Automatic segmentation of ground glass opacities and consolidations in chest computer tomography (CT) scans can potentially ease the burden of radiologists during times of high resource utilisation. However, deep learning models are not trusted in the clinical routine due to failing silently on out-of-distribution (OOD) data. We propose a lightweight OOD detection method that leverages the Mahalanobis distance in the feature space and seamlessly integrates into state-of-the-art segmentation pipelines. The simple approach can even augment pre-trained models with clinically relevant uncertainty quantification. We validate our method across four chest CT distribution shifts and two magnetic resonance imaging applications, namely segmentation of the hippocampus and the prostate. Our results show that the proposed method effectively detects far- and near-OOD samples across all explored scenarios.
Darmstadt University of Technology（达姆施塔特工业大学）；University Hospital Frankfurt（法兰克福大学医院）
Automatic segmentation of lung lesions in computer tomography has the potential to ease the burden of clinicians during the Covid-19 pandemic. Yet predictive deep learning models are not trusted in the clinical routine due to failing silently in out-of-distribution (OOD) data. We propose a lightweight OOD detection method that exploits the Mahalanobis distance in the feature space. The proposed approach can be seamlessly integrated into state-of-the-art segmentation pipelines without requiring changes in model architecture or training procedure, and can therefore be used to assess the suitabil…
Technische Universität Darmstadt（达姆施塔特工业大学）；Universitätsklinikum Frankfurt（法兰克福大学医院）
Federated Learning is the most promising way to train robust Deep Learning models for the segmentation of Covid-19-related findings in chest CTs. By learning in a decentralized fashion, heterogeneous data can be leveraged from a variety of sources and acquisition protocols whilst ensuring patient privacy. It is, however, crucial to continuously monitor the performance of the model. Yet when it comes to the segmentation of diffuse lung lesions, a quick visual inspection is not enough to assess the quality, and thorough monitoring of all network outputs by expert radiologists is not feasible. In…
Herein we propose a deep learning-based approach for the prediction of lung lesion response based on radiomic features extracted from clinical CT scans of patients in non-small cell lung cancer trials. The approach starts with the classification of lung lesions from the set of primary and metastatic lesions at various anatomic locations. Focusing on the lung lesions, we perform automatic segmentation to extract their 3D volumes. Radiomic features are then extracted from the lesion on the pre-treatment scan and the first follow-up scan to predict which lesions will shrink at least 30% in diamet…
Institute of Computing Technology, Chinese Academy of Sciences（中国科学院计算技术研究所）；Beijing University of Posts and Telecommunications（北京邮电大学）
Scarcity of annotated images hampers the building of automated solution for reliable COVID-19 diagnosis and evaluation from CT. To alleviate the burden of data annotation, we herein present a label-free approach for segmenting COVID-19 lesions in CT via pixel-level anomaly modeling that mines out the relevant knowledge from normal CT lung scans. Our modeling is inspired by the observation that the parts of tracheae and vessels, which lay in the high-intensity range where lesions belong to, exhibit strong patterns. To facilitate the learning of such patterns at a pixel level, we synthesize `les…
Saratoga High School（萨拉托加高中）；Stanford University（斯坦福大学）
Chest X-rays of coronavirus disease 2019 (COVID-19) patients are frequently obtained to determine the extent of lung disease and are a valuable source of data for creating artificial intelligence models. Most work to date assessing disease severity on chest imaging has focused on segmenting computed tomography (CT) images; however, given that CTs are performed much less frequently than chest X-rays for COVID-19 patients, automated lung lesion segmentation on chest X-rays could be clinically valuable. There currently exists a universal shortage of chest X-rays with ground truth COVID-19 lung le…
