Élodie Puybareau

A global benchmark of algorithms for segmenting the left atrium from late gadolinium-enhanced cardiac magnetic resonance imaging

Abstract

Segmentation of medical images, particularly late gadolinium-enhanced magnetic resonance imaging (LGE-MRI) used for visualizing diseased atrial structures, is a crucial first step for ablation treatment of atrial fibrillation. However, direct segmentation of LGE-MRIs is challenging due to the varying intensities caused by contrast agents. Since most clinical studies have relied on manual, labor-intensive approaches, automatic methods are of high interest, particularly optimized machine learning approaches. To address this, we organized the 2018 Left Atrium Segmentation Challenge using 154 3D LGE-MRIs, currently the world’s largest atrial LGE-MRI dataset, and associated labels of the left atrium segmented by three medical experts, ultimately attracting the participation of 27 international teams. In this paper, extensive analysis of the submitted algorithms using technical and biological metrics was performed by undergoing subgroup analysis and conducting hyper-parameter analysis, offering an overall picture of the major design choices of convolutional neural networks (CNNs) and practical considerations for achieving state-of-the-art left atrium segmentation. Results show that the top method achieved a Dice score of 93.2% and a mean surface to surface distance of 0.7 mm, significantly outperforming prior state-of-the-art. Particularly, our analysis demonstrated that double sequentially used CNNs, in which a first CNN is used for automatic region-of-interest localization and a subsequent CNN is used for refined regional segmentation, achieved superior results than traditional methods and machine learning approaches containing single CNNs. This large-scale benchmarking study makes a significant step towards much-improved segmentation methods for atrial LGE-MRIs, and will serve as an important benchmark for evaluating and comparing the future works in the field. Furthermore, the findings from this study can potentially be extended to other imaging datasets and modalities, having an impact on the wider medical imaging community.

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PAIP 2019: Liver cancer segmentation challenge

Abstract

Pathology Artificial Intelligence Platform (PAIP) is a free research platform in support of pathological artificial intelligence (AI). The main goal of the platform is to construct a high-quality pathology learning data set that will allow greater accessibility. The PAIP Liver Cancer Segmentation Challenge, organized in conjunction with the Medical Image Computing and Computer Assisted Intervention Society (MICCAI 2019), is the first image analysis challenge to apply PAIP datasets. The goal of the challenge was to evaluate new and existing algorithms for automated detection of liver cancer in whole-slide images (WSIs). Additionally, the PAIP of this year attempted to address potential future problems of AI applicability in clinical settings. In the challenge, participants were asked to use analytical data and statistical metrics to evaluate the performance of automated algorithms in two different tasks. The participants were given the two different tasks: Task 1 involved investigating Liver Cancer Segmentation and Task 2 involved investigating Viable Tumor Burden Estimation. There was a strong correlation between high performance of teams on both tasks, in which teams that performed well on Task 1 also performed well on Task 2. After evaluation, we summarized the top 11 team’s algorithms. We then gave pathological implications on the easily predicted images for cancer segmentation and the challenging images for viable tumor burden estimation. Out of the 231 participants of the PAIP challenge datasets, a total of 64 were submitted from 28 team participants. The submitted algorithms predicted the automatic segmentation on the liver cancer with WSIs to an accuracy of a score estimation of 0.78. The PAIP challenge was created in an effort to combat the lack of research that has been done to address Liver cancer using digital pathology. It remains unclear of how the applicability of AI algorithms created during the challenge can affect clinical diagnoses. However, the results of this dataset and evaluation metric provided has the potential to aid the development and benchmarking of cancer diagnosis and segmentation.

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Do not treat boundaries and regions differently: An example on heart left atrial segmentation

Abstract

Atrial fibrillation is the most common heart rhythm disease. Due to a lack of understanding in matter of underlying atrial structures, current treatments are still not satisfying. Recently, with the popularity of deep learning, many segmentation methods based on fully convolutional networks have been proposed to analyze atrial structures, especially from late gadolinium-enhanced magnetic resonance imaging. However, two problems still occur: 1) segmentation results include the atrial- like background; 2) boundaries are very hard to segment. Most segmentation approaches design a specific network that mainly focuses on the regions, to the detriment of the boundaries. Therefore, this paper proposes an attention full convolutional network framework based on the ResNet-101 architecture, which focuses on boundaries as much as on regions. The additional attention module is added to have the network pay more attention on regions and then to reduce the impact of the misleading similarity of neighboring tissues. We also use a hybrid loss composed of a region loss and a boundary loss to treat boundaries and regions at the same time. We demonstrate the efficiency of the proposed approach on the MICCAI 2018 Atrial Segmentation Challenge public dataset.

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FOANet: A focus of attention network with application to myocardium segmentation

Abstract

In myocardium segmentation of cardiac magnetic resonance images, ambiguities often appear near the boundaries of the target domains due to tissue similarities. To address this issue, we propose a new architecture, called FOANet, which can be decomposed in three main steps: a localization step, a Gaussian-based contrast enhancement step, and a segmentation step. This architecture is supplied with a hybrid loss function that guides the FOANet to study the transformation relationship between the input image and the corresponding label in a three-level hierarchy (pixel-, patch- and map-level), which is helpful to improve segmentation and recovery of the boundaries. We demonstrate the efficiency of our approach on two public datasets in terms of regional and boundary segmentations.

