搜索结果：Radiology. Cardiothoracic imaging

Eye tracking has emerged as a powerful tool for examining visual perception and search strategies in various domains, including medicine. While it is relatively straightforward to apply in 2D settings, its use in 3D medical imaging remains challenging and not yet well explored. This gap is particularly relevant for radiology, where volumetric images such as computed tomography (CT) scans are routinely read by medical experts. Radiologists typically interpret these images by navigating through hundreds of 2D slices, most often viewed in the axial projection. A taxonomy of eye movement data during navigation through a CT volume could be valuable to understand how radiologists approach diagnostic tasks. As an example of the derived taxonomy, we asked two radiologists to search abdominal CTs of the pancreas. We collect eye tracking data and align eye gaze movements with slice navigation to visualize the representation of the pancreas through volume and analyze clinicians' gaze behavior in both space and time.

As the data volume of astronomical imaging surveys rapidly increases, traditional methods for image anomaly detection, such as visual inspection by human experts, are becoming impractical. We introduce a machine-learning-based approach to detect poor-quality exposures in large imaging surveys, with a focus on the DECam Legacy Survey (DECaLS) in regions of low extinction (i.e., $E(B-V)<0.04$). Our semi-supervised pipeline integrates a vision transformer (ViT), trained via self-supervised learning (SSL), with a k-Nearest Neighbor (kNN) classifier. We train and validate our pipeline using a small set of labeled exposures observed by surveys with the Dark Energy Camera (DECam). A clustering-space analysis of where our pipeline places images labeled in ``good'' and ``bad'' categories suggests that our approach can efficiently and accurately determine the quality of exposures. Applied to new imaging being reduced for DECaLS Data Release 11, our pipeline identifies 780 problematic exposures, which we subsequently verify through visual inspection. Being highly efficient and adaptable, our method offers a scalable solution for quality control in other large imaging surveys.

When conducting large-scale studies that collect brain MR images from multiple facilities, the impact of differences in imaging equipment and protocols at each site cannot be ignored, and this domain gap has become a significant issue in recent years. In this study, we propose a new low-dimensional representation (LDR) acquisition method called style encoder adversarial domain adaptation (SE-ADA) to realize content-based image retrieval (CBIR) of brain MR images. SE-ADA reduces domain differences while preserving pathological features by separating domain-specific information from LDR and minimizing domain differences using adversarial learning. In evaluation experiments comparing SE-ADA with recent domain harmonization methods on eight public brain MR datasets (ADNI1/2/3, OASIS1/2/3/4, PPMI), SE-ADA effectively removed domain information while preserving key aspects of the original brain structure and demonstrated the highest disease search accuracy.

This article describes the technical principles and clinical applications of dual-energy computed tomography (DECT) in the context of cardiothoracic imaging with a focus on current developments and techniques. Since the introduction of DECT, different vendors developed distinct hard and software approaches for generating multi-energy datasets and multiple DECT applications that were developed and clinically investigated for different fields of interest. Benefits for various clinical settings, such as oncology, trauma and emergency radiology, as well as musculoskeletal and cardiovascular imaging, were recently reported in the literature. State-of-the-art applications, such as virtual monoenergetic imaging (VMI), material decomposition, perfused blood volume imaging, virtual non-contrast imaging (VNC), plaque removal, and virtual non-calcium (VNCa) imaging, can significantly improve cardiothoracic CT image workflows and have a high potential for improvement of diagnostic accuracy and patient safety.

Lensless illumination single-pixel imaging with a multicore fiber (MCF) is a computational imaging technique that enables potential endoscopic observations of biological samples at cellular scale. In this work, we show that this technique is tantamount to collecting multiple symmetric rank-one projections (SROP) of an interferometric matrix--a matrix encoding the spectral content of the sample image. In this model, each SROP is induced by the complex sketching vector shaping the incident light wavefront with a spatial light modulator (SLM), while the projected interferometric matrix collects up to $O(Q^2)$ image frequencies for a $Q$-core MCF. While this scheme subsumes previous sensing modalities, such as raster scanning (RS) imaging with beamformed illumination, we demonstrate that collecting the measurements of $M$ random SLM configurations--and thus acquiring $M$ SROPs--allows us to estimate an image of interest if $M$ and $Q$ scale log-linearly with the image sparsity level This demonstration is achieved both theoretically, with a specific restricted isometry analysis of the sensing scheme, and with extensive Monte Carlo experiments. On a practical side, we perform a single ca

