This commit introduces a new script, `setup_impact_konfai.sh`, which facilitates a one-time setup for the IMPACT registration pipeline (impact-reg-konfai). The script builds a self-contained shim that includes: - A glibc 2.35 loader and libraries extracted from the niftyreg:2.1.1-ubuntu Docker image. - A self-contained LibTorch 2.8.0 (cu128) library. - A wrapper script that runs the stock elastix-impact binary through the glibc 2.35 loader with the appropriate library paths. The setup ensures compatibility with hosts that do not meet the required glibc and LibTorch versions, allowing the pipeline to function correctly. The script also verifies the installation and provides usage instructions.
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15 KiB
Markdown
305 lines
No EOL
15 KiB
Markdown
# Longitudinal T1c Brain-Tumor Segmentation
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Longitudinal (repeated-measures) analysis of brain T1 post-contrast (T1c) MRI with
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tumor segmentation, plus an **iterative pseudo-labeling** study that leverages a
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large unlabeled pool from the same subjects/series to improve a held-out,
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patient-level test Dice.
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All volumes are preprocessed to a uniform 1 mm isotropic, head-cropped,
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percentile-normalized form (Pipelines A and C) so that tumor counts are directly
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comparable in mm³ across sources and timepoints. Pipeline B instead feeds the
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native volumes straight into nnU-Net, which performs its own preprocessing
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(see below).
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## Environment
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Conda env `longitudinal-313` (Python 3.13, torch 2.14 +cu126). Activate before
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any command:
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```bash
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source /opt/conda/etc/profile.d/conda.sh && conda activate longitudinal-313
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```
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GPU (CUDA 12.6) is available; multi-GPU jobs use `torchrun` (in-house) or
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nnU-Net's own DDP (`-num_gpus`). MONAI is pip-installed in the env (Pipeline C).
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Run scripts from the repo root.
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## Data sources
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| Source | What | Notes |
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| `ntuh` | Labeled T1c + tumor segmentation | Native MR, deduped per acquisition |
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| `m6` | Labeled (GTV warped from CT) + large unlabeled pool | GTV registered CT→T1c |
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| `lee` | Longitudinal T1c scanned as JPG + DICOM txt | Volumes reconstructed from slices |
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## Directory layout
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```
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data/
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manifests/ jsonl row tables (see Pipeline A)
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proc/ <key>.nii.gz (1mm, cropped, normalized)
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proc/<key>_label.nii.gz
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procmeta/<key>.json geometry (origin/direction/crop_vox) + normalization
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vols.json labeled tumor volume stats (mm3 percentiles)
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pseudo/roundK/ in-house pseudo-labels (rows.jsonl, masks, summary.json)
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pseudo_nnu/roundK/ nnU-Net pseudo-labels (rows.jsonl, masks, summary.json)
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pseudo_monai/roundK/ MONAI pseudo-labels (rows.jsonl, masks, summary.json)
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src/ U-Net, dataset, losses, training/eval helpers
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scripts/ Pipeline A (in-house 3D U-Net)
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scripts_nnu/ Pipeline B (nnU-Net)
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scripts_monai/ Pipeline C (MONAI)
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runs/roundK/ in-house checkpoints (best.pt, final.pt, state.pt)
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runs_nnu/roundK/ nnU-Net checkpoint snapshots (best_nnu.pth)
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runs_monai/roundK/ MONAI checkpoints (best.pt, final.pt, state.pt)
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nnu/ nnU-Net raw / preprocessed / results trees
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results/ evaluation JSON tables + plots
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logs/ run logs
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```
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---
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## Pipeline A — In-house 3D U-Net (`scripts/`)
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3-class-capable but used as binary (background / tumor) `Unet3D`, 96³ patches,
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DDP, per-sample weighted loss.
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| # | Script | Purpose |
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| 01 | `01_build_ntuh_manifest.py` | Build NTUH2022G4 labeled T1c + seg manifest |
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| 02 | `02_build_m6_dataset.py` | Build M6-2025 manifests (GTV CT→T1c registration/warp) |
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| 03 | `03_scan_lee_t1c.py` | Scan lee for brain T1c series → raw + selected manifests |
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| 04 | `04_reconstruct_lee.py` | Reconstruct lee T1c niftis from JPG slices + txt metadata |
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| 05 | `05_build_splits.py` | Patient-level train/val/test splits + unlabeled pool + volume stats |
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| 06 | `06_pseudo_label.py` | Pseudo-label the pool with a round model (sliding-window + TTA) |
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| 07 | `07_train.py` | DDP training entrypoint (labeled + weighted pseudo rows) |
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| 08 | `08_eval.py` | Held-out test evaluation (Dice from probability map) |
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| 09 | `09_run_iterative.py` | Orchestrates rounds 0…K and produces the summary table/plot |
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| — | `preprocess.py` | Crop/normalize source volumes → `data/proc/` |
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| — | `scan_procs.py` | Flag corrupt/non-finite processed volumes |
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| — | `test_dataloader.py` | Smoke-test the training dataloader |
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Pseudo-label gates (per volume): **pos** when `p_tumor ≥ tau_pos`, largest-CC
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fraction ≥ `min_cc_frac`, and volume within the labeled p2–p98 range; **neg** when
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≥ `neg_frac` of interior voxels have `p_bg ≥ tau_neg`; then a per-subject
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longitudinal consistency filter.
