Medical image segmentation based on deep learning often fails when deployed on images from a different domain. The domain adaptation methods aim to solve domain-shift challenges, but still face some problems. The transfer learning methods require annotation on the target domain, and the generative unsupervised domain adaptation (UDA) models ignore domain-specific representations, whose generated quality highly restricts segmentation performance. In this study, we propose a novel Structure-Modal Constrained (SMC) UDA framework based on a discriminative paradigm and introduce edge structure as a bridge between domains. The proposed multi-modal learning backbone distills structure information from image texture to distinguish domain-invariant edge structure. With the structure-constrained self-learning and progressive ROI, our methods segment the kidney by locating the 3D spatial structure of the edge. We evaluated SMC-UDA on public renal segmentation datasets, adapting from the labeled source domain (CT) to the unlabeled target domain (CT/MRI). The experiments show that our proposed SMC-UDA has a strong generalization and outperforms generative UDA methods.
Semi-supervised medical image segmentation offers a promising solution for large-scale medical image analysis by significantly reducing the annotation burden while achieving comparable performance. Employing this method exhibits a high degree of potential for optimizing the segmentation process and increasing its feasibility in clinical settings during translational investigations. Recently, cross-supervised training based on different co-training sub-networks has become a standard paradigm for this task. Still, the critical issues of sub-network disagreement and label-noise suppression require further attention and progress in cross-supervised training. This paper proposes a cross-supervised learning framework based on dual classifiers (DC-Net), including an evidential classifier and a vanilla classifier. The two classifiers exhibit complementary characteristics, enabling them to handle disagreement effectively and generate more robust and accurate pseudo-labels for unlabeled data. We also incorporate the uncertainty estimation from the evidential classifier into cross-supervised training to alleviate the negative effect of the error supervision signal. The extensive experiments on LA and Pancreas-CT dataset illustrate that DC-Net outperforms other state-of-the-art methods for semi-supervised segmentation. The code will be released soon.
Consistency learning plays a crucial role in semi-supervised medical image segmentation as it enables the effective utilization of limited annotated data while leveraging the abundance of unannotated data. The effectiveness and efficiency of consistency learning are challenged by prediction diversity and training stability, which are often overlooked by existing studies. Meanwhile, the limited quantity of labeled data for training often proves inadequate for formulating intra-class compactness and inter-class discrepancy of pseudo labels. To address these issues, we propose a self-aware and cross-sample prototypical learning method (SCP-Net) to enhance the diversity of prediction in consistency learning by utilizing a broader range of semantic information derived from multiple inputs. Furthermore, we introduce a self-aware consistency learning method that exploits unlabeled data to improve the compactness of pseudo labels within each class. Moreover, a dual loss re-weighting method is integrated into the cross-sample prototypical consistency learning method to improve the reliability and stability of our model. Extensive experiments on ACDC dataset and PROMISE12 dataset validate that SCP-Net outperforms other state-of-the-art semi-supervised segmentation methods and achieves significant performance gains compared to the limited supervised training. Our code will come soon.
Deep learning models have demonstrated great potential in medical 3D imaging, but their development is limited by the expensive, large volume of annotated data required. Active learning (AL) addresses this by training a model on a subset of the most informative data samples without compromising performance. We compared different AL strategies and propose a framework that minimizes the amount of data needed for state-of-the-art performance. 638 multi-institutional brain tumor MRI images were used to train a 3D U-net model and compare AL strategies. We investigated uncertainty sampling, annotation redundancy restriction, and initial dataset selection techniques. Uncertainty estimation techniques including Bayesian estimation with dropout, bootstrapping, and margins sampling were compared to random query. Strategies to avoid annotation redundancy by removing similar images within the to-be-annotated subset were considered as well. We determined the minimum amount of data necessary to achieve similar performance to the model trained on the full dataset ({\alpha} = 0.1). A variance-based selection strategy using radiomics to identify the initial training dataset is also proposed. Bayesian approximation with dropout at training and testing showed similar results to that of the full data model with less than 20% of the training data (p=0.293) compared to random query achieving similar performance at 56.5% of the training data (p=0.814). Annotation redundancy restriction techniques achieved state-of-the-art performance at approximately 40%-50% of the training data. Radiomics dataset initialization had higher Dice with initial dataset sizes of 20 and 80 images, but improvements were not significant. In conclusion, we investigated various AL strategies with dropout uncertainty estimation achieving state-of-the-art performance with the least annotated data.
Conventional survival analysis methods are typically ineffective to characterize heterogeneity in the population while such information can be used to assist predictive modeling. In this study, we propose a hybrid survival analysis method, referred to as deep clustering survival machines, that combines the discriminative and generative mechanisms. Similar to the mixture models, we assume that the timing information of survival data is generatively described by a mixture of certain numbers of parametric distributions, i.e., expert distributions. We learn weights of the expert distributions for individual instances according to their features discriminatively such that each instance's survival information can be characterized by a weighted combination of the learned constant expert distributions. This method also facilitates interpretable subgrouping/clustering of all instances according to their associated expert distributions. Extensive experiments on both real and synthetic datasets have demonstrated that the method is capable of obtaining promising clustering results and competitive time-to-event predicting performance.
