Abstract

Background Prior research by the authors studied the objective impact on medical students’ academic course, the perceived cognitive load, quantified subjective feedback while teaching using AnaVu, a low resource stereoscopic projection system. The qualitative data from opinions, and comparative educational results reported by undergraduate medical students following their participation in stereoscopic (AnaVu) and monoscopic learning sessions are explored in this study. This study was done to evaluate and compare the effectiveness of stereoscopic and monoscopic teaching methods in enhancing spatial understanding of anatomical structures among first-year undergraduate medical students using AnaVu. Methodology This research study was conducted as a three-limb randomized controlled trial. Among those who provided informed consent, a sample of MBBS students from the 2022 cohort was chosen at random. Following a one-hour brainstem introduction lecture and a dissection session, students were assigned at random to one of three groups: S for stereo; M for mono; or C for control. A 20-minute stereoscopic demonstration of the brainstem module in AnaVu has been delivered to S. The identical presentation, albeit in monoscopic mode, was delivered to M. Diagrams drawn on a whiteboard were used to instruct the C group. Pre-intervention and post-intervention tests were given in four domains: basic recall, analytical, radiological anatomy and diagram-based questions. Finally, the groups were swapped – S→M, M→S and C→S, and they were asked to compare the modes. Data were processed using RQDA (R package for Qualitative Data Analysis). Theme identification and analysis of the qualitative data was done using the thematic analysis. Results 152 students participated in the study. Five themes and fourteen subthemes were identified. General advantages included size comparisons, software features, and improved attention, while specific benefits for learning radiological and sectional anatomy were noted. Disadvantages included eye strain, software glitches, costs, and concerns about teacher adaptation. Conclusion The findings of this study emphasize the potential of AnaVu in enhancing anatomical and radiological education, while highlighting key disadvantages to help teachers and students make informed choices between stereo and mono display methods.

Abstract

Background The authors had previously developed AnaVu, a low-resource 3D visualization tool for stereoscopic/ monoscopic projection of 3D models generated from pre-segmented MRI neuroimaging data. However, its utility in neuroanatomical education compared to conventional methods (specifically whether the stereoscopic or mono- scopic mode is more effective) is still unclear. Methods A three-limb randomized controlled trial was designed. A sample (n = 152) from the 2022 cohort of MBBS students at Government Medical College, Thiruvananthapuram (GMCT), was randomly selected from those who gave informed consent. After a one-hour introductory lecture on brainstem anatomy and a dissection session, students were randomized to three groups (S – Stereo; M – Mono and C – Control). S was given a 20-min demonstration on the brainstem lesson module in AnaVu in stereoscopic mode. M was given the same demonstration, but in mono- scopic mode. The C group was taught using white-board drawn diagrams. Pre-intervention and post-intervention tests for four domains (basic recall, analytical, radiological anatomy and diagram-based questions) were conducted before and after the intervention. Cognitive loads were measured using a pre-validated tool. The groups were then swapped -S→ M, M →S and C→S, and they were asked to compare the modes. Results For basic recall questions, there was a statistically significant increase in the pre/post-intervention score difference of the S group when compared to the M group [p = 0.03; post hoc analysis, Bonferroni corrections applied] and the C group [p = 0.001; ANOVA test; post hoc analysis, Bonferroni corrections applied]. For radiological anatomy questions, the difference was significantly higher for S compared to C [p < 0.001; ANOVA test; post hoc analysis, Bon- ferroni corrections applied]. Cognitive load scores showed increased mean germane load for S (33.28 ± 5.35) and M

Abstract

We present CheXtriev, a graph-based, anatomy-aware framework for chest radiograph retrieval. Unlike prior methods focussed on global features, our method leverages graph transformers to extract informative features from specific anatomical regions. Furthermore, it captures spatial context and the interplay between anatomical location and findings. This contextualization, grounded in evidence-based anatomy, results in a richer anatomy-aware representation and leads to more accurate, effective and efficient retrieval, particularly for less prevalent findings. CheXtriv outperforms state-of-the-art global and local approaches by to in retrieval accuracy and to in ranking quality.

Abstract

Biological processes like growth, aging, and disease progression are generally studied with follow-up scans taken at different time points, i.e., image time series (TS) based analysis. Image TS represents the evolution of anatomy over time, but different anatomies may have different structural characteristics and temporal paths. Therefore, separating the time-dependent path difference and time-independent basic anatomy/shape changes is important when comparing two image TS to understand the causes of the observed differences better. A method to untangle and quantify the path and shape difference between the TS is presented in this paper. The proposed method is evaluated with simulated and adult and fetal neuro templates. Results show that the metric can separate and quantify the path and shape differences between TS.

