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Image Processing and Analysis Methods for Biomedical Applications
Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.ORCID iD: 0000-0003-3147-5626
2023 (English)Doctoral thesis, comprehensive summary (Other academic)
Description
Abstract [en]

With new technologies and developments medical images can be acquired more quickly and at a larger scale than ever before. However, increased amount of data induces an overhead in the human labour needed for its inspection and analysis. To support clinicians in decision making and enable swifter examinations, computerized methods can be utilized to automate the more time-consuming tasks. For such use, methods need be highly accurate, fast, reliable and interpretable. In this thesis we develop and improve methods for image segmentation, retrieval and statistical analysis, with applications in imaging-based diagnostic pipelines. 

Individual objects often need to first be extracted/segmented from the image before they can be analysed further. We propose methodological improvements for deep learning-based segmentation methods using distance maps, with the focus on fully-supervised 3D patch-based training and training on 2D slices under point supervision. We show that using a directly interpretable distance prior helps to improve segmentation accuracy and training stability.

For histological data in particular, we propose and extensively evaluate a contrastive learning and bag of words-based pipeline for cross-modal image retrieval. The method is able to recover correct matches from the database across modalities and small transformations with improved accuracy compared to the competitors. 

In addition, we examine a number of methods for multiplicity correction on statistical analyses of correlation using medical images. Evaluation strategies are discussed and anatomy-observing extensions to the methods are developed as a way of directly decreasing the multiplicity issue in an interpretable manner, providing improvements in error control. 

The methods presented in this thesis were developed with clinical applications in mind and provide a strong base for further developments and future use in medical practice.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2023. , p. 74
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Science and Technology, ISSN 1651-6214 ; 2253
Keywords [en]
Multiple comparisons, image segmentation, image retrieval, deep learning, medical image analysis, magnetic resonance imaging, whole-body imaging
National Category
Medical Imaging
Research subject
Computerized Image Processing
Identifiers
URN: urn:nbn:se:uu:diva-498953ISBN: 978-91-513-1760-1 (print)OAI: oai:DiVA.org:uu-498953DiVA, id: diva2:1745085
Public defence
2023-05-12, Sonja Lyttkens (101121), Ångström Laboratoriet, Lägerhyddsvägen 1, Uppsala, 09:15 (English)
Opponent
Supervisors
Available from: 2023-04-21 Created: 2023-03-22 Last updated: 2025-02-09
List of papers
1. Introducing spatial context in patch-based deep learning for semantic segmentation in whole body MRI
Open this publication in new window or tab >>Introducing spatial context in patch-based deep learning for semantic segmentation in whole body MRI
2023 (English)In: Proceedings of the 22nd Scandinavian conference on image analysis (SCIA), Springer, 2023Conference paper, Published paper (Refereed)
Place, publisher, year, edition, pages
Springer, 2023
Series
Lecture Notes in Computer Science
National Category
Medical Imaging
Research subject
Computerized Image Processing
Identifiers
urn:nbn:se:uu:diva-498179 (URN)
Conference
Scandinavian conference on image analysis (SCIA)
Available from: 2023-03-10 Created: 2023-03-10 Last updated: 2025-02-09
2. Leveraging point annotations in segmentation learning with boundary loss
Open this publication in new window or tab >>Leveraging point annotations in segmentation learning with boundary loss
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(English)Manuscript (preprint) (Other academic)
National Category
Medical Imaging
Identifiers
urn:nbn:se:uu:diva-498952 (URN)
Available from: 2023-03-21 Created: 2023-03-21 Last updated: 2025-02-09
3. Cross-modality sub-image retrieval using contrastive multimodal image representations
Open this publication in new window or tab >>Cross-modality sub-image retrieval using contrastive multimodal image representations
2024 (English)In: Scientific Reports, E-ISSN 2045-2322, Vol. 14, no 1, article id 18798Article in journal (Refereed) Published
Abstract [en]

In tissue characterization and cancer diagnostics, multimodal imaging has emerged as a powerful technique. Thanks to computational advances, large datasets can be exploited to discover patterns in pathologies and improve diagnosis. However, this requires efficient and scalable image retrieval methods. Cross-modality image retrieval is particularly challenging, since images of similar (or even the same) content captured by different modalities might share few common structures. We propose a new application-independent content-based image retrieval (CBIR) system for reverse (sub-)image search across modalities, which combines deep learning to generate representations (embedding the different modalities in a common space) with robust feature extraction and bag-of-words models for efficient and reliable retrieval. We illustrate its advantages through a replacement study, exploring a number of feature extractors and learned representations, as well as through comparison to recent (cross-modality) CBIR methods. For the task of (sub-)image retrieval on a (publicly available) dataset of brightfield and second harmonic generation microscopy images, the results show that our approach is superior to all tested alternatives. We discuss the shortcomings of the compared methods and observe the importance of equivariance and invariance properties of the learned representations and feature extractors in the CBIR pipeline. Code is available at: https://github.com/MIDA-group/CrossModal_ImgRetrieval.

Place, publisher, year, edition, pages
Springer Nature, 2024
National Category
Medical Imaging
Identifiers
urn:nbn:se:uu:diva-470293 (URN)10.1038/s41598-024-68800-1 (DOI)001318393400020 ()39138271 (PubMedID)
Note

These authors contributed equally: Eva Breznik and Elisabeth Wetzer

Available from: 2022-03-22 Created: 2022-03-22 Last updated: 2025-02-09Bibliographically approved
4. Multiple comparison correction methods for whole-body magnetic resonance imaging
Open this publication in new window or tab >>Multiple comparison correction methods for whole-body magnetic resonance imaging
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2020 (English)In: Journal of Medical Imaging, ISSN 2329-4302, E-ISSN 2329-4310, Vol. 7, no 1, article id 014005Article in journal (Refereed) Published
Abstract [en]

Purpose: Voxel-level hypothesis testing on images suffers from test multiplicity. Numerous correction methods exist, mainly applied and evaluated on neuroimaging and synthetic datasets. However, newly developed approaches like Imiomics, using different data and less common analysis types, also require multiplicity correction for more reliable inference. To handle the multiple comparisons in Imiomics, we aim to evaluate correction methods on whole-body MRI and correlation analyses, and to develop techniques specifically suited for the given analyses. Approach: We evaluate the most common familywise error rate (FWER) limiting procedures on whole-body correlation analyses via standard (synthetic no-activation) nominal error rate estimation as well as smaller prior-knowledge based stringency analysis. Their performance is compared to our anatomy-based method extensions. Results: Results show that nonparametric methods behave better for the given analyses. The proposed prior-knowledge based evaluation shows that the devised extensions including anatomical priors can achieve the same power while keeping the FWER closer to the desired rate. Conclusions: Permutation-based approaches perform adequately and can be used within Imiomics. They can be improved by including information on image structure. We expect such method extensions to become even more relevant with new applications and larger datasets.

Place, publisher, year, edition, pages
SPIE-Intl Soc Optical Eng, 2020
Keywords
Imiomics, correction methods, multiple comparisons, statistical analysis, whole-body magnetic resonance imaging
National Category
Radiology, Nuclear Medicine and Medical Imaging
Identifiers
urn:nbn:se:uu:diva-417343 (URN)10.1117/1.JMI.7.1.014005 (DOI)000590133900015 ()32206683 (PubMedID)
Available from: 2020-08-19 Created: 2020-08-19 Last updated: 2023-03-22Bibliographically approved

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