Registration of medical image data requires methods that can align anatomical structures precisely while applying smooth and plausible transformations. Ideally, these methods should furthermore operate quickly and apply to a wide variety of tasks. Deep learning-based image registration methods usually entail an elaborate learning procedure with the need for extensive training data. However, they often struggle with versatility when aiming to apply the same approach across various anatomical regions and different imaging modalities. In this work, we present a method that extracts semantic or hand-crafted image features and uses a coupled convex optimisation followed by Adam-based instance optimisation for multitask medical image registration. We make use of pre-trained semantic feature extraction models for the individual datasets and combine them with our fast dual optimisation procedure for deformation field computation. Furthermore, we propose a very fast automatic hyperparameter selection procedure that explores many settings and ranks them on validation data to provide a self-configuring image registration framework. With our approach, we can align image data for various tasks with little learning. We conduct experiments on all available Learn2Reg challenge datasets and obtain results that are to be positioned in the upper ranks of the challenge leaderboards. http://github.com/multimodallearning/convexAdam.

International benchmarking competitions have become fundamental for the comparative performance assessment of image analysis methods. However, little attention has been given to investigating what can be learnt from these competitions. Do they really generate scientific progress? What are common and successful participation strategies? What makes a solution superior to a competing method? To address this gap in the literature, we performed a multicenter study with all 80 competitions that were conducted in the scope of IEEE ISBI 2021 and MICCAI 2021. Statistical analyses performed based on comprehensive descriptions of the submitted algorithms linked to their rank as well as the underlying participation strategies revealed common characteristics of winning solutions. These typically include the use of multi-task learning (63%) and/or multi-stage pipelines (61%), and a focus on augmentation (100%), image preprocessing (97%), data curation (79%), and post-processing (66%). The “typical” lead of a winning team is a computer scientist with a doctoral degree, five years of experience in biomedical image analysis, and four years of experience in deep learning. Two core general development strategies stood out for highly-ranked teams: the reflection of the metrics in the method design and the focus on analyzing and handling failure cases. According to the organizers, 43% of the winning algorithms exceeded the state of the art but only 11% completely solved the respective domain problem. The insights of our study could help researchers (1) improve algorithm development strategies when approaching new problems, and (2) focus on open research questions revealed by this work.

Learning-based registration for large-scale 3D point clouds has been shown to improve robustness and accuracy compared to classical methods and can be trained without supervision for locally rigid problems. However, for tasks with highly deformable structures, such as alignment of pulmonary vascular trees for medical diagnostics, previous approaches of self-supervision with regularisation and point distance losses have failed to succeed, leading to the need for complex synthetic augmentation strategies to obtain reliably strong supervision. In this work, we introduce a novel Differentiable Volumetric Rasterisation of point Clouds (DiVRoC) that overcomes those limitations and offers a highly efficient and accurate loss for large-scale deformable 3D registration. DiVRoC drastically reduces the computational complexity for measuring point cloud distances for high-resolution data with over 100k 3D points and can also be employed to extrapolate and regularise sparse motion fields, as loss in a self-training setting and as objective function in instance optimisation. DiVRoC can be successfully embedded into geometric registration networks, including PointPWC-Net and other graph CNNs. Our approach yields new state-of-the-art accuracy on the challenging PVT dataset in three different settings without training with manual ground truth: 1) unsupervised metric-based learning 2) self-supervised learning with pseudo labels generated by self-training and 3) optimisation based alignment without learning. https://github.com/mattiaspaul/ChasingClouds

Synthetic data serves as an alternative in training machine learning models, particularly when real-world data is limited or inaccessible. However, ensuring that synthetic data mirrors the complex nuances of real-world data is a challenging task. This paper addresses this issue by exploring the potential of integrating data-centric AI techniques which profile the data to guide the synthetic data generation process. Moreover, we shed light on the often ignored consequences of neglecting these data profiles during synthetic data generation --- despite seemingly high statistical fidelity. Subsequently, we propose a novel framework to evaluate the integration of data profiles to guide the creation of more representative synthetic data. In an empirical study, we evaluate the performance of five state-of-the-art models for tabular data generation on eleven distinct tabular datasets. The findings offer critical insights into the successes and limitations of current synthetic data generation techniques. Finally, we provide practical recommendations for integrating data-centric insights into the synthetic data generation process, with a specific focus on classification performance, model selection, and feature selection. This study aims to reevaluate conventional approaches to synthetic data generation and promote the application of data-centric AI techniques in improving the quality and effectiveness of synthetic data.