Large vision-language models (VLMs) have evolved from general-purpose applications to specialized use cases such as in the clinical domain, demonstrating potential for decision support in radiology. One promising application is assisting radiologists in decision-making by the analysis of radiology imaging data such as chest X-rays (CXR) via a visual and natural language question-answering (VQA) interface. When longitudinal imaging is available, radiologists analyze temporal changes, which are essential for accurate diagnosis and prognosis. The manual longitudinal analysis is a time-consuming process, motivating the development of a training framework that can provide prognostic capabilities. We introduce a novel training framework LUMEN, that is optimized for longitudinal CXR interpretation, leveraging multi-image and multi-task instruction fine-tuning to enhance prognostic and diagnostic performance. We conduct experiments on the publicly available MIMIC-CXR and its associated Medical-Diff-VQA datasets. We further formulate and construct a novel instruction-following dataset incorporating longitudinal studies, enabling the development of a prognostic VQA task. Our method demonstra

To date, the most common approach for radiology deep learning pipelines is the use of end-to-end 3D networks based on models pre-trained on other tasks, followed by fine-tuning on the task at hand. In contrast, adjacent medical fields such as pathology, which focus on 2D images, have effectively adopted task-agnostic foundational models based on self-supervised learning (SSL), combined with weakly-supervised deep learning (DL). However, the field of radiology still lacks task-agnostic representation models due to the computational and data demands of 3D imaging and the anatomical complexity inherent to radiology scans. To address this gap, we propose CLEAR, a framework for radiology images that uses extracted embeddings from 2D slices along with attention-based aggregation for efficiently predicting clinical endpoints. As part of this framework, we introduce lesion-enhanced contrastive learning (LeCL), a novel approach to obtain visual representations driven by abnormalities in 2D axial slices across different locations of the CT scans. Specifically, we trained single-domain contrastive learning approaches using three different architectures: Vision Transformers, Vision State Space

For acute ischemic stroke (AIS) patients with large vessel occlusions, clinicians must decide if the benefit of mechanical thrombectomy (MTB) outweighs the risks and potential complications following an invasive procedure. Pre-treatment computed tomography (CT) and angiography (CTA) are widely used to characterize occlusions in the brain vasculature. If a patient is deemed eligible, a modified treatment in cerebral ischemia (mTICI) score will be used to grade how well blood flow is reestablished throughout and following the MTB procedure. An estimation of the likelihood of successful recanalization can support treatment decision-making. In this study, we proposed a fully automated prediction of a patient's recanalization score using pre-treatment CT and CTA imaging. We designed a spatial cross attention network (SCANet) that utilizes vision transformers to localize to pertinent slices and brain regions. Our top model achieved an average cross-validated ROC-AUC of 77.33 $\pm$ 3.9\%. This is a promising result that supports future applications of deep learning on CT and CTA for the identification of eligible AIS patients for MTB.

In clinical radiology, accurate patient table positioning is essential to align specific internal organs of interest with the scanner imaging isocenter, ensuring image quality and diagnostic reliability. Automated patient positioning can streamline this process and improve radiology workflow efficiency by reducing the time required for manual table adjustments and scout-based scan planning. We propose a learning-based framework that predicts 3D organ locations and shapes for 41 anatomical structures, including both bones and soft tissues, directly from a single 2D depth image of the body surface. Leveraging $10,020$ whole-body MRI scans from the German National Cohort (NAKO) dataset, we synthetically generate depth images paired with anatomical segmentations to train a convolutional neural network for volumetric organ prediction. Our method achieves a mean dice similarity coefficient of $0.44\pm0.2$ and and a symmetric average surface distance of $7.69\pm5.68$ mm across all structures. Furthermore, the model derives organ bounding boxes with a mean absolute detection offset of $10.99\pm5.54$ mm. Qualitative results on real-world depth images indicate the ability of the model to gen

