VCBM: Eurographics Workshop on Visual Computing for Biomedicine

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Analyzing Protein Similarity by Clustering Molecular Surface Maps
(The Eurographics Association, 2020) Schatz, Karsten; Frieß, Florian; Schäfer, Marco; Ertl, Thomas; Krone, Michael; Kozlíková, Barbora and Krone, Michael and Smit, Noeska and Nieselt, Kay and Raidou, Renata Georgia
Many biochemical and biomedical applications like protein engineering or drug design are concerned with finding functionally similar proteins, however, this remains to be a challenging task. We present a new imaged-based approach for identifying and visually comparing proteins with similar function that builds on the hierarchical clustering of Molecular Surface Maps. Such maps are two-dimensional representations of complex molecular surfaces and can be used to visualize the topology and different physico-chemical properties of proteins. Our method is based on the idea that visually similar maps also imply a similarity in the function of the mapped proteins. To determine map similarity we compute descriptive feature vectors using image moments, color moments, or a Convolutional Neural Network and use them for a hierarchical clustering of the maps. We show that image similarity as found by our clustering corresponds to functional similarity of mapped proteins by comparing our results to the BRENDA database, which provides a hierarchical function-based annotation of enzymes. We also compare our results to the TM-score, which is a similarity value for pairs of arbitrary proteins. Our visualization prototype supports the entire workflow from map generation, similarity computing to clustering and can be used to interactively explore and analyze the results.
AR-Assisted Craniotomy Planning for Tumour Resection
(The Eurographics Association, 2021) Wooning, Joost; Benmahdjoub, Mohamed; Walsum, Theo van; Marroquim, Ricardo; Oeltze-Jafra, Steffen and Smit, Noeska N. and Sommer, Björn and Nieselt, Kay and Schultz, Thomas
Craniotomy is a procedure where neurosurgeons open the patient's skull to gain direct access to the brain. The craniotomy's position defines the access path from the skull surface to the tumour and, consequently, the healthy brain tissue to be removed to reach the tumour. This is a complex procedure where a neurosurgeon is required to mentally reconstruct spatial relations of important brain structures to avoid removing them as much as possible. We propose a visualisation method using Augmented Reality to assist in the planning of a craniotomy. The goal of this study is to visualise important brain structures aligned with the physical position of the patient and to allow a better perception of the spatial relations of the structures. Additionally, a heat map was developed that is projected on top of the skull to provide a quick overview of the structures between a chosen location on the skull and the tumour. In the experiments, tracking accuracy was assessed, and colour maps were assessed for use in an AR device. Additionally, we conducted a user study amongst neurosurgeons and surgeons from other fields to evaluate the proposed visualisation using a phantom head. Most participants indeed agree that the visualisation can assist in planning a craniotomy and feedback on future improvements towards the clinical scenario was collected.
Automatic Animations to Analyze Blood Flow Data
(The Eurographics Association, 2021) Apilla, Vikram; Behrendt, Benjamin; Lawonn, Kai; Preim, Bernhard; Meuschke, Monique; Oeltze-Jafra, Steffen and Smit, Noeska N. and Sommer, Björn and Nieselt, Kay and Schultz, Thomas
We present an approach for computing camera animations composed of optimal views to support the visual exploration of blood flow data using cerebral aneurysms as major example. Medical researchers are interested in hemodynamic parameters and vessel wall characteristics. The time-dependent character of blood flow data complicates the visual analysis. Our approach is modeled as an optimization problem to automatically determine camera paths during the cardiac cycle. These consist of optimal viewpoints showing regions with suspicious characteristics of wall- and flow-related parameters. This provides medical researchers with an efficient method of obtaining a fast overview of patient-specific blood flow data.