Abstract

Biological processes like growth, aging, and disease progression are generally studied with follow-up scans taken at different time points, i.e., image time series (TS) based analysis. Image TS represents the evolution of anatomy over time, but different anatomies may have different structural characteristics and temporal paths. Therefore, separating the time-dependent path difference and time-independent basic anatomy/shape changes is important when comparing two image TS to understand the causes of the observed differences better. A method to untangle and quantify the path and shape difference between the TS is presented in this paper. The proposed method is evaluated with simulated and adult and fetal neuro templates. Results show that the metric can separate and quantify the path and shape differences between TS.

Abstract

Visual servoing for the development of autonomous robotic systems capable of administering UltraSound (US) guided regional anesthesia requires real-time segmentation of nerves, needle tip localization and needle trajectory extrapolation. First, we recruited 227 patients to build a large dataset of 41,000 anesthesiologist annotated images from US videos of brachial plexus nerves and developed models to localize nerves in the US images. Generalizability of the best suited model was tested on the datasets constructed from separate US scanners. Using these nerve segmentation predictions, we define automated anesthesia needle targets by fitting an ellipse to the nerve contours. Next, we developed an image analysis tool to guide the needle toward their targets. For the segmentation of the needle, a natural RGB pre-trained neural network was first fine-tuned on a large US dataset for domain transfer and then adapted for the needle using a small dataset. The segmented needle’s trajectory angle is calculated using Radon transformation and the trajectory is extrapolated from the needle tip. The intersection of the extrapolated trajectory with the needle target guides the needle navigation for drug delivery. The needle trajectory’s average error was within acceptable range of 5 mm as per experienced anesthesiologists. The entire dataset has been released publicly for further study by the research community at https://github.com/Regional-US/

Abstract

We present CheXtriev, a graph-based, anatomy-aware frame- work for chest radiograph retrieval. Unlike prior methods focussed on global features, our method leverages graph transformers to extract in- formative features from specific anatomical regions. Furthermore, it cap- tures spatial context and the interplay between anatomical location and findings. This contextualization, grounded in evidence-based anatomy, results in a richer anatomy-aware representation and leads to more accu- rate, effective and efficient retrieval, particularly for less prevalent find- ings. CheXtriv outperforms state-of-the-art global and local approaches by 18% to 26% in retrieval accuracy and 11% to 23% in ranking quality. The code is available at https://github.com/cvit-mip/chextriev.

Abstract

Accurate multi-organ segmentation in abdominal CT is essential for diagnosis, treatment planning, and disease monitoring. However, it suffers from inaccurate segmentation due to intricate spatial relationships and varying organ shapes. Existing deep learning methods often struggle with imbalanced classes, size bias, and ambiguous boundaries, hindering segmentation accuracy. To address these challenges, this paper proposes Guided-nnUNet, a two-stage segmentation framework that decomposes abdominal multi-organ segmentation into organ localization and then localization-guided fine segmentation. In the first stage, a ResNet-50 model generates a low-dimensional localization map guiding organ locations. This spatial guidance is then fed into the second stage, where a 3D U-Net with dynamic affine feature-map transform performs the fine-grained segmentation by integrating spatial context from the localization map. Our evaluation on the publicly available AMOS and BTCV datasets demonstrates the effectiveness of the model. Guided-nnUNet achieves an average improvement of 7% and 9% on the AMOS and BTCV datasets, respectively, compared to the baseline nnUNet model. Additionally, our model outperforms the state-of-the-art MedNeXt by 3.6% and 5.3% on the AMOS and BTCV datasets, respectively. These results suggest that our two-stage solution offers a promising approach for accurate abdominal organ segmentation, particularly for overcoming the challenges associated with complex organ structures.

Abstract

We present a novel solution for accurate segmentation of pneumothorax from chest radiographs utilizing free-text radiology reports. Our solution employs text-guided attention to leverage the findings in the report to initially produce a low-dimensional region-localization map. These prior region maps are integrated at multiple scales in an encoder-decoder segmentation framework via dynamic affine feature map transform (DAFT). Extensive experiments on a public dataset CANDID-PTX, show that the integration of free-text reports significantly reduces the false positive predictions, while the DAFT-based fusion of localization maps improves the positive cases. Our method achieves a DSC of 0.60 for positive and 0.052 FPR for positive and negative cases, respectively, and 0.70 to 0.85 DSC for medium and large pneumothoraces.

Abstract

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