval: A benchmark for cross-dataset and cross-modality evaluation of abdominal multi-organ segmentation Med. Image Anal. (IF 10.7) Pub Date : 2025-02-14 Ziyan Huang, Zhongying Deng, Jin Ye, Haoyu Wang, Yanzhou Su, Tianbin Li, Hui Sun, Junlong Cheng, Jianpin Chen, Junjun He, Yun Gu, Shaoting Zhang, Lixu Gu, Yu Qiao
Although deep learning has revolutionized abdominal multi-organ segmentation, its models often struggle with generalization due to training on small-scale, specific datasets and modalities. The recent emergence of large-scale datasets may mitigate this issue, but some important questions remain unsolved: Can models trained on these large datasets generalize well across different datasets and imaging
-
From challenges and pitfalls to recommendations and opportunities: Implementing federated learning in healthcare Med. Image Anal. (IF 10.7) Pub Date : 2025-02-14 Ming Li, Pengcheng Xu, Junjie Hu, Zeyu Tang, Guang Yang
Federated learning holds great potential for enabling large-scale healthcare research and collaboration across multiple centers while ensuring data privacy and security are not compromised. Although numerous recent studies suggest or utilize federated learning based methods in healthcare, it remains unclear which ones have potential clinical utility. This review paper considers and analyzes the most
-
A survey of intracranial aneurysm detection and segmentation Med. Image Anal. (IF 10.7) Pub Date : 2025-02-11 Wei-Chan Hsu, Monique Meuschke, Alejandro F. Frangi, Bernhard Preim, Kai Lawonn
Intracranial aneurysms (IAs) are a critical public health concern: they are asymptomatic and can lead to fatal subarachnoid hemorrhage in case of rupture. Neuroradiologists rely on advanced imaging techniques to identify aneurysms in a patient and consider the characteristics of IAs along with several other patient-related factors for rupture risk assessment and treatment decision-making. The process
-
Geometric deep learning with adaptive full-band spatial diffusion for accurate, efficient, and robust cortical parcellation Med. Image Anal. (IF 10.7) Pub Date : 2025-02-08 Yuanzhuo Zhu, Xianjun Li, Chen Niu, Fan Wang, Jianhua Ma
Cortical parcellation delineates the cerebral cortex into distinct regions according to their distinctiveness in anatomy and/or function, which is a fundamental preprocess in brain cortex analysis and can influence the accuracy and specificity of subsequent neuroscientific research and clinical diagnosis. Conventional methods for cortical parcellation involve spherical mapping and multiple morphological
-
HistoKernel: Whole slide image level Maximum Mean Discrepancy kernels for pan-cancer predictive modelling Med. Image Anal. (IF 10.7) Pub Date : 2025-02-08 Piotr Keller, Muhammad Dawood, Brinder Singh Chohan, Fayyaz ul Amir Afsar Minhas
In computational pathology, labels are typically available only at the whole slide image (WSI) or patient level, necessitating weakly supervised learning methods that aggregate patch-level features or predictions to produce WSI-level scores for clinically significant tasks such as cancer subtype classification or survival analysis. However, existing approaches lack a theoretically grounded framework
-
Learning robust medical image segmentation from multi-source annotations Med. Image Anal. (IF 10.7) Pub Date : 2025-02-08 Yifeng Wang, Luyang Luo, Mingxiang Wu, Qiong Wang, Hao Chen
Collecting annotations from multiple independent sources could mitigate the impact of potential noises and biases from a single source, which is a common practice in medical image segmentation. However, learning segmentation networks from multi-source annotations remains a challenge due to the uncertainties brought by the variance of the annotations. In this paper, we proposed an Uncertainty-guided
-
Second order kinematic surface fitting in anatomical structures Med. Image Anal. (IF 10.7) Pub Date : 2025-02-07 Wilhelm Wimmer, Hervé Delingette