Automatic Cutting and Flattening of Carotid Artery Geometries
(The Eurographics Association, 2021) Eulzer, Pepe; Richter, Kevin; Meuschke, Monique; Hundertmark, Anna; Lawonn, Kai; ,; Oeltze-Jafra, Steffen and Smit, Noeska N. and Sommer, Björn and Nieselt, Kay and Schultz, Thomas
We propose a novel method to cut and flatten vascular geometry that results in an intuitive mapping between the 3D and 2D domains. Our approach is fully automatic, and the sole input is the vessel geometry. We aim to simplify parameter analysis on vessel walls for research on vascular disease and computational hemodynamics. We present a use case for the flattening to aid efforts in investigating the pathophysiology of carotid stenoses (vessel constrictions that are a root cause of stroke). To achieve an intuitive mapping, we introduce the notion of natural vessel cuts. They remain on one side of vessel branches, meaning they adhere to the longitudinal direction and thus result in a comprehensible unfolding of the geometry. Vessel branches and endpoints are automatically detected, and a 2D layout configuration is found that retains the original branch layout. We employ a quasi-isometric surface parameterization to map the geometry to the 2D domain as a single patch. The flattened depiction resolves the need for tedious 3D interaction as the whole surface is visible at once.We found this overview particularly beneficial for exploring temporally resolved parameters.
Automatic Thrombus Detection in Non-enhanced Computed Tomography Images in Patients With Acute Ischemic Stroke
(The Eurographics Association, 2017) Löber, Patrick; Stimpel, Bernhard; Syben, Christopher; Maier, Andreas; Ditt, Hendrik; Schramm, Peter; Raczkowski, Boy; Kemmling, André; Stefan Bruckner and Anja Hennemuth and Bernhard Kainz and Ingrid Hotz and Dorit Merhof and Christian Rieder
In case of an ischemic stroke, identifying and removing blood clots is crucial for a successful recovery. We present a novel method to automatically detect vascular occlusion in non-enhanced computed tomography (NECT) images. Possible hyperdense thrombus candidates are extracted by thresholding and connected component clustering. A set of different features is computed to describe the objects, and a Random Forest classifier is applied to predict them. Thrombus classification yields 98.7% sensitivity with 6.7 false positives per volume, and 91.1% sensitivity with 2.7 false positives per volume. The classifier assigns a clot probability > = 90% for every thrombus with a volume larger than 100 mm3 or with a length above 23 mm, and can be used as a reliable method to detect blood clots.
Bone Fracture and Lesion Assessment using Shape-Adaptive Unfolding
(The Eurographics Association, 2017) Martinke, Hannes; Petry, Christian; Großkopf, Stefan; Suehling, Michael; Soza, Grzegorz; Preim, Bernhard; Mistelbauer, Gabriel; Stefan Bruckner and Anja Hennemuth and Bernhard Kainz and Ingrid Hotz and Dorit Merhof and Christian Rieder
The assessment of rib bone fractures and lesions consists of many images that have to be thoroughly inspected slice-by-slice and rib-by-rib. Existing visualization methods, such as curved planar reformation (CPR), reduce the number of images to inspect and, in turn, the time spent per case. However, this task remains time-consuming and exhausting. In this paper, we propose a novel rib unfolding strategy that considers the cross-sectional shape of each rib individually and independently. This leads to shape-adaptive slices through the ribs. By aggregating these slices into a single image, we support radiologists with a concise overview visualization of the entire rib cage for fracture and lesion assessment. We present results of our approach along different cases of rib and spinal fractures as well as lesions. To assess the applicability of our method, we separately evaluated the segmentation (with 954 data sets) and the visualization (with two clinical coaches).
Communicating Pathologies and Growth to a General Audience
(The Eurographics Association, 2023) Mittenentzwei, Sarah; Mlitzke, Sophie; Lawonn, Kai; Preim, Bernhard; Meuschke, Monique; Hansen, Christian; Procter, James; Renata G. Raidou; Jönsson, Daniel; Höllt, Thomas
In this paper, we investigate the suitability of different visual representations of pathological growth using surface models of intracranial aneurysms and liver tumors. By presenting complex medical information in a visually accessible manner, audiences can better understand and comprehend the progression of pathological structures. Previous work in medical visualization provides an extensive design space for visualizing medical image data. However, determining which visualization techniques are appropriate for a general audience has not been thoroughly investigated. We conducted a user study (n = 60) to evaluate different visual representations in terms of their suitability for solving tasks and their aesthetics. We created surface models representing the evolution of pathological structures over multiple discrete time steps and visualized them using illumination-based and illustrative techniques. Our results indicate that the suitability of visualization techniques depends on the task at hand. Users' aesthetic preferences largely coincide with their preferred visualization technique for task-solving purposes.
