Multi-view Local Co-occurrence and Global Consistency Learning Improve Mammogram Classification Generalisation

When analysing screening mammograms, radiologists can naturally process information across two ipsilateral views of each breast, namely the cranio-caudal (CC) and mediolateral-oblique (MLO) views. These multiple related images provide complementary diagnostic information and can improve the radiologist's classification accuracy. Unfortunately, most existing deep learning systems, trained with globally-labelled images, lack the ability to jointly analyse and integrate global and local information from these multiple views. By ignoring the potentially valuable information present in multiple images of a screening episode, one limits the potential accuracy of these systems. Here, we propose a new multi-view global-local analysis method that mimics the radiologist's reading procedure, based on a global consistency learning and local co-occurrence learning of ipsilateral views in mammograms. Extensive experiments show that our model outperforms competing methods, in terms of classification accuracy and generalisation, on a large-scale private dataset and two publicly available datasets, where models are exclusively trained and tested with global labels.

Uncertainty-aware Multi-modal Learning via Cross-modal Random Network Prediction

Multi-modal learning focuses on training models by equally combining multiple input data modalities during the prediction process. However, this equal combination can be detrimental to the prediction accuracy because different modalities are usually accompanied by varying levels of uncertainty. Using such uncertainty to combine modalities has been studied by a couple of approaches, but with limited success because these approaches are either designed to deal with specific classification or segmentation problems and cannot be easily translated into other tasks, or suffer from numerical instabilities. In this paper, we propose a new Uncertainty-aware Multi-modal Learner that estimates uncertainty by measuring feature density via Cross-modal Random Network Prediction (CRNP). CRNP is designed to require little adaptation to translate between different prediction tasks, while having a stable training process. From a technical point of view, CRNP is the first approach to explore random network prediction to estimate uncertainty and to combine multi-modal data. Experiments on two 3D multi-modal medical image segmentation tasks and three 2D multi-modal computer vision classification tasks show the effectiveness, adaptability and robustness of CRNP. Also, we provide an extensive discussion on different fusion functions and visualization to validate the proposed model.

Translation Consistent Semi-supervised Segmentation for 3D Medical Images

3D medical image segmentation methods have been successful, but their dependence on large amounts of voxel-level annotated data is a disadvantage that needs to be addressed given the high cost to obtain such annotation. Semi-supervised learning (SSL) solve this issue by training models with a large unlabelled and a small labelled dataset. The most successful SSL approaches are based on consistency learning that minimises the distance between model responses obtained from perturbed views of the unlabelled data. These perturbations usually keep the spatial input context between views fairly consistent, which may cause the model to learn segmentation patterns from the spatial input contexts instead of the segmented objects. In this paper, we introduce the Translation Consistent Co-training (TraCoCo) which is a consistency learning SSL method that perturbs the input data views by varying their spatial input context, allowing the model to learn segmentation patterns from visual objects. Furthermore, we propose the replacement of the commonly used mean squared error (MSE) semi-supervised loss by a new Cross-model confident Binary Cross entropy (CBC) loss, which improves training convergence and keeps the robustness to co-training pseudo-labelling mistakes. We also extend CutMix augmentation to 3D SSL to further improve generalisation. Our TraCoCo shows state-of-the-art results for the Left Atrium (LA) and Brain Tumor Segmentation (BRaTS19) datasets with different backbones. Our code is available at https://github.com/yyliu01/TraCoCo.

