No Arabic abstract
Deep learning networks have shown promising performance for accurate object localization in medial images, but require large amount of annotated data for supervised training, which is expensive and expertise burdensome. To address this problem, we present a one-shot framework for organ and landmark localization in volumetric medical images, which does not need any annotation during the training stage and could be employed to locate any landmarks or organs in test images given a support (reference) image during the inference stage. Our main idea comes from that tissues and organs from different human bodies have a similar relative position and context. Therefore, we could predict the relative positions of their non-local patches, thus locate the target organ. Our framework is composed of three parts: (1) A projection network trained to predict the 3D offset between any two patches from the same volume, where human annotations are not required. In the inference stage, it takes one given landmark in a reference image as a support patch and predicts the offset from a random patch to the corresponding landmark in the test (query) volume. (2) A coarse-to-fine framework contains two projection networks, providing more accurate localization of the target. (3) Based on the coarse-to-fine model, we transfer the organ boundingbox (B-box) detection to locating six extreme points along x, y and z directions in the query volume. Experiments on multi-organ localization from head-and-neck (HaN) CT volumes showed that our method acquired competitive performance in real time, which is more accurate and 10^5 times faster than template matching methods with the same setting. Code is available: https://github.com/LWHYC/RPR-Loc.
This work tackles the problem of generating a medical report for multi-image panels. We apply our solution to the Renal Direct Immunofluorescence (RDIF) assay which requires a pathologist to generate a report based on observations across the eight different WSI in concert with existing clinical features. To this end, we propose a novel attention-based multi-modal generative recurrent neural network (RNN) architecture capable of dynamically sampling image data concurrently across the RDIF panel. The proposed methodology incorporates text from the clinical notes of the requesting physician to regulate the output of the network to align with the overall clinical context. In addition, we found the importance of regularizing the attention weights for word generation processes. This is because the system can ignore the attention mechanism by assigning equal weights for all members. Thus, we propose two regularizations which force the system to utilize the attention mechanism. Experiments on our novel collection of RDIF WSIs provided by a large clinical laboratory demonstrate that our framework offers significant improvements over existing methods.
Unsupervised anomaly detection (UAD) learns one-class classifiers exclusively with normal (i.e., healthy) images to detect any abnormal (i.e., unhealthy) samples that do not conform to the expected normal patterns. UAD has two main advantages over its fully supervised counterpart. Firstly, it is able to directly leverage large datasets available from health screening programs that contain mostly normal image samples, avoiding the costly manual labelling of abnormal samples and the subsequent issues involved in training with extremely class-imbalanced data. Further, UAD approaches can potentially detect and localise any type of lesions that deviate from the normal patterns. One significant challenge faced by UAD methods is how to learn effective low-dimensional image representations to detect and localise subtle abnormalities, generally consisting of small lesions. To address this challenge, we propose a novel self-supervised representation learning method, called Constrained Contrastive Distribution learning for anomaly detection (CCD), which learns fine-grained feature representations by simultaneously predicting the distribution of augmented data and image contexts using contrastive learning with pretext constraints. The learned representations can be leveraged to train more anomaly-sensitive detection models. Extensive experiment results show that our method outperforms current state-of-the-art UAD approaches on three different colonoscopy and fundus screening datasets. Our code is available at https://github.com/tianyu0207/CCD.
A label-efficient paradigm in computer vision is based on self-supervised contrastive pre-training on unlabeled data followed by fine-tuning with a small number of labels. Making practical use of a federated computing environment in the clinical domain and learning on medical images poses specific challenges. In this work, we propose FedMoCo, a robust federated contrastive learning (FCL) framework, which makes efficient use of decentralized unlabeled medical data. FedMoCo has two novel modules: metadata transfer, an inter-node statistical data augmentation module, and self-adaptive aggregation, an aggregation module based on representational similarity analysis. To the best of our knowledge, this is the first FCL work on medical images. Our experiments show that FedMoCo can consistently outperform FedAvg, a seminal federated learning framework, in extracting meaningful representations for downstream tasks. We further show that FedMoCo can substantially reduce the amount of labeled data required in a downstream task, such as COVID-19 detection, to achieve a reasonable performance.
Zero-shot object detection (ZSD), the task that extends conventional detection models to detecting objects from unseen categories, has emerged as a new challenge in computer vision. Most existing approaches tackle the ZSD task with a strict mapping-transfer strategy, which may lead to suboptimal ZSD results: 1) the learning process of those models ignores the available unseen class information, and thus can be easily biased towards the seen categories; 2) the original visual feature space is not well-structured and lack of discriminative information. To address these issues, we develop a novel Semantics-Guided Contrastive Network for ZSD, named ContrastZSD, a detection framework that first brings contrastive learning mechanism into the realm of zero-shot detection. Particularly, ContrastZSD incorporates two semantics-guided contrastive learning subnets that contrast between region-category and region-region pairs respectively. The pairwise contrastive tasks take advantage of additional supervision signals derived from both ground truth label and pre-defined class similarity distribution. Under the guidance of those explicit semantic supervision, the model can learn more knowledge about unseen categories to avoid the bias problem to seen concepts, while optimizing the data structure of visual features to be more discriminative for better visual-semantic alignment. Extensive experiments are conducted on two popular benchmarks for ZSD, i.e., PASCAL VOC and MS COCO. Results show that our method outperforms the previous state-of-the-art on both ZSD and generalized ZSD tasks.
The performance of medical image analysis systems is constrained by the quantity of high-quality image annotations. Such systems require data to be annotated by experts with years of training, especially when diagnostic decisions are involved. Such datasets are thus hard to scale up. In this context, it is hard for supervised learning systems to generalize to the cases that are rare in the training set but would be present in real-world clinical practices. We believe that the synthetic image samples generated by a system trained on the real data can be useful for improving the supervised learning tasks in the medical image analysis applications. Allowing the image synthesis to be manipulable could help synthetic images provide complementary information to the training data rather than simply duplicating the real-data manifold. In this paper, we propose a framework for synthesizing 3D objects, such as pulmonary nodules, in 3D medical images with manipulable properties. The manipulation is enabled by decomposing of the object of interests into its segmentation mask and a 1D vector containing the residual information. The synthetic object is refined and blended into the image context with two adversarial discriminators. We evaluate the proposed framework on lung nodules in 3D chest CT images and show that the proposed framework could generate realistic nodules with manipulable shapes, textures and locations, etc. By sampling from both the synthetic nodules and the real nodules from 2800 3D CT volumes during the classifier training, we show the synthetic patches could improve the overall nodule detection performance by average 8.44% competition performance metric (CPM) score.