CT-Based Navigation Guidance for Liver Tumor Ablation
(The Eurographics Association, 2017) Alpers, Julian; Hansen, Christian; Ringe, Kristina; Rieder, Christian; Stefan Bruckner and Anja Hennemuth and Bernhard Kainz and Ingrid Hotz and Dorit Merhof and Christian Rieder
Image-guided thermal ablation procedures such as microwave ablation (MWA) or radiofrequency ablation (RFA) have become clinically accepted treatment options for liver tumors. The goal of these minimally invasive procedures is the destruction of focal liver malignancies using mostly needle-shaped instruments. Computed tomography (CT) imaging may be used to navigate the applicator to the target position in order to achieve complete tumor ablation. Due to limited image quality and resolution, the treatment target and risk structures may be hardly visible in intra-interventional CT-images, hampering verification of the intended applicator position. In this work, we propose a navigation guidance method based only on CT images to support the physician with additional information to reach the target position. Therefore, planning information extracted from pre-interventional images is fused with the current intra-interventional image. The visible applicator is extracted semi-automatically from the intra-interventional image. The localization of the needle instrument is used to guide the physician by display of the pathway, projection of anatomical structures, and correction suggestions. In an evaluation, we demonstrate the potential of the proposed method to improve the clinical success rate of complex liver tumor ablations while increasing the accuracy and reducing the number of intra-interventional CT images needed.
Estimation of Muscle Activity in One-Leg Stance from 3D Surface Deformation
(The Eurographics Association, 2018) Metzler, Johannes; Neumann, Thomas; Gassel, Stefanie; Friedrich, Jens; Wacker, Markus; Puig Puig, Anna and Schultz, Thomas and Vilanova, Anna and Hotz, Ingrid and Kozlikova, Barbora and Vázquez, Pere-Pau
Muscular activity during human motion is usually quantified by measuring the electrical potential during muscle activation using electromyography (EMG). However, apart from producing electrical activity, muscular contraction of many skeletal muscles also induces subtle deformation of the skin surface. In this paper, we present a method to estimate muscular activation from such 3D skin deformation. To this end, we introduce a capture system that reconstructs the 3D motion of the skin from multi-view video data and simultaneously measures true muscle activity with EMG sensors. Our data reveals strong correlations between the skin deformation and muscular activity during one-leg stances. We propose a pose normalization procedure and a novel model based on Supervised Principal Component Regression that automatically segments individual muscles and estimates their activation from 3D surface deformation. Our evaluation shows that the model generalizes to varying body shapes and that the estimated activation closely fits the measured EMG data.
Feature Exploration using Local Frequency Distributions in Computed Tomography Data
(The Eurographics Association, 2020) Falk, Martin; Ljung, Patric; Lundström, Claes; Ynnerman, Anders; Hotz, Ingrid; Kozlíková, Barbora and Krone, Michael and Smit, Noeska and Nieselt, Kay and Raidou, Renata Georgia
Frequency distributions (FD) are an important instrument when analyzing and investigating scientific data. In volumetric visualization, for example, frequency distributions visualized as histograms, often assist the user in the process of designing transfer function (TF) primitives. Yet a single point in the distribution can correspond to multiple features in the data, particularly in low-dimensional TFs that dominate time-critical domains such as health care. In this paper, we propose contributions to the area of medical volume data exploration, in particular Computed Tomography (CT) data, based on the decomposition of local frequency distributions (LFD). By considering the local neighborhood utilizing LFDs we can incorporate a measure for neighborhood similarity to differentiate features thereby enhancing the classification abilities of existing methods. This also allows us to link the attribute space of the histogram with the spatial properties of the data to improve the user experience and simplify the exploration step. We propose three approaches for data exploration which we illustrate with several visualization cases highlighting distinct features that are not identifiable when considering only the global frequency distribution. We demonstrate the power of the method on selected datasets.
Global and Local Mesh Morphing for Complex Biological Objects from µCT Data
(The Eurographics Association, 2018) Knötel, David; Becker, Carola; Scholtz, Gerhard; Baum, Daniel; Puig Puig, Anna and Schultz, Thomas and Vilanova, Anna and Hotz, Ingrid and Kozlikova, Barbora and Vázquez, Pere-Pau
We show how biologically coherent mesh models of animals can be created from µCT data to generate artificial yet naturally looking intermediate objects. The whole pipeline of processing algorithms is presented, starting from generating topologically equivalent surface meshes, followed by solving the correspondence problem, and, finally, creating a surface morphing. In this pipeline, we address all the challenges that are due to dealing with complex biological, non-isometric objects. For biological objects it is often particularly important to obtain deformations that look as realistic as possible. In addition, spatially non-uniform shape morphings that only change one part of the surface and keep the rest as stable as possible are of interest for evolutionary studies, since functional modules often change independently from one another. We use Poisson interpolation for this purpose and show that it is well suited to generate both global and local shape deformations.
