CINeMA: Conditional Implicit Neural Multi-Modal Atlas for a Spatio-Temporal Representation of the Perinatal Brain

📅 2025-06-11
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Building high spatiotemporal-resolution perinatal pathological brain atlases is hindered by the scarcity of annotated samples for rare conditions (e.g., ventriculomegaly, agenesis of the corpus callosum). Method: We propose the first conditional implicit neural representation (INR) framework tailored to such rare pathologies. Instead of conventional image registration, our approach jointly models gestational age, postnatal age, and pathology-specific features directly in latent space via INR coupled with conditional diffusion or MLPs. It incorporates multimodal fusion and anatomy-aware loss constraints to ensure end-to-end interpretability, editability, and generalizability. Contribution/Results: The framework accelerates atlas construction by two orders of magnitude (from days to minutes), outperforms state-of-the-art methods in tissue segmentation and fetal age estimation, and enables generation of high-fidelity, anatomically consistent synthetic data for augmentation and analysis.

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📝 Abstract
Magnetic resonance imaging of fetal and neonatal brains reveals rapid neurodevelopment marked by substantial anatomical changes unfolding within days. Studying this critical stage of the developing human brain, therefore, requires accurate brain models-referred to as atlases-of high spatial and temporal resolution. To meet these demands, established traditional atlases and recently proposed deep learning-based methods rely on large and comprehensive datasets. This poses a major challenge for studying brains in the presence of pathologies for which data remains scarce. We address this limitation with CINeMA (Conditional Implicit Neural Multi-Modal Atlas), a novel framework for creating high-resolution, spatio-temporal, multimodal brain atlases, suitable for low-data settings. Unlike established methods, CINeMA operates in latent space, avoiding compute-intensive image registration and reducing atlas construction times from days to minutes. Furthermore, it enables flexible conditioning on anatomical features including GA, birth age, and pathologies like ventriculomegaly (VM) and agenesis of the corpus callosum (ACC). CINeMA supports downstream tasks such as tissue segmentation and age prediction whereas its generative properties enable synthetic data creation and anatomically informed data augmentation. Surpassing state-of-the-art methods in accuracy, efficiency, and versatility, CINeMA represents a powerful tool for advancing brain research. We release the code and atlases at https://github.com/m-dannecker/CINeMA.
Problem

Research questions and friction points this paper is trying to address.

Creating high-resolution spatio-temporal brain atlases for perinatal stages
Addressing data scarcity in brain studies with pathologies
Reducing atlas construction time from days to minutes
Innovation

Methods, ideas, or system contributions that make the work stand out.

Latent space operation for fast atlas construction
Conditional on anatomical features and pathologies
Generative properties for synthetic data creation
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M
Maik Dannecker
School of Computation, Information and Technology, and the School of Medicine and Health, Technical University of Munich, Germany
Vasiliki Sideri-Lampretsa
Vasiliki Sideri-Lampretsa
Doctoral Student, Technical University of Munich
Medical imagingAI in medicineImage registrationComputer Vision
Sophie Starck
Sophie Starck
Technical University of Munich
A
Angeline Mihailov
Institut de Neurosciences de la Timone, UMR 7289, CNRS, Aix-Marseille Université, 13005, Marseille, France
M
Mathieu Milh
Aix-Marseille Univ, APHM, service de neurologie pédiatrique, Hôpital de la Timone, 13005, Marseille, France
N
Nadine Girard
Institut de Neurosciences de la Timone, UMR 7289, CNRS, Aix-Marseille Université, 13005, Marseille, France
G
Guillaume Auzias
Institut de Neurosciences de la Timone, UMR 7289, CNRS, Aix-Marseille Université, 13005, Marseille, France
Daniel Rueckert
Daniel Rueckert
Technical University of Munich and Imperial College London
Machine LearningMedical Image ComputingBiomedical Image AnalysisComputer Vision