Spiral Contrastive Learning: An Efficient 3D Representation Learning Method for Unannotated CT Lesions
This addresses the challenge of training reliable CAD algorithms with scarce annotated medical images, offering an incremental improvement in efficiency for domain-specific applications.
The paper tackles the problem of limited annotated CT lesion data for computer-aided diagnosis by proposing Spiral Contrastive Learning (SCL), an efficient 3D self-supervised learning method that achieves state-of-the-art accuracy on datasets like LIDC-IDRI (89.72%) and reduces computational effort by 66.98% compared to other 3D SSL algorithms.
Computed tomography (CT) samples with pathological annotations are difficult to obtain. As a result, the computer-aided diagnosis (CAD) algorithms are trained on small datasets (e.g., LIDC-IDRI with 1,018 samples), limiting their accuracies and reliability. In the past five years, several works have tailored for unsupervised representations of CT lesions via two-dimensional (2D) and three-dimensional (3D) self-supervised learning (SSL) algorithms. The 2D algorithms have difficulty capturing 3D information, and existing 3D algorithms are computationally heavy. Light-weight 3D SSL remains the boundary to explore. In this paper, we propose the spiral contrastive learning (SCL), which yields 3D representations in a computationally efficient manner. SCL first transforms 3D lesions to the 2D plane using an information-preserving spiral transformation, and then learn transformation-invariant features using 2D contrastive learning. For the augmentation, we consider natural image augmentations and medical image augmentations. We evaluate SCL by training a classification head upon the embedding layer. Experimental results show that SCL achieves state-of-the-art accuracy on LIDC-IDRI (89.72%), LNDb (82.09%) and TianChi (90.16%) for unsupervised representation learning. With 10% annotated data for fine-tune, the performance of SCL is comparable to that of supervised learning algorithms (85.75% vs. 85.03% on LIDC-IDRI, 78.20% vs. 73.44% on LNDb and 87.85% vs. 83.34% on TianChi, respectively). Meanwhile, SCL reduces the computational effort by 66.98% compared to other 3D SSL algorithms, demonstrating the efficiency of the proposed method in unsupervised pre-training.