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.

GAMMA Challenge:Glaucoma grAding from Multi-Modality imAges

Color fundus photography and Optical Coherence Tomography (OCT) are the two most cost-effective tools for glaucoma screening. Both two modalities of images have prominent biomarkers to indicate glaucoma suspected. Clinically, it is often recommended to take both of the screenings for a more accurate and reliable diagnosis. However, although numerous algorithms are proposed based on fundus images or OCT volumes in computer-aided diagnosis, there are still few methods leveraging both of the modalities for the glaucoma assessment. Inspired by the success of Retinal Fundus Glaucoma Challenge (REFUGE) we held previously, we set up the Glaucoma grAding from Multi-Modality imAges (GAMMA) Challenge to encourage the development of fundus \& OCT-based glaucoma grading. The primary task of the challenge is to grade glaucoma from both the 2D fundus images and 3D OCT scanning volumes. As part of GAMMA, we have publicly released a glaucoma annotated dataset with both 2D fundus color photography and 3D OCT volumes, which is the first multi-modality dataset for glaucoma grading. In addition, an evaluation framework is also established to evaluate the performance of the submitted methods. During the challenge, 1272 results were submitted, and finally, top-10 teams were selected to the final stage. We analysis their results and summarize their methods in the paper. Since all these teams submitted their source code in the challenge, a detailed ablation study is also conducted to verify the effectiveness of the particular modules proposed. We find many of the proposed techniques are practical for the clinical diagnosis of glaucoma. As the first in-depth study of fundus \& OCT multi-modality glaucoma grading, we believe the GAMMA Challenge will be an essential starting point for future research.

Consistency and Diversity induced Human Motion Segmentation

Subspace clustering is a classical technique that has been widely used for human motion segmentation and other related tasks. However, existing segmentation methods often cluster data without guidance from prior knowledge, resulting in unsatisfactory segmentation results. To this end, we propose a novel Consistency and Diversity induced human Motion Segmentation (CDMS) algorithm. Specifically, our model factorizes the source and target data into distinct multi-layer feature spaces, in which transfer subspace learning is conducted on different layers to capture multi-level information. A multi-mutual consistency learning strategy is carried out to reduce the domain gap between the source and target data. In this way, the domain-specific knowledge and domain-invariant properties can be explored simultaneously. Besides, a novel constraint based on the Hilbert Schmidt Independence Criterion (HSIC) is introduced to ensure the diversity of multi-level subspace representations, which enables the complementarity of multi-level representations to be explored to boost the transfer learning performance. Moreover, to preserve the temporal correlations, an enhanced graph regularizer is imposed on the learned representation coefficients and the multi-level representations of the source data. The proposed model can be efficiently solved using the Alternating Direction Method of Multipliers (ADMM) algorithm. Extensive experimental results on public human motion datasets demonstrate the effectiveness of our method against several state-of-the-art approaches.

Transformers in Medical Imaging: A Survey

Following unprecedented success on the natural language tasks, Transformers have been successfully applied to several computer vision problems, achieving state-of-the-art results and prompting researchers to reconsider the supremacy of convolutional neural networks (CNNs) as {de facto} operators. Capitalizing on these advances in computer vision, the medical imaging field has also witnessed growing interest for Transformers that can capture global context compared to CNNs with local receptive fields. Inspired from this transition, in this survey, we attempt to provide a comprehensive review of the applications of Transformers in medical imaging covering various aspects, ranging from recently proposed architectural designs to unsolved issues. Specifically, we survey the use of Transformers in medical image segmentation, detection, classification, reconstruction, synthesis, registration, clinical report generation, and other tasks. In particular, for each of these applications, we develop taxonomy, identify application-specific challenges as well as provide insights to solve them, and highlight recent trends. Further, we provide a critical discussion of the field's current state as a whole, including the identification of key challenges, open problems, and outlining promising future directions. We hope this survey will ignite further interest in the community and provide researchers with an up-to-date reference regarding applications of Transformer models in medical imaging. Finally, to cope with the rapid development in this field, we intend to regularly update the relevant latest papers and their open-source implementations at \url{https://github.com/fahadshamshad/awesome-transformers-in-medical-imaging}.

Boosting RGB-D Saliency Detection by Leveraging Unlabeled RGB Images

Training deep models for RGB-D salient object detection (SOD) often requires a large number of labeled RGB-D images. However, RGB-D data is not easily acquired, which limits the development of RGB-D SOD techniques. To alleviate this issue, we present a Dual-Semi RGB-D Salient Object Detection Network (DS-Net) to leverage unlabeled RGB images for boosting RGB-D saliency detection. We first devise a depth decoupling convolutional neural network (DDCNN), which contains a depth estimation branch and a saliency detection branch. The depth estimation branch is trained with RGB-D images and then used to estimate the pseudo depth maps for all unlabeled RGB images to form the paired data. The saliency detection branch is used to fuse the RGB feature and depth feature to predict the RGB-D saliency. Then, the whole DDCNN is assigned as the backbone in a teacher-student framework for semi-supervised learning. Moreover, we also introduce a consistency loss on the intermediate attention and saliency maps for the unlabeled data, as well as a supervised depth and saliency loss for labeled data. Experimental results on seven widely-used benchmark datasets demonstrate that our DDCNN outperforms state-of-the-art methods both quantitatively and qualitatively. We also demonstrate that our semi-supervised DS-Net can further improve the performance, even when using an RGB image with the pseudo depth map.

