In a rectal cancer treatment planning, the location of rectum and rectal cancer plays an important role. The aim of this study is to propose a fully automatic method to segment both rectum and rectal cancer with axial T2-weighted magnetic resonance images. We present a fully convolutional network for multi-task learning to segment both rectum and rectal cancer. Moreover, we propose an assessment method based on bias-variance decomposition to visualize and measure the regional model robustness of a segmentation network. In addition, we suggest a novel augmentation method which can improve the segmentation performance and reduce the training time. Our proposed method not only is computationally efficient due to its fully convolutional nature but also outperforms the current state-of-the-art in rectal cancer segmentation. It also shows high accuracy in rectum segmentation, for which no previous studies exist. We conclude that rectum information benefits the training of rectal cancer segmentation model, especially concerning model variance.
In this study, we present a fully automatic method to segment both rectum and rectal cancer based on Deep Neural Networks (DNNs) with axial T2-weighted Magnetic Resonance images. Clinically, the relative location between rectum and rectal cancer plays an important role in cancer treatment planning. Such a need motivates us to propose a fully convolutional architecture for Multi-Task Learning (MTL) to segment both rectum and rectal cancer. Moreover, we propose a bias-variance decomposition-based method which can visualize and assess regional robustness of the segmentation model. In addition, we also suggest a novel augmentation method which can improve the segmentation performance as well as reduce the training time. Overall, our proposed method is not only computationally efficient due to its fully convolutional nature but also outperforms the current state-of-the-art for rectal cancer segmentation. It also scores high accuracy in rectum segmentation without any prior study reported. Moreover, we conclude that supplementing rectum information benefits the rectal cancer segmentation model, especially in model variance.