DSC-MRI perfusion is a medical imaging technique for diagnosing and prognosing brain tumors and strokes. Its analysis relies on mathematical deconvolution, but noise or motion artifacts in a clinical environment can disrupt this process, leading to incorrect estimate of perfusion parameters. Although deep learning approaches have shown promising results, their calibration typically rely on third-party deconvolution algorithms to generate reference outputs and are bound to reproduce their limitations. To adress this problem, we propose a physics-informed autoencoder that leverages an analytical model to decode the perfusion parameters and guide the learning of the encoding network. This autoencoder is trained in a self-supervised fashion without any third-party software and its performance is evaluated on a database with glioma patients. Our method shows reliable results for glioma grading in accordance with other well-known deconvolution algorithms despite a lower computation time. It also achieved competitive performance even in the presence of high noise which is critical in a medical environment.

The CT perfusion (CTP) is a medical exam for measuring the passage of a bolus of contrast solution through the brain on a pixel-by-pixel basis. The objective is to draw "perfusion maps" (namely cerebral blood volume, cerebral blood flow and time to peak) very rapidly for ischemic lesions, and to be able to distinguish between core and penumubra regions. A precise and quick diagnosis, in a context of ischemic stroke, can determine the fate of the brain tissues and guide the intervention and treatment in emergency conditions. In this work we present UniToBrain dataset, the very first open-source dataset for CTP. It comprises a cohort of more than a hundred of patients, and it is accompanied by patients metadata and ground truth maps obtained with state-of-the-art algorithms. We also propose a novel neural networks-based algorithm, using the European library ECVL and EDDL for the image processing and developing deep learning models respectively. The results obtained by the neural network models match the ground truth and open the road towards potential sub-sampling of the required number of CT maps, which impose heavy radiation doses to the patients.

Electrical Impedance Tomography (EIT) is a functional imaging method that is being developed for bedside use in critical care medicine. Aiming at improving the chest anatomical resolution of EIT images we developed a fuzzy model based on EIT high temporal resolution and the functional information contained in the pulmonary perfusion and ventilation signals. EIT data from an experimental animal model were collected during normal ventilation and apnea while an injection of hypertonic saline was used as a reference . The fuzzy model was elaborated in three parts: a modeling of the heart, a pulmonary map from ventilation images and, a pulmonary map from perfusion images. Image segmentation was performed using a threshold method and a ventilation/perfusion map was generated. EIT images treated by the fuzzy model were compared with the hypertonic saline injection method and CT-scan images, presenting good results in both qualitative (the image obtained by the model was very similar to that of the CT-scan) and quantitative (the ROC curve provided an area equal to 0.93) point of view. Undoubtedly, these results represent an important step in the EIT images area, since they open the possibility of developing EIT-based bedside clinical methods, which are not available nowadays. These achievements could serve as the base to develop EIT diagnosis system for some life-threatening diseases commonly found in critical care medicine.