Portrait of Julien Cohen-Adad

Julien Cohen-Adad

Associate Academic Member
Associate Professor, Polytechnique Montréal, Electrical Engineering Department
Adjunct Professor, Université de Montréal, Department of Neuroscience
Research Topics
Medical Machine Learning

Biography

Julien Cohen-Adad is a professor at Polytechnique Montréal and the associate director of the Neuroimaging Functional Unit at Université de Montréal. He is also the Canada Research Chair in Quantitative Magnetic Resonance Imaging.

His research focuses on advancing neuroimaging methods with the help of AI. Some examples of projects are:

- Multi-modal training for medical imaging tasks (segmentation of pathologies, diagnosis, etc.)

- Adding prior from MRI physics to improve model generalization

- Incorporating uncertainty measures to deal with inter-rater variability

- Continuous learning strategies when data sharing is restricted

- Bringing AI methods into clinical radiology routine via user-friendly software solutions

Cohen-Adad also leads multiple open-source software projects that are benefiting the research and clinical community (see neuro.polymtl.ca/software.html). In short, he loves MRI with strong magnets, neuroimaging, programming and open science!

Current Students

Research Intern - Polytechnique Montréal
PhD - Polytechnique Montréal
Co-supervisor :
PhD - Polytechnique Montréal
Master's Research - Polytechnique Montréal
PhD - Polytechnique Montréal
Co-supervisor :
Master's Research - Polytechnique Montréal
Master's Research - Polytechnique Montréal
Research Intern - Polytechnique Montréal
PhD - Polytechnique Montréal
PhD - Polytechnique Montréal
Master's Research - Polytechnique Montréal

