Progressive Multi-scale Consistent Network for Multi-class Fundus Lesion Segmentation

Effectively integrating multi-scale information is of considerable significance for the challenging multi-class segmentation of fundus lesions because different lesions vary significantly in scales and shapes. Several methods have been proposed to successfully handle the multi-scale object segmentation. However, two issues are not considered in previous studies. The first is the lack of interaction between adjacent feature levels, and this will lead to the deviation of high-level features from low-level features and the loss of detailed cues. The second is the conflict between the low-level and high-level features, this occurs because they learn different scales of features, thereby confusing the model and decreasing the accuracy of the final prediction. In this paper, we propose a progressive multi-scale consistent network (PMCNet) that integrates the proposed progressive feature fusion (PFF) block and dynamic attention block (DAB) to address the aforementioned issues. Specifically, PFF block progressively integrates multi-scale features from adjacent encoding layers, facilitating feature learning of each layer by aggregating fine-grained details and high-level semantics. As features at different scales should be consistent, DAB is designed to dynamically learn the attentive cues from the fused features at different scales, thus aiming to smooth the essential conflicts existing in multi-scale features. The two proposed PFF and DAB blocks can be integrated with the off-the-shelf backbone networks to address the two issues of multi-scale and feature inconsistency in the multi-class segmentation of fundus lesions, which will produce better feature representation in the feature space. Experimental results on three public datasets indicate that the proposed method is more effective than recent state-of-the-art methods.

Structure Unbiased Adversarial Model for Medical Image Segmentation

Generative models have been widely proposed in image recognition to generate more images where the distribution is similar to that of the real images. It often introduces a discriminator network to discriminate original real data and generated data. However, such discriminator often considers the distribution of the data and did not pay enough attention to the intrinsic gap due to structure. In this paper, we reformulate a new image to image translation problem to reduce structural gap, in addition to the typical intensity distribution gap. We further propose a simple yet important Structure Unbiased Adversarial Model for Medical Image Segmentation (SUAM) with learnable inverse structural deformation for medical image segmentation. It consists of a structure extractor, an attention diffeomorphic registration and a structure \& intensity distribution rendering module. The structure extractor aims to extract the dominant structure of the input image. The attention diffeomorphic registration is proposed to reduce the structure gap with an inverse deformation field to warp the prediction masks back to their original form. The structure rendering module is to render the deformed structure to an image with targeted intensity distribution. We apply the proposed SUAM on both optical coherence tomography (OCT), magnetic resonance imaging (MRI) and computerized tomography (CT) data. Experimental results show that the proposed method has the capability to transfer both intensity and structure distributions.

Trusted Multi-View Classification with Dynamic Evidential Fusion

Existing multi-view classification algorithms focus on promoting accuracy by exploiting different views, typically integrating them into common representations for follow-up tasks. Although effective, it is also crucial to ensure the reliability of both the multi-view integration and the final decision, especially for noisy, corrupted and out-of-distribution data. Dynamically assessing the trustworthiness of each view for different samples could provide reliable integration. This can be achieved through uncertainty estimation. With this in mind, we propose a novel multi-view classification algorithm, termed trusted multi-view classification (TMC), providing a new paradigm for multi-view learning by dynamically integrating different views at an evidence level. The proposed TMC can promote classification reliability by considering evidence from each view. Specifically, we introduce the variational Dirichlet to characterize the distribution of the class probabilities, parameterized with evidence from different views and integrated with the Dempster-Shafer theory. The unified learning framework induces accurate uncertainty and accordingly endows the model with both reliability and robustness against possible noise or corruption. Both theoretical and experimental results validate the effectiveness of the proposed model in accuracy, robustness and trustworthiness.