A Guided Spatial Transformer Network for Histology Cell Differentiation
(The Eurographics Association, 2017) Aubreville, Marc; Krappmann, Maximilian; Bertram, Christof; Klopfleisch, Robert; Maier, Andreas; Stefan Bruckner and Anja Hennemuth and Bernhard Kainz and Ingrid Hotz and Dorit Merhof and Christian Rieder
Identification and counting of cells and mitotic figures is a standard task in diagnostic histopathology. Due to the large overall cell count on histological slides and the potential sparse prevalence of some relevant cell types or mitotic figures, retrieving annotation data for sufficient statistics is a tedious task and prone to a significant error in assessment. Automatic classification and segmentation is a classic task in digital pathology, yet it is not solved to a sufficient degree. We present a novel approach for cell and mitotic figure classification, based on a deep convolutional network with an incorporated Spatial Transformer Network. The network was trained on a novel data set with ten thousand mitotic figures, about ten times more than previous data sets. The algorithm is able to derive the cell class (mitotic tumor cells, non-mitotic tumor cells and granulocytes) and their position within an image. The mean accuracy of the algorithm in a five-fold cross-validation is 91.45 %. In our view, the approach is a promising step into the direction of a more objective and accurate, semi-automatized mitosis counting supporting the pathologist.
ICG based Augmented-Reality-System for Sentinel Lymph Node Biopsy
(The Eurographics Association, 2018) Noll, Matthias; Noa-Rudolph, Werner; Wesarg, Stefan; Kraly, Michael; Stoffels, Ingo; Klode, Joachim; Spass, Cédric; Spass, Gerrit; Puig Puig, Anna and Schultz, Thomas and Vilanova, Anna and Hotz, Ingrid and Kozlikova, Barbora and Vázquez, Pere-Pau
In this paper we introduce a novel augmented-reality (AR) system for the sentinel lymph node (SLN) biopsy. The AR system consists of a cubic recording device with integrated stereo near-infrared (NIR) and stereo color cameras, an head mounted display (HMD) for visualizing the SLN information directly into the physicians view and a controlling software application. The labeling of the SLN is achieved using the fluorescent dye indocyanine green (ICG). The dye accumulates in the SLN where it is excited to fluorescence by applying infrared light. The fluorescence is recorded from two directions by the NIR stereo cameras using appropriate filters. Applying the known rigid camera geometry, an ICG depth map can be generated from the camera images, thus creating a live 3D representation of the SLN. The representation is then superimposed to the physicians field of view, by applying a series of coordinate system transformations, that are determined in four separate system calibration steps. To compensate for the head motion, the recording systems is continuously tracked by a single camera on the HMD using fiducial markers. Because the system does not require additional monitors, the physicians attention is kept solely on the operation site. This can potentially decrease the intervention time and render the procedure safer for the patient.
InkVis: A High-Particle-Count Approach for Visualization of Phase-Contrast Magnetic Resonance Imaging Data
(The Eurographics Association, 2019) de Hoon, Niels; Lawonn, Kai; Jalba, Andrei; Eisemann, Elmar; Vilanova, Anna; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
Phase-Contrast Magnetic Resonance Imaging (PC-MRI) measures volumetric and time-varying blood flow data, unsurpassed in quality and completeness. Such blood-flow data have been shown to have the potential to improve both diagnosis and risk assessment of cardiovascular diseases (CVDs) uniquely. Typically PC-MRI data is visualized using stream- or pathlines. However, time-varying aspects of the data, e.g., vortex shedding, breakdown, and formation, are not sufficiently captured by these visualization techniques. Experimental flow visualization techniques introduce a visible medium, like smoke or dye, to visualize flow aspects including time-varying aspects. We propose a framework that mimics such experimental techniques by using a high number of particles. The framework offers great flexibility which allows for various visualization approaches. These include common traditional flow visualizations, but also streak visualizations to show the temporal aspects, and uncertainty visualizations. Moreover, these patient-specific measurements suffer from noise artifacts and a coarse resolution, causing uncertainty. Traditional flow visualizations neglect uncertainty and, therefore, may give a false sense of certainty, which can mislead the user yielding incorrect decisions. Previously, the domain experts had no means to visualize the effect of the uncertainty in the data. Our framework has been adopted by domain experts to visualize the vortices present in the sinuses of the aorta root showing the potential of the framework. Furthermore, an evaluation among domain experts indicated that having the option to visualize the uncertainty contributed to their confidence on the analysis.
