Colon polyps are considered important precursors for colorectal cancer. Automatic segmentation of colon polyps can significantly reduce the misdiagnosis of colon cancer and improve physician annotation efficiency. While many methods have been proposed for polyp segmentation, training large-scale segmentation networks with limited colonoscopy data remains a challenge. Recently, the Segment Anything Model (SAM) has recently gained much attention in both natural and medical image segmentation. SAM demonstrates superior performance in several image benchmarks and therefore shows great potential for medical image segmentation. In this study, we propose Poly-SAM, a finetuned SAM model for polyp segmentation, and compare its performance to several state-of-the-art polyp segmentation models. We also compare two transfer learning strategies of SAM with and without finetuning its encoders. Evaluated on five public datasets, our Polyp-SAM achieves state-of-the-art performance on two datasets and impressive performance on three datasets, with dice scores all above 88%. This study demonstrates the great potential of adapting SAM to medical image segmentation tasks. We plan to release the code and model weights for this paper at: https://github.com/ricklisz/Polyp-SAM.
We present a neural network architecture for medical image segmentation of diabetic foot ulcers and colonoscopy polyps. Diabetic foot ulcers are caused by neuropathic and vascular complications of diabetes mellitus. In order to provide a proper diagnosis and treatment, wound care professionals need to extract accurate morphological features from the foot wounds. Using computer-aided systems is a promising approach to extract related morphological features and segment the lesions. We propose a convolution neural network called HarDNet-DFUS by enhancing the backbone and replacing the decoder of …
SimulaMet（西穆拉梅特研究所）；UIT The Arctic University of Norway（挪威北极大学）；Augere Medical AS（奥热医疗公司）；University of Oslo（奥斯陆大学）；Kristiania University College（克里斯蒂安尼亚大学学院）；Oslo Metropolitan University（奥斯陆城市大学）；Oslo University Hospital（奥斯陆大学医院）
Pixel-wise image segmentation is a highly demanding task in medical-image analysis. In practice, it is difficult to find annotated medical images with corresponding segmentation masks. In this paper, we present Kvasir-SEG: an open-access dataset of gastrointestinal polyp images and corresponding segmentation masks, manually annotated by a medical doctor and then verified by an experienced gastroenterologist. Moreover, we also generated the bounding boxes of the polyp regions with the help of segmentation masks. We demonstrate the use of our dataset with a traditional segmentation approach and …
University of Science, VNU-HCM（胡志明市国家大学科学大学）；John von Neumann Institute, VNU-HCM（胡志明市国家大学约翰·冯·诺依曼研究所）；Vietnam National University, Ho Chi Minh city（越南国家大学胡志明市分校）
The Medico: Multimedia Task 2020 focuses on developing an efficient and accurate computer-aided diagnosis system for automatic segmentation [3]. We participate in task 1, Polyps segmentation task, which is to develop algorithms for segmenting polyps on a comprehensive dataset. In this task, we propose methods combining Residual module, Inception module, Adaptive Convolutional neural network with U-Net model, and PraNet for semantic segmentation of various types of polyps in endoscopic images. We select 5 runs with different architecture and parameters in our methods. Our methods show potential…
Cancer is a disease that occurs as a result of the uncontrolled division and proliferation of cells. Colon cancer is one of the most common types of cancer in the world. Polyps that can be seen in the large intestine can cause cancer if not removed with early intervention. Deep learning and image segmentation techniques are used to minimize the number of polyps that goes unnoticed by the experts during these interventions. Although these techniques perform well in terms of accuracy, they require too many parameters. We propose a new model to address this problem. Our proposed model requires fe…
Xi’an Jiaotong-Liverpool University（西交利物浦大学）；University of Liverpool（利物浦大学）
