Designed especially for neurobiologists, FluoRender is an interactive tool for multi-channel fluorescence microscopy data visualization and analysis.
Deep brain stimulation
BrainStimulator is a set of networks that are used in SCIRun to perform simulations of brain stimulation such as transcranial direct current stimulation (tDCS) and magnetic transcranial stimulation (TMS).
Developing software tools for science has always been a central vision of the SCI Institute.

SCI Publications

2023


H. Oh, R. Amici, G. Bomarito, S. Zhe, R. Kirby, J. Hochhalter. “Genetic Programming Based Symbolic Regression for Analytical Solutions to Differential Equations,” Subtitled “arXiv:2302.03175v1,” 2023.

ABSTRACT

In this paper, we present a machine learning method for the discovery of analytic solutions to differential equations. The method utilizes an inherently interpretable algorithm, genetic programming based symbolic regression. Unlike conventional accuracy measures in machine learning we demonstrate the ability to recover true analytic solutions, as opposed to a numerical approximation. The method is verified by assessing its ability to recover known analytic solutions for two separate differential equations. The developed method is compared to a conventional, purely data-driven genetic programming based symbolic regression algorithm. The reliability of successful evolution of the true solution, or an algebraic equivalent, is demonstrated.



M. Parashar, T. Kurc, H. Klie, M.F. Wheeler, J.H. Saltz, M. Jammoul, R. Dong. “Dynamic Data-Driven Application Systems for Reservoir Simulation-Based Optimization: Lessons Learned and Future Trends,” In Handbook of Dynamic Data Driven Applications Systems: Volume 2, Springer International Publishing, pp. 287--330. 2023.
DOI: 10.1007/978-3-031-27986-7_11

ABSTRACT

Since its introduction in the early 2000s, the Dynamic Data-Driven Applications Systems (DDDAS) paradigm has served as a powerful concept for continuously improving the quality of both models and data embedded in complex dynamical systems. The DDDAS unifying concept enables capabilities to integrate multiple sources and scales of data, mathematical and statistical algorithms, advanced software infrastructures, and diverse applications into a dynamic feedback loop. DDDAS has not only motivated notable scientific and engineering advances on multiple fronts, but it has been also invigorated by the latest technological achievements in artificial intelligence, cloud computing, augmented reality, robotics, edge computing, Internet of Things (IoT), and Big Data. Capabilities to handle more data in a much faster and smarter fashion is paving the road for expanding automation capabilities. The purpose of this chapter is to review the fundamental components that have shaped reservoir-simulation-based optimization in the context of DDDAS. The foundations of each component will be systematically reviewed, followed by a discussion on current and future trends oriented to highlight the outstanding challenges and opportunities of reservoir management problems under the DDDAS paradigm. Moreover, this chapter should be viewed as providing pathways for establishing a synergy between renewable energy and oil and gas industry with the advent of the DDDAS method.



M. Penwarden, S. Zhe, A. Narayan, R.M. Kirby. “A Metalearning Approach for Physics-Informed Neural Networks (PINNs): Application to Parameterized PDEs,” In Journal of Computational Physics, Elsevier, 2023.
DOI: https://doi.org/10.1016/j.jcp.2023.111912

ABSTRACT

Physics-informed neural networks (PINNs) as a means of discretizing partial differential equations (PDEs) are garnering much attention in the Computational Science and Engineering (CS&E) world. At least two challenges exist for PINNs at present: an understanding of accuracy and convergence characteristics with respect to tunable parameters and identification of optimization strategies that make PINNs as efficient as other computational science tools. The cost of PINNs training remains a major challenge of Physics-informed Machine Learning (PiML) – and, in fact, machine learning (ML) in general. This paper is meant to move towards addressing the latter through the study of PINNs on new tasks, for which parameterized PDEs provides a good testbed application as tasks can be easily defined in this context. Following the ML world, we introduce metalearning of PINNs with application to parameterized PDEs. By introducing metalearning and transfer learning concepts, we can greatly accelerate the PINNs optimization process. We present a survey of model-agnostic metalearning, and then discuss our model-aware metalearning applied to PINNs as well as implementation considerations and algorithmic complexity. We then test our approach on various canonical forward parameterized PDEs that have been presented in the emerging PINNs literature.