Symmetry detection and morphological classification of anatomical structures play pivotal roles in medical image analysis. The application of kinematic surface fitting, a method for characterizing shapes through parametric stationary velocity fields, has shown promising results in computer vision and computer-aided design. However, existing research has predominantly focused on first order rotational
-
Fine-scale striatal parcellation using diffusion MRI tractography and graph neural networks Med. Image Anal. (IF 10.7) Pub Date : 2025-02-07 Jingjing Gao, Mingqi Liu, Maomin Qian, Heping Tang, Junyi Wang, Liang Ma, Yanling Li, Xin Dai, Zhengning Wang, Fengmei Lu, Fan Zhang
The striatum, a crucial part of the basal ganglia, plays a key role in various brain functions through its interactions with the cortex. The complex structural and functional diversity across subdivisions within the striatum highlights the necessity for precise striatal segmentation. In this study, we introduce a novel deep clustering pipeline for automated, fine-scale parcellation of the striatum
-
Deep graph embedding based on Laplacian eigenmaps for MR fingerprinting reconstruction Med. Image Anal. (IF 10.7) Pub Date : 2025-02-07 Peng Li, Yue Hu
Magnetic resonance fingerprinting (MRF) is a promising technique for fast quantitative imaging of multiple tissue parameters. However, the highly undersampled schemes utilized in MRF typically lead to noticeable aliasing artifacts in reconstructed images. Existing model-based methods can mitigate aliasing artifacts and enhance reconstruction quality but suffer from long reconstruction times. In addition
-
SegmentAnyBone: A universal model that segments any bone at any location on MRI Med. Image Anal. (IF 10.7) Pub Date : 2025-02-06 Hanxue Gu, Roy Colglazier, Haoyu Dong, Jikai Zhang, Yaqian Chen, Zafer Yildiz, Yuwen Chen, Lin Li, Jichen Yang, Jay Willhite, Alex M. Meyer, Brian Guo, Yashvi Atul Shah, Emily Luo, Shipra Rajput, Sally Kuehn, Clark Bulleit, Kevin A. Wu, Jisoo Lee, Brandon Ramirez, Darui Lu, Jay M. Levin, Maciej A. Mazurowski
Magnetic Resonance Imaging (MRI) is pivotal in radiology, offering non-invasive and high-quality insights into the human body. Precise segmentation of the MRIs into different organs and tissues would be very beneficial as it would allow more accurate measurements, which are essential for accurate diagnosis and effective treatment planning. Specifically, segmenting bones in MRI would allow for more
-
The state-of-the-art in cardiac MRI reconstruction: Results of the CMRxRecon challenge in MICCAI 2023 Med. Image Anal. (IF 10.7) Pub Date : 2025-02-06 Jun Lyu, Chen Qin, Shuo Wang, Fanwen Wang, Yan Li, Zi Wang, Kunyuan Guo, Cheng Ouyang, Michael Tänzer, Meng Liu, Longyu Sun, Mengting Sun, Qing Li, Zhang Shi, Sha Hua, Hao Li, Zhensen Chen, Zhenlin Zhang, Bingyu Xin, Dimitris N. Metaxas, George Yiasemis, Jonas Teuwen, Liping Zhang, Weitian Chen, Yidong Zhao, Qian Tao, Yanwei Pang, Xiaohan Liu, Artem Razumov, Dmitry V. Dylov, Quan Dou, Kang Yan, Yuyang
Cardiac magnetic resonance imaging (MRI) provides detailed and quantitative evaluation of the heart’s structure, function, and tissue characteristics with high-resolution spatial–temporal imaging. However, its slow imaging speed and motion artifacts are notable limitations. Undersampling reconstruction, especially data-driven algorithms, has emerged as a promising solution to accelerate scans and enhance
-
Large vessel occlusion identification network with vessel guidance and asymmetry learning on CT angiography of acute ischemic stroke patients Med. Image Anal. (IF 10.7) Pub Date : 2025-02-06 Hulin Kuang, Xinyuan Liu, Jin Liu, Shulin Liu, Shuai Yang, Weihua Liao, Wu Qiu, Guanghua Luo, Jianxin Wang
