Abstract: Methods and systems for image registration using an intelligent artificial agent are disclosed. In an intelligent artificial agent based registration method, a current state observation of an artificial agent is determined based on the medical images to be registered and current transformation parameters. Action-values are calculated for a plurality of actions available to the artificial agent based on the current state observation using a machine learning based model, such as a trained deep neural network (DNN). The actions correspond to predetermined adjustments of the transformation parameters. An action having a highest action-value is selected from the plurality of actions and the transformation parameters are adjusted by the predetermined adjustment corresponding to the selected action. The determining, calculating, and selecting steps are repeated for a plurality of iterations, and the medical images are registered using final transformation parameters resulting from the plurality of iterations.

Abstract: Systems and methods for identifying and assessing lymph nodes are provided. Medical image data (e.g., one or more computed tomography images) of a patient is received and anatomical landmarks in the medical image data are detected. Anatomical objects are segmented from the medical image data based on the one or more detected anatomical landmarks. Lymph nodes are identified in the medical image data based on the one or more detected anatomical landmarks and the one or more segmented anatomical objects. The identified lymph nodes may be assessed by segmenting the identified lymph nodes from the medical image data and quantifying the segmented lymph nodes. The identified lymph nodes and/or the assessment of the identified lymph nodes are output.

Abstract: Systems and method for performing a medical imaging analysis task for making a clinical decision are provided. One or more input medical images of a patient are received. A medical imaging analysis task is performed from the one or more input medical images using a machine learning based network. The machine learning based network generates a probability score associated with the medical imaging analysis task. An uncertainty measure associated with the probability score is determined. A clinical decision is made based on the probability score and the uncertainty measure.

Abstract: Systems and methods for assessing a disease are provided. Medical imaging data of lungs of a patient is received. The lungs are segmented from the medical imaging data and abnormality regions associated with a disease are segmented from the medical imaging data. An assessment of the disease is determined based on the segmented lungs and the segmented abnormality regions. The disease may be COVID-19 (coronavirus disease 2019) or diseases, such as, e.g., SARS (severe acute respiratory syndrome), MERS (Middle East respiratory syndrome), or other types of viral and non-viral pneumonia.

Abstract: Methods and systems for artificial intelligence based medical image segmentation are disclosed. In a method for autonomous artificial intelligence based medical image segmentation, a medical image of a patient is received. A current segmentation context is automatically determined based on the medical image and at least one segmentation algorithm is automatically selected from a plurality of segmentation algorithms based on the current segmentation context. A target anatomical structure is segmented in the medical image using the selected at least one segmentation algorithm.

Abstract: Methods for computing hemodynamic quantities include: (a) acquiring angiography data from a patient; (b) calculating a flow and/or calculating a change in pressure in a blood vessel of the patient based on the angiography data; and (c) computing the hemodynamic quantity based on the flow and/or the change in pressure. Systems for computing hemodynamic quantities and computer readable storage media are described.

Abstract: Systems and methods for a reduced interaction CT scanning workflow. A sensor is used to capture an image of a patient on the table. Scan parameters are automatically set. A full CT scan is performed without a scout scan. During the full CT scan, the scan parameters are adjusted based on the raw CT measurements from the full CT scan. A radiology report is automatically generated from the results of the full CT scan.

Abstract: For cardiac flow detection in echocardiography, by detecting one or more valves, sampling planes or flow regions spaced from the valve and/or based on multiple valves are identified. A confidence of the detection may be used to indicate confidence of calculated quantities and/or to place the sampling planes.

Abstract: Medical images may be classified by receiving a first medical image. The medical image may be applied to a machine learned classifier. The machine learned classifier may be trained on second medical images. A label of the medical image and a measure of uncertainty may be generated. The measure of uncertainty may be compared to a threshold. The first medical image and the label may be output when the measure of uncertainty is within the threshold.

Abstract: Systems and method are described for determining a malignancy of a nodule. A medical image of a nodule of a patient is received. A patch surrounding the nodule is identified in the medical image. A malignancy of the nodule in the patch is predicted using a trained deep image-to-image network.

Abstract: For machine learning for abnormality assessment in medical imaging and application of a machine-learned model, the machine learning uses regularization of the loss, such as regularization being used for training for abnormality classification in chest radiographs. The regularization may be a noise and/or correlation regularization directed to the noisy ground truth labels of the training data. The resulting machine-learned model may better classify abnormalities in medical images due to the use of the noise and/or correlation regularization in the training.