Specificity-Preserving Federated Learning for MR Image Reconstruction

Federated learning (FL) can be used to improve data privacy and efficiency in magnetic resonance (MR) image reconstruction by enabling multiple institutions to collaborate without needing to aggregate local data. However, the domain shift caused by different MR imaging protocols can substantially degrade the performance of FL models. Recent FL techniques tend to solve this by enhancing the generalization of the global model, but they ignore the domain-specific features, which may contain important information about the device properties and be useful for local reconstruction. In this paper, we propose a specificity-preserving FL algorithm for MR image reconstruction (FedMRI). The core idea is to divide the MR reconstruction model into two parts: a globally shared encoder to obtain a generalized representation at the global level, and a client-specific decoder to preserve the domain-specific properties of each client, which is important for collaborative reconstruction when the clients have unique distribution. Moreover, to further boost the convergence of the globally shared encoder when a domain shift is present, a weighted contrastive regularization is introduced to directly correct any deviation between the client and server during optimization. Extensive experiments demonstrate that our FedMRI's reconstructed results are the closest to the ground-truth for multi-institutional data, and that it outperforms state-of-the-art FL methods.

Trustworthy Long-Tailed Classification

Classification on long-tailed distributed data is a challenging problem, which suffers from serious class-imbalance and accordingly unpromising performance especially on tail classes. Recently, the ensembling based methods achieve the state-of-the-art performance and show great potential. However, there are two limitations for current methods. First, their predictions are not trustworthy for failure-sensitive applications. This is especially harmful for the tail classes where the wrong predictions is basically frequent. Second, they assign unified numbers of experts to all samples, which is redundant for easy samples with excessive computational cost. To address these issues, we propose a Trustworthy Long-tailed Classification (TLC) method to jointly conduct classification and uncertainty estimation to identify hard samples in a multi-expert framework. Our TLC obtains the evidence-based uncertainty (EvU) and evidence for each expert, and then combines these uncertainties and evidences under the Dempster-Shafer Evidence Theory (DST). Moreover, we propose a dynamic expert engagement to reduce the number of engaged experts for easy samples and achieve efficiency while maintaining promising performances. Finally, we conduct comprehensive experiments on the tasks of classification, tail detection, OOD detection and failure prediction. The experimental results show that the proposed TLC outperforms the state-of-the-art methods and is trustworthy with reliable uncertainty.

Trustworthy Multimodal Regression with Mixture of Normal-inverse Gamma Distributions

Multimodal regression is a fundamental task, which integrates the information from different sources to improve the performance of follow-up applications. However, existing methods mainly focus on improving the performance and often ignore the confidence of prediction for diverse situations. In this study, we are devoted to trustworthy multimodal regression which is critical in cost-sensitive domains. To this end, we introduce a novel Mixture of Normal-Inverse Gamma distributions (MoNIG) algorithm, which efficiently estimates uncertainty in principle for adaptive integration of different modalities and produces a trustworthy regression result. Our model can be dynamically aware of uncertainty for each modality, and also robust for corrupted modalities. Furthermore, the proposed MoNIG ensures explicitly representation of (modality-specific/global) epistemic and aleatoric uncertainties, respectively. Experimental results on both synthetic and different real-world data demonstrate the effectiveness and trustworthiness of our method on various multimodal regression tasks (e.g., temperature prediction for superconductivity, relative location prediction for CT slices, and multimodal sentiment analysis).

Multi-modal Aggregation Network for Fast MR Imaging

Magnetic resonance (MR) imaging is a commonly used scanning technique for disease detection, diagnosis and treatment monitoring. Although it is able to produce detailed images of organs and tissues with better contrast, it suffers from a long acquisition time, which makes the image quality vulnerable to say motion artifacts. Recently, many approaches have been developed to reconstruct full-sampled images from partially observed measurements in order to accelerate MR imaging. However, most of these efforts focus on reconstruction over a single modality or simple fusion of multiple modalities, neglecting the discovery of correlation knowledge at different feature level. In this work, we propose a novel Multi-modal Aggregation Network, named MANet, which is capable of discovering complementary representations from a fully sampled auxiliary modality, with which to hierarchically guide the reconstruction of a given target modality. In our MANet, the representations from the fully sampled auxiliary and undersampled target modalities are learned independently through a specific network. Then, a guided attention module is introduced in each convolutional stage to selectively aggregate multi-modal features for better reconstruction, yielding comprehensive, multi-scale, multi-modal feature fusion. Moreover, our MANet follows a hybrid domain learning framework, which allows it to simultaneously recover the frequency signal in the $k$-space domain as well as restore the image details from the image domain. Extensive experiments demonstrate the superiority of the proposed approach over state-of-the-art MR image reconstruction methods.