Martin Urschler

Ludwig Boltzmann Institute for Clinical-Forensic Imaging, Graz, Austria

The aim of this validation study was to comprehensively evaluate the performance and generalization capability of a deep learning-based periapical lesion detection algorithm on a clinically representative cone-beam computed tomography (CBCT) dataset and test for non-inferiority. The evaluation involved 195 CBCT images of adult upper and lower jaws,...

While Convolutional neural networks (CNN) have been the backbone of medical image analysis for years, their limited long-range interaction restrains their ability to encode long distance anatomical relationships. On the other hand, the current approach to capture long distance relationships, Transformers, is constrained by their quadratic scaling a...

Since their introduction by Sabour et al., capsule networks have been extended to 2D semantic segmentation with the introduction of convolutional capsules. While extended further to 3D semantic segmentation when mixed with Convolutional Neural Networks (CNNs), no capsule-only network (to the best of our knowledge) has been able to reach CNNs’ accur...

An important factor for the development of spinal degeneration, pain and the outcome of spinal surgery is known to be the balance of the spine. It must be analyzed in an upright, standing position to ensure physiological loading conditions and visualize load-dependent deformations. Despite the complex 3D shape of the spine, this analysis is current...

Introduction: The primary aim was to develop convolutional neural network (CNN)-based artificial intelligence (AI) models for pneumothorax classification and segmentation for automated chest X-ray (CXR) triaging. A secondary aim was to perform interpretability analysis on the best-performing candidate model to determine whether the model's predict...

Vertebral labelling and segmentation are two fundamental tasks in an automated spine processing pipeline. Reliable and accurate processing of spine images is expected to benefit clinical decision support systems for diagnosis, surgery planning, and population-based analysis of spine and bone health. However, designing automated algorithms for spine...

In landmark localization, due to ambiguities in defining their exact position, landmark annotations may suffer from large observer variabilities, which result in uncertain annotations. To model the annotation ambiguities of the training dataset, we propose to learn anisotropic Gaussian parameters modeling the shape of the target heatmap during opti...

In landmark localization, due to ambiguities in defining their exact position, landmark annotations may suffer from large observer variabilities, which result in uncertain annotations. To model the annotation ambiguities of the training dataset, we propose to learn anisotropic Gaussian parameters modeling the shape of the target heatmap during opti...

Cardiac digital twins (Cardiac Digital Twin (CDT)s) of human electrophysiology (Electrophysiology (EP)) are digital replicas of patient hearts derived from clinical data that match like-for-like all available clinical observations. Due to their inherent predictive potential, CDTs show high promise as a complementary modality aiding in clinical deci...

The age estimation of the hand bones by means of X-ray examination is a pillar of the forensic age estimation. Since the associated radiation exposure is controversial, the search for ionizing radiation-free alternatives such as MRI is part of forensic research. The aim of the current study was to use the Greulich-Pyle (GP) atlas on MR images of th...

In landmark localization, due to ambiguities in defining their exact position, landmark annotations may suffer from both large inter- and intra-observer variabilites, which result in uncertain annotations. Therefore, predicting a single coordinate for a landmark is not sufficient for modeling the distribution of possible landmark locations. We prop...

The treatment of degenerative spinal disorders requires an understanding of the individual spinal anatomy and curvature in 3D. An upright spinal pose (i.e. standing) under natural weight bearing is crucial for such bio-mechanical analysis. 3D volumetric imaging modalities (e.g. CT and MRI) are performed in patients lying down. On the other hand, ra...

The treatment of degenerative spinal disorders requires an understanding of the individual spinal anatomy and curvature in 3D. An upright spinal pose (i.e. standing) under natural weight bearing is crucial for such bio-mechanical analysis. 3D volumetric imaging modalities (e.g. CT and MRI) are performed in patients lying down. On the other hand, ra...

Objectives This feasibility study aimed to investigate the reliability of multi-factorial age estimation based on MR data of the hand, wisdom teeth and the clavicles with reduced acquisition time. Methods The raw MR data of 34 volunteers—acquired on a 3T system and using acquisition times (TA) of 3:46 min (hand), 5:29 min (clavicles) and 10:46 min...

Additionally to the extensive use in clinical medicine, biological age (BA) in legal medicine is used to assess unknown chronological age (CA) in applications where identification documents are not available. Automatic methods for age estimation proposed in the literature are predicting point estimates, which can be misleading without the quantific...