Semi-supervised learning methods have been explored in medical image segmentation tasks due to the scarcity of pixel-level annotation in the real scenario. Proto-type alignment based consistency constraint is an intuitional and plausible solu-tion to explore the useful information in the unlabeled data. In this paper, we propose a mutual- and self- prototype alignment (MSPA) framework to better utilize the unlabeled data. In specific, mutual-prototype alignment enhances the information interaction between labeled and unlabeled data. The mutual-prototype alignment imposes two consistency constraints in reverse directions between the unlabeled and labeled data, which enables the consistent embedding and model discriminability on unlabeled data. The proposed self-prototype alignment learns more stable region-wise features within unlabeled images, which optimizes the classification margin in semi-supervised segmentation by boosting the intra-class compactness and inter-class separation on the feature space. Extensive experimental results on three medical datasets demonstrate that with a small amount of labeled data, MSPA achieves large improvements by leveraging the unlabeled data. Our method also outperforms seven state-of-the-art semi-supervised segmentation methods on all three datasets.
In this paper, we study the problem of salient object detection (SOD) for RGB-D images using both color and depth information.A major technical challenge in performing salient object detection fromRGB-D images is how to fully leverage the two complementary data sources. Current works either simply distill prior knowledge from the corresponding depth map for handling the RGB-image or blindly fuse color and geometric information to generate the coarse depth-aware representations, hindering the performance of RGB-D saliency detectors.In this work, we introduceCascade Graph Neural Networks(Cas-Gnn),a unified framework which is capable of comprehensively distilling and reasoning the mutual benefits between these two data sources through a set of cascade graphs, to learn powerful representations for RGB-D salient object detection. Cas-Gnn processes the two data sources individually and employs a novelCascade Graph Reasoning(CGR) module to learn powerful dense feature embeddings, from which the saliency map can be easily inferred. Contrast to the previous approaches, the explicitly modeling and reasoning of high-level relations between complementary data sources allows us to better overcome challenges such as occlusions and ambiguities. Extensive experiments demonstrate that Cas-Gnn achieves significantly better performance than all existing RGB-DSOD approaches on several widely-used benchmarks.
Medical image segmentation is usually regarded as one of the most important intermediate steps in clinical situations and medical imaging research. Thus, accurately assessing the segmentation quality of the automatically generated predictions is essential for guaranteeing the reliability of the results of the computer-assisted diagnosis (CAD). Many researchers apply neural networks to train segmentation quality regression models to estimate the segmentation quality of a new data cohort without labeled ground truth. Recently, a novel idea is proposed that transforming the segmentation quality assessment (SQA) problem intothe pixel-wise error map prediction task in the form of segmentation. However, the simple application of vanilla segmentation structures in medical image fails to detect some small and thin error regions of the auto-generated masks with complex anatomical structures. In this paper, we propose collaborative boundaryaware context encoding networks called AEP-Net for error prediction task. Specifically, we propose a collaborative feature transformation branch for better feature fusion between images and masks, and precise localization of error regions. Further, we propose a context encoding module to utilize the global predictor from the error map to enhance the feature representation and regularize the networks. We perform experiments on IBSR v2.0 dataset and ACDC dataset. The AEP-Net achieves an average DSC of 0.8358, 0.8164 for error prediction task,and shows a high Pearson correlation coefficient of 0.9873 between the actual segmentation accuracy and the predicted accuracy inferred from the predicted error map on IBSR v2.0 dataset, which verifies the efficacy of our AEP-Net.
Crowd counting is an important yet challenging task due to the large scale and density variation. Recent investigations have shown that distilling rich relations among multi-scale features and exploiting useful information from the auxiliary task, i.e., localization, are vital for this task. Nevertheless, how to comprehensively leverage these relations within a unified network architecture is still a challenging problem. In this paper, we present a novel network structure called Hybrid Graph Neural Network (HyGnn) which targets to relieve the problem by interweaving the multi-scale features for crowd density as well as its auxiliary task (localization) together and performing joint reasoning over a graph. Specifically, HyGnn integrates a hybrid graph to jointly represent the task-specific feature maps of different scales as nodes, and two types of relations as edges:(i) multi-scale relations for capturing the feature dependencies across scales and (ii) mutual beneficial relations building bridges for the cooperation between counting and localization. Thus, through message passing, HyGnn can distill rich relations between the nodes to obtain more powerful representations, leading to robust and accurate results. Our HyGnn performs significantly well on four challenging datasets: ShanghaiTech Part A, ShanghaiTech Part B, UCF_CC_50 and UCF_QNRF, outperforming the state-of-the-art approaches by a large margin.
Accurate segmentation of punctate white matter lesions (PWML) in preterm neonates by an automatic algorithm can better assist doctors in diagnosis. However, the existing algorithms have many limitations, such as low detection accuracy and large resource consumption. In this paper, a novel spatiotemporal transformation deep learning method called Trident Segmentation CNN (TS-CNN) is proposed to segment PWML in MR images. It can convert spatial information into temporal information, which reduces the consumption of computing resources. Furthermore, a new improved training loss called Self-balancing Focal Loss (SBFL) is proposed to balance the loss during the training process. The whole model is evaluated on a dataset of 704 MR images. Overall the method achieves median DSC, sensitivity, specificity, and Hausdorff distance of 0.6355, 0.7126, 0.9998, and 24.5836 mm which outperforms the state-of-the-art algorithm. (The code is now available on https://github.com/YalongLiu/Trident-Segmentation-CNN)