No Arabic abstract
With the advent of advancements in deep learning approaches, such as deep convolution neural network, residual neural network, adversarial network; U-Net architectures are most widely utilized in biomedical image segmentation to address the automation in identification and detection of the target regions or sub-regions. In recent studies, U-Net based approaches have illustrated state-of-the-art performance in different applications for the development of computer-aided diagnosis systems for early diagnosis and treatment of diseases such as brain tumor, lung cancer, alzheimer, breast cancer, etc. This article contributes to present the success of these approaches by describing the U-Net framework, followed by the comprehensive analysis of the U-Net variants for different medical imaging or modalities such as magnetic resonance imaging, X-ray, computerized tomography/computerized axial tomography, ultrasound, positron emission tomography, etc. Besides, this article also highlights the contribution of U-Net based frameworks in the on-going pandemic, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) also known as COVID-19.
Development of deep learning systems for biomedical segmentation often requires access to expert-driven, manually annotated datasets. If more than a single expert is involved in the annotation of the same images, then the inter-expert agreement is not necessarily perfect, and no single expert annotation can precisely capture the so-called ground truth of the regions of interest on all images. Also, it is not trivial to generate a reference estimate using annotations from multiple experts. Here we present a deep neural network, defined as U-Net-and-a-half, which can simultaneously learn from annotations performed by multiple experts on the same set of images. U-Net-and-a-half contains a convolutional encoder to generate features from the input images, multiple decoders that allow simultaneous learning from image masks obtained from annotations that were independently generated by multiple experts, and a shared low-dimensional feature space. To demonstrate the applicability of our framework, we used two distinct datasets from digital pathology and radiology, respectively. Specifically, we trained two separate models using pathologist-driven annotations of glomeruli on whole slide images of human kidney biopsies (10 patients), and radiologist-driven annotations of lumen cross-sections of human arteriovenous fistulae obtained from intravascular ultrasound images (10 patients), respectively. The models based on U-Net-and-a-half exceeded the performance of the traditional U-Net models trained on single expert annotations alone, thus expanding the scope of multitask learning in the context of biomedical image segmentation.
Methods based on convolutional neural networks have improved the performance of biomedical image segmentation. However, most of these methods cannot efficiently segment objects of variable sizes and train on small and biased datasets, which are common in biomedical use cases. While methods exist that incorporate multi-scale fusion approaches to address the challenges arising with variable sizes, they usually use complex models that are more suitable for general semantic segmentation computer vision problems. In this paper, we propose a novel architecture called MSRF-Net, which is specially designed for medical image segmentation tasks. The proposed MSRF-Net is able to exchange multi-scale features of varying receptive fields using a dual-scale dense fusion block (DSDF). Our DSDF block can exchange information rigorously across two different resolution scales, and our MSRF sub-network uses multiple DSDF blocks in sequence to perform multi-scale fusion. This allows the preservation of resolution, improved information flow, and propagation of both high- and low-level features to obtain accurate segmentation maps. The proposed MSRF-Net allows to capture object variabilities and provides improved results on different biomedical datasets. Extensive experiments on MSRF-Net demonstrate that the proposed method outperforms most of the cutting-edge medical image segmentation state-of-the-art methods. MSRF-Net advances the performance on four publicly available datasets, and also, MSRF-Net is more generalizable as compared to state-of-the-art methods.
Most methods for medical image segmentation use U-Net or its variants as they have been successful in most of the applications. After a detailed analysis of these traditional encoder-decoder based approaches, we observed that they perform poorly in detecting smaller structures and are unable to segment boundary regions precisely. This issue can be attributed to the increase in receptive field size as we go deeper into the encoder. The extra focus on learning high level features causes the U-Net based approaches to learn less information about low-level features which are crucial for detecting small structures. To overcome this issue, we propose using an overcomplete convolutional architecture where we project our input image into a higher dimension such that we constrain the receptive field from increasing in the deep layers of the network. We design a new architecture for image segmentation- KiU-Net which has two branches: (1) an overcomplete convolutional network Kite-Net which learns to capture fine details and accurate edges of the input, and (2) U-Net which learns high level features. Furthermore, we also propose KiU-Net 3D which is a 3D convolutional architecture for volumetric segmentation. We perform a detailed study of KiU-Net by performing experiments on five different datasets covering various image modalities like ultrasound (US), magnetic resonance imaging (MRI), computed tomography (CT), microscopic and fundus images. The proposed method achieves a better performance as compared to all the recent methods with an additional benefit of fewer parameters and faster convergence. Additionally, we also demonstrate that the extensions of KiU-Net based on residual blocks and dense blocks result in further performance improvements. The implementation of KiU-Net can be found here: https://github.com/jeya-maria-jose/KiU-Net-pytorch
Our work expands the use of capsule networks to the task of object segmentation for the first time in the literature. This is made possible via the introduction of locally-constrained routing and transformation matrix sharing, which reduces the parameter/memory burden and allows for the segmentation of objects at large resolutions. To compensate for the loss of global information in constraining the routing, we propose the concept of deconvolutional capsules to create a deep encoder-decoder style network, called SegCaps. We extend the masked reconstruction regularization to the task of segmentation and perform thorough ablation experiments on each component of our method. The proposed convolutional-deconvolutional capsule network, SegCaps, shows state-of-the-art results while using a fraction of the parameters of popular segmentation networks. To validate our proposed method, we perform experiments segmenting pathological lungs from clinical and pre-clinical thoracic computed tomography (CT) scans and segmenting muscle and adipose (fat) tissue from magnetic resonance imaging (MRI) scans of human subjects thighs. Notably, our experiments in lung segmentation represent the largest-scale study in pathological lung segmentation in the literature, where we conduct experiments across five extremely challenging datasets, containing both clinical and pre-clinical subjects, and nearly 2000 computed-tomography scans. Our newly developed segmentation platform outperforms other methods across all datasets while utilizing less than 5% of the parameters in the popular U-Net for biomedical image segmentation. Further, we demonstrate capsules ability to generalize to unseen rotations/reflections on natural images.
Fine-tuning a network which has been trained on a large dataset is an alternative to full training in order to overcome the problem of scarce and expensive data in medical applications. While the shallow layers of the network are usually kept unchanged, deeper layers are modified according to the new dataset. This approach may not work for ultrasound images due to their drastically different appearance. In this study, we investigated the effect of fine-tuning different layers of a U-Net which was trained on segmentation of natural images in breast ultrasound image segmentation. Tuning the contracting part and fixing the expanding part resulted in substantially better results compared to fixing the contracting part and tuning the expanding part. Furthermore, we showed that starting to fine-tune the U-Net from the shallow layers and gradually including more layers will lead to a better performance compared to fine-tuning the network from the deep layers moving back to shallow layers. We did not observe the same results on segmentation of X-ray images, which have different salient features compared to ultrasound, it may therefore be more appropriate to fine-tune the shallow layers rather than deep layers. Shallow layers learn lower level features (including speckle pattern, and probably the noise and artifact properties) which are critical in automatic segmentation in this modality.