STiL: Semi-supervised Tabular-Image Learning for Comprehensive Task-Relevant Information Exploration in Multimodal Classification

Multimodal image-tabular learning is gaining attention, yet it faces challenges due to limited labeled data. While earlier work has applied self-supervised learning (SSL) to unlabeled data, its task-agnostic nature often results in learning suboptimal features for downstream tasks. Semi-supervised learning (SemiSL), which combines labeled and unlabeled data, offers a promising solution. However, existing multimodal SemiSL methods typically focus on unimodal or modality-shared features, ignoring valuable task-relevant modality-specific information, leading to a Modality Information Gap. In this paper, we propose STiL, a novel SemiSL tabular-image framework that addresses this gap by comprehensively exploring task-relevant information. STiL features a new disentangled contrastive consistency module to learn cross-modal invariant representations of shared information while retaining modality-specific information via disentanglement. We also propose a novel consensus-guided pseudo-labeling strategy to generate reliable pseudo-labels based on classifier consensus, along with a new prototype-guided label smoothing technique to refine pseudo-label quality with prototype embeddings, thereby enhancing task-relevant information learning in unlabeled data. Experiments on natural and medical image datasets show that STiL outperforms the state-of-the-art supervised/SSL/SemiSL image/multimodal approaches. Our code is publicly available.

Towards Universal Learning-based Model for Cardiac Image Reconstruction: Summary of the CMRxRecon2024 Challenge

Cardiovascular magnetic resonance (CMR) offers diverse imaging contrasts for assessment of cardiac function and tissue characterization. However, acquiring each single CMR modality is often time-consuming, and comprehensive clinical protocols require multiple modalities with various sampling patterns, further extending the overall acquisition time and increasing susceptibility to motion artifacts. Existing deep learning-based reconstruction methods are often designed for specific acquisition parameters, which limits their ability to generalize across a variety of scan scenarios. As part of the CMRxRecon Series, the CMRxRecon2024 challenge provides diverse datasets encompassing multi-modality multi-view imaging with various sampling patterns, and a platform for the international community to develop and benchmark reconstruction solutions in two well-crafted tasks. Task 1 is a modality-universal setting, evaluating the out-of-distribution generalization of the reconstructed model, while Task 2 follows sampling-universal setting assessing the one-for-all adaptability of the universal model. Main contributions include providing the first and largest publicly available multi-modality, multi-view cardiac k-space dataset; developing a benchmarking platform that simulates clinical acceleration protocols, with a shared code library and tutorial for various k-t undersampling patterns and data processing; giving technical insights of enhanced data consistency based on physic-informed networks and adaptive prompt-learning embedding to be versatile to different clinical settings; additional finding on evaluation metrics to address the limitations of conventional ground-truth references in universal reconstruction tasks.

Unsupervised Accelerated MRI Reconstruction via Ground-Truth-Free Flow Matching

Accelerated magnetic resonance imaging involves reconstructing fully sampled images from undersampled k-space measurements. Current state-of-the-art approaches have mainly focused on either end-to-end supervised training inspired by compressed sensing formulations, or posterior sampling methods built on modern generative models. However, their efficacy heavily relies on large datasets of fully sampled images, which may not always be available in practice. To address this issue, we propose an unsupervised MRI reconstruction method based on ground-truth-free flow matching (GTF$^2$M). Particularly, the GTF$^2$M learns a prior denoising process of fully sampled ground-truth images using only undersampled data. Based on that, an efficient cyclic reconstruction algorithm is further proposed to perform forward and backward integration in the dual space of image-space signal and k-space measurement. We compared our method with state-of-the-art learning-based baselines on the fastMRI database of both single-coil knee and multi-coil brain MRIs. The results show that our proposed unsupervised method can significantly outperform existing unsupervised approaches, and achieve performance comparable to most supervised end-to-end and prior learning baselines trained on fully sampled MRI, while offering greater efficiency than the compared generative model-based approaches.

