Pediatric pancreatitis is a progressive and debilitating inflammatory condition, including acute pancreatitis and chronic pancreatitis, that presents significant clinical diagnostic challenges. Machine learning-based methods also face diagnostic challenges due to limited sample availability and multimodal imaging complexity. To address these challenges, this paper introduces Upstream Probabilistic Meta-Imputation (UPMI), a light-weight augmentation strategy that operates upstream of a meta-learner in a low-dimensional meta-feature space rather than in image space. Modality-specific logistic regressions (T1W and T2W MRI radiomics) produce probability outputs that are transformed into a 7-dimensional meta-feature vector. Class-conditional Gaussian mixture models (GMMs) are then fit within each cross-validation fold to sample synthetic meta-features that, combined with real meta-features, train a Random Forest (RF) meta-classifier. On 67 pediatric subjects with paired T1W/T2W MRIs, UPMI achieves a mean AUC of 0.908 $\pm$ 0.072, a $\sim$5% relative gain over a real-only baseline (AUC 0.864 $\pm$ 0.061).

Objective: Our study aimed to evaluate and validate PanSegNet, a deep learning (DL) algorithm for pediatric pancreas segmentation on MRI in children with acute pancreatitis (AP), chronic pancreatitis (CP), and healthy controls. Methods: With IRB approval, we retrospectively collected 84 MRI scans (1.5T/3T Siemens Aera/Verio) from children aged 2-19 years at Gazi University (2015-2024). The dataset includes healthy children as well as patients diagnosed with AP or CP based on clinical criteria. Pediatric and general radiologists manually segmented the pancreas, then confirmed by a senior pediatric radiologist. PanSegNet-generated segmentations were assessed using Dice Similarity Coefficient (DSC) and 95th percentile Hausdorff distance (HD95). Cohen's kappa measured observer agreement. Results: Pancreas MRI T2W scans were obtained from 42 children with AP/CP (mean age: 11.73 +/- 3.9 years) and 42 healthy children (mean age: 11.19 +/- 4.88 years). PanSegNet achieved DSC scores of 88% (controls), 81% (AP), and 80% (CP), with HD95 values of 3.98 mm (controls), 9.85 mm (AP), and 15.67 mm (CP). Inter-observer kappa was 0.86 (controls), 0.82 (pancreatitis), and intra-observer agreement reached 0.88 and 0.81. Strong agreement was observed between automated and manual volumes (R^2 = 0.85 in controls, 0.77 in diseased), demonstrating clinical reliability. Conclusion: PanSegNet represents the first validated deep learning solution for pancreatic MRI segmentation, achieving expert-level performance across healthy and diseased states. This tool, algorithm, along with our annotated dataset, are freely available on GitHub and OSF, advancing accessible, radiation-free pediatric pancreatic imaging and fostering collaborative research in this underserved domain.

An accurate segmentation of the pancreas on CT is crucial to identify pancreatic pathologies and extract imaging-based biomarkers. However, prior research on pancreas segmentation has primarily focused on modifying the segmentation model architecture or utilizing pre- and post-processing techniques. In this article, we investigate the utility of anatomical priors to enhance the segmentation performance of the pancreas. Two 3D full-resolution nnU-Net models were trained, one with 8 refined labels from the public PANORAMA dataset, and another that combined them with labels derived from the public TotalSegmentator (TS) tool. The addition of anatomical priors resulted in a 6\% increase in Dice score ($p < .001$) and a 36.5 mm decrease in Hausdorff distance for pancreas segmentation ($p < .001$). Moreover, the pancreas was always detected when anatomy priors were used, whereas there were 8 instances of failed detections without their use. The use of anatomy priors shows promise for pancreas segmentation and subsequent derivation of imaging biomarkers.

Multiphase CT studies are routinely obtained in clinical practice for diagnosis and management of various diseases, such as cancer. However, the CT studies can be acquired with low radiation doses, different scanners, and are frequently affected by motion and metal artifacts. Prior approaches have targeted the quality improvement of one specific CT phase (e.g., non-contrast CT). In this work, we hypothesized that leveraging multiple CT phases for the quality enhancement of one phase may prove advantageous for downstream tasks, such as segmentation. A 3D progressive fusion and non-local (PFNL) network was developed. It was trained with three degraded (low-quality) phases (non-contrast, arterial, and portal venous) to enhance the quality of the portal venous phase. Then, the effect of scan quality enhancement was evaluated using a proxy task of pancreas segmentation, which is useful for tracking pancreatic cancer. The proposed approach improved the pancreas segmentation by 3% over the corresponding low-quality CT scan. To the best of our knowledge, we are the first to harness multiphase CT for scan quality enhancement and improved pancreas segmentation.

