Uncertainty Estimation for Safety-critical Scene Segmentation via Fine-grained Reward Maximization

Uncertainty estimation plays an important role for future reliable deployment of deep segmentation models in safety-critical scenarios such as medical applications. However, existing methods for uncertainty estimation have been limited by the lack of explicit guidance for calibrating the prediction risk and model confidence. In this work, we propose a novel fine-grained reward maximization (FGRM) framework, to address uncertainty estimation by directly utilizing an uncertainty metric related reward function with a reinforcement learning based model tuning algorithm. This would benefit the model uncertainty estimation through direct optimization guidance for model calibration. Specifically, our method designs a new uncertainty estimation reward function using the calibration metric, which is maximized to fine-tune an evidential learning pre-trained segmentation model for calibrating prediction risk. Importantly, we innovate an effective fine-grained parameter update scheme, which imposes fine-grained reward-weighting of each network parameter according to the parameter importance quantified by the fisher information matrix. To the best of our knowledge, this is the first work exploring reward optimization for model uncertainty estimation in safety-critical vision tasks. The effectiveness of our method is demonstrated on two large safety-critical surgical scene segmentation datasets under two different uncertainty estimation settings. With real-time one forward pass at inference, our method outperforms state-of-the-art methods by a clear margin on all the calibration metrics of uncertainty estimation, while maintaining a high task accuracy for the segmentation results. Code is available at \url{https://github.com/med-air/FGRM}.

Dynamic Bank Learning for Semi-supervised Federated Image Diagnosis with Class Imbalance

Despite recent progress on semi-supervised federated learning (FL) for medical image diagnosis, the problem of imbalanced class distributions among unlabeled clients is still unsolved for real-world use. In this paper, we study a practical yet challenging problem of class imbalanced semi-supervised FL (imFed-Semi), which allows all clients to have only unlabeled data while the server just has a small amount of labeled data. This imFed-Semi problem is addressed by a novel dynamic bank learning scheme, which improves client training by exploiting class proportion information. This scheme consists of two parts, i.e., the dynamic bank construction to distill various class proportions for each local client, and the sub-bank classification to impose the local model to learn different class proportions. We evaluate our approach on two public real-world medical datasets, including the intracranial hemorrhage diagnosis with 25,000 CT slices and skin lesion diagnosis with 10,015 dermoscopy images. The effectiveness of our method has been validated with significant performance improvements (7.61% and 4.69%) compared with the second-best on the accuracy, as well as comprehensive analytical studies. Code is available at https://github.com/med-air/imFedSemi.

DLTTA: Dynamic Learning Rate for Test-time Adaptation on Cross-domain Medical Images

Test-time adaptation (TTA) has increasingly been an important topic to efficiently tackle the cross-domain distribution shift at test time for medical images from different institutions. Previous TTA methods have a common limitation of using a fixed learning rate for all the test samples. Such a practice would be sub-optimal for TTA, because test data may arrive sequentially therefore the scale of distribution shift would change frequently. To address this problem, we propose a novel dynamic learning rate adjustment method for test-time adaptation, called DLTTA, which dynamically modulates the amount of weights update for each test image to account for the differences in their distribution shift. Specifically, our DLTTA is equipped with a memory bank based estimation scheme to effectively measure the discrepancy of a given test sample. Based on this estimated discrepancy, a dynamic learning rate adjustment strategy is then developed to achieve a suitable degree of adaptation for each test sample. The effectiveness and general applicability of our DLTTA is extensively demonstrated on three tasks including retinal optical coherence tomography (OCT) segmentation, histopathological image classification, and prostate 3D MRI segmentation. Our method achieves effective and fast test-time adaptation with consistent performance improvement over current state-of-the-art test-time adaptation methods. Code is available at: https://github.com/med-air/DLTTA.

IOP-FL: Inside-Outside Personalization for Federated Medical Image Segmentation

Federated learning (FL) allows multiple medical institutions to collaboratively learn a global model without centralizing all clients data. It is difficult, if possible at all, for such a global model to commonly achieve optimal performance for each individual client, due to the heterogeneity of medical data from various scanners and patient demographics. This problem becomes even more significant when deploying the global model to unseen clients outside the FL with new distributions not presented during federated training. To optimize the prediction accuracy of each individual client for critical medical tasks, we propose a novel unified framework for both Inside and Outside model Personalization in FL (IOP-FL). Our inside personalization is achieved by a lightweight gradient-based approach that exploits the local adapted model for each client, by accumulating both the global gradients for common knowledge and local gradients for client-specific optimization. Moreover, and importantly, the obtained local personalized models and the global model can form a diverse and informative routing space to personalize a new model for outside FL clients. Hence, we design a new test-time routing scheme inspired by the consistency loss with a shape constraint to dynamically incorporate the models, given the distribution information conveyed by the test data. Our extensive experimental results on two medical image segmentation tasks present significant improvements over SOTA methods on both inside and outside personalization, demonstrating the great potential of our IOP-FL scheme for clinical practice. Code will be released at https://github.com/med-air/IOP-FL.

Federated Semi-supervised Medical Image Classification via Inter-client Relation Matching

Federated learning (FL) has emerged with increasing popularity to collaborate distributed medical institutions for training deep networks. However, despite existing FL algorithms only allow the supervised training setting, most hospitals in realistic usually cannot afford the intricate data labeling due to absence of budget or expertise. This paper studies a practical yet challenging FL problem, named \textit{Federated Semi-supervised Learning} (FSSL), which aims to learn a federated model by jointly utilizing the data from both labeled and unlabeled clients (i.e., hospitals). We present a novel approach for this problem, which improves over traditional consistency regularization mechanism with a new inter-client relation matching scheme. The proposed learning scheme explicitly connects the learning across labeled and unlabeled clients by aligning their extracted disease relationships, thereby mitigating the deficiency of task knowledge at unlabeled clients and promoting discriminative information from unlabeled samples. We validate our method on two large-scale medical image classification datasets. The effectiveness of our method has been demonstrated with the clear improvements over state-of-the-arts as well as the thorough ablation analysis on both tasks\footnote{Code will be made available at \url{https://github.com/liuquande/FedIRM}}.