Colonoscopy, currently the most efficient and recognized colon polyp detection technology, is necessary for early screening and prevention of colorectal cancer. However, due to the varying size and complex morphological features of colonic polyps as well as the indistinct boundary between polyps and mucosa, accurate segmentation of polyps is still challenging. Deep learning has become popular for accurate polyp segmentation tasks with excellent results. However, due to the structure of polyps image and the varying shapes of polyps, it easy for existing deep learning models to overfitting the c…
Bournemouth University（伯恩茅斯大学）；Australian Institute for Machine Learning, University of Adelaide（阿德莱德大学澳大利亚机器学习研究所）；BCN Medtech（巴塞罗那医疗科技公司）；Universitat Pompeu Fabra（庞培法布拉大学）；ICREA（加泰罗尼亚高等研究院）
Polyps represent an early sign of the development of Colorectal Cancer. The standard procedure for their detection consists of colonoscopic examination of the gastrointestinal tract. However, the wide range of polyp shapes and visual appearances, as well as the reduced quality of this image modality, turn their automatic identification and segmentation with computational tools into a challenging computer vision task. In this work, we present a new strategy for the delineation of gastrointestinal polyps from endoscopic images based on a direct extension of common encoder-decoder networks for se…
School of Electronic and Computer Engineering, Peking University（北京大学电子与计算机工程学院）；Aberdeen Institute of Data Science and Artificial Intelligence, South China Normal University（华南师范大学阿伯丁数据科学与人工智能学院）
University of Cambridge（剑桥大学）；Cancer Research UK Cambridge Centre（英国癌症研究中心剑桥中心）
Background: Colonoscopy remains the gold-standard screening for colorectal cancer. However, significant miss rates for polyps have been reported, particularly when there are multiple small adenomas. This presents an opportunity to leverage computer-aided systems to support clinicians and reduce the number of polyps missed. Method: In this work we introduce the Focus U-Net, a novel dual attention-gated deep neural network, which combines efficient spatial and channel-based attention into a single Focus Gate module to encourage selective learning of polyp features. The Focus U-Net further incorp…
Polyp segmentation is a crucial step towards computer-aided diagnosis of colorectal cancer. However, most of the polyp segmentation methods require pixel-wise annotated datasets. Annotated datasets are tedious and time-consuming to produce, especially for physicians who must dedicate their time to their patients. We tackle this issue by proposing a novel framework that can be trained using only weakly annotated images along with exploiting unlabeled images. To this end, we propose three ideas to address this problem, more specifically our contributions are: 1) a novel sparse foreground loss th…
Colonoscopy is widely recognised as the gold standard procedure for the early detection of colorectal cancer (CRC). Segmentation is valuable for two significant clinical applications, namely lesion detection and classification, providing means to improve accuracy and robustness. The manual segmentation of polyps in colonoscopy images is time-consuming. As a result, the use of deep learning (DL) for automation of polyp segmentation has become important. However, DL-based solutions can be vulnerable to overfitting and the resulting inability to generalise to images captured by different colonosc…
SimulaMet；UiT The Arctic University of Norway（挪威北极大学）；Oslo Metropolitan University（奥斯陆城市大学）；Institute of Biomedical Engineering, University of Oxford（牛津大学生物医学工程研究所）；Bærum Hospital（贝鲁姆医院）；Augere Medical AS（Augere Medical 公司）；Sahlgrenska University Hospital-Mölndal Hospital（萨尔格伦斯卡大学医院-默恩达尔医院）；Sahlgrenska Academy, University of Gothenburg（哥德堡大学萨尔格伦斯卡学院）
Deep learning in gastrointestinal endoscopy can assist to improve clinical performance and be helpful to assess lesions more accurately. To this extent, semantic segmentation methods that can perform automated real-time delineation of a region-of-interest, e.g., boundary identification of cancer or precancerous lesions, can benefit both diagnosis and interventions. However, accurate and real-time segmentation of endoscopic images is extremely challenging due to its high operator dependence and high-definition image quality. To utilize automated methods in clinical settings, it is crucial to de…
