Breast cancer remains the leading cause of cancer-related mortality among women worldwide, necessitating the meticulous examination of mammograms by radiologists to characterize abnormal lesions. This manual process demands high accuracy and is often time-consuming, costly, and error-prone. Automated image segmentation using artificial intelligence offers a promising alternative to streamline this workflow. However, most existing methods are supervised, requiring large, expertly annotated datasets that are not always available, and they experience significant generalization issues. Thus, unsupervised learning models can be leveraged for image segmentation, but they come at a cost of reduced accuracy, or require extensive computational resourcess. In this paper, we propose the first end-to-end quantum-enhanced framework for unsupervised mammography medical images segmentation that balances between performance accuracy and computational requirements. We first introduce a quantum-inspired image representation that serves as an initial approximation of the segmentation mask. The segmentation task is then formulated as a QUBO problem, aiming to maximize the contrast between the background and the tumor region while ensuring a cohesive segmentation mask with minimal connected components. We conduct an extensive evaluation of quantum and quantum-inspired methods for image segmentation, demonstrating that quantum annealing and variational quantum circuits achieve performance comparable to classical optimization techniques. Notably, quantum annealing is shown to be an order of magnitude faster than the classical optimization method in our experiments. Our findings demonstrate that this framework achieves performance comparable to state-of-the-art supervised methods, including UNet-based architectures, offering a viable unsupervised alternative for breast cancer image segmentation.
Due to the limitation of available labeled data, medical image segmentation is a challenging task for deep learning. Traditional data augmentation techniques have been shown to improve segmentation network performances by optimizing the usage of few training examples. However, current augmentation approaches for segmentation do not tackle the strong texture bias of convolutional neural networks, observed in several studies. This work shows on the MoNuSeg dataset that style augmentation, which is already used in classification tasks, helps reducing texture over-fitting and improves segmentation…
We develop and approach to unsupervised semantic medical image segmentation that extends previous work with generative adversarial networks. We use existing edge detection methods to construct simple edge diagrams, train a generative model to convert them into synthetic medical images, and construct a dataset of synthetic images with known segmentations using variations on extracted edge diagrams. This synthetic dataset is then used to train a supervised image segmentation model. We test our approach on a clinical dataset of kidney ultrasound images and the benchmark ISIC 2018 skin lesion data…
Nanjing University of Science and Technology（南京理工大学）
Segmentation is one of the most important and popular tasks in medical image analysis, which plays a critical role in disease diagnosis, surgical planning, and prognosis evaluation. During the past five years, on the one hand, thousands of medical image segmentation methods have been proposed for various organs and lesions in different medical images, which become more and more challenging to fairly compare different methods. On the other hand, international segmentation challenges can provide a transparent platform to fairly evaluate and compare different methods. In this paper, we present a …
Advances in the image-based diagnostics of complex biological and manufacturing processes have brought unsupervised image segmentation to the forefront of enabling automated, on the fly decision making. However, most existing unsupervised segmentation approaches are either computationally complex or require manual parameter selection (e.g., flow capacities in max-flow/min-cut segmentation). In this work, we present a fully unsupervised segmentation approach using a continuous max-flow formulation over the image domain while optimally estimating the flow parameters from the image characteristic…
A high-performance unsupervised nuclei instance segmentation (HUNIS) method is proposed in this work. HUNIS consists of two-stage block-wise operations. The first stage includes: 1) adaptive thresholding of pixel intensities, 2) incorporation of nuclei size/shape priors and 3) removal of false positive nuclei instances. Then, HUNIS conducts the second stage segmentation by receiving guidance from the first one. The second stage exploits the segmentation masks obtained in the first stage and leverages color and shape distributions for a more accurate segmentation. The main purpose of the two-st…
Disentangled representation is a powerful technique to tackle domain shift problem in medical image analysis in unsupervised domain adaptation setting.However, previous methods only focus on exacting domain-invariant feature and ignore whether exacted feature is meaningful for downstream tasks.We propose a novel framework, called semantic-guided disentangled representation (SGDR), an effective method to exact semantically meaningful feature for segmentation task to improve performance of cross modality medical image segmentation in unsupervised domain adaptation setting. To exact the meaningfu…
South China University of Technology（华南理工大学）；University of Utah（犹他大学）
We introduce the idea of inter-slice image augmentation whereby the numbers of the medical images and the corresponding segmentation labels are increased between two consecutive images in order to boost medical image segmentation accuracy. Unlike conventional data augmentation methods in medical imaging, which only increase the number of training samples directly by adding new virtual samples using simple parameterized transformations such as rotation, flipping, scaling, etc., we aim to augment data based on the relationship between two consecutive images, which increases not only the number b…
