Sina Amirrajab
completed2023

Cardiac Pathology Synthesis

We propose a method for synthesizing cardiac MR images with plausible heart pathologies and realistic appearances, to generate labeled data for supervised deep-learning training. Synthesis combines label deformation and label-to-image translation: the former via latent-space interpolation in a VAE model, the latter via a label-conditional GAN model. We devise three approaches to label manipulation in the VAE's latent space: intra- subject synthesis to interpolate intermediate slices and increase through-plane resolution, inter-subject synthesis to interpolate geometry and appearance between dissimilar subjects from different scanner vendors, and pathology synthesis to generate pseudo-pathological subjects with characteristics of a desired heart disease. We also model the relationship between 2D slices in the VAE's latent space prior to reconstruction, generating 3D-consistent subjects from stacked 2D slice-by-slice generations. This diversifies and enriches an available cardiac MR database, and we quantitatively show it improves generalization and robustness to multi-vendor, multi-disease data for image segmentation.

Abstract

We propose a method for synthesizing cardiac magnetic resonance (MR) images with plausible heart pathologies and realistic appearances for the purpose of generating labeled data for the application of supervised deep-learning (DL) training. The image synthesis consists of label deformation and label-to-image translation tasks. The former is achieved via latent space interpolation in a VAE model, while the latter is accomplished via a label-conditional GAN model. We devise three approaches for label manipulation in the latent space of the trained VAE model: i) intra-subject synthesis aiming to interpolate the intermediate slices of a subject to increase the through-plane resolution, ii) inter-subject synthesis aiming to interpolate the geometry and appearance of intermediate images between two dissimilar subjects acquired with different scanner vendors, and iii) pathology synthesis aiming to synthesize a series of pseudo-pathological synthetic subjects with characteristics of a desired heart disease.

Furthermore, we propose to model the relationship between 2D slices in the latent space of the VAE prior to reconstruction for generating 3D-consistent subjects from stacking up 2D slice-by-slice generations. We demonstrate that such an approach could provide a solution to diversify and enrich an available database of cardiac MR images and to pave the way for the development of generalizable DL-based image analysis algorithms.

We quantitatively evaluate the quality of the synthesized data in an augmentation scenario to achieve generalization and robustness to multi-vendor and multi-disease data for image segmentation.