Élodie Puybareau

Where is VALDO? VAscular Lesions Detection and segmentatiOn challenge at MICCAI 2021

Abstract

Imaging markers of cerebral small vessel disease provide valuable information on brain health, but their manual assessment is time-consuming and hampered by substantial intra- and interrater variability. Automated rating may benefit biomedical research, as well as clinical assessment, but diagnostic reliability of existing algorithms is unknown. Here, we present the results of the VAscular Lesions DetectiOn and Segmentation (Where is VALDO?) challenge that was run as a satellite event at the international conference on Medical Image Computing and Computer Aided Intervention (MICCAI) 2021. This challenge aimed to promote the development of methods for automated detection and segmentation of small and sparse imaging markers of cerebral small vessel disease, namely enlarged perivascular spaces (EPVS) (Task 1), cerebral microbleeds (Task 2) and lacunes of presumed vascular origin (Task 3) while leveraging weak and noisy labels. Overall, 12 teams participated in the challenge proposing solutions for one or more tasks (4 for Task 1-EPVS, 9 for Task 2-Microbleeds and 6 for Task 3-Lacunes). Multi-cohort data was used in both training and evaluation. Results showed a large variability in performance both across teams and across tasks, with promising results notably for Task 1-EPVS and Task 2-Microbleeds and not practically useful results yet for Task 3-Lacunes. It also highlighted the performance inconsistency across cases that may deter use at an individual level, while still proving useful at a population level.

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Linear object detection in document images using multiple object tracking

By Philippe Bernet, Joseph Chazalon, Edwin Carlinet, Alexandre Bourquelot, Élodie Puybareau

2023-06-01

In Proceedings of the international conference on document analysis and recognition (ICDAR 2023)

Abstract

Linear objects convey substantial information about document structure, but are challenging to detect accurately because of degradation (curved, erased) or decoration (doubled, dashed). Many approaches can recover some vector representation, but only one closed-source technique introduced in 1994, based on Kalman filters (a particular case of Multiple Object Tracking algorithm), can perform a pixel-accurate instance segmentation of linear objects and enable to selectively remove them from the original image. We aim at re-popularizing this approach and propose: 1. a framework for accurate instance segmentation of linear objects in document images using Multiple Object Tracking (MOT); 2. document image datasets and metrics which enable both vector- and pixel-based evaluation of linear object detection; 3. performance measures of MOT approaches against modern segment detectors; 4. performance measures of various tracking strategies, exhibiting alternatives to the original Kalman filters approach; and 5. an open-source implementation of a detector which can discriminate instances of curved, erased, dashed, intersecting and/or overlapping linear objects.

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Why is the winner the best?

By Matthias Eisenmann, Annika Reinke, Vivienn Weru, Minu D. Tizabi, Fabian Isensee, Tim J. Adler, Sharib Ali, Vincent Andrearczyk, Marc Aubreville, Ujjwal Baid, Spyridon Bakas, Niranjan Balu, Sophia Bano, Jorge Bernal, Sebastian Bodenstedt, Alessandro Casella, Veronika Cheplygina, Marie Daum, Marleen de Bruijne, Adrien Depeursinge, Reuben Dorent, Jan Egger, David G. Ellis, Sandy Engelhardt, Melanie Ganz, Noha Ghatwary, Gabriel Girard, Patrick Godau, Anubha Gupta, Lasse Hansen, Kanako Harada, Mattias P. Heinrich, Nicholas Heller, Alessa Hering, Arnaud Huaulmé, Pierre Jannin, Ali Emre Kavur, Oldřich Kodym, Michal Kozubek, Jianning Li, Hongwei Li, Jun Ma, Carlos Martı́n-Isla, Bjoern Menze, Alison Noble, Valentin Oreiller, Nicolas Padoy, Sarthak Pati, Kelly Payette, Tim Rädsch, Jonathan Rafael-Patiño, Vivek Singh Bawa, Stefanie Speidel, Carole H. Sudre, Kimberlin van Wijnen, Martin Wagner, Donglai Wei, Amine Yamlahi, Moi Hoon Yap, Chun Yuan, Maximilian Zenk, Aneeq Zia, David Zimmerer, Dogu Baran Aydogan, Binod Bhattarai, Louise Bloch, Raphael Brüngel, Jihoon Cho, Chanyeol Choi, Qi Dou, Ivan Ezhov, Christoph M. Friedrich, Clifton D. Fuller, Rebati Raman Gaire, Adrian Galdran, Álvaro Garcı́a Faura, Maria Grammatikopoulou, SeulGi Hong, Mostafa Jahanifar, Ikbeom Jang, Abdolrahim Kadkhodamohammadi, Inha Kang, Florian Kofler, Satoshi Kondo, Hugo Kuijf, Mingxing Li, Minh Luu, Tomaž Martinčič, Pedro Morais, Mohamed A. Naser, Bruno Oliveira, David Owen, Subeen Pang, Jinah Park, Sung-Hong Park, Szymon Plotka, Élodie Puybareau, Nasir Rajpoot, Kanghyun Ryu, Numan Saeed, Adam Shephard, Pengcheng Shi, Dejan Štepec, Ronast Subedi, Guillaume Tochon, Helena R. Torres, Helene Urien, João L. Vilaça, Kareem A. Wahid, Haojie Wang, Jiacheng Wang, Liansheng Wang, Xiyue Wang, Benedikt Wiestler, Marek Wodzinski, Fangfang Xia, Juanying Xie, Zhiwei Xiong, Sen Yang, Yanwu Yang, Zixuan Zhao, Klaus Maier-Hein, Paul F. Jäger, Annette Kopp-Schneider, Lena Maier-Hein

2023-02-27

In Proceedings of the IEEE/CVF conference on computer vision and pattern recognition (CVPR)

Abstract

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 multi-center 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 postprocessing (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.

