Zhentai Lu

Chenhong Zhou, Changxing Ding, Xinchao Wang et al.

Class imbalance has emerged as one of the major challenges for medical image segmentation. The model cascade (MC) strategy significantly alleviates the class imbalance issue via running a set of individual deep models for coarse-to-fine segmentation. Despite its outstanding performance, however, this method leads to undesired system complexity and also ignores the correlation among the models. To handle these flaws, we propose a light-weight deep model, i.e., the One-pass Multi-task Network (OM-Net) to solve class imbalance better than MC does, while requiring only one-pass computation. First, OM-Net integrates the separate segmentation tasks into one deep model, which consists of shared parameters to learn joint features, as well as task-specific parameters to learn discriminative features. Second, to more effectively optimize OM-Net, we take advantage of the correlation among tasks to design both an online training data transfer strategy and a curriculum learning-based training strategy. Third, we further propose sharing prediction results between tasks and design a cross-task guided attention (CGA) module which can adaptively recalibrate channel-wise feature responses based on the category-specific statistics. Finally, a simple yet effective post-processing method is introduced to refine the segmentation results. Extensive experiments are conducted to demonstrate the effectiveness of the proposed techniques. Most impressively, we achieve state-of-the-art performance on the BraTS 2015 testing set and BraTS 2017 online validation set. Using these proposed approaches, we also won joint third place in the BraTS 2018 challenge among 64 participating teams. The code is publicly available at https://github.com/chenhong-zhou/OM-Net.

Yujia Zhou, Shumao Pang, Jun Cheng et al.

Deformation field estimation is an important and challenging issue in many medical image registration applications. In recent years, deep learning technique has become a promising approach for simplifying registration problems, and has been gradually applied to medical image registration. However, most existing deep learning registrations do not consider the problem that when the receptive field cannot cover the corresponding features in the moving image and the fixed image, it cannot output accurate displacement values. In fact, due to the limitation of the receptive field, the 3 x 3 kernel has difficulty in covering the corresponding features at high/original resolution. Multi-resolution and multi-convolution techniques can improve but fail to avoid this problem. In this study, we constructed pyramidal feature sets on moving and fixed images and used the warped moving and fixed features to estimate their "residual" deformation field at each scale, called the Pyramidal Residual Deformation Field Estimation module (PRDFE-Module). The "total" deformation field at each scale was computed by upsampling and weighted summing all the "residual" deformation fields at all its previous scales, which can effectively and accurately transfer the deformation fields from low resolution to high resolution and is used for warping the moving features at each scale. Simulation and real brain data results show that our method improves the accuracy of the registration and the rationality of the deformation field.

Spyridon Bakas, Mauricio Reyes, Andras Jakab et al.

Gliomas are the most common primary brain malignancies, with different degrees of aggressiveness, variable prognosis and various heterogeneous histologic sub-regions, i.e., peritumoral edematous/invaded tissue, necrotic core, active and non-enhancing core. This intrinsic heterogeneity is also portrayed in their radio-phenotype, as their sub-regions are depicted by varying intensity profiles disseminated across multi-parametric magnetic resonance imaging (mpMRI) scans, reflecting varying biological properties. Their heterogeneous shape, extent, and location are some of the factors that make these tumors difficult to resect, and in some cases inoperable. The amount of resected tumor is a factor also considered in longitudinal scans, when evaluating the apparent tumor for potential diagnosis of progression. Furthermore, there is mounting evidence that accurate segmentation of the various tumor sub-regions can offer the basis for quantitative image analysis towards prediction of patient overall survival. This study assesses the state-of-the-art machine learning (ML) methods used for brain tumor image analysis in mpMRI scans, during the last seven instances of the International Brain Tumor Segmentation (BraTS) challenge, i.e., 2012-2018. Specifically, we focus on i) evaluating segmentations of the various glioma sub-regions in pre-operative mpMRI scans, ii) assessing potential tumor progression by virtue of longitudinal growth of tumor sub-regions, beyond use of the RECIST/RANO criteria, and iii) predicting the overall survival from pre-operative mpMRI scans of patients that underwent gross total resection. Finally, we investigate the challenge of identifying the best ML algorithms for each of these tasks, considering that apart from being diverse on each instance of the challenge, the multi-institutional mpMRI BraTS dataset has also been a continuously evolving/growing dataset.