Segmenting medical images accurately and reliably is important for disease diagnosis and treatment. It is a challenging task because of the wide variety of objects' sizes, shapes, and scanning modalities. Recently, many convolutional neural networks (CNN) have been designed for segmentation tasks and achieved great success. Few studies, however, have fully considered the sizes of objects, and thus most demonstrate poor performance for small objects segmentation. This can have a significant impact on the early detection of diseases. This paper proposes a Context Axial Reserve Attention Network (CaraNet) to improve the segmentation performance on small objects compared with several recent state-of-the-art models. We test our CaraNet on brain tumor (BraTS 2018) and polyp (Kvasir-SEG, CVC-ColonDB, CVC-ClinicDB, CVC-300, and ETIS-LaribPolypDB) segmentation datasets. Our CaraNet achieves the top-rank mean Dice segmentation accuracy, and results show a distinct advantage of CaraNet in the segmentation of small medical objects.
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Seven million people suffer surgical complications each year, but with sufficient surgical training and review, 50\% of these complications could be prevented. To improve surgical performance, existing research uses various deep learning (DL) technologies including convolutional neural networks (CNN) and recurrent neural networks (RNN) to automate surgical tool and workflow detection. However, there is room to improve accuracy; real-time analysis is also minimal due to the complexity of CNN. In this research, a novel DL architecture is proposed to integrate visual simultaneous localization and mapping (vSLAM) into Mask R-CNN. This architecture, vSLAM-CNN (vCNN), for the first time, integrates the best of both worlds, inclusive of (1) vSLAM for object detection, by focusing on geometric information for region proposals, and (2) CNN for object recognition, by focusing on semantic information for image classification, combining them into one joint end-to-end training process. This method, using spatio-temporal information in addition to visual features, is evaluated on M2CAI 2016 challenge datasets, achieving the state-of-the-art results with 96.8 mAP for tool detection and 97.5 mean Jaccard score for workflow detection, surpassing all previous works, and reaching a 50 FPS performance, 10x faster than the region-based CNN. A region proposal module (RPM) replaces the region proposal network (RPN) in Mask R-CNN, accurately placing bounding boxes and lessening the annotation requirement. Furthermore, a Microsoft HoloLens 2 application is developed to provide an augmented reality (AR)-based solution for surgical training and assistance.
In clinical settings, where acquisition conditions and patient populations change over time, continual learning is key for ensuring the safe use of deep neural networks. Yet most existing work focuses on convolutional architectures and image classification. Instead, radiologists prefer to work with segmentation models that outline specific regions-of-interest, for which Transformer-based architectures are gaining traction. The self-attention mechanism of Transformers could potentially mitigate catastrophic forgetting, opening the way for more robust medical image segmentation. In this work, we explore how recently-proposed Transformer mechanisms for semantic segmentation behave in sequential learning scenarios, and analyse how best to adapt continual learning strategies for this setting. Our evaluation on hippocampus segmentation shows that Transformer mechanisms mitigate catastrophic forgetting for medical image segmentation compared to purely convolutional architectures, and demonstrates that regularising ViT modules should be done with caution.
Deep learning depends on large amounts of labeled training data. Manual labeling is expensive and represents a bottleneck, especially for tasks such as segmentation, where labels must be assigned down to the level of individual points. That challenge is even more daunting for 3D data: 3D point clouds contain millions of points per scene, and their accurate annotation is markedly more time-consuming. The situation is further aggravated by the added complexity of user interfaces for 3D point clouds, which slows down annotation even more. For the case of 2D image segmentation, interactive techniques have become common, where user feedback in the form of a few clicks guides a segmentation algorithm -- nowadays usually a neural network -- to achieve an accurate labeling with minimal effort. Surprisingly, interactive segmentation of 3D scenes has not been explored much. Previous work has attempted to obtain accurate 3D segmentation masks using human feedback from the 2D domain, which is only possible if correctly aligned images are available together with the 3D point cloud, and it involves switching between the 2D and 3D domains. Here, we present an interactive 3D object segmentation method in which the user interacts directly with the 3D point cloud. Importantly, our model does not require training data from the target domain: when trained on ScanNet, it performs well on several other datasets with different data characteristics as well as different object classes. Moreover, our method is orthogonal to supervised (instance) segmentation methods and can be combined with them to refine automatic segmentations with minimal human effort.
Benefit from the quick development of deep learning techniques, salient object detection has achieved remarkable progresses recently. However, there still exists following two major challenges that hinder its application in embedded devices, low resolution output and heavy model weight. To this end, this paper presents an accurate yet compact deep network for efficient salient object detection. More specifically, given a coarse saliency prediction in the deepest layer, we first employ residual learning to learn side-output residual features for saliency refinement, which can be achieved with very limited convolutional parameters while keep accuracy. Secondly, we further propose reverse attention to guide such side-output residual learning in a top-down manner. By erasing the current predicted salient regions from side-output features, the network can eventually explore the missing object parts and details which results in high resolution and accuracy. Experiments on six benchmark datasets demonstrate that the proposed approach compares favorably against state-of-the-art methods, and with advantages in terms of simplicity, efficiency (45 FPS) and model size (81 MB).