Identifying large vessel occlusion (LVO) is of significant importance for the treatment and prognosis of acute ischemic stroke (AIS) patients. CT Angiography (CTA) is commonly used in LVO identification due to its visibility of vessels and short acquisition time. It is challenging to make LVO identification methods focus on vascular regions without vessel segmentation while accurate vessel segmentation
-
ProstAtlasDiff: Prostate cancer detection on MRI using Diffusion Probabilistic Models guided by population spatial cancer atlases Med. Image Anal. (IF 10.7) Pub Date : 2025-02-05 Cynthia Xinran Li, Indrani Bhattacharya, Sulaiman Vesal, Pejman Ghanouni, Hassan Jahanandish, Richard E. Fan, Geoffrey A. Sonn, Mirabela Rusu
Magnetic Resonance Imaging (MRI) is increasingly being used to detect prostate cancer, yet its interpretation can be challenging due to subtle differences between benign and cancerous tissue. Recently, Denoising Diffusion Probabilistic Models (DDPMs) have shown great utility for medical image segmentation, modeling the process as noise removal in standard Gaussian distributions. In this study, we further
-
Multitask learning in minimally invasive surgical vision: A review Med. Image Anal. (IF 10.7) Pub Date : 2025-02-05 Oluwatosin Alabi, Tom Vercauteren, Miaojing Shi
Minimally invasive surgery (MIS) has revolutionized many procedures and led to reduced recovery time and risk of patient injury. However, MIS poses additional complexity and burden on surgical teams. Data-driven surgical vision algorithms are thought to be key building blocks in the development of future MIS systems with improved autonomy. Recent advancements in machine learning and computer vision
-
Implementation of a Cellular Automaton for efficient simulations of atrial arrhythmias Med. Image Anal. (IF 10.7) Pub Date : 2025-02-03 Giada S. Romitti, Alejandro Liberos, María Termenón-Rivas, Javier Barrios-Álvarez de Arcaya, Dolors Serra, Pau Romero, David Calvo, Miguel Lozano, Ignacio García-Fernández, Rafael Sebastian, Miguel Rodrigo
In silico models offer a promising advancement for studying cardiac arrhythmias and their clinical implications. However, existing detailed mathematical models often suffer from prolonged computational time compared to diagnostic needs. This study introduces a Cellular Automaton (CA) model tailored to replicate atrial electrophysiology in different stages of Atrial Fibrillation (AF), including persistent
-
Harmonizing flows: Leveraging normalizing flows for unsupervised and source-free MRI harmonization Med. Image Anal. (IF 10.7) Pub Date : 2025-02-02 Farzad Beizaee, Gregory A. Lodygensky, Chris L. Adamson, Deanne K. Thompson, Jeanie L.Y. Cheong, Alicia J. Spittle, Peter J. Anderson, Christian Desrosiers, Jose Dolz
Lack of standardization and various intrinsic parameters for magnetic resonance (MR) image acquisition results in heterogeneous images across different sites and devices, which adversely affects the generalization of deep neural networks. To alleviate this issue, this work proposes a novel unsupervised harmonization framework that leverages normalizing flows to align MR images, thereby emulating the
-
Topology-oriented foreground focusing network for semi-supervised coronary artery segmentation Med. Image Anal. (IF 10.7) Pub Date : 2025-01-31 Xiangxin Wang, Zhan Wu, Yujia Zhou, Huazhong Shu, Jean-Louis Coatrieux, Qianjin Feng, Yang Chen
Automatic coronary artery (CA) segmentation on coronary-computed tomography angiography (CCTA) images is critical for coronary-related disease diagnosis and pre-operative planning. However, such segmentation remains a challenging task due to the difficulty in maintaining the topological consistency of CA, interference from irrelevant tubular structures, and insufficient labeled data. In this study
-
Ensemble and low-frequency mixing with diffusion models for accelerated MRI reconstruction Med. Image Anal. (IF 10.7) Pub Date : 2025-01-31 Yejee Shin, Geonhui Son, Dosik Hwang, Taejoon Eo
