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Register a new userKNEEL: Knee Anatomical Landmark Localization Using Hourglass Networks
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Added by
Aleksei Tiulpin
Publication date
2019
fields
Informatics Engineering
and research's language is
English
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This paper addresses the challenge of localization of anatomical landmarks in knee X-ray images at different stages of osteoarthritis (OA). Landmark localization can be viewed as regression problem, where the landmark position is directly predicted by using the region of interest or even full-size images leading to large memory footprint, especially in case of high resolution medical images. In this work, we propose an efficient deep neural networks framework with an hourglass architecture utilizing a soft-argmax layer to directly predict normalized coordinates of the landmark points. We provide an extensive evaluation of different regularization techniques and various loss functions to understand their influence on the localization performance. Furthermore, we introduce the concept of transfer learning from low-budget annotations, and experimentally demonstrate that such approach is improving the accuracy of landmark localization. Compared to the prior methods, we validate our model on two datasets that are independent from the train data and assess the performance of the method for different stages of OA severity. The proposed approach demonstrates better generalization performance compared to the current state-of-the-art.
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Recently, there is an increasing demand for automatically detecting anatomical landmarks which provide rich structural information to facilitate subsequent medical image analysis. Current methods related to this task often leverage the power of deep neural networks, while a major challenge in fine tuning such models in medical applications arises from insufficient number of labeled samples. To address this, we propose to regularize the knowledge transfer across source and target tasks through cross-task representation learning. The proposed method is demonstrated for extracting facial anatomical landmarks which facilitate the diagnosis of fetal alcohol syndrome. The source and target tasks in this work are face recognition and landmark detection, respectively. The main idea of the proposed method is to retain the feature representations of the source model on the target task data, and to leverage them as an additional source of supervisory signals for regularizing the target model learning, thereby improving its performance under limited training samples. Concretely, we present two approaches for the proposed representation learning by constraining either final or intermediate model features on the target model. Experimental results on a clinical face image dataset demonstrate that the proposed approach works well with few labeled data, and outperforms other compared approaches.
Colonoscopy is a standard imaging tool for visualizing the entire gastrointestinal (GI) tract of patients to capture lesion areas. However, it takes the clinicians excessive time to review a large number of images extracted from colonoscopy videos. Thus, automatic detection of biological anatomical landmarks within the colon is highly demanded, which can help reduce the burden of clinicians by providing guidance information for the locations of lesion areas. In this article, we propose a novel deep learning-based approach to detect biological anatomical landmarks in colonoscopy videos. First, raw colonoscopy video sequences are pre-processed to reject interference frames. Second, a ResNet-101 based network is used to detect three biological anatomical landmarks separately to obtain the intermediate detection results. Third, to achieve more reliable localization of the landmark periods within the whole video period, we propose to post-process the intermediate detection results by identifying the incorrectly predicted frames based on their temporal distribution and reassigning them back to the correct class. Finally, the average detection accuracy reaches 99.75%. Meanwhile, the average IoU of 0.91 shows a high degree of similarity between our predicted landmark periods and ground truth. The experimental results demonstrate that our proposed model is capable of accurately detecting and localizing biological anatomical landmarks from colonoscopy videos.
Well-annotated medical images are costly and sometimes even impossible to acquire, hindering landmark detection accuracy to some extent. Semi-supervised learning alleviates the reliance on large-scale annotated data by exploiting the unlabeled data to understand the population structure of anatomical landmarks. The global shape constraint is the inherent property of anatomical landmarks that provides valuable guidance for more consistent pseudo labelling of the unlabeled data, which is ignored in the previously semi-supervised methods. In this paper, we propose a model-agnostic shape-regulated self-training framework for semi-supervised landmark detection by fully considering the global shape constraint. Specifically, to ensure pseudo labels are reliable and consistent, a PCA-based shape model adjusts pseudo labels and eliminate abnormal ones. A novel Region Attention loss to make the network automatically focus on the structure consistent regions around pseudo labels. Extensive experiments show that our approach outperforms other semi-supervised methods and achieves notable improvement on three medical image datasets. Moreover, our framework is flexible and can be used as a plug-and-play module integrated into most supervised methods to improve performance further.
Fetal alcohol syndrome (FAS) caused by prenatal alcohol exposure can result in a series of cranio-facial anomalies, and behavioral and neurocognitive problems. Current diagnosis of FAS is typically done by identifying a set of facial characteristics, which are often obtained by manual examination. Anatomical landmark detection, which provides rich geometric information, is important to detect the presence of FAS associated facial anomalies. This imaging application is characterized by large variations in data appearance and limited availability of labeled data. Current deep learning-based heatmap regression methods designed for facial landmark detection in natural images assume availability of large datasets and are therefore not wellsuited for this application. To address this restriction, we develop a new regularized transfer learning approach that exploits the knowledge of a network learned on large facial recognition datasets. In contrast to standard transfer learning which focuses on adjusting the pre-trained weights, the proposed learning approach regularizes the model behavior. It explicitly reuses the rich visual semantics of a domain-similar source model on the target task data as an additional supervisory signal for regularizing landmark detection optimization. Specifically, we develop four regularization constraints for the proposed transfer learning, including constraining the feature outputs from classification and intermediate layers, as well as matching activation attention maps in both spatial and channel levels. Experimental evaluation on a collected clinical imaging dataset demonstrate that the proposed approach can effectively improve model generalizability under limited training samples, and is advantageous to other approaches in the literature.
X-ray image guidance enables percutaneous alternatives to complex procedures. Unfortunately, the indirect view onto the anatomy in addition to projective simplification substantially increase the task-load for the surgeon. Additional 3D information such as knowledge of anatomical landmarks can benefit surgical decision making in complicated scenarios. Automatic detection of these landmarks in transmission imaging is challenging since image-domain features characteristic to a certain landmark change substantially depending on the viewing direction. Consequently and to the best of our knowledge, the above problem has not yet been addressed. In this work, we present a method to automatically detect anatomical landmarks in X-ray images independent of the viewing direction. To this end, a sequential prediction framework based on convolutional layers is trained on synthetically generated data of the pelvic anatomy to predict 23 landmarks in single X-ray images. View independence is contingent on training conditions and, here, is achieved on a spherical segment covering (120 x 90) degrees in LAO/RAO and CRAN/CAUD, respectively, centered around AP. On synthetic data, the proposed approach achieves a mean prediction error of 5.6 +- 4.5 mm. We demonstrate that the proposed network is immediately applicable to clinically acquired data of the pelvis. In particular, we show that our intra-operative landmark detection together with pre-operative CT enables X-ray pose estimation which, ultimately, benefits initialization of image-based 2D/3D registration.
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