对于痴呆症筛查和监测，标准化测试在临床常规中起着关键作用，因为它们旨在通过测量各种认知任务的性能来最大程度地降低主观性。在本文中，我们报告了一项由半标准化病史组成的研究，然后进行了两个标准化的神经心理学测试，即SKT和CERAD-NB。这些测试包括基本任务，例如命名对象，学习单词列表，以及广泛使用的工具，例如MMSE。大多数任务是在口头上执行的，因此应适用于基于成绩单的自动评分。对于第一批30例患者，我们根据手动和自动转录分析了专家手动评估与自动评估之间的相关性。对于SKT和CERAD-NB，我们都可以使用手动笔录观察到高至完美的相关性。对于某些相关性较低的任务，自动评分比人类参考更严格，因为它仅限于音频。使用自动转录，相关性降低，并且与识别精度有关；但是，我们仍然观察到高达0.98（SKT）和0.85（CERAD-NB）的高相关性。我们表明，使用单词替代方案有助于减轻识别错误，并随后改善与专家分数的相关性。

标准化测试在检测认知障碍中起着至关重要的作用。先前的工作表明，使用标准化图片描述任务中的音频数据可以自动检测认知障碍。提出的研究超出了这一点，评估了我们对来自两个标准化神经心理学测试的数据，即德国SKT和德国版本的CERAD-NB，以及患者与心理学家之间的半结构化临床访谈。对于测试，我们关注三个子测试的语音记录：阅读数字（SKT 3），干扰（SKT 7）和口头流利度（Cerad-NB 1）。我们表明，标准化测试的声学特征可用于可靠地区分非受损的人的认知受损个体。此外，我们提供的证据表明，即使是从访谈的随机语音样本中提取的特征也可能是认知障碍的歧视者。在我们的基线实验中，我们使用开米的功能和支持向量机分类器。在改进的设置中，我们表明使用WAV2VEC 2.0功能，我们可以达到高达85％的精度。

Coronary Computed Tomography Angiography (CCTA) provides information on the presence, extent, and severity of obstructive coronary artery disease. Large-scale clinical studies analyzing CCTA-derived metrics typically require ground-truth validation in the form of high-fidelity 3D intravascular imaging. However, manual rigid alignment of intravascular images to corresponding CCTA images is both time consuming and user-dependent. Moreover, intravascular modalities suffer from several non-rigid motion-induced distortions arising from distortions in the imaging catheter path. To address these issues, we here present a semi-automatic segmentation-based framework for both rigid and non-rigid matching of intravascular images to CCTA images. We formulate the problem in terms of finding the optimal \emph{virtual catheter path} that samples the CCTA data to recapitulate the coronary artery morphology found in the intravascular image. We validate our co-registration framework on a cohort of $n=40$ patients using bifurcation landmarks as ground truth for longitudinal and rotational registration. Our results indicate that our non-rigid registration significantly outperforms other co-registration approaches for luminal bifurcation alignment in both longitudinal (mean mismatch: 3.3 frames) and rotational directions (mean mismatch: 28.6 degrees). By providing a differentiable framework for automatic multi-modal intravascular data fusion, our developed co-registration modules significantly reduces the manual effort required to conduct large-scale multi-modal clinical studies while also providing a solid foundation for the development of machine learning-based co-registration approaches.

The release of ChatGPT, a language model capable of generating text that appears human-like and authentic, has gained significant attention beyond the research community. We expect that the convincing performance of ChatGPT incentivizes users to apply it to a variety of downstream tasks, including prompting the model to simplify their own medical reports. To investigate this phenomenon, we conducted an exploratory case study. In a questionnaire, we asked 15 radiologists to assess the quality of radiology reports simplified by ChatGPT. Most radiologists agreed that the simplified reports were factually correct, complete, and not potentially harmful to the patient. Nevertheless, instances of incorrect statements, missed key medical findings, and potentially harmful passages were reported. While further studies are needed, the initial insights of this study indicate a great potential in using large language models like ChatGPT to improve patient-centered care in radiology and other medical domains.

Artificial Intelligence (AI) has become commonplace to solve routine everyday tasks. Because of the exponential growth in medical imaging data volume and complexity, the workload on radiologists is steadily increasing. We project that the gap between the number of imaging exams and the number of expert radiologist readers required to cover this increase will continue to expand, consequently introducing a demand for AI-based tools that improve the efficiency with which radiologists can comfortably interpret these exams. AI has been shown to improve efficiency in medical-image generation, processing, and interpretation, and a variety of such AI models have been developed across research labs worldwide. However, very few of these, if any, find their way into routine clinical use, a discrepancy that reflects the divide between AI research and successful AI translation. To address the barrier to clinical deployment, we have formed MONAI Consortium, an open-source community which is building standards for AI deployment in healthcare institutions, and developing tools and infrastructure to facilitate their implementation. This report represents several years of weekly discussions and hands-on problem solving experience by groups of industry experts and clinicians in the MONAI Consortium. We identify barriers between AI-model development in research labs and subsequent clinical deployment and propose solutions. Our report provides guidance on processes which take an imaging AI model from development to clinical implementation in a healthcare institution. We discuss various AI integration points in a clinical Radiology workflow. We also present a taxonomy of Radiology AI use-cases. Through this report, we intend to educate the stakeholders in healthcare and AI (AI researchers, radiologists, imaging informaticists, and regulators) about cross-disciplinary challenges and possible solutions.