Segmentation is a critical step in medical image analysis. Fully Convolutional Networks (FCNs) have emerged as powerful segmentation models achieving state-of-the-art results in various medical image datasets. Network architectures are usually designed manually for a specific segmentation task so applying them to other medical datasets requires extensive experience and time. Moreover, the segmentation requires handling large volumetric data that results in big and complex architectures. Recently, methods that automatically design neural networks for medical image segmentation have been present…
MAMBO-NET: Multi-Causal Aware Modeling Backdoor-Intervention Optimization for Medical Image Segmentation Network
Tianjin University（天津大学）；Tianjin Key Laboratory of Cognitive Computing and Application（天津认知计算与应用重点实验室）；Tianjin Key Laboratory of Advanced Networking（天津先进网络重点实验室）；Tianjin International Engineering Institute, Tianjin University（天津大学国际工程师学院）；Tianjin Central Hospital of Gynecology Obstetrics（天津市中心妇产科医院）；Silesian University of Technology（西里西亚工业大学）；University of Alberta（阿尔伯塔大学）；Istinye University（伊斯坦布尔耶尼大学）
The paper is a short review of medical image segmentation using U-Net and its variants. As we understand going through a medical images is not an easy job for any clinician either radiologist or pathologist. Analysing medical images is the only way to perform non-invasive diagnosis. Segmenting out the regions of interest has significant importance in medical images and is key for diagnosis. This paper also gives a bird eye view of how medical image segmentation has evolved. Also discusses challenge's and success of the deep neural architectures. Following how different hybrid architectures hav…
Xidian University（西安电子科技大学）；University of North Carolina at Chapel Hill（北卡罗来纳大学教堂山分校）
3D image segmentation is one of the most important and ubiquitous problems in medical image processing. It provides detailed quantitative analysis for accurate disease diagnosis, abnormal detection, and classification. Currently deep learning algorithms are widely used in medical image segmentation, most algorithms trained models with full annotated datasets. However, obtaining medical image datasets is very difficult and expensive, and full annotation of 3D medical image is a monotonous and time-consuming work. Partially labelling informative slices in 3D images will be a great relief of manu…
Unsupervised pre-training has been proven as an effective approach to boost various downstream tasks given limited labeled data. Among various methods, contrastive learning learns a discriminative representation by constructing positive and negative pairs. However, it is not trivial to build reasonable pairs for a segmentation task in an unsupervised way. In this work, we propose a novel unsupervised pre-training framework that avoids the drawback of contrastive learning. Our framework consists of two principles: unsupervised over-segmentation as a pre-train task using mutual information maxim…
Object segmentation plays an important role in the modern medical image analysis, which benefits clinical study, disease diagnosis, and surgery planning. Given the various modalities of medical images, the automated or semi-automated segmentation approaches have been used to identify and parse organs, bones, tumors, and other regions-of-interest (ROI). However, these contemporary segmentation approaches tend to fail to predict the boundary areas of ROI, because of the fuzzy appearance contrast caused during the imaging procedure. To further improve the segmentation quality of boundary areas, w…
Rensselaer Polytechnic Institute（伦斯勒理工学院）；Wuhan University（武汉大学）；National Institutes of Health（美国国立卫生研究院）
Automatic medical image segmentation, an essential component of medical image analysis, plays an importantrole in computer-aided diagnosis. For example, locating and segmenting the liver can be very helpful in livercancer diagnosis and treatment. The state-of-the-art models in medical image segmentation are variants ofthe encoder-decoder architecture such as fully convolutional network (FCN) and U-Net.1A major focus ofthe FCN based segmentation methods has been on network structure engineering by incorporating the latestCNN structures such as ResNet2and DenseNet.3In addition to exploring new n…
National Institute of Technology Karnataka（卡纳塔克邦国家技术研究所）
Computer-aided medical image analysis plays a significant role in assisting medical practitioners for expert clinical diagnosis and deciding the optimal treatment plan. At present, convolutional neural networks (CNN) are the preferred choice for medical image analysis. In addition, with the rapid advancements in three-dimensional (3D) imaging systems and the availability of excellent hardware and software support to process large volumes of data, 3D deep learning methods are gaining popularity in medical image analysis. Here, we present an extensive review of the recently evolved 3D deep learn…
University of California, Los Angeles（加州大学洛杉矶分校）；NVIDIA（英伟达）
Fully convolutional neural networks (CNNs) have proven to be effective at representing and classifying textural information, thus transforming image intensity into output class masks that achieve semantic image segmentation. In medical image analysis, however, expert manual segmentation often relies on the boundaries of anatomical structures of interest. We propose boundary aware CNNs for medical image segmentation. Our networks are designed to account for organ boundary information, both by providing a special network edge branch and edge-aware loss terms, and they are trainable end-to-end. W…
School of Remote Sensing and Information Engineering, Wuhan University（武汉大学遥感信息工程学院）
Unsupervised evaluation of segmentation quality is a crucial step in image segmentation applications. Previous unsupervised evaluation methods usually lacked the adaptability to multi-scale segmentation. A scale-constrained evaluation method that evaluates segmentation quality according to the specified target scale is proposed in this paper. First, regional saliency and merging cost are employed to describe intra-region homogeneity and inter-region heterogeneity, respectively. Subsequently, both of them are standardized into equivalent spectral distances of a predefined region. Finally, by an…
