File size: 22,621 Bytes
61fd3fa
 
 
 
 
 
 
 
 
 
 
 
 
db5889f
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
61fd3fa
5fa2de2
61fd3fa
c4ed090
61fd3fa
a23ca77
76efad4
61fd3fa
 
2ebae65
61fd3fa
 
508d191
f7a1cfb
61fd3fa
5fa2de2
 
 
 
 
 
 
 
 
00ba0c6
76efad4
 
5044990
76efad4
 
5044990
76efad4
508d191
 
745e2d8
508d191
b45106a
 
 
508d191
01d5f4f
 
508d191
49b2bed
b45106a
 
01d5f4f
 
49b2bed
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
568e823
49b2bed
 
 
 
745e2d8
00ba0c6
9997395
b9661d6
01d5f4f
c712771
5ce6d63
7fc1061
61fd3fa
81b3fb4
 
 
 
 
 
 
 
 
 
61fd3fa
 
 
b31174f
61fd3fa
f2ef76c
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
b31174f
 
 
 
 
61fd3fa
 
 
 
 
 
 
02961c5
 
 
 
cf605fe
61fd3fa
 
02961c5
 
 
 
 
 
 
 
 
01d5f4f
508d191
76efad4
02961c5
 
74c2a13
508d191
76efad4
74c2a13
 
 
76efad4
 
 
 
 
 
 
74c2a13
 
a23ca77
 
 
74c2a13
02961c5
 
61fd3fa
b31174f
 
61fd3fa
81b3fb4
fbb72cc
61fd3fa
02961c5
76efad4
 
 
 
 
 
 
 
 
 
 
 
61fd3fa
81b3fb4
 
74c2a13
e9b9cd5
 
 
47ebf1a
 
76cb606
 
74c2a13
 
 
 
e9b9cd5
9997395
 
 
 
 
 
 
 
 
02961c5
e9b9cd5
02961c5
61fd3fa
 
81b3fb4
61fd3fa
 
 
 
 
76efad4
5fa2de2
76efad4
c5eade3
5fa2de2
d004e7b
76efad4
5fa2de2
76efad4
5fa2de2
 
76efad4
02961c5
 
 
 
 
 
76efad4
5fa2de2
d004e7b
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
76efad4
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
281d7e6
76efad4
 
 
 
281d7e6
76efad4
 
f7a1cfb
a803284
61fd3fa
 
d004e7b
9c6a8c8
61fd3fa
 
 
 
9c6a8c8
f7a1cfb
76efad4
 
 
 
 
 
 
 
 
 
 
 
 
61fd3fa
 
 
c4ed090
5fa2de2
e9b9cd5
5fa2de2
 
 
e9b9cd5
 
 
f2ef76c
4097551
c4ed090
 
 
 
 
74c2a13
 
c4ed090
 
 
 
 
 
 
 
 
b949ef2
 
 
 
 
 
9997395
 
 
 
b949ef2
 
 
 
 
 
 
 
 
 
 
 
9997395
 
 
 
 
 
 
 
 
 
 
 
 
b949ef2
76efad4
 
5ce6d63
 
 
 
 
 
f7a1cfb
76efad4
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
f7a1cfb
76efad4
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
f7a1cfb
 
 
76efad4
 
4b43c77
f7a1cfb
 
bfb9e3f
9c3c13b
f7a1cfb
 
 
 
 
5a56741
f7a1cfb
 
81b3fb4
fbb72cc
 
 
508d191
fbb72cc
3013e2b
fbb72cc
508d191
 
5a56741
 
 
ba3659a
fbb72cc
 
 
cbcc262
 
6bb95ec
0dfab66
5a56741
49b2bed
6bb95ec
fbb72cc
5a56741
8c545f6
 
fbb72cc
f7a1cfb
5fa2de2
f7a1cfb
d004e7b
9997395
18d6eb1
5fa2de2
48bacc5
 
 
f807446
 
76cb606
 
48bacc5
 
fbb72cc
48bacc5
5fa2de2
9997395
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
# Copyright 2020 The HuggingFace Datasets Authors and the current dataset script contributor.
#
# Licensed under the Apache License, Version 2.0 (the "License");
# you may not use this file except in compliance with the License.
# You may obtain a copy of the License at
#
#     http://www.apache.org/licenses/LICENSE-2.0
#
# Unless required by applicable law or agreed to in writing, software
# distributed under the License is distributed on an "AS IS" BASIS,
# WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
# See the License for the specific language governing permissions and
# limitations under the License.
"""The SPIDER dataset contains (human) lumbar spine magnetic resonance images 
(MRI) and segmentation masks described in the following paper:

