Multi-organ segmentation has extensive applications in many clinical applications. To segment multiple organs of interest, it is generally quite difficult to collect full annotations of all the organs on the same images, as some medical centers might only annotate a portion of the organs due to their own clinical practice. In most scenarios, one might obtain annotations of a single or a few organs from one training set, and obtain annotations of the the other organs from another set of training images. Existing approaches mostly train and deploy a single model for each subset of organs, which are memory intensive and also time inefficient. In this paper, we propose to co-train weight-averaged models for learning a unified multi-organ segmentation network from few-organ datasets. We collaboratively train two networks and let the coupled networks teach each other on un-annotated organs. To alleviate the noisy teaching supervisions between the networks, the weighted-averaged models are adopted to produce more reliable soft labels. In addition, a novel region mask is utilized to selectively apply the consistent constraint on the un-annotated organ regions that require collaborative teaching, which further boosts the performance. Extensive experiments on three public available single-organ datasets LiTS, KiTS, Pancreas and manually-constructed single-organ datasets from MOBA show that our method can better utilize the few-organ datasets and achieves superior performance with less inference computational cost.
Segmentation of cardiac images, particularly late gadolinium-enhanced magnetic resonance imaging (LGE-MRI) widely used for visualizing diseased cardiac structures, is a crucial first step for clinical diagnosis and treatment. However, direct segmentation of LGE-MRIs is challenging due to its attenuated contrast. Since most clinical studies have relied on manual and labor-intensive approaches, automatic methods are of high interest, particularly optimized machine learning approaches. To address this, we organized the "2018 Left Atrium Segmentation Challenge" using 154 3D LGE-MRIs, currently the world's largest cardiac LGE-MRI dataset, and associated labels of the left atrium segmented by three medical experts, ultimately attracting the participation of 27 international teams. In this paper, extensive analysis of the submitted algorithms using technical and biological metrics was performed by undergoing subgroup analysis and conducting hyper-parameter analysis, offering an overall picture of the major design choices of convolutional neural networks (CNNs) and practical considerations for achieving state-of-the-art left atrium segmentation. Results show the top method achieved a dice score of 93.2% and a mean surface to a surface distance of 0.7 mm, significantly outperforming prior state-of-the-art. Particularly, our analysis demonstrated that double, sequentially used CNNs, in which a first CNN is used for automatic region-of-interest localization and a subsequent CNN is used for refined regional segmentation, achieved far superior results than traditional methods and pipelines containing single CNNs. This large-scale benchmarking study makes a significant step towards much-improved segmentation methods for cardiac LGE-MRIs, and will serve as an important benchmark for evaluating and comparing the future works in the field.
Gastric cancer is one of the most common cancers, which ranks third among the leading causes of cancer death. Biopsy of gastric mucosal is a standard procedure in gastric cancer screening test. However, manual pathological inspection is labor-intensive and time-consuming. Besides, it is challenging for an automated algorithm to locate the small lesion regions in the gigapixel whole-slide image and make the decision correctly. To tackle these issues, we collected large-scale whole-slide image dataset with detailed lesion region annotation and designed a whole-slide image analyzing framework consisting of 3 networks which could not only determine the screen result but also present the suspicious areas to the pathologist for reference. Experiments demonstrated that our proposed framework achieves sensitivity of 97.05% and specificity of 92.72% in screening task and Dice coefficient of 0.8331 in segmentation task. Furthermore, we tested our best model in real-world scenario on 10, 316 whole-slide images collected from 4 medical centers.
Nuclear segmentation is important and frequently demanded for pathology image analysis, yet is also challenging due to nuclear crowdedness and possible occlusion. In this paper, we present a novel bottom-up method for nuclear segmentation. The concepts of Center Mask and Center Vector are introduced to better depict the relationship between pixels and nuclear instances. The instance differentiation process are thus largely simplified and easier to understand. Experiments demonstrate the effectiveness of Center Vector Encoding, where our method outperforms state-of-the-arts by a clear margin.