Uncertainty quantification for White Matter Hyperintensity segmentation detects silent failures and improves automated Fazekas quantification

White Matter Hyperintensities (WMH) are key neuroradiological markers of small vessel disease present in brain MRI. Assessment of WMH is important in research and clinics. However, WMH are challenging to segment due to their high variability in shape, location, size, poorly defined borders, and similar intensity profile to other pathologies (e.g stroke lesions) and artefacts (e.g head motion). In this work, we apply the most effective techniques for uncertainty quantification (UQ) in segmentation to the WMH segmentation task across multiple test-time data distributions. We find a combination of Stochastic Segmentation Networks with Deep Ensembles yields the highest Dice and lowest Absolute Volume Difference % (AVD) score on in-domain and out-of-distribution data. We demonstrate the downstream utility of UQ, proposing a novel method for classification of the clinical Fazekas score using spatial features extracted for WMH segmentation and UQ maps. We show that incorporating WMH uncertainty information improves Fazekas classification performance and calibration, with median class balanced accuracy for classification models with (UQ and spatial WMH features)/(spatial WMH features)/(WMH volume only) of 0.71/0.66/0.60 in the Deep WMH and 0.82/0.77/0.73 in the Periventricular WMH regions respectively. We demonstrate that stochastic UQ techniques with high sample diversity can improve the detection of poor quality segmentations. Finally, we qualitatively analyse the semantic information captured by UQ techniques and demonstrate that uncertainty can highlight areas where there is ambiguity between WMH and stroke lesions, while identifying clusters of small WMH in deep white matter unsegmented by the model.

Sampling-Pattern-Agnostic MRI Reconstruction through Adaptive Consistency Enforcement with Diffusion Model

Magnetic Resonance Imaging (MRI) is a powerful, non-invasive diagnostic tool; however, its clinical applicability is constrained by prolonged acquisition times. Whilst present deep learning-based approaches have demonstrated potential in expediting MRI processes, these methods usually rely on known sampling patterns and exhibit limited generalisability to novel patterns. In the paper, we propose a sampling-pattern-agnostic MRI reconstruction method via a diffusion model through adaptive consistency enforcement. Our approach effectively reconstructs high-fidelity images with varied under-sampled acquisitions, generalising across contrasts and acceleration factors regardless of sampling trajectories. We train and validate across all contrasts in the MICCAI 2024 Cardiac MRI Reconstruction Challenge (CMRxRecon) dataset for the ``Random sampling CMR reconstruction'' task. Evaluation results indicate that our proposed method significantly outperforms baseline methods.

SGSR: Structure-Guided Multi-Contrast MRI Super-Resolution via Spatio-Frequency Co-Query Attention

Magnetic Resonance Imaging (MRI) is a leading diagnostic modality for a wide range of exams, where multiple contrast images are often acquired for characterizing different tissues. However, acquiring high-resolution MRI typically extends scan time, which can introduce motion artifacts. Super-resolution of MRI therefore emerges as a promising approach to mitigate these challenges. Earlier studies have investigated the use of multiple contrasts for MRI super-resolution (MCSR), whereas majority of them did not fully exploit the rich contrast-invariant structural information. To fully utilize such crucial prior knowledge of multi-contrast MRI, in this work, we propose a novel structure-guided MCSR (SGSR) framework based on a new spatio-frequency co-query attention (CQA) mechanism. Specifically, CQA performs attention on features of multiple contrasts with a shared structural query, which is particularly designed to extract, fuse, and refine the common structures from different contrasts. We further propose a novel frequency-domain CQA module in addition to the spatial domain, to enable more fine-grained structural refinement. Extensive experiments on fastMRI knee data and low-field brain MRI show that SGSR outperforms state-of-the-art MCSR methods with statistical significance.

CAR: Contrast-Agnostic Deformable Medical Image Registration with Contrast-Invariant Latent Regularization

Multi-contrast image registration is a challenging task due to the complex intensity relationships between different imaging contrasts. Conventional image registration methods are typically based on iterative optimizations for each input image pair, which is time-consuming and sensitive to contrast variations. While learning-based approaches are much faster during the inference stage, due to generalizability issues, they typically can only be applied to the fixed contrasts observed during the training stage. In this work, we propose a novel contrast-agnostic deformable image registration framework that can be generalized to arbitrary contrast images, without observing them during training. Particularly, we propose a random convolution-based contrast augmentation scheme, which simulates arbitrary contrasts of images over a single image contrast while preserving their inherent structural information. To ensure that the network can learn contrast-invariant representations for facilitating contrast-agnostic registration, we further introduce contrast-invariant latent regularization (CLR) that regularizes representation in latent space through a contrast invariance loss. Experiments show that CAR outperforms the baseline approaches regarding registration accuracy and also possesses better generalization ability to unseen imaging contrasts. Code is available at \url{https://github.com/Yinsong0510/CAR}.