Publications

Open-access quantitative MRI data of the spinal cord and reproducibility across participants, sites and manufacturers
Eva Alonso-Ortiz
Mihael Abramovic
Carina Arneitz
Nicole Atcheson
Laura Barlow
Robert L. Barry
Markus Barth
Marco Battiston
Christian Büchel
Matthew Budde
Virginie Callot
Anna J. E. Combes
Benjamin De Leener
Maxime Descoteaux
Paulo Loureiro de Sousa
Marek Dostál
Julien Doyon
Adam Dvorak
Falk Eippert … (see 71 more)
Karla R. Epperson
Kevin S. Epperson
Patrick Freund
Jürgen Finsterbusch
Alexandru Foias
Michela Fratini
Issei Fukunaga
Claudia A. M. Gandini Wheeler-Kingshott
Giancarlo Germani
Guillaume Gilbert
Federico Giove
Charley Gros
Francesco Grussu
Akifumi Hagiwara
Pierre-Gilles Henry
Tomáš Horák
Masaaki Hori
James Joers
Kouhei Kamiya
Haleh Karbasforoushan
Miloš Keřkovský
Ali Khatibi
Joo-Won Kim
Nawal Kinany
Hagen H. Kitzler
Shannon Kolind
Yazhuo Kong
Petr Kudlička
Paul Kuntke
Nyoman D. Kurniawan
Slawomir Kusmia
René Labounek
Maria Marcella Laganà
Cornelia Laule
Christine S. Law
Christophe Lenglet
Tobias Leutritz
Yaou Liu
Sara Llufriu
Sean Mackey
Eloy Martinez-Heras
Loan Mattera
Igor Nestrasil
Kristin P. O'Grady
Nico Papinutto
Daniel Papp
Deborah Pareto
Todd B. Parrish
Anna Pichiecchio
Ferran Prados
Àlex Rovira
Marc J. Ruitenberg
Rebecca S. Samson
Giovanni Savini
Maryam Seif
Alan C. Seifert
Alex K. Smith
Seth A. Smith
Zachary A. Smith
Elisabeth Solana
Y. Suzuki
George Tackley
Alexandra Tinnermann
Dimitri Van De Ville
Marios C. Yiannakas
Kenneth A. Weber II
Nikolaus Weiskopf
Richard G. Wise
Patrik O. Wyss
Junqian Xu
In a companion paper by Cohen-Adad et al. we introduce the spine generic quantitative MRI protocol that provides valuable metrics for assess… (see more)ing spinal cord macrostructural and microstructural integrity. This protocol was used to acquire a single subject dataset across 19 centers and a multi-subject dataset across 42 centers (for a total of 260 participants), spanning the three main MRI manufacturers: GE, Philips and Siemens. Both datasets are publicly available via git-annex. Data were analysed using the Spinal Cord Toolbox to produce normative values as well as inter/intra-site and inter/intra-manufacturer statistics. Reproducibility for the spine generic protocol was high across sites and manufacturers, with an average inter-site coefficient of variation of less than 5% for all the metrics. Full documentation and results can be found at https://spine-generic.rtfd.io/. The datasets and analysis pipeline will help pave the way towards accessible and reproducible quantitative MRI in the spinal cord.
Evaluation of distortion correction methods in diffusion MRI of the spinal cord
Haykel Snoussi
Emmanuel Caruyer
Olivier Commowick
Benoit Combes
Elise Bannier
Anne Kerbrat
Christian Barillot
Atlas-Based Quantification of DTI Measures in a Typically Developing Pediatric Spinal Cord
Shiva Shahrampour
Benjamin De Leener
Mahdi Alizadeh
D. Middleton
Laura Krisa
Adam E. Flanders
S. Faro
F. Mohamed
Automatic multiclass intramedullary spinal cord tumor segmentation on MRI with deep learning
Charley Gros
Zhizheng Zhuo
Jie Zhang
Yunyun Duan
Yaou Liu
Diffusion magnetic resonance imaging reveals tract‐specific microstructural correlates of electrophysiological impairments in non‐myelopathic and myelopathic spinal cord compression
René Labounek
Tomáš Horák
Magda Horáková
Petr Bednařík
Miloš Keřkovský
Jan Kočica
Tomáš Rohan
Christophe Lenglet
Julien Cohen‐Adad
Petr Hluštı́k
Eva Vlčková
Zdeněk Kadaňka
Josef Bednařík
Alena Svátková
Non‐myelopathic degenerative cervical spinal cord compression (NMDC) frequently occurs throughout aging and may progress to potentially ir… (see more)reversible degenerative cervical myelopathy (DCM). Whereas standard clinical magnetic resonance imaging (MRI) and electrophysiological measures assess compression severity and neurological dysfunction, respectively, underlying microstructural deficits still have to be established in NMDC and DCM patients. The study aims to establish tract‐specific diffusion MRI markers of electrophysiological deficits to predict the progression of asymptomatic NMDC to symptomatic DCM.
Quantitative magnetic resonance imaging of spinal cord microstructure in adults with cerebral palsy
The search for appropriate treatments of cerebral palsy (CP) would be facilitated if researchers could non-invasively monitor anatomical cha… (see more)nges in the spinal cord. The study by Trevarrow et al. aims to validate the relevance of magnetization transfer ratio and diffusion tensor imaging, both magnetic resonance imaging (MRI) techniques, to quantify microstructural abnormalities in the spinal cord of adult patients with CP. The authors used a semi-automated atlas-based analysis pipeline based on Spinal Cord Toolbox software to compute cord and gray matter atrophy and to quantify MRI metrics in specific spinal tracts. In line with their hypothesis, Trevarrow et al. observed differences in cord and gray matter size between participants with CP and typically developing peers. Interestingly, they also demonstrated an association between these morphometric biomarkers and clinical scores of hand dexterity. Magnetization transfer ratio was also reduced in the corticospinal tract of patients with CP. The study by Trevarrow et al. is a remarkable tour de force in that it is extremely difficult to image patients with CP as they are prone to motion (spasticity). In particular, gradient-echo sequences, used for magnetization transfer imaging, are particularly sensitive to motion, as can be seen on Figure 1b of the article. Echo planar imaging sequences, used for diffusion imaging, are sensitive to magnetic field inhomogeneities, which are prevalent in the spine region. The authors used an MRI acquisition protocol similar to a recently proposed standardized quantitative spinal cord MRI protocol (https://spine-generic.rtfd.io/), which likely helped them to obtain satisfactory images despite the many aforementioned challenges. From an image analysis standpoint, one limitation associated with atlas-based analysis (acknowledged by the authors) is that the registration to the template