Examination-Level Supervision for Deep Learning-based Intracranial Hemorrhage Detection on Head CT Scans.

Purpose To compare the effectiveness of weak supervision (ie, with examination-level labels only) and strong supervision (ie, with image-level labels) in training deep learning models for detection of intracranial hemorrhage (ICH) on head CT scans. Materials and Methods In this retrospective study, an attention-based convolutional neural network was trained with either local (ie, image level) or global (ie, examination level) binary labels on the Radiological Society of North America (RSNA) 2019 Brain CT Hemorrhage Challenge dataset of 21 736 examinations (8876 [40.8%] ICH) and 752 422 images (107 784 [14.3%] ICH). The CQ500 (436 examinations; 212 [48.6%] ICH) and CT-ICH (75 examinations; 36 [48.0%] ICH) datasets were employed for external testing. Performance in detecting ICH was compared between weak (examination-level labels) and strong (image-level labels) learners as a function of the number of labels available during training. Results On examination-level binary classification, strong and weak learners did not have different area under the receiver operating characteristic curve values on the internal validation split (0.96 vs 0.96; P = .64) and the CQ500 dataset (0.90 vs 0.92; P = .15). Weak learners outperformed strong ones on the CT-ICH dataset (0.95 vs 0.92; P = .03). Weak learners had better section-level ICH detection performance when more than 10 000 labels were available for training (average f1 = 0.73 vs 0.65; P < .001). Weakly supervised models trained on the entire RSNA dataset required 35 times fewer labels than equivalent strong learners. Conclusion Strongly supervised models did not achieve better performance than weakly supervised ones, which could reduce radiologist labor requirements for prospective dataset curation. Keywords: CT, Head/Neck, Brain/Brain Stem, Hemorrhage Supplemental material is available for this article. © RSNA, 2023 See also commentary by Wahid and Fuentes in this issue.

Notice of Removal: Fourier Diffusion Models: A Method to Control MTF and NPS in Score-Based Stochastic Image Generation.

Removed.

Fast Hierarchical Games for Image Explanations.

As modern complex neural networks keep breaking records and solving harder problems, their predictions also become less and less intelligible. The current lack of interpretability often undermines the deployment of accurate machine learning tools in sensitive settings. In this work, we present a model-agnostic explanation method for image classification based on a hierarchical extension of Shapley coefficients-Hierarchical Shap (h-Shap)-that resolves some of the limitations of current approaches. Unlike other Shapley-based explanation methods, h-Shap is scalable and can be computed without the need of approximation. Under certain distributional assumptions, such as those common in multiple instance learning, h-Shap retrieves the exact Shapley coefficients with an exponential improvement in computational complexity. We compare our hierarchical approach with popular Shapley-based and non-Shapley-based methods on a synthetic dataset, a medical imaging scenario, and a general computer vision problem, showing that h-Shap outperforms the state-of-the-art in both accuracy and runtime. Code and experiments are made publicly available.

Fitting Splines to Axonal Arbors Quantifies Relationship Between Branch Order and Geometry.

Neuromorphology is crucial to identifying neuronal subtypes and understanding learning. It is also implicated in neurological disease. However, standard morphological analysis focuses on macroscopic features such as branching frequency and connectivity between regions, and often neglects the internal geometry of neurons. In this work, we treat neuron trace points as a sampling of differentiable curves and fit them with a set of branching B-splines. We designed our representation with the Frenet-Serret formulas from differential geometry in mind. The Frenet-Serret formulas completely characterize smooth curves, and involve two parameters, curvature and torsion. Our representation makes it possible to compute these parameters from neuron traces in closed form. These parameters are defined continuously along the curve, in contrast to other parameters like tortuosity which depend on start and end points. We applied our method to a dataset of cortical projection neurons traced in two mouse brains, and found that the parameters are distributed differently between primary, collateral, and terminal axon branches, thus quantifying geometric differences between different components of an axonal arbor. The results agreed in both brains, further validating our representation. The code used in this work can be readily applied to neuron traces in SWC format and is available in our open-source Python package brainlit: http://brainlit.neurodata.io/.

Entropy estimation within in vitro neural-astrocyte networks as a measure of development instability.

The brain demands a significant fraction of the energy budget in an organism; in humans, it accounts for 2% of the body mass, but utilizes 20% of the total energy metabolized. This is due to the large load required for information processing; spiking demands from neurons are high but are a key component to understanding brain functioning. Astrocytic brain cells contribute to the healthy functioning of brain circuits by mediating neuronal network energy and facilitating the formation and stabilization of synaptic connectivity. During development, spontaneous activity influences synaptic formation, shaping brain circuit construction, and adverse astrocyte mutations can lead to pathological processes impacting cognitive impairment due to inefficiencies in network spiking activity. We have developed a measure that quantifies information stability within in vitro networks consisting of mixed neural-astrocyte cells. Brain cells were harvested from mice with mutations to a gene associated with the strongest known genetic risk factor for Alzheimer's disease, APOE. We calculate energy states of the networks and using these states, we present an entropy-based measure to assess changes in information stability over time. We show that during development, stability profiles of spontaneous network activity are modified by exogenous astrocytes and that network stability, in terms of the rate of change of entropy, is allele dependent.