M. Penwarden, A.D. Jagtap, S. Zhe, G.E. Karniadakis, R.M. Kirby. “A unified scalable framework for causal sweeping strategies for Physics-Informed Neural Networks (PINNs) and their temporal decompositions,” Subtitled “arXiv:2302.14227v1,” 2023.

ABSTRACT

Physics-informed neural networks (PINNs) as a means of solving partial differential equations (PDE) have garnered much attention in the Computational Science and Engineering (CS&E) world. However, a recent topic of interest is exploring various training (i.e., optimization) challenges – in particular, arriving at poor local minima in the optimization landscape results in a PINN approximation giving an inferior, and sometimes trivial, solution when solving forward time-dependent PDEs with no data. This problem is also found in, and in some sense more difficult, with domain decomposition strategies such as temporal decomposition using XPINNs. To address this problem, we first enable a general categorization for previous causality methods, from which we identify a gap (e.g., opportunity) in the previous approaches. We then furnish examples and explanations for different training challenges, their cause, and how they relate to information propagation and temporal decomposition. We propose a solution to fill this gap by reframing these causality concepts into a generalized information propagation framework in which any prior method or combination of methods can be described. This framework is easily modifiable via user parameters in the open-source code accompanying this paper. Our unified framework moves toward reducing the number of PINN methods to consider and the reimplementation and retuning cost for thorough comparisons rather than increasing it. Using the idea of information propagation, we propose a new stacked-decomposition method that bridges the gap between time-marching PINNs and XPINNs. We also introduce significant computational speed-ups by using transfer learning concepts to initialize subnetworks in the domain and loss tolerance-based propagation for the subdomains. Finally, we formulate a new time-sweeping collocation point algorithm inspired by the previous PINNs causality literature, which our framework can still describe, and provides a significant computational speed-up via reduced-cost collocation point segmentation. The proposed methods overcome training challenges in PINNs and XPINNs for time-dependent PDEs by respecting the causality in multiple forms and improving scalability by limiting the computation required per optimization iteration. Finally, we provide numerical results for these methods on baseline PDE problems for which unmodified PINNs and XPINNs struggle to train.



S. Pirola, A. Arzani, C. Chiastra, F. Sturla. “Editorial: Image-based computational approaches for personalized cardiovascular medicine: improving clinical applicability and reliability through medical imaging and experimental data,” In Frontiers in Medical Technology, Vol. 5, 2023.
DOI: 10.3389/fmedt.2023.1222837



M. Shao, T. Tasdizen, S. Joshi. “Analyzing the Domain Shift Immunity of Deep Homography Estimation,” Subtitled “arXiv:2304.09976v1,” 2023.

ABSTRACT

Homography estimation is a basic image-alignment method in many applications. Recently, with the development of convolutional neural networks (CNNs), some learning based approaches have shown great success in this task. However, the performance across different domains has never been researched. Unlike other common tasks (e.g., classification, detection, segmentation), CNN based homography estimation models show a domain shift immunity, which means a model can be trained on one dataset and tested on another without any transfer learning. To explain this unusual performance, we need to determine how CNNs estimate homography. In this study, we first show the domain shift immunity of different deep homography estimation models. We then use a shallow network with a specially designed dataset to analyze the features used for estimation. The results show that networks use low-level texture information to estimate homography. We also design some experiments to compare the performance between different texture densities and image features distorted on some common datasets to demonstrate our findings. Based on these findings, we provide an explanation of the domain shift immunity of deep homography estimation.