A key challenge for the development and deployment of artificial intelligence (AI) solutions in radiology is solving the associated data limitations. Obtaining sufficient and representative patient datasets with appropriate annotations may be burdensome due to high acquisition cost, safety limitations, patient privacy restrictions or low disease prevalence rates. In silico data offers a number of potential advantages to patient data, such as diminished patient harm, reduced cost, simplified data acquisition, scalability, improved quality assurance testing, and a mitigation approach to data imbalances. We summarize key research trends and practical uses for synthetically generated data for radiological applications of AI. Specifically, we discuss different types of techniques for generating synthetic examples, their main application areas, and related quality control assessment issues. We also discuss current approaches for evaluating synthetic imaging data. Overall, synthetic data holds great promise in addressing current data availability gaps, but additional work is needed before its full potential is realized.

Since its inaugural issue in 2019, Radiology: Cardiothoracic Imaging has disseminated the latest scientific advances and technical developments in cardiac, vascular, and thoracic imaging. In this review, we highlight select articles published in this journal between October 2021 and October 2022. The scope of the review encompasses various aspects of coronary artery and congenital heart diseases, vascular diseases, thoracic imaging, and health services research. Key highlights include changes in the revised Coronary Artery Disease Reporting and Data System 2.0, the value of coronary CT angiography in informing prognosis and guiding treatment decisions, cardiac MRI findings after COVID-19 vaccination or infection, high-risk features at CT angiography to identify patients with aortic dissection at risk for late adverse events, and CT-guided fiducial marker placement for preoperative planning for pulmonary nodules. Ongoing research and future directions include photon-counting CT and artificial intelligence applications in cardiovascular imaging. Keywords: Pediatrics, CT Angiography, CT-Perfusion, CT–Spectral Imaging, MR Angiography, PET/CT, Transcatheter Aortic Valve Implantation/Replacement (TAVI/TAVR), Cardiac, Pulmonary, Vascular, Aorta, Coronary Arteries © RSNA, 2023

The field of cardiothoracic imaging is expanding rapidly with new techniques that enable greater diagnostic accuracy and more personalized patient management, ultimately improving outcomes and enhancing clinical decision-making.

Color quantization represents an image using a fraction of its original number of colors while only minimally losing its visual quality. The $k$-means algorithm is commonly used in this context, but has mostly been applied in the machine-based RGB colorspace composed of the three primary colors. However, some recent studies have indicated its improved performance in human perception-based colorspaces. We investigated the performance of $k$-means color quantization at four quantization levels in the RGB, CIE-XYZ, and CIE-LUV/CIE-HCL colorspaces, on 148 varied digital images spanning a wide range of scenes, subjects and settings. The Visual Information Fidelity (VIF) measure numerically assessed the quality of the quantized images, and showed that in about half of the cases, $k$-means color quantization is best in the RGB space, while at other times, and especially for higher quantization levels ($k$), the CIE-XYZ colorspace is where it usually does better. There are also some cases, especially at lower $k$, where the best performance is obtained in the CIE-LUV colorspace. Further analysis of the performances in terms of the distributions of the hue, chromaticity and luminance in an

Technical developments in multidetector computed tomography (CT) have increased the number of detector rows on the z-axis, and 16-cm wide-area-coverage CT scanners have enabled volumetric scanning of the entire heart. Beyond coronary arterial imaging, such innovations offer several advantages during clinical imaging in the cardiothoracic area. The wide-detector CT scanner markedly reduces the image acquisition time to less than 1 second for coronary CT angiography, thereby decreasing the volume of contrast material and radiation dose required for the examination. It also eliminates stair-step artifacts, allowing robust improvements in myocardial function and perfusion imaging. Additionally, new imaging techniques for the cardiothoracic area, including subtraction imaging and free-breathing scans, have been developed and further improved by using the wide-detector CT scanner. This article investigates the technical developments in wide-detector CT scanners, summarizes their clinical applications in the cardiothoracic area, and provides a review of the recent literature.