Ecole nationale Supérieure en Informatique（国立高等计算机学院）；Université de Bourgogne（勃艮第大学）
Segmentation of medical images is an essential part in the process of diagnostics. Physicians require an automatic, robust and valid results. Hidden Markov Random Fields (HMRF) provide powerful model. This latter models the segmentation problem as the minimization of an energy function. Cuckoo search (CS) algorithm is one of the recent nature-inspired meta-heuristic algorithms. It has shown its efficiency in many engineering optimization problems. In this paper, we use three cuckoo search algorithm to achieve medical image segmentation.
Medical image segmentation is a relevant task as it serves as the first step for several diagnosis processes, thus it is indispensable in clinical usage. Whilst major success has been reported using supervised techniques, they assume a large and well-representative labelled set. This is a strong assumption in the medical domain where annotations are expensive, time-consuming, and inherent to human bias. To address this problem, unsupervised techniques have been proposed in the literature yet it is still an open problem due to the difficulty of learning any transformation pattern. In this work,…
Recent advances of semantic image segmentation greatly benefit from deeper and larger Convolutional Neural Network (CNN) models. Compared to image segmentation in the wild, properties of both medical images themselves and of existing medical datasets hinder training deeper and larger models because of overfitting. To this end, we propose a novel two-stream UNET architecture for automatic end-to-end medical image segmentation, in which intensity value and gradient vector flow (GVF) are two inputs for each stream, respectively. We demonstrate that two-stream CNNs with more low-level features gre…
Color image segmentation is an important topic in the image processing field. MRF-MAP is often adopted in the unsupervised segmentation methods, but their performance are far behind recent interactive segmentation tools supervised by user inputs. Furthermore, the existing related unsupervised methods also suffer from the low efficiency, and high risk of being trapped in the local optima, because MRF-MAP is currently solved by iterative frameworks with inaccurate initial color distribution models. To address these problems, the letter designs an efficient method to calculate the energy function…
Medical image annotation typically requires expert knowledge and hence incurs time-consuming and expensive data annotation costs. To alleviate this burden, we propose a novel learning scenario, Exemplar Learning (EL), to explore automated learning processes for medical image segmentation with a single annotated image example. This innovative learning task is particularly suitable for medical image segmentation, where all categories of organs can be presented in one single image and annotated all at once. To address this challenging EL task, we propose an Exemplar Learning-based Synthesis Net (…
In this paper, we propose a novel medical image segmentation using iterative deep learning framework. We have combined an iterative learning approach and an encoder-decoder network to improve segmentation results, which enables to precisely localize the regions of interest (ROIs) including complex shapes or detailed textures of medical images in an iterative manner. The proposed iterative deep convolutional encoder-decoder network consists of two main paths: convolutional encoder path and convolutional decoder path with iterative learning. Experimental results show that the proposed iterative …
University of Augsburg（奥格斯堡大学）；University Hospital Augsburg（奥格斯堡大学医院）
In the last decade, research on artificial intelligence has seen rapid growth with deep learning models, especially in the field of medical image segmentation. Various studies demonstrated that these models have powerful prediction capabilities and achieved similar results as clinicians. However, recent studies revealed that the evaluation in image segmentation studies lacks reliable model performance assessment and showed statistical bias by incorrect metric implementation or usage. Thus, this work provides an overview and interpretation guide on the following metrics for medical image segmen…
Unsupervised semantic segmentation aims to discover groupings within and across images that capture object and view-invariance of a category without external supervision. Grouping naturally has levels of granularity, creating ambiguity in unsupervised segmentation. Existing methods avoid this ambiguity and treat it as a factor outside modeling, whereas we embrace it and desire hierarchical grouping consistency for unsupervised segmentation. We approach unsupervised segmentation as a pixel-wise feature learning problem. Our idea is that a good representation shall reveal not just a particular l…
Leipzig University（莱比锡大学）；Leipzig University Medical Centre（莱比锡大学医学中心）
The sigmoid activation is the standard output activation function in binary classification and segmentation with neural networks. Still, there exist a variety of other potential output activation functions, which may lead to improved results in medical image segmentation. In this work, we consider how the asymptotic behavior of different output activation and loss functions affects the prediction probabilities and the corresponding segmentation errors. For cross entropy, we show that a faster rate of change of the activation function correlates with better predictions, while a slower rate of c…
We introduce a new architecture for unsupervised object-centric representation learning and multi-object detection and segmentation, which uses a translation-equivariant attention mechanism to predict the coordinates of the objects present in the scene and to associate a feature vector to each object. A transformer encoder handles occlusions and redundant detections, and a convolutional autoencoder is in charge of background reconstruction. We show that this architecture significantly outperforms the state of the art on complex synthetic benchmarks.