SimulaMet（西姆拉大都会研究所）；Augere Medical AS（奥格医疗公司）；UiT The Arctic University of Norway（挪威UiT北极大学）；University of Oslo（奥斯陆大学）；Oslo Metropolitan University（奥斯陆城市大学）
Accurate computer-aided polyp detection and segmentation during colonoscopy examinations can help endoscopists resect abnormal tissue and thereby decrease chances of polyps growing into cancer. Towards developing a fully automated model for pixel-wise polyp segmentation, we propose ResUNet++, which is an improved ResUNet architecture for colonoscopic image segmentation. Our experimental evaluations show that the suggested architecture produces good segmentation results on publicly available datasets. Furthermore, ResUNet++ significantly outperforms U-Net and ResUNet, two key state-of-the-art d…
Validating polyp and instrument segmentation methods in colonoscopy through Medico 2020 and MedAI 2021 Challenges
Northwestern University（西北大学）；Jadavpur University（贾达普大学）；Technische Universität Hamburg（汉堡工业大学）；SimulaMet（西穆拉梅特研究所）；Julius-Maximilian University of Würzburg（维尔茨堡大学）；Australian National University（澳大利亚国立大学）；Gachon University（嘉泉大学）；University of Oxford（牛津大学）；University of Bergen（卑尔根大学）；University of Oslo（奥斯陆大学）；Swedish Medical Center（瑞典医疗中心）；National University of Computer and Emerging Sciences（国家计算机与新兴科学大学）；University of Science, VNU-HCM（胡志明市国家大学科学大学）
Robert Gordon University（罗伯特戈登大学）；Griffith University（格里菲斯大学）
Colorectal cancer (CRC) is the first cause of death in many countries. CRC originates from a small clump of cells on the lining of the colon called polyps, which over time might grow and become malignant. Early detection and removal of polyps are therefore necessary for the prevention of colon cancer. In this paper, we introduce an ensemble of medical polyp segmentation algorithms. Based on an observation that different segmentation algorithms will perform well on different subsets of examples because of the nature and size of training sets they have been exposed to and because of method-intri…
We propose a new convolution neural network called HarDNet-MSEG for polyp segmentation. It achieves SOTA in both accuracy and inference speed on five popular datasets. For Kvasir-SEG, HarDNet-MSEG delivers 0.904 mean Dice running at 86.7 FPS on a GeForce RTX 2080 Ti GPU. It consists of a backbone and a decoder. The backbone is a low memory traffic CNN called HarDNet68, which has been successfully applied to various CV tasks including image classification, object detection, multi-object tracking and semantic segmentation, etc. The decoder part is inspired by the Cascaded Partial Decoder, known …
S$^2$ME: Spatial-Spectral Mutual Teaching and Ensemble Learning for Scribble-supervised Polyp Segmentation
The Chinese University of Hong Kong（香港中文大学）；National University of Singapore（新加坡国立大学）；Hubei University of Technology（湖北工业大学）；University College London（伦敦大学学院）
Peking University（北京大学）；SenseTime Research（商汤科技研究院）；The University of Sydney（悉尼大学）；Wuhan University（武汉大学）；Hubei Luojia Laboratory（湖北珞珈实验室）；JD Explore Academy（京东探索研究院）
The Depth-aware Video Panoptic Segmentation (DVPS) is a new challenging vision problem that aims to predict panoptic segmentation and depth in a video simultaneously. The previous work solves this task by extending the existing panoptic segmentation method with an extra dense depth prediction and instance tracking head. However, the relationship between the depth and panoptic segmentation is not well explored -- simply combining existing methods leads to competition and needs carefully weight balancing. In this paper, we present PolyphonicFormer, a vision transformer to unify these sub-tasks u…
Convolutional Neural Networks (CNNs) are propelling advances in a range of different computer vision tasks such as object detection and object segmentation. Their success has motivated research in applications of such models for medical image analysis. If CNN-based models are to be helpful in a medical context, they need to be precise, interpretable, and uncertainty in predictions must be well understood. In this paper, we develop and evaluate recent advances in uncertainty estimation and model interpretability in the context of semantic segmentation of polyps from colonoscopy images. We evalu…
