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AI-based association analysis for medical imaging using latent-space geometric confounder correction
Xianjing Liu1, Bo Li2, Meike W Vernooij3
1Department of Radiology and Nuclear Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands; Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.
Medical Image Analysis
|March 12, 2025
Summary
This study introduces a novel AI method for medical image analysis to overcome confounding effects. It generates confounder-free representations for improved interpretability and reliable feature visualization in AI-driven research.
Area of Science:
- Artificial Intelligence
- Medical Imaging
- Computational Biology
Background:
- Confounding effects pose challenges in AI-based medical image analysis, potentially leading to misinterpretations.
- Existing methods for confounder removal can degrade image reconstruction quality, limiting feature visualization.
- Interpretability and accurate association analysis are crucial for clinical and epidemiological research.
Purpose of the Study:
- To develop a novel AI strategy for medical image analysis that effectively addresses confounding effects.
- To propose a method that retains essential information while generating confounder-free latent representations.
- To enhance the interpretability of AI models in medical imaging for reliable feature visualization.
Main Methods:
- A novel approach utilizing autoencoder latent space as a vector space is proposed.
- A correlation-based loss function is introduced to find confounder-free vectors orthogonal to confounder vectors.
- The method encourages linear correlation between latent representations and imaging variables.
Main Results:
- Demonstrated efficacy across three diverse applications with multiple confounders and image modalities.
- Successfully reduced confounder influences and prevented misleading associations in medical image analysis.
- Provided unique visual interpretations of confounder-free representations for in-depth research.
Conclusions:
- The proposed method offers an effective solution for confounding in AI-based medical image analysis.
- It enhances model interpretability and supports reliable feature visualization without compromising image quality.
- This approach facilitates more accurate investigations for clinical and epidemiological researchers.