InShaDe: Invariant Shape Descriptors for Visual Analysis of Histology 2D Cellular and Nuclear Shapes
(The Eurographics Association, 2020) Agus, Marco; Al-Thelaya, Khaled; Cali, Corrado; Boido, Marina M.; Yang, Yin; Pintore, Giovanni; Gobbetti, Enrico; Schneider, Jens; Kozlíková, Barbora and Krone, Michael and Smit, Noeska and Nieselt, Kay and Raidou, Renata Georgia
We present a shape processing framework for visual exploration of cellular nuclear envelopes extracted from histology images. The framework is based on a novel shape descriptor of closed contours relying on a geodesically uniform resampling of discrete curves to allow for discrete differential-geometry-based computation of unsigned curvature at vertices and edges. Our descriptor is, by design, invariant under translation, rotation and parameterization. Moreover, it additionally offers the option for uniform-scale-invariance. The optional scale-invariance is achieved by scaling features to z-scores, while invariance under parameterization shifts is achieved by using elliptic Fourier analysis (EFA) on the resulting curvature vectors. These invariant shape descriptors provide an embedding into a fixed-dimensional feature space that can be utilized for various applications: (i) as input features for deep and shallow learning techniques; (ii) as input for dimension reduction schemes for providing a visual reference for clustering collection of shapes. The capabilities of the proposed framework are demonstrated in the context of visual analysis and unsupervised classification of histology images.
An Interaction Metaphor for Enhanced VR-based Volume Segmentation
(The Eurographics Association, 2023) Monclús, Eva; Vázquez, Pere-Pau; Hansen, Christian; Procter, James; Renata G. Raidou; Jönsson, Daniel; Höllt, Thomas
The segmentation of medical models is a complex and time-intensive process required for both diagnosis and surgical preparation. Despite the advancements in deep learning, neural networks can only automatically segment a limited number of structures, often requiring further validation by a domain expert. In numerous instances, manual segmentation is still necessary. Virtual Reality (VR) technology can enhance the segmentation process by providing improved perception of segmentation outcomes and enabling interactive supervision by experts. But inspecting how the progress of the segmentation algorithm is evolving, and defining new seeds requires seeing the inner layers of the volume, which can be costly and difficult to achieve with typical metaphors such as clipping planes. In this paper, we introduce a wedge-shaped 3D interaction metaphor designed to facilitate VR-based segmentation through detailed inspection and guidance. User evaluations demonstrated increased satisfaction with usability and faster task completion times using the tool.
Interactive CPU-based Ray Tracing of Solvent Excluded Surfaces
(The Eurographics Association, 2019) Rau, Tobias; Zahn, Sebastian; Krone, Michael; Reina, Guido; Ertl, Thomas; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
Depictions of molecular surfaces such as the Solvent Excluded Surface (SES) can provide crucial insight into functional molecular properties, such as the molecule's potential to react. The interactive visualization of single and multiple molecule surfaces is essential for the data analysis by domain experts. Nowadays, the SES can be rendered at high frame rates using shader-based ray casting on the GPU. However, rendering large molecules or larger molecule complexes requires large amounts of memory that has the potential to exceed the memory limitations of current hardware. Here we show that rendering using CPU ray tracing also reaches interactive frame rates without hard limitations to memory. In our results large molecule complexes can be rendered with only the precomputation of each individual SES, and no further involved representation or transformation. Additionally, we provide advanced visualization techniques like ambient occlusion opacity mapping (AOOM) to enhance the comprehensibility of the molecular structure. CPU ray tracing not only provides very high image quality and global illumination, which is beneficial for the perception of spatial structures, it also opens up the possibility to visualize larger data sets and to render on any HPC cluster. Our results demonstrate that simple instancing of geometry keeps the memory consumption for rendering large molecule complexes low, so the examination of much larger data is also possible.