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Run the full study:
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```bash
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python scripts/09_run_iterative.py --rounds 4 --gpus 3
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```
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Individual stages are standalone, e.g.:
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```bash
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torchrun --standalone --nproc_per_node 3 scripts/07_train.py \
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--rows data/manifests/split_train.jsonl --val data/manifests/split_val.jsonl \
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--epochs 40 --lr 3e-4 --batch 3 --ckpt-dir runs/round0
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python scripts/08_eval.py --rows data/manifests/split_test.jsonl --ckpt runs/round0/best.pt
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```
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### Known issue in Pipeline A (longitudinal consistency)
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`06_pseudo_label.py`'s `grid_info()`/`dice_a_on_b()` resample timepoints into a
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shared physical space using `procmeta` origin/direction/crop_vox. This is
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**not reliable across separate acquisitions**:
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- Each scan has its own scanner/patient coordinate frame (table offset + head
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pose), so two visits of the same subject do not overlap in absolute space.
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Benchmarking against labeled multi-timepoint patients gives median cross-visit
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true-label Dice ≈ 0, meaning the consistency gate tends to over-reject.
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- `crop_vox` is stored as `[z, y, x]` array-axis starts, while `direction` is
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ordered `(x_dir, y_dir, z_dir)`; the pairings in `grid_info` mix these up.
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This is noted for the record; Pipeline B below replaces the gate with a
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frame-invariant one. Pipeline A was left unchanged.
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---
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## Pipeline B — nnU-Net iterative pseudo-labeling (`scripts_nnu/`)
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The same study driven by **nnU-Net v2** (installed build `nnunetv2` 2.8.1) as the
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segmentation backbone, keeping the identical patient-level splits, unlabeled
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pool, and evaluation protocol so results are directly comparable to Pipeline A.
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> This installed nnU-Net is a modern fork: preprocessed data is `.b2nd`
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> (blosc2), checkpoints store `network_weights` (not `model`), and
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> `--save_probabilities` writes a per-case `<case>.npz` (channel-first
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> `(C, z, y, x)`, resampled back to the original **native** input grid —
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> so are the exported argmax segs). The code below targets that build, not the
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> upstream nnU-Net docs.
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Dataset: `Dataset210_NTUH_T1C_PL`, single channel `t1c`, 2 classes
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(background=0, tumor=1), `3d_fullres` only, `nnUNetPlans`, fold 0.
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| # | Script | Purpose |
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| 01 | `01_nnu_prepare_dataset.py` | Build/rebuild the raw dataset (symlinked **native** `imagesTr`, `labelsTr` 0/1 + `dataset.json`) from a rows jsonl |
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| 02 | `02_nnu_plan_preprocess.py` | Plan + preprocess (`--clean`), then write subject-level `splits_final.json` |
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| 03 | `03_nnu_train.py` | Train one round via `NTUHLPLTrainer` (DDP `-num_gpus`), optional warm start |
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| 04 | `04_nnu_pseudo_label.py` | Multi-GPU `nnUNetv2_predict` on native pool volumes + selection gates (physical mm) |
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| 05 | `05_nnu_eval_test.py` | Held-out test evaluation on native volumes (probability Dice@0.5 + hard-seg Dice) |
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| 06 | `06_nnu_run_iterative.py` | Orchestrates rounds 0…K, table + plot |
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| — | `trainers/ntuh_pl_trainer.py` | `NTUHLPLTrainer`: env-driven epochs/LR + full-weight warm start |
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| — | `nnu_common.py` | Shared paths, env, dataset/split helpers, native-grid selection + consistency |
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### Preprocessing (native inputs)
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Pipeline B does **no** resampling, cropping, or intensity normalization before
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nnU-Net. The raw dataset (`01`) symlinks the native T1c NIfTIs from the source
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manifests (`img` field) into `imagesTr`; `labelsTr` entries are symlinks when
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the label is already 0/1 on the image grid, otherwise nearest-warped +
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binarized copies (label fix-up only). All geometric/intensity preprocessing is
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then nnU-Net's own `plan_and_preprocess`: nonzero-bbox crop, resample to the
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plan's median-based target spacing, per-channel normalization, `.b2nd` storage.