N. Shingde, M. Berzins, T. Blattner, W. Keyrouz, A. Bardakoff. “Extending Hedgehog’s dataflow graphs to multi-node GPU architectures,” In Workshop on Asynchronous Many-Task Systems and Applications (WAMTA23), 2023.

ABSTRACT

Asynchronous task-based systems offer the possibility of making it easier to take advantage of scalable heterogeneous architectures.
This paper extends the National Institute of Standards and Technology’s Hedgehog dataflow graph models, which target a single high-end
compute node, to run on a cluster by borrowing aspects of Uintah’s cluster-scale task graphs and applying them to a sample implementation
of matrix multiplication. These results are compared to implementations using the leading libraries, SLATE and DPLASMA, for illustrative purposes only. The motivation behind this work is to demonstrate that using general purpose high-level abstractions, such as Hedgehog’s dataflow graphs, does not negatively impact performance.



K. Shukla, V. Oommen, A. Peyvan, M. Penwarden, L. Bravo, A. Ghoshal, R.M. Kirby, G. Karniadakis. “Deep neural operators can serve as accurate surrogates for shape optimization: A case study for airfoils,” Subtitled “arXiv:2302.00807v1,” 2023.

ABSTRACT

Deep neural operators, such as DeepONets, have changed the paradigm in high-dimensional nonlinear regression from function regression to (differential) operator regression, paving the way for significant changes in computational engineering applications. Here, we investigate the use of DeepONets to infer flow fields around unseen airfoils with the aim of shape optimization, an important design problem in aerodynamics that typically taxes computational resources heavily. We present results which display little to no degradation in prediction accuracy, while reducing the online optimization cost by orders of magnitude. We consider NACA airfoils as a test case for our proposed approach, as their shape can be easily defined by the four-digit parametrization. We successfully optimize the constrained NACA four-digit problem with respect to maximizing the lift-to-drag ratio and validate all results by comparing them to a high-order CFD solver. We find that DeepONets have low generalization error, making them ideal for generating solutions of unseen shapes. Specifically, pressure, density, and velocity fields are accurately inferred at a fraction of a second, hence enabling the use of general objective functions beyond the maximization of the lift-to-drag ratio considered in the current work.



C. Sicari, A. Catalfamo, L. Carnevale, A. Galletta, D. Balouek-Thomert, M. Parashar, M. Villari. “TEMA: Event Driven Serverless Workflows Platform for Natural Disaster Management,” In 2023 IEEE Symposium on Computers and Communications (ISCC), pp. 1-6. 2023.
DOI: 10.1109/ISCC58397.2023.10217920

ABSTRACT

TEMA project is a Horizon Europe funded project that aims at addressing Natural Disaster Management by the use of sophisticated Cloud-Edge Continuum infrastructures by means of data analysis algorithms wrapped in Serverless functions deployed on a distributed infrastructure according to a Federated Learning scheduler that constantly monitors the infrastructure in search of the best way to satisfy required QoS constraints. In this paper, we discuss the advantages of Serverless workflow and how they can be used and monitored to natively trigger complex algorithm pipelines in the continuum, dynamically placing and relocating them taking into account incoming IoT data, QoS constraints, and the current status of the continuum infrastructure. Therefore we presented the Urgent Function Enabler (UFE) platform, a fully distributed architecture able to define, spread, and manage FaaS functions, using local IOT data managed using the Fiware ecosystem and a computing infrastructure composed of mobile and stable nodes.



T. Sun, D. Li, B. Wang. “On the Decentralized Stochastic Gradient Descent with Markov Chain Sampling,” In IEEE Transactions on Signal Processing, IEEE, July, 2023.