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Two stages CNN-based segmentation of gliomas, uncertainty quantification and prediction of overall patient survival

Abstract

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Using separated inputs for multimodal brain tumor segmentation with 3D U-Net-like architectures

Abstract

The work presented in this paper addresses the MICCAI BraTS 2019 challenge devoted to brain tumor segmentation using mag- netic resonance images. For each task of the challenge, we proposed and submitted for evaluation an original method. For the tumor segmentation task (Task 1), our convolutional neural network is based on a variant of the U-Net architecture of Ronneberger et al. with two modifications: first, we separate the four convolution parts to decorrelate the weights corresponding to each modality, and second, we provide volumes of size 240 * 240 * 3 as inputs in these convolution parts. This way, we profit of the 3D aspect of the input signal, and we do not use the same weights for separate inputs. For the overall survival task (Task 2), we compute explainable features and use a kernel PCA embedding followed by a Random Forest classifier to build a predictor with very few training samples. For the uncertainty estimation task (Task 3), we introduce and compare lightweight methods based on simple principles which can be applied to any segmentation approach. The overall performance of each of our contribution is honorable given the low computational requirements they have both for training and testing.

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A two-stage temporal-like fully convolutional network framework for left ventricle segmentation and quantification on MR images

Abstract

Automatic segmentation of the left ventricle (LV) of a living human heart in a magnetic resonance (MR) image (2D+t) allows to measure some clinical significant indices like the regional wall thicknesses (RWT), cavity dimensions, cavity and myocardium areas, and cardiac phase. Here, we propose a novel framework made of a sequence of two fully convolutional networks (FCN). The first is a modified temporal-like VGG16 (the “localization network”) and is used to localize roughly the LV (filled-in) epicardium position in each MR volume. The second FCN is a modified temporal-like VGG16 too, but devoted to segment the LV myocardium and cavity (the “segmentation network”). We evaluate the proposed method with 5-fold-cross-validation on the MICCAI 2019 LV Full Quantification Challenge dataset. For the network used to localize the epicardium, we obtain an average dice index of 0.8953 on validation set. For the segmentation network, we obtain an average dice index of 0.8664 on validation set (there, data augmentation is used). The mean absolute error (MAE) of average cavity and myocardium areas, dimensions, RWT are 114.77 mm^2; 0.9220 mm; 0.9185 mm respectively. The computation time of the pipeline is less than 2 s for an entire 3D volume. The error rate of phase classification is 7.6364%, which indicates that the proposed approach has a promising performance to estimate all these parameters.

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Benchmark on automatic 6-month-old infant brain segmentation algorithms: The iSeg-2017 challenge

Abstract

Accurate segmentation of infant brain magnetic resonance (MR) images into white matter (WM), gray matter (GM), and cerebrospinal fluid (CSF) is an indispensable foundation for early studying of brain growth patterns and morphological changes in neurodevelopmental disorders. Nevertheless, in the isointense phase (approximately 6-9 months of age), due to inherent myelination and maturation process, WM and GM exhibit similar levels of intensity in both T1-weighted (T1w) and T2-weighted (T2w) MR images, making tissue segmentation very challenging. Despite many efforts were devoted to brain segmentation, only few studies have focused on the segmentation of 6-month infant brain images. With the idea of boosting methodological development in the community, iSeg-2017 challenge (http://iseg2017.web.unc.edu) provides a set of 6-month infant subjects with manual labels for training and testing the participating methods. Among the 21 automatic segmentation methods participating in iSeg-2017, we review the 8 top-ranked teams, in terms of Dice ratio, modified Hausdorff distance and average surface distance, and introduce their pipelines, implementations, as well as source codes. We further discuss limitations and possible future directions. We hope the dataset in iSeg-2017 and this review article could provide insights into methodological development for the community.

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Standardized assessment of automatic segmentation of white matter hyperintensities: Results of the WMH segmentation challenge

Abstract

Quantification of cerebral white matter hyperintensities (WMH) of presumed vascular origin is of key importance in many neurological research studies. Currently, measurements are often still obtained from manual segmentations on brain MR images, which is a laborious procedure. Automatic WMH segmentation methods exist, but a standardized comparison of the performance of such methods is lacking. We organized a scientific challenge, in which developers could evaluate their method on a standardized multi-center/-scanner image dataset, giving an objective comparison: the WMH Segmentation Challenge (https://wmh.isi.uu.nl/). Sixty T1+FLAIR images from three MR scanners were released with manual WMH segmentations for training. A test set of 110 images from five MR scanners was used for evaluation. Segmentation methods had to be containerized and submitted to the challenge organizers. Five evaluation metrics were used to rank the methods: (1) Dice similarity coefficient, (2) modified Hausdorff distance (95th percentile), (3) absolute log-transformed volume difference, (4) sensitivity for detecting individual lesions, and (5) F1-score for individual lesions. Additionally, methods were ranked on their inter-scanner robustness. Twenty participants submitted their method for evaluation. This paper provides a detailed analysis of the results. In brief, there is a cluster of four methods that rank significantly better than the other methods, with one clear winner. The inter-scanner robustness ranking shows that not all methods generalize to unseen scanners. The challenge remains open for future submissions and provides a public platform for method evaluation.

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Spherical fluorescent particle segmentation and tracking in 3D confocal microscopy

Abstract

Spherical fluorescent particle are micrometer-scale spherical beads used in various areas of physics, chemistry or biology as markers associated with local physical media. They are useful for example in fluid dynamics to characterize flows, diffusion coefficients, viscosity or temperature; they are used in cells dynamics to estimate mechanical strain and stress at the micrometer scale. In order to estimate these physical measurements, tracking these particles is necessary. Numerous approaches and existing packages, both open-source and proprietary are available to achieve tracking with a high degree of precision in 2D. However, little such software is available to achieve tracking in 3D. One major difficulty is that 3D confocal microscopy acquisition is not typically fast enough to assume that the beads are stationary during the whole 3D scan. As a result, beads may move between planar scans. Classical approaches to 3D segmentation may yield objects are not spherical. In this article, we propose a 3D bead segmentation that deals with this situation.

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