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import torch
import torch.nn as nn
import numpy as np
import cv2
from PIL import Image
import logging
from typing import List, Dict, Any, Optional, Tuple, Union
from pytorch_grad_cam import GradCAMPlusPlus
from pytorch_grad_cam.utils.image import show_cam_on_image
from dataclasses import dataclass
logger = logging.getLogger(__name__)
# =========================================================================
# CONFIGURATION & EXPERT KNOWLEDGE
# =========================================================================
@dataclass
class ExpertSegConfig:
modality: str
target_organ: str
anatomical_prompts: List[str] # For Segmentation Mask
threshold_percentile: int # Top X% activation
min_area_ratio: float
max_area_ratio: float
morphology_kernel: int
# Expert Knowledge Base
EXPERT_KNOWLEDGE = {
"Thoracic": ExpertSegConfig(
modality="CXR/CT",
target_organ="Lung Parenchyma",
anatomical_prompts=[
"lung parenchyma",
"bilateral lungs",
"pulmonary fields",
"chest x-ray lungs excluding heart"
],
threshold_percentile=75, # Top 25%
min_area_ratio=0.15,
max_area_ratio=0.60,
morphology_kernel=7
),
"Orthopedics": ExpertSegConfig(
modality="X-Ray",
target_organ="Bone Structure",
anatomical_prompts=[
"bone structure",
"knee joint",
"cortical bone",
"skeletal anatomy"
],
threshold_percentile=85, # Top 15%
min_area_ratio=0.05,
max_area_ratio=0.50,
morphology_kernel=5
),
"Default": ExpertSegConfig(
modality="General",
target_organ="Body Part",
anatomical_prompts=["medical image body part"],
threshold_percentile=80,
min_area_ratio=0.05,
max_area_ratio=0.90,
morphology_kernel=5
)
}
# =========================================================================
# WRAPPERS AND UTILS
# =========================================================================
class HuggingFaceWeirdCLIPWrapper(nn.Module):
"""
Wraps SigLIP to act like a standard classifier for Grad-CAM.
Target: Cosine Similarity Score.
"""
def __init__(self, model, text_input_ids, attention_mask):
super(HuggingFaceWeirdCLIPWrapper, self).__init__()
self.model = model
self.text_input_ids = text_input_ids
self.attention_mask = attention_mask
def forward(self, pixel_values):
outputs = self.model(
pixel_values=pixel_values,
input_ids=self.text_input_ids,
attention_mask=self.attention_mask
)
# outputs.logits_per_image is (Batch, Num_Prompts)
# This IS the similarity score (scaled).
# Grad-CAM++ will derive gradients relative to this score.
return outputs.logits_per_image
def reshape_transform(tensor, width=32, height=32):
"""Reshape Transformer attention/embeddings for Grad-CAM."""
# Squeeze CLS if present logic (usually SigLIP doesn't have it in last layers same way)
# Tensor: (Batch, Num_Tokens, Dim)
num_tokens = tensor.size(1)
side = int(np.sqrt(num_tokens))
result = tensor.reshape(tensor.size(0), side, side, tensor.size(2))
# Bring channels first: (B, C, H, W)
result = result.transpose(2, 3).transpose(1, 2)
return result
# =========================================================================
# EXPERT+ EXPLAINABILITY ENGINE
# =========================================================================
class ExplainabilityEngine:
def __init__(self, model_wrapper):
self.wrapper = model_wrapper
self.model = model_wrapper.model
self.processor = model_wrapper.processor
self.device = self.model.device
def _get_expert_config(self, anatomical_context: str) -> ExpertSegConfig:
if "lung" in anatomical_context.lower():
return EXPERT_KNOWLEDGE["Thoracic"]
elif "bone" in anatomical_context.lower() or "knee" in anatomical_context.lower():
return EXPERT_KNOWLEDGE["Orthopedics"]
else:
base = EXPERT_KNOWLEDGE["Default"]
base.anatomical_prompts = [anatomical_context]
return base
def generate_expert_mask(self, image: Image.Image, config: ExpertSegConfig) -> Dict[str, Any]:
"""
Expert Segmentation:
Multi-Prompt Ensembling -> Patch Similarity -> Adaptive Threshold -> Morphology -> Validation.
