In this article, we perform a review of the state-of-the-art of hybrid machine learning in medical imaging. We start with a short summary of the general developments of the past in machine learning and how general and specialized approaches have been in competition in the past decades. A particular focus will be the theoretical and experimental evidence pro and contra hybrid modelling. Next, we inspect several new developments regarding hybrid machine learning with a particular focus on so-called known operator learning and how hybrid approaches gain more and more momentum across essentially all applications in medical imaging and medical image analysis. As we will point out by numerous examples, hybrid models are taking over in image reconstruction and analysis. Even domains such as physical simulation and scanner and acquisition design are being addressed using machine learning grey box modelling approaches. Towards the end of the article, we will investigate a few future directions and point out relevant areas in which hybrid modelling, meta learning, and other domains will likely be able to drive the state-of-the-art ahead.

Software development for applications in computational science and engineering has become complex in recent years. This is mainly due to the increasing parallelism and heterogeneity in modern computer architectures and to the more realistic physical and mathematical models that have to be processed. One idea to address this issue is to use code generation techniques. In contrast to manual implementations in a general-purpose computing language, they allow to integrate automatic code transforms to produce efficient code for different models and platforms. As an example the numerical solution of an elliptic partial differential equation via generated geometric multigrid solvers is considered. We present three code generation approaches for it and discuss their advantages and disadvantages with respect to performance, portability, and productivity.

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