van der Graaf, J.W., van Hooff, M.L., Buckens, C.F.M. et al. Lumbar spine 
segmentation in MR images: a dataset and a public benchmark. 
Sci Data 11, 264 (2024). https://doi.org/10.1038/s41597-024-03090-w

The dataset includes 447 sagittal T1 and T2 MRI series collected from 218 
patients across four hospitals. Segmentation masks indicating the vertebrae, 
intervertebral discs (IVDs), and spinal canal are also included. Segmentation 
masks were created manually by a medical trainee under the supervision of a 
medical imaging expert and an experienced musculoskeletal radiologist.

In addition to MR images and segmentation masks, additional metadata 
(e.g., scanner manufacturer, pixel bandwidth, etc.), limited patient 
characteristics (biological sex and age, when available), and radiological 
gradings indicating specific degenerative changes can be loaded with the 
corresponding image data.

HuggingFace repository: https://huggingface.co/datasets/cdoswald/SPIDER
""" 

# Import packages
import csv
import json
import os
import urllib.request
from typing import Dict, List, Mapping, Optional, Sequence, Set, Tuple, Union

import numpy as np
import pandas as pd

import datasets
import skimage
import SimpleITK as sitk

# Define functions
def import_csv_data(filepath: str) -> List[Dict[str, str]]:
    """Import all rows of CSV file."""
    results = []
    with open(filepath, encoding='utf-8') as f:
        reader = csv.DictReader(f)
        for line in reader:
            results.append(line)
    return results

def subset_file_list(all_files: List[str], subset_ids: Set[int]):
    """Subset files pertaining to individuals in person_ids arg."""
    return ([
        file for file in all_files
        if any(str(id_val) == file.split('_')[0] for id_val in subset_ids)
    ])

def standardize_3D_image(
    image: np.ndarray,
    resize_shape: Tuple[int, int, int],
) -> np.ndarray:
    """Aligns dimensions of image to be (height, width, channels); resizes
    images to values specified in resize_shape; and rescales pixel values
    to Uint8."""
    # Align height, width, channel dims
    if image.shape[0] < image.shape[2]:
        image = np.transpose(image, axes=[1, 2, 0])
    # Resize image
    image = skimage.transform.resize(image, resize_shape)
    # Rescale to UInt8 type (required for PyArrow and PIL)
    image = skimage.img_as_ubyte(image)
    return image

def standardize_3D_mask(
    mask: np.ndarray,
    resize_shape: Tuple[int, int, int],
) -> np.ndarray:
    """Aligns dimensions of image to be (height, width, channels); resizes
    images to values specified in resize_shape using nearest neighbor interpolation; 
    and rescales pixel values to Uint8."""
    # Align height, width, channel dims
    if mask.shape[0] < mask.shape[2]:
        mask = np.transpose(mask, axes=[1, 2, 0])
    # Resize mask
    mask = skimage.transform.resize(
        mask,
        resize_shape,
        order=0,
        preserve_range=True,
        mode='edge',
    )
    # Rescale to UInt8 type (required for PyArrow and PIL)
    mask = skimage.img_as_ubyte(mask)
    return mask

# Define constants
MIN_IVD = 0
MAX_IVD = 9
DEFAULT_SCAN_TYPES = ['t1', 't2', 't2_SPACE']
DEFAULT_RESIZE = (512, 512, 30)
DEMO_SUBSET_N = 10