Imperial College London（帝国理工学院）；BioMedIA Group, Department of Computing（计算系BioMedIA小组）
Few-shot semantic segmentation (FSS) has great potential for medical imaging applications. Most of the existing FSS techniques require abundant annotated semantic classes for training. However, these methods may not be applicable for medical images due to the lack of annotations. To address this problem we make several contributions: (1) A novel self-supervised FSS framework for medical images in order to eliminate the requirement for annotations during training. Additionally, superpixel-based pseudo-labels are generated to provide supervision; (2) An adaptive local prototype pooling module pl…
University of Southern California（南加州大学）；National Taiwan University（国立台湾大学）
One major technique debt in video object segmentation is to label the object masks for training instances. As a result, we propose to prepare inexpensive, yet high quality pseudo ground truth corrected with motion cue for video object segmentation training. Our method conducts semantic segmentation using instance segmentation networks and, then, selects the segmented object of interest as the pseudo ground truth based on the motion information. Afterwards, the pseudo ground truth is exploited to finetune the pretrained objectness network to facilitate object segmentation in the remaining frame…
We propose an attention mechanism for 3D medical image segmentation. The method, named segmentation-by-detection, is a cascade of a detection module followed by a segmentation module. The detection module enables a region of interest to come to attention and produces a set of object region candidates which are further used as an attention model. Rather than dealing with the entire volume, the segmentation module distills the information from the potential region. This scheme is an efficient solution for volumetric data as it reduces the influence of the surrounding noise which is especially im…
Applying machine learning technologies, especially deep learning, into medical image segmentation is being widely studied because of its state-of-the-art performance and results. It can be a key step to provide a reliable basis for clinical diagnosis, such as 3D reconstruction of human tissues, image-guided interventions, image analyzing and visualization. In this review article, deep-learning-based methods for ultrasound image segmentation are categorized into six main groups according to their architectures and training at first. Secondly, for each group, several current representative algor…
University of Manitoba（曼尼托巴大学）；Adiyaman University（阿迪亚曼大学）
Color image segmentation is a crucial step in many computer vision and pattern recognition applications. This article introduces an adaptive and unsupervised clustering approach based on Voronoi regions, which can be applied to solve the color image segmentation problem. The proposed method performs region splitting and merging within Voronoi regions of the Dirichlet Tessellated image (also called a Voronoi diagram) , which improves the efficiency and the accuracy of the number of clusters and cluster centroids estimation process. Furthermore, the proposed method uses cluster centroid proximit…
Medical SAM Adapter: Adapting Segment Anything Model for Medical Image Segmentation
University of Oxford（牛津大学）；National University of Singapore（新加坡国立大学）；University of Alberta（阿尔伯塔大学）；A*STAR（新加坡科技研究局）；Carnegie Mellon University（卡内基梅隆大学）；Singapore Eye Research Institute（新加坡眼科研究所）；Mohamed bin Zayed University of Artificial Intelligence（穆罕默德·本·扎耶德人工智能大学）；University of Hongkong（香港大学）
本文提出Medical SAM Adapter（Med-SA），通过轻量适配技术将医学知识融入SAM，利用SD-Trans和HyP-Adpt适配2D模型至3D医学图像，在17个任务上以仅2%参数更新超越SOTA方法。
Université de Rouen Normandie（鲁昂诺曼底大学）；INSA Rouen（鲁昂应用科学学院）
Multi-modality is widely used in medical imaging, because it can provide multiinformation about a target (tumor, organ or tissue). Segmentation using multimodality consists of fusing multi-information to improve the segmentation. Recently, deep learning-based approaches have presented the state-of-the-art performance in image classification, segmentation, object detection and tracking tasks. Due to their self-learning and generalization ability over large amounts of data, deep learning recently has also gained great interest in multi-modal medical image segmentation. In this paper, we give an …
Université de technologie de Compiègne（贡比涅技术大学）；University of Rouen Normandy（诺曼底鲁昂大学）；Institut universitaire de France（法国大学研究院）
