Wanji He

Lin Wang, Xiufen Ye, Donghao Zhang et al.

Usually, lesions are not isolated but are associated with the surrounding tissues. For example, the growth of a tumour can depend on or infiltrate into the surrounding tissues. Due to the pathological nature of the lesions, it is challenging to distinguish their boundaries in medical imaging. However, these uncertain regions may contain diagnostic information. Therefore, the simple binarization of lesions by traditional binary segmentation can result in the loss of diagnostic information. In this work, we introduce the image matting into the 3D scenes and use the alpha matte, i.e., a soft mask, to describe lesions in a 3D medical image. The traditional soft mask acted as a training trick to compensate for the easily mislabelled or under-labelled ambiguous regions. In contrast, 3D matting uses soft segmentation to characterize the uncertain regions more finely, which means that it retains more structural information for subsequent diagnosis and treatment. The current study of image matting methods in 3D is limited. To address this issue, we conduct a comprehensive study of 3D matting, including both traditional and deep-learning-based methods. We adapt four state-of-the-art 2D image matting algorithms to 3D scenes and further customize the methods for CT images to calibrate the alpha matte with the radiodensity. Moreover, we propose the first end-to-end deep 3D matting network and implement a solid 3D medical image matting benchmark. Its efficient counterparts are also proposed to achieve a good performance-computation balance. Furthermore, there is no high-quality annotated dataset related to 3D matting, slowing down the development of data-driven deep-learning-based methods. To address this issue, we construct the first 3D medical matting dataset. The validity of the dataset was verified through clinicians' assessments and downstream experiments.

Lin Wang, Xiufen Ye, Donghao Zhang et al.

Three-dimensional (3D) images, such as CT, MRI, and PET, are common in medical imaging applications and important in clinical diagnosis. Semantic ambiguity is a typical feature of many medical image labels. It can be caused by many factors, such as the imaging properties, pathological anatomy, and the weak representation of the binary masks, which brings challenges to accurate 3D segmentation. In 2D medical images, using soft masks instead of binary masks generated by image matting to characterize lesions can provide rich semantic information, describe the structural characteristics of lesions more comprehensively, and thus benefit the subsequent diagnoses and analyses. In this work, we introduce image matting into the 3D scenes to describe the lesions in 3D medical images. The study of image matting in 3D modality is limited, and there is no high-quality annotated dataset related to 3D matting, therefore slowing down the development of data-driven deep-learning-based methods. To address this issue, we constructed the first 3D medical matting dataset and convincingly verified the validity of the dataset through quality control and downstream experiments in lung nodules classification. We then adapt the four selected state-of-the-art 2D image matting algorithms to 3D scenes and further customize the methods for CT images. Also, we propose the first end-to-end deep 3D matting network and implement a solid 3D medical image matting benchmark, which will be released to encourage further research.

Lin Wang, Lie Ju, Xin Wang et al.

It is difficult to accurately label ambiguous and complex shaped targets manually by binary masks. The weakness of binary mask under-expression is highlighted in medical image segmentation, where blurring is prevalent. In the case of multiple annotations, reaching a consensus for clinicians by binary masks is more challenging. Moreover, these uncertain areas are related to the lesions' structure and may contain anatomical information beneficial to diagnosis. However, current studies on uncertainty mainly focus on the uncertainty in model training and data labels. None of them investigate the influence of the ambiguous nature of the lesion itself.Inspired by image matting, this paper introduces alpha matte as a soft mask to represent uncertain areas in medical scenes and accordingly puts forward a new uncertainty quantification method to fill the gap of uncertainty research for lesion structure. In this work, we introduce a new architecture to generate binary masks and alpha mattes in a multitasking framework, which outperforms all state-of-the-art matting algorithms compared. The proposed uncertainty map is able to highlight the ambiguous regions and a novel multitasking loss weighting strategy we presented can improve performance further and demonstrate their concrete benefits. To fully-evaluate the effectiveness of our proposed method, we first labelled three medical datasets with alpha matte to address the shortage of available matting datasets in medical scenes and prove the alpha matte to be a more efficient labeling method than a binary mask from both qualitative and quantitative aspects.