MedIL: Implicit Latent Spaces for Generating Heterogeneous Medical Images at Arbitrary Resolutions

In this work, we introduce MedIL, a first-of-its-kind autoencoder built for encoding medical images with heterogeneous sizes and resolutions for image generation. Medical images are often large and heterogeneous, where fine details are of vital clinical importance. Image properties change drastically when considering acquisition equipment, patient demographics, and pathology, making realistic medical image generation challenging. Recent work in latent diffusion models (LDMs) has shown success in generating images resampled to a fixed-size. However, this is a narrow subset of the resolutions native to image acquisition, and resampling discards fine anatomical details. MedIL utilizes implicit neural representations to treat images as continuous signals, where encoding and decoding can be performed at arbitrary resolutions without prior resampling. We quantitatively and qualitatively show how MedIL compresses and preserves clinically-relevant features over large multi-site, multi-resolution datasets of both T1w brain MRIs and lung CTs. We further demonstrate how MedIL can influence the quality of images generated with a diffusion model, and discuss how MedIL can enhance generative models to resemble raw clinical acquisitions.

Quantifying Hippocampal Shape Asymmetry in Alzheimer's Disease Using Optimal Shape Correspondences

Hippocampal atrophy in Alzheimer's disease (AD) is asymmetric and spatially inhomogeneous. While extensive work has been done on volume and shape analysis of atrophy of the hippocampus in AD, less attention has been given to hippocampal asymmetry specifically. Previous studies of hippocampal asymmetry are limited to global volume or shape measures, which don't localize shape asymmetry at the point level. In this paper, we propose to quantify localized shape asymmetry by optimizing point correspondences between left and right hippocampi within a subject, while simultaneously favoring a compact statistical shape model of the entire sample. To account for related variables that have impact on AD and healthy subject differences, we build linear models with other confounding factors. Our results on the OASIS3 dataset demonstrate that compared to using volumetric information, shape asymmetry reveals fine-grained, localized differences that indicate the hippocampal regions of most significant shape asymmetry in AD patients.