Global-and-Local Collaborative Learning for Co-Salient Object Detection

The goal of co-salient object detection (CoSOD) is to discover salient objects that commonly appear in a query group containing two or more relevant images. Therefore, how to effectively extract inter-image correspondence is crucial for the CoSOD task. In this paper, we propose a global-and-local collaborative learning architecture, which includes a global correspondence modeling (GCM) and a local correspondence modeling (LCM) to capture comprehensive inter-image corresponding relationship among different images from the global and local perspectives. Firstly, we treat different images as different time slices and use 3D convolution to integrate all intra features intuitively, which can more fully extract the global group semantics. Secondly, we design a pairwise correlation transformation (PCT) to explore similarity correspondence between pairwise images and combine the multiple local pairwise correspondences to generate the local inter-image relationship. Thirdly, the inter-image relationships of the GCM and LCM are integrated through a global-and-local correspondence aggregation (GLA) module to explore more comprehensive inter-image collaboration cues. Finally, the intra- and inter-features are adaptively integrated by an intra-and-inter weighting fusion (AEWF) module to learn co-saliency features and predict the co-saliency map. The proposed GLNet is evaluated on three prevailing CoSOD benchmark datasets, demonstrating that our model trained on a small dataset (about 3k images) still outperforms eleven state-of-the-art competitors trained on some large datasets (about 8k-200k images).

Video Polyp Segmentation: A Deep Learning Perspective

In the deep learning era, we present the first comprehensive video polyp segmentation (VPS) study. Over the years, developments in VPS are not moving forward with ease due to the lack of large-scale fine-grained segmentation annotations. To tackle this issue, we first introduce a high-quality per-frame annotated VPS dataset, named SUN-SEG, which includes 158,690 frames from the famous SUN dataset. We provide additional annotations with diverse types, i.e., attribute, object mask, boundary, scribble, and polygon. Second, we design a simple but efficient baseline, dubbed PNS+, consisting of a global encoder, a local encoder, and normalized self-attention (NS) blocks. The global and local encoders receive an anchor frame and multiple successive frames to extract long-term and short-term feature representations, which are then progressively updated by two NS blocks. Extensive experiments show that PNS+ achieves the best performance and real-time inference speed (170fps), making it a promising solution for the VPS task. Third, we extensively evaluate 13 representative polyp/object segmentation models on our SUN-SEG dataset and provide attribute-based comparisons. Benchmark results are available at https: //github.com/GewelsJI/VPS.

RSCFed: Random Sampling Consensus Federated Semi-supervised Learning

Federated semi-supervised learning (FSSL) aims to derive a global model by training fully-labeled and fully-unlabeled clients or training partially labeled clients. The existing approaches work well when local clients have independent and identically distributed (IID) data but fail to generalize to a more practical FSSL setting, i.e., Non-IID setting. In this paper, we present a Random Sampling Consensus Federated learning, namely RSCFed, by considering the uneven reliability among models from fully-labeled clients, fully-unlabeled clients or partially labeled clients. Our key motivation is that given models with large deviations from either labeled clients or unlabeled clients, the consensus could be reached by performing random sub-sampling over clients. To achieve it, instead of directly aggregating local models, we first distill several sub-consensus models by random sub-sampling over clients and then aggregating the sub-consensus models to the global model. To enhance the robustness of sub-consensus models, we also develop a novel distance-reweighted model aggregation method. Experimental results show that our method outperforms state-of-the-art methods on three benchmarked datasets, including both natural and medical images. The code is available at https://github.com/XMed-Lab/RSCFed.

FedDC: Federated Learning with Non-IID Data via Local Drift Decoupling and Correction

Federated learning (FL) allows multiple clients to collectively train a high-performance global model without sharing their private data. However, the key challenge in federated learning is that the clients have significant statistical heterogeneity among their local data distributions, which would cause inconsistent optimized local models on the client-side. To address this fundamental dilemma, we propose a novel federated learning algorithm with local drift decoupling and correction (FedDC). Our FedDC only introduces lightweight modifications in the local training phase, in which each client utilizes an auxiliary local drift variable to track the gap between the local model parameter and the global model parameters. The key idea of FedDC is to utilize this learned local drift variable to bridge the gap, i.e., conducting consistency in parameter-level. The experiment results and analysis demonstrate that FedDC yields expediting convergence and better performance on various image classification tasks, robust in partial participation settings, non-iid data, and heterogeneous clients.

