Automated Segmentation of Lesions in Ultrasound Using Semi-pixel-wise Cycle Generative Adversarial Nets

Breast cancer is the most common invasive cancer with the highest cancer occurrence in females. Handheld ultrasound is one of the most efficient ways to identify and diagnose the breast cancer. The area and the shape information of a lesion is very helpful for clinicians to make diagnostic decisions. In this study we propose a new deep-learning scheme, semi-pixel-wise cycle generative adversarial net (SPCGAN) for segmenting the lesion in 2D ultrasound. The method takes the advantage of a fully connected convolutional neural network (FCN) and a generative adversarial net to segment a lesion by using prior knowledge. We compared the proposed method to a fully connected neural network and the level set segmentation method on a test dataset consisting of 32 malignant lesions and 109 benign lesions. Our proposed method achieved a Dice similarity coefficient (DSC) of 0.92 while FCN and the level set achieved 0.90 and 0.79 respectively. Particularly, for malignant lesions, our method increases the DSC (0.90) of the fully connected neural network to 0.93 significantly (p$<$0.001). The results show that our SPCGAN can obtain robust segmentation results and may be used to relieve the radiologists' burden for annotation

CF2-Net: Coarse-to-Fine Fusion Convolutional Network for Breast Ultrasound Image Segmentation

Breast ultrasound (BUS) image segmentation plays a crucial role in a computer-aided diagnosis system, which is regarded as a useful tool to help increase the accuracy of breast cancer diagnosis. Recently, many deep learning methods have been developed for segmentation of BUS image and show some advantages compared with conventional region-, model-, and traditional learning-based methods. However, previous deep learning methods typically use skip-connection to concatenate the encoder and decoder, which might not make full fusion of coarse-to-fine features from encoder and decoder. Since the structure and edge of lesion in BUS image are common blurred, these would make it difficult to learn the discriminant information of structure and edge, and reduce the performance. To this end, we propose and evaluate a coarse-to-fine fusion convolutional network (CF2-Net) based on a novel feature integration strategy (forming an 'E'-like type) for BUS image segmentation. To enhance contour and provide structural information, we concatenate a super-pixel image and the original image as the input of CF2-Net. Meanwhile, to highlight the differences in the lesion regions with variable sizes and relieve the imbalance issue, we further design a weighted-balanced loss function to train the CF2-Net effectively. The proposed CF2-Net was evaluated on an open dataset by using four-fold cross validation. The results of the experiment demonstrate that the CF2-Net obtains state-of-the-art performance when compared with other deep learning-based methodsComment: 8 pages, 6 figure