Uncertainty modelling in deep learning for safer neuroimage enhancement: Demonstration in diffusion MRI.

Journal: NeuroImage
Published Date:

Abstract

Deep learning (DL) has shown great potential in medical image enhancement problems, such as super-resolution or image synthesis. However, to date, most existing approaches are based on deterministic models, neglecting the presence of different sources of uncertainty in such problems. Here we introduce methods to characterise different components of uncertainty, and demonstrate the ideas using diffusion MRI super-resolution. Specifically, we propose to account for intrinsic uncertainty through a heteroscedastic noise model and for parameter uncertainty through approximate Bayesian inference, and integrate the two to quantify predictive uncertainty over the output image. Moreover, we introduce a method to propagate the predictive uncertainty on a multi-channelled image to derived scalar parameters, and separately quantify the effects of intrinsic and parameter uncertainty therein. The methods are evaluated for super-resolution of two different signal representations of diffusion MR images-Diffusion Tensor images and Mean Apparent Propagator MRI-and their derived quantities such as mean diffusivity and fractional anisotropy, on multiple datasets of both healthy and pathological human brains. Results highlight three key potential benefits of modelling uncertainty for improving the safety of DL-based image enhancement systems. Firstly, modelling uncertainty improves the predictive performance even when test data departs from training data ("out-of-distribution" datasets). Secondly, the predictive uncertainty highly correlates with reconstruction errors, and is therefore capable of detecting predictive "failures". Results on both healthy subjects and patients with brain glioma or multiple sclerosis demonstrate that such an uncertainty measure enables subject-specific and voxel-wise risk assessment of the super-resolved images that can be accounted for in subsequent analysis. Thirdly, we show that the method for decomposing predictive uncertainty into its independent sources provides high-level "explanations" for the model performance by separately quantifying how much uncertainty arises from the inherent difficulty of the task or the limited training examples. The introduced concepts of uncertainty modelling extend naturally to many other imaging modalities and data enhancement applications.

Authors

  • Ryutaro Tanno
    Centre for Medical Image Computing and Department of Computer Science, UCL, Gower Street, London WC1E 6BT, UK; Healthcare Intelligence, Microsoft Research Cambridge, UK. Electronic address: r.tanno@cs.ucl.ac.uk.
  • Daniel E Worrall
    Machine Learning Lab, University of Amsterdam, the Netherlands.
  • Enrico Kaden
    University College London, London, United Kingdom.
  • Aurobrata Ghosh
    Centre for Medical Image Computing, Department of Computer Science, UCL, London, UK.
  • Francesco Grussu
    University College London, London, United Kingdom.
  • Alberto Bizzi
    Neuroradiology Unit, Foundation IRCCS Carlo Besta Neurological Institute, Milan, Italy.
  • Stamatios N Sotiropoulos
    Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical Neurosciences, University of Oxford, UK; Sir Peter Mansfield Imaging Centre, School of Medicine, University of Nottingham, UK.
  • Antonio Criminisi
    Microsoft Research Cambridge, United Kingdom.
  • Daniel C Alexander
    Centre for Medical Image Computing and Dept of Computer Science, University College London, Gower Street, London WC1E 6BT, UK.