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Register a new userDeep Learning Based Cardiac MRI Segmentation: Do We Need Experts?
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Added by
Youssef Skandarani
Publication date
2021
fields
Informatics Engineering
and research's language is
English
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Deep learning methods are the de-facto solutions to a multitude of medical image analysis tasks. Cardiac MRI segmentation is one such application which, like many others, requires a large number of annotated data so a trained network can generalize well. Unfortunately, the process of having a large number of manually curated images by medical experts is both slow and utterly expensive. In this paper, we set out to explore whether expert knowledge is a strict requirement for the creation of annotated datasets that machine learning can successfully train on. To do so, we gauged the performance of three segmentation models, namely U-Net, Attention U-Net, and ENet, trained with different loss functions on expert and non-expert groundtruth for cardiac cine-MRI segmentation. Evaluation was done with classic segmentation metrics (Dice index and Hausdorff distance) as well as clinical measurements, such as the ventricular ejection fractions and the myocardial mass. Results reveal that generalization performances of a segmentation neural network trained on non-expert groundtruth data is, to all practical purposes, as good as on expert groundtruth data, in particular when the non-expert gets a decent level of training, highlighting an opportunity for the efficient and cheap creation of annotations for cardiac datasets.
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Compared with cheap addition operation, multiplication operation is of much higher computation complexity. The widely-used convolutions in deep neural networks are exactly cross-correlation to measure the similarity between input feature and convolution filters, which involves massive multiplications between float values. In this paper, we present adder networks (AdderNets) to trade these massive multiplications in deep neural networks, especially convolutional neural networks (CNNs), for much cheaper additions to reduce computation costs. In AdderNets, we take the $ell_1$-norm distance between filters and input feature as the output response. The influence of this new similarity measure on the optimization of neural network have been thoroughly analyzed. To achieve a better performance, we develop a special back-propagation approach for AdderNets by investigating the full-precision gradient. We then propose an adaptive learning rate strategy to enhance the training procedure of AdderNets according to the magnitude of each neurons gradient. As a result, the proposed AdderNets can achieve 74.9% Top-1 accuracy 91.7% Top-5 accuracy using ResNet-50 on the ImageNet dataset without any multiplication in convolution layer. The codes are publicly available at: https://github.com/huaweinoah/AdderNet.
Cardiac MRI segmentation plays a crucial role in clinical diagnosis for evaluating personalized cardiac performance parameters. Due to the indistinct boundaries and heterogeneous intensity distributions in the cardiac MRI, most existing methods still suffer from two aspects of challenges: inter-class indistinction and intra-class inconsistency. To tackle these two problems, we propose a novel method to exploit the directional feature maps, which can simultaneously strengthen the differences between classes and the similarities within classes. Specifically, we perform cardiac segmentation and learn a direction field pointing away from the nearest cardiac tissue boundary to each pixel via a direction field (DF) module. Based on the learned direction field, we then propose a feature rectification and fusion (FRF) module to improve the original segmentation features, and obtain the final segmentation. The proposed modules are simple yet effective and can be flexibly added to any existing segmentation network without excessively increasing time and space complexity. We evaluate the proposed method on the 2017 MICCAI Automated Cardiac Diagnosis Challenge (ACDC) dataset and a large-scale self-collected dataset, showing good segmentation performance and robust generalization ability of the proposed method.
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In recent years, convolutional neural networks have demonstrated promising performance in a variety of medical image segmentation tasks. However, when a trained segmentation model is deployed into the real clinical world, the model may not perform optimally. A major challenge is the potential poor-quality segmentations generated due to degraded image quality or domain shift issues. There is a timely need to develop an automated quality control method that can detect poor segmentations and feedback to clinicians. Here we propose a novel deep generative model-based framework for quality control of cardiac MRI segmentation. It first learns a manifold of good-quality image-segmentation pairs using a generative model. The quality of a given test segmentation is then assessed by evaluating the difference from its projection onto the good-quality manifold. In particular, the projection is refined through iterative search in the latent space. The proposed method achieves high prediction accuracy on two publicly available cardiac MRI datasets. Moreover, it shows better generalisation ability than traditional regression-based methods. Our approach provides a real-time and model-agnostic quality control for cardiac MRI segmentation, which has the potential to be integrated into clinical image analysis workflows.
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