Magnetic resonance imaging (MRI) is an important imaging modality in medical diagnosis, providing comprehensive anatomical information with detailed tissue structures. However, the long scan time required to acquire high-quality MR images is a major challenge, especially in urgent clinical scenarios. Although diffusion models have achieved remarkable performance in accelerated MRI, there are several
-
Self-supervised 3D medical image segmentation by flow-guided mask propagation learning Med. Image Anal. (IF 10.7) Pub Date : 2025-01-30 Adeleh Bitarafan, Mohammad Mozafari, Mohammad Farid Azampour, Mahdieh Soleymani Baghshah, Nassir Navab, Azade Farshad
Despite significant progress in 3D medical image segmentation using deep learning, manual annotation remains a labor-intensive bottleneck. Self-supervised mask propagation (SMP) methods have emerged to alleviate this challenge, allowing intra-volume segmentation with just a single slice annotation. However, the previous SMP methods often rely on 2D information and ignore volumetric contexts. While
-
DSAM: A deep learning framework for analyzing temporal and spatial dynamics in brain networks Med. Image Anal. (IF 10.7) Pub Date : 2025-01-29 Bishal Thapaliya, Robyn Miller, Jiayu Chen, Yu Ping Wang, Esra Akbas, Ram Sapkota, Bhaskar Ray, Pranav Suresh, Santosh Ghimire, Vince D. Calhoun, Jingyu Liu
Resting-state functional magnetic resonance imaging (rs-fMRI) is a noninvasive technique pivotal for understanding human neural mechanisms of intricate cognitive processes. Most rs-fMRI studies compute a single static functional connectivity matrix across brain regions of interest, or dynamic functional connectivity matrices with a sliding window approach. These approaches are at risk of oversimplifying
-
Application-driven validation of posteriors in inverse problems Med. Image Anal. (IF 10.7) Pub Date : 2025-01-23 Tim J. Adler, Jan-Hinrich Nölke, Annika Reinke, Minu Dietlinde Tizabi, Sebastian Gruber, Dasha Trofimova, Lynton Ardizzone, Paul F. Jaeger, Florian Buettner, Ullrich Köthe, Lena Maier-Hein
Current deep learning-based solutions for image analysis tasks are commonly incapable of handling problems to which multiple different plausible solutions exist. In response, posterior-based methods such as conditional Diffusion Models and Invertible Neural Networks have emerged; however, their translation is hampered by a lack of research on adequate validation. In other words, the way progress is
-
Dynamic graph based weakly supervised deep hashing for whole slide image classification and retrieval Med. Image Anal. (IF 10.7) Pub Date : 2025-01-23 Haochen Jin, Junyi Shen, Lei Cui, Xiaoshuang Shi, Kang Li, Xiaofeng Zhu
Recently, a multi-scale representation attention based deep multiple instance learning method has proposed to directly extract patch-level image features from gigapixel whole slide images (WSIs), and achieved promising performance on multiple popular WSI datasets. However, it still has two major limitations: (i) without considering the relations among patches, thereby possibly restricting the model
-
Multiple token rearrangement Transformer network with explicit superpixel constraint for segmentation of echocardiography Med. Image Anal. (IF 10.7) Pub Date : 2025-01-22 Wanli Ding, Heye Zhang, Xiujian Liu, Zhenxuan Zhang, Shuxin Zhuang, Zhifan Gao, Lin Xu
Diagnostic cardiologists have considerable clinical demand for precise segmentation of echocardiography to diagnose cardiovascular disease. The paradox is that manual segmentation of echocardiography is a time-consuming and operator-dependent task. Computer-aided segmentation can reduce the workflow greatly. However, it is challenging to segment multi-type echocardiography, which is reflected in differential
-
