Publications by authors named "Lukas Folle"

Article Synopsis
  • Cone-beam computed tomography (CBCT) shows potential for immediate medical imaging, especially during emergencies like strokes, but faces issues like long scan times and patient movement affecting image quality.
  • This paper presents a new method for estimating motion during CBCT scans using a gradient-based optimization algorithm, which improves the speed of motion estimation by 19 times compared to existing techniques.
  • The proposed approach also promotes more accurate motion estimates by using autoencoder-like networks to predict voxel-wise quality maps, resulting in a significant reduction of reprojection error in the imaging process.
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The purpose of this feasibility study is to investigate if latent diffusion models (LDMs) are capable to generate contrast enhanced (CE) MRI-derived subtraction maximum intensity projections (MIPs) of the breast, which are conditioned by lesions. We trained an LDM with n = 2832 CE-MIPs of breast MRI examinations of n = 1966 patients (median age: 50 years) acquired between the years 2015 and 2020. The LDM was subsequently conditioned with n = 756 segmented lesions from n = 407 examinations, indicating their location and BI-RADS scores.

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Background: This study evaluated a deep learning (DL) algorithm for detecting vessel steno-occlusions in patients with peripheral arterial disease (PAD). It utilised a private dataset, which was acquired and annotated by the authors through their institution and subsequently validated by two blinded readers.

Methods: A single-centre retrospective study analysed 105 magnetic resonance angiography (MRA) images using an EfficientNet B0 DL model.

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Objectives: To evaluate whether artifacts on contrast-enhanced (CE) breast MRI maximum intensity projections (MIPs) might already be forecast before gadolinium-based contrast agent (GBCA) administration during an ongoing examination by analyzing the unenhanced T1-weighted images acquired before the GBCA injection.

Materials And Methods: This IRB-approved retrospective analysis consisted of n = 2884 breast CE MRI examinations after intravenous administration of GBCA, acquired with n = 4 different MRI devices at different field strengths (1.5 T/3 T) during clinical routine.

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Incorporating computed tomography (CT) reconstruction operators into differentiable pipelines has proven beneficial in many applications. Such approaches usually focus on the projection data and keep the acquisition geometry fixed. However, precise knowledge of the acquisition geometry is essential for high quality reconstruction results.

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Imaging techniques such as ultrasonography and MRI have gained ground in the diagnosis and management of inflammatory arthritis, as these imaging modalities allow a sensitive assessment of musculoskeletal inflammation and damage. However, these techniques cannot discriminate between disease subsets and are currently unable to deliver an accurate prediction of disease progression and therapeutic response in individual patients. This major shortcoming of today's technology hinders a targeted and personalized patient management approach.

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The objective of this IRB approved retrospective study was to apply deep learning to identify magnetic resonance imaging (MRI) artifacts on maximum intensity projections (MIP) of the breast, which were derived from diffusion weighted imaging (DWI) protocols. The dataset consisted of 1309 clinically indicated breast MRI examinations of 1158 individuals (median age [IQR]: 50 years [16.75 years]) acquired between March 2017 and June 2020, in which a DWI sequence with a high b-value equal to 1500 s/mm was acquired.

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Nail psoriasis occurs in about every second psoriasis patient. Both, finger and toe nails can be affected and also severely destroyed. Furthermore, nail psoriasis is associated with a more severe course of the disease and the development of psoriatic arthritis.

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Objectives: To automatically detect MRI artifacts on dynamic contrast-enhanced (DCE) maximum intensity projections (MIPs) of the breast using deep learning.

Methods: Women who underwent clinically indicated breast MRI between October 2015 and December 2019 were included in this IRB-approved retrospective study. We employed two convolutional neural network architectures (ResNet and DenseNet) to detect the presence of artifacts on DCE MIPs of the left and right breasts.

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Article Synopsis
  • A study was conducted to see if a neural network could distinguish between rheumatoid arthritis (RA), psoriatic arthritis (PsA), and healthy individuals by analyzing the shape of hand joints using 3D imaging techniques.
  • *Researchers trained the network on 932 scans of patients and found it could classify joint shapes with reasonable accuracy: 82% for healthy controls, 75% for RA, and 68% for PsA.
  • *The neural network also helped identify specific areas in joints prone to damage and was able to classify 86% of patients with undifferentiated arthritis as having RA, showing its potential for clinical use.*
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Objectives: To evaluate whether neural networks can distinguish between seropositive RA, seronegative RA, and PsA based on inflammatory patterns from hand MRIs and to test how psoriasis patients with subclinical inflammation fit into such patterns.

Methods: ResNet neural networks were utilized to compare seropositive RA vs PsA, seronegative RA vs PsA, and seropositive vs seronegative RA with respect to hand MRI data. Results from T1 coronal, T2 coronal, T1 coronal and axial fat-suppressed contrast-enhanced (CE), and T2 fat-suppressed axial sequences were used.

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Article Synopsis
  • Arthritis causes hand bone loss, leading to joint issues; high-resolution imaging (HR-pQCT) can measure bone density and structure but is time-intensive due to manual processing.
  • A new deep learning-based pipeline for automatically measuring volumetric bone mineral density (vBMD) in the metacarpal bone was developed, significantly speeding up the process from about 2.5 to 4 times faster with high accuracy in results.
  • The pipeline shows strong correlation with expert measurements and has been integrated into clinical workflows, with all related code shared publicly for broader use.
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