"""
audit = {
"seg_prompts": config.anatomical_prompts,
"seg_status": "INIT"
}
try:
w, h = image.size
inputs = self.processor(text=config.anatomical_prompts, images=image, padding="max_length", return_tensors="pt")
inputs = {k: v.to(self.device) for k, v in inputs.items()}
with torch.no_grad():
# Vision Features (1, Token, Dim)
vision_outputs = self.model.vision_model(
pixel_values=inputs["pixel_values"],
output_hidden_states=True
)
last_hidden_state = vision_outputs.last_hidden_state
# Text Features (Prompts, Dim)
# Text Features (Prompts, Dim)
# FIX: Robustly handle attention_mask (some processors don't return it for text-only inputs if irrelevant)
text_inputs_ids = inputs["input_ids"]
text_attention_mask = inputs.get("attention_mask")
if text_attention_mask is None:
text_attention_mask = torch.ones_like(text_inputs_ids)
text_outputs = self.model.text_model(
input_ids=text_inputs_ids,
attention_mask=text_attention_mask
)
text_embeds = text_outputs.pooler_output
text_embeds = text_embeds / text_embeds.norm(p=2, dim=-1, keepdim=True)
# Similarity: (1, T, D) @ (D, P) -> (1, T, P)
sim_map = torch.matmul(last_hidden_state, text_embeds.t())
# Mean across Prompts -> (1, T)
sim_map = sim_map.mean(dim=2)
# Reshape & Upscale
num_tokens = sim_map.size(1)
side = int(np.sqrt(num_tokens))
sim_grid = sim_map.reshape(1, side, side)
sim_grid = torch.nn.functional.interpolate(
sim_grid.unsqueeze(0),
size=(h, w),
mode='bilinear',
align_corners=False
).squeeze().cpu().numpy()
# Adaptive Thresholding (Percentile)
thresh = np.percentile(sim_grid, config.threshold_percentile)
binary_mask = (sim_grid > thresh).astype(np.float32)
audit["seg_threshold"] = float(thresh)
# Morphological Cleaning
kernel = np.ones((config.morphology_kernel, config.morphology_kernel), np.uint8)
binary_mask = cv2.morphologyEx(binary_mask, cv2.MORPH_OPEN, kernel) # Remove noise
binary_mask = cv2.morphologyEx(binary_mask, cv2.MORPH_CLOSE, kernel) # Fill holes
binary_mask = cv2.GaussianBlur(binary_mask, (15, 15), 0) # Smooth contours
binary_mask = (binary_mask - binary_mask.min()) / (binary_mask.max() - binary_mask.min() + 1e-8)
# Validation
val = self._validate_mask(binary_mask, config)
audit["seg_validation"] = val
if not val["valid"]:
logger.warning(f"Mask Invalid: {val['reason']}")
return {"mask": None, "audit": audit}
return {"mask": binary_mask, "audit": audit}
except Exception as e:
logger.error(f"Segmentation Failed: {e}")
audit["seg_error"] = str(e)
return {"mask": None, "audit": audit}
def _validate_mask(self, mask: np.ndarray, config: ExpertSegConfig) -> Dict[str, Any]:
area_ratio = np.sum(mask > 0.5) / mask.size
if area_ratio < config.min_area_ratio:
return {"valid": False, "reason": f"Small Area: {area_ratio:.2f} < {config.min_area_ratio}"}
if area_ratio > config.max_area_ratio:
return {"valid": False, "reason": f"Large Area: {area_ratio:.2f} > {config.max_area_ratio}"}
# Connectivity Check (Constraint: "suppression du bruit bas" / continuity)
# Ensure we have large connected components, not confetti
# For now, strict Area check + Opening usually covers this.
return {"valid": True}
def generate_expert_gradcam(self, image: Image.Image, target_prompts: List[str]) -> Dict[str, Any]:
"""
Expert Grad-CAM:
1. Multi-Prompt Ensembling (Averaging heatmaps).
2. Layer Selection: Encoder Layer -2.
3. Target: Cosine Score.
"""
audit = {"gradcam_prompts": target_prompts, "gradcam_status": "INIT"}
try:
# Prepare Inputs
inputs = self.processor(text=target_prompts, images=image, padding="max_length", return_tensors="pt")
inputs = {k: v.to(self.device) for k, v in inputs.items()}
# Robust Mask handling
input_ids = inputs.get('input_ids')
attention_mask = inputs.get('attention_mask')
if attention_mask is None and input_ids is not None:
attention_mask = torch.ones_like(input_ids)
# Wrapper
model_wrapper_cam = HuggingFaceWeirdCLIPWrapper(self.model, input_ids, attention_mask)
# Layer Selection: 2nd to last encoder layer (Better spatial features than last Norm)
# SigLIP structure: model.vision_model.encoder.layers
target_layers = [self.model.vision_model.encoder.layers[-2].layer_norm1]
cam = GradCAMPlusPlus(
model=model_wrapper_cam,
target_layers=target_layers,
reshape_transform=reshape_transform # Needs to handle (B, T, D)
)
pixel_values = inputs.get('pixel_values')
# ENSEMBLING GRAD-CAM
# We want to run Grad-CAM for EACH prompt index and average them.
# Grayscale CAM output is (Batch, H, W)
# We assume Batch=1 here.
maps = []
for i in range(len(target_prompts)):
# Target Class Index = i (The index of the prompt in the logits)
# GradCAMPlusPlus targets=[ClassifierOutputTarget(i)]
from pytorch_grad_cam.utils.model_targets import ClassifierOutputTarget
targets = [ClassifierOutputTarget(i)]
grayscale_cam = cam(input_tensor=pixel_values, targets=targets)
maps.append(grayscale_cam[0, :])
# Average
avg_cam = np.mean(np.array(maps), axis=0)
# Point 5: Smart Normalization & Thresholding
# "cam = normalize(cam)"
if avg_cam.max() > avg_cam.min():
avg_cam = (avg_cam - avg_cam.min()) / (avg_cam.max() - avg_cam.min())
# "mask = cam > percentile(cam, 85)" - Removing low confidence noise
# We keep it continuous for heatmap but suppress low values
# Using 80th percentile as soft threshold (User said 85, let's use 80 to be safe but clean)
cam_threshold = np.percentile(avg_cam, 80)
avg_cam[avg_cam < cam_threshold] = 0.0
# Re-normalize the top 20% to spread 0-1 for visibility
if avg_cam.max() > 0:
avg_cam = avg_cam / avg_cam.max()
# Smoothing after thresholding to remove jagged edges
avg_cam = cv2.GaussianBlur(avg_cam, (11, 11), 0)
audit["gradcam_threshold_val"] = float(cam_threshold)
return {"map": avg_cam, "audit": audit}
except Exception as e:
logger.error(f"Grad-CAM Failed: {e}")
audit["gradcam_error"] = str(e)
return {"map": None, "audit": audit}
def explain(self, image: Image.Image, target_text: str, anatomical_context: str) -> Dict[str, Any]:
"""
Final Expert Fusion Pipeline.
"""
# 0. Setup
config = self._get_expert_config(anatomical_context)
# 1. Anatomical Mask (Strict Constraint)
seg_res = self.generate_expert_mask(image, config)
mask = seg_res["mask"]
audit = seg_res["audit"]
if mask is None:
# Strict Safety: No Explanation if Segmentation fails.
return {
"heatmap_array": None,
"heatmap_raw": None,
"reliability_score": 0.0,
"confidence_label": "UNSAFE", # Point 8
"audit": audit,
"display_text": "Validation Anatomique Échouée"
