Mask-Guided Attention U-Net for Enhanced Neonatal Brain Extraction and Image Preprocessing

In this study, we introduce MGA-Net, a novel mask-guided attention neural network, which extends the U-net model for precision neonatal brain imaging. MGA-Net is designed to extract the brain from other structures and reconstruct high-quality brain images. The network employs a common encoder and two decoders: one for brain mask extraction and the other for brain region reconstruction. A key feature of MGA-Net is its high-level mask-guided attention module, which leverages features from the brain mask decoder to enhance image reconstruction. To enable the same encoder and decoder to process both MRI and ultrasound (US) images, MGA-Net integrates sinusoidal positional encoding. This encoding assigns distinct positional values to MRI and US images, allowing the model to effectively learn from both modalities. Consequently, features learned from a single modality can aid in learning a modality with less available data, such as US. We extensively validated the proposed MGA-Net on diverse datasets from varied clinical settings and neonatal age groups. The metrics used for assessment included the DICE similarity coefficient, recall, and accuracy for image segmentation; structural similarity for image reconstruction; and root mean squared error for total brain volume estimation from 3D ultrasound images. Our results demonstrate that MGA-Net significantly outperforms traditional methods, offering superior performance in brain extraction and segmentation while achieving high precision in image reconstruction and volumetric analysis. Thus, MGA-Net represents a robust and effective preprocessing tool for MRI and 3D ultrasound images, marking a significant advance in neuroimaging that enhances both research and clinical diagnostics in the neonatal period and beyond.

MELAGE: A purely python based Neuroimaging software (Neonatal)

MELAGE, a pioneering Python-based neuroimaging software, emerges as a versatile tool for the visualization, processing, and analysis of medical images. Initially conceived to address the unique challenges of processing 3D ultrasound and MRI brain images during the neonatal period, MELAGE exhibits remarkable adaptability, extending its utility to the domain of adult human brain imaging. At its core, MELAGE features a semi-automatic brain extraction tool empowered by a deep learning module, ensuring precise and efficient brain structure extraction from MRI and 3D Ultrasound data. Moreover, MELAGE offers a comprehensive suite of features, encompassing dynamic 3D visualization, accurate measurements, and interactive image segmentation. This transformative software holds immense promise for researchers and clinicians, offering streamlined image analysis, seamless integration with deep learning algorithms, and broad applicability in the realm of medical imaging.

Gaussian Processes for Missing Value Imputation

Missing values are common in many real-life datasets. However, most of the current machine learning methods can not handle missing values. This means that they should be imputed beforehand. Gaussian Processes (GPs) are non-parametric models with accurate uncertainty estimates that combined with sparse approximations and stochastic variational inference scale to large data sets. Sparse GPs can be used to compute a predictive distribution for missing data. Here, we present a hierarchical composition of sparse GPs that is used to predict missing values at each dimension using all the variables from the other dimensions. We call the approach missing GP (MGP). MGP can be trained simultaneously to impute all observed missing values. Specifically, it outputs a predictive distribution for each missing value that is then used in the imputation of other missing values. We evaluate MGP in one private clinical data set and four UCI datasets with a different percentage of missing values. We compare the performance of MGP with other state-of-the-art methods for imputing missing values, including variants based on sparse GPs and deep GPs. The results obtained show a significantly better performance of MGP.

Input Dependent Sparse Gaussian Processes

Gaussian Processes (GPs) are Bayesian models that provide uncertainty estimates associated to the predictions made. They are also very flexible due to their non-parametric nature. Nevertheless, GPs suffer from poor scalability as the number of training instances N increases. More precisely, they have a cubic cost with respect to $N$. To overcome this problem, sparse GP approximations are often used, where a set of $M \ll N$ inducing points is introduced during training. The location of the inducing points is learned by considering them as parameters of an approximate posterior distribution $q$. Sparse GPs, combined with variational inference for inferring $q$, reduce the training cost of GPs to $\mathcal{O}(M^3)$. Critically, the inducing points determine the flexibility of the model and they are often located in regions of the input space where the latent function changes. A limitation is, however, that for some learning tasks a large number of inducing points may be required to obtain a good prediction performance. To address this limitation, we propose here to amortize the computation of the inducing points locations, as well as the parameters of the variational posterior approximation q. For this, we use a neural network that receives the observed data as an input and outputs the inducing points locations and the parameters of $q$. We evaluate our method in several experiments, showing that it performs similar or better than other state-of-the-art sparse variational GP approaches. However, with our method the number of inducing points is reduced drastically due to their dependency on the input data. This makes our method scale to larger datasets and have faster training and prediction times.