_CITATION = """\
@misc{vandergraaf2023lumbar,
      title={Lumbar spine segmentation in MR images: a dataset and a public benchmark}, 
      author={Jasper W. van der Graaf and Miranda L. van Hooff and \
              Constantinus F. M. Buckens and Matthieu Rutten and \
              Job L. C. van Susante and Robert Jan Kroeze and \
              Marinus de Kleuver and Bram van Ginneken and Nikolas Lessmann},
      year={2023},
      eprint={2306.12217},
      archivePrefix={arXiv},
      primaryClass={eess.IV}
}
"""

# Official description
_DESCRIPTION = """\
This is a large publicly available multi-center lumbar spine magnetic resonance \
imaging (MRI) dataset with reference segmentations of vertebrae, intervertebral \
discs (IVDs), and spinal canal. The dataset includes 447 sagittal T1 and T2 \
MRI series from 218 studies of 218 patients with a history of low back pain. \
The data was collected from four different hospitals. There is an additional \
hidden test set, not available here, used in the accompanying SPIDER challenge \
on spider.grand-challenge.org. We share this data to encourage wider \
participation and collaboration in the field of spine segmentation, and \
ultimately improve the diagnostic value of lumbar spine MRI.

This file also provides the biological sex for all patients and the age for \
the patients for which this was available. It also includes a number of \
scanner and acquisition parameters for each individual MRI study. The dataset \
also comes with radiological gradings found in a separate file for the \
following degenerative changes:

1.    Modic changes (type I, II or III)

2.    Upper and lower endplate changes / Schmorl nodes (binary)

3.    Spondylolisthesis (binary)

4.    Disc herniation (binary)

5.    Disc narrowing (binary)

6.    Disc bulging (binary)

7.    Pfirrman grade (grade 1 to 5). 

All radiological gradings are provided per IVD level.

Repository: https://zenodo.org/records/10159290
Paper: https://www.nature.com/articles/s41597-024-03090-w
"""

_HOMEPAGE = "https://zenodo.org/records/10159290"

_LICENSE = """Creative Commons Attribution 4.0 International License \
(https://creativecommons.org/licenses/by/4.0/legalcode)"""

_URLS = {
    "images":"https://zenodo.org/records/10159290/files/images.zip",
    "masks":"https://zenodo.org/records/10159290/files/masks.zip",
    "overview":"https://zenodo.org/records/10159290/files/overview.csv",
    "gradings":"https://zenodo.org/records/10159290/files/radiological_gradings.csv",
    "var_types": "https://huggingface.co/datasets/cdoswald/SPIDER/raw/main/textfiles/var_types.json",
}

class CustomBuilderConfig(datasets.BuilderConfig):
    
    def __init__(
        self,
        name: str = 'default',
        version: str = '0.0.0',
        data_dir: Optional[str] = None,
        data_files: Optional[Union[str, Sequence, Mapping]] = None,
        description: Optional[str] = None,
        scan_types: List[str] = DEFAULT_SCAN_TYPES,
        resize_shape: Tuple[int, int, int] = DEFAULT_RESIZE,
        shuffle: bool = True,
    ):
        super().__init__(name, version, data_dir, data_files, description)
        self.scan_types = self._validate_scan_types(scan_types)
        self.resize_shape = resize_shape
        self.shuffle = shuffle
        self.var_types = self._import_var_types()
            
    def _validate_scan_types(self, scan_types):
        for item in scan_types:
            if item not in ['t1', 't2', 't2_SPACE']:
                raise ValueError(
                    'Scan type "{item}" not recognized as valid scan type.\
                    Verify scan type argument.'
                )
        return scan_types
    
    def _import_var_types(self):
        """Import variable types from HuggingFace repository subfolder."""
        with urllib.request.urlopen(_URLS['var_types']) as url:
            var_types = json.load(url)
        return var_types


class SPIDER(datasets.GeneratorBasedBuilder):
    """Resized/rescaled 3-dimensional volumetric arrays of lumbar spine MRIs \
    with corresponding scanner/patient metadata and radiological gradings."""

