Innovative Quantitative Analysis for Disease Progression Assessment in Familial Cerebral Cavernous Malformations

Familial cerebral cavernous malformation (FCCM) is a hereditary disorder characterized by abnormal vascular structures within the central nervous system. The FCCM lesions are often numerous and intricate, making quantitative analysis of the lesions a labor-intensive task. Consequently, clinicians face challenges in quantitatively assessing the severity of lesions and determining whether lesions have progressed. To alleviate this problem, we propose a quantitative statistical framework for FCCM, comprising an efficient annotation module, an FCCM lesion segmentation module, and an FCCM lesion quantitative statistics module. Our framework demonstrates precise segmentation of the FCCM lesion based on efficient data annotation, achieving a Dice coefficient of 93.22\%. More importantly, we focus on quantitative statistics of lesions, which is combined with image registration to realize the quantitative comparison of lesions between different examinations of patients, and a visualization framework has been established for doctors to comprehensively compare and analyze lesions. The experimental results have demonstrated that our proposed framework not only obtains objective, accurate, and comprehensive quantitative statistical information, which provides a quantitative assessment method for disease progression and drug efficacy study, but also considerably reduces the manual measurement and statistical workload of lesions, assisting clinical decision-making for FCCM and accelerating progress in FCCM clinical research. This highlights the potential of practical application of the framework in FCCM clinical research and clinical decision-making. The codes are available at https://github.com/6zrg/Quantitative-Statistics-of-FCCM.

Dual-Decoder Consistency via Pseudo-Labels Guided Data Augmentation for Semi-Supervised Medical Image Segmentation

Medical image segmentation methods often rely on fully supervised approaches to achieve excellent performance, which is contingent upon having an extensive set of labeled images for training. However, annotating medical images is both expensive and time-consuming. Semi-supervised learning offers a solution by leveraging numerous unlabeled images alongside a limited set of annotated ones. In this paper, we introduce a semi-supervised medical image segmentation method based on the mean-teacher model, referred to as Dual-Decoder Consistency via Pseudo-Labels Guided Data Augmentation (DCPA). This method combines consistency regularization, pseudo-labels, and data augmentation to enhance the efficacy of semi-supervised segmentation. Firstly, the proposed model comprises both student and teacher models with a shared encoder and two distinct decoders employing different up-sampling strategies. Minimizing the output discrepancy between decoders enforces the generation of consistent representations, serving as regularization during student model training. Secondly, we introduce mixup operations to blend unlabeled data with labeled data, creating mixed data and thereby achieving data augmentation. Lastly, pseudo-labels are generated by the teacher model and utilized as labels for mixed data to compute unsupervised loss. We compare the segmentation results of the DCPA model with six state-of-the-art semi-supervised methods on three publicly available medical datasets. Beyond classical 10\% and 20\% semi-supervised settings, we investigate performance with less supervision (5\% labeled data). Experimental outcomes demonstrate that our approach consistently outperforms existing semi-supervised medical image segmentation methods across the three semi-supervised settings.