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Diagnosis Of Takotsubo Syndrome By Robust Feature Selection From The Complex Latent Space Of DL-based Segmentation Network
Dec 19, 2023
Researchers have shown significant correlations among segmented objects in various medical imaging modalities and disease related pathologies. Several studies showed that using hand crafted features for disease prediction neglects the immense possibility to use latent features from deep learning (DL) models which may reduce the overall accuracy of differential diagnosis. However, directly using classification or segmentation models on medical to learn latent features opt out robust feature selection and may lead to overfitting. To fill this gap, we propose a novel feature selection technique using the latent space of a segmentation model that can aid diagnosis. We evaluated our method in differentiating a rare cardiac disease: Takotsubo Syndrome (TTS) from the ST elevation myocardial infarction (STEMI) using echocardiogram videos (echo). TTS can mimic clinical features of STEMI in echo and extremely hard to distinguish. Our approach shows promising results in differential diagnosis of TTS with 82% diagnosis accuracy beating the previous state-of-the-art (SOTA) approach. Moreover, the robust feature selection technique using LASSO algorithm shows great potential in reducing the redundant features and creates a robust pipeline for short- and long-term disease prognoses in the downstream analysis.
Surf-CDM: Score-Based Surface Cold-Diffusion Model For Medical Image Segmentation
Dec 19, 2023Diffusion models have shown impressive performance for image generation, often times outperforming other generative models. Since their introduction, researchers have extended the powerful noise-to-image denoising pipeline to discriminative tasks, including image segmentation. In this work we propose a conditional score-based generative modeling framework for medical image segmentation which relies on a parametric surface representation for the segmentation masks. The surface re-parameterization allows the direct application of standard diffusion theory, as opposed to when the mask is represented as a binary mask. Moreover, we adapted an extended variant of the diffusion technique known as the "cold-diffusion" where the diffusion model can be constructed with deterministic perturbations instead of Gaussian noise, which facilitates significantly faster convergence in the reverse diffusion. We evaluated our method on the segmentation of the left ventricle from 65 transthoracic echocardiogram videos (2230 echo image frames) and compared its performance to the most popular and widely used image segmentation models. Our proposed model not only outperformed the compared methods in terms of segmentation accuracy, but also showed potential in estimating segmentation uncertainties for further downstream analyses due to its inherent generative nature.