Labor Regensburg Medical Image Computing (ReMIC)
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Diese vorläufige monozentrische Studie zeigt, dass ein aus einem Barrett-Ösophagus-KI-System feinjustiertes Deep-Learning-Modell Magenkarzinome in westlichen multimodalen endoskopischen Bilddaten zuverlässig detektieren und präzise segmentieren kann. Die hohe Segmentierungsgenauigkeit und Detektionssensitivität über verschiedene Bildmodalitäten hinweg unterstreichen die Machbarkeit eines pathologiegestützten KI-Ansatzes auch in einer westlichen Niedriginzidenzpopulation. Aufgrund der ausschließlichen Verwendung von Bildern mit sichtbaren Tumoren lassen sich keine Aussagen zur Spezifität treffen; eine Übertragbarkeit auf Screening- oder Mischkollektive ist daher limitiert. Weitere Studien mit a) größerem Datensatz inklusive Videodaten, b) externer Validierung an einer multizentrischen westlichen Kohorte, sowie c) Anwendung und Prüfung an nicht-neoplastischen Vergleichsbildern oder anderen Pathologien sind erforderlich.
Nach unserem Kenntnisstand zählt dieses System zu den ersten in einer westlichen Population entwickelten endoskopischen KI-Ansätzen zur Magenkarzinomdetektion, und zu wenigen, die vollständige ESD-präparatbasierte Referenzdaten für Training und Validierung nutzen.
We present a neural parametric 3D breast shape model and, based on this model, introduce a low-cost and accessible 3D surface reconstruction pipeline capable of recovering accurate breast geometry from a monocular RGB video. In contrast to widely used, commercially available yet expensive 3D breast scanning solutions and existing low-cost alternatives, our method requires neither specialized hardware nor proprietary software and can be used with any device that is able to record RGB videos. The key building blocks of our pipeline are a state-of-the-art, off-the-shelf Structure-from-Motion pipeline, paired with a parametric breast model for robust surface reconstruction. Our model, similarly to the recently proposed implicit Regensburg Breast Shape Model (iRBSM), leverages implicit neural representations to model breast shapes. However, unlike the iRBSM, which employs a single global neural Signed Distance Function (SDF), our approach—inspired by recent state-of-the-art face models—decomposes the implicit breast domain into multiple smaller regions, each represented by a local neural SDF anchored at anatomical landmark positions. When incorporated into our surface reconstruction pipeline, the proposed model, dubbed liRBSM (short for localized iRBSM), significantly outperforms the iRBSM in terms of reconstruction quality, yielding more detailed surface reconstruction than its global counterpart. Overall, we find that the introduced pipeline is able to recover high-quality and metrically correct 3D breast geometry within an error margin of less than 2 mm. Our method is fast (requires less than six minutes), fully transparent and open-source, and together with the model publicly available at https://rbsm.re-mic.de/local-implicit.
Die Konferenz "BVM – Bildverarbeitung für die Medizin" ist seit vielen Jahren als die nationale Plattform für den Austausch von Ideen und die Diskussion der neuesten Forschungsergebnisse im Bereich der Medizinischen Bildverarbeitung und der Künstlichen Intelligenz (KI) etabliert. Auch 2026 haben (junge) Wissenschaftler*innen, Industrie und Anwender*innen diesen Austausch vertieft. Die Beiträge dieses Bandes – die meisten davon in englischer Sprache – umfassen alle Bereiche der medizinischen Bildverarbeitung, insbesondere die Bildgebung und -akquisition, Segmentierung und Analyse, Registrierung, Visualisierung und Animation, computerunterstützte Diagnose sowie bildgestützte Therapieplanung und Therapie. Hierbei kommen Methoden des maschinellen Lernens, der biomechanischen Modellierung sowie der Validierung und Qualitätssicherung zum Einsatz.
We address domain generalization (DG) in mitotic-cell (MC) detection by combining a β-variational autoencoder (VAE) for domain transformations with feature-space alignment together with an object detector. The β-VAE synthesizes domain-transformed images, and the detector is trained to map originals and their transformed counterparts to equal representations. On the MIDOG++ dataset, this approach improves out-of-domain detection F1 scores by 7 and 3 percentage points compared to the color-variation augmentation and stain-normalization baselines. Results further suggest that morphology shifts hinder generalization more than stain shifts.
The high cost of challenge platforms prevents many people from organizing their own competitions. The do-it-yourself (DIY) challenge blueprint [1] allows you to host your own biomedical AI benchmark challenge. Our DIY approach circumvents the current constraints of commercial challenge platforms. A sovereign, extensible and cost-efficient deployment is provided via containerised, identity-managed and reproducible pipelines. Focus lies on GDPR-compliant hosting via infrastructure-as-code, automated evaluation, modular orchestration, and role-based identity and access management. The framework integrates Docker-based execution and standardised interfaces for task definitions, dataset curation and evaluation. All in all it is designed to be flexible and modular, as demonstrated in the MICCAI 2024 PhaKIR challenge [2, 3]. In this case study, different medical tasks on a multicentre laparoscopic dataset with framewise labels for phases and spatial annotations for instruments across fulllength videos were supported. This case study empirically validates the DIY challenge blueprint as a reproducible and customizable challenge-hosting infrastructure. The full code can be found at https://github.com/remic-othr/PhaKIR_DIY.
