Positron emission tomography (PET) imaging is an imaging modality for diagnosing a number of neurological diseases. In contrast to Magnetic Resonance Imaging (MRI), PET is costly and involves injecting a radioactive substance into the patient. Motivated by developments in modality transfer in vision, we study the generation of certain types of PET images from MRI data. We derive new flow-based generative models which we show perform well in this small sample size regime (much smaller than dataset sizes available in standard vision tasks). Our formulation, DUAL-GLOW, is based on two invertible networks and a relation network that maps the latent spaces to each other. We discuss how given the prior distribution, learning the conditional distribution of PET given the MRI image reduces to obtaining the conditional distribution between the two latent codes w.r.t. the two image types. We also extend our framework to leverage "side" information (or attributes) when available. By controlling the PET generation through "conditioning" on age, our model is also able to capture brain FDG-PET (hypometabolism) changes, as a function of age. We present experiments on the Alzheimers Disease Neuroimaging Initiative (ADNI) dataset with 826 subjects, and obtain good performance in PET image synthesis, qualitatively and quantitatively better than recent works.
The Cobb angle that quantitatively evaluates the spinal curvature plays an important role in the scoliosis diagnosis and treatment. Conventional measurement of these angles suffers from huge variability and low reliability due to intensive manual intervention. However, since there exist high ambiguity and variability around boundaries of vertebrae, it is challenging to obtain Cobb angles automatically. In this paper, we formulate the estimation of the Cobb angles from spinal Xrays as a multi-output regression task. We propose structured support vector regression (S 2 VR) to jointly estimate Cobb angles and landmarks of the spine in X-rays in one single framework. The proposed S 2 VR can faithfully handle the nonlinear relationship between input images and quantitative outputs, while explicitly capturing the intrinsic correlation of outputs. We introduce the manifold regularization to exploit the geometry of the output space. We propose learning the kernel in S 2 VR by kernel target alignment to enhance its discriminative ability. The proposed method is evaluated on the spinal X-rays dataset of 439 scoliosis subjects, which achieves the inspiring correlation coefficient of 92.76% with ground truth obtained manually by human experts and outperforms two baseline methods. Our method achieves the direct estimation of Cobb angles with high accuracy, which indicates its great potential in clinical use.
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