Deep learning-based methods have spearheaded the automatic analysis of echocardiographic images, taking advantage of the publication of multiple open access datasets annotated by experts (CAMUS being one of the largest public databases). However, these models are still considered unreliable by clinicians due to unresolved issues concerning i) the temporal consistency of their predictions, and ii) their ability to generalize across datasets. In this context, we propose a comprehensive comparison between the current best performing methods in medical/echocardiographic image segmentation, with a particular focus on temporal consistency and cross-dataset aspects. We introduce a new private dataset, named CARDINAL, of apical two-chamber and apical four-chamber sequences, with reference segmentation over the full cardiac cycle. We show that the proposed 3D nnU-Net outperforms alternative 2D and recurrent segmentation methods. We also report that the best models trained on CARDINAL, when tested on CAMUS without any fine-tuning, still manage to perform competitively with respect to prior methods. Overall, the experimental results suggest that with sufficient training data, 3D nnU-Net could become the first automated tool to finally meet the standards of an everyday clinical device.
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We present a deep learning segmentation model that can automatically and robustly segment all major anatomical structures in body CT images. In this retrospective study, 1204 CT examinations (from the years 2012, 2016, and 2020) were used to segment 104 anatomical structures (27 organs, 59 bones, 10 muscles, 8 vessels) relevant for use cases such as organ volumetry, disease characterization, and surgical or radiotherapy planning. The CT images were randomly sampled from routine clinical studies and thus represent a real-world dataset (different ages, pathologies, scanners, body parts, sequences, and sites). The authors trained an nnU-Net segmentation algorithm on this dataset and calculated Dice similarity coefficients (Dice) to evaluate the model's performance. The trained algorithm was applied to a second dataset of 4004 whole-body CT examinations to investigate age dependent volume and attenuation changes. The proposed model showed a high Dice score (0.943) on the test set, which included a wide range of clinical data with major pathologies. The model significantly outperformed another publicly available segmentation model on a separate dataset (Dice score, 0.932 versus 0.871, respectively). The aging study demonstrated significant correlations between age and volume and mean attenuation for a variety of organ groups (e.g., age and aortic volume; age and mean attenuation of the autochthonous dorsal musculature). The developed model enables robust and accurate segmentation of 104 anatomical structures. The annotated dataset (//doi.org/10.5281/zenodo.6802613) and toolkit (//www.github.com/wasserth/TotalSegmentator) are publicly available.
Convolutional neural networks (CNNs) have recently proven their excellent ability to segment 2D cardiac ultrasound images. However, the majority of attempts to perform full-sequence segmentation of cardiac ultrasound videos either rely on models trained only on keyframe images or fail to maintain the topology over time. To address these issues, in this work, we consider segmentation of ultrasound video as a registration estimation problem and present a novel method for diffeomorphic image registration using neural ordinary differential equations (Neural ODE). In particular, we consider the registration field vector field between frames as a continuous trajectory ODE. The estimated registration field is then applied to the segmentation mask of the first frame to obtain a segment for the whole cardiac cycle. The proposed method, Echo-ODE, introduces several key improvements compared to the previous state-of-the-art. Firstly, by solving a continuous ODE, the proposed method achieves smoother segmentation, preserving the topology of segmentation maps over the whole sequence (Hausdorff distance: 3.7-4.4). Secondly, it maintains temporal consistency between frames without explicitly optimizing for temporal consistency attributes, achieving temporal consistency in 91% of the videos in the dataset. Lastly, the proposed method is able to maintain the clinical accuracy of the segmentation maps (MAE of the LVEF: 2.7-3.1). The results show that our method surpasses the previous state-of-the-art in multiple aspects, demonstrating the importance of spatial-temporal data processing for the implementation of Neural ODEs in medical imaging applications. These findings open up new research directions for solving echocardiography segmentation tasks.
The allocation of limited resources to a large number of potential candidates presents a pervasive challenge. In the context of ranking and selecting top candidates from heteroscedastic units, conventional methods often result in over-representations of subpopulations, and this issue is further exacerbated in large-scale settings where thousands of candidates are considered simultaneously. To address this challenge, we propose a new multiple comparison framework that incorporates a modified power notion to prioritize the selection of important effects and employs a novel ranking metric to assess the relative importance of units. We develop both oracle and data-driven algorithms, and demonstrate their effectiveness in controlling the error rates and achieving optimality. We evaluate the numerical performance of our proposed method using simulated and real data. The results show that our framework enables a more balanced selection of effects that are both statistically significant and practically important, and results in an objective and relevant ranking scheme that is well-suited to practical scenarios.
Event extraction (EE) is a crucial task aiming at extracting events from texts, which includes two subtasks: event detection (ED) and event argument extraction (EAE). In this paper, we check the reliability of EE evaluations and identify three major pitfalls: (1) The data preprocessing discrepancy makes the evaluation results on the same dataset not directly comparable, but the data preprocessing details are not widely noted and specified in papers. (2) The output space discrepancy of different model paradigms makes different-paradigm EE models lack grounds for comparison and also leads to unclear mapping issues between predictions and annotations. (3) The absence of pipeline evaluation of many EAE-only works makes them hard to be directly compared with EE works and may not well reflect the model performance in real-world pipeline scenarios. We demonstrate the significant influence of these pitfalls through comprehensive meta-analyses of recent papers and empirical experiments. To avoid these pitfalls, we suggest a series of remedies, including specifying data preprocessing, standardizing outputs, and providing pipeline evaluation results. To help implement these remedies, we develop a consistent evaluation framework OMNIEVENT, which can be obtained from //github.com/THU-KEG/OmniEvent.
