In the Picture: Medical Imaging Datasets, Artifacts, and their Living Review

Datasets play a critical role in medical imaging research, yet issues such as label quality, shortcuts, and metadata are often overlooked. This lack of attention may harm the generalizability of algorithms and, consequently, negatively impact patient outcomes. While existing medical imaging literature reviews mostly focus on machine learning (ML) methods, with only a few focusing on datasets for specific applications, these reviews remain static -- they are published once and not updated thereafter. This fails to account for emerging evidence, such as biases, shortcuts, and additional annotations that other researchers may contribute after the dataset is published. We refer to these newly discovered findings of datasets as research artifacts. To address this gap, we propose a living review that continuously tracks public datasets and their associated research artifacts across multiple medical imaging applications. Our approach includes a framework for the living review to monitor data documentation artifacts, and an SQL database to visualize the citation relationships between research artifact and dataset. Lastly, we discuss key considerations for creating medical imaging datasets, review best practices for data annotation, discuss the significance of shortcuts and demographic diversity, and emphasize the importance of managing datasets throughout their entire lifecycle. Our demo is publicly available at http://130.226.140.142.

MVP: Multimodal Emotion Recognition based on Video and Physiological Signals

Human emotions entail a complex set of behavioral, physiological and cognitive changes. Current state-of-the-art models fuse the behavioral and physiological components using classic machine learning, rather than recent deep learning techniques. We propose to fill this gap, designing the Multimodal for Video and Physio (MVP) architecture, streamlined to fuse video and physiological signals. Differently then others approaches, MVP exploits the benefits of attention to enable the use of long input sequences (1-2 minutes). We have studied video and physiological backbones for inputting long sequences and evaluated our method with respect to the state-of-the-art. Our results show that MVP outperforms former methods for emotion recognition based on facial videos, EDA, and ECG/PPG.

SMILE-UHURA Challenge -- Small Vessel Segmentation at Mesoscopic Scale from Ultra-High Resolution 7T Magnetic Resonance Angiograms

The human brain receives nutrients and oxygen through an intricate network of blood vessels. Pathology affecting small vessels, at the mesoscopic scale, represents a critical vulnerability within the cerebral blood supply and can lead to severe conditions, such as Cerebral Small Vessel Diseases. The advent of 7 Tesla MRI systems has enabled the acquisition of higher spatial resolution images, making it possible to visualise such vessels in the brain. However, the lack of publicly available annotated datasets has impeded the development of robust, machine learning-driven segmentation algorithms. To address this, the SMILE-UHURA challenge was organised. This challenge, held in conjunction with the ISBI 2023, in Cartagena de Indias, Colombia, aimed to provide a platform for researchers working on related topics. The SMILE-UHURA challenge addresses the gap in publicly available annotated datasets by providing an annotated dataset of Time-of-Flight angiography acquired with 7T MRI. This dataset was created through a combination of automated pre-segmentation and extensive manual refinement. In this manuscript, sixteen submitted methods and two baseline methods are compared both quantitatively and qualitatively on two different datasets: held-out test MRAs from the same dataset as the training data (with labels kept secret) and a separate 7T ToF MRA dataset where both input volumes and labels are kept secret. The results demonstrate that most of the submitted deep learning methods, trained on the provided training dataset, achieved reliable segmentation performance. Dice scores reached up to 0.838 $\pm$ 0.066 and 0.716 $\pm$ 0.125 on the respective datasets, with an average performance of up to 0.804 $\pm$ 0.15.

HyperMM : Robust Multimodal Learning with Varying-sized Inputs

Combining multiple modalities carrying complementary information through multimodal learning (MML) has shown considerable benefits for diagnosing multiple pathologies. However, the robustness of multimodal models to missing modalities is often overlooked. Most works assume modality completeness in the input data, while in clinical practice, it is common to have incomplete modalities. Existing solutions that address this issue rely on modality imputation strategies before using supervised learning models. These strategies, however, are complex, computationally costly and can strongly impact subsequent prediction models. Hence, they should be used with parsimony in sensitive applications such as healthcare. We propose HyperMM, an end-to-end framework designed for learning with varying-sized inputs. Specifically, we focus on the task of supervised MML with missing imaging modalities without using imputation before training. We introduce a novel strategy for training a universal feature extractor using a conditional hypernetwork, and propose a permutation-invariant neural network that can handle inputs of varying dimensions to process the extracted features, in a two-phase task-agnostic framework. We experimentally demonstrate the advantages of our method in two tasks: Alzheimer's disease detection and breast cancer classification. We demonstrate that our strategy is robust to high rates of missing data and that its flexibility allows it to handle varying-sized datasets beyond the scenario of missing modalities.

Benchmarking the CoW with the TopCoW Challenge: Topology-Aware Anatomical Segmentation of the Circle of Willis for CTA and MRA

The Circle of Willis (CoW) is an important network of arteries connecting major circulations of the brain. Its vascular architecture is believed to affect the risk, severity, and clinical outcome of serious neuro-vascular diseases. However, characterizing the highly variable CoW anatomy is still a manual and time-consuming expert task. The CoW is usually imaged by two angiographic imaging modalities, magnetic resonance angiography (MRA) and computed tomography angiography (CTA), but there exist limited public datasets with annotations on CoW anatomy, especially for CTA. Therefore we organized the TopCoW Challenge in 2023 with the release of an annotated CoW dataset and invited submissions worldwide for the CoW segmentation task, which attracted over 140 registered participants from four continents. TopCoW dataset was the first public dataset with voxel-level annotations for CoW's 13 vessel components, made possible by virtual-reality (VR) technology. It was also the first dataset with paired MRA and CTA from the same patients. TopCoW challenge aimed to tackle the CoW characterization problem as a multiclass anatomical segmentation task with an emphasis on topological metrics. The top performing teams managed to segment many CoW components to Dice scores around 90%, but with lower scores for communicating arteries and rare variants. There were also topological mistakes for predictions with high Dice scores. Additional topological analysis revealed further areas for improvement in detecting certain CoW components and matching CoW variant's topology accurately. TopCoW represented a first attempt at benchmarking the CoW anatomical segmentation task for MRA and CTA, both morphologically and topologically.