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Learning grayscale mathematical morphology with smooth morphological layers

Abstract

The integration of mathematical morphology operations within convolutional neural network architectures has received an increasing attention lately. However, replacing standard convolution layers by morphological layers performing erosions or dilations is particularly challenging because the min and max operations are not differentiable. P-convolution layers were proposed as a possible solution to this issue since they can act as smooth differentiable approximation of min and max operations, yielding pseudo-dilation or pseudo-erosion layers. In a recent work, we proposed two novel morphological layers based on the same principle as the p-convolution, while circumventing its principal drawbacks, and showcased their capacity to efficiently learn grayscale morphological operators while raising several edge cases. In this work, we complete those previous results by thoroughly analyzing the behavior of the proposed layers and by investigating and settling the reported edge cases. We also demonstrate the compatibility of one of the proposed morphological layers with binary morphological frameworks.

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QU-BraTS: MICCAI BraTS 2020 challenge on quantifying uncertainty in brain tumor segmentation — Analysis of ranking scores and benchmarking results

By Raghav Mehta, Angelos Filos, Ujjwal Baid, Chiharu Sako, Richard McKinley, Michael Rebsamen, Katrin Dätwyler, Raphael Meier, Piotr Radojewski, Gowtham Krishnan Murugesan, Sahil Nalawade, Chandan Ganesh, Ben Wagner, Fang F. Yu, Baowei Fei, Ananth J. Madhuranthakam, Joseph A. Maldjian, Laura Daza, Catalina Gómez, Pablo Arbeláez, Chengliang Dai, Shuo Wang, Hadrien Reynaud, Yuanhan Mo, Elsa Angelini, Yike Guo, Wenjia Bai, Subhashis Banerjee, Linmin Pei, Murat AK, Sarahi Rosas-González, Ilyess Zemmoura, Clovis Tauber, Minh Hoang Vu, Tufve Nyholm, Tommy Löfstedt, Laura Mora Ballestar, Veronica Vilaplana, Hugh McHugh, Gonzalo Maso Talou, Alan Wang, Jay Patel, Ken Chang, Katharina Hoebel, Mishka Gidwani, Nishanth Arun, Sharut Gupta, Mehak Aggarwal, Praveer Singh, Elizabeth R. Gerstner, Jayashree Kalpathy-Cramer, Nicolas Boutry, Alexis Huard, Lasitha Vidyaratne, Md Monibor Rahman, Khan M. Iftekharuddin, Joseph Chazalon, Élodie Puybareau, Guillaume Tochon, Jun Ma, Mariano Cabezas, Xavier Llado, Arnau Oliver, Liliana Valencia, Sergi Valverde, Mehdi Amian, Mohammadreza Soltaninejad, Andriy Myronenko, Ali Hatamizadeh, Xue Feng, Quan Dou, Nicholas Tustison, Craig Meyer, Nisarg A. Shah, Sanjay Talbar, Marc-André Weber, Abhishek Mahajan, Andras Jakab, Roland Wiest, Hassan M. Fathallah-Shaykh, Arash Nazeri, Mikhail Milchenko, Daniel Marcus, Aikaterini Kotrotsou, Rivka Colen, John Freymann, Justin Kirby, Christos Davatzikos, Bjoern Menze, Spyridon Bakas, Yarin Gal, Tal Arbel

2022-01-09

In Journal of Machine Learning for Biomedical Imaging (MELBA)

Abstract

Deep learning (DL) models have provided state-of-the-art performance in various medical imaging benchmarking challenges, including the Brain Tumor Segmentation (BraTS) challenges. However, the task of focal pathology multi-compartment segmentation (e.g., tumor and lesion sub-regions) is particularly challenging, and potential errors hinder translating DL models into clinical workflows. Quantifying the reliability of DL model predictions in the form of uncertainties could enable clinical review of the most uncertain regions, thereby building trust and paving the way toward clinical translation. Several uncertainty estimation methods have recently been introduced for DL medical image segmentation tasks. Developing scores to evaluate and compare the performance of uncertainty measures will assist the end-user in making more informed decisions. In this study, we explore and evaluate a score developed during the BraTS 2019 and BraTS 2020 task on uncertainty quantification (QU-BraTS) and designed to assess and rank uncertainty estimates for brain tumor multi-compartment segmentation. This score (1) rewards uncertainty estimates that produce high confidence in correct assertions and those that assign low confidence levels at incorrect assertions, and (2) penalizes uncertainty measures that lead to a higher percentage of under-confident correct assertions. We further benchmark the segmentation uncertainties generated by 14 independent participating teams of QU-BraTS 2020, all of which also participated in the main BraTS segmentation task. Overall, our findings confirm the importance and complementary value that uncertainty estimates provide to segmentation algorithms, highlighting the need for uncertainty quantification in medical image analyses. Finally, in favor of transparency and reproducibility, our evaluation code is made publicly available at https://github.com/RagMeh11/QU-BraTS.

