Assessing cancer progression in liver CT scans is a clinical challenge, requiring a comparison of scans at different times for the same patient. Practitioners must identify existing tumors, compare them with prior exams, identify new tumors, and evaluate overall disease evolution. This process is particularly complex in liver examinations due to misalignment between exams caused by several factors. Indeed, longitudinal liver examinations can undergo different non-pathological and pathological changes due to non-rigid deformations, the appearance or disappearance of pathologies, and other variations. In such cases, existing registration approaches, mainly based on intrinsic features may distort tumor regions, biasing the tumor progress evaluation step and the corresponding diagnosis. This work proposes a registration method based only on geometrical and anatomical information from liver segmentation, aimed at aligning longitudinal liver images for aided diagnosis. The proposed method is trained and tested on longitudinal liver CT scans, with 317 patients for training and 53 for testing. Our experimental results support our claims by showing that our method is better than other registration techniques by providing a smoother deformation while preserving the tumor burden (total volume of tissues considered as tumor) within the volume. Qualitative results emphasize the importance of smooth deformations in preserving tumor appearance.

Early diagnosis of prostate cancer is crucial for efficient treatment. Multi-parametric Magnetic Resonance Images (mp-MRI) are widely used for lesion detection. The Prostate Imaging Reporting and Data System (PI-RADS) has standardized interpretation of prostate MRI by defining a score for lesion malignancy. PI-RADS data is readily available from radiology reports but is subject to high inter-reports variability. We propose a new contrastive loss function that leverages weak metadata with multiple annotators per sample and takes advantage of inter-reports variability by defining metadata confidence. By combining metadata of varying confidence with unannotated data into a single conditional contrastive loss function, we report a 3% AUC increase on lesion detection on the public PI-CAI challenge dataset.

Current contrastive learning methods use random transformations sampled from a large list of transformations, with fixed hyperparameters, to learn invariance from an unannotated database. Following previous works that introduce a small amount of supervision, we propose a framework to find optimal transformations for contrastive learning using a differentiable transformation network. Our method increases performances at low annotated data regime both in supervision accuracy and in convergence speed. In contrast to previous work, no generative model is needed for transformation optimization. Transformed images keep relevant information to solve the supervised task, here classification. Experiments were performed on 34000 2D slices of brain Magnetic Resonance Images and 11200 chest X-ray images. On both datasets, with 10% of labeled data, our model achieves better performances than a fully supervised model with 100% labels.

The classification of MRI images according to the anatomical field of view is a necessary task to solve when faced with the increasing quantity of medical images. In parallel, advances in deep learning makes it a suitable tool for computer vision problems. Using a common architecture (such as AlexNet) provides quite good results, but not sufficient for clinical use. Improving the model is not an easy task, due to the large number of hyper-parameters governing both the architecture and the training of the network, and to the limited understanding of their relevance. Since an exhaustive search is not tractable, we propose to optimize the network first by random search, and then by an adaptive search based on Gaussian Processes and Probability of Improvement. Applying this method on a large and varied MRI dataset, we show a substantial improvement between the baseline network and the final one (up to 20\% for the most difficult classes).