ABSTRACT

The decentralized stochastic gradient method emerges as a promising solution for solving large-scale machine learning problems. This paper studies the decentralized Markov chain gradient descent (DMGD), a variant of the decentralized stochastic gradient method, which draws random samples along the trajectory of a Markov chain. DMGD arises when obtaining independent samples is costly or impossible, excluding the use of the traditional stochastic gradient algorithms. Specifically, we consider the DMGD over a connected graph, where each node only communicates with its neighbors by sending and receiving the intermediate results. We establish both ergodic and nonergodic convergence rates of DMGD, which elucidate the critical dependencies on the topology of the graph that connects all nodes and the mixing time of the Markov chain. We further numerically verify the sample efficiency of DMGD.



R. Tohid, S. Shirzad, C. Taylor, S.A. Sakin, K.E. Isaacs, H. Kaiser. “Halide Code Generation Framework in Phylanx,” In Euro-Par 2022: Parallel Processing Workshops, Springer Nature Switzerland, pp. 32--45. 2023.
ISBN: 978-3-031-31209-0
DOI: 10.1007/978-3-031-31209-0_3

ABSTRACT

Separating algorithms from their computation schedule has become a de facto solution to tackle the challenges of developing high performance code on modern heterogeneous architectures. Common approaches include Domain-specific languages (DSLs) which provide familiar APIs to domain experts, code generation frameworks that automate the generation of fast and portable code, and runtime systems that manage threads for concurrency and parallelism. In this paper, we present the Halide code generation framework for Phylanx distributed array processing platform. This extension enables compile-time optimization of Phylanx primitives for target architectures. To accomplish this, (1) we implemented new Phylanx primitives using Halide, and (2) partially exported Halide's thread pool API to carry out parallelism on HPX (Phylanx's runtime) threads. (3) showcased HPX performance analysis tools made available to Halide applications. The evaluation of the work has been done in two steps. First, we compare the performance of Halide applications running on its native runtime with that of the new HPX backend to verify there is no cost associated with using HPX threads. Next, we compare performances of a number of original implementations of Phylanx primitives against the new ones in Halide to verify performance and portability benefits of Halide in the context of Phylanx.



Z. Wang, T. M. Athawale, K. Moreland, J. Chen, C. R. Johnson, D. Pugmire. “FunMC2: A Filter for Uncertainty Visualization of Marching Cubes on Multi-Core Devices,” In Eurographics Symposium on Parallel Graphics and Visualization, 2023.
DOI: 10.2312/pgv.20231081

ABSTRACT

Visualization is an important tool for scientists to extract understanding from complex scientific data. Scientists need to understand the uncertainty inherent in all scientific data in order to interpret the data correctly. Uncertainty visualization has been an active and growing area of research to address this challenge. Algorithms for uncertainty visualization can be expensive, and research efforts have been focused mainly on structured grid types. Further, support for uncertainty visualization in production tools is limited. In this paper, we adapt an algorithm for computing key metrics for visualizing uncertainty in Marching Cubes (MC) to multi-core devices and present the design, implementation, and evaluation for a Filter for uncertainty visualization of Marching Cubes on Multi-Core devices (FunMC2). FunMC2 accelerates the uncertainty visualization of MC significantly, and it is portable across multi-core CPUs and GPUs. Evaluation results show that FunMC2 based on OpenMP runs around 11× to 41× faster on multi-core CPUs than the corresponding serial version using one CPU core. FunMC2 based on a single GPU is around 5× to 9× faster than FunMC2 running by OpenMP. Moreover, FunMC2 is flexible enough to process ensemble data with both structured and unstructured mesh types. Furthermore, we demonstrate that FunMC2 can be seamlessly integrated as a plugin into ParaView, a production visualization tool for post-processing.



K. Williams, A. Bigelow, K.E. Isaacs. “Data Abstraction Elephants: The Initial Diversity of Data Representations and Mental Models,” In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems (CHI ’23), ACM, 2023.

