Research

Research

I work on machine learning for neurovascular imaging in the LDR Group at Johns Hopkins — how registration and segmentation methods are evaluated when the clinically meaningful signal lives in a small region of interest rather than the whole brain.

Research Projects

ROI-Centered MRI–MRA Registration for Trigeminal Neuralgia

  • Reframed MRI–TOF-MRA fusion for trigeminal neuralgia as an ROI-centered neurovascular evaluation problem rather than generic whole-brain registration.
  • Built the end-to-end preprocessing, registration, and evaluation pipeline over a 149-patient microvascular-decompression cohort with 298 clinician-annotated trigeminal ROIs.
  • Benchmarked six registration pipelines (ANTs Affine/SyN, ConvexAdam, FireANTs, EasyReg, SynthMorph) and showed that image-similarity, vessel-separability, and downstream localization metrics do not co-rank methods.
  • Identified a volume confound in the standard one-sided vessel distance (Spearman ρ = −0.53, versus +0.08 in the reverse direction): common metrics systematically favor methods producing larger vessel trees under partial clinical annotations.
  • Designed and ran a blinded two-neurosurgeon reader study over 100 stratified ROIs, exposing globally implausible registrations hidden by favorable local metrics — the best-scoring method failed at the whole-brain level in 71 of 100 cases.

T2-Only Cerebral Vessel Segmentation via Teacher–Student Learning

  • Investigated whether cerebral vessels can be segmented from routinely acquired T2 MRI alone, using paired MRA only as a training-time supervision source — removing the MRA dependency that constrains the work above.
  • Repurposed the VesselFM foundation model as an MRA-side teacher — it collapses when applied directly to T2 (Dice 0.041) — warping its pseudo-labels into T2 space to supervise a 3D nnU-Net student that requires no MRA at inference.
  • Reached Dice 0.489 ± 0.043 on held-out subjects from a 568-subject IXI cohort — +0.448 over zero-shot VesselFM and within 0.072 of an oracle trained on manual MRA labels, using no manual annotation.
  • Separated label quality from label quantity: at identical training-set size, teacher-derived pseudo-labels beat placeholder labels by +0.118 Dice, showing that pseudo-label scale helps only when the teacher observes the correct modality.

Academic Service

Organizing Committee — FOMO26: Foundation Model Challenge for Brain MRI

  • Co-led evaluation for Task 4 (Trigeminal Neuralgia Segmentation): multiclass segmentation of the trigeminal nerve and surrounding vasculature from T2-weighted MRI, scored by DSC and NSD.