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UID:12@cds.iisc.ac.in
DTSTART;TZID=Asia/Kolkata:20230911T100000
DTEND;TZID=Asia/Kolkata:20230911T110000
DTSTAMP:20231102T051329Z
URL:https://cds.iisc.ac.in/events/ph-d-thesis-colloquium-cds-unsupervised-
 test-time-adaptation-for-patient-specific-deep-learning-models-in-medical-
 imaging/
SUMMARY:Ph.D. Thesis {Colloquium}: CDS : “Unsupervised test-time adaptati
 on for patient-specific deep learning models in medical imaging.”
DESCRIPTION:DEPARTMENT OF COMPUTATIONAL AND DATA SCIENCES\nPh.D. Thesis Col
 loquium\n\n_______________________________________________________________
 ___________________________\n\nSpeaker : Mr. Hariharan Ravishankar\n\nS.R.
  Number : 06-18-00-11-12-20-1-18917\n\nTitle : “Unsupervised test-time a
 daptation for patient-specific deep learning models in medical imaging”\
 n\nResearch Supervisor: Prof. Phaneendra Kumar Yalavarthy\n\nDate &amp\; T
 ime : September 11\, 2023 (Monday) at 10:00 AM\n\nVenue : # 102 CDS Semina
 r Hall\n\n________________________________________________________________
 __________________________\nAbstract\nDeep learning (DL) models have achie
 ved state-of-the-art results in multiple medical imaging applications\, re
 sulting in the widespread adoption of artificial intelligence (AI) models 
 for radiological workflows. Despite their success\, they exhibit two major
  weaknesses in real-world applications: a) poor generalization and b) lack
  of patient optimality. The potential “distribution shift” in unseen m
 edical imaging data\, owing to changes in demography\, acquisition hardwar
 e\, etc.\, often leads to a reduction in performance. Despite the high ave
 rage performance\, they are prone to failures on “individual” cases wi
 th minor input modulations than the training data. Solving this problem is
  critical in medical image analysis because this variance in performance a
 cross cases and abject failures on select subjects will increase the burde
 n on care-giving experts and reduce trust in AI-based applications.\n\nThe
  aim of this thesis work is to develop methods for patient-specific test-t
 ime adaptation of pre-trained DL models on individual subject data. While 
 generalization is often treated as a training time goal\, test-time adapta
 tion (TTA) modifies the weights during inference time in an unsupervised m
 anner specific to each subject data to jointly address generalization and 
 patient optimality. While sustaining performance in individual subjects is
  seen as a challenge for current DL models\, this line of research also ha
 s an opportunity for next-generation clinical decision support systems. AI
  methods that would result in patient-specific DL models can be heralded a
 s the next big step in medical imaging.\n\nInformation Geometric Test Time
  Adaptation (IGTTA) for semantic segmentation: The test-time adaptation (T
 TA) of deep-learning-based semantic segmentation models\, specific to indi
 vidual patient data\, was addressed in this part of thesis work. Existing 
 TTA methods in medical imaging are often unconstrained and require prior a
 natomical information or additional neural networks built during the train
 ing phase\, making them less practical and prone to performance deteriorat
 ion. In this part of thesis work\, a novel framework based on information 
 geometric principles was proposed to achieve generic\, off-the-shelf\, reg
 ularized patient-specific adaptation of models during test-time. By consid
 ering the pre-trained model and adapted models as part of statistical neur
 omanifolds\, test-time adaptation was treated as constrained functional re
 gularization using information geometric measures\, leading to improved ge
 neralization and patient optimality. The efficacy of the proposed approach
  was shown on three challenging problems: a) improving the generalization 
 of state-of-the-art models for segmenting COVID-19 anomalies in Computed T
 omography (CT) images\, b) cross-institutional brain tumor segmentation fr
 om magnetic resonance (MR) images\, and c) segmentation of retinal layers 
 in Optical Coherence Tomography (OCT) images. Furthermore\, it was demonst
 rated that robust patient-specific adaptation can be achieved without addi
 ng a significant computational burden\, making it the first of its kind ba
 sed on information geometric principles.\n\nTest-time adaptation via domai
 n transforms (TTADT): OCT imaging has emerged as the modality of choice fo
 r the diagnosis of retinal diseases. The popular\, cost-effective variant 
 of OCT – Spectral-Domain Optical Coherence Tomography (SDOCT) often suff
 ers in image quality owing to speckle noise\, making expert or automated a
 nalysis of these images challenging. This part of thesis work proposes for
  the first-time inference time adaptation of deep learning models for a gi
 ven test sample to achieve improved diagnostic performance. The adaptation
  is driven by domain transforms – a framework in which domain-specific a
 ugmentation is employed for a test sample\, and the deep learning model we
 ights are updated in a constrained and regularized manner. Performance of 
 the proposed approach was evaluated on both simulated and real-world noisy
  B-mode OCT images affected by varying degrees of speckle noise from four 
 benchmarking SD-OCT datasets. Systematic studies in this part of thesis wo
 rk clearly demonstrate the utility of the proposed approach in building ge
 neralized and robust deep learning models for automated retinal disease di
 agnosis using OCT images.\n\nUncertainty-aware test-time adaptation for in
 verse problems (UATTA): Deep learning models for inverse problems (both on
 e-pass and unrolled versions): have these limitations 1) inability to prov
 ide pixel-wise uncertainty quantification 2) sensitivity to variation in f
 orward model and 3) sub-optimal regularization over different iterations. 
 In this part of thesis work\, uncertainty aware test-time adaptation of of
 f-the-shelf models is proposed for improved image reconstruction performan
 ce. Different pixel-wise uncertainty quantification methods were explored 
 for utility in test-time adaptation\, along with data fidelity constraints
 . The results were studied for two relevant problems:1) accelerated MRI ac
 quisition and 2) quantitative susceptibility mapping for quantifying tissu
 e magnetic susceptibility. The proposed framework provides a reliable and 
 accurate reconstruction of these images.\n\nTest-time adaptation with foun
 dational models as neural surrogates (TTANS): Recently\, foundational mode
 ls have demonstrated impressive promptable segmentation of natural images.
  However\, these models often perform poorly with medical imaging data. In
  this part of the thesis\, a two-way synergic approach for jointly utilizi
 ng foundational models while adapting pretrained medical imaging segmentat
 ion models is explored. The results are demonstrated on various medical im
 aging semantic segmentation tasks to show the ability of foundational mode
 ls as neural surrogates\, thus demonstrating test-time adaptation achieved
  in real time. As these foundational models are capable of handling high l
 evels of semantics\, using them as surrogates helped reduce reliance on co
 stly annotated data needed to achieve state-of-the-art results.\n\nIn summ
 ary\, this thesis work developed methods to improve the generalization of 
 typical deep-learning models utilized in medical imaging by personalizing 
 them to individual patients during testing in an unsupervised and automate
 d manner. The developed methods demonstrated the applicability and utility
  in different medical imaging tasks across various medical imaging modalit
 ies. This thesis work is the first of its kind in medical imaging to showc
 ase the utility of test-time adaptation methods\, paving the way for furth
 er research towards the goal of precision medicine.\n\n===================
 ============================================================\n\nALL ARE WE
 LCOME
CATEGORIES:Events,Ph.D. Thesis Colloquium
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