    # Class attributes
    DEFAULT_WRITER_BATCH_SIZE = 16 # PyArrow default is too large for image data
    VERSION = datasets.Version("1.1.0")
    BUILDER_CONFIG_CLASS = CustomBuilderConfig
    BUILDER_CONFIGS = [
        CustomBuilderConfig(
            name="default",
            description="Load the full dataset",
        ),
        CustomBuilderConfig(
            name="demo",
            description="Generate 10 examples for demonstration",
        )
    ]
    DEFAULT_CONFIG_NAME = "default"

    def _info(self):
        """Specify datasets.DatasetInfo object containing information and typing
        for the dataset."""
        
        features = datasets.Features({
            "patient_id": datasets.Value("string"),
            "scan_type": datasets.Value("string"),
            "image": datasets.Array3D(shape=self.config.resize_shape, dtype='uint8'),
            "mask": datasets.Array3D(shape=self.config.resize_shape, dtype='uint8'),
            "image_path": datasets.Value("string"),
            "mask_path": datasets.Value("string"),
            "metadata": {
                k:datasets.Value(v) for k,v in 
                self.config.var_types['metadata'].items()
            },
            "rad_gradings": {
                "IVD label": datasets.Sequence(datasets.Value("string")),
                "Modic": datasets.Sequence(datasets.Value("string")),
                "UP endplate": datasets.Sequence(datasets.Value("string")),
                "LOW endplate": datasets.Sequence(datasets.Value("string")),
                "Spondylolisthesis": datasets.Sequence(datasets.Value("string")),
                "Disc herniation": datasets.Sequence(datasets.Value("string")),
                "Disc narrowing": datasets.Sequence(datasets.Value("string")),
                "Disc bulging": datasets.Sequence(datasets.Value("string")),
                "Pfirrman grade": datasets.Sequence(datasets.Value("string")),
            }
        })

        return datasets.DatasetInfo(
            description=_DESCRIPTION,
            features=features,
            homepage=_HOMEPAGE,
            license=_LICENSE,
            citation=_CITATION,
        )

    def _split_generators(
        self,
        dl_manager,
        validate_share: float = 0.2,
        test_share: float = 0.2,
        random_seed: int = 9999,
    ):
        """
        Download and extract data and define splits based on configuration.
        
        Args
            dl_manager: HuggingFace datasets download manager (automatically supplied)
            validate_share: float indicating share of data to use for validation;
                must be in range (0.0, 1.0); note that training share is 
                calculated as (1 - validate_share - test_share)
            test_share: float indicating share of data to use for testing;
                must be in range (0.0, 1.0); note that training share is 
                calculated as (1 - validate_share - test_share)
            random_seed: seed for random draws of train/validate/test patient ids
        """
        # Set constants
        train_share = (1.0 - validate_share - test_share)
        np.random.seed(int(random_seed))

        # Validate params
        if train_share <= 0.0:
            raise ValueError(
                f'Training share is calculated as (1 - validate_share - test_share) \
                and must be greater than 0. Current calculated value is \
                {round(train_share, 3)}. Adjust validate_share and/or \
                test_share parameters.'
            )
        if validate_share > 1.0 or validate_share < 0.0:
            raise ValueError(
                f'Validation share must be between (0, 1). Current value is \
                {validate_share}.'
            )
        if test_share > 1.0 or test_share < 0.0:
            raise ValueError(
                f'Testing share must be between (0, 1). Current value is \
                {test_share}.'
            )

        # Download images (returns dictionary to local cache)
        paths_dict = dl_manager.download_and_extract(_URLS)
                    
        # Get list of image and mask data files
        image_files = [
            file for file in os.listdir(os.path.join(paths_dict['images'], 'images'))
            if file.endswith('.mha')
        ]
        assert len(image_files) > 0, "No image files found--check directory path."
        
        mask_files = [
            file for file in os.listdir(os.path.join(paths_dict['masks'], 'masks'))
            if file.endswith('.mha')
        ]
        assert len(mask_files) > 0, "No mask files found--check directory path."
        