In this paper we report the challenge set-up and results of the Large Scale Vertebrae Segmentation Challenge (VerSe) organized in conjunction with the MICCAI 2019. The challenge consisted of two tasks, vertebrae labelling and vertebrae segmentation. For this a total of 160 multidetector CT scan cohort closely resembling clinical setting was prepare...

Despite some design limitations, CNNs have been largely adopted by the computer vision community due to their efficacy and versatility. Introduced by Sabour et al. to circumvent some limitations of CNNs, capsules replace scalars with vectors to encode appearance feature representation, allowing better preservation of spatial relationships between w...

In many medical image analysis applications, often only a limited amount of training data is available, which makes training of convolutional neural networks (CNNs) challenging. In this work on anatomical landmark localization, we propose a CNN architecture that learns to split the localization task into two simpler sub-problems, reducing the need...

Knowledge of whole heart anatomy is a prerequisite for many clinical applications. Whole heart segmentation (WHS), which delineates substructures of the heart, can be very valuable for modeling and analysis of the anatomy and functions of the heart. However, automating this segmentation can be challenging due to the large variation of the heart sha...

Highly relevant for both clinical and legal medicine applications, the established radiological methods for estimating unknown age in children and adolescents are based on visual examination of bone ossification in X-ray images of the hand. Our group has initiated the development of fully automatic age estimation methods from 3D MRI scans of the ha...

Differently to semantic segmentation, instance segmentation assigns unique labels to each individual instance of the same object class. In this work, we propose a novel recurrent fully convolutional network architecture for tracking such instance segmentations over time, which is highly relevant, e.g., in biomedical applications involving cell grow...

Appendix S1 Additional methods. Table S1 Group differences between patients included and excluded from the study population. Table S2 Relationships between quantitative vessel metrics. Table S3 Relationships between total lung volume and mean lung attenuation quantified by computer analysis, with computer‐derived vessel metrics. Table S4 Relati...

In many medical image analysis applications, only a limited amount of training data is available due to the costs of image acquisition and the large manual annotation effort required from experts. Training recent state-of-the-art machine learning methods like convolutional neural networks (CNNs) from small datasets is a challenging task. In this wo...

Knowledge of whole heart anatomy is a prerequisite for many clinical applications. Whole heart segmentation (WHS), which delineates substructures of the heart, can be very valuable for modeling and analysis of the anatomy and functions of the heart. However, automating this segmentation can be arduous due to the large variation of the heart shape,...

Background and objective This study aimed to investigate whether quantitative lung vessel morphology determined by a new fully automated algorithm is associated with functional indices in idiopathic pulmonary fibrosis (IPF). Methods A total of 152 IPF patients had vessel volume, density, tortuosity and heterogeneity quantified from computed tomogr...

Age estimation from radiologic data is an important topic both in clinical medicine as well as in forensic applications, where it is used to assess unknown chronological age or to discriminate minors from adults. In this work, we propose an automatic multi-factorial age estimation method based on MRI data of hand, clavicle and teeth to extend the m...

Different to semantic segmentation, instance segmentation assigns unique labels to each individual instance of the same class. In this work, we propose a novel recurrent fully convolutional network architecture for tracking such instance segmentations over time. The network architecture incorporates convolutional gated recurrent units (ConvGRU) int...

We propose a 2D computed tomography (CT) slice image reconstruction method from a limited number of projection images using Wasserstein generative adversarial networks (wGAN). Our wGAN optimizes the 2D CT image reconstruction by utilizing an adversarial loss to improve the perceived image quality as well as an \(L_1\) content loss to enforce struct...

Different to semantic segmentation, instance segmentation assigns unique labels to each individual instance of the same class. In this work, we propose a novel recurrent fully convolutional network architecture for tracking such instance segmentations over time. The network architecture incorporates convolutional gated recurrent units (ConvGRU) int...

In recent years, deep learning based methods achieved state-of-the-art performance in many computer vision tasks. However, these methods are typically supervised, and require large amounts of annotated data to train. Acquisition of annotated data can be a costly endeavor, especially for methods requiring pixel-wise annotations such as image segment...

