`Project & Excite' Modules for Segmentation of Volumetric Medical Scans

Fully Convolutional Neural Networks (F-CNNs) achieve state-of-the-art performance for image segmentation in medical imaging. Recently, squeeze and excitation (SE) modules and variations thereof have been introduced to recalibrate feature maps channel- and spatial-wise, which can boost performance while only minimally increasing model complexity. So far, the development of SE has focused on 2D images. In this paper, we propose `Project & Excite' (PE) modules that base upon the ideas of SE and extend them to operating on 3D volumetric images. `Project & Excite' does not perform global average pooling, but squeezes feature maps along different slices of a tensor separately to retain more spatial information that is subsequently used in the excitation step. We demonstrate that PE modules can be easily integrated in 3D U-Net, boosting performance by 5% Dice points, while only increasing the model complexity by 2%. We evaluate the PE module on two challenging tasks, whole-brain segmentation of MRI scans and whole-body segmentation of CT scans. Code: https://github.com/ai-med/squeeze_and_excitation

BrainTorrent: A Peer-to-Peer Environment for Decentralized Federated Learning

Access to sufficient annotated data is a common challenge in training deep neural networks on medical images. As annotating data is expensive and time-consuming, it is difficult for an individual medical center to reach large enough sample sizes to build their own, personalized models. As an alternative, data from all centers could be pooled to train a centralized model that everyone can use. However, such a strategy is often infeasible due to the privacy-sensitive nature of medical data. Recently, federated learning (FL) has been introduced to collaboratively learn a shared prediction model across centers without the need for sharing data. In FL, clients are locally training models on site-specific datasets for a few epochs and then sharing their model weights with a central server, which orchestrates the overall training process. Importantly, the sharing of models does not compromise patient privacy. A disadvantage of FL is the dependence on a central server, which requires all clients to agree on one trusted central body, and whose failure would disrupt the training process of all clients. In this paper, we introduce BrainTorrent, a new FL framework without a central server, particularly targeted towards medical applications. BrainTorrent presents a highly dynamic peer-to-peer environment, where all centers directly interact with each other without depending on a central body. We demonstrate the overall effectiveness of FL for the challenging task of whole brain segmentation and observe that the proposed server-less BrainTorrent approach does not only outperform the traditional server-based one but reaches a similar performance to a model trained on pooled data.

3DQ: Compact Quantized Neural Networks for Volumetric Whole Brain Segmentation

Model architectures have been dramatically increasing in size, improving performance at the cost of resource requirements. In this paper we propose 3DQ, a ternary quantization method, applied for the first time to 3D Fully Convolutional Neural Networks (F-CNNs), enabling 16x model compression while maintaining performance on par with full precision models. We extensively evaluate 3DQ on two datasets for the challenging task of whole brain segmentation. Additionally, we showcase our method's ability to generalize on two common 3D architectures, namely 3D U-Net and V-Net. Outperforming a variety of baselines, the proposed method is capable of compressing large 3D models to a few MBytes, alleviating the storage needs in space critical applications.

'Squeeze & Excite' Guided Few-Shot Segmentation of Volumetric Images

Deep neural networks enable highly accurate image segmentation, but require large amounts of manually annotated data for supervised training. Few-shot learning aims to address this shortcoming by learning a new class from a few annotated support examples. We introduce, for the first time, a novel few-shot framework, for the segmentation of volumetric medical images with only a few annotated slices. Compared to other related works in computer vision, the major challenges are the absence of pre-trained networks and the volumetric nature of medical scans. We address these challenges by proposing a new architecture for few-shot segmentation that incorporates 'squeeze & excite' blocks. Our two-armed architecture consists of a conditioner arm, which processes the annotated support input and generates a task representation which is used the relevant information for segmenting a new class. This representation is passed on to the segmenter arm that uses this information to segment the new query image. To facilitate efficient interaction between the conditioner and the segmenter arm, we propose to use 'channel squeeze & spatial excitation' blocks: a light-weight computational module, that enables heavy interaction between the both arms with negligible increase in model complexity. This contribution allows us to perform image segmentation without relying on a pre-trained model, which generally is unavailable for medical scans. Furthermore, we propose an efficient strategy for volumetric segmentation by optimally pairing a few slices of the support volume to all the slices of query volume. We perform the experiments for organ segmentation on whole-body contrast-enhanced CT scans from Visceral Dataset. Our proposed model outperforms multiple baselines and existing approaches with respect to the segmentation accuracy by a significant margin.

Data Augmentation with Manifold Exploring Geometric Transformations for Increased Performance and Robustness

In this paper we propose a novel augmentation technique that improves not only the performance of deep neural networks on clean test data, but also significantly increases their robustness to random transformations, both affine and projective. Inspired by ManiFool, the augmentation is performed by a line-search manifold-exploration method that learns affine geometric transformations that lead to the misclassification on an image, while ensuring that it remains on the same manifold as the training data. This augmentation method populates any training dataset with images that lie on the border of the manifolds between two-classes and maximizes the variance the network is exposed to during training. Our method was thoroughly evaluated on the challenging tasks of fine-grained skin lesion classification from limited data, and breast tumor classification of mammograms. Compared with traditional augmentation methods, and with images synthesized by Generative Adversarial Networks our method not only achieves state-of-the-art performance but also significantly improves the network's robustness.