        # Filter image and mask data files based on scan types
        image_files = [
            file for file in image_files 
            if any(f'{scan_type}.mha' in file for scan_type in self.config.scan_types)
        ]

        mask_files = [
            file for file in mask_files 
            if any(f'{scan_type}.mha' in file for scan_type in self.config.scan_types)
        ]

        # Generate train/validate/test partitions of patient IDs
        patient_ids = np.unique([file.split('_')[0] for file in image_files])        
        partition = np.random.choice(
            ['train', 'dev', 'test'],
            p=[train_share, validate_share, test_share],
            size=len(patient_ids),
        )
        train_ids = set(patient_ids[partition == 'train'])
        validate_ids = set(patient_ids[partition == 'dev'])
        test_ids = set(patient_ids[partition == 'test'])
        assert len(train_ids.union(validate_ids, test_ids)) == len(patient_ids)

        # Subset train/validation/test partition images and mask files
        train_image_files = subset_file_list(image_files, train_ids)
        validate_image_files = subset_file_list(image_files, validate_ids)
        test_image_files = subset_file_list(image_files, test_ids)
        
        train_mask_files = subset_file_list(mask_files, train_ids)
        validate_mask_files = subset_file_list(mask_files, validate_ids)
        test_mask_files = subset_file_list(mask_files, test_ids)

        assert len(train_image_files) == len(train_mask_files)
        assert len(validate_image_files) == len(validate_mask_files)
        assert len(test_image_files) == len(test_mask_files)

        # Import patient/scanner data and radiological gradings data
        overview_data = import_csv_data(paths_dict['overview'])
        grades_data = import_csv_data(paths_dict['gradings'])

        # Convert overview data list of dicts to dict of dicts
        exclude_vars = ['new_file_name', 'subset'] # Original data only lists train and validate
        overview_dict = {}
        for item in overview_data:
            key = item['new_file_name']
            overview_dict[key] = {
                k:v for k,v in item.items() if k not in exclude_vars
            }
            overview_dict[key]['OrigSubset'] = item['subset'] # Change name to original subset

        # Convert overview data types
        cast_overview_dict = {}
        for scan_id, scan_metadata in overview_dict.items():
            cast_dict = {}
            for key, value in scan_metadata.items():
                if key in self.config.var_types['metadata']:
                    new_type = self.config.var_types['metadata'][key]
                    if new_type != "string":
                        cast_dict[key] = eval(f'np.{new_type}({value})')
                    else:
                        cast_dict[key] = str(value)
                else:
                    cast_dict[key] = value
            cast_overview_dict[scan_id] = cast_dict
        overview_dict = cast_overview_dict

        # Merge patient records for radiological gradings data
        grades_dict = {}
        for patient_id in patient_ids:
            patient_grades = [
                x for x in grades_data if x['Patient'] == str(patient_id)
            ]
            # Pad so that all patients have same number of IVD observations
            IVD_values = [x['IVD label'] for x in patient_grades]
            for i in range(MIN_IVD, MAX_IVD + 1):
                if str(i) not in IVD_values:
                    patient_grades.append({
                        "Patient": f"{patient_id}",
                        "IVD label": f"{i}",
                        "Modic": "",
                        "UP endplate": "",
                        "LOW endplate": "",
                        "Spondylolisthesis": "",
                        "Disc herniation": "",
                        "Disc narrowing": "",
                        "Disc bulging": "",
                        "Pfirrman grade": "",
                    })
            assert len(patient_grades) == (MAX_IVD - MIN_IVD + 1), "Radiological\
                gradings not padded correctly"
        
            # Convert to sequences
            df = (
                pd.DataFrame(patient_grades)
                .sort_values("IVD label")
                .reset_index(drop=True)
            )
            grades_dict[str(patient_id)] = {
                col:df[col].tolist() for col in df.columns
                if col not in ['Patient']
            }