It is a common paradigm in object detection frameworks to treat all samples equally and target at maximizing the performance on average. In this work, we revisit this paradigm through a careful study on how different samples contribute to the overall performance measured in terms of mAP. Our study suggests that the samples in each mini-batch are neither independent nor equally important, and therefore a better classifier on average does not necessarily mean higher mAP. Motivated by this study, we propose the notion of Prime Samples, those that play a key role in driving the detection performance. We further develop a simple yet effective sampling and learning strategy called PrIme Sample Attention (PISA) that directs the focus of the training process towards such samples. Our experiments demonstrate that it is often more effective to focus on prime samples than hard samples when training a detector. Particularly, On the MSCOCO dataset, PISA outperforms the random sampling baseline and hard mining schemes, e.g. OHEM and Focal Loss, consistently by more than 1% on both single-stage and two-stage detectors, with a strong backbone ResNeXt-101.
We consider the problem of referring image segmentation. Given an input image and a natural language expression, the goal is to segment the object referred by the language expression in the image. Existing works in this area treat the language expression and the input image separately in their representations. They do not sufficiently capture long-range correlations between these two modalities. In this paper, we propose a cross-modal self-attention (CMSA) module that effectively captures the long-range dependencies between linguistic and visual features. Our model can adaptively focus on informative words in the referring expression and important regions in the input image. In addition, we propose a gated multi-level fusion module to selectively integrate self-attentive cross-modal features corresponding to different levels in the image. This module controls the information flow of features at different levels. We validate the proposed approach on four evaluation datasets. Our proposed approach consistently outperforms existing state-of-the-art methods.
Deep neural network architectures have traditionally been designed and explored with human expertise in a long-lasting trial-and-error process. This process requires huge amount of time, expertise, and resources. To address this tedious problem, we propose a novel algorithm to optimally find hyperparameters of a deep network architecture automatically. We specifically focus on designing neural architectures for medical image segmentation task. Our proposed method is based on a policy gradient reinforcement learning for which the reward function is assigned a segmentation evaluation utility (i.e., dice index). We show the efficacy of the proposed method with its low computational cost in comparison with the state-of-the-art medical image segmentation networks. We also present a new architecture design, a densely connected encoder-decoder CNN, as a strong baseline architecture to apply the proposed hyperparameter search algorithm. We apply the proposed algorithm to each layer of the baseline architectures. As an application, we train the proposed system on cine cardiac MR images from Automated Cardiac Diagnosis Challenge (ACDC) MICCAI 2017. Starting from a baseline segmentation architecture, the resulting network architecture obtains the state-of-the-art results in accuracy without performing any trial-and-error based architecture design approaches or close supervision of the hyperparameters changes.
In this paper, we focus on three problems in deep learning based medical image segmentation. Firstly, U-net, as a popular model for medical image segmentation, is difficult to train when convolutional layers increase even though a deeper network usually has a better generalization ability because of more learnable parameters. Secondly, the exponential ReLU (ELU), as an alternative of ReLU, is not much different from ReLU when the network of interest gets deep. Thirdly, the Dice loss, as one of the pervasive loss functions for medical image segmentation, is not effective when the prediction is close to ground truth and will cause oscillation during training. To address the aforementioned three problems, we propose and validate a deeper network that can fit medical image datasets that are usually small in the sample size. Meanwhile, we propose a new loss function to accelerate the learning process and a combination of different activation functions to improve the network performance. Our experimental results suggest that our network is comparable or superior to state-of-the-art methods.
Deep learning (DL) based semantic segmentation methods have been providing state-of-the-art performance in the last few years. More specifically, these techniques have been successfully applied to medical image classification, segmentation, and detection tasks. One deep learning technique, U-Net, has become one of the most popular for these applications. In this paper, we propose a Recurrent Convolutional Neural Network (RCNN) based on U-Net as well as a Recurrent Residual Convolutional Neural Network (RRCNN) based on U-Net models, which are named RU-Net and R2U-Net respectively. The proposed models utilize the power of U-Net, Residual Network, as well as RCNN. There are several advantages of these proposed architectures for segmentation tasks. First, a residual unit helps when training deep architecture. Second, feature accumulation with recurrent residual convolutional layers ensures better feature representation for segmentation tasks. Third, it allows us to design better U-Net architecture with same number of network parameters with better performance for medical image segmentation. The proposed models are tested on three benchmark datasets such as blood vessel segmentation in retina images, skin cancer segmentation, and lung lesion segmentation. The experimental results show superior performance on segmentation tasks compared to equivalent models including U-Net and residual U-Net (ResU-Net).
Recent advances in 3D fully convolutional networks (FCN) have made it feasible to produce dense voxel-wise predictions of volumetric images. In this work, we show that a multi-class 3D FCN trained on manually labeled CT scans of several anatomical structures (ranging from the large organs to thin vessels) can achieve competitive segmentation results, while avoiding the need for handcrafting features or training class-specific models. To this end, we propose a two-stage, coarse-to-fine approach that will first use a 3D FCN to roughly define a candidate region, which will then be used as input to a second 3D FCN. This reduces the number of voxels the second FCN has to classify to ~10% and allows it to focus on more detailed segmentation of the organs and vessels. We utilize training and validation sets consisting of 331 clinical CT images and test our models on a completely unseen data collection acquired at a different hospital that includes 150 CT scans, targeting three anatomical organs (liver, spleen, and pancreas). In challenging organs such as the pancreas, our cascaded approach improves the mean Dice score from 68.5 to 82.2%, achieving the highest reported average score on this dataset. We compare with a 2D FCN method on a separate dataset of 240 CT scans with 18 classes and achieve a significantly higher performance in small organs and vessels. Furthermore, we explore fine-tuning our models to different datasets. Our experiments illustrate the promise and robustness of current 3D FCN based semantic segmentation of medical images, achieving state-of-the-art results. Our code and trained models are available for download: //github.com/holgerroth/3Dunet_abdomen_cascade.
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