Domain Adaptation (DA) has recently been of strong interest in the medical imaging community. While a large variety of DA techniques have been proposed for image segmentation, most of these techniques have been validated either on private datasets or on small publicly available datasets. Moreover, these datasets mostly addressed single-class problems. To tackle these limitations, the Cross-Modality Domain Adaptation (crossMoDA) challenge was organised in conjunction with the 24th International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI 2021). CrossMoDA is the first large and multi-class benchmark for unsupervised cross-modality Domain Adaptation. The goal of the challenge is to segment two key brain structures involved in the follow-up and treatment planning of vestibular schwannoma (VS): the VS and the cochleas. Currently, the diagnosis and surveillance in patients with VS are commonly performed using contrast-enhanced T1 (ceT1) MR imaging. However, there is growing interest in using non-contrast imaging sequences such as high-resolution T2 (hrT2) imaging. For this reason, we established an unsupervised cross-modality segmentation benchmark. The training dataset provides annotated ceT1 scans (N=105) and unpaired non-annotated hrT2 scans (N=105). The aim was to automatically perform unilateral VS and bilateral cochlea segmentation on hrT2 scans as provided in the testing set (N=137). This problem is particularly challenging given the large intensity distribution gap across the modalities and the small volume of the structures. A total of 55 teams from 16 countries submitted predictions to the validation leaderboard. Among them, 16 teams from 9 different countries submitted their algorithm for the evaluation phase. The level of performance reached by the top-performing teams is strikingly high (best median Dice score — VS: 88.4%; Cochleas: 85.7%) and close to full supervision (median Dice score — VS: 92.5%; Cochleas: 87.7%). All top-performing methods made use of an image-to-image translation approach to transform the source-domain images into pseudo-target-domain images. A segmentation network was then trained using these generated images and the manual annotations provided for the source image.

Image registration is a fundamental medical image analysis task, and a wide variety of approaches have been proposed. However, only a few studies have comprehensively compared medical image registration approaches on a wide range of clinically relevant tasks. This limits the development of registration methods, the adoption of research advances into practice, and a fair benchmark across competing approaches. The Learn2Reg challenge addresses these limitations by providing a multi-task medical image registration data set for comprehensive characterisation of deformable registration algorithms. A continuous evaluation will be possible at https://learn2reg.grand-challenge.org. Learn2Reg covers a wide range of anatomies (brain, abdomen, and thorax), modalities (ultrasound, CT, MR), availability of annotations, as well as intra- and inter-patient registration evaluation. We established an easily accessible framework for training and validation of 3D registration methods, which enabled the compilation of results of over 65 individual method submissions from more than 20 unique teams. We used a complementary set of metrics, including robustness, accuracy, plausibility, and runtime, enabling unique insight into the current state-of-the-art of medical image registration. This paper describes datasets, tasks, evaluation methods and results of the challenge, as well as results of further analysis of transferability to new datasets, the importance of label supervision, and resulting bias. While no single approach worked best across all tasks, many methodological aspects could be identified that push the performance of medical image registration to new state-of-the-art performance. Furthermore, we demystified the common belief that conventional registration methods have to be much slower than deep-learning-based methods.

In the last two years learning-based methods have started to show encouraging results in different supervised and unsupervised medical image registration tasks. Deep neural networks enable (near) real time applications through fast inference times and have tremendous potential for increased registration accuracies by task-specific learning. However, estimation of large 3D deformations, for example present in inhale to exhale lung CT or interpatient abdominal MRI registration, is still a major challenge for the widely adopted U-Net-like network architectures. Even when using multi-level strategies, current state-of-the-art DL registration results do not yet reach the high accuracy of conventional frameworks. To overcome the problem of large deformations for deep learning approaches, in this work, we present GraphRegNet, a sparse keypoint-based geometric network for dense deformable medical image registration. Similar to the successful 2D optical flow estimation of FlowNet or PWC-Net we leverage discrete dense displacement maps to facilitate the registration process. In order to cope with enormously increasing memory requirements when working with displacement maps in 3D medical volumes and to obtain a well-regularised and accurate deformation field we 1) formulate the registration task as the prediction of displacement vectors on a sparse irregular grid of distinctive keypoints and 2) introduce our efficient GraphRegNet for displacement regularisation, a combination of convolutional and graph neural network layers in a unified architecture. In our experiments on exhale to inhale lung CT registration we demonstrate substantial improvements (TRE below 1.4 mm) over other deep learning methods. Our code is publicly available at https://github.com/multimodallearning/graphregnet.

In the past, robotic assembly has required rigid fixturing and special purpose robotic tools for every assembly component. Unfortunately, rigid fixtures and special purpose robotic tools often have to be customized for varying geometries. Alternatively, it is possible to operate in a semi-structured environment, defined by the use of softer fixtures (e.g. pickup bin) and softer robotic tools (e.g. suction cups or compliant pads) that can be used for many assembly applications without modification, but they demand specific motion plans that can tolerate greater positional uncertainty. We have developed a system that supports autonomous generation of parameterized fine motion plans for assembly that are robust under positional uncertainty and compliance introduced by the use of a suction cup instead of a gripper. To accomplish this a classifier is trained, implemented and tested for performance in the semi-structured environment for distinguishing between a failed or successful assembly. The trained classifier is then integrated with the entire system and many robot-attended experiments are performed that vary the fine motion parameters, and optimize them for successful outcomes using an Interval Estimation optimization algorithm. An approach to machine learning based on Support Vector Machines and Principal Component Analysis is used to make the optimization autonomous. We achieved a 99.7% classification accuracy with the trained classifier and by running repeated robot-attended experiments with artificial positional uncertainty and optimizing fine motion parameters, we were able to achieve a 38% improvement compared to fine motion plans with initial best guess parameters.