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Diffusion models (DMs) have recently emerged as a promising method in image synthesis. They have surpassed generative adversarial networks (GANs) in both diversity and quality, and have achieved impressive results in text-to-image and image-to-image modeling. However, to date, only little attention has been paid to the detection of DM-generated images, which is critical to prevent adverse impacts on our society. Although prior work has shown that GAN-generated images can be reliably detected using automated methods, it is unclear whether the same methods are effective against DMs. In this work, we address this challenge and take a first look at detecting DM-generated images. We approach the problem from two different angles: First, we evaluate the performance of state-of-the-art detectors on a variety of DMs. Second, we analyze DM-generated images in the frequency domain and study different factors that influence the spectral properties of these images. Most importantly, we demonstrate that GANs and DMs produce images with different characteristics, which requires adaptation of existing classifiers to ensure reliable detection. We believe this work provides the foundation and starting point for further research to detect DM deepfakes effectively.

Photoacoustic tomography (PAT) has the potential to recover morphological and functional tissue properties with high spatial resolution. However, previous attempts to solve the optical inverse problem with supervised machine learning were hampered by the absence of labeled reference data. While this bottleneck has been tackled by simulating training data, the domain gap between real and simulated images remains an unsolved challenge. We propose a novel approach to PAT image synthesis that involves subdividing the challenge of generating plausible simulations into two disjoint problems: (1) Probabilistic generation of realistic tissue morphology, and (2) pixel-wise assignment of corresponding optical and acoustic properties. The former is achieved with Generative Adversarial Networks (GANs) trained on semantically annotated medical imaging data. According to a validation study on a downstream task our approach yields more realistic synthetic images than the traditional model-based approach and could therefore become a fundamental step for deep learning-based quantitative PAT (qPAT).

With the recent developments in neuroscience and engineering, it is now possible to record brain signals and decode them. Also, a growing number of stimulation methods have emerged to modulate and influence brain activity. Current brain-computer interface (BCI) technology is mainly on therapeutic outcomes, it already demonstrated its efficiency as assistive and rehabilitative technology for patients with severe motor impairments. Recently, artificial intelligence (AI) and machine learning (ML) technologies have been used to decode brain signals. Beyond this progress, combining AI with advanced BCIs in the form of implantable neurotechnologies grants new possibilities for the diagnosis, prediction, and treatment of neurological and psychiatric disorders. In this context, we envision the development of closed loop, intelligent, low-power, and miniaturized neural interfaces that will use brain inspired AI techniques with neuromorphic hardware to process the data from the brain. This will be referred to as Brain Inspired Brain Computer Interfaces (BI-BCIs). Such neural interfaces would offer access to deeper brain regions and better understanding for brain's functions and working mechanism, which improves BCIs operative stability and system's efficiency. On one hand, brain inspired AI algorithms represented by spiking neural networks (SNNs) would be used to interpret the multimodal neural signals in the BCI system. On the other hand, due to the ability of SNNs to capture rich dynamics of biological neurons and to represent and integrate different information dimensions such as time, frequency, and phase, it would be used to model and encode complex information processing in the brain and to provide feedback to the users. This paper provides an overview of the different methods to interface with the brain, presents future applications and discusses the merger of AI and BCIs.

Data-driven approaches recently achieved remarkable success in medical image reconstruction, but integration into clinical routine remains challenging due to a lack of generalizability and interpretability. Existing approaches usually require high-quality data-image pairs for training, but such data is not easily available for any imaging protocol and the reconstruction quality can quickly degrade even if only minor changes are made to the protocol. In addition, data-driven methods may create artificial features that can influence the clinicians decision-making. This is unacceptable if the clinician is unaware of the uncertainty associated with the reconstruction. In this paper, we address these challenges in a unified framework based on generative image priors. We propose a novel deep neural network based regularizer which is trained in an unsupervised setting on reference images without requiring any data-image pairs. After training, the regularizer can be used as part of a classical variational approach in combination with any acquisition protocols and shows stable behavior even if the test data deviates significantly from the training data. Furthermore, our probabilistic interpretation provides a distribution of reconstructions and hence allows uncertainty quantification. We demonstrate our approach on parallel magnetic resonance imaging, where results show competitive performance with SotA end-to-end deep learning methods, while preserving the flexibility of the acquisition protocol and allowing for uncertainty quantification.