Despite the advances in medicine, cancer has remained a formidable challenge. Particularly in the case of pancreatic tumors, characterized by their diversity and late diagnosis, early detection poses a significant challenge crucial for effective treatment. The advancement of deep learning techniques, particularly supervised algorithms, has significantly propelled pancreatic tumor detection in the medical field. However, supervised deep learning approaches necessitate extensive labeled medical images for training, yet acquiring such annotations is both limited and costly. Conversely, weakly supervised anomaly detection methods, requiring only image-level annotations, have garnered interest. Existing methodologies predominantly hinge on generative adversarial networks (GANs) or autoencoder models, which can pose complexity in training and, these models may face difficulties in accurately preserving fine image details. This research presents a novel approach to pancreatic tumor detection, employing weak supervision anomaly detection through denoising diffusion algorithms. By incorporating a deterministic iterative process of adding and removing noise along with classifier guidance, the method enables seamless translation of images between diseased and healthy subjects, resulting in detailed anomaly maps without requiring complex training protocols and segmentation masks. This study explores denoising diffusion models as a recent advancement over traditional generative models like GANs, contributing to the field of pancreatic tumor detection. Recognizing the low survival rates of pancreatic cancer, this study emphasizes the need for continued research to leverage diffusion models' efficiency in medical segmentation tasks.

Segmenting organs in CT scan images is a necessary process for multiple downstream medical image analysis tasks. Currently, manual CT scan segmentation by radiologists is prevalent, especially for organs like the pancreas, which requires a high level of domain expertise for reliable segmentation due to factors like small organ size, occlusion, and varying shapes. When resorting to automated pancreas segmentation, these factors translate to limited reliable labeled data to train effective segmentation models. Consequently, the performance of contemporary pancreas segmentation models is still not within acceptable ranges. To improve that, we propose M3BUNet, a fusion of MobileNet and U-Net neural networks, equipped with a novel Mean-Max (MM) attention that operates in two stages to gradually segment pancreas CT images from coarse to fine with mask guidance for object detection. This approach empowers the network to surpass segmentation performance achieved by similar network architectures and achieve results that are on par with complex state-of-the-art methods, all while maintaining a low parameter count. Additionally, we introduce external contour segmentation as a preprocessing step for the coarse stage to assist in the segmentation process through image standardization. For the fine segmentation stage, we found that applying a wavelet decomposition filter to create multi-input images enhances pancreas segmentation performance. We extensively evaluate our approach on the widely known NIH pancreas dataset and MSD pancreas dataset. Our approach demonstrates a considerable performance improvement, achieving an average Dice Similarity Coefficient (DSC) value of up to 89.53% and an Intersection Over Union (IOU) score of up to 81.16 for the NIH pancreas dataset, and 88.60% DSC and 79.90% IOU for the MSD Pancreas dataset.

Model quantization is leveraged to reduce the memory consumption and the computation time of deep neural networks. This is achieved by representing weights and activations with a lower bit resolution when compared to their high precision floating point counterparts. The suitable level of quantization is directly related to the model performance. Lowering the quantization precision (e.g. 2 bits), reduces the amount of memory required to store model parameters and the amount of logic required to implement computational blocks, which contributes to reducing the power consumption of the entire system. These benefits typically come at the cost of reduced accuracy. The main challenge is to quantize a network as much as possible, while maintaining the performance accuracy. In this work, we present a quantization method for the U-Net architecture, a popular model in medical image segmentation. We then apply our quantization algorithm to three datasets: (1) the Spinal Cord Gray Matter Segmentation (GM), (2) the ISBI challenge for segmentation of neuronal structures in Electron Microscopic (EM), and (3) the public National Institute of Health (NIH) dataset for pancreas segmentation in abdominal CT scans. The reported results demonstrate that with only 4 bits for weights and 6 bits for activations, we obtain 8 fold reduction in memory requirements while loosing only 2.21%, 0.57% and 2.09% dice overlap score for EM, GM and NIH datasets respectively. Our fixed point quantization provides a flexible trade off between accuracy and memory requirement which is not provided by previous quantization methods for U-Net such as TernaryNet.

Segmentation of pancreas is important for medical image analysis, yet it faces great challenges of class imbalance, background distractions and non-rigid geometrical features. To address these difficulties, we introduce a Deep Q Network(DQN) driven approach with deformable U-Net to accurately segment the pancreas by explicitly interacting with contextual information and extract anisotropic features from pancreas. The DQN based model learns a context-adaptive localization policy to produce a visually tightened and precise localization bounding box of the pancreas. Furthermore, deformable U-Net captures geometry-aware information of pancreas by learning geometrically deformable filters for feature extraction. Experiments on NIH dataset validate the effectiveness of the proposed framework in pancreas segmentation.