Contrastive Transformer-based Multiple Instance Learning for Weakly Supervised Polyp Frame Detection

Current polyp detection methods from colonoscopy videos use exclusively normal (i.e., healthy) training images, which i) ignore the importance of temporal information in consecutive video frames, and ii) lack knowledge about the polyps. Consequently, they often have high detection errors, especially on challenging polyp cases (e.g., small, flat, or partially visible polyps). In this work, we formulate polyp detection as a weakly-supervised anomaly detection task that uses video-level labelled training data to detect frame-level polyps. In particular, we propose a novel convolutional transformer-based multiple instance learning method designed to identify abnormal frames (i.e., frames with polyps) from anomalous videos (i.e., videos containing at least one frame with polyp). In our method, local and global temporal dependencies are seamlessly captured while we simultaneously optimise video and snippet-level anomaly scores. A contrastive snippet mining method is also proposed to enable an effective modelling of the challenging polyp cases. The resulting method achieves a detection accuracy that is substantially better than current state-of-the-art approaches on a new large-scale colonoscopy video dataset introduced in this work.

Unsupervised Anomaly Detection in Medical Images with a Memory-augmented Multi-level Cross-attentional Masked Autoencoder

Unsupervised anomaly detection (UAD) aims to find anomalous images by optimising a detector using a training set that contains only normal images. UAD approaches can be based on reconstruction methods, self-supervised approaches, and Imagenet pre-trained models. Reconstruction methods, which detect anomalies from image reconstruction errors, are advantageous because they do not rely on the design of problem-specific pretext tasks needed by self-supervised approaches, and on the unreliable translation of models pre-trained from non-medical datasets. However, reconstruction methods may fail because they can have low reconstruction errors even for anomalous images. In this paper, we introduce a new reconstruction-based UAD approach that addresses this low-reconstruction error issue for anomalous images. Our UAD approach, the memory-augmented multi-level cross-attentional masked autoencoder (MemMC-MAE), is a transformer-based approach, consisting of a novel memory-augmented self-attention operator for the encoder and a new multi-level cross-attention operator for the decoder. MemMC-MAE masks large parts of the input image during its reconstruction, reducing the risk that it will produce low reconstruction errors because anomalies are likely to be masked and cannot be reconstructed. However, when the anomaly is not masked, then the normal patterns stored in the encoder's memory combined with the decoder's multi-level cross-attention will constrain the accurate reconstruction of the anomaly. We show that our method achieves SOTA anomaly detection and localisation on colonoscopy and Covid-19 Chest X-ray datasets.

Semantic-guided Image Virtual Attribute Learning for Noisy Multi-label Chest X-ray Classification

Deep learning methods have shown outstanding classification accuracy in medical image analysis problems, which is largely attributed to the availability of large datasets manually annotated with clean labels. However, such manual annotation can be expensive to obtain for large datasets, so we may rely on machine-generated noisy labels. Many Chest X-ray (CXR) classifiers are modelled from datasets with machine-generated labels, but their training procedure is in general not robust to the presence of noisy-label samples and can overfit those samples to produce sub-optimal solutions. Furthermore, CXR datasets are mostly multi-label, so current noisy-label learning methods designed for multi-class problems cannot be easily adapted. To address such noisy multi-label CXR learning problem, we propose a new learning method based on estimating image virtual attributes using semantic information from the label to assist in the identification and correction of noisy multi-labels from training samples. Our experiments on diverse noisy multi-label training sets and clean testing sets show that our model has state-of-the-art accuracy and robustness across all datasets.

ACPL: Anti-curriculum Pseudo-labelling for Semi-supervised Medical Image Classification

Effective semi-supervised learning (SSL) in medical im-age analysis (MIA) must address two challenges: 1) workeffectively on both multi-class (e.g., lesion classification)and multi-label (e.g., multiple-disease diagnosis) problems,and 2) handle imbalanced learning (because of the highvariance in disease prevalence). One strategy to explorein SSL MIA is based on the pseudo labelling strategy, butit has a few shortcomings. Pseudo-labelling has in generallower accuracy than consistency learning, it is not specifi-cally design for both multi-class and multi-label problems,and it can be challenged by imbalanced learning. In this paper, unlike traditional methods that select confident pseudo label by threshold, we propose a new SSL algorithm, called anti-curriculum pseudo-labelling (ACPL), which introduces novel techniques to select informative unlabelled samples, improving training balance and allowing the model to work for both multi-label and multi-class problems, and to estimate pseudo labels by an accurate ensemble of classifiers(improving pseudo label accuracy). We run extensive experiments to evaluate ACPL on two public medical image classification benchmarks: Chest X-Ray14 for thorax disease multi-label classification and ISIC2018 for skin lesion multi-class classification. Our method outperforms previous SOTA SSL methods on both datasets.

