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MultiMix: Sparingly Supervised, Extreme Multitask Learning From Medical Images

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 Publication date 2020
and research's language is English




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Semi-supervised learning via learning from limited quantities of labeled data has been investigated as an alternative to supervised counterparts. Maximizing knowledge gains from copious unlabeled data benefit semi-supervised learning settings. Moreover, learning multiple tasks within the same model further improves model generalizability. We propose a novel multitask learning model, namely MultiMix, which jointly learns disease classification and anatomical segmentation in a sparingly supervised manner, while preserving explainability through bridge saliency between the two tasks. Our extensive experimentation with varied quantities of labeled data in the training sets justify the effectiveness of our multitasking model for the classification of pneumonia and segmentation of lungs from chest X-ray images. Moreover, both in-domain and cross-domain evaluations across the tasks further showcase the potential of our model to adapt to challenging generalization scenarios.



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In medical image analysis, the cost of acquiring high-quality data and their annotation by experts is a barrier in many medical applications. Most of the techniques used are based on supervised learning framework and need a large amount of annotated data to achieve satisfactory performance. As an alternative, in this paper, we propose a self-supervised learning approach to learn the spatial anatomical representations from the frames of magnetic resonance (MR) video clips for the diagnosis of knee medical conditions. The pretext model learns meaningful spatial context-invariant representations. The downstream task in our paper is a class imbalanced multi-label classification. Different experiments show that the features learnt by the pretext model provide explainable performance in the downstream task. Moreover, the efficiency and reliability of the proposed pretext model in learning representations of minority classes without applying any strategy towards imbalance in the dataset can be seen from the results. To the best of our knowledge, this work is the first work of its kind in showing the effectiveness and reliability of self-supervised learning algorithms in class imbalanced multi-label classification tasks on MR video. The code for evaluation of the proposed work is available at https://github.com/sadimanna/sslm
The application of deep learning to medical image segmentation has been hampered due to the lack of abundant pixel-level annotated data. Few-shot Semantic Segmentation (FSS) is a promising strategy for breaking the deadlock. However, a high-performing FSS model still requires sufficient pixel-level annotated classes for training to avoid overfitting, which leads to its performance bottleneck in medical image segmentation due to the unmet need for annotations. Thus, semi-supervised FSS for medical images is accordingly proposed to utilize unlabeled data for further performance improvement. Nevertheless, existing semi-supervised FSS methods has two obvious defects: (1) neglecting the relationship between the labeled and unlabeled data; (2) using unlabeled data directly for end-to-end training leads to degenerated representation learning. To address these problems, we propose a novel semi-supervised FSS framework for medical image segmentation. The proposed framework employs Poisson learning for modeling data relationship and propagating supervision signals, and Spatial Consistency Calibration for encouraging the model to learn more coherent representations. In this process, unlabeled samples do not involve in end-to-end training, but provide supervisory information for query image segmentation through graph-based learning. We conduct extensive experiments on three medical image segmentation datasets (i.e. ISIC skin lesion segmentation, abdominal organs segmentation for MRI and abdominal organs segmentation for CT) to demonstrate the state-of-the-art performance and broad applicability of the proposed framework.
In medical imaging, Class-Activation Map (CAM) serves as the main explainability tool by pointing to the region of interest. Since the localization accuracy from CAM is constrained by the resolution of the models feature map, one may expect that segmentation models, which generally have large feature maps, would produce more accurate CAMs. However, we have found that this is not the case due to task mismatch. While segmentation models are developed for datasets with pixel-level annotation, only image-level annotation is available in most medical imaging datasets. Our experiments suggest that Global Average Pooling (GAP) and Group Normalization are the main culprits that worsen the localization accuracy of CAM. To address this issue, we propose Pyramid Localization Network (PYLON), a model for high-accuracy weakly-supervised localization that achieved 0.62 average point localization accuracy on NIHs Chest X-Ray 14 dataset, compared to 0.45 for a traditional CAM model. Source code and extended results are available at https://github.com/cmb-chula/pylon.
Automated segmentation in medical image analysis is a challenging task that requires a large amount of manually labeled data. However, manually annotating medical data is often laborious, and most existing learning-based approaches fail to accurately delineate object boundaries without effective geometric constraints. Contrastive learning, a sub-area of self-supervised learning, has recently been noted as a promising direction in multiple application fields. In this work, we present a novel Contrastive Voxel-wise Representation Learning (CVRL) method with geometric constraints to learn global-local visual representations for volumetric medical image segmentation with limited annotations. Our framework can effectively learn global and local features by capturing 3D spatial context and rich anatomical information. Specifically, we introduce a voxel-to-volume contrastive algorithm to learn global information from 3D images, and propose to perform local voxel-to-voxel contrast to explicitly make use of local cues in the embedding space. Moreover, we integrate an elastic interaction-based active contour model as a geometric regularization term to enable fast and reliable object delineations in an end-to-end learning manner. Results on the Atrial Segmentation Challenge dataset demonstrate superiority of our proposed scheme, especially in a setting with a very limited number of annotated data.
Through solving pretext tasks, self-supervised learning leverages unlabeled data to extract useful latent representations replacing traditional input features in the downstream task. In various application domains, including computer vision, natural language processing and audio/speech signal processing, a wide range of features where engineered through decades of research efforts. As it turns out, learning to predict such features has proven to be a particularly relevant pretext task leading to building useful self-supervised representations that prove to be effective for downstream tasks. However, methods and common practices for combining such pretext tasks, where each task targets a different group of features for better performance on the downstream task have not been explored and understood properly. In fact, the process relies almost exclusively on a computationally heavy experimental procedure, which becomes intractable with the increase of the number of pretext tasks. This paper introduces a method to select a group of pretext tasks among a set of candidates. The method we propose estimates properly calibrated weights for the partial losses corresponding to the considered pretext tasks during the self-supervised training process. The experiments conducted on speaker recognition and automatic speech recognition validate our approach, as the groups selected and weighted with our method perform better than classic baselines, thus facilitating the selection and combination of relevant pseudo-labels for self-supervised representation learning.

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