TIP: Tabular-Image Pre-training for Multimodal Classification with Incomplete Data

Images and structured tables are essential parts of real-world databases. Though tabular-image representation learning is promising to create new insights, it remains a challenging task, as tabular data is typically heterogeneous and incomplete, presenting significant modality disparities with images. Earlier works have mainly focused on simple modality fusion strategies in complete data scenarios, without considering the missing data issue, and thus are limited in practice. In this paper, we propose TIP, a novel tabular-image pre-training framework for learning multimodal representations robust to incomplete tabular data. Specifically, TIP investigates a novel self-supervised learning (SSL) strategy, including a masked tabular reconstruction task for tackling data missingness, and image-tabular matching and contrastive learning objectives to capture multimodal information. Moreover, TIP proposes a versatile tabular encoder tailored for incomplete, heterogeneous tabular data and a multimodal interaction module for inter-modality representation learning. Experiments are performed on downstream multimodal classification tasks using both natural and medical image datasets. The results show that TIP outperforms state-of-the-art supervised/SSL image/multimodal algorithms in both complete and incomplete data scenarios. Our code is available at https://github.com/siyi-wind/TIP.

CMRxRecon2024: A Multi-Modality, Multi-View K-Space Dataset Boosting Universal Machine Learning for Accelerated Cardiac MRI

Cardiac magnetic resonance imaging (MRI) has emerged as a clinically gold-standard technique for diagnosing cardiac diseases, thanks to its ability to provide diverse information with multiple modalities and anatomical views. Accelerated cardiac MRI is highly expected to achieve time-efficient and patient-friendly imaging, and then advanced image reconstruction approaches are required to recover high-quality, clinically interpretable images from undersampled measurements. However, the lack of publicly available cardiac MRI k-space dataset in terms of both quantity and diversity has severely hindered substantial technological progress, particularly for data-driven artificial intelligence. Here, we provide a standardized, diverse, and high-quality CMRxRecon2024 dataset to facilitate the technical development, fair evaluation, and clinical transfer of cardiac MRI reconstruction approaches, towards promoting the universal frameworks that enable fast and robust reconstructions across different cardiac MRI protocols in clinical practice. To the best of our knowledge, the CMRxRecon2024 dataset is the largest and most diverse publicly available cardiac k-space dataset. It is acquired from 330 healthy volunteers, covering commonly used modalities, anatomical views, and acquisition trajectories in clinical cardiac MRI workflows. Besides, an open platform with tutorials, benchmarks, and data processing tools is provided to facilitate data usage, advanced method development, and fair performance evaluation.

Neural Ordinary Differential Equation based Sequential Image Registration for Dynamic Characterization

Deformable image registration (DIR) is crucial in medical image analysis, enabling the exploration of biological dynamics such as organ motions and longitudinal changes in imaging. Leveraging Neural Ordinary Differential Equations (ODE) for registration, this extension work discusses how this framework can aid in the characterization of sequential biological processes. Utilizing the Neural ODE's ability to model state derivatives with neural networks, our Neural Ordinary Differential Equation Optimization-based (NODEO) framework considers voxels as particles within a dynamic system, defining deformation fields through the integration of neural differential equations. This method learns dynamics directly from data, bypassing the need for physical priors, making it exceptionally suitable for medical scenarios where such priors are unavailable or inapplicable. Consequently, the framework can discern underlying dynamics and use sequence data to regularize the transformation trajectory. We evaluated our framework on two clinical datasets: one for cardiac motion tracking and another for longitudinal brain MRI analysis. Demonstrating its efficacy in both 2D and 3D imaging scenarios, our framework offers flexibility and model agnosticism, capable of managing image sequences and facilitating label propagation throughout these sequences. This study provides a comprehensive understanding of how the Neural ODE-based framework uniquely benefits the image registration challenge.