Permutohedral Attention Module for Efficient Non-Local Neural Networks

Medical image processing tasks such as segmentation often require capturing non-local information. As organs, bones, and tissues share common characteristics such as intensity, shape, and texture, the contextual information plays a critical role in correctly labeling them. Segmentation and labeling is now typically done with convolutional neural networks (CNNs) but the context of the CNN is limited by the receptive field which itself is limited by memory requirements and other properties. In this paper, we propose a new attention module, that we call Permutohedral Attention Module (PAM), to efficiently capture non-local characteristics of the image. The proposed method is both memory and computationally efficient. We provide a GPU implementation of this module suitable for 3D medical imaging problems. We demonstrate the efficiency and scalability of our module with the challenging task of vertebrae segmentation and labeling where context plays a crucial role because of the very similar appearance of different vertebrae.Comment: Accepted at MICCAI-201

CrossMoDA 2021 challenge: Benchmark of Cross-Modality Domain Adaptation techniques for Vestibular Schwannoma and Cochlea Segmentation

Domain Adaptation (DA) has recently raised strong interests in the medical imaging community. While a large variety of DA techniques has been proposed for image segmentation, most of these techniques have been validated either on private datasets or on small publicly available datasets. Moreover, these datasets mostly addressed single-class problems. To tackle these limitations, the Cross-Modality Domain Adaptation (crossMoDA) challenge was organised in conjunction with the 24th International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI 2021). CrossMoDA is the first large and multi-class benchmark for unsupervised cross-modality DA. The challenge's goal is to segment two key brain structures involved in the follow-up and treatment planning of vestibular schwannoma (VS): the VS and the cochleas. Currently, the diagnosis and surveillance in patients with VS are performed using contrast-enhanced T1 (ceT1) MRI. However, there is growing interest in using non-contrast sequences such as high-resolution T2 (hrT2) MRI. Therefore, we created an unsupervised cross-modality segmentation benchmark. The training set provides annotated ceT1 (N=105) and unpaired non-annotated hrT2 (N=105). The aim was to automatically perform unilateral VS and bilateral cochlea segmentation on hrT2 as provided in the testing set (N=137). A total of 16 teams submitted their algorithm for the evaluation phase. The level of performance reached by the top-performing teams is strikingly high (best median Dice - VS:88.4%; Cochleas:85.7%) and close to full supervision (median Dice - VS:92.5%; Cochleas:87.7%). All top-performing methods made use of an image-to-image translation approach to transform the source-domain images into pseudo-target-domain images. A segmentation network was then trained using these generated images and the manual annotations provided for the source image.Comment: Submitted to Medical Image Analysi

Learn2Reg: comprehensive multi-task medical image registration challenge, dataset and evaluation in the era of deep learning

Image registration is a fundamental medical image analysis task, and a wide variety of approaches have been proposed. However, only a few studies have comprehensively compared medical image registration approaches on a wide range of clinically relevant tasks. This limits the development of registration methods, the adoption of research advances into practice, and a fair benchmark across competing approaches. The Learn2Reg challenge addresses these limitations by providing a multi-task medical image registration data set for comprehensive characterisation of deformable registration algorithms. A continuous evaluation will be possible at https://learn2reg.grand-challenge.org. Learn2Reg covers a wide range of anatomies (brain, abdomen, and thorax), modalities (ultrasound, CT, MR), availability of annotations, as well as intra- and inter-patient registration evaluation. We established an easily accessible framework for training and validation of 3D registration methods, which enabled the compilation of results of over 65 individual method submissions from more than 20 unique teams. We used a complementary set of metrics, including robustness, accuracy, plausibility, and runtime, enabling unique insight into the current state-of-the-art of medical image registration. This paper describes datasets, tasks, evaluation methods and results of the challenge, as well as results of further analysis of transferability to new datasets, the importance of label supervision, and resulting bias. While no single approach worked best across all tasks, many methodological aspects could be identified that push the performance of medical image registration to new state-of-the-art performance. Furthermore, we demystified the common belief that conventional registration methods have to be much slower than deep-learning-based methods

Inter Extreme Points Geodesics for End-to-End Weakly Supervised Image Segmentation

We introduce $\textit{InExtremIS}$, a weakly supervised 3D approach to train a deep image segmentation network using particularly weak train-time annotations: only 6 extreme clicks at the boundary of the objects of interest. Our fully-automatic method is trained end-to-end and does not require any test-time annotations. From the extreme points, 3D bounding boxes are extracted around objects of interest. Then, deep geodesics connecting extreme points are generated to increase the amount of "annotated" voxels within the bounding boxes. Finally, a weakly supervised regularised loss derived from a Conditional Random Field formulation is used to encourage prediction consistency over homogeneous regions. Extensive experiments are performed on a large open dataset for Vestibular Schwannoma segmentation. $\textit{InExtremIS}$ obtained competitive performance, approaching full supervision and outperforming significantly other weakly supervised techniques based on bounding boxes. Moreover, given a fixed annotation time budget, $\textit{InExtremIS}$ outperforms full supervision. Our code and data are available online.Comment: Early accept at MICCAI 2021 - code available at: https://github.com/ReubenDo/InExtremI

A multi-organ point cloud registration algorithm for abdominal CT registration

Registering CT images of the chest is a crucial step for several tasks such as disease progression tracking or surgical planning. It is also a challenging step because of the heterogeneous content of the human abdomen which implies complex deformations. In this work, we focus on accurately registering a subset of organs of interest. We register organ surface point clouds, as may typically be extracted from an automatic segmentation pipeline, by expanding the Bayesian Coherent Point Drift algorithm (BCPD). We introduce MO-BCPD, a multi-organ version of the BCPD algorithm which explicitly models three important aspects of this task: organ individual elastic properties, inter-organ motion coherence and segmentation inaccuracy. This model also provides an interpolation framework to estimate the deformation of the entire volume. We demonstrate the efficiency of our method by registering different patients from the LITS challenge dataset. The target registration error on anatomical landmarks is almost twice as small for MO-BCPD compared to standard BCPD while imposing the same constraints on individual organs deformation.Comment: Accepted at WBIR 202