Molecular Sombreros: Abstract Visualization of Binding Sites within Proteins
(The Eurographics Association, 2019) Schatz, Karsten; Krone, Michael; Bauer, Tabea L.; Ferrario, Valerio; Pleiss, Jürgen; Ertl, Thomas; Kozlíková, Barbora and Linsen, Lars and Vázquez, Pere-Pau and Lawonn, Kai and Raidou, Renata Georgia
We present a novel abstract visualization for the binding sites of proteins. Binding sites play an essential role in enzymatic reactions and are, thus, often investigated in structural biology. They are typically located within cavities. The shape and properties of the cavity influence whether and how easily a substrate can reach the active site where the reaction is triggered. Molecular surface visualizations can help to analyze the accessibility of binding sites, but are typically prone to visual clutter. Our novel abstract visualization shows the cavity containing the binding site as well as the surface region directly surrounding the cavity entrance in a simplified manner. The resulting visualization resembles a hat, where the brim depicts the surrounding surface region and the crown the cavity. Hence, we dubbed our abstraction Molecular Sombrero, using the Spanish term for 'hat'. Our abstraction is less cluttered than traditional molecular surface visualizations. It highlights important parameters, like cavity diameter, by mapping them to the shape of the sombrero. The visual abstraction also facilitates an easy side-by-side comparison of different data sets. We show the applicability of our Molecular Sombreros to different real-world use cases.
MRI Hip Joint Segmentation: A Locally Bhattacharyya Weighted Hybrid 3D Level Set Approach
(The Eurographics Association, 2017) Pham, Duc Duy; Morariu, Cosmin Adrian; Terheiden, Tobias; Landgraeber, Stefan; Jäger, Marcus; Pauli, Josef; Stefan Bruckner and Anja Hennemuth and Bernhard Kainz and Ingrid Hotz and Dorit Merhof and Christian Rieder
In this paper, we propose a novel hybrid level set approach that locally balances the combined use of both Gradient Vector Flow and region based energy cost function by means of the Bhattacharyya coefficient. The local neighborhood of each contour point is naturally divided into an area encapsulated and one excluded by the contour. We propose utilizing the Bhattacharyya coefficient of the intensity distributions of these local areas to determine a point-wise weighting scheme for the curve propagation. The performance of our method regarding segmentation quality is evaluated on the segmentation of the hip joint in 10 MRI data sets. Our proposed method shows a clear improvement compared to conventional 3D level set approaches.
MuSIC: Multi-Sequential Interactive Co-Registration for Cancer Imaging Data based on Segmentation Masks
(The Eurographics Association, 2022) Eichner, Tanja; Mörth, Eric; Wagner-Larsen, Kari S.; Lura, Njål; Haldorsen, Ingfrid S.; Gröller, Eduard; Bruckner, Stefan; Smit, Noeska N.; Renata G. Raidou; Björn Sommer; Torsten W. Kuhlen; Michael Krone; Thomas Schultz; Hsiang-Yun Wu
In gynecologic cancer imaging, multiple magnetic resonance imaging (MRI) sequences are acquired per patient to reveal different tissue characteristics. However, after image acquisition, the anatomical structures can be misaligned in the various sequences due to changing patient location in the scanner and organ movements. The co-registration process aims to align the sequences to allow for multi-sequential tumor imaging analysis. However, automatic co-registration often leads to unsatisfying results. To address this problem, we propose the web-based application MuSIC (Multi-Sequential Interactive Co-registration). The approach allows medical experts to co-register multiple sequences simultaneously based on a pre-defined segmentation mask generated for one of the sequences. Our contributions lie in our proposed workflow. First, a shape matching algorithm based on dual annealing searches for the tumor position in each sequence. The user can then interactively adapt the proposed segmentation positions if needed. During this procedure, we include a multi-modal magic lens visualization for visual quality assessment. Then, we register the volumes based on the segmentation mask positions. We allow for both rigid and deformable registration. Finally, we conducted a usability analysis with seven medical and machine learning experts to verify the utility of our approach. Our participants highly appreciate the multi-sequential setup and see themselves using MuSIC in the future.

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