Università di Bologna（博洛尼亚大学）；University of Padua（帕多瓦大学）
Semantic segmentation has a wide array of applications ranging from medical-image analysis, scene understanding, autonomous driving and robotic navigation. This work deals with medical image segmentation and in particular with accurate polyp detection and segmentation during colonoscopy examinations. Several convolutional neural network architectures have been proposed to effectively deal with this task and with the problem of segmenting objects at different scale input. The basic architecture in image segmentation consists of an encoder and a decoder: the first uses convolutional filters to e…
Large Language Model Evaluated Stand-alone Attention-Assisted Graph Neural Network with Spatial and Structural Information Interaction for Precise Endoscopic Image Segmentation
Department of Mathematics, The Chinese University of Hong Kong（香港中文大学数学系）；Department of Electronic and Computer Engineering, University of Massachusetts, Lowell（马萨诸塞大学低罗分校电子与计算机工程系）；Department of Radiology, Northwestern University（西北大学放射科）
University of Bergen（卑尔根大学）；SimulaMet（西穆拉梅特）；Nepal Medical College（尼泊尔医学院）；Kathmandu University（加德满都大学）；UiT The Arctic University of Norway（挪威北极大学）；University of Oslo（奥斯陆大学）；Oslo Metropolitan University（奥斯陆城市大学）
Polyps are the predecessors to colorectal cancer which is considered as one of the leading causes of cancer-related deaths worldwide. Colonoscopy is the standard procedure for the identification, localization, and removal of colorectal polyps. Due to variability in shape, size, and surrounding tissue similarity, colorectal polyps are often missed by the clinicians during colonoscopy. With the use of an automatic, accurate, and fast polyp segmentation method during the colonoscopy, many colorectal polyps can be easily detected and removed. The ``Medico automatic polyp segmentation challenge'' p…
Sun Yat-sen University（中山大学）；Shenzhen Research Institute of Big Data（深圳大数据研究院）；Pazhou Lab（琶洲实验室）；The Sixth Affiliated Hospital, Sun Yat-sen University（中山大学附属第六医院）
Automatic and accurate polyp segmentation plays an essential role in early colorectal cancer diagnosis. However, it has always been a challenging task due to 1) the diverse shape, size, brightness and other appearance characteristics of polyps, 2) the tiny contrast between concealed polyps and their surrounding regions. To address these problems, we propose a lesion-aware dynamic network (LDNet) for polyp segmentation, which is a traditional u-shape encoder-decoder structure incorporated with a dynamic kernel generation and updating scheme. Specifically, the designed segmentation head is condi…
Indira Gandhi National Open University（英迪拉·甘地国立开放大学）
Colorectal cancer is one of fatal cancer worldwide. Colonoscopy is the standard treatment for examination, localization, and removal of colorectal polyps. However, it has been shown that the miss-rate of colorectal polyps during colonoscopy is between 6 to 27%. The use of an automated, accurate, and real-time polyp segmentation during colonoscopy examinations can help the clinicians to eliminate missing lesions and prevent further progression of colorectal cancer. The ``Medico automatic polyp segmentation challenge'' provides an opportunity to study polyp segmentation and build a fast segmenta…
University of Electronic Science and Technology of China（电子科技大学）
Colorectal cancer (CRC) is one of the most common fatal cancer in the world. Polypectomy can effectively interrupt the progression of adenoma to adenocarcinoma, thus reducing the risk of CRC development. Colonoscopy is the primary method to find colonic polyps. However, due to the different sizes of polyps and the unclear boundary between polyps and their surrounding mucosa, it is challenging to segment polyps accurately. To address this problem, we design a Boundary Distribution Guided Network (BDG-Net) for accurate polyp segmentation. Specifically, under the supervision of the ideal Boundary…