A2V: A Semi-Supervised Domain Adaptation Framework for Brain Vessel Segmentation via Two-Phase Training Angiography-to-Venography Translation

We present a semi-supervised domain adaptation framework for brain vessel segmentation from different image modalities. Existing state-of-the-art methods focus on a single modality, despite the wide range of available cerebrovascular imaging techniques. This can lead to significant distribution shifts that negatively impact the generalization across modalities. By relying on annotated angiographies and a limited number of annotated venographies, our framework accomplishes image-to-image translation and semantic segmentation, leveraging a disentangled and semantically rich latent space to represent heterogeneous data and perform image-level adaptation from source to target domains. Moreover, we reduce the typical complexity of cycle-based architectures and minimize the use of adversarial training, which allows us to build an efficient and intuitive model with stable training. We evaluate our method on magnetic resonance angiographies and venographies. While achieving state-of-the-art performance in the source domain, our method attains a Dice score coefficient in the target domain that is only 8.9% lower, highlighting its promising potential for robust cerebrovascular image segmentation across different modalities.

Binary domain generalization for sparsifying binary neural networks

Binary neural networks (BNNs) are an attractive solution for developing and deploying deep neural network (DNN)-based applications in resource constrained devices. Despite their success, BNNs still suffer from a fixed and limited compression factor that may be explained by the fact that existing pruning methods for full-precision DNNs cannot be directly applied to BNNs. In fact, weight pruning of BNNs leads to performance degradation, which suggests that the standard binarization domain of BNNs is not well adapted for the task. This work proposes a novel more general binary domain that extends the standard binary one that is more robust to pruning techniques, thus guaranteeing improved compression and avoiding severe performance losses. We demonstrate a closed-form solution for quantizing the weights of a full-precision network into the proposed binary domain. Finally, we show the flexibility of our method, which can be combined with other pruning strategies. Experiments over CIFAR-10 and CIFAR-100 demonstrate that the novel approach is able to generate efficient sparse networks with reduced memory usage and run-time latency, while maintaining performance.

JoB-VS: Joint Brain-Vessel Segmentation in TOF-MRA Images

We propose the first joint-task learning framework for brain and vessel segmentation (JoB-VS) from Time-of-Flight Magnetic Resonance images. Unlike state-of-the-art vessel segmentation methods, our approach avoids the pre-processing step of implementing a model to extract the brain from the volumetric input data. Skipping this additional step makes our method an end-to-end vessel segmentation framework. JoB-VS uses a lattice architecture that favors the segmentation of structures of different scales (e.g., the brain and vessels). Its segmentation head allows the simultaneous prediction of the brain and vessel mask. Moreover, we generate data augmentation with adversarial examples, which our results demonstrate to enhance the performance. JoB-VS achieves 70.03% mean AP and 69.09% F1-score in the OASIS-3 dataset and is capable of generalizing the segmentation in the IXI dataset. These results show the adequacy of JoB-VS for the challenging task of vessel segmentation in complete TOF-MRA images.

Fairness and bias correction in machine learning for depression prediction: results from four different study populations

A significant level of stigma and inequality exists in mental healthcare, especially in under-served populations, which spreads through collected data. When not properly accounted for, machine learning (ML) models learned from data can reinforce the structural biases already present in society. Here, we present a systematic study of bias in ML models designed to predict depression in four different case studies covering different countries and populations. We find that standard ML approaches show regularly biased behaviors. However, we show that standard mitigation techniques, and our own post-hoc method, can be effective in reducing the level of unfair bias. We provide practical recommendations to develop ML models for depression risk prediction with increased fairness and trust in the real world. No single best ML model for depression prediction provides equality of outcomes. This emphasizes the importance of analyzing fairness during model selection and transparent reporting about the impact of debiasing interventions.

Sparsifying Binary Networks

Binary neural networks (BNNs) have demonstrated their ability to solve complex tasks with comparable accuracy as full-precision deep neural networks (DNNs), while also reducing computational power and storage requirements and increasing the processing speed. These properties make them an attractive alternative for the development and deployment of DNN-based applications in Internet-of-Things (IoT) devices. Despite the recent improvements, they suffer from a fixed and limited compression factor that may result insufficient for certain devices with very limited resources. In this work, we propose sparse binary neural networks (SBNNs), a novel model and training scheme which introduces sparsity in BNNs and a new quantization function for binarizing the network's weights. The proposed SBNN is able to achieve high compression factors and it reduces the number of operations and parameters at inference time. We also provide tools to assist the SBNN design, while respecting hardware resource constraints. We study the generalization properties of our method for different compression factors through a set of experiments on linear and convolutional networks on three datasets. Our experiments confirm that SBNNs can achieve high compression rates, without compromising generalization, while further reducing the operations of BNNs, making SBNNs a viable option for deploying DNNs in cheap, low-cost, limited-resources IoT devices and sensors.