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Early detection of the coronavirus disease 2019 (COVID-19) helps to treat patients timely and increase the cure rate, thus further suppressing the spread of the disease. In this study, we propose a novel deep learning based detection and similar case recommendation network to help control the epidemic. Our proposed network contains two stages: the first one is a lung region segmentation step and is used to exclude irrelevant factors, and the second is a detection and recommendation stage. Under this framework, in the second stage, we develop a dual-children network (DuCN) based on a pre-trained ResNet-18 to simultaneously realize the disease diagnosis and similar case recommendation. Besides, we employ triplet loss and intrapulmonary distance maps to assist the detection, which helps incorporate tiny differences between two images and is conducive to improving the diagnostic accuracy. For each confirmed COVID-19 case, we give similar cases to provide radiologists with diagnosis and treatment references. We conduct experiments on a large publicly available dataset (CC-CCII) and compare the proposed model with state-of-the-art COVID-19 detection methods. The results show that our proposed model achieves a promising clinical performance.
Multi-phase computed tomography (CT) images provide crucial complementary information for accurate liver tumor segmentation (LiTS). State-of-the-art multi-phase LiTS methods usually fused cross-phase features through phase-weighted summation or chann el-attention based concatenation. However, these methods ignored the spatial (pixel-wise) relationships between different phases, hence leading to insufficient feature integration. In addition, the performance of existing methods remains subject to the uncertainty in segmentation, which is particularly acute in tumor boundary regions. In this work, we propose a novel LiTS method to adequately aggregate multi-phase information and refine uncertain region segmentation. To this end, we introduce a spatial aggregation module (SAM), which encourages per-pixel interactions between different phases, to make full use of cross-phase information. Moreover, we devise an uncertain region inpainting module (URIM) to refine uncertain pixels using neighboring discriminative features. Experiments on an in-house multi-phase CT dataset of focal liver lesions (MPCT-FLLs) demonstrate that our method achieves promising liver tumor segmentation and outperforms state-of-the-arts.
Segmentation of multiple anatomical structures is of great importance in medical image analysis. In this study, we proposed a $mathcal{W}$-net to simultaneously segment both the optic disc (OD) and the exudates in retinal images based on the multi-ta sk learning (MTL) scheme. We introduced a class-balanced loss and a multi-task weighted loss to alleviate the imbalanced problem and to improve the robustness and generalization property of the $mathcal{W}$-net. We demonstrated the effectiveness of our approach by applying five-fold cross-validation experiments on two public datasets e_ophtha_EX and DiaRetDb1. We achieved F1-score of 94.76% and 95.73% for OD segmentation, and 92.80% and 94.14% for exudates segmentation. To further prove the generalization property of the proposed method, we applied the trained model on the DRIONS-DB dataset for OD segmentation and on the MESSIDOR dataset for exudate segmentation. Our results demonstrated that by choosing the optimal weights of each task, the MTL based $mathcal{W}$-net outperformed separate models trained individually on each task. Code and pre-trained models will be available at: url{https://github.com/FundusResearch/MTL_for_OD_and_exudates.git}.
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