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Interactive Deep Refinement Network for Medical Image Segmentation

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 Publication date 2020
and research's language is English




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Deep learning techniques have successfully been employed in numerous computer vision tasks including image segmentation. The techniques have also been applied to medical image segmentation, one of the most critical tasks in computer-aided diagnosis. Compared with natural images, the medical image is a gray-scale image with low-contrast (even with some invisible parts). Because some organs have similar intensity and texture with neighboring organs, there is usually a need to refine automatic segmentation results. In this paper, we propose an interactive deep refinement framework to improve the traditional semantic segmentation networks such as U-Net and fully convolutional network. In the proposed framework, we added a refinement network to traditional segmentation network to refine the segmentation results.Experimental results with public dataset revealed that the proposed method could achieve higher accuracy than other state-of-the-art methods.



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Accurate medical image segmentation is essential for diagnosis, surgical planning and many other applications. Convolutional Neural Networks (CNNs) have become the state-of-the-art automatic segmentation methods. However, fully automatic results may still need to be refined to become accurate and robust enough for clinical use. We propose a deep learning-based interactive segmentation method to improve the results obtained by an automatic CNN and to reduce user interactions during refinement for higher accuracy. We use one CNN to obtain an initial automatic segmentation, on which user interactions are added to indicate mis-segmentations. Another CNN takes as input the user interactions with the initial segmentation and gives a refined result. We propose to combine user interactions with CNNs through geodesic distance transforms, and propose a resolution-preserving network that gives a better dense prediction. In addition, we integrate user interactions as hard constraints into a back-propagatable Conditional Random Field. We validated the proposed framework in the context of 2D placenta segmentation from fetal MRI and 3D brain tumor segmentation from FLAIR images. Experimental results show our method achieves a large improvement from automatic CNNs, and obtains comparable and even higher accuracy with fewer user interventions and less time compared with traditional interactive methods.
Although having achieved great success in medical image segmentation, deep convolutional neural networks usually require a large dataset with manual annotations for training and are difficult to generalize to unseen classes. Few-shot learning has the potential to address these challenges by learning new classes from only a few labeled examples. In this work, we propose a new framework for few-shot medical image segmentation based on prototypical networks. Our innovation lies in the design of two key modules: 1) a context relation encoder (CRE) that uses correlation to capture local relation features between foreground and background regions; and 2) a recurrent mask refinement module that repeatedly uses the CRE and a prototypical network to recapture the change of context relationship and refine the segmentation mask iteratively. Experiments on two abdomen CT datasets and an abdomen MRI dataset show the proposed method obtains substantial improvement over the state-of-the-art methods by an average of 16.32%, 8.45% and 6.24% in terms of DSC, respectively. Code is publicly available.
Despite recent progress of automatic medical image segmentation techniques, fully automatic results usually fail to meet the clinical use and typically require further refinement. In this work, we propose a quality-aware memory network for interactive segmentation of 3D medical images. Provided by user guidance on an arbitrary slice, an interaction network is firstly employed to obtain an initial 2D segmentation. The quality-aware memory network subsequently propagates the initial segmentation estimation bidirectionally over the entire volume. Subsequent refinement based on additional user guidance on other slices can be incorporated in the same manner. To further facilitate interactive segmentation, a quality assessment module is introduced to suggest the next slice to segment based on the current segmentation quality of each slice. The proposed network has two appealing characteristics: 1) The memory-augmented network offers the ability to quickly encode past segmentation information, which will be retrieved for the segmentation of other slices; 2) The quality assessment module enables the model to directly estimate the qualities of segmentation predictions, which allows an active learning paradigm where users preferentially label the lowest-quality slice for multi-round refinement. The proposed network leads to a robust interactive segmentation engine, which can generalize well to various types of user annotations (e.g., scribbles, boxes). Experimental results on various medical datasets demonstrate the superiority of our approach in comparison with existing techniques.
In real-world practice, medical images acquired in different phases possess complementary information, {em e.g.}, radiologists often refer to both arterial and venous scans in order to make the diagnosis. However, in medical image analysis, fusing prediction from two phases is often difficult, because (i) there is a domain gap between two phases, and (ii) the semantic labels are not pixel-wise corresponded even for images scanned from the same patient. This paper studies organ segmentation in two-phase CT scans. We propose Phase Collaborative Network (PCN), an end-to-end framework that contains both generative and discriminative modules. PCN can be mathematically explained to formulate phase-to-phase and data-to-label relations jointly. Experiments are performed on a two-phase CT dataset, on which PCN outperforms the baselines working with one-phase data by a large margin, and we empirically verify that the gain comes from inter-phase collaboration. Besides, PCN transfers well to two public single-phase datasets, demonstrating its potential applications.
282 - Ghada Zamzmi , Vandana Sachdev , 2021
Accurate segmentation of medical images into anatomically meaningful regions is critical for the extraction of quantitative indices or biomarkers. The common pipeline for segmentation comprises regions of interest detection stage and segmentation stage, which are independent of each other and typically performed using separate deep learning networks. The performance of the segmentation stage highly relies on the extracted set of spatial features and the receptive fields. In this work, we propose an end-to-end network, called Trilateral Attention Network (TaNet), for real-time detection and segmentation in medical images. TaNet has a module for region localization, and three segmentation pathways: 1) handcrafted pathway with hand-designed convolutional kernels, 2) detail pathway with regular convolutional kernels, and 3) a global pathway to enlarge the receptive field. The first two pathways encode rich handcrafted and low-level features extracted by hand-designed and regular kernels while the global pathway encodes high-level context information. By jointly training the network for localization and segmentation using different sets of features, TaNet achieved superior performance, in terms of accuracy and speed, when evaluated on an echocardiography dataset for cardiac segmentation. The code and models will be made publicly available in TaNet Github page.
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