3D Convolutional Neural Networks Image Registration Based on Efficient Supervised Learning from Artificial Deformations

We propose a supervised nonrigid image registration method, trained using artificial displacement vector fields (DVF), for which we propose and compare three network architectures. The artificial DVFs allow training in a fully supervised and voxel-wise dense manner, but without the cost usually associated with the creation of densely labeled data. We propose a scheme to artificially generate DVFs, and for chest CT registration augment these with simulated respiratory motion. The proposed architectures are embedded in a multi-stage approach, to increase the capture range of the proposed networks in order to more accurately predict larger displacements. The proposed method, RegNet, is evaluated on multiple databases of chest CT scans and achieved a target registration error of 2.32 $\pm$ 5.33 mm and 1.86 $\pm$ 2.12 mm on SPREAD and DIR-Lab-4DCT studies, respectively. The average inference time of RegNet with two stages is about 2.2 s.

I Bet You Are Wrong: Gambling Adversarial Networks for Structured Semantic Segmentation

Adversarial training has been recently employed for realizing structured semantic segmentation, in which the aim is to preserve higher-level scene structural consistencies in dense predictions. However, as we show, value-based discrimination between the predictions from the segmentation network and ground-truth annotations can hinder the training process from learning to improve structural qualities as well as disabling the network from properly expressing uncertainties. In this paper, we rethink adversarial training for semantic segmentation and propose to formulate the fake/real discrimination framework with a correct/incorrect training objective. More specifically, we replace the discriminator with a "gambler" network that learns to spot and distribute its budget in areas where the predictions are clearly wrong, while the segmenter network tries to leave no clear clues for the gambler where to bet. Empirical evaluation on two road-scene semantic segmentation tasks shows that not only does the proposed method re-enable expressing uncertainties, it also improves pixel-wise and structure-based metrics.

Standardized Assessment of Automatic Segmentation of White Matter Hyperintensities and Results of the WMH Segmentation Challenge

Quantification of cerebral white matter hyperintensities (WMH) of presumed vascular origin is of key importance in many neurological research studies. Currently, measurements are often still obtained from manual segmentations on brain MR images, which is a laborious procedure. Automatic WMH segmentation methods exist, but a standardized comparison of the performance of such methods is lacking. We organized a scientific challenge, in which developers could evaluate their method on a standardized multi-center/-scanner image dataset, giving an objective comparison: the WMH Segmentation Challenge (https://wmh.isi.uu.nl/). Sixty T1+FLAIR images from three MR scanners were released with manual WMH segmentations for training. A test set of 110 images from five MR scanners was used for evaluation. Segmentation methods had to be containerized and submitted to the challenge organizers. Five evaluation metrics were used to rank the methods: (1) Dice similarity coefficient, (2) modified Hausdorff distance (95th percentile), (3) absolute log-transformed volume difference, (4) sensitivity for detecting individual lesions, and (5) F1-score for individual lesions. Additionally, methods were ranked on their inter-scanner robustness. Twenty participants submitted their method for evaluation. This paper provides a detailed analysis of the results. In brief, there is a cluster of four methods that rank significantly better than the other methods, with one clear winner. The inter-scanner robustness ranking shows that not all methods generalize to unseen scanners. The challenge remains open for future submissions and provides a public platform for method evaluation.

Comparison of U-net-based Convolutional Neural Networks for Liver Segmentation in CT

Various approaches for liver segmentation in CT have been proposed: Besides statistical shape models, which played a major role in this research area, novel approaches on the basis of convolutional neural networks have been introduced recently. Using a set of 219 liver CT datasets with reference segmentations from liver surgery planning, we evaluate the performance of several neural network classifiers based on 2D and 3D U-net architectures. An interesting observation is that slice-wise approaches perform surprisingly well, with mean and median Dice coefficients above 0.97, and may be preferable over 3D approaches given current hardware and software limitations.

EL-GAN: Embedding Loss Driven Generative Adversarial Networks for Lane Detection

Convolutional neural networks have been successfully applied to semantic segmentation problems. However, there are many problems that are inherently not pixel-wise classification problems but are nevertheless frequently formulated as semantic segmentation. This ill-posed formulation consequently necessitates hand-crafted scenario-specific and computationally expensive post-processing methods to convert the per pixel probability maps to final desired outputs. Generative adversarial networks (GANs) can be used to make the semantic segmentation network output to be more realistic or better structure-preserving, decreasing the dependency on potentially complex post-processing. In this work, we propose EL-GAN: a GAN framework to mitigate the discussed problem using an embedding loss. With EL-GAN, we discriminate based on learned embeddings of both the labels and the prediction at the same time. This results in more stable training due to having better discriminative information, benefiting from seeing both `fake' and `real' predictions at the same time. This substantially stabilizes the adversarial training process. We use the TuSimple lane marking challenge to demonstrate that with our proposed framework it is viable to overcome the inherent anomalies of posing it as a semantic segmentation problem. Not only is the output considerably more similar to the labels when compared to conventional methods, the subsequent post-processing is also simpler and crosses the competitive 96% accuracy threshold.