Coronavirus disease 2019 (COVID-19) is a highly contagious virus spreading all around the world. Deep learning has been adopted as an effective technique to aid COVID-19 detection and segmentation from computed tomography (CT) images. The major challenge lies in the inadequate public COVID-19 datasets. Recently, transfer learning has become a widely used technique that leverages the knowledge gained while solving one problem and applying it to a different but related problem. However, it remains unclear whether various non-COVID19 lung lesions could contribute to segmenting COVID-19 infection …
Shahid Sadoughi University of Medical Sciences（沙希德·萨杜吉医科大学）；Mashhad University of Medical Sciences（马什哈德医科大学）；Geneva University Hospital（日内瓦大学医院）
This study aimed to evaluate the performance of a novel unsupervised deep learning-based framework for automated infections lesion segmentation from CT images of Covid patients. In the first step, two residual networks were independently trained to identify the lung tissue for normal and Covid patients in a supervised manner. These two models, referred to as DL-Covid and DL-Norm for Covid-19 and normal patients, respectively, generate the voxel-wise probability maps for lung tissue identification. To detect Covid lesions, the CT image of the Covid patient is processed by the DL-Covid and DL-No…
KU Leuven（鲁汶大学）；UZ Leuven（鲁汶大学医院）；Vrije Universiteit Brussel (VUB)（布鲁塞尔自由大学）；imec
Recent research on COVID-19 suggests that CT imaging provides useful information to assess disease progression and assist diagnosis, in addition to help understanding the disease. There is an increasing number of studies that propose to use deep learning to provide fast and accurate quantification of COVID-19 using chest CT scans. The main tasks of interest are the automatic segmentation of lung and lung lesions in chest CT scans of confirmed or suspected COVID-19 patients. In this study, we compare twelve deep learning algorithms using a multi-center dataset, including both open-source and in…
University of Science and Technology of China（中国科学技术大学）；The First Affiliated Hospital of USTC (Anhui Provincial Hospital)（中国科学技术大学附属第一医院（安徽省立医院））
COVID-19 has become a global pandemic and is still posing a severe health risk to the public. Accurate and efficient segmentation of pneumonia lesions in CT scans is vital for treatment decision-making. We proposed a novel unsupervised approach using cycle consistent generative adversarial network (cycle-GAN) which automates and accelerates the process of lesion delineation. The workflow includes lung volume segmentation, "synthetic" healthy lung generation, infected and healthy image subtraction, and binary lesion mask creation. The lung volume volume was firstly delineated using a pre-traine…
Beihang University（北京航空航天大学）；Taiyuan University of Technology（太原理工大学）；Hefei Innovation Research Institute, Beihang University（北京航空航天大学合肥创新研究院）；Beijing Advanced Innovation Centre for Biomedical Engineering（北京生物医学工程高精尖创新中心）；Beijing Advanced Innovation Centre for Big Data-Based Precision Medicine（北京大数据精准医疗高精尖创新中心）
The novel Coronavirus disease (COVID-19) is a highly contagious virus and has spread all over the world, posing an extremely serious threat to all countries. Automatic lung infection segmentation from computed tomography (CT) plays an important role in the quantitative analysis of COVID-19. However, the major challenge lies in the inadequacy of annotated COVID-19 datasets. Currently, there are several public non-COVID lung lesion segmentation datasets, providing the potential for generalizing useful information to the related COVID-19 segmentation task. In this paper, we propose a novel relati…
In recent years, the prevalence of several pulmonary diseases, especially the coronavirus disease 2019 (COVID-19) pandemic, has attracted worldwide attention. These diseases can be effectively diagnosed and treated with the help of lung imaging. With the development of deep learning technology and the emergence of many public medical image datasets, the diagnosis of lung diseases via medical imaging has been further improved. This article reviews pulmonary CT and X-ray image detection and classification in the last decade. It also provides an overview of the detection of lung nodules, pneumoni…
Zhengzhou University（郑州大学）；Ningbo Huamei Hospital, University of the Chinese Academy of Sciences（中国科学院大学宁波华美医院）
