MILD-Net: Minimal Information Loss Dilated Network for Gland Instance Segmentation in Colon Histology Images

The analysis of glandular morphology within colon histopathology images is an important step in determining the grade of colon cancer. Despite the importance of this task, manual segmentation is laborious, time-consuming and can suffer from subjectivity among pathologists. The rise of computational pathology has led to the development of automated methods for gland segmentation that aim to overcome the challenges of manual segmentation. However, this task is non-trivial due to the large variability in glandular appearance and the difficulty in differentiating between certain glandular and non-glandular histological structures. Furthermore, a measure of uncertainty is essential for diagnostic decision making. To address these challenges, we propose a fully convolutional neural network that counters the loss of information caused by max-pooling by re-introducing the original image at multiple points within the network. We also use atrous spatial pyramid pooling with varying dilation rates for preserving the resolution and multi-level aggregation. To incorporate uncertainty, we introduce random transformations during test time for an enhanced segmentation result that simultaneously generates an uncertainty map, highlighting areas of ambiguity. We show that this map can be used to define a metric for disregarding predictions with high uncertainty. The proposed network achieves state-of-the-art performance on the GlaS challenge dataset and on a second independent colorectal adenocarcinoma dataset. In addition, we perform gland instance segmentation on whole-slide images from two further datasets to highlight the generalisability of our method. As an extension, we introduce MILD-Net+ for simultaneous gland and lumen segmentation, to increase the diagnostic power of the network.Comment: Initial version published at Medical Imaging with Deep Learning (MIDL) 201

Machine learning approach for segmenting glands in colon histology images using local intensity and texture features

Colon Cancer is one of the most common types of cancer. The treatment is planned to depend on the grade or stage of cancer. One of the preconditions for grading of colon cancer is to segment the glandular structures of tissues. Manual segmentation method is very time-consuming, and it leads to life risk for the patients. The principal objective of this project is to assist the pathologist to accurate detection of colon cancer. In this paper, the authors have proposed an algorithm for an automatic segmentation of glands in colon histology using local intensity and texture features. Here the dataset images are cropped into patches with different window sizes and taken the intensity of those patches, and also calculated texture-based features. Random forest classifier has been used to classify this patch into different labels. A multilevel random forest technique in a hierarchical way is proposed. This solution is fast, accurate and it is very much applicable in a clinical setup

Machine learning methods for histopathological image analysis

Abundant accumulation of digital histopathological images has led to the increased demand for their analysis, such as computer-aided diagnosis using machine learning techniques. However, digital pathological images and related tasks have some issues to be considered. In this mini-review, we introduce the application of digital pathological image analysis using machine learning algorithms, address some problems specific to such analysis, and propose possible solutions.Comment: 23 pages, 4 figure

The impact of pre- and post-image processing techniques on deep learning frameworks: A comprehensive review for digital pathology image analysis

Recently, deep learning frameworks have rapidly become the main methodology for analyzing medical images. Due to their powerful learning ability and advantages in dealing with complex patterns, deep learning algorithms are ideal for image analysis challenges, particularly in the field of digital pathology. The variety of image analysis tasks in the context of deep learning includes classification (e.g., healthy vs. cancerous tissue), detection (e.g., lymphocytes and mitosis counting), and segmentation (e.g., nuclei and glands segmentation). The majority of recent machine learning methods in digital pathology have a pre- and/or post-processing stage which is integrated with a deep neural network. These stages, based on traditional image processing methods, are employed to make the subsequent classification, detection, or segmentation problem easier to solve. Several studies have shown how the integration of pre- and post-processing methods within a deep learning pipeline can further increase the model's performance when compared to the network by itself. The aim of this review is to provide an overview on the types of methods that are used within deep learning frameworks either to optimally prepare the input (pre-processing) or to improve the results of the network output (post-processing), focusing on digital pathology image analysis. Many of the techniques presented here, especially the post-processing methods, are not limited to digital pathology but can be extended to almost any image analysis field

The impact of pre- and post-image processing techniques on deep learning frameworks: A comprehensive review for digital pathology image analysis.

Recently, deep learning frameworks have rapidly become the main methodology for analyzing medical images. Due to their powerful learning ability and advantages in dealing with complex patterns, deep learning algorithms are ideal for image analysis challenges, particularly in the field of digital pathology. The variety of image analysis tasks in the context of deep learning includes classification (e.g., healthy vs. cancerous tissue), detection (e.g., lymphocytes and mitosis counting), and segmentation (e.g., nuclei and glands segmentation). The majority of recent machine learning methods in digital pathology have a pre- and/or post-processing stage which is integrated with a deep neural network. These stages, based on traditional image processing methods, are employed to make the subsequent classification, detection, or segmentation problem easier to solve. Several studies have shown how the integration of pre- and post-processing methods within a deep learning pipeline can further increase the model's performance when compared to the network by itself. The aim of this review is to provide an overview on the types of methods that are used within deep learning frameworks either to optimally prepare the input (pre-processing) or to improve the results of the network output (post-processing), focusing on digital pathology image analysis. Many of the techniques presented here, especially the post-processing methods, are not limited to digital pathology but can be extended to almost any image analysis field