ABSTRACT

Two people looking at the same dataset will create diferent mental models, prioritize diferent attributes, and connect with diferent visualizations. We seek to understand the space of data abstractions associated with mental models and how well people communicate their mental models when sketching. Data abstractions have a profound infuence on the visualization design, yet it’s unclear how universal they may be when not initially infuenced by a representation. We conducted a study about how people create their mental models from a dataset. Rather than presenting tabular data, we presented each participant with one of three datasets in paragraph form, to avoid biasing the data abstraction and mental model. We observed various mental models, data abstractions, and depictions from the same dataset, and how these concepts are infuenced by communication and purpose-seeking. Our results have implications for visualization design, especially during the discovery and data collection phase.



H. Xu, S. Elhabian. “Image2SSM: Reimagining Statistical Shape Models from Images with Radial Basis Functions,” Subtitled “arXiv:2305.11946,” 2023.

ABSTRACT

Statistical shape modeling (SSM) is an essential tool for analyzing variations in anatomical morphology. In a typical SSM pipeline, 3D anatomical images, gone through segmentation and rigid registration, are represented using lower-dimensional shape features, on which statistical analysis can be performed. Various methods for constructing compact shape representations have been proposed, but they involve laborious and costly steps. We propose Image2SSM, a novel deep-learning-based approach for SSM that leverages image-segmentation pairs to learn a radial-basis-function (RBF)-based representation of shapes directly from images. This RBF-based shape representation offers a rich self-supervised signal for the network to estimate a continuous, yet compact representation of the underlying surface that can adapt to complex geometries in a data-driven manner. Image2SSM can characterize populations of biological structures of interest by constructing statistical landmark-based shape models of ensembles of anatomical shapes while requiring minimal parameter tuning and no user assistance. Once trained, Image2SSM can be used to infer low-dimensional shape representations from new unsegmented images, paving the way toward scalable approaches for SSM, especially when dealing with large cohorts. Experiments on synthetic and real datasets show the efficacy of the proposed method compared to the state-of-art correspondence-based method for SSM.



B. Zhang, P.E. Davis, N. Morales, Z. Zhang, K. Teranishi, M. Parashar. “Optimizing Data Movement for GPU-Based In-Situ Workflow Using GPUDirect RDMA,” In Euro-Par 2023: Parallel Processing, Springer Nature Switzerland, pp. 323--338. 2023.
ISBN: 978-3-031-39698-4
DOI: 10.1007/978-3-031-39698-4_22

ABSTRACT

The extreme-scale computing landscape is increasingly dominated by GPU-accelerated systems. At the same time, in-situ workflows that employ memory-to-memory inter-application data exchanges have emerged as an effective approach for leveraging these extreme-scale systems. In the case of GPUs, GPUDirect RDMA enables third-party devices, such as network interface cards, to access GPU memory directly and has been adopted for intra-application communications across GPUs. In this paper, we present an interoperable framework for GPU-based in-situ workflows that optimizes data movement using GPUDirect RDMA. Specifically, we analyze the characteristics of the possible data movement pathways between GPUs from an in-situ workflow perspective, and design a strategy that maximizes throughput. Furthermore, we implement this approach as an extension of the DataSpaces data staging service, and experimentally evaluate its performance and scalability on a current leadership GPU cluster. The performance results show that the proposed design reduces data-movement time by up to 53% and 40% for the sender and receiver, respectively, and maintains excellent scalability for up to 256 GPUs.



N. Zhou, G. Scorzelli, J. Luettgau, R.R. Kancharla, J. Kane, R. Wheeler, B. Croom, B. Newell, V. Pascucci, M. Taufer. “Orchestration of materials science workflows for heterogeneous resources at large scale,” In The International Journal of High Performance Computing Applications, Sage, 2023.

