由胰腺管网络的具有挑战性的分割任务激发，本文解决了两个通常遇到生物医学成像问题的问题：分割的拓扑一致性，以及昂贵或困难的注释。我们的贡献如下：a）我们提出了一个拓扑评分，该评分衡量了预测和地面真理分割之间的拓扑和几何一致性，应用于模型选择和验证。 b）我们在时间序列图像数据上为这一困难的嘈杂任务提供了完整的深度学习方法。在我们的方法中，我们首先使用半监管的U-NET体系结构，适用于通用分割任务，该任务共同训练自动编码器和分割网络。然后，随着时间的流逝，我们使用循环的跟踪来进一步改善预测的拓扑。这种半监督的方法使我们能够利用未经通知的数据来学习特征表示，尽管我们的带注释的培训数据的变化非常有限，但该特征表示具有较高可变性的数据。我们的贡献在具有挑战性的分割任务上得到了验证，从嘈杂的实时成像共聚焦显微镜中定位胎儿胰腺中的管状结构。我们表明，我们的半监督模型不仅优于完全监督和预训练的模型，而且还优于在训练过程中考虑拓扑一致性的方法。此外，与经过平均循环得分为0.762的CLDICE的U-NET相比，我们的方法的平均环路得分为0.808。

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.

视觉变压器（VIT）已被证明可以在广泛的视觉应用中获得高度竞争性的性能，例如图像分类，对象检测和语义图像分割。与卷积神经网络相比，通常发现视觉变压器的较弱的电感偏差会在较小的培训数据集上培训时，会增加对模型正则化或数据增强的依赖（简称为“ AUGREG”）。我们进行了一项系统的实证研究，以便更好地了解培训数据，AUGREG，模型大小和计算预算之间的相互作用。作为这项研究的一个结果，我们发现增加的计算和AUGREG的组合可以产生与在数量级上训练的模型相同的训练数据的模型：我们在公共Imagenet-21K数据集中培训各种尺寸的VIT模型在较大的JFT-300M数据集上匹配或超越其对手的培训。

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.

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%.