Knowledge of the lung vessel morphology in healthy subjects is necessary to improve our understanding about the functional network of the lung and to recognize pathologic deviations beyond the normal inter-subject variation. Established values of normal lung morphology have been derived from necropsy material of only very few subjects. In order to...

Three-dimensional (3D) crime scene documentation using 3D scanners and medical imaging modalities like computed tomography (CT) and magnetic resonance imaging (MRI) are increasingly applied in forensic casework. Together with digital photography, these modalities enable comprehensive and non-invasive recording of forensically relevant information r...

Radiology-based estimation of a living person’s unknown age has recently attracted increasing attention due to large numbers of undocumented immigrants entering Europe. To avoid the application of X-ray-based imaging techniques, magnetic resonance imaging (MRI) has been suggested as an alternative imaging modality. Unfortunately, MRI requires prolo...

Fully-automatic lung lobe segmentation in pathological lungs is still a challenging task. A new approach for automatic lung lobe segmentation is presented based on airways, vessels, fissures and prior knowledge on lobar shape. The anatomical information and prior knowledge are combined into an energy equation, which is minimized via graph cuts to y...

We propose a two component fully-convolutional network for heatmap regression to perform multi-person pose estimation from images. The first component of the network predicts all body joints of all persons visible on an image , while the second component groups these body joints based on the position of the head of the person of interest. By applyi...

Segmentation of histopathology sections is a necessary preprocessing step for digital pathology. Due to the large variability of biological tissue, machine learning techniques have shown superior performance over conventional image processing methods. Here we present our deep neural network-based approach for segmentation and classification of glan...

Age estimation from radiologic data is an important topic in forensic medicine to assess chronological age or to discriminate minors from adults, e.g. asylum seekers lacking valid identification documents. In this work we propose automatic multi-factorial age estimation methods based on MRI data to extend the maximal age range from 19 years, as com...

In approaches for automatic localization of multiple anatomical landmarks, disambiguation of locally similar structures as obtained by locally accurate candidate generation is often performed by solely including high level knowledge about geometric landmark configuration. In our novel localization approach, we propose to combine both image appearan...

In legal medicine, reliable localization and analysis of hematomas in subcutaneous fatty tissue is required for forensic reconstruction. Due to the absence of ionizing radiation, magnetic resonance imaging (MRI) is particularly suited to examining living persons with forensically relevant injuries. However, there is limited experience regarding MRI...

Modern deep learning methods achieve state-of-the-art results in many computer vision tasks. While these methods perform well when trained on large datasets, deep learning methods suffer from overfitting and lack of generalization given smaller datasets. Especially in medical image analysis, acquisition of both imaging data and corresponding ground...

Forensic age estimation research based on skeletal structures focuses on patterns of growth and development using different bones. In this work, our aim was to study growth-related evolution of the manubrium in living adolescents and young adults using magnetic resonance imaging (MRI), which is an image acquisition modality that does not involve io...

Die vorliegende Arbeit bietet einen aktuellen Überblick über die Altersschätzung an lebenden Personen. Dabei wird nach einer generellen Einleitung über die Methoden der Altersdiagnostik im Speziellen, die von der AGFAD empfohlene multi-faktorielle Untersuchungsmethodik betrachtet, welche neben einer äußerlichen, körperlichen Untersuchung auf der Sc...

A multiple center milestone study of clinical vertebra segmentation is presented in this paper. Vertebra segmentation is a fundamental step for spinal image analysis and intervention. The first half of the study was conducted in the spine segmentation challenge in 2014 International Conference on Medical Image Computing and Computer Assisted Interv...

Biological age (BA) estimation from radiologic data is an important topic in clinical medicine, e.g. in determining endocrinologi-cal diseases or planning paediatric orthopaedic surgeries, while in legal medicine it is employed to approximate chronological age. In this work, we propose the use of deep convolutional neural networks (DCNN) for automa...

We explore the applicability of deep convolutional neural networks (CNNs) for multiple landmark localization in medical image data. Exploiting the idea of regressing heatmaps for individual landmark locations, we investigate several fully convolutional 2D and 3D CNN ar-chitectures by training them in an end-to-end manner. We further propose a novel...

State of the art anatomical landmark localization algorithms pair local Random Forest (RF) detection with disambiguation of locally similar structures by including high level knowledge about relative landmark locations. In this work we pursue the question, how much high-level knowledge is needed in addition to a single landmark localization RF to i...