Gland Instance Segmentation in Colon Histology Images

This thesis looks at approaches to gland instance segmentation in histology images. The aim is to find suitable local image representations to describe the gland structures in images with benign tissue and those with malignant tissue and subsequently use them for design of accurate, scalable and flexible gland instance segmentation methods. The gland instance segmentation is a clinically important and technically challenging problem as the morphological structure and visual appearance of gland tissue is highly variable and complex. Glands are one of the most common organs in the human body. The glandular features are present in many cancer types and histopathologists use these features to predict tumour grade. Accurate tumour grading is critical for prescribing suitable cancer treatment resulting in improved outcome and survival rate. Different cancer grades are reflected by differences in glands morphology and structure. It is therefore important to accurately segment glands in histology images in order to get a valid prediction of tumour grade. Several segmentation methods, including segmentation with and without pre-classification, have been proposed and investigated as part of the research reported in this thesis. A number of feature spaces, including hand-crafted and deep features, have been investigated and experimentally validated to find a suitable set of image attributes for representation of benign and malignant gland tissue for the segmentation task. Furthermore, an exhaustive experimental examination of different combinations of features and classification methods have been carried out using both qualitative and quantitative assessments, including detection, shape and area fidelity metrics. It has been shown that the proposed hybrid method combining image level classification, to identify images with benign and malignant tissue, and pixel level classification, to perform gland segmentation, achieved the best results. It has been further shown that modelling benign glands using a three-class model, i.e. inside, outside and gland boundary, and malignant tissue using a two-class model is the best combination for achieving accurate and robust gland instance segmentation results. The deep learning features have been shown to overall outperform handcrafted features, however proposed ring-histogram features still performed adequately, particularly for segmentation of benign glands. The adopted transfer-learning model with proposed image augmentation has proven very successful with 100% image classification accuracy on the available test dataset. It has been shown that the modified object- level Boundary Jaccard metric is more suitable for measuring shape similarity than the previously used object-level Hausdorff distance, as it is not sensitive to outliers and could be easily integrated with region- based metrics such as the object-level Dice index, as contrary to the Hausdorff distance it is bounded between 0 and 1. Dissimilar to most of the other reported research, this study provides comprehensive comparative results for gland segmentation, with a large collection of diverse types of image features, including hand-crafted and deep features. The novel contributions include hybrid segmentation model superimposing image and pixel level classification, data augmentation for re-training deep learning models for the proposed image level classification, and the object- level Boundary Jaccard metric adopted for evaluation of instance segmentation methods

Automated Nuclei Segmentation of Breast Cancer Histopathology

Automated detection and segmentation of cell nuclei is an essential step in breast cancer histopathology, so that there is improved accuracy, speed, level of automation and adaptability to new application. The goal of this paper is to develop efficient and accurate algorithms for detecting and segmenting cell nuclei in 2-D histological images. In this paper we will implement the utility of our nuclear segmentation algorithm in accurate extraction of nuclear features for automated grading of (a) breast cancer, and (b) distinguishing between cancerous and benign breast histology specimens. In order to address the issue the scheme integrates image information across three different scales: (1) low level information based on pixel values, (2) high-level information based on relationships between pixels for object detection, and(3)domain-specific information based on relationships between histological structures. Low-level information is utilized by a Bayesian Classifier to generate likelihood that each pixel belongs to an object of interest. High-level information is extracted in two ways: (i) by a level-set algorithm, where a contour is evolved in the likelihood scenes generated by the Bayesian classifier to identify object boundaries, and (ii) by a template matching algorithm, where shape models are used to identify glands and nuclei from the low-level likelihood scenes. Structural constraints are imposed via domain specific knowledge in order to verify whether the detected objects do indeed belong to structures of interest. The efficiency of our segmentation algorithm is evaluated by comparing breast cancer grading and benign vs. cancer discrimination accuracies with corresponding accuracies obtained via manual detection and segmentation of glands and nuclei

Structure Prediction for Gland Segmentation with Hand-Crafted and Deep Convolutional Features

We present a novel method to segment instances of glandular structures from colon histopathology images. We use a structure learning approach which represents local spatial configurations of class labels, capturing structural information normally ignored by sliding-window methods. This allows us to reveal different spatial structures of pixel labels (e.g., locations between adjacent glands, or far from glands), and to identify correctly neighboring glandular structures as separate instances. Exemplars of label structures are obtained via clustering and used to train support vector machine classifiers. The label structures predicted are then combined and post-processed to obtain segmentation maps. We combine hand-crafted, multi-scale image features with features computed by a deep convolutional network trained to map images to segmentation maps. We evaluate the proposed method on the public domain GlaS data set, which allows extensive comparisons with recent, alternative methods. Using the GlaS contest protocol, our method achieves the overall best performance