The spread of the novel coronavirus disease 2019 (COVID-19) has claimed millions of lives. Automatic segmentation of lesions from CT images can assist doctors with screening, treatment, and monitoring. However, accurate segmentation of lesions from CT images can be very challenging due to data and model limitations. Recently, Transformer-based networks have attracted a lot of attention in the area of computer vision, as Transformer outperforms CNN at a bunch of tasks. In this work, we propose a novel network structure that combines CNN and Transformer for the segmentation of COVID-19 lesions. …
Sberbank AI Laboratory（俄罗斯联邦储蓄银行人工智能实验室）；New York University（纽约大学）
Analysis of chest CT scans can be used in detecting parts of lungs that are affected by infectious diseases such as COVID-19.Determining the volume of lungs affected by lesions is essential for formulating treatment recommendations and prioritizingpatients by severity of the disease. In this paper we adopted an approach based on using an ensemble of deep convolutionalneural networks for segmentation of slices of lung CT scans. Using our models we are able to segment the lesions, evaluatepatients dynamics, estimate relative volume of lungs affected by lesions and evaluate the lung damage stage.…
The pneumonia caused by Coronavirus disease (COVID-19) is one of major global threat and a number of detection and treatment procedures are suggested by the researchers for COVID-19. The proposed work aims to suggest an automated image processing scheme to extract the COVID-19 lesion from the lung CT scan images (CTI) recorded from the patients. This scheme implements the following procedures; (i) Image pre-processing to enhance the COVID-19 lesions, (ii) Image post-processing to extract the lesions, and (iii) Execution of a relative analysis between the extracted lesion segment and the Ground…
Exploiting Longitudinal Context in Clinician-Verified Interactive Lesion Tracking
German Cancer Research Center (DKFZ) Heidelberg, Division of Medical Image Computing, Germany（德国癌症研究中心（DKFZ）海德堡，医学图像计算部，德国）；Faculty of Mathematics and Computer Science, Heidelberg University, Germany（海德堡大学数学与计算机科学学院，德国）；HIDSS4Health -- Helmholtz Information and Data Science School for Health, Karlsruhe/Heidelberg, Germany（HIDSS4Health——海德堡信息与数据科学健康学校，卡尔斯鲁厄/海德堡，德国）；Medical Faculty, Heidelberg University, Germany（海德堡大学医学学院，德国）；University Hospital Brandenburg an der Havel, Brandenburg Medical School Theodor Fontane, Germany（勃兰登堡运河大学医院，布兰登堡泰奥多尔·冯·_fontane医学学校，德国）；Pattern Analysis and Learning Group, Department of Radiation Oncology, Heidelberg University Hospital, Germany（放射肿瘤科模式分析与学习组，海德堡大学医院，德国）
Diagnosis of pulmonary lesions from computed tomography (CT) is important but challenging for clinical decision making in lung cancer related diseases. Deep learning has achieved great success in computer aided diagnosis (CADx) area for lung cancer, whereas it suffers from label ambiguity due to the difficulty in the radiological diagnosis. Considering that invasive pathological analysis serves as the clinical golden standard of lung cancer diagnosis, in this study, we solve the label ambiguity issue via a large-scale radio-pathomics dataset containing 5,134 radiological CT images with patholo…
IEO European Institute of Oncology IRCCS（IEO欧洲肿瘤研究所IRCCS）；Technical University of Munich（慕尼黑工业大学）；University of Milan（米兰大学）；Istituto Imaging della Svizzera Italiana (IIMSI)（瑞士意大利语区成像研究所（IIMSI））；Università della Svizzera italiana（瑞士意大利语区大学）；Bern University Hospital（伯尔尼大学医院）；University of Bern（伯尔尼大学）
Lesion segmentation is a crucial step of the radiomic workflow. Manual segmentation requires long execution time and is prone to variability, impairing the realisation of radiomic studies and their robustness. In this study, a deep-learning automatic segmentation method was applied on computed tomography images of non-small-cell lung cancer patients. The use of manual vs automatic segmentation in the performance of survival radiomic models was assessed, as well. METHODS A total of 899 NSCLC patients were included (2 proprietary: A and B, 1 public datasets: C). Automatic segmentation of lung le…
University of Michigan（密歇根大学）；Imbio LLC（Imbio有限责任公司）