Despite the ever-increasing interest in applying deep learning (DL) models to medical imaging, the typical scarcity and imbalance of medical datasets can severely impact the performance of DL models. The generation of synthetic data that might be freely shared without compromising patient privacy is a well-known technique for addressing these difficulties. Inpainting algorithms are a subset of DL generative models that can alter one or more regions of an input image while matching its surrounding context and, in certain cases, non-imaging input conditions. Although the majority of inpainting techniques for medical imaging data use generative adversarial networks (GANs), the performance of these algorithms is frequently suboptimal due to their limited output variety, a problem that is already well-known for GANs. Denoising diffusion probabilistic models (DDPMs) are a recently introduced family of generative networks that can generate results of comparable quality to GANs, but with diverse outputs. In this paper, we describe a DDPM to execute multiple inpainting tasks on 2D axial slices of brain MRI with various sequences, and present proof-of-concept examples of its performance in a variety of evaluation scenarios. Our model and a public online interface to try our tool are available at: //github.com/Mayo-Radiology-Informatics-Lab/MBTI

Imputation of missing images via source-to-target modality translation can improve diversity in medical imaging protocols. A pervasive approach for synthesizing target images involves one-shot mapping through generative adversarial networks (GAN). Yet, GAN models that implicitly characterize the image distribution can suffer from limited sample fidelity. Here, we propose a novel method based on adversarial diffusion modeling, SynDiff, for improved performance in medical image translation. To capture a direct correlate of the image distribution, SynDiff leverages a conditional diffusion process that progressively maps noise and source images onto the target image. For fast and accurate image sampling during inference, large diffusion steps are taken with adversarial projections in the reverse diffusion direction. To enable training on unpaired datasets, a cycle-consistent architecture is devised with coupled diffusive and non-diffusive modules that bilaterally translate between two modalities. Extensive assessments are reported on the utility of SynDiff against competing GAN and diffusion models in multi-contrast MRI and MRI-CT translation. Our demonstrations indicate that SynDiff offers quantitatively and qualitatively superior performance against competing baselines.

In this paper, we investigate the Gaussian graphical model inference problem in a novel setting that we call erose measurements, referring to irregularly measured or observed data. For graphs, this results in different node pairs having vastly different sample sizes which frequently arises in data integration, genomics, neuroscience, and sensor networks. Existing works characterize the graph selection performance using the minimum pairwise sample size, which provides little insights for erosely measured data, and no existing inference method is applicable. We aim to fill in this gap by proposing the first inference method that characterizes the different uncertainty levels over the graph caused by the erose measurements, named GI-JOE (Graph Inference when Joint Observations are Erose). Specifically, we develop an edge-wise inference method and an affiliated FDR control procedure, where the variance of each edge depends on the sample sizes associated with corresponding neighbors. We prove statistical validity under erose measurements, thanks to careful localized edge-wise analysis and disentangling the dependencies across the graph. Finally, through simulation studies and a real neuroscience data example, we demonstrate the advantages of our inference methods for graph selection from erosely measured data.

Deep learning shows great potential in generation tasks thanks to deep latent representation. Generative models are classes of models that can generate observations randomly with respect to certain implied parameters. Recently, the diffusion Model becomes a raising class of generative models by virtue of its power-generating ability. Nowadays, great achievements have been reached. More applications except for computer vision, speech generation, bioinformatics, and natural language processing are to be explored in this field. However, the diffusion model has its natural drawback of a slow generation process, leading to many enhanced works. This survey makes a summary of the field of the diffusion model. We firstly state the main problem with two landmark works - DDPM and DSM. Then, we present a diverse range of advanced techniques to speed up the diffusion models - training schedule, training-free sampling, mixed-modeling, and score & diffusion unification. Regarding existing models, we also provide a benchmark of FID score, IS, and NLL according to specific NFE. Moreover, applications with diffusion models are introduced including computer vision, sequence modeling, audio, and AI for science. Finally, there is a summarization of this field together with limitations & further directions.

Following unprecedented success on the natural language tasks, Transformers have been successfully applied to several computer vision problems, achieving state-of-the-art results and prompting researchers to reconsider the supremacy of convolutional neural networks (CNNs) as {de facto} operators. Capitalizing on these advances in computer vision, the medical imaging field has also witnessed growing interest for Transformers that can capture global context compared to CNNs with local receptive fields. Inspired from this transition, in this survey, we attempt to provide a comprehensive review of the applications of Transformers in medical imaging covering various aspects, ranging from recently proposed architectural designs to unsolved issues. Specifically, we survey the use of Transformers in medical image segmentation, detection, classification, reconstruction, synthesis, registration, clinical report generation, and other tasks. In particular, for each of these applications, we develop taxonomy, identify application-specific challenges as well as provide insights to solve them, and highlight recent trends. Further, we provide a critical discussion of the field's current state as a whole, including the identification of key challenges, open problems, and outlining promising future directions. We hope this survey will ignite further interest in the community and provide researchers with an up-to-date reference regarding applications of Transformer models in medical imaging. Finally, to cope with the rapid development in this field, we intend to regularly update the relevant latest papers and their open-source implementations at \url{//github.com/fahadshamshad/awesome-transformers-in-medical-imaging}.