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The split/pool row jsonls therefore carry both the processed
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(`pimg`/`plabel`, Pipelines A/C) and native (`img`/`label`, Pipeline B) paths —
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rebuild them with `scripts/05_build_splits.py`.
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Downstream of the model (selection gates, consistency filter, evaluation) work
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in each case's **native grid** with physical units: `nnUNetv2_predict` itself
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already returns the probability map (and the argmax seg) resampled back to the
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native input grid, so no extra remapping is needed; tumor volumes are voxel
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counts × native voxel volume (mm³); centroid offsets are scaled to mm by the
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native spacing.
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### Round semantics
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- **Round 0:** train on the labeled patient-level train split (nnU-Net internal
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validation = the held-out val split, patient-disjoint via `splits_final.json`).
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Pseudo-label the remaining pool → `data/pseudo_nnu/round1`.
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- **Round k (k ≥ 1):** dataset grows with all accepted pseudo-labels from rounds
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1…k (positives + zero-mask negatives, de-duplicated by key); re-plan/preprocess;
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**warm-start** training from round k−1's best checkpoint at a lower LR; predict
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the *remaining* pool; evaluate on test.
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Because this build has no incremental preprocessing, each round re-plans and
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re-preprocesses the whole (growing) dataset; the pool shrinks each round since
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accepted cases are excluded from re-prediction.
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### Custom trainer
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`NTUHLPLTrainer` (resolved through the `nnUNet_extTrainer` env var) adds:
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- `NNU_PL_EPOCHS` / `NNU_PL_LR` — epoch count and initial PolyLR (set per round).
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- **Full-weight warm start** (`NNU_PL_WARMSTART`): loads *all* weights including
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the segmentation head in `on_train_start`. The CLI `-pretrained_weights` flag
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deliberately skips `.seg_layers.` keys, which would silently re-initialize the
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head and break round-to-round fine-tuning — hence this hook.
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### Longitudinal consistency (frame-invariant)
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Instead of resampling into absolute patient space (unreliable, see Pipeline A
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note), two timepoints are compatible if they agree with at least one accepted
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neighbor on both:
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- tumor centroid offset **relative to the head centroid** ≤ `--max-rel-dist` (default 40 mm), and
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- tumor **volume ratio** ≤ `--vol-ratio` (default 10×)
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same greedy-removal scheme as Pipeline A, but robust to scanner/pose differences
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across visits.
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### Running
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Full study from the repo root:
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```bash
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python scripts_nnu/06_nnu_run_iterative.py --rounds 4 --gpus 3
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```
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Defaults: baseline 250 epochs @ 1e-2; warm-started rounds 75 epochs @ 1e-3.
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Pseudo-label gates match Pipeline A (`--tau-pos 0.95`, `--min-cc-frac 0.2`,
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`--neg-frac 0.9`, volume p2–p98). Optional flags: `--no-tta`,
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`--no-neg-pseudo`, and the gate overrides. Outputs to `results/round{k}_test_nnu.json`,
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`results/iterative_table_nnu.jsonl`, `results/iterative_dice_nnu.png`; per-round
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checkpoints snapshotted to `runs_nnu/round{k}/best_nnu.pth`.
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Individual stages:
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```bash
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python scripts_nnu/01_nnu_prepare_dataset.py --rows <rows.jsonl>
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python scripts_nnu/02_nnu_plan_preprocess.py --val data/manifests/split_val.jsonl
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python scripts_nnu/03_nnu_train.py --gpus 3 --epochs 250 --lr 1e-2
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python scripts_nnu/04_nnu_pseudo_label.py --pool data/manifests/unlabeled_pool.jsonl \
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--out data/pseudo_nnu/round1 --gpus 3
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python scripts_nnu/05_nnu_eval_test.py --rows data/manifests/split_test.jsonl \
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--out results/round0_test_nnu.json --gpus 3
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```
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### Verified
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End-to-end smoke-tested on a scratch 4-case native dataset (mixed anisotropic
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spacing, multi-class + off-grid labels): dataset build (native symlinks +
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label fixup) → planning → `splits_final.json` → training 1 epoch → growing
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re-plan/re-preprocess → sharded native prediction → selection gates in mm →
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test eval. The consistency filter's keep / reject / single-timepoint paths are
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unit-tested with synthetic volumes.