Early detection of lung cancer is critical for improvement of patient survival. To address the clinical need for efficacious treatments, genetically engineered mouse models (GEMM) have become integral in identifying and evaluating the molecular underpinnings of this complex disease that may be exploited as therapeutic targets. Assessment of GEMM tumor burden on histopathological sections performed by manual inspection is both time consuming and prone to subjective bias. Therefore, an interplay of needs and challenges exists for computer-aided diagnostic tools, for accurate and efficient analys…
Towards Enhanced Analysis of Lung Cancer Lesions in EBUS-TBNA -- A Semi-Supervised Video Object Detection Method
National Yang Ming Chiao Tung University（阳明交通大学）；National Taiwan University Cancer Center（台湾大学癌症中心）；National Taiwan University Hospital（台湾大学医院）；National Taiwan University Hsin-Chu Hospital（台湾大学新竹医院）
Concordia University（康考迪亚大学）；Sunnybrook Health Sciences Centre（桑尼布鲁克健康科学中心）；University of Toronto（多伦多大学）；McGill University（麦吉尔大学）
Novel Coronavirus disease (COVID-19) is a highly contagious respiratory infection that has had devastating effects on the world. Recently, new COVID-19 variants are emerging making the situation more challenging and threatening. Evaluation and quantification of COVID-19 lung abnormalities based on chest Computed Tomography (CT) scans can help determining the disease stage, efficiently allocating limited healthcare resources, and making informed treatment decisions. During pandemic era, however, visual assessment and quantification of COVID-19 lung lesions by expert radiologists become expensiv…
The First Affiliated Hospital of USTC（中国科学技术大学附属第一医院）；University of Science and Technology of China（中国科学技术大学）；University of Science and Technology（科技大学）；The first affiliated hospital of Bengbu medical college（蚌埠医学院第一附属医院）；AItour（AItour公司）
Background: Triage of patients is important to control the pandemic of coronavirus disease 2019 (COVID-19), especially during the peak of the pandemic when clinical resources become extremely limited. Purpose: To develop a method that automatically segments and quantifies lung and pneumonia lesions with synthetic chest CT and assess disease severity in COVID-19 patients. Materials and Methods: In this study, we incorporated data augmentation to generate synthetic chest CT images using public available datasets (285 datasets from "Lung Nodule Analysis 2016"). The synthetic images and masks were…
MEDPSeg: Hierarchical polymorphic multitask learning for the segmentation of ground-glass opacities, consolidation, and pulmonary structures on computed tomography
School of Electrical and Computer Engineering, Universidade Estadual de Campinas（坎皮纳斯州立大学电气与计算机工程学院）；University of Iowa（爱荷华大学）
Deep learning and classical computer vision techniques in medical image analysis: Case studies on brain MRI tissue segmentation, lung CT COPD registration, and skin lesion classification
University of Exeter（埃克塞特大学）；Georgia Institute of Technology（佐治亚理工学院）；Emory University（埃默里大学）；Sorbonne Université（索邦大学）
Automated delineation of COVID-19 lesions from lung CT scans aids the diagnosis and prognosis for patients. The asymmetric shapes and positioning of the infected regions make the task extremely difficult. Capturing information at multiple scales will assist in deciphering features, at global and local levels, to encompass lesions of variable size and texture. We introduce the Full-scale Deeply Supervised Attention Network (FuDSA-Net), for efficient segmentation of corona-infected lung areas in CT images. The model considers activation responses from all levels of the encoding path, encompassin…
An early effective screening and grading of COVID-19 has become imperative towards optimizing the limited available resources of the medical facilities. An automated segmentation of the infected volumes in lung CT is expected to significantly aid in the diagnosis and care of patients. However, an accurate demarcation of lesions remains problematic due to their irregular structure and location(s) within the lung. A novel deep learning architecture, Composite Deep network with Feature Weighting (CDNetFW), is proposed for efficient delineation of infected regions from lung CT images. Initially a …
Scuola Normale Superiore（比萨高等师范学校）；National Institute of Nuclear Physics (INFN)（国家核物理研究所）；University of Pavia（帕维亚大学）；University of Pisa（比萨大学）；University of Sassari（萨萨里大学）；University of Florence（佛罗伦萨大学）