ACPL: Anti-curriculum Pseudo-labelling forSemi-supervised Medical Image Classification

Effective semi-supervised learning (SSL) in medical im-age analysis (MIA) must address two challenges: 1) workeffectively on both multi-class (e.g., lesion classification)and multi-label (e.g., multiple-disease diagnosis) problems,and 2) handle imbalanced learning (because of the highvariance in disease prevalence). One strategy to explorein SSL MIA is based on the pseudo labelling strategy, butit has a few shortcomings. Pseudo-labelling has in generallower accuracy than consistency learning, it is not specifi-cally design for both multi-class and multi-label problems,and it can be challenged by imbalanced learning. In this paper, unlike traditional methods that select confident pseudo label by threshold, we propose a new SSL algorithm, called anti-curriculum pseudo-labelling (ACPL), which introduces novel techniques to select informative unlabelled samples, improving training balance and allowing the model to work for both multi-label and multi-class problems, and to estimate pseudo labels by an accurate ensemble of classifiers(improving pseudo label accuracy). We run extensive experiments to evaluate ACPL on two public medical image classification benchmarks: Chest X-Ray14 for thorax disease multi-label classification and ISIC2018 for skin lesion multi-class classification. Our method outperforms previous SOTA SSL methods on both datasets.

Perturbed and Strict Mean Teachers for Semi-supervised Semantic Segmentation

Consistency learning using input image, feature, or network perturbations has shown remarkable results in semi-supervised semantic segmentation, but this approach can be seriously affected by inaccurate predictions of unlabelled training images. There are two consequences of these inaccurate predictions: 1) the training based on the ``strict'' cross-entropy (CE) loss can easily overfit prediction mistakes, leading to confirmation bias; and 2) the perturbations applied to these inaccurate predictions will use potentially erroneous predictions as training signals, degrading consistency learning. In this paper, we address the prediction accuracy problem of consistency learning methods with novel extensions of the mean-teacher (MT) model, which include a new auxiliary teacher, and the replacement of MT's mean square error (MSE) by a stricter confidence-weighted cross-entropy (Conf-CE) loss. The accurate prediction by this model allows us to use a challenging combination of network, input data and feature perturbations to improve the consistency learning generalisation, where the feature perturbations consist of a new adversarial perturbation. Results on public benchmarks show that our approach achieves remarkable improvements over the previous SOTA methods in the field.

Pixel-wise Energy-biased Abstention Learning for Anomaly Segmentation on Complex Urban Driving Scenes

State-of-the-art (SOTA) anomaly segmentation approaches on complex urban driving scenes explore pixel-wise classification uncertainty learned from outlier exposure, or external reconstruction models. However, previous uncertainty approaches that directly associate high uncertainty to anomaly may sometimes lead to incorrect anomaly predictions, and external reconstruction models tend to be too inefficient for real-time self-driving embedded systems. In this paper, we propose a new anomaly segmentation method, named pixel-wise energy-biased abstention learning (PEBAL), that explores pixel-wise abstention learning (AL) with a model that learns an adaptive pixel-level anomaly class, and an energy-based model (EBM) that learns inlier pixel distribution. More specifically, PEBAL is based on a non-trivial joint training of EBM and AL, where EBM is trained to output high-energy for anomaly pixels (from outlier exposure) and AL is trained such that these high-energy pixels receive adaptive low penalty for being included to the anomaly class. We extensively evaluate PEBAL against the SOTA and show that it achieves the best performance across four benchmarks. Code is available at https://github.com/tianyu0207/PEBAL.