Colorectal cancer (CRC) is one of the most commonly diagnosed cancers and a leading cause of cancer deaths in the United States. Colorectal polyps that grow on the intima of the colon or rectum is an important precursor for CRC. Currently, the most common way for colorectal polyp detection and precancerous pathology is the colonoscopy. Therefore, accurate colorectal polyp segmentation during the colonoscopy procedure has great clinical significance in CRC early detection and prevention. In this paper, we propose a novel end-to-end deep learning framework for the colorectal polyp segmentation. …
Hanoi University of Science and Technology（河内科技大学）；Hanoi Medical University（河内医科大学）；The Institute of Gastroenterology and Hepatology（胃肠病学与肝病学研究所）；Vietnam National University of Agriculture（越南国立农业大学）
Colorectal cancer is among the most common malignancies and can develop from high-risk colon polyps. Colonoscopy is an effective screening tool to detect and remove polyps, especially in the case of precancerous lesions. However, the missing rate in clinical practice is relatively high due to many factors. The procedure could benefit greatly from using AI models for automatic polyp segmentation, which provide valuable insights for improving colon polyp detection. However, precise segmentation is still challenging due to variations of polyps in size, shape, texture, and color. This paper propos…
Hanoi University of Science and Technology（河内科技大学）；Hanoi Medical University（河内医科大学）；The Institute of Gastroenterology and Hepatology（胃肠肝病学研究所）；University of Medicine and Pharmacy, Hue University（顺化大学医药大学）；Vietnam National University of Agriculture（越南国立农业大学）
Automatic polyp segmentation has proven to be immensely helpful for endoscopy procedures, reducing the missing rate of adenoma detection for endoscopists while increasing efficiency. However, classifying a polyp as being neoplasm or not and segmenting it at the pixel level is still a challenging task for doctors to perform in a limited time. In this work, we propose a fine-grained formulation for the polyp segmentation problem. Our formulation aims to not only segment polyp regions, but also identify those at high risk of malignancy with high accuracy. In addition, we present a UNet-based neur…
University of Kansas（堪萨斯大学）；Ryerson University（瑞尔森大学）
Colonoscopy is a procedure to detect colorectal polyps which are the primary cause for developing colorectal cancer. However, polyp segmentation is a challenging task due to the diverse shape, size, color, and texture of polyps, shuttle difference between polyp and its background, as well as low contrast of the colonoscopic images. To address these challenges, we propose a feature enhancement network for accurate polyp segmentation in colonoscopy images. Specifically, the proposed network enhances the semantic information using the novel Semantic Feature Enhance Module (SFEM). Furthermore, ins…
AgentPolyp: Accurate Polyp Segmentation via Image Enhancement Agent
School of Mathematics, Shandong University（山东大学数学学院）；School of Information Science and Engineering, Shandong Normal University（山东师范大学信息科学与工程学院）；Yeshiva University（叶史瓦大学）；School of cyber science and technology, Sun Yat-sen University（中山大学网络空间安全学院）
Inception Institute of Artificial Intelligence（人工智能起源研究所）；Wuhan University（武汉大学）；Mohamed bin Zayed University of Artificial Intelligence（穆罕默德·本·扎耶德人工智能大学）
Colonoscopy is an effective technique for detecting colorectal polyps, which are highly related to colorectal cancer. In clinical practice, segmenting polyps from colonoscopy images is of great importance since it provides valuable information for diagnosis and surgery. However, accurate polyp segmentation is a challenging task, for two major reasons: (i) the same type of polyps has a diversity of size, color and texture; and (ii) the boundary between a polyp and its surrounding mucosa is not sharp. To address these challenges, we propose a parallel reverse attention network (PraNet) for accur…
Insight SFI Centre for Data Analytics（Insight SFI数据分析中心）；Dublin City University（都柏林城市大学）
Deep learning has shown excellent performance in analysing medical images. However, datasets are difficult to obtain due privacy issues, standardization problems, and lack of annotations. We address these problems by producing realistic synthetic images using a combination of 3D technologies and generative adversarial networks. We use zero annotations from medical professionals in our pipeline. Our fully unsupervised method achieves promising results on five real polyp segmentation datasets. As a part of this study we release Synth-Colon, an entirely synthetic dataset that includes 20000 reali…