The automatic assignment of a severity score to the CT scans of patients affected by COVID-19 pneumonia could reduce the workload in radiology departments. This study aims at exploiting Artificial intelligence (AI) for the identification, segmentation and quantification of COVID-19 pulmonary lesions. We investigated the effects of using multiple datasets, heterogeneously populated and annotated according to different criteria. We developed an automated analysis pipeline, the LungQuant system, based on a cascade of two U-nets. The first one (U-net_1) is devoted to the identification of the lung…
Washington University School of Medicine（华盛顿大学医学院）
Deep Learning networks have established themselves as providing state of art performance for semantic segmentation. These techniques are widely applied specifically to medical detection, segmentation and classification. The advent of the U-Net based architecture has become particularly popular for this application. In this paper we present the Dense Recurrent Residual Convolutional Neural Network(Dense R2U CNN) which is a synthesis of Recurrent CNN, Residual Network and Dense Convolutional Network based on the U-Net model architecture. The residual unit helps training deeper network, while the…
Using Spatio-Temporal Dual-Stream Network with Self-Supervised Learning for Lung Tumor Classification on Radial Probe Endobronchial Ultrasound Video
National Yang Ming Chiao Tung University（国立阳明交通大学）；National Taiwan University Cancer Center（台湾大学癌症中心）；National Taiwan University Hospital（台湾大学医院）；National Taiwan University Hsin-Chu Hospital（台湾大学新竹医院）
Fudan University（复旦大学）；Inception Institute of Artificial Intelligence（人工智能 inception 研究所）；Shanghai Public Health Clinical Center, Fudan University（复旦大学附属上海公共卫生临床中心）
To counter the outbreak of COVID-19, the accurate diagnosis of suspected cases plays a crucial role in timely quarantine, medical treatment, and preventing the spread of the pandemic. Considering the limited training cases and resources (e.g, time and budget), we propose a Multi-task Multi-slice Deep Learning System (M3Lung-Sys) for multi-class lung pneumonia screening from CT imaging, which only consists of two 2D CNN networks, i.e., slice- and patient-level classification networks. The former aims to seek the feature representations from abundant CT slices instead of limited CT volumes, and …
Leveraging Anatomical Constraints with Uncertainty for Pneumothorax Segmentation
Duke-NUS Medical School（杜克-新加坡国立大学医学院）；Duke University（杜克大学）；Singapore General Hospital（新加坡中央医院）；Institute of High Performance Computing, Agency for Science, Technology and Research（新加坡科技研究局高性能计算研究所）；Institute of Data Science, National University of Singapore（新加坡国立大学数据科学研究院）
University of Electronic Science and Technology of China（电子科技大学）；University of Maryland School of Medicine（马里兰大学医学院）；Rutgers, the State University of New Jersey（罗格斯大学（新泽西州立大学））
Computed Tomography (CT) plays an important role in monitoring radiation-induced Pulmonary Fibrosis (PF), where accurate segmentation of the PF lesions is highly desired for diagnosis and treatment follow-up. However, the task is challenged by ambiguous boundary, irregular shape, various position and size of the lesions, as well as the difficulty in acquiring a large set of annotated volumetric images for training. To overcome these problems, we propose a novel convolutional neural network called PF-Net and incorporate it into a semi-supervised learning framework based on Iterative Confidence-…
Ultrasound Image Synthesis Using Generative AI for Lung Ultrasound Detection
Johns Hopkins University（约翰斯·霍普金斯大学）；Philips Ultrasound（飞利浦超声）；Columbia University Vagelos College of Physicians and Surgeons（哥伦比亚大学瓦格洛斯内科医生与外科医生学院）；MedStar Washington Hospital Center（MedStar华盛顿医院中心）；Yale University School of Medicine（耶鲁大学医学院）
Automatic lesion segmentation on thoracic CT enables rapid quantitative analysis of lung involvement in COVID-19 infections. However, obtaining a large amount of voxel-level annotations for training segmentation networks is prohibitively expensive. Therefore, we propose a weakly-supervised segmentation method based on dense regression activation maps (dRAMs). Most weakly-supervised segmentation approaches exploit class activation maps (CAMs) to localize objects. However, because CAMs were trained for classification, they do not align precisely with the object segmentations. Instead, we produce…
University of California, Los Angeles（加州大学洛杉矶分校）；Stanford University（斯坦福大学）