MRI-based modelling of left atrial flow and coagulation to predict risk of thrombogenesis in atrial fibrillation Med. Image Anal. (IF 10.7) Pub Date : 2025-01-22 Ahmed Qureshi, Paolo Melidoro, Maximilian Balmus, Gregory Y.H. Lip, David A. Nordsletten, Steven E. Williams, Oleg Aslanidi, Adelaide de Vecchi
Atrial fibrillation (AF), impacting nearly 50 million individuals globally, is a major contributor to ischaemic strokes, predominantly originating from the left atrial appendage (LAA). Current clinical scores like CHA₂DS₂-VASc, while useful, provide limited insight into the pro-thrombotic mechanisms of Virchow's triad—blood stasis, endothelial damage, and hypercoagulability. This study leverages biophysical
-
SAF-IS: A spatial annotation free framework for instance segmentation of surgical tools Med. Image Anal. (IF 10.7) Pub Date : 2025-01-22 Luca Sestini, Benoit Rosa, Elena De Momi, Giancarlo Ferrigno, Nicolas Padoy
Instance segmentation of surgical instruments is a long-standing research problem, crucial for the development of many applications for computer-assisted surgery. This problem is commonly tackled via fully-supervised training of deep learning models, requiring expensive pixel-level annotations to train.
-
Leveraging labelled data knowledge: A cooperative rectification learning network for semi-supervised 3D medical image segmentation Med. Image Anal. (IF 10.7) Pub Date : 2025-01-22 Yanyan Wang, Kechen Song, Yuyuan Liu, Shuai Ma, Yunhui Yan, Gustavo Carneiro
Semi-supervised 3D medical image segmentation aims to achieve accurate segmentation using few labelled data and numerous unlabelled data. The main challenge in the design of semi-supervised learning methods consists in the effective use of the unlabelled data for training. A promising solution consists of ensuring consistent predictions across different views of the data, where the efficacy of this
-
Towards contrast-agnostic soft segmentation of the spinal cord Med. Image Anal. (IF 10.7) Pub Date : 2025-01-21 Sandrine Bédard, Enamundram Naga Karthik, Charidimos Tsagkas, Emanuele Pravatà, Cristina Granziera, Andrew Smith, Kenneth Arnold Weber II, Julien Cohen-Adad
Spinal cord segmentation is clinically relevant and is notably used to compute spinal cord cross-sectional area (CSA) for the diagnosis and monitoring of cord compression or neurodegenerative diseases such as multiple sclerosis. While several semi and automatic methods exist, one key limitation remains: the segmentation depends on the MRI contrast, resulting in different CSA across contrasts. This
-
Probabilistic learning of the Purkinje network from the electrocardiogram Med. Image Anal. (IF 10.7) Pub Date : 2025-01-21 Felipe Álvarez-Barrientos, Mariana Salinas-Camus, Simone Pezzuto, Francisco Sahli Costabal
The identification of the Purkinje conduction system in the heart is a challenging task, yet essential for a correct definition of cardiac digital twins for precision cardiology. Here, we propose a probabilistic approach for identifying the Purkinje network from non-invasive clinical data such as the standard electrocardiogram (ECG). We use cardiac imaging to build an anatomically accurate model of
-
Personalized topology-informed localization of standard 12-lead ECG electrode placement from incomplete cardiac MRIs for efficient cardiac digital twins Med. Image Anal. (IF 10.7) Pub Date : 2025-01-21 Lei Li, Hannah Smith, Yilin Lyu, Julia Camps, Shuang Qian, Blanca Rodriguez, Abhirup Banerjee, Vicente Grau
Cardiac digital twins (CDTs) offer personalized in-silico cardiac representations for the inference of multi-scale properties tied to cardiac mechanisms. The creation of CDTs requires precise information about the electrode position on the torso, especially for the personalized electrocardiogram (ECG) calibration. However, current studies commonly rely on additional acquisition of torso imaging and
-
