Jiang Shang

Xiaoxiang Han, Xinyu Li, Jiang Shang et al.

Segmenting anatomical structures and lesions from ultrasound images contributes to disease assessment. Weakly supervised learning (WSL) based on sparse annotation has achieved encouraging performance and demonstrated the potential to reduce annotation costs. This study attempts to introduce scribble-based WSL into ultrasound image segmentation tasks. However, ultrasound images often suffer from poor contrast and unclear edges, coupled with insufficient supervison signals for edges, posing challenges to edge prediction. Uncertainty modeling has been proven to facilitate models in dealing with these issues. Nevertheless, existing uncertainty estimation paradigms are not robust enough and often filter out predictions near decision boundaries, resulting in unstable edge predictions. Therefore, we propose leveraging predictions near decision boundaries effectively. Specifically, we introduce Dempster-Shafer Theory (DST) of evidence to design an Evidence-Guided Consistency strategy. This strategy utilizes high-evidence predictions, which are more likely to occur near high-density regions, to guide the optimization of low-evidence predictions that may appear near decision boundaries. Furthermore, the diverse sizes and locations of lesions in ultrasound images pose a challenge for CNNs with local receptive fields, as they struggle to model global information. Therefore, we introduce Visual Mamba based on structured state space sequence models, which achieves long-range dependency with linear computational complexity, and we construct a novel hybrid CNN-Mamba framework. During training, the collaboration between the CNN branch and the Mamba branch in the proposed framework draws inspiration from each other based on the EGC strategy. Experiments demonstrate the competitiveness of the proposed method. Dataset and code will be available on https://github.com/GtLinyer/MambaEviScrib.

Xiaoxiang Han, Yiman Liu, Jiang Shang et al.

Segmenting internal structure from echocardiography is essential for the diagnosis and treatment of various heart diseases. Semi-supervised learning shows its ability in alleviating annotations scarcity. While existing semi-supervised methods have been successful in image segmentation across various medical imaging modalities, few have attempted to design methods specifically addressing the challenges posed by the poor contrast, blurred edge details and noise of echocardiography. These characteristics pose challenges to the generation of high-quality pseudo-labels in semi-supervised segmentation based on Mean Teacher. Inspired by human reflection on erroneous practices, we devise an error reflection strategy for echocardiography semi-supervised segmentation architecture. The process triggers the model to reflect on inaccuracies in unlabeled image segmentation, thereby enhancing the robustness of pseudo-label generation. Specifically, the strategy is divided into two steps. The first step is called reconstruction reflection. The network is tasked with reconstructing authentic proxy images from the semantic masks of unlabeled images and their auxiliary sketches, while maximizing the structural similarity between the original inputs and the proxies. The second step is called guidance correction. Reconstruction error maps decouple unreliable segmentation regions. Then, reliable data that are more likely to occur near high-density areas are leveraged to guide the optimization of unreliable data potentially located around decision boundaries. Additionally, we introduce an effective data augmentation strategy, termed as multi-scale mixing up strategy, to minimize the empirical distribution gap between labeled and unlabeled images and perceive diverse scales of cardiac anatomical structures. Extensive experiments demonstrate the competitiveness of the proposed method.

Jiang Shang, Yuanmeng Wu, Xiaoxiang Han et al.

Accurate and robust ultrasound image segmentation is critical for computer-aided diagnostic systems. Nevertheless, the inherent challenges of ultrasound imaging, such as blurry boundaries and speckle noise, often cause traditional segmentation methods to struggle with performance. Despite recent advancements in universal image segmentation, such as the Segment Anything Model, existing interactive segmentation methods still suffer from inefficiency and lack of specialization. These methods rely heavily on extensive accurate manual or random sampling prompts for interaction, necessitating numerous prompts and iterations to reach satisfactory performance. In response to this challenge, we propose the Evidential Uncertainty-Guided Interactive Segmentation (EUGIS), an end-to-end, efficient tiered interactive segmentation paradigm based on evidential uncertainty estimation for ultrasound image segmentation. Specifically, EUGIS harnesses evidence-based uncertainty estimation, grounded in Dempster-Shafer theory and Subjective Logic, to gauge the level of uncertainty in the predictions of model for different regions. By prioritizing sampling the high-uncertainty region, our method can effectively simulate the interactive behavior of well-trained radiologists, enhancing the targeted of sampling while reducing the number of prompts and iterations required.Additionally, we propose a trainable calibration mechanism for uncertainty estimation, which can further optimize the boundary between certainty and uncertainty, thereby enhancing the confidence of uncertainty estimation.