Ting Ma

Jiesi Hu, Yanwu Yang, Xutao Guo et al.

Since 2019, coronavirus Disease 2019 (COVID-19) has been widely spread and posed a serious threat to public health. Chest Computed Tomography (CT) holds great potential for screening and diagnosis of this disease. The segmentation of COVID-19 CT imaging can achieves quantitative evaluation of infections and tracks disease progression. COVID-19 infections are characterized by high heterogeneity and unclear boundaries, so capturing low-level features such as texture and intensity is critical for segmentation. However, segmentation networks that emphasize low-level features are still lacking. In this work, we propose a DECOR-Net capable of capturing more decorrelated low-level features. The channel re-weighting strategy is applied to obtain plenty of low-level features and the dependencies between channels are reduced by proposed decorrelation loss. Experiments show that DECOR-Net outperforms other cutting-edge methods and surpasses the baseline by 5.1% and 4.9% in terms of Dice coefficient and intersection over union. Moreover, the proposed decorrelation loss can improve the performance constantly under different settings. The Code is available at https://github.com/jiesihu/DECOR-Net.git.

Xutao Guo, Yanwu Yang, Chenfei Ye et al.

Based on the Denoising Diffusion Probabilistic Model (DDPM), medical image segmentation can be described as a conditional image generation task, which allows to compute pixel-wise uncertainty maps of the segmentation and allows an implicit ensemble of segmentations to boost the segmentation performance. However, DDPM requires many iterative denoising steps to generate segmentations from Gaussian noise, resulting in extremely inefficient inference. To mitigate the issue, we propose a principled acceleration strategy, called pre-segmentation diffusion sampling DDPM (PD-DDPM), which is specially used for medical image segmentation. The key idea is to obtain pre-segmentation results based on a separately trained segmentation network, and construct noise predictions (non-Gaussian distribution) according to the forward diffusion rule. We can then start with noisy predictions and use fewer reverse steps to generate segmentation results. Experiments show that PD-DDPM yields better segmentation results over representative baseline methods even if the number of reverse steps is significantly reduced. Moreover, PD-DDPM is orthogonal to existing advanced segmentation models, which can be combined to further improve the segmentation performance.

Yanwu Yang, Xutao Guo, Yiwei Pan et al.

Accurate medical image segmentation is crucial for diagnosis and analysis. However, the models without calibrated uncertainty estimates might lead to errors in downstream analysis and exhibit low levels of robustness. Estimating the uncertainty in the measurement is vital to making definite, informed conclusions. Especially, it is difficult to make accurate predictions on ambiguous areas and focus boundaries for both models and radiologists, even harder to reach a consensus with multiple annotations. In this work, the uncertainty under these areas is studied, which introduces significant information with anatomical structure and is as important as segmentation performance. We exploit the medical image segmentation uncertainty quantification by measuring segmentation performance with multiple annotations in a supervised learning manner and propose a U-Net based architecture with multiple decoders, where the image representation is encoded with the same encoder, and segmentation referring to each annotation is estimated with multiple decoders. Nevertheless, a cross-loss function is proposed for bridging the gap between different branches. The proposed architecture is trained in an end-to-end manner and able to improve predictive uncertainty estimates. The model achieves comparable performance with fewer parameters to the integrated training model that ranked the runner-up in the MICCAI-QUBIQ 2020 challenge.