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Register a new userGenerative Adversarial U-Net for Domain-free Medical Image Augmentation
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The shortage of annotated medical images is one of the biggest challenges in the field of medical image computing. Without a sufficient number of training samples, deep learning based models are very likely to suffer from over-fitting problem. The common solution is image manipulation such as image rotation, cropping, or resizing. Those methods can help relieve the over-fitting problem as more training samples are introduced. However, they do not really introduce new images with additional information and may lead to data leakage as the test set may contain similar samples which appear in the training set. To address this challenge, we propose to generate diverse images with generative adversarial network. In this paper, we develop a novel generative method named generative adversarial U-Net , which utilizes both generative adversarial network and U-Net. Different from existing approaches, our newly designed model is domain-free and generalizable to various medical images. Extensive experiments are conducted over eight diverse datasets including computed tomography (CT) scan, pathology, X-ray, etc. The visualization and quantitative results demonstrate the efficacy and good generalization of the proposed method on generating a wide array of high-quality medical images.
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LDCT has drawn major attention in the medical imaging field due to the potential health risks of CT-associated X-ray radiation to patients. Reducing the radiation dose, however, decreases the quality of the reconstructed images, which consequently compromises the diagnostic performance. Various deep learning techniques have been introduced to improve the image quality of LDCT images through denoising. GANs-based denoising methods usually leverage an additional classification network, i.e. discriminator, to learn the most discriminate difference between the denoised and normal-dose images and, hence, regularize the denoising model accordingly; it often focuses either on the global structure or local details. To better regularize the LDCT denoising model, this paper proposes a novel method, termed DU-GAN, which leverages U-Net based discriminators in the GANs framework to learn both global and local difference between the denoised and normal-dose images in both image and gradient domains. The merit of such a U-Net based discriminator is that it can not only provide the per-pixel feedback to the denoising network through the outputs of the U-Net but also focus on the global structure in a semantic level through the middle layer of the U-Net. In addition to the adversarial training in the image domain, we also apply another U-Net based discriminator in the image gradient domain to alleviate the artifacts caused by photon starvation and enhance the edge of the denoised CT images. Furthermore, the CutMix technique enables the per-pixel outputs of the U-Net based discriminator to provide radiologists with a confidence map to visualize the uncertainty of the denoised results, facilitating the LDCT-based screening and diagnosis. Extensive experiments on the simulated and real-world datasets demonstrate superior performance over recently published methods both qualitatively and quantitatively.
With the development of deep encoder-decoder architectures and large-scale annotated medical datasets, great progress has been achieved in the development of automatic medical image segmentation. Due to the stacking of convolution layers and the consecutive sampling operations, existing standard models inevitably encounter the information recession problem of feature representations, which fails to fully model the global contextual feature dependencies. To overcome the above challenges, this paper proposes a novel Transformer based medical image semantic segmentation framework called TransAttUnet, in which the multi-level guided attention and multi-scale skip connection are jointly designed to effectively enhance the functionality and flexibility of traditional U-shaped architecture. Inspired by Transformer, a novel self-aware attention (SAA) module with both Transformer Self Attention (TSA) and Global Spatial Attention (GSA) is incorporated into TransAttUnet to effectively learn the non-local interactions between encoder features. In particular, we also establish additional multi-scale skip connections between decoder blocks to aggregate the different semantic-scale upsampling features. In this way, the representation ability of multi-scale context information is strengthened to generate discriminative features. Benefitting from these complementary components, the proposed TransAttUnet can effectively alleviate the loss of fine details caused by the information recession problem, improving the diagnostic sensitivity and segmentation quality of medical image analysis. Extensive experiments on multiple medical image segmentation datasets of different imaging demonstrate that our method consistently outperforms the state-of-the-art baselines.
The application of supervised deep learning methods in digital pathology is limited due to their sensitivity to domain shift. Digital Pathology is an area prone to high variability due to many sources, including the common practice of evaluating several consecutive tissue sections stained with different staining protocols. Obtaining labels for each stain is very expensive and time consuming as it requires a high level of domain knowledge. In this article, we propose an unsupervised augmentation approach based on adversarial image-to-image translation, which facilitates the training of stain invariant supervised convolutional neural networks. By training the network on one commonly used staining modality and applying it to images that include corresponding, but differently stained, tissue structures, the presented method demonstrates significant improvements over other approaches. These benefits are illustrated in the problem of glomeruli segmentation in seven different staining modalities (PAS, Jones H&E, CD68, Sirius Red, CD34, H&E and CD3) and analysis of the learned representations demonstrate their stain invariance.
Brain age estimation based on magnetic resonance imaging (MRI) is an active research area in early diagnosis of some neurodegenerative diseases (e.g. Alzheimer, Parkinson, Huntington, etc.) for elderly people or brain underdevelopment for the young group. Deep learning methods have achieved the state-of-the-art performance in many medical image analysis tasks, including brain age estimation. However, the performance and generalisability of the deep learning model are highly dependent on the quantity and quality of the training data set. Both collecting and annotating brain MRI data are extremely time-consuming. In this paper, to overcome the data scarcity problem, we propose a generative adversarial network (GAN) based image synthesis method. Different from the existing GAN-based methods, we integrate a task-guided branch (a regression model for age estimation) to the end of the generator in GAN. By adding a task-guided loss to the conventional GAN loss, the learned low-dimensional latent space and the synthesised images are more task-specific. It helps to boost the performance of the down-stream task by combining the synthesised images and real images for model training. The proposed method was evaluated on a public brain MRI data set for age estimation. Our proposed method outperformed (statistically significant) a deep convolutional neural network based regression model and the GAN-based image synthesis method without the task-guided branch. More importantly, it enables the identification of age-related brain regions in the image space. The code is available on GitHub (https://github.com/ruizhe-l/tgb-gan).
Neural network-based approaches can achieve high accuracy in various medical image segmentation tasks. However, they generally require large labelled datasets for supervised learning. Acquiring and manually labelling a large medical dataset is expensive and sometimes impractical due to data sharing and privacy issues. In this work, we propose an adversarial data augmentation method for training neural networks for medical image segmentation. Instead of generating pixel-wise adversarial attacks, our model generates plausible and realistic signal corruptions, which models the intensity inhomogeneities caused by a common type of artefacts in MR imaging: bias field. The proposed method does not rely on generative networks, and can be used as a plug-in module for general segmentation networks in both supervised and semi-supervised learning. Using cardiac MR imaging we show that such an approach can improve the generalization ability and robustness of models as well as provide significant improvements in low-data scenarios.
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