Probabilistic 3D surface reconstruction from sparse MRI information

Surface reconstruction from magnetic resonance (MR) imaging data is indispensable in medical image analysis and clinical research. A reliable and effective reconstruction tool should: be fast in prediction of accurate well localised and high resolution models, evaluate prediction uncertainty, work with as little input data as possible. Current deep learning state of the art (SOTA) 3D reconstruction methods, however, often only produce shapes of limited variability positioned in a canonical position or lack uncertainty evaluation. In this paper, we present a novel probabilistic deep learning approach for concurrent 3D surface reconstruction from sparse 2D MR image data and aleatoric uncertainty prediction. Our method is capable of reconstructing large surface meshes from three quasi-orthogonal MR imaging slices from limited training sets whilst modelling the location of each mesh vertex through a Gaussian distribution. Prior shape information is encoded using a built-in linear principal component analysis (PCA) model. Extensive experiments on cardiac MR data show that our probabilistic approach successfully assesses prediction uncertainty while at the same time qualitatively and quantitatively outperforms SOTA methods in shape prediction. Compared to SOTA, we are capable of properly localising and orientating the prediction via the use of a spatially aware neural network.Comment: MICCAI 202

Competitive Ensembling Teacher-Student Framework for Semi-Supervised Left Atrium MRI Segmentation

Semi-supervised learning has greatly advanced medical image segmentation since it effectively alleviates the need of acquiring abundant annotations from experts and utilizes unlabeled data which is much easier to acquire. Among existing perturbed consistency learning methods, mean-teacher model serves as a standard baseline for semi-supervised medical image segmentation. In this paper, we present a simple yet efficient competitive ensembling teacher student framework for semi-supervised for left atrium segmentation from 3D MR images, in which two student models with different task-level disturbances are introduced to learn mutually, while a competitive ensembling strategy is performed to ensemble more reliable information to teacher model. Different from the one-way transfer between teacher and student models, our framework facilitates the collaborative learning procedure of different student models with the guidance of teacher model and motivates different training networks for a competitive learning and ensembling procedure to achieve better performance. We evaluate our proposed method on the public Left Atrium (LA) dataset and it obtains impressive performance gains by exploiting the unlabeled data effectively and outperforms several existing semi-supervised methods.Comment: Accepeted for BIBM 202

Data efficient deep learning for medical image analysis: A survey

The rapid evolution of deep learning has significantly advanced the field of medical image analysis. However, despite these achievements, the further enhancement of deep learning models for medical image analysis faces a significant challenge due to the scarcity of large, well-annotated datasets. To address this issue, recent years have witnessed a growing emphasis on the development of data-efficient deep learning methods. This paper conducts a thorough review of data-efficient deep learning methods for medical image analysis. To this end, we categorize these methods based on the level of supervision they rely on, encompassing categories such as no supervision, inexact supervision, incomplete supervision, inaccurate supervision, and only limited supervision. We further divide these categories into finer subcategories. For example, we categorize inexact supervision into multiple instance learning and learning with weak annotations. Similarly, we categorize incomplete supervision into semi-supervised learning, active learning, and domain-adaptive learning and so on. Furthermore, we systematically summarize commonly used datasets for data efficient deep learning in medical image analysis and investigate future research directions to conclude this survey.Comment: Under Revie

Self-training with dual uncertainty for semi-supervised medical image segmentation

In the field of semi-supervised medical image segmentation, the shortage of labeled data is the fundamental problem. How to effectively learn image features from unlabeled images to improve segmentation accuracy is the main research direction in this field. Traditional self-training methods can partially solve the problem of insufficient labeled data by generating pseudo labels for iterative training. However, noise generated due to the model's uncertainty during training directly affects the segmentation results. Therefore, we added sample-level and pixel-level uncertainty to stabilize the training process based on the self-training framework. Specifically, we saved several moments of the model during pre-training, and used the difference between their predictions on unlabeled samples as the sample-level uncertainty estimate for that sample. Then, we gradually add unlabeled samples from easy to hard during training. At the same time, we added a decoder with different upsampling methods to the segmentation network and used the difference between the outputs of the two decoders as pixel-level uncertainty. In short, we selectively retrained unlabeled samples and assigned pixel-level uncertainty to pseudo labels to optimize the self-training process. We compared the segmentation results of our model with five semi-supervised approaches on the public 2017 ACDC dataset and 2018 Prostate dataset. Our proposed method achieves better segmentation performance on both datasets under the same settings, demonstrating its effectiveness, robustness, and potential transferability to other medical image segmentation tasks. Keywords: Medical image segmentation, semi-supervised learning, self-training, uncertainty estimatio