The future of population-based breast cancer screening is likely personalized strategies based on clinically relevant risk models. Mammography-based risk models should remain robust to domain shifts caused by different populations and mammographic devices. Modern risk models do not ensure adaptation across vendor-domains and are often conflated to unintentionally rely on both precursors of cancer and systemic/global mammographic information associated with short- and long-term risk, respectively, which might limit performance. We developed a robust, cross-vendor model for long-term risk assessment. An augmentation-based domain adaption technique, based on flavorization of mammographic views, ensured generalization to an unseen vendor-domain. We trained on samples without diagnosed/potential malignant findings to learn systemic/global breast tissue features, called mammographic texture, indicative of future breast cancer. However, training so may cause erratic convergence. By excluding noise-inducing samples and designing a case-control dataset, a robust ensemble texture model was trained. This model was validated in two independent datasets. In 66,607 Danish women with flavorized Siemens views, the AUC was 0.71 and 0.65 for prediction of interval cancers within two years (ICs) and from two years after screening (LTCs), respectively. In a combination with established risk factors, the model's AUC increased to 0.68 for LTCs. In 25,706 Dutch women with Hologic-processed views, the AUCs were not different from the AUCs in Danish women with flavorized views. The results suggested that the model robustly estimated long-term risk while adapting to an unseen processed vendor-domain. The model identified 8.1% of Danish women accounting for 20.9% of ICs and 14.2% of LTCs.

Quaternion valued neural networks experienced rising popularity and interest from researchers in the last years, whereby the derivatives with respect to quaternions needed for optimization are calculated as the sum of the partial derivatives with respect to the real and imaginary parts. However, we can show that product- and chain-rule does not hold with this approach. We solve this by employing the GHRCalculus and derive quaternion backpropagation based on this. Furthermore, we experimentally prove the functionality of the derived quaternion backpropagation.

In this work, a method for obtaining pixel-wise error bounds in Bayesian regularization of inverse imaging problems is introduced. The proposed method employs estimates of the posterior variance together with techniques from conformal prediction in order to obtain coverage guarantees for the error bounds, without making any assumption on the underlying data distribution. It is generally applicable to Bayesian regularization approaches, independent, e.g., of the concrete choice of the prior. Furthermore, the coverage guarantees can also be obtained in case only approximate sampling from the posterior is possible. With this in particular, the proposed framework is able to incorporate any learned prior in a black-box manner. Guaranteed coverage without assumptions on the underlying distributions is only achievable since the magnitude of the error bounds is, in general, unknown in advance. Nevertheless, experiments with multiple regularization approaches presented in the paper confirm that in practice, the obtained error bounds are rather tight. For realizing the numerical experiments, also a novel primal-dual Langevin algorithm for sampling from non-smooth distributions is introduced in this work.

Multi-class ensemble classification remains a popular focus of investigation within the research community. The popularization of cloud services has sped up their adoption due to the ease of deploying large-scale machine-learning models. It has also drawn the attention of the industrial sector because of its ability to identify common problems in production. However, there are challenges to conform an ensemble classifier, namely a proper selection and effective training of the pool of classifiers, the definition of a proper architecture for multi-class classification, and uncertainty quantification of the ensemble classifier. The robustness and effectiveness of the ensemble classifier lie in the selection of the pool of classifiers, as well as in the learning process. Hence, the selection and the training procedure of the pool of classifiers play a crucial role. An (ensemble) classifier learns to detect the classes that were used during the supervised training. However, when injecting data with unknown conditions, the trained classifier will intend to predict the classes learned during the training. To this end, the uncertainty of the individual and ensemble classifier could be used to assess the learning capability. We present a novel approach for novel detection using ensemble classification and evidence theory. A pool selection strategy is presented to build a solid ensemble classifier. We present an architecture for multi-class ensemble classification and an approach to quantify the uncertainty of the individual classifiers and the ensemble classifier. We use uncertainty for the anomaly detection approach. Finally, we use the benchmark Tennessee Eastman to perform experiments to test the ensemble classifier's prediction and anomaly detection capabilities.

We address the task of open-world class-agnostic object detection, i.e., detecting every object in an image by learning from a limited number of base object classes. State-of-the-art RGB-based models suffer from overfitting the training classes and often fail at detecting novel-looking objects. This is because RGB-based models primarily rely on appearance similarity to detect novel objects and are also prone to overfitting short-cut cues such as textures and discriminative parts. To address these shortcomings of RGB-based object detectors, we propose incorporating geometric cues such as depth and normals, predicted by general-purpose monocular estimators. Specifically, we use the geometric cues to train an object proposal network for pseudo-labeling unannotated novel objects in the training set. Our resulting Geometry-guided Open-world Object Detector (GOOD) significantly improves detection recall for novel object categories and already performs well with only a few training classes. Using a single "person" class for training on the COCO dataset, GOOD surpasses SOTA methods by 5.0% AR@100, a relative improvement of 24%.