The evaluation of changes in Intervertebral Discs (IVDs) with 3D Magnetic Resonance (MR) Imaging (MRI) can be of interest for many clinical applications. This paper presents the evaluation of both IVD localization and IVD segmentation methods submitted to the Automatic 3D MRI IVD Localiza tion and Segmentation challenge, held at the 2015 Internatio...

We introduce a fully automatic localization and segmentation pipeline for three-dimensional (3D) intervertebral discs (IVDs), consisting of a regression-based prediction of vertebral bodies and IVD positions as well as a 3D geodesic active contour segmentation delineating the IVDs. The approach was evaluated on the data set of the challenge in conj...

Determination of skeletal development is a key pillar in forensic age estimation of living persons. Radiological assessment of hand bone age is widely used until the age of about 17-18 years, applying visual grading techniques to hand radiographs. This study investigated whether Greulich-Pyle (GP) and Tanner-Whitehouse (TW2) grading can be equally...

Automated computer-aided analysis of lung vessels has shown to yield promising results for non-invasive diagnosis of lung diseases. To detect vascular changes which affect pulmonary arteries and veins differently, both compartments need to be identified. We present a novel, fully automatic method that separates arteries and veins in thoracic comput...

Selection of set of training pixels and feature range show to be critical scale-related parameters with high impact on results in localization methods based on random regression forests (RRF). Trained on pixels randomly selected from images with long range features, RRF captures the variation in landmark location but often without reaching satisfyi...

Increasingly important for both clinical and forensic medicine, radiological age estimation is performed by fusing independent bone age estimates from hand images. In this work, we show that the artificial separation into bone independent age estimates as used in established fusion techniques can be overcome. Thus, we treat aging as a global develo...

Background: Elucidating the anatomy of neuronal circuits and localizing the synaptic connections between neurons, can give us important insights in how the neuronal circuits work. We are using serial block-face scanning electron microscopy (SBEM) to investigate the anatomy of a collision detection circuit including the Lobula Giant Movement Detect...

Colorectal adenocarcinoma originating in intestinal glandular structures is the most common form of colon cancer. In clinical practice, the morphology of intestinal glands, including architectural appearance and glandular formation, is used by pathologists to inform prognosis and plan the treatment of individual patients. However, achieving good in...

A multiple center milestone study of clinical vertebra segmentation is presented in this paper. Vertebra segmentation is a fundamental step for spinal image analysis and intervention. The first half of the study was conducted in the spine segmentation challenge in 2014 International Conference on Medical Image Computing and Computer Assisted Interv...

Segmentation of histopathology sections is an ubiquitous requirement in digital pathology and due to the large variability of biological tissue, machine learning techniques have shown superior performance over standard image processing methods. As part of the GlaS@MICCAI2015 colon gland segmentation challenge, we present a learning-based algorithm...

Automated computer-aided analysis of lung vessels has shown to yield promising results for non-invasive diagnosis of lung diseases. In order to detect vascular changes affecting arteries and veins differently, an algorithm capable of identifying these two compartments is needed. We propose a fully automatic algorithm that separates arteries and vei...

Automated cell detection in histopathology images is a hard problem due to the large variance of cell shape and appearance. We show that cells can be detected reliably in images by predicting, for each pixel location, a monotonous function of the distance to the center of the closest cell. Cell centers can then be identified by extracting local ext...

Age estimation of individuals is important in human biology and has various medical and forensic applications. Recent interest in MR-based methods aims to investigate alternatives for established methods involving ionising radiation. Automatic, software-based methods additionally promise improved estimation objectivity. To investigate how informati...

This dataset contains 11 1,200x1,200 pixel images of Hematoxylin-Eosin stained human bone marrow, scanned at 40x magnification using an Aperio whole slide scanner at the Institute of Pathology, Medical University of Graz, Austria. In total, it contains 4,205 dot annotations on centers of cells or 'unknown' objects. It was made publicly available a...

Pulmonary hypertension (PH) is a chronic disorder of the pulmonary circulation, marked by an elevated vascular resistance and pressure. We hypothesised that, in patients with increased pressure in the arteries only, vessel tortuosity is more elevated in arteries than in veins. We present an automatic pulmonary vessel tree extraction algorithm, whic...