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Joint shape learning and segmentation for medical images using a minimalistic deep network

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 Publication date 2019
and research's language is English




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Recently, state-of-the-art results have been achieved in semantic segmentation using fully convolutional networks (FCNs). Most of these networks employ encoder-decoder style architecture similar to U-Net and are trained with images and the corresponding segmentation maps as a pixel-wise classification task. Such frameworks only exploit class information by using the ground truth segmentation maps. In this paper, we propose a multi-task learning framework with the main aim of exploiting structural and spatial information along with the class information. We modify the decoder part of the FCN to exploit class information and the structural information as well. We intend to do this while also keeping the parameters of the network as low as possible. We obtain the structural information using either of the two ways: i) using the contour map and ii) using the distance map, both of which can be obtained from ground truth segmentation maps with no additional annotation costs. We also explore different ways in which distance maps can be computed and study the effects of different distance maps on the segmentation performance. We also experiment extensively on two different medical image segmentation applications: i.e i) using color fundus images for optic disc and cup segmentation and ii) using endoscopic images for polyp segmentation. Through our experiments, we report results comparable to, and in some cases performing better than the current state-of-the-art architectures and with an order of 2x reduction in the number of parameters.



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Image segmentation is a primary task in many medical applications. Recently, many deep networks derived from U-Net have been extensively used in various medical image segmentation tasks. However, in most of the cases, networks similar to U-net produce coarse and non-smooth segmentations with lots of discontinuities. To improve and refine the performance of U-Net like networks, we propose the use of parallel decoders which along with performing the mask predictions also perform contour prediction and distance map estimation. The contour and distance map aid in ensuring smoothness in the segmentation predictions. To facilitate joint training of three tasks, we propose a novel architecture called Psi-Net with a single encoder and three parallel decoders (thus having a shape of $Psi$), one decoder to learns the segmentation mask prediction and other two decoders to learn the auxiliary tasks of contour detection and distance map estimation. The learning of these auxiliary tasks helps in capturing the shape and the boundary information. We also propose a new joint loss function for the proposed architecture. The loss function consists of a weighted combination of Negative Log likelihood and Mean Square Error loss. We have used two publicly available datasets: 1) Origa dataset for the task of optic cup and disc segmentation and 2) Endovis segment dataset for the task of polyp segmentation to evaluate our model. We have conducted extensive experiments using our network to show our model gives better results in terms of segmentation, boundary and shape metrics.
Segmentation of organs or lesions from medical images plays an essential role in many clinical applications such as diagnosis and treatment planning. Though Convolutional Neural Networks (CNN) have achieved the state-of-the-art performance for automatic segmentation, they are often limited by the lack of clinically acceptable accuracy and robustness in complex cases. Therefore, interactive segmentation is a practical alternative to these methods. However, traditional interactive segmentation methods require a large amount of user interactions, and recently proposed CNN-based interactive segmentation methods are limited by poor performance on previously unseen objects. To solve these problems, we propose a novel deep learning-based interactive segmentation method that not only has high efficiency due to only requiring clicks as user inputs but also generalizes well to a range of previously unseen objects. Specifically, we first encode user-provided interior margin points via our proposed exponentialized geodesic distance that enables a CNN to achieve a good initial segmentation result of both previously seen and unseen objects, then we use a novel information fusion method that combines the initial segmentation with only few additional user clicks to efficiently obtain a refined segmentation. We validated our proposed framework through extensive experiments on 2D and 3D medical image segmentation tasks with a wide range of previous unseen objects that were not present in the training set. Experimental results showed that our proposed framework 1) achieves accurate results with fewer user interactions and less time compared with state-of-the-art interactive frameworks and 2) generalizes well to previously unseen objects.
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Delineating the lesion area is an important task in image-based diagnosis. Pixel-wise classification is a popular approach to segmenting the region of interest. However, at fuzzy boundaries such methods usually result in glitches, discontinuity, or disconnection, inconsistent with the fact that lesions are solid and smooth. To overcome these undesirable artifacts, we propose the BezierSeg model which outputs bezier curves encompassing the region of interest. Directly modelling the contour with analytic equations ensures that the segmentation is connected, continuous, and the boundary is smooth. In addition, it offers sub-pixel accuracy. Without loss of accuracy, the bezier contour can be resampled and overlaid with images of any resolution. Moreover, a doctor can conveniently adjust the curves control points to refine the result. Our experiments show that the proposed method runs in real time and achieves accuracy competitive with pixel-wise segmentation models.
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Convex Shapes (CS) are common priors for optic disc and cup segmentation in eye fundus images. It is important to design proper techniques to represent convex shapes. So far, it is still a problem to guarantee that the output objects from a Deep Neural Convolution Networks (DCNN) are convex shapes. In this work, we propose a technique which can be easily integrated into the commonly used DCNNs for image segmentation and guarantee that outputs are convex shapes. This method is flexible and it can handle multiple objects and allow some of the objects to be convex. Our method is based on the dual representation of the sigmoid activation function in DCNNs. In the dual space, the convex shape prior can be guaranteed by a simple quadratic constraint on a binary representation of the shapes. Moreover, our method can also integrate spatial regularization and some other shape prior using a soft thresholding dynamics (STD) method. The regularization can make the boundary curves of the segmentation objects to be simultaneously smooth and convex. We design a very stable active set projection algorithm to numerically solve our model. This algorithm can form a new plug-and-play DCNN layer called CS-STD whose outputs must be a nearly binary segmentation of convex objects. In the CS-STD block, the convexity information can be propagated to guide the DCNN in both forward and backward propagation during training and prediction process. As an application example, we apply the convexity prior layer to the retinal fundus images segmentation by taking the popular DeepLabV3+ as a backbone network. Experimental results on several public datasets show that our method is efficient and outperforms the classical DCNN segmentation methods.
Deep learning techniques have successfully been employed in numerous computer vision tasks including image segmentation. The techniques have also been applied to medical image segmentation, one of the most critical tasks in computer-aided diagnosis. Compared with natural images, the medical image is a gray-scale image with low-contrast (even with some invisible parts). Because some organs have similar intensity and texture with neighboring organs, there is usually a need to refine automatic segmentation results. In this paper, we propose an interactive deep refinement framework to improve the traditional semantic segmentation networks such as U-Net and fully convolutional network. In the proposed framework, we added a refinement network to traditional segmentation network to refine the segmentation results.Experimental results with public dataset revealed that the proposed method could achieve higher accuracy than other state-of-the-art methods.
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