NYU and Facebook team up to supercharge MRI scans with AI

INSUBCONTINENT EXCLUSIVE:
Magnetic resonance imaging is an invaluable tool in the medical field, but it also a slow and cumbersome process
It may take fifteen minutes or an hour to complete a scan, during which time the patient, perhaps a child or someone in serious pain, must
sit perfectly still
NYU has been working on a way to accelerate this process, and is now collaborating with Facebook with the goal of cutting down MRI
durations by 90 percent by applying AI-based imaging tools. It important at the outset to distinguish this effort from other common uses of
AI in the medical imaging field
An X-ray, or indeed an MRI scan, once completed, could be inspected by an object recognition system watching for abnormalities, saving time
for doctors and maybe even catching something they might have missed
This project isn''t about analyzing imagery that already been created, but rather expediting its creation in the first place. The reason
MRIs take so long is because the machine must create a series of 2D images or slices, many of which must be stacked up to make a 3D image
Sometimes only a handful are needed, but for full fidelity and depth — for something like a scan for a brain tumor — lots of slices are
required. The FastMRI project, begun in 2015 by NYU researchers, investigates the possibility of creating imagery of a similar quality to a
traditional scan, but by collecting only a fraction of the data normally needed. Think of it like scanning an ordinary photo
You could scan the whole thing… but if you only scanned every other line (this is called &undersampling&) and then intelligently filled in
the missing pixels, it would take half as long
And machine learning systems are getting quite good at tasks like that
Our own brains do it all the time: you have blind spots with stuff in them right now that you don''t notice because your vision system is
filling in the gaps — intelligently. The data collected at left could be &undersampled& as at right, with the missing data filled in
later If an AI system could be trained to fill in the gaps from MRI scans where only the most critical data is collected, the actual time
during which a patient would have to sit in the imaging tube could be reduced considerably
It easier on the patient, and one machine could handle far more people than it does doing a full scan every time, making scans cheaper and
more easily obtainable. The NYU School of Medicine researchers began work on this three years ago and published some early results showing
that the approach was at least feasible
But like an MRI scan, this kind of work takes time. We and other institutions have taken some baby steps in using AI for this type of
problem,& explained NYU Dan Sodickson, director of the Center of Advanced Imaging Innovation and Research there
&The sense is that already in the first attempts, with relatively simple methods, we can do better than other current acceleration
techniques — get better image quality and maybe accelerate further by some percentage, but not by large multiples yet. So to give the
project a boost, Sodickson and the radiologists at NYU are combining forces with the AI wonks at Facebook and its Artificial Intelligence
Research group (FAIR). NYU School of Medicine Department of Radiology chair Michael Recht, MD, Daniel Sodickson, MD, vice chair for
research and director of the Center for Advanced Imaging Innovation and Yvonne Lui, MD, director of artificial intelligence, examine an
MRI We have some great physicists here and even some hot-stuff mathematicians, but Facebook and FAIR have some of the leading AI scientists
in the world
So it complementary expertise,& Sodickson said. And while Facebook isn''t planning on starting a medical imaging arm, FAIR has a pretty
broad mandate. We&re looking for impactful but also scientifically interesting problems,& said FAIR Larry Zitnick
AI-based creation or re-creation of realistic imagery (often called &hallucination&) is a major area of research, but this would be a unique
application of it — not to mention one that could help some people. With a patient MRI data, he explained, the generated imagery &doesn''t
need to be just plausible, but it needs to retain the same flaws.& So the computer vision agent that fills in the gaps needs to be able to
recognize more than just overall patterns and structure, and to be able to retain and even intelligently extend abnormalities within the
image
To not do so would be a massive modification of the original data. Fortunately it turns out that MRI machines are pretty flexible when it
comes to how they produce images
If you would normally take scans from 200 different positions, for instance, it not hard to tell the machine to do half that, but with a
higher density in one area or another
Other imagers like CT and PET scanners aren''t so docile. Even after a couple years of work the research is still at an early stage
These things can''t be rushed, after all, and with medical data there are ethical considerations and a difficulty in procuring enough data
But the NYU researchers& ground work has paid off with initial results and a powerful data set. Zitnick noted that because AI agents require
lots of data to train up to effective levels, it a major change going from a set of, say, 500 MRI scans to a set of 10,000
With the former data set you might be able to do a proof of concept, but with the latter you can make something accurate enough to actually
use. The partnership announced today is between NYU and Facebook, but both hope that others will join up. We&re working on this out in the
open
We&re going to be open-sourcing it all,& said Zitnick
One might expect no less of academic research, but of course a great deal of AI work in particular goes on behind closed doors these
days. So the first steps as a joint venture will be to define the problem, document the data set and release it, create baselines and
metrics by which to measure their success, and so on
Meanwhile, the two organizations will be meeting and swapping data regularly and running results past actual clinicians. We don''t know how
to solve this problem,& Zitnick said
&We don''t know if we&ll succeed or not
But that kind of the fun of it.