TractGraphFormer: Anatomically informed hybrid graph CNN-transformer network for interpretable sex and age prediction from diffusion MRI tractography Med. Image Anal. (IF 10.7) Pub Date : 2025-01-20 Yuqian Chen, Fan Zhang, Meng Wang, Leo R. Zekelman, Suheyla Cetin-Karayumak, Tengfei Xue, Chaoyi Zhang, Yang Song, Jarrett Rushmore, Nikos Makris, Yogesh Rathi, Weidong Cai, Lauren J. O'Donnell
The relationship between brain connections and non-imaging phenotypes is increasingly studied using deep neural networks. However, the local and global properties of the brain's white matter networks are often overlooked in convolutional network design. We introduce TractGraphFormer, a hybrid Graph CNN-Transformer deep learning framework tailored for diffusion MRI tractography. This model leverages
-
Enhancing lesion detection in automated breast ultrasound using unsupervised multi-view contrastive learning with 3D DETR Med. Image Anal. (IF 10.7) Pub Date : 2025-01-18 Xing Tao, Yan Cao, Yanhui Jiang, Xiaoxi Wu, Dan Yan, Wen Xue, Shulian Zhuang, Xin Yang, Ruobing Huang, Jianxing Zhang, Dong Ni
The inherent variability of lesions poses challenges in leveraging AI in 3D automated breast ultrasound (ABUS) for lesion detection. Traditional methods based on single scans have fallen short compared to comprehensive evaluations by experienced sonologists using multiple scans. To address this, our study introduces an innovative approach combining the multi-view co-attention mechanism (MCAM) with
-
Benefit from public unlabeled data: A Frangi filter-based pretraining network for 3D cerebrovascular segmentation Med. Image Anal. (IF 10.7) Pub Date : 2025-01-17 Gen Shi, Hao Lu, Hui Hui, Jie Tian
Precise cerebrovascular segmentation in Time-of-Flight Magnetic Resonance Angiography (TOF-MRA) data is crucial for computer-aided clinical diagnosis. The sparse distribution of cerebrovascular structures within TOF-MRA images often results in high costs for manual data labeling. Leveraging unlabeled TOF-MRA data can significantly enhance model performance. In this study, we have constructed the largest
-
Illuminating the unseen: Advancing MRI domain generalization through causality Med. Image Anal. (IF 10.7) Pub Date : 2025-01-16 Yunqi Wang, Tianjiao Zeng, Furui Liu, Qi Dou, Peng Cao, Hing-Chiu Chang, Qiao Deng, Edward S. Hui
Deep learning methods have shown promise in accelerated MRI reconstruction but face significant challenges under domain shifts between training and testing datasets, such as changes in image contrasts, anatomical regions, and acquisition strategies. To address these challenges, we present the first domain generalization framework specifically designed for accelerated MRI reconstruction to robustness
-
VSNet: Vessel Structure-aware Network for hepatic and portal vein segmentation Med. Image Anal. (IF 10.7) Pub Date : 2025-01-16 Jichen Xu, Anqi Dong, Yang Yang, Shuo Jin, Jianping Zeng, Zhengqing Xu, Wei Jiang, Liang Zhang, Jiahong Dong, Bo Wang
Identifying and segmenting hepatic and portal veins (two predominant vascular systems in the liver, from CT scans) play a crucial role for clinicians in preoperative planning for treatment strategies. However, existing segmentation models often struggle to capture fine details of minor veins. In this article, we introduce Vessel Structure-aware Network (VSNet), a multi-task learning model with vessel-growing
-
Identifying multilayer network hub by graph representation learning Med. Image Anal. (IF 10.7) Pub Date : 2025-01-16 Defu Yang, Minjeong Kim, Yu Zhang, Guorong Wu
The recent advances in neuroimaging technology allow us to understand how the human brain is wired in vivo and how functional activity is synchronized across multiple regions. Growing evidence shows that the complexity of the functional connectivity is far beyond the widely used mono-layer network. Indeed, the hierarchical processing information among distinct brain regions and across multiple channels