A Multi-scale Learning of Data-driven and Anatomically Constrained Image Registration for Adult and Fetal Echo Images

Temporal echo image registration is a basis for clinical quantifications such as cardiac motion estimation, myocardial strain assessments, and stroke volume quantifications. Deep learning image registration (DLIR) is consistently accurate, requires less computing effort, and has shown encouraging results in earlier applications. However, we propose that a greater focus on the warped moving image's anatomic plausibility and image quality can support robust DLIR performance. Further, past implementations have focused on adult echo, and there is an absence of DLIR implementations for fetal echo. We propose a framework combining three strategies for DLIR for both fetal and adult echo: (1) an anatomic shape-encoded loss to preserve physiological myocardial and left ventricular anatomical topologies in warped images; (2) a data-driven loss that is trained adversarially to preserve good image texture features in warped images; and (3) a multi-scale training scheme of a data-driven and anatomically constrained algorithm to improve accuracy. Our experiments show that the shape-encoded loss and the data-driven adversarial loss are strongly correlated to good anatomical topology and image textures, respectively. They improve different aspects of registration performance in a non-overlapping way, justifying their combination. We show that these strategies can provide excellent registration results in both adult and fetal echo using the publicly available CAMUS adult echo dataset and our private multi-demographic fetal echo dataset, despite fundamental distinctions between adult and fetal echo images. Our approach also outperforms traditional non-DL gold standard registration approaches, including Optical Flow and Elastix. Registration improvements could also be translated to more accurate and precise clinical quantification of cardiac ejection fraction, demonstrating a potential for translation

Comparing Adversarial and Supervised Learning for Organs at Risk Segmentation in CT images

Organ at Risk (OAR) segmentation from CT scans is a key component of the radiotherapy treatment workflow. In recent years, deep learning techniques have shown remarkable potential in automating this process. In this paper, we investigate the performance of Generative Adversarial Networks (GANs) compared to supervised learning approaches for segmenting OARs from CT images. We propose three GAN-based models with identical generator architectures but different discriminator networks. These models are compared with well-established CNN models, such as SE-ResUnet and DeepLabV3, using the StructSeg dataset, which consists of 50 annotated CT scans containing contours of six OARs. Our work aims to provide insight into the advantages and disadvantages of adversarial training in the context of OAR segmentation. The results are very promising and show that the proposed GAN-based approaches are similar or superior to their CNN-based counterparts, particularly when segmenting more challenging target organs

Weakly supervised medical image segmentation through dense combinations of dense pseudo-l-abels

Annotating a large amount of medical imaging data thoroughly for training purposes can be expensive, particularly for medical image segmentation tasks; whereas obtaining scribbles, a less precise form of annotation, is more feasible for clinicians. Nevertheless, training semantic segmentation networks with limited-signal supervision remains a technical challenge. In this paper, we present an innovative scribble-supervised image segmentation via densely ensembling dense pseudos called Collaborative Hybrid Networks(CHNets), which consists of groups of CNN- and ViT-based segmentation networks. A simple yet efficient densely collaboration scheme is introduced to ensemble dense pseudo label to expand dataset allowing full-signal supervision. Additionally, internal consistency and external consistency training among networks are proposed to ensure that each network is beneficial to the other, resulting in a significant improvement. Our experiments on a public MRI benchmark dataset demonstrate that our proposed approach outperforms other weakly-supervised methods on various metrics

MMA-Net: Multiple Morphology-Aware Network for Automated Cobb Angle Measurement

Scoliosis diagnosis and assessment depend largely on the measurement of the Cobb angle in spine X-ray images. With the emergence of deep learning techniques that employ landmark detection, tilt prediction, and spine segmentation, automated Cobb angle measurement has become increasingly popular. However, these methods encounter difficulties such as high noise sensitivity, intricate computational procedures, and exclusive reliance on a single type of morphological information. In this paper, we introduce the Multiple Morphology-Aware Network (MMA-Net), a novel framework that improves Cobb angle measurement accuracy by integrating multiple spine morphology as attention information. In the MMA-Net, we first feed spine X-ray images into the segmentation network to produce multiple morphological information (spine region, centerline, and boundary) and then concatenate the original X-ray image with the resulting segmentation maps as input for the regression module to perform precise Cobb angle measurement. Furthermore, we devise joint loss functions for our segmentation and regression network training, respectively. We evaluate our method on the AASCE challenge dataset and achieve superior performance with the SMAPE of 7.28% and the MAE of 3.18{\deg}, indicating a strong competitiveness compared to other outstanding methods. Consequently, we can offer clinicians automated, efficient, and reliable Cobb angle measurement