This paper develops an approximation to the (effective) $p$-resistance and applies it to multi-class clustering. Spectral methods based on the graph Laplacian and its generalization to the graph $p$-Laplacian have been a backbone of non-euclidean clustering techniques. The advantage of the $p$-Laplacian is that the parameter $p$ induces a controllable bias on cluster structure. The drawback of $p$-Laplacian eigenvector based methods is that the third and higher eigenvectors are difficult to compute. Thus, instead, we are motivated to use the $p$-resistance induced by the $p$-Laplacian for clustering. For $p$-resistance, small $p$ biases towards clusters with high internal connectivity while large $p$ biases towards clusters of small ``extent,'' that is a preference for smaller shortest-path distances between vertices in the cluster. However, the $p$-resistance is expensive to compute. We overcome this by developing an approximation to the $p$-resistance. We prove upper and lower bounds on this approximation and observe that it is exact when the graph is a tree. We also provide theoretical justification for the use of $p$-resistance for clustering. Finally, we provide experiments comparing our approximated $p$-resistance clustering to other $p$-Laplacian based methods.
Place recognition is an essential and challenging task in loop closing and global localization for robotics and autonomous driving applications. Benefiting from the recent advances in deep learning techniques, the performance of LiDAR place recognition (LPR) has been greatly improved. However, current deep learning-based methods suffer from two major problems: poor generalization ability and catastrophic forgetting. In this paper, we propose a continual contrastive learning method, named CCL, to tackle the catastrophic forgetting problem and generally improve the robustness of LPR approaches. Our CCL constructs a contrastive feature pool and utilizes contrastive loss to train more transferable representations of places. When transferred into new environments, our CCL continuously reviews the contrastive memory bank and applies a distribution-based knowledge distillation to maintain the retrieval ability of the past data while continually learning to recognize new places from the new data. We thoroughly evaluate our approach on Oxford, MulRan, and PNV datasets using three different LPR methods. The experimental results show that our CCL consistently improves the performance of different methods in different environments outperforming the state-of-the-art continual learning method. The implementation of our method has been released at //github.com/cloudcjf/CCL.
Breast cancer remains a global challenge, causing over 1 million deaths globally in 2018. To achieve earlier breast cancer detection, screening x-ray mammography is recommended by health organizations worldwide and has been estimated to decrease breast cancer mortality by 20-40%. Nevertheless, significant false positive and false negative rates, as well as high interpretation costs, leave opportunities for improving quality and access. To address these limitations, there has been much recent interest in applying deep learning to mammography; however, obtaining large amounts of annotated data poses a challenge for training deep learning models for this purpose, as does ensuring generalization beyond the populations represented in the training dataset. Here, we present an annotation-efficient deep learning approach that 1) achieves state-of-the-art performance in mammogram classification, 2) successfully extends to digital breast tomosynthesis (DBT; "3D mammography"), 3) detects cancers in clinically-negative prior mammograms of cancer patients, 4) generalizes well to a population with low screening rates, and 5) outperforms five-out-of-five full-time breast imaging specialists by improving absolute sensitivity by an average of 14%. Our results demonstrate promise towards software that can improve the accuracy of and access to screening mammography worldwide.
The recent proliferation of knowledge graphs (KGs) coupled with incomplete or partial information, in the form of missing relations (links) between entities, has fueled a lot of research on knowledge base completion (also known as relation prediction). Several recent works suggest that convolutional neural network (CNN) based models generate richer and more expressive feature embeddings and hence also perform well on relation prediction. However, we observe that these KG embeddings treat triples independently and thus fail to cover the complex and hidden information that is inherently implicit in the local neighborhood surrounding a triple. To this effect, our paper proposes a novel attention based feature embedding that captures both entity and relation features in any given entity's neighborhood. Additionally, we also encapsulate relation clusters and multihop relations in our model. Our empirical study offers insights into the efficacy of our attention based model and we show marked performance gains in comparison to state of the art methods on all datasets.
In this paper, we adopt 3D Convolutional Neural Networks to segment volumetric medical images. Although deep neural networks have been proven to be very effective on many 2D vision tasks, it is still challenging to apply them to 3D tasks due to the limited amount of annotated 3D data and limited computational resources. We propose a novel 3D-based coarse-to-fine framework to effectively and efficiently tackle these challenges. The proposed 3D-based framework outperforms the 2D counterpart to a large margin since it can leverage the rich spatial infor- mation along all three axes. We conduct experiments on two datasets which include healthy and pathological pancreases respectively, and achieve the current state-of-the-art in terms of Dice-S{\o}rensen Coefficient (DSC). On the NIH pancreas segmentation dataset, we outperform the previous best by an average of over 2%, and the worst case is improved by 7% to reach almost 70%, which indicates the reliability of our framework in clinical applications.
Clinical Named Entity Recognition (CNER) aims to identify and classify clinical terms such as diseases, symptoms, treatments, exams, and body parts in electronic health records, which is a fundamental and crucial task for clinical and translational research. In recent years, deep neural networks have achieved significant success in named entity recognition and many other Natural Language Processing (NLP) tasks. Most of these algorithms are trained end to end, and can automatically learn features from large scale labeled datasets. However, these data-driven methods typically lack the capability of processing rare or unseen entities. Previous statistical methods and feature engineering practice have demonstrated that human knowledge can provide valuable information for handling rare and unseen cases. In this paper, we address the problem by incorporating dictionaries into deep neural networks for the Chinese CNER task. Two different architectures that extend the Bi-directional Long Short-Term Memory (Bi-LSTM) neural network and five different feature representation schemes are proposed to handle the task. Computational results on the CCKS-2017 Task 2 benchmark dataset show that the proposed method achieves the highly competitive performance compared with the state-of-the-art deep learning methods.
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