Lesion segmentation is an important problem in computer-assisted diagnosis that remains challenging due to the prevalence of low contrast, irregular boundaries that are unamenable to shape priors. We introduce Deep Active Lesion Segmentation (DALS), a fully automated segmentation framework for that leverages the powerful nonlinear feature extraction abilities of fully Convolutional Neural Networks (CNNs) and the precise boundary delineation abilities of Active Contour Models (ACMs). Our DALS framework benefits from an improved level-set ACM formulation with a per-pixel-parameterized energy fun…
University of Catania（卡塔尼亚大学）；STMicroelectronics（意法半导体）；University of Messina（墨西拿大学）
COVID-19 infection caused by SARS-CoV-2 pathogen is a catastrophic pandemic outbreak all over the world with exponential increasing of confirmed cases and, unfortunately, deaths. In this work we propose an AI-powered pipeline, based on the deep-learning paradigm, for automated COVID-19 detection and lesion categorization from CT scans. We first propose a new segmentation module aimed at identifying automatically lung parenchyma and lobes. Next, we combined such segmentation network with classification networks for COVID-19 identification and lesion categorization. We compare the obtained class…
Otto von Guericke University Magdeburg（马格德堡奥托·冯·格里克大学）
Pulmonary cancer is one of the most commonly diagnosed and fatal cancers and is often diagnosed by incidental findings on computed tomography. Automated pulmonary nodule detection is an essential part of computer-aided diagnosis, which is still facing great challenges and difficulties to quickly and accurately locate the exact nodules' positions. This paper proposes a dual skip connection upsampling strategy based on Dual Path network in a U-Net structure generating multiscale feature maps, which aims to minimize the ratio of false positives and maximize the sensitivity for lesion detection of…
The accurate segmentation of multiple types of lesions from adjacent tissues in medical images is significant in clinical practice. Convolutional neural networks (CNNs) based on the coarse-to-fine strategy have been widely used in this field. However, multi-lesion segmentation remains to be challenging due to the uncertainty in size, contrast, and high interclass similarity of tissues. In addition, the commonly adopted cascaded strategy is rather demanding in terms of hardware, which limits the potential of clinical deployment. To address the problems above,we propose a novel Prior Attention N…
Biomedical Imaging Research Institute, Cedars-Sinai Medical Center（西达赛奈医学中心生物医学成像研究所）；Cedars-Sinai Medical Center（西达赛奈医学中心）；Semmelweis University（塞梅尔维斯大学）；Azienda Ospedaliero-Universitaria di Parma（帕尔马大学医院）；Monash Health（莫纳什医疗中心）；Centro Cardiologico Monzino IRCCS, University of Milan（米兰大学蒙齐诺心脏中心IRCCS）；Showa University School of Medicine（昭和大学医学院）
Quantitative lung measures derived from computed tomography (CT) have been demonstrated to improve prognostication in coronavirus disease (COVID-19) patients, but are not part of the clinical routine since required manual segmentation of lung lesions is prohibitively time-consuming. We propose a new fully automated deep learning framework for rapid quantification and differentiation between lung lesions in COVID-19 pneumonia from both contrast and non-contrast CT images using convolutional Long Short-Term Memory (ConvLSTM) networks. Utilizing the expert annotations, model training was performe…
Penn State University（宾夕法尼亚州立大学）；Penn State Hershey Medical Center（宾夕法尼亚州立大学赫尔希医疗中心）
Because of the significance of bronchial lesions as indicators of early lung cancer and squamous cell carcinoma, a critical need exists for early detection of bronchial lesions. Autofluorescence bronchoscopy (AFB) is a primary modality used for bronchial lesion detection, as it shows high sensitivity to suspicious lesions. The physician, however, must interactively browse a long video stream to locate lesions, making the search exceedingly tedious and error prone. Unfortunately, limited research has explored the use of automated AFB video analysis for efficient lesion detection. We propose a r…
The ULS23 Challenge: a Baseline Model and Benchmark Dataset for 3D Universal Lesion Segmentation in Computed Tomography
Radboud University Medical Center（拉德堡德大学医学中心）；Jeroen Bosch Hospital（杰伦博世医院）；University Medical Center Groningen（格罗宁根大学医学中心）；Fraunhofer Institute for Digital Medicine MEVIS（弗劳恩霍夫数字医学梅维斯研究所）
