MICCAI-CDMRI 2023 QuantConn Challenge Findings on Achieving Robust Quantitative Connectivity through Harmonized Preprocessing of Diffusion MRI

White matter alterations are increasingly implicated in neurological diseases and their progression. International-scale studies use diffusion-weighted magnetic resonance imaging (DW-MRI) to qualitatively identify changes in white matter microstructure and connectivity. Yet, quantitative analysis of DW-MRI data is hindered by inconsistencies stemming from varying acquisition protocols. There is a pressing need to harmonize the preprocessing of DW-MRI datasets to ensure the derivation of robust quantitative diffusion metrics across acquisitions. In the MICCAI-CDMRI 2023 QuantConn challenge, participants were provided raw data from the same individuals collected on the same scanner but with two different acquisitions and tasked with preprocessing the DW-MRI to minimize acquisition differences while retaining biological variation. Submissions are evaluated on the reproducibility and comparability of cross-acquisition bundle-wise microstructure measures, bundle shape features, and connectomics. The key innovations of the QuantConn challenge are that (1) we assess bundles and tractography in the context of harmonization for the first time, (2) we assess connectomics in the context of harmonization for the first time, and (3) we have 10x additional subjects over prior harmonization challenge, MUSHAC and 100x over SuperMUDI. We find that bundle surface area, fractional anisotropy, connectome assortativity, betweenness centrality, edge count, modularity, nodal strength, and participation coefficient measures are most biased by acquisition and that machine learning voxel-wise correction, RISH mapping, and NeSH methods effectively reduce these biases. In addition, microstructure measures AD, MD, RD, bundle length, connectome density, efficiency, and path length are least biased by these acquisition differences.

Can gamification reduce the burden of self-reporting in mHealth applications? Feasibility study using machine learning from smartwatch data to estimate cognitive load

The effectiveness of digital treatments can be measured by requiring patients to self-report their mental and physical state through mobile applications. However, self-reporting can be overwhelming and may cause patients to disengage from the intervention. In order to address this issue, we conduct a feasibility study to explore the impact of gamification on the cognitive burden of self-reporting. Our approach involves the creation of a system to assess cognitive burden through the analysis of photoplethysmography (PPG) signals obtained from a smartwatch. The system is built by collecting PPG data during both cognitively demanding tasks and periods of rest. The obtained data is utilized to train a machine learning model to detect cognitive load (CL). Subsequently, we create two versions of health surveys: a gamified version and a traditional version. Our aim is to estimate the cognitive load experienced by participants while completing these surveys using their mobile devices. We find that CL detector performance can be enhanced via pre-training on stress detection tasks and requires capturing of a minimum 30 seconds of PPG signal to work adequately. For 10 out of 13 participants, a personalized cognitive load detector can achieve an F1 score above 0.7. We find no difference between the gamified and non-gamified mobile surveys in terms of time spent in the state of high cognitive load but participants prefer the gamified version. The average time spent on each question is 5.5 for gamified survey vs 6 seconds for the non-gamified version.

CXR-FL: Deep Learning-based Chest X-ray Image Analysis Using Federated Learning

Federated learning enables building a shared model from multicentre data while storing the training data locally for privacy. In this paper, we present an evaluation (called CXR-FL) of deep learning-based models for chest X-ray image analysis using the federated learning method. We examine the impact of federated learning parameters on the performance of central models. Additionally, we show that classification models perform worse if trained on a region of interest reduced to segmentation of the lung compared to the full image. However, focusing training of the classification model on the lung area may result in improved pathology interpretability during inference. We also find that federated learning helps maintain model generalizability. The pre-trained weights and code are publicly available at (https://github.com/SanoScience/CXR-FL).