As the most common type of cancer in the world, skin cancer accounts for approximately 30% of all diagnosed tumor-based lesions. Early diagnosis can reduce mortality and prevent disfiguring in different skin regions. With the application of machine learning techniques in recent years, especially deep learning, promising results in this task could be achieved, presenting studies demonstrating that the combination of patients’ clinical anamneses and images of the injured lesion is essential for improving the correct classification of skin lesions. Despite that, meaningful use of anamneses with multiple collected images of the same skin lesion is mandatory, requiring further investigation. Thus, this project aims to contribute to developing multimodal machine learning-based models to solve the skin lesion classification problem by employing a lightweight transformer model that is robust to missing clinical information input. As a main hypothesis, models can be fed by multiple images from different sources as input along with clinical anamneses from the patient’s historical evaluations, leading to a more factual and trustworthy diagnosis. Our model deals with the not-trivial task of combining images and clinical information concerning the skin lesions in a lightweight transformer architecture that does not demand high computation resources or even all the information from the anamneses but still presents competitive classification results.
Esophageal adenocarcinoma is an illness that is usually hard to detect at the early stages
in the presence of Barrett’s esohagus. The development of automatic evaluation systems of such illness may be very useful, thus assisting the experts in the neoplastic region detection. With the strong growth of machine learning techniques aiming to improve the effectivess of medical diagnosis, the use of such approaches characterizes a strong scenario to be explored for the early diagnosis of esophageal adenocarcinoma. Barrett’s esophagus as a predecessor of adenocarcinoma can be explained by some risk factors, such as obesity, smoking, and late medical diagnosis. This project proposes the development of new computer vision and machine learning techniques to assist the automatic diagnosis of the esophageal adenocarcinioma based on the evaluation of two kind of features: (i) handcrafted features, calculated by means of human knowledge using some image processing technique and; (ii) deeply-learnable features, calculated exclusively based on deep learning techniques. From the extensive application of global and local protocols for the models proposed in this work, the description of cancer-affected images and Barrett’s esophagus-affected samples were generalized and deeply evaluated using, for example, classifiers such as Support Vector Machines, ResNet-50 and the combination of descriptions by handcrafted and deeply-learnable features. Also, the behavior of the automatic definition of key-points within the evaluated techniques was observed, something of a paramount importance nowadays to guarantee transparency and reliability in the decisions made by computational techniques. Thus, this project contributes to both the computational and medical fields, introducing new classifiers, approaches and interpretation of the class generalization process, in addition to proposing fast and precise manners to define cancer, delivering important and novel results concerning the accurate identification of cancer in samples affected by Barrett’s esophagus, showing values around 95% of correct identification rates and arranged in a collection of scientific works developed by the author during the research period and submitted/published to date.
This dataset is a subset of the original Cholec80 dataset and is used by the OpenMIBOOD framework to evaluate a specific out-of-distribution setting.
When using this dataset, it is mandatory to cite the corresponding publication (OpenMIBOOD) and to follow the acknowledgement and citation requirements of the original dataset (Cholec80).
The original Cholec80 dataset (associated paper,Homepage) consists of 80 cholecystectomy surgery videos recorded at 25 fps, performed by 13 surgeons. It includes phase annotations (25 fps) and tool presence labels (1 fps), with phase definitions provided by a senior surgeon. A tool is considered present if at least half of its tip is visible. The dataset categorizes tools into seven types: Grasper, Bipolar, Hook, Scissors, Clipper, Irrigator, and Specimen bag. Multiple tools may be present in each frame. Additionally, 76 of the 80 videos exhibit a strong black vignette.
For this dataset subset, frames were extracted based on tool presence labels, selecting only those containing Grasper, Bipolar, Hook, or Clipper while ensuring that only a single tool appears per frame. To enhance visual consistency, the black vignette was removed by extracting an inner rectangular region, where applicable.
Note: A script for extracting the individual frames from the video files while preserving the challenge-compliant directory structure and frame-to-mask naming conventions is available on GitHub and can be accessed here: https://github.com/remic-othr/PhaKIR_Dataset.
The dataset is described in the following publications:
Rueckert, Tobias et al.: Comparative validation of surgical phase recognition, instrument keypoint estimation, and instrument instance segmentation in endoscopy: Results of the PhaKIR 2024 challenge. arXiv preprint, https://arxiv.org/abs/2507.16559. 2025.
Rueckert, Tobias et al.: Video Dataset for Surgical Phase, Keypoint, and Instrument Recognition in Laparoscopic Surgery (PhaKIR). arXiv preprint, https://arxiv.org/abs/2511.06549. 2025.
The proposed dataset was used as the training dataset in the PhaKIR challenge (https://phakir.re-mic.de/) as part of EndoVis-2024 at MICCAI 2024 and consists of eight real-world videos of human cholecystectomies ranging from 23 to 60 minutes in duration. The procedures were performed by experienced physicians, and the videos were recorded in three hospitals. In addition to existing datasets, our annotations provide pixel-wise instance segmentation masks of surgical instruments for a total of 19 categories, coordinates of relevant instrument keypoints (instrument tip(s), shaft-tip transition, shaft), both at an interval of one frame per second, and specifications regarding the intervention phases for a total of eight different phase categories for each individual frame in one dataset and thus comprehensively cover instrument localization and the context of the operation. Furthermore, the provision of the complete video sequences offers the opportunity to include the temporal information regarding the respective tasks and thus further optimize the resulting methods and outcomes.