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VerSe: A vertebrae labelling and segmentation benchmark for multi-detector CT images

Abstract

Vertebral labelling and segmentation are two fundamental tasks in an automated spine processing pipeline. Reliable and accurate processing of spine images is expected to benefit clinical decision support systems for diagnosis, surgery planning, and population-based analysis of spine and bone health. However, designing automated algorithms for spine processing is challenging predominantly due to considerable variations in anatomy and acquisition protocols and due to a severe shortage of publicly available data. Addressing these limitations, the Large Scale Vertebrae Segmentation Challenge (VerSe) was organised in conjunction with the International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI) in 2019 and 2020, with a call for algorithms tackling the labelling and segmentation of vertebrae. Two datasets containing a total of 374 multi-detector CT scans from 355 patients were prepared and 4505 vertebrae have individually been annotated at voxel level by a human-machine hybrid algorithm (https://osf.io/nqjyw/, https://osf.io/t98fz/). A total of 25 algorithms were benchmarked on these datasets. In this work, we present the results of this evaluation and further investigate the performance variation at the vertebra level, scan level, and different fields of view. We also evaluate the generalisability of the approaches to an implicit domain shift in data by evaluating the top-performing algorithms of one challenge iteration on data from the other iteration. The principal takeaway from VerSe: the performance of an algorithm in labelling and segmenting a spine scan hinges on its ability to correctly identify vertebrae in cases of rare anatomical variations. The VerSe content and code can be accessed at: https://github.com/anjany/verse.

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Going beyond p-convolutions to learn grayscale morphological operators

By Alexandre Kirszenberg, Guillaume Tochon, Élodie Puybareau, Jesus Angulo

2021-02-16

In Proceedings of the IAPR international conference on discrete geometry and mathematical morphology (DGMM)

Abstract

Integrating mathematical morphology operations within deep neural networks has been subject to increasing attention lately. However, replacing standard convolution layers with erosions or dilations is particularly challenging because the min and max operations are not differentiable. Relying on the asymptotic behavior of the counter-harmonic mean, p-convolutional layers were proposed as a possible workaround to this issue since they can perform pseudo-dilation or pseudo-erosion operations (depending on the value of their inner parameter p), and very promising results were reported. In this work, we present two new morphological layers based on the same principle as the p-convolutional layer while circumventing its principal drawbacks, and demonstrate their potential interest in further implementations within deep convolutional neural network architectures.

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On some associations between mathematical morphology and artificial intelligence

By Isabelle Bloch, Samy Blusseau, Ramón Pino Pérez, Élodie Puybareau, Guillaume Tochon

2021-02-16

In Proceedings of the IAPR international conference on discrete geometry and mathematical morphology (DGMM)

Abstract

This paper aims at providing an overview of the use of mathematical morphology, in its algebraic setting, in several fields of artificial intelligence (AI). Three domains of AI will be covered. In the first domain, mathematical morphology operators will be expressed in some logics (propositional, modal, description logics) to answer typical questions in knowledge representation and reasoning, such as revision, fusion, explanatory relations, satisfying usual postulates. In the second domain, spatial reasoning will benefit from spatial relations modeled using fuzzy sets and morphological operators, with applications in model-based image understanding. In the third domain, interactions between mathematical morphology and deep learning will be detailed. Morphological neural networks were introduced as an alternative to classical architectures, yielding a new geometry in decision surfaces. Deep networks were also trained to learn morphological operators and pipelines, and morphological algorithms were used as companion tools to machine learning, for pre/post processing or even regularization purposes. These ideas have known a large resurgence in the last few years and new ones are emerging.

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Stacked and parallel U-nets with multi-output for myocardial pathology segmentation

By Zhou Zhao, Nicolas Boutry, Élodie Puybareau

2020-12-01

In Myocardial pathology segmentation combining multi-sequence CMR challenge

Abstract

In the field of medical imaging, many different image modalities contain different information, helping practitionners to make diagnostic, follow-up, etc. To better analyze images, mixing multi-modalities information has become a trend. This paper provides one cascaded UNet framework and uses three different modalities (the late gadolinium enhancement (LGE) CMR sequence, the balanced- Steady State Free Precession (bSSFP) cine sequence and the T2-weighted CMR) to complete the segmentation of the myocardium, scar and edema in the context of the MICCAI 2020 myocardial pathology segmentation combining multi-sequence CMR Challenge dataset (MyoPS 2020). We evaluate the proposed method with 5-fold-cross-validation on the MyoPS 2020 dataset.

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