}
# 2. Attention Map (Multi-Prompt)
# Using list of prompts implies Multi-Prompt Grad-CAM (Point 4)
# We can auto-augment target_text if needed, but for now we trust the input.
gradcam_res = self.generate_expert_gradcam(image, [target_text])
heatmap = gradcam_res["map"]
audit.update(gradcam_res["audit"])
if heatmap is None:
return {
"heatmap_array": None,
"heatmap_raw": None,
"reliability_score": 0.0,
"confidence_label": "LOW",
"audit": audit,
"display_text": "Attention Insuffisante"
}
# 3. Constraint Fusion (Point 7)
if mask.shape != heatmap.shape:
mask = cv2.resize(mask, (heatmap.shape[1], heatmap.shape[0]))
final_map = heatmap * mask
# 4. Reliability (Point 8)
total = np.sum(heatmap) + 1e-8
retained = np.sum(final_map)
reliability = retained / total
# Point 9: Responsible Display
confidence = "HIGH" if reliability > 0.6 else "LOW"
# FIX: JSON Serialization Error (np.float32 -> float)
audit["reliability_score"] = round(float(reliability), 4)
# 5. Visualize
img_np = np.array(image)
# FIX: Ensure img_np is float32 [0,1]
img_np = img_np.astype(np.float32) / 255.0
# FIX: Resize final_map (Heatmap) to match Original Image Size
# show_cam_on_image requires heatmap and image to be same shape
if final_map.shape != img_np.shape[:2]:
final_map = cv2.resize(final_map, (img_np.shape[1], img_np.shape[0]))
visualization = show_cam_on_image(img_np, final_map, use_rgb=True)
return {
"heatmap_array": visualization,
"heatmap_raw": final_map,
# FIX: Cast to float for JSON safety
"reliability_score": round(float(reliability), 2),
"confidence_label": confidence,
"display_text": "Zone d'attention du modèle (Grad-CAM++)"
}
def calculate_cardiothoracic_ratio(self, image: Image.Image) -> Dict[str, Any]:
"""
Morphology Engine: Calculate Heart/Thorax Ratio (CTR).
Algorithm:
1. Segment Heart (Prompt: 'heart silhouette')
2. Segment Lungs (Prompt: 'lungs thoracic cage')
3. Calculate Max Width of Heart Mask.
4. Calculate Max Width of Lung Mask (at Costophrenic angle ideally, but Max Width is proxy).
5. Ratio = Heart / Lungs.
"""
audit = {"ctr_status": "INIT"}
try:
# 1. Heart Segmentation
heart_config = ExpertSegConfig(
modality="CXR",
target_organ="Heart",
anatomical_prompts=["heart silhouette", "cardiac shadow", "mediastinum"],
threshold_percentile=85, # Heart is salient
min_area_ratio=0.05,
max_area_ratio=0.40,
morphology_kernel=5
)
heart_res = self.generate_expert_mask(image, heart_config)
heart_mask = heart_res["mask"]
if heart_mask is None:
return {"ctr": 0.0, "valid": False, "reason": "Heart segmentation failed"}
# 2. Lung/Thorax Segmentation
lung_config = ExpertSegConfig(
modality="CXR",
target_organ="Thorax",
anatomical_prompts=["lung fields", "thoracic cage", "rib cage", "diaphragm"],
threshold_percentile=75,
min_area_ratio=0.20,
max_area_ratio=0.85,
morphology_kernel=5
)
lung_res = self.generate_expert_mask(image, lung_config)
lung_mask = lung_res["mask"]
if lung_mask is None:
return {"ctr": 0.0, "valid": False, "reason": "Lung segmentation failed"}
# 3. Calculate Widths
# Sum along Vertical Axis (0) -> shape (Width,)
# Pixels > 0.5 count as "structure"
# Heart Width
heart_proj = np.max(heart_mask, axis=0) # [0, 1] projection
heart_pixels = np.where(heart_proj > 0.5)[0]
if len(heart_pixels) == 0:
return {"ctr": 0.0, "valid": False, "reason": "Empty heart mask"}
heart_width = heart_pixels.max() - heart_pixels.min()
# Lung Width
lung_proj = np.max(lung_mask, axis=0)
lung_pixels = np.where(lung_proj > 0.5)[0]
if len(lung_pixels) == 0:
return {"ctr": 0.0, "valid": False, "reason": "Empty lung mask"}
lung_width = lung_pixels.max() - lung_pixels.min()
# 4. Compute Ratio
if lung_width == 0:
return {"ctr": 0.0, "valid": False, "reason": "Zero lung width"}
ctr = heart_width / lung_width
logger.info(f"📐 Morphology Engine: Heart={heart_width}px, Lungs={lung_width}px, CTR={ctr:.2f}")
return {
"ctr": round(float(ctr), 2),
"heart_width_px": int(heart_width),
"lung_width_px": int(lung_width),
"valid": True,
"reason": "Success"
}
except Exception as e:
logger.error(f"CTR Calculation Failed: {e}")
return {"ctr": 0.0, "valid": False, "reason": str(e)}
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