ABSTRACT

In the era of big data, materials science workflows need to handle large-scale data distribution, storage, and computation. Any of these areas can become a performance bottleneck. We present a framework for analyzing internal material structures (e.g., cracks) to mitigate these bottlenecks. We demonstrate the effectiveness of our framework for a workflow performing synchrotron X-ray computed tomography reconstruction and segmentation of a silica-based structure. Our framework provides a cloud-based, cutting-edge solution to challenges such as growing intermediate and output data and heavy resource demands during image reconstruction and segmentation. Specifically, our framework efficiently manages data storage, scaling up compute resources on the cloud. The multi-layer software structure of our framework includes three layers. A top layer uses Jupyter notebooks and serves as the user interface. A middle layer uses Ansible for resource deployment and managing the execution environment. A low layer is dedicated to resource management and provides resource management and job scheduling on heterogeneous nodes (i.e., GPU and CPU). At the core of this layer, Kubernetes supports resource management, and Dask enables large-scale job scheduling for heterogeneous resources. The broader impact of our work is four-fold: through our framework, we hide the complexity of the cloud’s software stack to the user who otherwise is required to have expertise in cloud technologies; we manage job scheduling efficiently and in a scalable manner; we enable resource elasticity and workflow orchestration at a large scale; and we facilitate moving the study of nonporous structures, which has wide applications in engineering and scientific fields, to the cloud. While we demonstrate the capability of our framework for a specific materials science application, it can be adapted for other applications and domains because of its modular, multi-layer architecture.


2022


J. Adams, N. Khan, A. Morris, S. Elhabian. “Spatiotemporal Cardiac Statistical Shape Modeling: A Data-Driven Approach,” Subtitled “arXiv preprint arXiv:2209.02736,” 2022.

ABSTRACT

Clinical investigations of anatomy’s structural changes over time could greatly benefit from population-level quantification of shape, or spatiotemporal statistic shape modeling (SSM). Such a tool enables characterizing patient organ cycles or disease progression in relation to a cohort of interest. Constructing shape models requires establishing a quantitative shape representation (e.g., corresponding landmarks). Particle-based shape modeling (PSM) is a data-driven SSM approach that captures population-level shape variations by optimizing landmark placement. However, it assumes cross-sectional study designs and hence has limited statistical power in representing shape changes over time. Existing methods for modeling spatiotemporal or longitudinal shape changes require predefined shape atlases and pre-built shape models that are typically constructed cross-sectionally. This paper proposes a data-driven approach inspired by the PSM method to learn population-level spatiotemporal shape changes directly from shape data. We introduce a novel SSM optimization scheme that produces landmarks that are in correspondence both across the population (inter-subject) and across time-series (intra-subject). We apply the proposed method to 4D cardiac data from atrial-fibrillation patients and demonstrate its efficacy in representing the dynamic change of the left atrium. Furthermore, we show that our method outperforms an image-based approach for spatiotemporal SSM with respect to a generative time-series model, the Linear Dynamical System (LDS). LDS fit using a spatiotemporal shape model optimized via our approach provides better generalization and specificity, indicating it accurately captures the underlying time-dependency.



M. Alirezaei, T. Tasdizen. “Adversarially Robust Classification by Conditional Generative Model Inversion,” Subtitled “arXiv preprint arXiv:2201.04733,” 2022.

ABSTRACT

Most adversarial attack defense methods rely on obfuscating gradients. These methods are successful in defending against gradient-based attacks; however, they are easily circumvented by attacks which either do not use the gradient or by attacks which approximate and use the corrected gradient. Defenses that do not obfuscate gradients such as adversarial training exist, but these approaches generally make assumptions about the attack such as its magnitude. We propose a classification model that does not obfuscate gradients and is robust by construction without assuming prior knowledge about the attack. Our method casts classification as an optimization problem where we "invert" a conditional generator trained on unperturbed, natural images to find the class that generates the closest sample to the query image. We hypothesize that a potential source of brittleness against adversarial attacks is the high-to-low-dimensional nature of feed-forward classifiers which allows an adversary to find small perturbations in the input space that lead to large changes in the output space. On the other hand, a generative model is typically a low-to-high-dimensional mapping. While the method is related to Defense-GAN, the use of a conditional generative model and inversion in our model instead of the feed-forward classifier is a critical difference. Unlike Defense-GAN, which was shown to generate obfuscated gradients that are easily circumvented, we show that our method does not obfuscate gradients. We demonstrate that our model is extremely robust against black-box attacks and has improved robustness against white-box attacks compared to naturally trained, feed-forward classifiers.