Student Beats the Teacher: Deep Neural Networks for Lateral Ventricles Segmentation in Brain MR

Ventricular volume and its progression are known to be linked to several brain diseases such as dementia and schizophrenia. Therefore accurate measurement of ventricle volume is vital for longitudinal studies on these disorders, making automated ventricle segmentation algorithms desirable. In the past few years, deep neural networks have shown to outperform the classical models in many imaging domains. However, the success of deep networks is dependent on manually labeled data sets, which are expensive to acquire especially for higher dimensional data in the medical domain. In this work, we show that deep neural networks can be trained on much-cheaper-to-acquire pseudo-labels (e.g., generated by other automated less accurate methods) and still produce more accurate segmentations compared to the quality of the labels. To show this, we use noisy segmentation labels generated by a conventional region growing algorithm to train a deep network for lateral ventricle segmentation. Then on a large manually annotated test set, we show that the network significantly outperforms the conventional region growing algorithm which was used to produce the training labels for the network. Our experiments report a Dice Similarity Coefficient (DSC) of $0.874$ for the trained network compared to $0.754$ for the conventional region growing algorithm ($p < 0.001$).

A Survey on Deep Learning in Medical Image Analysis

Deep learning algorithms, in particular convolutional networks, have rapidly become a methodology of choice for analyzing medical images. This paper reviews the major deep learning concepts pertinent to medical image analysis and summarizes over 300 contributions to the field, most of which appeared in the last year. We survey the use of deep learning for image classification, object detection, segmentation, registration, and other tasks and provide concise overviews of studies per application area. Open challenges and directions for future research are discussed.

Transfer Learning for Domain Adaptation in MRI: Application in Brain Lesion Segmentation

Magnetic Resonance Imaging (MRI) is widely used in routine clinical diagnosis and treatment. However, variations in MRI acquisition protocols result in different appearances of normal and diseased tissue in the images. Convolutional neural networks (CNNs), which have shown to be successful in many medical image analysis tasks, are typically sensitive to the variations in imaging protocols. Therefore, in many cases, networks trained on data acquired with one MRI protocol, do not perform satisfactorily on data acquired with different protocols. This limits the use of models trained with large annotated legacy datasets on a new dataset with a different domain which is often a recurring situation in clinical settings. In this study, we aim to answer the following central questions regarding domain adaptation in medical image analysis: Given a fitted legacy model, 1) How much data from the new domain is required for a decent adaptation of the original network?; and, 2) What portion of the pre-trained model parameters should be retrained given a certain number of the new domain training samples? To address these questions, we conducted extensive experiments in white matter hyperintensity segmentation task. We trained a CNN on legacy MR images of brain and evaluated the performance of the domain-adapted network on the same task with images from a different domain. We then compared the performance of the model to the surrogate scenarios where either the same trained network is used or a new network is trained from scratch on the new dataset.The domain-adapted network tuned only by two training examples achieved a Dice score of 0.63 substantially outperforming a similar network trained on the same set of examples from scratch.

Location Sensitive Deep Convolutional Neural Networks for Segmentation of White Matter Hyperintensities

The anatomical location of imaging features is of crucial importance for accurate diagnosis in many medical tasks. Convolutional neural networks (CNN) have had huge successes in computer vision, but they lack the natural ability to incorporate the anatomical location in their decision making process, hindering success in some medical image analysis tasks. In this paper, to integrate the anatomical location information into the network, we propose several deep CNN architectures that consider multi-scale patches or take explicit location features while training. We apply and compare the proposed architectures for segmentation of white matter hyperintensities in brain MR images on a large dataset. As a result, we observe that the CNNs that incorporate location information substantially outperform a conventional segmentation method with hand-crafted features as well as CNNs that do not integrate location information. On a test set of 46 scans, the best configuration of our networks obtained a Dice score of 0.791, compared to 0.797 for an independent human observer. Performance levels of the machine and the independent human observer were not statistically significantly different (p-value=0.17).

Deep Multi-scale Location-aware 3D Convolutional Neural Networks for Automated Detection of Lacunes of Presumed Vascular Origin

Lacunes of presumed vascular origin (lacunes) are associated with an increased risk of stroke, gait impairment, and dementia and are a primary imaging feature of the small vessel disease. Quantification of lacunes may be of great importance to elucidate the mechanisms behind neuro-degenerative disorders and is recommended as part of study standards for small vessel disease research. However, due to the different appearance of lacunes in various brain regions and the existence of other similar-looking structures, such as perivascular spaces, manual annotation is a difficult, elaborative and subjective task, which can potentially be greatly improved by reliable and consistent computer-aided detection (CAD) routines. In this paper, we propose an automated two-stage method using deep convolutional neural networks (CNN). We show that this method has good performance and can considerably benefit readers. We first use a fully convolutional neural network to detect initial candidates. In the second step, we employ a 3D CNN as a false positive reduction tool. As the location information is important to the analysis of candidate structures, we further equip the network with contextual information using multi-scale analysis and integration of explicit location features. We trained, validated and tested our networks on a large dataset of 1075 cases obtained from two different studies. Subsequently, we conducted an observer study with four trained observers and compared our method with them using a free-response operating characteristic analysis. Shown on a test set of 111 cases, the resulting CAD system exhibits performance similar to the trained human observers and achieves a sensitivity of 0.974 with 0.13 false positives per slice. A feasibility study also showed that a trained human observer would considerably benefit once aided by the CAD system.