🤖 AI Summary
This work addresses a critical limitation in existing deep latent variable models, which employ Euclidean averaging to estimate Gaussian mixture priors, causing subpopulation prototypes to deviate from the data manifold and leading to performance degradation as the number of subpopulations increases. To overcome this, the authors propose a manifold-anchored variational learning framework that, for the first time, integrates manifold constraints into the M-step of the EM algorithm. Specifically, they construct a heat kernel–weighted latent graph and select graph medoids with the highest diffusion centrality as prototypes, guaranteeing their strict adherence to the manifold. Additionally, Dirichlet energy regularization is introduced to enhance geometric smoothness in the latent space. The method is both general-purpose and capable of providing unsupervised uncertainty scores, achieving state-of-the-art accuracy in cardiac scar and brain MRI tasks while generating the clearest and most stable prototypes to date, significantly outperforming all baselines.
📝 Abstract
Learning unsupervised representations of medical imaging cohorts can reveal clinically meaningful prototypes without expert labels, which are often noisy and fail to capture true pathological heterogeneity. However, existing deep latent-variable models estimate Gaussian mixture priors via Euclidean averaging, producing prototypes that drift off the curved data manifold and degenerate as the number of sub-populations grows. We propose a manifold-anchored variational framework built on a geometry-aware Expectation-Maximization (EM) algorithm, whose M-step selects each sub-population prototype as the graph medoid with the highest diffusion centrality on a heat-kernel-weighted latent graph, ensuring that every prototype remains on-manifold. A Dirichlet energy regularizer enforces geometric smoothness of the latent space, and a per-sub-population uncertainty score enables label-free quality assessment. \rev{The manifold-anchored EM is a general-purpose geometric tool that extends standard EM and applies readily to other latent-variable models beyond this setting.} On cardiac scar and brain MRI benchmarks, our framework attains the highest accuracy among all compared methods, produces the sharpest prototypes reported to date, and remains stable at large sub-population counts where all baselines degenerate.