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Combining unsupervised and supervised learning for predicting the final stroke lesion

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 Added by Adriano Pinto
 Publication date 2021
and research's language is English




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Predicting the final ischaemic stroke lesion provides crucial information regarding the volume of salvageable hypoperfused tissue, which helps physicians in the difficult decision-making process of treatment planning and intervention. Treatment selection is influenced by clinical diagnosis, which requires delineating the stroke lesion, as well as characterising cerebral blood flow dynamics using neuroimaging acquisitions. Nonetheless, predicting the final stroke lesion is an intricate task, due to the variability in lesion size, shape, location and the underlying cerebral haemodynamic processes that occur after the ischaemic stroke takes place. Moreover, since elapsed time between stroke and treatment is related to the loss of brain tissue, assessing and predicting the final stroke lesion needs to be performed in a short period of time, which makes the task even more complex. Therefore, there is a need for automatic methods that predict the final stroke lesion and support physicians in the treatment decision process. We propose a fully automatic deep learning method based on unsupervised and supervised learning to predict the final stroke lesion after 90 days. Our aim is to predict the final stroke lesion location and extent, taking into account the underlying cerebral blood flow dynamics that can influence the prediction. To achieve this, we propose a two-branch Restricted Boltzmann Machine, which provides specialized data-driven features from different sets of standard parametric Magnetic Resonance Imaging maps. These data-driven feature maps are then combined with the parametric Magnetic Resonance Imaging maps, and fed to a Convolutional and Recurrent Neural Network architecture. We evaluated our proposal on the publicly available ISLES 2017 testing dataset, reaching a Dice score of 0.38, Hausdorff Distance of 29.21 mm, and Average Symmetric Surface Distance of 5.52 mm.

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130 - Zhanwei Xu , Yukun Cao , Cheng Jin 2020
Segmentation of infected areas in chest CT volumes is of great significance for further diagnosis and treatment of COVID-19 patients. Due to the complex shapes and varied appearances of lesions, a large number of voxel-level labeled samples are generally required to train a lesion segmentation network, which is a main bottleneck for developing deep learning based medical image segmentation algorithms. In this paper, we propose a weakly-supervised lesion segmentation framework by embedding the Generative Adversarial training process into the Segmentation Network, which is called GASNet. GASNet is optimized to segment the lesion areas of a COVID-19 CT by the segmenter, and to replace the abnormal appearance with a generated normal appearance by the generator, so that the restored CT volumes are indistinguishable from healthy CT volumes by the discriminator. GASNet is supervised by chest CT volumes of many healthy and COVID-19 subjects without voxel-level annotations. Experiments on three public databases show that when using as few as one voxel-level labeled sample, the performance of GASNet is comparable to fully-supervised segmentation algorithms trained on dozens of voxel-level labeled samples.
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The scarcity of high quality medical image annotations hinders the implementation of accurate clinical applications for detecting and segmenting abnormal lesions. To mitigate this issue, the scientific community is working on the development of unsupervised anomaly detection (UAD) systems that learn from a training set containing only normal (i.e., healthy) images, where abnormal samples (i.e., unhealthy) are detected and segmented based on how much they deviate from the learned distribution of normal samples. One significant challenge faced by UAD methods is how to learn effective low-dimensional image representations that are sensitive enough to detect and segment abnormal lesions of varying size, appearance and shape. To address this challenge, we propose a novel self-supervised UAD pre-training algorithm, named Multi-centred Strong Augmentation via Contrastive Learning (MSACL). MSACL learns representations by separating several types of strong and weak augmentations of normal image samples, where the weak augmentations represent normal images and strong augmentations denote synthetic abnormal images. To produce such strong augmentations, we introduce MedMix, a novel data augmentation strategy that creates new training images with realistic looking lesions (i.e., anomalies) in normal images. The pre-trained representations from MSACL are generic and can be used to improve the efficacy of different types of off-the-shelf state-of-the-art (SOTA) UAD models. Comprehensive experimental results show that the use of MSACL largely improves these SOTA UAD models on four medical imaging datasets from diverse organs, namely colonoscopy, fundus screening and covid-19 chest-ray datasets.
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