Lung-CADex: Fully automatic Zero-Shot Detection and Classification of Lung Nodules in Thoracic CT Images
Faculty of Electronics and Electrical Engineering, University of Engineering and Technology, Taxila（塔克西拉工程技术大学电子与电气工程学院）；Center for Research in Computer Vision, University of Central Florida（中佛罗里达大学计算机视觉研究中心）；Sheikh Zayed Institute for Pediatric Surgical Innovation, Childrens National Hospital（儿童国家医院谢赫扎耶德儿科外科创新研究所）；School of Medicine and Health Sciences, George Washington University（乔治华盛顿大学医学与健康科学学院）
University of Chinese Academy of Sciences（中国科学院大学）；Institute of Automation, Chinese Academy of Sciences（中国科学院自动化研究所）；Beijing University of Posts and Telecommunications（北京邮电大学）
Accurate lung lesion segmentation from Computed Tomography (CT) images is crucial to the analysis and diagnosis of lung diseases such as COVID-19 and lung cancer. However, the smallness and variety of lung nodules and the lack of high-quality labeling make the accurate lung nodule segmentation difficult. To address these issues, we first introduce a novel segmentation mask named Soft Mask which has richer and more accurate edge details description and better visualization and develop a universal automatic Soft Mask annotation pipeline to deal with different datasets correspondingly. Then, a no…
Vanderbilt University（范德堡大学）；Vanderbilt University Medical Center（范德堡大学医学中心）
Features learned from single radiologic images are unable to provide information about whether and how much a lesion may be changing over time. Time-dependent features computed from repeated images can capture those changes and help identify malignant lesions by their temporal behavior. However, longitudinal medical imaging presents the unique challenge of sparse, irregular time intervals in data acquisition. While self-attention has been shown to be a versatile and efficient learning mechanism for time series and natural images, its potential for interpreting temporal distance between sparse,…
Korea Advanced Institute of Science and Technology（韩国科学技术院）；Asan Medical Center（峨山医院）；University of Ulsan College of Medicine（蔚山大学医学院）；College of Medicine, Chungnam National Univerity（忠南国立大学医学院）；College of Medicine, Yeungnam University（岭南大学医学院）；School of Medicine, Kyungpook National University（庆北国立大学医学院）
Under the global pandemic of COVID-19, building an automated framework that quantifies the severity of COVID-19 and localizes the relevant lesion on chest X-ray images has become increasingly important. Although pixel-level lesion severity labels, e.g. lesion segmentation, can be the most excellent target to build a robust model, collecting enough data with such labels is difficult due to time and labor-intensive annotation tasks. Instead, array-based severity labeling that assigns integer scores on six subdivisions of lungs can be an alternative choice enabling the quick labeling. Several gro…
University of Groningen（格罗宁根大学）；University Medical Center Groningen（格罗宁根大学医学中心）；University of Twente（特文特大学）
Objective: In clinical practice, small lung nodules can be easily overlooked by radiologists. The paper aims to provide an efficient and accurate detection system for small lung nodules while keeping good performance for large nodules. Methods: We propose a multi-planar detection system using convolutional neural networks. The 2-D convolutional neural network model, U-net++, was trained by axial, coronal, and sagittal slices for the candidate detection task. All possible nodule candidates from the three different planes are combined. For false positive reduction, we apply 3-D multi-scale dense…
School of Biological Science and Medical Engineering, Beihang University（北京航空航天大学生物与医学工程学院）；Beijing Advanced Innovation Center for Biomedical Engineering, Beihang University（北京航空航天大学生物医学工程高精尖创新中心）
Coronavirus Disease 2019 (COVID-19) has caused great casualties and becomes almost the most urgent public health events worldwide. Computed tomography (CT) is a significant screening tool for COVID-19 infection, and automated segmentation of lung infection in COVID-19 CT images will greatly assist diagnosis and health care of patients. However, accurate and automatic segmentation of COVID-19 lung infections remains to be challenging. In this paper we propose a dilated dual attention U-Net (D2A U-Net) for COVID-19 lesion segmentation in CT slices based on dilated convolution and a novel dual at…