        # DEMO configuration: subset first 10 examples
        if self.config.name == "demo":
            train_image_files = train_image_files[:DEMO_SUBSET_N]
            train_mask_files = train_mask_files[:DEMO_SUBSET_N]
            validate_image_files = validate_image_files[:DEMO_SUBSET_N]
            validate_mask_files = validate_mask_files[:DEMO_SUBSET_N]
            test_image_files = test_image_files[:DEMO_SUBSET_N]
            test_mask_files = test_mask_files[:DEMO_SUBSET_N]

        return [
            datasets.SplitGenerator(
                name=datasets.Split.TRAIN,
                gen_kwargs={
                    "paths_dict": paths_dict,
                    "image_files": train_image_files,
                    "mask_files": train_mask_files,
                    "overview_dict": overview_dict,
                    "grades_dict": grades_dict,
                    "resize_shape": self.config.resize_shape,
                    "shuffle": self.config.shuffle,
                },
            ),
            datasets.SplitGenerator(
                name=datasets.Split.VALIDATION,
                gen_kwargs={
                    "paths_dict": paths_dict,
                    "image_files": validate_image_files,
                    "mask_files": validate_mask_files,
                    "overview_dict": overview_dict,
                    "grades_dict": grades_dict,
                    "resize_shape": self.config.resize_shape,
                    "shuffle": self.config.shuffle,
                },
            ),
            datasets.SplitGenerator(
                name=datasets.Split.TEST,
                gen_kwargs={
                    "paths_dict": paths_dict,
                    "image_files": test_image_files,
                    "mask_files": test_mask_files,
                    "overview_dict": overview_dict,
                    "grades_dict": grades_dict,
                    "resize_shape": self.config.resize_shape,
                    "shuffle": self.config.shuffle,
                },
            ),
        ]

    def _generate_examples(
        self,
        paths_dict: Dict[str, str],
        image_files: List[str],
        mask_files: List[str],
        overview_dict: Dict,
        grades_dict: Dict,
        resize_shape: Tuple[int, int, int],
        shuffle: bool,
    ) -> Tuple[str, Dict]:
        """
        This method handles input defined in _split_generators to yield 
        (key, example) tuples from the dataset. The `key` is for legacy reasons 
        (tfds) and is not important in itself, but must be unique for each example.
        """
        # Shuffle order of patient scans
        # (note that only images need to be shuffled since masks and metadata
        # will be linked to the selected image)
        if shuffle:
            np.random.shuffle(image_files)

        ## Generate next example
        # ----------------------
        for idx, example in enumerate(image_files):

            # Extract linking data
            scan_id = example.replace('.mha', '')
            patient_id = scan_id.split('_')[0]
            scan_type = '_'.join(scan_id.split('_')[1:])

            # Load .mha image file
            image_path = os.path.join(paths_dict['images'], 'images', example)
            image = sitk.ReadImage(image_path)

            # Convert .mha image to original size numeric array
            image_array_original = sitk.GetArrayFromImage(image)
            
            # Convert .mha image to standardized numeric array
            image_array_standardized = standardize_3D_image(
                image_array_original,
                resize_shape,
            )

            # Load .mha mask file
            mask_path = os.path.join(paths_dict['masks'], 'masks', example)
            mask = sitk.ReadImage(mask_path)

            # Convert .mha mask to original size numeric array
            mask_array_original = sitk.GetArrayFromImage(mask)

            # Convert to Uint8 (existing range is [0,225], 
            # so all values should fit in Uint8)
            mask_array_standardized = np.array(mask_array_original, dtype='uint8')

            # Convert .mha mask to standardized numeric array
            mask_array_standardized = standardize_3D_mask(
                mask_array_standardized,
                resize_shape,
            )
            print(patient_id, scan_id)
            print(np.unique(mask_array_standardized, return_counts=True))

            # Extract overview data corresponding to image
            image_overview = overview_dict[scan_id]

            # Extract patient radiological gradings corresponding to patient
            patient_grades_dict = grades_dict[patient_id]

            # Prepare example return dict
            return_dict = {
                'patient_id':patient_id,
                'scan_type':scan_type,
                'image':image_array_standardized,
                'mask':mask_array_standardized,
                'image_path':image_path, 
                'mask_path':mask_path, 
                'metadata':image_overview,
                'rad_gradings':patient_grades_dict,
            }

            # Yield example
            yield scan_id, return_dict