Pulmonary nodule detection, false positive reduction and segmentation represent three of the most common tasks in the computeraided analysis of chest CT images. Methods have been proposed for eachtask with deep learning based methods heavily favored recently. However training deep learning models to solve each task separately may be sub-optimal - resource intensive and without the benefit of feature sharing. Here, we propose a new end-to-end 3D deep convolutional neural net (DCNN), called NoduleNet, to solve nodule detection, false positive reduction and nodule segmentation jointly in a multi-task fashion. To avoid friction between different tasks and encourage feature diversification, we incorporate two major design tricks: 1) decoupled feature maps for nodule detection and false positive reduction, and 2) a segmentation refinement subnet for increasing the precision of nodule segmentation. Extensive experiments on the large-scale LIDC dataset demonstrate that the multi-task training is highly beneficial, improving the nodule detection accuracy by 10.27%, compared to the baseline model trained to only solve the nodule detection task. We also carry out systematic ablation studies to highlight contributions from each of the added components. Code is available at https://github.com/uci-cbcl/NoduleNet.
Pulmonary lobe segmentation is an important task for pulmonary disease related Computer Aided Diagnosis systems (CADs). Classical methods for lobe segmentation rely on successful detection of fissures and other anatomical information such as the location of blood vessels and airways. With the success of deep learning in recent years, Deep Convolutional Neural Network (DCNN) has been widely applied to analyze medical images like Computed Tomography (CT) and Magnetic Resonance Imaging (MRI), which, however, requires a large number of ground truth annotations. In this work, we release our manually labeled 50 CT scans which are randomly chosen from the LUNA16 dataset and explore the use of deep learning on this task. We propose pre-processing CT image by cropping region that is covered by the convex hull of the lungs in order to mitigate the influence of noise from outside the lungs. Moreover, we design a hybrid loss function with dice loss to tackle extreme class imbalance issue and focal loss to force model to focus on voxels that are hard to be discriminated. To validate the robustness and performance of our proposed framework trained with a small number of training examples, we further tested our model on CT scans from an independent dataset. Experimental results show the robustness of the proposed approach, which consistently improves performance across different datasets by a maximum of $5.87\%$ as compared to a baseline model.