Abstract: A 3D shape is reconstructed from a topogram. A generative network is machine trained. The generative network includes a topogram encoder for inputting the topogram and a decoder to output the 3D shape from the output of the encoder. For training, one or more other encoders are included, such as for input of a mask and/or input of a 3D shape as a regularlizer. The topogram encoder and decoder are trained with the other encoder or encoders outputting to the decoder. For application, the topogram encoder and decoder as trained, with or without the encoder for the mask and without the encoder for the 3D shape, are used to estimate the 3D shape for a patient from input of the topogram for that patient.

Abstract: Systems and methods for automatically detecting a disease in medical images are provided. Input medical images are received. A plurality of metrics for a disease is computed for each of the input medical images. The input medical images are clustered into a plurality of clusters based on one or more of the plurality of metrics to classify the input medical images. The plurality of clusters comprise a cluster of one or more of the input medical images associated with the disease and one or more clusters of one or more of the input medical images not associated with the disease. In one embodiment, the disease is COVID-19 (coronavirus disease 2019).

Abstract: Intelligent multi-scale image parsing determines the optimal size of each observation by an artificial agent at a given point in time while searching for the anatomical landmark. The artificial agent begins searching image data with a coarse field-of-view and iteratively decreases the field-of-view to locate the anatomical landmark. After searching at a coarse field-of view, the artificial agent increases resolution to a finer field-of-view to analyze context and appearance factors to converge on the anatomical landmark. The artificial agent determines applicable context and appearance factors at each effective scale.

Abstract: A computer-implemented method is for classifying a lesion. In an embodiment, the method includes receiving a first medical image of an examination volume, the first medical image corresponding to a first examination time; receiving a second medical image of the examination volume, the second medical image corresponding to a second examination time, different from the first examination time; determining a first lesion area corresponding to a lesion within the first medical image; determining a registration function based on a comparison of the first medical image and the second medical image; determining a second lesion area within the second medical image based on the registration function and the first lesion area; and classifying the lesion within the first medical image based on the second lesion area. A computer-implemented method for providing a trained classification function, a classification system, and computer program products and computer-readable media are also disclosed.

Abstract: Systems and methods for generating a synthesized medical image are provided. An input medical image is received. A synthesized segmentation mask is generated. The input medical image is masked based on the synthesized segmentation mask. The masked input medical image has an unmasked portion and a masked portion. An initial synthesized medical image is generated using a trained machine learning based generator network. The initial synthesized medical image includes a synthesized version of the unmasked portion of the masked input medical image and synthesized patterns in the masked portion of the masked input medical image. The synthesized patterns is fused with the input medical image to generate a final synthesized medical image.

Abstract: Systems and methods for assessing a disease are provided. Medical imaging data of lungs of a patient is received. The lungs are segmented from the medical imaging data and abnormality regions associated with a disease are segmented from the medical imaging data. An assessment of the disease is determined based on the segmented lungs and the segmented abnormality regions. The disease may be COVID-19 (coronavirus disease 2019) or diseases, such as, e.g., SARS (severe acute respiratory syndrome), MERS (Middle East respiratory syndrome), or other types of viral and non-viral pneumonia.

Abstract: Systems and methods are provided for evaluating an aorta of a patient. A medical image of an aorta of a patient is received. The aorta is segmented from the medical image. One or more measurement planes are identified on the segmented aorta. At least one measurement is calculated at each of the one or more measurement planes. The aorta of the patient is evaluated based on the at least one measurement calculated at each of the one or more measurement planes.

Abstract: Systems and methods for a reduced interaction CT scanning workflow. A sensor is used to capture an image of a patient on the table. Scan parameters are automatically set. A full CT scan is performed without a scout scan. During the full CT scan, the scan parameters are adjusted based on the raw CT measurements from the full CT scan. A radiology report is automatically generated from the results of the full CT scan.

Abstract: Systems and methods are provided for generating a synthesized medical image patch of a nodule. An initial medical image patch and a class label associated with a nodule to be synthesized are received. The initial medical image patch has a masked portion and an unmasked portion. A synthesized medical image patch is generated using a trained generative adversarial network. The synthesized medical image patch includes the unmasked portion of the initial medical image patch and a synthesized nodule replacing the masked portion of the initial medical image patch. The synthesized nodule is synthesized according to the class label. The synthesized medical image patch is output.