A self-taught artificial agent for multi-physics computational model personalization.

Journal: Medical image analysis
Published Date:

Abstract

Personalization is the process of fitting a model to patient data, a critical step towards application of multi-physics computational models in clinical practice. Designing robust personalization algorithms is often a tedious, time-consuming, model- and data-specific process. We propose to use artificial intelligence concepts to learn this task, inspired by how human experts manually perform it. The problem is reformulated in terms of reinforcement learning. In an off-line phase, Vito, our self-taught artificial agent, learns a representative decision process model through exploration of the computational model: it learns how the model behaves under change of parameters. The agent then automatically learns an optimal strategy for on-line personalization. The algorithm is model-independent; applying it to a new model requires only adjusting few hyper-parameters of the agent and defining the observations to match. The full knowledge of the model itself is not required. Vito was tested in a synthetic scenario, showing that it could learn how to optimize cost functions generically. Then Vito was applied to the inverse problem of cardiac electrophysiology and the personalization of a whole-body circulation model. The obtained results suggested that Vito could achieve equivalent, if not better goodness of fit than standard methods, while being more robust (up to 11% higher success rates) and with faster (up to seven times) convergence rate. Our artificial intelligence approach could thus make personalization algorithms generalizable and self-adaptable to any patient and any model.

Authors

  • Dominik Neumann
    Medical Imaging Technologies, Siemens Healthcare GmbH, Erlangen, Germany; Pattern Recognition Lab, FAU Erlangen-Nürnberg, Erlangen, Germany. Electronic address: dominik.neumann@siemens.com.
  • Tommaso Mansi
    Medical Imaging Technologies, Siemens Healthcare, Princeton, USA.
  • Lucian Itu
    Siemens Corporate Technology, Siemens SRL, Brasov, Romania; Transilvania University of Brasov, Brasov, Romania.
  • Bogdan Georgescu
  • Elham Kayvanpour
    Department of Internal Medicine III, University Hospital Heidelberg, Germany.
  • Farbod Sedaghat-Hamedani
    Department of Internal Medicine III, University Hospital Heidelberg, Germany.
  • Ali Amr
    Department of Internal Medicine III, University Hospital Heidelberg, Germany.
  • Jan Haas
    Department of Internal Medicine III, University Hospital Heidelberg, Germany.
  • Hugo Katus
    Department of Internal Medicine III, University Hospital Heidelberg, Germany.
  • Benjamin Meder
    Department of Internal Medicine III, University Hospital Heidelberg, Germany.
  • Stefan Steidl
    Pattern Recognition Lab, FAU Erlangen-Nürnberg, Erlangen, Germany.
  • Joachim Hornegger
  • Dorin Comaniciu