-
SIRE: Scale-invariant, rotation-equivariant estimation of artery orientations using graph neural networks Med. Image Anal. (IF 10.7) Pub Date : 2025-01-15 Dieuwertje Alblas, Julian Suk, Christoph Brune, Kak Khee Yeung, Jelmer M. Wolterink
The orientation of a blood vessel as visualized in 3D medical images is an important descriptor of its geometry that can be used for centerline extraction and subsequent segmentation, labeling, and visualization. Blood vessels appear at multiple scales and levels of tortuosity, and determining the exact orientation of a vessel is a challenging problem. Recent works have used 3D convolutional neural
-
UnICLAM: Contrastive representation learning with adversarial masking for unified and interpretable Medical Vision Question Answering Med. Image Anal. (IF 10.7) Pub Date : 2025-01-15 Chenlu Zhan, Peng Peng, Hongwei Wang, Gaoang Wang, Yu Lin, Tao Chen, Hongsen Wang
Medical Visual Question Answering aims to assist doctors in decision-making when answering clinical questions regarding radiology images. Nevertheless, current models learn cross-modal representations through residing vision and text encoders in dual separate spaces, which inevitably leads to indirect semantic alignment. In this paper, we propose UnICLAM, a Unified and Interpretable Medical-VQA model
-
Dynamic spectrum-driven hierarchical learning network for polyp segmentation Med. Image Anal. (IF 10.7) Pub Date : 2025-01-14 Haolin Wang, Kai-Ni Wang, Jie Hua, Yi Tang, Yang Chen, Guang-Quan Zhou, Shuo Li
Accurate automatic polyp segmentation in colonoscopy is crucial for the prompt prevention of colorectal cancer. However, the heterogeneous nature of polyps and differences in lighting and visibility conditions present significant challenges in achieving reliable and consistent segmentation across different cases. Therefore, this study proposes a novel dynamic spectrum-driven hierarchical learning model
-
When multiple instance learning meets foundation models: Advancing histological whole slide image analysis Med. Image Anal. (IF 10.7) Pub Date : 2025-01-14 Hongming Xu, Mingkang Wang, Duanbo Shi, Huamin Qin, Yunpeng Zhang, Zaiyi Liu, Anant Madabhushi, Peng Gao, Fengyu Cong, Cheng Lu
Deep multiple instance learning (MIL) pipelines are the mainstream weakly supervised learning methodologies for whole slide image (WSI) classification. However, it remains unclear how these widely used approaches compare to each other, given the recent proliferation of foundation models (FMs) for patch-level embedding and the diversity of slide-level aggregations. This paper implemented and systematically
-
Multi-center brain age prediction via dual-modality fusion convolutional network Med. Image Anal. (IF 10.7) Pub Date : 2025-01-10 Xuebin Chang, Xiaoyan Jia, Simon B. Eickhoff, Debo Dong, Wei Zeng
Accurate prediction of brain age is crucial for identifying deviations between typical individual brain development trajectories and neuropsychiatric disease progression. Although current research has made progress, the effective application of brain age prediction models to multi-center datasets, particularly those with small-sample sizes, remains a significant challenge that is yet to be addressed
-
Measurement of biomechanical properties of transversely isotropic biological tissue using traveling wave expansion Med. Image Anal. (IF 10.7) Pub Date : 2025-01-09 Shengyuan Ma, Zhao He, Runke Wang, Aili Zhang, Qingfang Sun, Jun Liu, Fuhua Yan, Michael S. Sacks, Xi-Qiao Feng, Guang-Zhong Yang, Yuan Feng
The anisotropic mechanical properties of fiber-embedded biological tissues are essential for understanding their development, aging, disease progression, and response to therapy. However, accurate and fast assessment of mechanical anisotropy in vivo using elastography remains challenging. To address the dilemma of achieving both accuracy and efficiency in this inverse problem involving complex wave