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---
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## Pipeline C — MONAI iterative pseudo-labeling (`scripts_monai/`)
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The same study driven by **MONAI** (1.6.x, pip) as the segmentation backbone,
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keeping the identical patient-level splits, unlabeled pool, pseudo-label gates,
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frame-invariant consistency filter, and evaluation protocol so results are
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directly comparable to Pipelines A and B.
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- **Network:** `monai.networks.nets.UNet` (1 in / 2 out, channels 16→128,
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~1.2 M params) — the MONAI analogue of Pipeline A's `Unet3D(base=16, depth=4)`.
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- **Data:** MONAI `Dataset` + transform chain (load → min-pad → per-axis flips /
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rot90 / brightness / noise → `RandCropByPosNegLabeld` 96³). Patch sampling is
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foreground-aware (pos=neg=1) rather than Pipeline A's uniform random crop.
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- **Loss:** per-sample weighted Dice+CE on MONAI `DiceLoss` (background+foreground
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averaged, dice weight 0.5) — the same convention as Pipeline A, so pseudo rows
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are down-weighted sample-by-sample (`--pseudo-weight 0.3`).
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- **Schedule:** AdamW + linear warmup + cosine annealing (Pipeline A's schedule).
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- **Inference:** MONAI `sliding_window_inference` (gaussian blend, 50% overlap,
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96³ windows) + the same 4-view flip TTA as Pipeline A; multi-GPU = torchrun
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rank shards (like Pipeline A), DDP for training.
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- **Shared with the other pipelines:** round semantics, checkpoint layout
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(`runs_monai/roundK/{best,final,state}.pt`), pseudo outputs
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(`data/pseudo_monai/roundK/`), and the gate/consistency code itself is imported
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from `scripts_nnu/nnu_common.py` so it cannot drift.
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| # | Script | Purpose |
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| 01 | `01_monai_build_rows.py` | Assemble a round's training manifest (labeled + accepted pseudo rows, weighted, de-duped by key) |
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| 02 | `02_monai_train.py` | DDP training of the MONAI UNet for one round (torchrun), full-weight warm start, auto-resume |
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| 03 | `03_monai_pseudo_label.py` | Sliding-window + TTA prediction of the remaining pool, selection gates + consistency filter |
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| 04 | `04_monai_eval_test.py` | Held-out test evaluation (Dice from probability map @0.5) |
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| 05 | `05_monai_run_iterative.py` | Orchestrates rounds 0…K, table + plot |
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| — | `monai_common.py` | Network / weighted loss / transform chain / inference + distributed helpers |
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### Running
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Full study from the repo root:
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```bash
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python scripts_monai/05_monai_run_iterative.py --rounds 4 --gpus 3
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```
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Defaults: baseline 100 epochs @ 3e-4; warm-started rounds 30 epochs @ 1e-3.
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Pseudo-label gates match Pipelines A/B (`--tau-pos 0.95`, `--min-cc-frac 0.2`,
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`--neg-frac 0.9`, volume p2–p98). Optional flags: `--no-tta`,
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`--no-neg-pseudo`, and the gate overrides. Outputs to
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`results/round{k}_test_monai.json`, `results/iterative_table_monai.jsonl`,
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`results/iterative_dice_monai.png`; per-round checkpoints in
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`runs_monai/round{k}/best.pt`.
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Individual stages:
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```bash
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python scripts_monai/01_monai_build_rows.py --train data/manifests/split_train.jsonl \
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--accepted data/pseudo_monai/round1/accepted.jsonl \
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--out data/pseudo_monai/round1_rows.jsonl
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torchrun --standalone --nproc_per_node 3 scripts_monai/02_monai_train.py \
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--rows data/pseudo_monai/round1_rows.jsonl --val data/manifests/split_val.jsonl \
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--epochs 30 --lr 1e-3 --batch 3 --ckpt-dir runs_monai/round1 \
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--pretrained runs_monai/round0/best.pt
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torchrun --standalone --nproc_per_node 3 scripts_monai/03_monai_pseudo_label.py \
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--ckpt runs_monai/round1/best.pt --pool data/manifests/unlabeled_pool.jsonl \
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--out data/pseudo_monai/round2 --already data/pseudo_monai/added_keys.jsonl
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torchrun --standalone --nproc_per_node 3 scripts_monai/04_monai_eval_test.py \
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--rows data/manifests/split_test.jsonl --ckpt runs_monai/round1/best.pt \
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--out results/round1_test_monai.json
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``` |