only relies on the spinal cord contour, not its internal structure. In other words, the white matter atlas is adjusted to the participant’s spinal cord contour, and the internal structure of the cord is quasi-linearly scaled (based on a B-spline regularized deformation). This quasi-linearity assumption might not hold true if, for example, the gray/white matter ratio differs between the participant and the template, and/ or the spatial location of the white matter tracts differs between the participant and the atlas, and/or specific tracts (e.g. corticospinal) degenerate. All these effects would cause a mismatch between the warped atlas’ and the participant’s white matter tracts. Unfortunately, there is no solution to this problem (yet). There are ways, however, to mitigate it. For example, using imaging sequences that are sensitive to some internal structures of the spinal cord, such as gray matter, or even some white matter tracts. These internal structures could then be accounted for during registration. However, these advanced contrast techniques are themselves noisy and sensitive to participant motion. In conclusion, the study by Trevarrow et al. is a remarkable technical achievement and a concrete first step towards the inclusion of microstructure MRI to the assessment of spinal cord integrity in patients with CP. Limitations, mostly related to data acquisition, could be tackled with the development of better solutions for gradient echo sequences in participants that are prone to motion. Navigator and/or advanced shimming approaches will hopefully mitigate these issues, making spinal cord quantitative MRI more amenable to clinical routine.
Impact of individual rater style on deep learning uncertainty in medical imaging segmentation
While multiple studies have explored the relation between inter-rater variability and deep learning model uncertainty in medical segmentatio… (see more)n tasks, little is known about the impact of individual rater style. This study quantifies rater style in the form of bias and consistency and explores their impacts when used to train deep learning models. Two multi-rater public datasets were used, consisting of brain multiple sclerosis lesion and spinal cord grey matter segmentation. On both datasets, results show a correlation (
Associations Between Relative Morning Blood Pressure, Cerebral Blood Flow, and Memory in Older Adults Treated and Controlled for Hypertension
Adrián Noriega de la Colina
Atef Badji
Marie-Christine Robitaille-Grou
Christine Gagnon
Tommy Boshkovski
Maxime Lamarre-Cliche
Sven Joubert
Claudine J. Gauthier
Louis Bherer
Hélène Girouard
Supplemental Digital Content is available in the text. Hypertension, elevated morning blood pressure (BP) surges, and circadian BP variabili… (see more)ty constitute risk factors for cerebrovascular events. Nevertheless, while evidence indicates that hypertension is associated with cognitive dysfunctions, the link between BP variability and cognitive performance during aging is not clear. The purpose of this study is to determine the interaction between relative morning BP, cerebral blood flow (CBF) levels, and cognitive performance in hypertensive older adults with controlled BP under antihypertensive treatment. Eighty-four participants aged between 60 and 75 years old were separated into normotensive (n=51) and hypertensive (n=33) groups and underwent 24-hour ambulatory BP monitoring. They were also examined for CBF in the gray matter (CBF-GM) by magnetic resonance imaging and 5 cognitive domains: global cognition, working memory, episodic memory, processing speed, and executive functions. There was no difference in cognitive performance and CBF between normotensive and controlled hypertensive participants. Through a sensitivity analysis, we identified that, among relative morning BP variables, the best fit for CBF values in this cohort was the morning-evening difference in BP. The relative morning BP was negatively associated with CBF-GM in these hypertensive older adults only. In turn, CBF-GM levels were negatively associated with working and episodic memory scores in hypertensive older adults. This is the first extended study demonstrating an association between high relative morning BP and lower levels of CBF-GM, including the further impact of CBF-GM levels on the cognitive performance of specific domains in a community-based cohort of older adults with hypertension.
Tracking white and grey matter degeneration along the spinal cord axis in degenerative cervical myelopathy
Kevin Vallotton
Gergely David
Markus Hupp
Nikolai Pfender
Michael Fehlings
Rebecca S. Samson
Claudia A. M. Gandini Wheeler-Kingshott
Armin Curt
Patrick Freund
Maryam Seif
Tissue-specific neurodegeneration revealed by quantitative MRI, already apparent across the spinal cord in mild-moderate DCM prior to the on… (see more)set of severe clinical impairments. WM microstructural changes are particularly sensitive to remote pathologically and clinically eloquent changes in DCM.
2D Multi-Class Model for Gray and White Matter Segmentation of the Cervical Spinal Cord at 7T
Nilser J. Laines Medina
Charley Gros
Virginie Callot
Arnaud Le Troter
The spinal cord (SC), which conveys information between the brain and the peripheral nervous system, plays a key role in various neurologica… (see more)l disorders such as multiple sclerosis (MS) and amyotrophic lateral sclerosis (ALS), in which both gray matter (GM) and white matter (WM) may be impaired. While automated methods for WM/GM segmentation are now largely available, these techniques, developed for conventional systems (3T or lower) do not necessarily perform well on 7T MRI data, which feature finer details, contrasts, but also different artifacts or signal dropout. The primary goal of this study is thus to propose a new deep learning model that allows robust SC/GM multi-class segmentation based on ultra-high resolution 7T T2*-w MR images. The second objective is to highlight the relevance of implementing a specific data augmentation (DA) strategy, in particular to generate a generic model that could be used for multi-center studies at 7T.