The investigation of uncertainty is of major importance in risk-critical applications, such as medical image segmentation. Belief function theory, a formal framework for uncertainty analysis and multiple evidence fusion, has made significant contributions to medical image segmentation, especially since the development of deep learning. In this paper, we provide an introduction to the topic of medical image segmentation methods using belief function theory. We classify the methods according to the fusion step and explain how information with uncertainty or imprecision is modeled and fused with …
SEG-SAM: Semantic-Guided SAM for Unified Medical Image Segmentation
School of Electronic and Information Engineering, South China University of Technology（华南理工大学电子与信息工程学院）；Pazhou Lab（琶洲实验室）；College of Electronic and Information Engineering, Tongji University（同济大学电子与信息工程学院）
This paper proposes a Genetic Algorithm based segmentation method that can automatically segment gray-scale images. The proposed method mainly consists of spatial unsupervised grayscale image segmentation that divides an image into regions. The aim of this algorithm is to produce precise segmentation of images using intensity information along with neighborhood relationships. In this paper, Fuzzy Hopfield Neural Network (FHNN) clustering helps in generating the population of Genetic algorithm which there by automatically segments the image. This technique is a powerful method for image segment…
We propose a novel technique to incorporate attention within convolutional neural networks using feature maps generated by a separate convolutional autoencoder. Our attention architecture is well suited for incorporation with deep convolutional networks. We evaluate our model on benchmark segmentation datasets in skin cancer segmentation and lung lesion segmentation. Results show highly competitive performance when compared with U-Net and it's residual variant.
While significant attention has been recently focused on designing supervised deep semantic segmentation algorithms for vision tasks, there are many domains in which sufficient supervised pixel-level labels are difficult to obtain. In this paper, we revisit the problem of purely unsupervised image segmentation and propose a novel deep architecture for this problem. We borrow recent ideas from supervised semantic segmentation methods, in particular by concatenating two fully convolutional networks together into an autoencoder--one for encoding and one for decoding. The encoding layer produces a…
Pattern recognition is generally assumed as an interaction of two inversely directed image-processing streams: the bottom-up information details gathering and localization (segmentation) stream, and the top-down information features aggregation, association and interpretation (recognition) stream. Inspired by recent evidence from biological vision research and by the insights of Kolmogorov Complexity theory, we propose a new, just top-down evolving, procedure of initial image segmentation. We claim that traditional top-down cognitive reasoning, which is supposed to guide the segmentation proce…
Laboratoire Hubert Curien, Université Jean Monnet（让·莫奈大学于贝尔·居里实验室）
Recent advances in depth imaging sensors provide easy access to the synchronized depth with color, called RGB-D image. In this paper, we propose an unsupervised method for indoor RGB-D image segmentation and analysis. We consider a statistical image generation model based on the color and geometry of the scene. Our method consists of a joint color-spatial-directional clustering method followed by a statistical planar region merging method. We evaluate our method on the NYU depth database and compare it with existing unsupervised RGB-D segmentation methods. Results show that, it is comparable w…
In this paper, we propose an approach to the unsupervised segmentation of images using Markov Random Field. The proposed approach is based on the idea of Bit Plane Slicing. We use the planes as initial labellings for an ensemble of segmentations. With pixelwise voting, a robust segmentation approach can be achieved, which we demonstrate on microscope cell images. We tested our approach on a publicly available database, where it proven to be competitive with other methods and manual segmentation.
Illinois Institute of Technology（伊利诺伊理工学院）；University of Michigan（密歇根大学）
Recently, due to the increasing requirements of medical imaging applications and the professional requirements of annotating medical images, few-shot learning has gained increasing attention in the medical image semantic segmentation field. To perform segmentation with limited number of labeled medical images, most existing studies use Proto-typical Networks (PN) and have obtained compelling success. However, these approaches overlook the query image features extracted from the proposed representation network, failing to preserving the spatial connection between query and support images. In th…
