Robust End-to-End Focal Liver Lesion Detection using Unregistered Multiphase Computed Tomography Images

The computer-aided diagnosis of focal liver lesions (FLLs) can help improve workflow and enable correct diagnoses; FLL detection is the first step in such a computer-aided diagnosis. Despite the recent success of deep-learning-based approaches in detecting FLLs, current methods are not sufficiently robust for assessing misaligned multiphase data. By introducing an attention-guided multiphase alignment in feature space, this study presents a fully automated, end-to-end learning framework for detecting FLLs from multiphase computed tomography (CT) images. Our method is robust to misaligned multiphase images owing to its complete learning-based approach, which reduces the sensitivity of the model's performance to the quality of registration and enables a standalone deployment of the model in clinical practice. Evaluation on a large-scale dataset with 280 patients confirmed that our method outperformed previous state-of-the-art methods and significantly reduced the performance degradation for detecting FLLs using misaligned multiphase CT images. The robustness of the proposed method can enhance the clinical adoption of the deep-learning-based computer-aided detection system.

Liver Lesion Detection from Weakly-labeled Multi-phase CT Volumes with a Grouped Single Shot MultiBox Detector

We present a focal liver lesion detection model leveraged by custom-designed multi-phase computed tomography (CT) volumes, which reflects real-world clinical lesion detection practice using a Single Shot MultiBox Detector (SSD). We show that grouped convolutions effectively harness richer information of the multi-phase data for the object detection model, while a naive application of SSD suffers from a generalization gap. We trained and evaluated the modified SSD model and recently proposed variants with our CT dataset of 64 subjects by five-fold cross validation. Our model achieved a 53.3% average precision score and ran in under three seconds per volume, outperforming the original model and state-of-the-art variants. Results show that the one-stage object detection model is a practical solution, which runs in near real-time and can learn an unbiased feature representation from a large-volume real-world detection dataset, which requires less tedious and time consuming construction of the weak phase-level bounding box labels.