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.

COROLLA: An Efficient Multi-Modality Fusion Framework with Supervised Contrastive Learning for Glaucoma Grading

Glaucoma is one of the ophthalmic diseases that may cause blindness, for which early detection and treatment are very important. Fundus images and optical coherence tomography (OCT) images are both widely-used modalities in diagnosing glaucoma. However, existing glaucoma grading approaches mainly utilize a single modality, ignoring the complementary information between fundus and OCT. In this paper, we propose an efficient multi-modality supervised contrastive learning framework, named COROLLA, for glaucoma grading. Through layer segmentation as well as thickness calculation and projection, retinal thickness maps are extracted from the original OCT volumes and used as a replacing modality, resulting in more efficient calculations with less memory usage. Given the high structure and distribution similarities across medical image samples, we employ supervised contrastive learning to increase our models' discriminative power with better convergence. Moreover, feature-level fusion of paired fundus image and thickness map is conducted for enhanced diagnosis accuracy. On the GAMMA dataset, our COROLLA framework achieves overwhelming glaucoma grading performance compared to state-of-the-art methods.

Unsupervised Domain Adaptation for Cross-Modality Retinal Vessel Segmentation via Disentangling Representation Style Transfer and Collaborative Consistency Learning

Various deep learning models have been developed to segment anatomical structures from medical images, but they typically have poor performance when tested on another target domain with different data distribution. Recently, unsupervised domain adaptation methods have been proposed to alleviate this so-called domain shift issue, but most of them are designed for scenarios with relatively small domain shifts and are likely to fail when encountering a large domain gap. In this paper, we propose DCDA, a novel cross-modality unsupervised domain adaptation framework for tasks with large domain shifts, e.g., segmenting retinal vessels from OCTA and OCT images. DCDA mainly consists of a disentangling representation style transfer (DRST) module and a collaborative consistency learning (CCL) module. DRST decomposes images into content components and style codes and performs style transfer and image reconstruction. CCL contains two segmentation models, one for source domain and the other for target domain. The two models use labeled data (together with the corresponding transferred images) for supervised learning and perform collaborative consistency learning on unlabeled data. Each model focuses on the corresponding single domain and aims to yield an expertized domain-specific segmentation model. Through extensive experiments on retinal vessel segmentation, our framework achieves Dice scores close to target-trained oracle both from OCTA to OCT and from OCT to OCTA, significantly outperforming other state-of-the-art methods.

Towards Federated Learning on Time-Evolving Heterogeneous Data

Federated Learning (FL) is an emerging learning paradigm that preserves privacy by ensuring client data locality on edge devices. The optimization of FL is challenging in practice due to the diversity and heterogeneity of the learning system. Despite recent research efforts on improving the optimization of heterogeneous data, the impact of time-evolving heterogeneous data in real-world scenarios, such as changing client data or intermittent clients joining or leaving during training, has not been well studied. In this work, we propose Continual Federated Learning (CFL), a flexible framework, to capture the time-evolving heterogeneity of FL. CFL covers complex and realistic scenarios -- which are challenging to evaluate in previous FL formulations -- by extracting the information of past local datasets and approximating the local objective functions. Theoretically, we demonstrate that CFL methods achieve a faster convergence rate than \fedavg in time-evolving scenarios, with the benefit being dependent on approximation quality. In a series of experiments, we show that the numerical findings match the convergence analysis, and CFL methods significantly outperform the other SOTA FL baselines.

Identifying the key components in ResNet-50 for diabetic retinopathy grading from fundus images: a systematic investigation

Although deep learning based diabetic retinopathy (DR) classification methods typically benefit from well-designed architectures of convolutional neural networks, the training setting also has a non-negligible impact on the prediction performance. The training setting includes various interdependent components, such as objective function, data sampling strategy and data augmentation approach. To identify the key components in a standard deep learning framework (ResNet-50) for DR grading, we systematically analyze the impact of several major components. Extensive experiments are conducted on a publicly-available dataset EyePACS. We demonstrate that (1) the ResNet-50 framework for DR grading is sensitive to input resolution, objective function, and composition of data augmentation, (2) using mean square error as the loss function can effectively improve the performance with respect to a task-specific evaluation metric, namely the quadratically-weighted Kappa, (3) utilizing eye pairs boosts the performance of DR grading and (4) using data resampling to address the problem of imbalanced data distribution in EyePACS hurts the performance. Based on these observations and an optimal combination of the investigated components, our framework, without any specialized network design, achieves the state-of-the-art result (0.8631 for Kappa) on the EyePACS test set (a total of 42670 fundus images) with only image-level labels. Our codes and pre-trained model are available at https://github.com/YijinHuang/pytorch-classification

Automatic hippocampal surface generation via 3D U-net and active shape modeling with hybrid particle swarm optimization

In this paper, we proposed and validated a fully automatic pipeline for hippocampal surface generation via 3D U-net coupled with active shape modeling (ASM). Principally, the proposed pipeline consisted of three steps. In the beginning, for each magnetic resonance image, a 3D U-net was employed to obtain the automatic hippocampus segmentation at each hemisphere. Secondly, ASM was performed on a group of pre-obtained template surfaces to generate mean shape and shape variation parameters through principal component analysis. Ultimately, hybrid particle swarm optimization was utilized to search for the optimal shape variation parameters that best match the segmentation. The hippocampal surface was then generated from the mean shape and the shape variation parameters. The proposed pipeline was observed to provide hippocampal surfaces at both hemispheres with high accuracy, correct anatomical topology, and sufficient smoothness.

LDDMM-Face: Large Deformation Diffeomorphic Metric Learning for Flexible and Consistent Face Alignment

We innovatively propose a flexible and consistent face alignment framework, LDDMM-Face, the key contribution of which is a deformation layer that naturally embeds facial geometry in a diffeomorphic way. Instead of predicting facial landmarks via heatmap or coordinate regression, we formulate this task in a diffeomorphic registration manner and predict momenta that uniquely parameterize the deformation between initial boundary and true boundary, and then perform large deformation diffeomorphic metric mapping (LDDMM) simultaneously for curve and landmark to localize the facial landmarks. Due to the embedding of LDDMM into a deep network, LDDMM-Face can consistently annotate facial landmarks without ambiguity and flexibly handle various annotation schemes, and can even predict dense annotations from sparse ones. Our method can be easily integrated into various face alignment networks. We extensively evaluate LDDMM-Face on four benchmark datasets: 300W, WFLW, HELEN and COFW-68. LDDMM-Face is comparable or superior to state-of-the-art methods for traditional within-dataset and same-annotation settings, but truly distinguishes itself with outstanding performance when dealing with weakly-supervised learning (partial-to-full), challenging cases (e.g., occluded faces), and different training and prediction datasets. In addition, LDDMM-Face shows promising results on the most challenging task of predicting across datasets with different annotation schemes.