Bayesian QuickNAT: Model Uncertainty in Deep Whole-Brain Segmentation for Structure-wise Quality Control

We introduce Bayesian QuickNAT for the automated quality control of whole-brain segmentation on MRI T1 scans. Next to the Bayesian fully convolutional neural network, we also present inherent measures of segmentation uncertainty that allow for quality control per brain structure. For estimating model uncertainty, we follow a Bayesian approach, wherein, Monte Carlo (MC) samples from the posterior distribution are generated by keeping the dropout layers active at test time. Entropy over the MC samples provides a voxel-wise model uncertainty map, whereas expectation over the MC predictions provides the final segmentation. Next to voxel-wise uncertainty, we introduce four metrics to quantify structure-wise uncertainty in segmentation for quality control. We report experiments on four out-of-sample datasets comprising of diverse age range, pathology and imaging artifacts. The proposed structure-wise uncertainty metrics are highly correlated with the Dice score estimated with manual annotation and therefore present an inherent measure of segmentation quality. In particular, the intersection over union over all the MC samples is a suitable proxy for the Dice score. In addition to quality control at scan-level, we propose to incorporate the structure-wise uncertainty as a measure of confidence to do reliable group analysis on large data repositories. We envisage that the introduced uncertainty metrics would help assess the fidelity of automated deep learning based segmentation methods for large-scale population studies, as they enable automated quality control and group analyses in processing large data repositories.

InfiNet: Fully Convolutional Networks for Infant Brain MRI Segmentation

We present a novel, parameter-efficient and practical fully convolutional neural network architecture, termed InfiNet, aimed at voxel-wise semantic segmentation of infant brain MRI images at iso-intense stage, which can be easily extended for other segmentation tasks involving multi-modalities. InfiNet consists of double encoder arms for T1 and T2 input scans that feed into a joint-decoder arm that terminates in the classification layer. The novelty of InfiNet lies in the manner in which the decoder upsamples lower resolution input feature map(s) from multiple encoder arms. Specifically, the pooled indices computed in the max-pooling layers of each of the encoder blocks are related to the corresponding decoder block to perform non-linear learning-free upsampling. The sparse maps are concatenated with intermediate encoder representations (skip connections) and convolved with trainable filters to produce dense feature maps. InfiNet is trained end-to-end to optimize for the Generalized Dice Loss, which is well-suited for high class imbalance. InfiNet achieves the whole-volume segmentation in under 50 seconds and we demonstrate competitive performance against multiple state-of-the art deep architectures and their multi-modal variants.

Learning Optimal Deep Projection of $^{18}$F-FDG PET Imaging for Early Differential Diagnosis of Parkinsonian Syndromes

Several diseases of parkinsonian syndromes present similar symptoms at early stage and no objective widely used diagnostic methods have been approved until now. Positron emission tomography (PET) with $^{18}$F-FDG was shown to be able to assess early neuronal dysfunction of synucleinopathies and tauopathies. Tensor factorization (TF) based approaches have been applied to identify characteristic metabolic patterns for differential diagnosis. However, these conventional dimension-reduction strategies assume linear or multi-linear relationships inside data, and are therefore insufficient to distinguish nonlinear metabolic differences between various parkinsonian syndromes. In this paper, we propose a Deep Projection Neural Network (DPNN) to identify characteristic metabolic pattern for early differential diagnosis of parkinsonian syndromes. We draw our inspiration from the existing TF methods. The network consists of a (i) compression part: which uses a deep network to learn optimal 2D projections of 3D scans, and a (ii) classification part: which maps the 2D projections to labels. The compression part can be pre-trained using surplus unlabelled datasets. Also, as the classification part operates on these 2D projections, it can be trained end-to-end effectively with limited labelled data, in contrast to 3D approaches. We show that DPNN is more effective in comparison to existing state-of-the-art and plausible baselines.

Recalibrating Fully Convolutional Networks with Spatial and Channel 'Squeeze & Excitation' Blocks

In a wide range of semantic segmentation tasks, fully convolutional neural networks (F-CNNs) have been successfully leveraged to achieve state-of-the-art performance. Architectural innovations of F-CNNs have mainly been on improving spatial encoding or network connectivity to aid gradient flow. In this article, we aim towards an alternate direction of recalibrating the learned feature maps adaptively; boosting meaningful features while suppressing weak ones. The recalibration is achieved by simple computational blocks that can be easily integrated in F-CNNs architectures. We draw our inspiration from the recently proposed 'squeeze & excitation' (SE) modules for channel recalibration for image classification. Towards this end, we introduce three variants of SE modules for segmentation, (i) squeezing spatially and exciting channel-wise, (ii) squeezing channel-wise and exciting spatially and (iii) joint spatial and channel 'squeeze & excitation'. We effectively incorporate the proposed SE blocks in three state-of-the-art F-CNNs and demonstrate a consistent improvement of segmentation accuracy on three challenging benchmark datasets. Importantly, SE blocks only lead to a minimal increase in model complexity of about 1.5%, while the Dice score increases by 4-9% in the case of U-Net. Hence, we believe that SE blocks can be an integral part of future F-CNN architectures.

SynNet: Structure-Preserving Fully Convolutional Networks for Medical Image Synthesis

Cross modal image syntheses is gaining significant interests for its ability to estimate target images of a different modality from a given set of source images,like estimating MR to MR, MR to CT, CT to PET etc, without the need for an actual acquisition.Though they show potential for applications in radiation therapy planning,image super resolution, atlas construction, image segmentation etc.The synthesis results are not as accurate as the actual acquisition.In this paper,we address the problem of multi modal image synthesis by proposing a fully convolutional deep learning architecture called the SynNet.We extend the proposed architecture for various input output configurations. And finally, we propose a structure preserving custom loss function for cross-modal image synthesis.We validate the proposed SynNet and its extended framework on BRATS dataset with comparisons against three state-of-the art methods.And the results of the proposed custom loss function is validated against the traditional loss function used by the state-of-the-art methods for cross modal image synthesis.