Ultrasound Nodule Segmentation Using Asymmetric Learning with Simple Clinical AnnotationXingyue Zhao, Zhongyu Li, Xiangde Luo et al.
Recent advances in deep learning have greatly facilitated the automated segmentation of ultrasound images, which is essential for nodule morphological analysis. Nevertheless, most existing methods depend on extensive and precise annotations by domain experts, which are labor-intensive and time-consuming. In this study, we suggest using simple aspect ratio annotations directly from ultrasound clinical diagnoses for automated nodule segmentation. Especially, an asymmetric learning framework is developed by extending the aspect ratio annotations with two types of pseudo labels, i.e., conservative labels and radical labels, to train two asymmetric segmentation networks simultaneously. Subsequently, a conservative-radical-balance strategy (CRBS) strategy is proposed to complementally combine radical and conservative labels. An inconsistency-aware dynamically mixed pseudo-labels supervision (IDMPS) module is introduced to address the challenges of over-segmentation and under-segmentation caused by the two types of labels. To further leverage the spatial prior knowledge provided by clinical annotations, we also present a novel loss function namely the clinical anatomy prior loss. Extensive experiments on two clinically collected ultrasound datasets (thyroid and breast) demonstrate the superior performance of our proposed method, which can achieve comparable and even better performance than fully supervised methods using ground truth annotations.
3.6CVFeb 17, 2025
Variable-frame CNNLSTM for Breast Nodule Classification using Ultrasound VideosXiangxiang Cui, Zhongyu Li, Xiayue Fan et al.
The intersection of medical imaging and artificial intelligence has become an important research direction in intelligent medical treatment, particularly in the analysis of medical images using deep learning for clinical diagnosis. Despite the advances, existing keyframe classification methods lack extraction of time series features, while ultrasonic video classification based on three-dimensional convolution requires uniform frame numbers across patients, resulting in poor feature extraction efficiency and model classification performance. This study proposes a novel video classification method based on CNN and LSTM, introducing NLP's long and short sentence processing scheme into video classification for the first time. The method reduces CNN-extracted image features to 1x512 dimension, followed by sorting and compressing feature vectors for LSTM training. Specifically, feature vectors are sorted by patient video frame numbers and populated with padding value 0 to form variable batches, with invalid padding values compressed before LSTM training to conserve computing resources. Experimental results demonstrate that our variable-frame CNNLSTM method outperforms other approaches across all metrics, showing improvements of 3-6% in F1 score and 1.5% in specificity compared to keyframe methods. The variable-frame CNNLSTM also achieves better accuracy and precision than equal-frame CNNLSTM. These findings validate the effectiveness of our approach in classifying variable-frame ultrasound videos and suggest potential applications in other medical imaging modalities.