Attention Enriched Deep Learning Model for Breast Tumor Segmentation in Ultrasound Images

Incorporating human domain knowledge for breast tumor diagnosis is challenging, since shape, boundary, curvature, intensity, or other common medical priors vary significantly across patients and cannot be employed. This work proposes a new approach for integrating visual saliency into a deep learning model for breast tumor segmentation in ultrasound images. Visual saliency refers to image maps containing regions that are more likely to attract radiologists visual attention. The proposed approach introduces attention blocks into a U-Net architecture, and learns feature representations that prioritize spatial regions with high saliency levels. The validation results demonstrate increased accuracy for tumor segmentation relative to models without salient attention layers. The approach achieved a Dice similarity coefficient of 90.5 percent on a dataset of 510 images. The salient attention model has potential to enhance accuracy and robustness in processing medical images of other organs, by providing a means to incorporate task-specific knowledge into deep learning architectures.Comment: 16 pages, 5 figure

Automatic Breast Ultrasound Image Segmentation: A Survey

Breast cancer is one of the leading causes of cancer death among women worldwide. In clinical routine, automatic breast ultrasound (BUS) image segmentation is very challenging and essential for cancer diagnosis and treatment planning. Many BUS segmentation approaches have been studied in the last two decades, and have been proved to be effective on private datasets. Currently, the advancement of BUS image segmentation seems to meet its bottleneck. The improvement of the performance is increasingly challenging, and only few new approaches were published in the last several years. It is the time to look at the field by reviewing previous approaches comprehensively and to investigate the future directions. In this paper, we study the basic ideas, theories, pros and cons of the approaches, group them into categories, and extensively review each category in depth by discussing the principles, application issues, and advantages/disadvantages.Comment: 40 pages, 6 tables, 180 reference