-
Abductive multi-instance multi-label learning for periodontal disease classification with prior domain knowledge Med. Image Anal. (IF 10.7) Pub Date : 2025-01-07 Zi-Yuan Wu, Wei Guo, Wei Zhou, Han-Jia Ye, Yuan Jiang, Houxuan Li, Zhi-Hua Zhou
Machine learning is widely used in dentistry nowadays, offering efficient solutions for diagnosing dental diseases, such as periodontitis and gingivitis. Most existing methods for diagnosing periodontal diseases follow a two-stage process. Initially, they detect and classify potential Regions of Interest (ROIs) and subsequently determine the labels of the whole images. However, unlike the recognition
-
Graph neural networks in histopathology: Emerging trends and future directions Med. Image Anal. (IF 10.7) Pub Date : 2025-01-07 Siemen Brussee, Giorgio Buzzanca, Anne M.R. Schrader, Jesper Kers
Histopathological analysis of whole slide images (WSIs) has seen a surge in the utilization of deep learning methods, particularly Convolutional Neural Networks (CNNs). However, CNNs often fail to capture the intricate spatial dependencies inherent in WSIs. Graph Neural Networks (GNNs) present a promising alternative, adept at directly modeling pairwise interactions and effectively discerning the topological
-
Semi-supervised medical image segmentation via weak-to-strong perturbation consistency and edge-aware contrastive representation Med. Image Anal. (IF 10.7) Pub Date : 2025-01-06 Yang Yang, Guoying Sun, Tong Zhang, Ruixuan Wang, Jingyong Su
Despite that supervised learning has demonstrated impressive accuracy in medical image segmentation, its reliance on large labeled datasets poses a challenge due to the effort and expertise required for data acquisition. Semi-supervised learning has emerged as a potential solution. However, it tends to yield satisfactory segmentation performance in the central region of the foreground, but struggles
-
Domain-specific information preservation for Alzheimer’s disease diagnosis with incomplete multi-modality neuroimages Med. Image Anal. (IF 10.7) Pub Date : 2025-01-06 Haozhe Xu, Jian Wang, Qianjin Feng, Yu Zhang, Zhenyuan Ning
Although multi-modality neuroimages have advanced the early diagnosis of Alzheimer’s Disease (AD), missing modality issue still poses a unique challenge in the clinical practice. Recent studies have tried to impute the missing data so as to utilize all available subjects for training robust multi-modality models. However, these studies may overlook the modality-specific information inherent in multi-modality
-
Automated ultrasonography of hepatocellular carcinoma using discrete wavelet transform based deep-learning neural network Med. Image Anal. (IF 10.7) Pub Date : 2025-01-04 Se-Yeol Rhyou, Jae-Chern Yoo
This study introduces HCC-Net, a novel wavelet-based approach for the accurate diagnosis of hepatocellular carcinoma (HCC) from abdominal ultrasound (US) images using artificial neural networks. The HCC-Net integrates the discrete wavelet transform (DWT) to decompose US images into four sub-band images, a lesion detector for hierarchical lesion localization, and a pattern-augmented classifier for generating
-
Strategies for generating synthetic computed tomography-like imaging from radiographs: A scoping review Med. Image Anal. (IF 10.7) Pub Date : 2025-01-04 Daniel De Wilde, Olivier Zanier, Raffaele Da Mutten, Michael Jin, Luca Regli, Carlo Serra, Victor E. Staartjes
Advancements in tomographic medical imaging have revolutionized diagnostics and treatment monitoring by offering detailed 3D visualization of internal structures. Despite the significant value of computed tomography (CT), challenges such as high radiation dosage and cost barriers limit its accessibility, especially in low- and middle-income countries. Recognizing the potential of radiographic imaging