An Annotation-free Restoration Network for Cataractous Fundus Images

Cataracts are the leading cause of vision loss worldwide. Restoration algorithms are developed to improve the readability of cataract fundus images in order to increase the certainty in diagnosis and treatment for cataract patients. Unfortunately, the requirement of annotation limits the application of these algorithms in clinics. This paper proposes a network to annotation-freely restore cataractous fundus images (ArcNet) so as to boost the clinical practicability of restoration. Annotations are unnecessary in ArcNet, where the high-frequency component is extracted from fundus images to replace segmentation in the preservation of retinal structures. The restoration model is learned from the synthesized images and adapted to real cataract images. Extensive experiments are implemented to verify the performance and effectiveness of ArcNet. Favorable performance is achieved using ArcNet against state-of-the-art algorithms, and the diagnosis of ocular fundus diseases in cataract patients is promoted by ArcNet. The capability of properly restoring cataractous images in the absence of annotated data promises the proposed algorithm outstanding clinical practicability.

REFUGE2 Challenge: Treasure for Multi-Domain Learning in Glaucoma Assessment

Glaucoma is the second leading cause of blindness and is the leading cause of irreversible blindness disease in the world. Early screening for glaucoma in the population is significant. Color fundus photography is the most cost effective imaging modality to screen for ocular diseases. Deep learning network is often used in color fundus image analysis due to its powful feature extraction capability. However, the model training of deep learning method needs a large amount of data, and the distribution of data should be abundant for the robustness of model performance. To promote the research of deep learning in color fundus photography and help researchers further explore the clinical application signification of AI technology, we held a REFUGE2 challenge. This challenge released 2,000 color fundus images of four models, including Zeiss, Canon, Kowa and Topcon, which can validate the stabilization and generalization of algorithms on multi-domain. Moreover, three sub-tasks were designed in the challenge, including glaucoma classification, cup/optic disc segmentation, and macular fovea localization. These sub-tasks technically cover the three main problems of computer vision and clinicly cover the main researchs of glaucoma diagnosis. Over 1,300 international competitors joined the REFUGE2 challenge, 134 teams submitted more than 3,000 valid preliminary results, and 22 teams reached the final. This article summarizes the methods of some of the finalists and analyzes their results. In particular, we observed that the teams using domain adaptation strategies had high and robust performance on the dataset with multi-domain. This indicates that UDA and other multi-domain related researches will be the trend of deep learning field in the future, and our REFUGE2 datasets will play an important role in these researches.

ADAM Challenge: Detecting Age-related Macular Degeneration from Fundus Images

Age-related macular degeneration (AMD) is the leading cause of visual impairment among elderly in the world. Early detection of AMD is of great importance as the vision loss caused by AMD is irreversible and permanent. Color fundus photography is the most cost-effective imaging modality to screen for retinal disorders. \textcolor{red}{Recently, some algorithms based on deep learning had been developed for fundus image analysis and automatic AMD detection. However, a comprehensive annotated dataset and a standard evaluation benchmark are still missing.} To deal with this issue, we set up the Automatic Detection challenge on Age-related Macular degeneration (ADAM) for the first time, held as a satellite event of the ISBI 2020 conference. The ADAM challenge consisted of four tasks which cover the main topics in detecting AMD from fundus images, including classification of AMD, detection and segmentation of optic disc, localization of fovea, and detection and segmentation of lesions. The ADAM challenge has released a comprehensive dataset of 1200 fundus images with the category labels of AMD, the pixel-wise segmentation masks of the full optic disc and lesions (drusen, exudate, hemorrhage, scar, and other), as well as the location coordinates of the macular fovea. A uniform evaluation framework has been built to make a fair comparison of different models. During the ADAM challenge, 610 results were submitted for online evaluation, and finally, 11 teams participated in the onsite challenge. This paper introduces the challenge, dataset, and evaluation methods, as well as summarizes the methods and analyzes the results of the participating teams of each task. In particular, we observed that ensembling strategy and clinical prior knowledge can better improve the performances of the deep learning models.