M. Alirezaei, Q.C. Nguyen, R. Whitaker, T. Tasdizen. “Multi-Task Classification for Improved Health Outcome Prediction Based on Environmental Indicators,” In IEEE Access, 2022.
DOI: 10.1109/ACCESS.2023.3295777

ABSTRACT

The influence of the neighborhood environment on health outcomes has been widely recognized in various studies. Google street view (GSV) images offer a unique and valuable tool for evaluating neighborhood environments on a large scale. By annotating the images with labels indicating the presence or absence of certain neighborhood features, we can develop classifiers that can automatically analyze and evaluate the environment. However, labeling GSV images on a large scale is a time-consuming and labor-intensive task. Considering these challenges, we propose using a multi-task classifier to improve training a classifier with limited supervised, GSV data. Our multi-task classifier utilizes readily available, inexpensive online images collected from Flicker as a related classification task. The hypothesis is that a classifier trained on multiple related tasks is less likely to overfit to small amounts of training data and generalizes better to unseen data. We leverage the power of multiple related tasks to improve the classifier’s overall performance and generalization capability. Here we show that, with the proposed learning paradigm, predicted labels for GSV test images are more accurate. Across different environment indicators, the accuracy, F1 score and balanced accuracy increase up to 6 % in the multi-task learning framework compared to its single-task learning counterpart. The enhanced accuracy of the predicted labels obtained through the multi-task classifier contributes to a more reliable and precise regression analysis determining the correlation between predicted built environment indicators and health outcomes. The R2 values calculated for different health outcomes improve by up to 4 % using multi-task learning detected indicators.



E.E. Anstadt, W. Tao, E. Guo, L. Dvoracek, M.K. Bruce, P.J. Grosse, L. Wang, L. Kavan, R. Whitaker, J.A. Goldstein. “Quantifying the Severity of Metopic Craniosynostosis Using Unsupervised Machine Learning,” In Plastic and Reconstructive Surgery, November, 2022.

ABSTRACT

Background: 

Quantifying the severity of head shape deformity and establishing a threshold for operative intervention remains challenging in patients with Metopic Craniosynostosis (MCS). This study combines 3D skull shape analysis with an unsupervised machine-learning algorithm to generate a quantitative shape severity score (CMD) and provide an operative threshold score.

Methods: 

Head computed tomography (CT) scans from subjects with MCS and normal controls (age 5-15 months) were used for objective 3D shape analysis using ShapeWorks software and in a survey for craniofacial surgeons to rate head-shape deformity and report whether they would offer surgical correction based on head shape alone. An unsupervised machine-learning algorithm was developed to quantify the degree of shape abnormality of MCS skulls compared to controls.

Results: 

124 CTs were used to develop the model; 50 (24% MCS, 76% controls) were rated by 36 craniofacial surgeons, with an average of 20.8 ratings per skull. The interrater reliability was high (ICC=0.988). The algorithm performed accurately and correlates closely with the surgeons assigned severity ratings (Spearman’s Correlation coefficient r=0.817). The median CMD for affected skulls was 155.0 (IQR 136.4-194.6, maximum 231.3). Skulls with ratings ≥150.2 were highly likely to be offered surgery by the experts in this study.

Conclusions: 

This study describes a novel metric to quantify the head shape deformity associated with metopic craniosynostosis and contextualizes the results using clinical assessments of head shapes by craniofacial experts. This metric may be useful in supporting clinical decision making around operative intervention as well as in describing outcomes and comparing patient population across centers.