At the heart of radiological practice is the challenge of integrating complex imaging data with clinical information to produce actionable insights. Nuanced application of language is key for various activities, including managing requests, describing and interpreting imaging findings in the context of clinical data, and concisely documenting and communicating the outcomes. The emergence of large language models (LLMs) offers an opportunity to improve the management and interpretation of the vast data in radiology. Despite being primarily general-purpose, these advanced computational models demonstrate impressive capabilities in specialized language-related tasks, even without specific training. Unlocking the potential of LLMs for radiology requires basic understanding of their foundations and a strategic approach to navigate their idiosyncrasies. This review, drawing from practical radiology and machine learning expertise and recent literature, provides readers insight into the potential of LLMs in radiology. It examines best practices that have so far stood the test of time in the rapidly evolving landscape of LLMs. This includes practical advice for optimizing LLM characteristic

Automated radiology report generation aims to generate radiology reports that contain rich, fine-grained descriptions of radiology imaging. Compared with image captioning in the natural image domain, medical images are very similar to each other, with only minor differences in the occurrence of diseases. Given the importance of these minor differences in the radiology report, it is crucial to encourage the model to focus more on the subtle regions of disease occurrence. Secondly, the problem of visual and textual data biases is serious. Not only do normal cases make up the majority of the dataset, but sentences describing areas with pathological changes also constitute only a small part of the paragraph. Lastly, generating medical image reports involves the challenge of long text generation, which requires more expertise and empirical training in medical knowledge. As a result, the difficulty of generating such reports is increased. To address these challenges, we propose a disease-oriented retrieval framework that utilizes similar reports as prior knowledge references. We design a factual consistency captioning generator to generate more accurate and factually consistent disease d

Spectral imaging is a fundamental diagnostic technique with widespread application. Conventional spectral imaging approaches have intrinsic limitations on spatial and spectral resolutions due to the physical components they rely on. To overcome these physical limitations, in this paper, we develop a novel multi-spectral imaging modality that enables higher spatial and spectral resolutions. In the developed computational imaging modality, we exploit a diffractive lens, such as a photon sieve, for both dispersing and focusing the optical field, and achieve measurement diversity by changing the focusing behavior of this lens. Because the focal length of a diffractive lens is wavelength-dependent, each measurement is a superposition of differently blurred spectral components. To reconstruct the individual spectral images from these superimposed and blurred measurements, model-based fast reconstruction algorithms are developed with deep and analytical priors using alternating minimization and unrolling. Finally, the effectiveness and performance of the developed technique is illustrated for an application in astrophysical imaging under various observation scenarios in the extreme ultrav

In this paper, we present a novel approach that can exactly recover extended targets in wave-based multistatic interferometric imaging, based on Generalized Wirtinger Flow (GWF) theory [1]. Interferometric imaging is a generalization of phase retrieval, which arises from cross-correlation of measurements from pairs of receivers in multistatic configuration. Unlike standard Wirtinger Flow, GWF theory guarantees exact recovery for arbitrary lifted forward models that satisfy the restricted isometry property over rank-1, positive semi-definite (PSD) matrices with a sufficiently small restricted isometry constant (RIC). To this end, we design a deterministic, lifted forward model for interferometric multistatic radar satisfying the exact recovery conditions of the GWF theory. Our results quantify a lower limit on the pixel spacing and the minimal sample complexity for exact multistatic radar imaging via GWF. We provide a numerical study of our RIC and pixel spacing bounds, which shows that GWF can achieve exact recovery with super-resolution. While our primary interest lies in radar imaging, our method is also applicable to other multistatic wave-based imaging problems such as those ar

Recent advances in radiology report generation (RRG) have been driven by large paired image-text datasets; however, progress in neuro-oncology has been limited due to a lack of open paired image-report datasets. Here, we introduce BTReport, an open-source framework for brain tumor RRG that constructs natural language radiology reports using deterministically extracted imaging features. Unlike existing approaches that rely on large general-purpose or fine-tuned vision-language models for both image interpretation and report composition, BTReport performs deterministic feature extraction for image analysis and uses large language models only for syntactic structuring and narrative formatting. By separating RRG into a deterministic feature extraction step and a report generation step, the generated reports are completely interpretable and less prone to hallucinations. We show that the features used for report generation are predictive of key clinical outcomes, including survival and IDH mutation status, and reports generated by BTReport are more closely aligned with reference clinical reports than existing baselines for RRG. Finally, we introduce BTReport-BraTS, a companion dataset th