Signet ring cell carcinoma is a type of rare adenocarcinoma with poor prognosis. Early detection leads to huge improvement of patients' survival rate. However, pathologists can only visually detect signet ring cells under the microscope. This procedure is not only laborious but also prone to omission. An automatic and accurate signet ring cell detection solution is thus important but has not been investigated before. In this paper, we take the first step to present a semi-supervised learning framework for the signet ring cell detection problem. Self-training is proposed to deal with the challenge of incomplete annotations, and cooperative-training is adapted to explore the unlabeled regions. Combining the two techniques, our semi-supervised learning framework can make better use of both labeled and unlabeled data. Experiments on large real clinical data demonstrate the effectiveness of our design. Our framework achieves accurate signet ring cell detection and can be readily applied in the clinical trails. The dataset will be released soon to facilitate the development of the area.
It is widely believed that learning good representations is one of the main reasons for the success of deep neural networks. Although highly intuitive, there is a lack of theory and systematic approach quantitatively characterizing what representations do deep neural networks learn. In this work, we move a tiny step towards a theory and better understanding of the representations. Specifically, we study a simpler problem: How similar are the representations learned by two networks with identical architecture but trained from different initializations. We develop a rigorous theory based on the neuron activation subspace match model. The theory gives a complete characterization of the structure of neuron activation subspace matches, where the core concepts are maximum match and simple match which describe the overall and the finest similarity between sets of neurons in two networks respectively. We also propose efficient algorithms to find the maximum match and simple matches. Finally, we conduct extensive experiments using our algorithms. Experimental results suggest that, surprisingly, representations learned by the same convolutional layers of networks trained from different initializations are not as similar as prevalently expected, at least in terms of subspace match.
Fine-grained classification is challenging due to the difficulty of finding discriminative features. Finding those subtle traits that fully characterize the object is not straightforward. To handle this circumstance, we propose a novel self-supervision mechanism to effectively localize informative regions without the need of bounding-box/part annotations. Our model, termed NTS-Net for Navigator-Teacher-Scrutinizer Network, consists of a Navigator agent, a Teacher agent and a Scrutinizer agent. In consideration of intrinsic consistency between informativeness of the regions and their probability being ground-truth class, we design a novel training paradigm, which enables Navigator to detect most informative regions under the guidance from Teacher. After that, the Scrutinizer scrutinizes the proposed regions from Navigator and makes predictions. Our model can be viewed as a multi-agent cooperation, wherein agents benefit from each other, and make progress together. NTS-Net can be trained end-to-end, while provides accurate fine-grained classification predictions as well as highly informative regions during inference. We achieve state-of-the-art performance in extensive benchmark datasets.
The expressive power of neural networks is important for understanding deep learning. Most existing works consider this problem from the view of the depth of a network. In this paper, we study how width affects the expressiveness of neural networks. Classical results state that depth-bounded (e.g. depth-$2$) networks with suitable activation functions are universal approximators. We show a universal approximation theorem for width-bounded ReLU networks: width-$(n+4)$ ReLU networks, where $n$ is the input dimension, are universal approximators. Moreover, except for a measure zero set, all functions cannot be approximated by width-$n$ ReLU networks, which exhibits a phase transition. Several recent works demonstrate the benefits of depth by proving the depth-efficiency of neural networks. That is, there are classes of deep networks which cannot be realized by any shallow network whose size is no more than an exponential bound. Here we pose the dual question on the width-efficiency of ReLU networks: Are there wide networks that cannot be realized by narrow networks whose size is not substantially larger? We show that there exist classes of wide networks which cannot be realized by any narrow network whose depth is no more than a polynomial bound. On the other hand, we demonstrate by extensive experiments that narrow networks whose size exceed the polynomial bound by a constant factor can approximate wide and shallow network with high accuracy. Our results provide more comprehensive evidence that depth is more effective than width for the expressiveness of ReLU networks.