Indian Statistical Institute（印度统计研究所）；Østfold University College（东福尔德大学学院）；SimulaMet；UiT The Arctic University of Norway（挪威北极大学）；University of Oxford（牛津大学）
Colonoscopy is a gold standard procedure but is highly operator-dependent. Efforts have been made to automate the detection and segmentation of polyps, a precancerous precursor, to effectively minimize missed rate. Widely used computer-aided polyp segmentation systems actuated by encoder-decoder have achieved high performance in terms of accuracy. However, polyp segmentation datasets collected from varied centers can follow different imaging protocols leading to difference in data distribution. As a result, most methods suffer from performance drop and require re-training for each specific dat…
SimulaMet（西穆拉梅特研究所）；UIT The Arctic University of Norway（挪威北极大学）；University of Oxford（牛津大学）；Oslo Metropolitan University（奥斯陆城市大学）
Colonoscopy is the gold standard for examination and detection of colorectal polyps. Localization and delineation of polyps can play a vital role in treatment (e.g., surgical planning) and prognostic decision making. Polyp segmentation can provide detailed boundary information for clinical analysis. Convolutional neural networks have improved the performance in colonoscopy. However, polyps usually possess various challenges, such as intra-and inter-class variation and noise. While manual labeling for polyp assessment requires time from experts and is prone to human error (e.g., missed lesions)…
Indira Gandhi National Open University（英迪拉·甘地国立开放大学）；Indian Statistical Institute（印度统计研究所）；Northwestern University（西北大学）
The detection and removal of precancerous polyps through colonoscopy is the primary technique for the prevention of colorectal cancer worldwide. However, the miss rate of colorectal polyp varies significantly among the endoscopists. It is well known that a computer-aided diagnosis (CAD) system can assist endoscopists in detecting colon polyps and minimize the variation among endoscopists. In this study, we introduce a novel deep learning architecture, named MKDCNet, for automatic polyp segmentation robust to significant changes in polyp data distribution. MKDCNet is simply an encoder-decoder n…
SimulaMet（西穆拉大都会研究所）；UiT The Arctic University of Norway（挪威UiT北极大学）；Oslo Metropolitan University（奥斯陆城市大学）；Augere Medical AS（奥杰雷医疗公司）；Sahlgrenska University Hospital（萨尔格伦斯卡大学医院）；Bærum Hospital（贝鲁姆医院）
Colorectal cancer is the third most common cause of cancer worldwide. According to Global cancer statistics 2018, the incidence of colorectal cancer is increasing in both developing and developed countries. Early detection of colon anomalies such as polyps is important for cancer prevention, and automatic polyp segmentation can play a crucial role for this. Regardless of the recent advancement in early detection and treatment options, the estimated polyp miss rate is still around 20\%. Support via an automated computer-aided diagnosis system could be one of the potential solutions for the over…
Polyp-PVT: Polyp Segmentation with Pyramid Vision Transformers
Nankai University（南开大学）；Shanghai Artificial Intelligence Laboratory（上海人工智能实验室）；Inception Institute of Artificial Intelligence（Inception人工智能研究所）；Institute of High Performance Computing（高性能计算研究所）；Terminus Group（特斯联科技集团）；UCAS-Terminus AI Lab（中国科学院大学-特斯联人工智能实验室）
Indira Gandhi National Open University（英迪拉·甘地国立开放大学）；Larkin Community Hospital Palm Springs Campus（拉金社区医院棕榈泉院区）；Long Island Jewish Valley Stream（长岛犹太谷溪医院）；Feinberg School of Medicine, Northwestern University（西北大学范伯格医学院）
Colorectal cancer (CRC) is one of the most common causes of cancer and cancer-related mortality worldwide. Performing colon cancer screening in a timely fashion is the key to early detection. Colonoscopy is the primary modality used to diagnose colon cancer. However, the miss rate of polyps, adenomas and advanced adenomas remains significantly high. Early detection of polyps at the precancerous stage can help reduce the mortality rate and the economic burden associated with colorectal cancer. Deep learning-based computer-aided diagnosis (CADx) system may help gastroenterologists to identify po…
