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Deep Small Bowel Segmentation with Cylindrical Topological Constraints

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 Added by Seung Yeon Shin
 Publication date 2020
and research's language is English




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We present a novel method for small bowel segmentation where a cylindrical topological constraint based on persistent homology is applied. To address the touching issue which could break the applied constraint, we propose to augment a network with an additional branch to predict an inner cylinder of the small bowel. Since the inner cylinder is free of the touching issue, a cylindrical shape constraint applied on this augmented branch guides the network to generate a topologically correct segmentation. For strict evaluation, we achieved an abdominal computed tomography dataset with dense segmentation ground-truths. The proposed method showed clear improvements in terms of four different metrics compared to the baseline method, and also showed the statistical significance from a paired t-test.

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We present a novel unsupervised domain adaptation method for small bowel segmentation based on feature disentanglement. To make the domain adaptation more controllable, we disentangle intensity and non-intensity features within a unique two-stream auto-encoding architecture, and selectively adapt the non-intensity features that are believed to be more transferable across domains. The segmentation prediction is performed by aggregating the disentangled features. We evaluated our method using intravenous contrast-enhanced abdominal CT scans with and without oral contrast, which are used as source and target domains, respectively. The proposed method showed clear improvements in terms of three different metrics compared to other domain adaptation methods that are without the feature disentanglement. The method brings small bowel segmentation closer to clinical application.
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Deep learning has been widely used for medical image segmentation and a large number of papers has been presented recording the success of deep learning in the field. In this paper, we present a comprehensive thematic survey on medical image segmentation using deep learning techniques. This paper makes two original contributions. Firstly, compared to traditional surveys that directly divide literatures of deep learning on medical image segmentation into many groups and introduce literatures in detail for each group, we classify currently popular literatures according to a multi-level structure from coarse to fine. Secondly, this paper focuses on supervised and weakly supervised learning approaches, without including unsupervised approaches since they have been introduced in many old surveys and they are not popular currently. For supervised learning approaches, we analyze literatures in three aspects: the selection of backbone networks, the design of network blocks, and the improvement of loss functions. For weakly supervised learning approaches, we investigate literature according to data augmentation, transfer learning, and interactive segmentation, separately. Compared to existing surveys, this survey classifies the literatures very differently from before and is more convenient for readers to understand the relevant rationale and will guide them to think of appropriate improvements in medical image segmentation based on deep learning approaches.
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