SWDL: Stratum-Wise Difference Learning with Deep Laplacian Pyramid for Semi-Supervised 3D Intracranial Hemorrhage Segmentation
School of Computer Science and Engineering, Southeast University（东南大学计算机科学与工程学院）；Research Center for Medical Artificial Intelligence, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences（中国科学院深圳先进技术研究院医学人工智能研究中心）；Beijing Tiantan Hospital, Capital Medical University（首都医科大学北京天坛医院）
Cheng Wang, Siqi Chen, Donghua Mi, Yang Chen, Yudong Zhang, Yinsheng Li
Recent advances in medical imaging have established deep learning-based segmentation as the predominant approach, though it typically requires large amounts of manually annotated data. However, obtaining annotations for intracranial hemorrhage (ICH) remains particularly challenging due to the tedious and costly labeling process. Semi-supervised learning (SSL) has emerged as a promising solution to address the scarcity of labeled data, especially in volumetric medical image segmentation. Unlike conventional SSL methods that primarily focus on high-confidence pseudo-labels or consistency regularization, we propose SWDL-Net, a novel SSL framework that exploits the complementary advantages of Laplacian pyramid and deep convolutional upsampling. The Laplacian pyramid excels at edge sharpening, while deep convolutions enhance detail precision through flexible feature mapping. Our framework achieves superior segmentation of lesion details and boundaries through a difference learning mechanism that effectively integrates these complementary approaches. Extensive experiments on a 271-case ICH dataset and public benchmarks demonstrate that SWDL-Net outperforms current state-of-the-art methods in scenarios with only 2% labeled data. Additional evaluations on the publicly available Brain Hemorrhage Segmentation Dataset (BHSD) with 5% labeled data further confirm the superiority of our approach. Code and data have been released at https://github.com/SIAT-CT-LAB/SWDL.
Automatic intracranial hemorrhage segmentation in 3D non-contrast head CT (NCCT) scans is significant in clinical practice. Existing hemorrhage segmentation methods usually ignores the anisotropic nature of the NCCT, and are evaluated on different in-house datasets with distinct metrics, making it highly challenging to improve segmentation performance and perform objective comparisons among different methods. The INSTANCE 2022 was a grand challenge held in conjunction with the 2022 International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI). It is intended t…
University of California Berkeley（加州大学伯克利分校）；University of California San Francisco School of Medicine（加州大学旧金山分校医学院）
This paper studies the problem of detecting and segmenting acute intracranial hemorrhage on head computed tomography (CT) scans. We propose to solve both tasks as a semantic segmentation problem using a patch-based fully convolutional network (PatchFCN). This formulation allows us to accurately localize hemorrhages while bypassing the complexity of object detection. Our system demonstrates competitive performance with a human expert and the state-of-the-art on classification tasks (0.976, 0.966 AUC of ROC on retrospective and prospective test sets) and on segmentation tasks (0.785 pixel AP, 0.…
Weakly Supervised Intracranial Hemorrhage Segmentation using Head-Wise Gradient-Infused Self-Attention Maps from a Swin Transformer in Categorical Learning
Intracranial hemorrhage segmentation challenge (INSTANCE 2022) offers a platform for researchers to compare their solutions to segmentation of hemorrhage stroke regions from 3D CTs. In this work, we describe our solution to INSTANCE 2022. We use a 2D segmentation network, SegResNet from MONAI, operating slice-wise without resampling. The final submission is an ensemble of 18 models. Our solution (team name NVAUTO) achieves the top place in terms of Dice metric (0.721), and overall rank 2. It is implemented with Auto3DSeg.
We propose a feature generator backbone composed of an ensemble of convolutional neuralnetworks (CNNs) to improve the recently emerging Vision Transformer (ViT) models. We tackled the RSNA intracranial hemorrhage classification problem, i.e., identifying various hemorrhage types from computed tomography (CT) slices. We show that by gradually stacking several feature maps extracted using multiple Xception CNNs, we can develop a feature-rich input for the ViT model. Our approach allowed the ViT model to pay attention to relevant features at multiple levels. Moreover, pretraining the n CNNs using…
Capital Medical University（首都医科大学）；China National Clinical Research Center for Neurological Diseases（国家神经系统疾病临床医学研究中心）；Tencent（腾讯）；Shandong Jining Medical College（山东济宁医学院）
Background: To develop an artificial intelligence system that can accurately identify acute non-traumatic intracranial hemorrhage (ICH) etiology based on non-contrast CT (NCCT) scans and investigate whether clinicians can benefit from it in a diagnostic setting. Materials and Methods: The deep learning model was developed with 1868 eligible NCCT scans with non-traumatic ICH collected between January 2011 and April 2018. We tested the model on two independent datasets (TT200 and SD 98) collected after April 2018. The model's diagnostic performance was compared with clinicians's performance. We …
Data augmentation can effectively resolve a scarcity of images when training machine-learning algorithms. It can make them more robust to unseen images. We present a lesion conditional Generative Adversarial Network LcGAN to generate synthetic Computed Tomography (CT) images for data augmentation. A lesion conditional image (segmented mask) is an input to both the generator and the discriminator of the LcGAN during training. The trained model generates contextual CT images based on input masks. We quantify the quality of the images by using a fully convolutional network (FCN) score and blurrin…
Florida Atlantic University（佛罗里达大西洋大学）；University of Technology（理工大学）；Babylon Health Directorate（巴比伦卫生局）
Traumatic brain injuries could cause intracranial hemorrhage (ICH). ICH could lead to disability or death if it is not accurately diagnosed and treated in a time-sensitive procedure. The current clinical protocol to diagnose ICH is examining Computerized Tomography (CT) scans by radiologists to detect ICH and localize its regions. However, this process relies heavily on the availability of an experienced radiologist. In this paper, we designed a study protocol to collect a dataset of 82 CT scans of subjects with traumatic brain injury. Later, the ICH regions were manually delineated in each sl…
Smooth Attention for Deep Multiple Instance Learning: Application to CT Intracranial Hemorrhage Detection
Northwestern University（西北大学）；University of Granada（格拉纳达大学）；Research Centre for Information and Communication Technologies (CITIC-UGR)（信息与通信技术研究中心（CITIC-UGR））
St. Michael’s Hospital（圣迈克尔医院）；University of Toronto（多伦多大学）
Machine learning (ML) holds great promise in transforming healthcare. While published studies have shown the utility of ML models in interpreting medical imaging examinations, these are often evaluated under laboratory settings. The importance of real world evaluation is best illustrated by case studies that have documented successes and failures in the translation of these models into clinical environments. A key prerequisite for the clinical adoption of these technologies is demonstrating generalizable ML model performance under real world circumstances. The purpose of this study was to demo…
Vision Transformer for Intracranial Hemorrhage Classification in CT Scans Using an Entropy-Aware Fuzzy Integral Strategy for Adaptive Scan-Level Decision Fusion
School of Electrical and Computer Engineering, College of Engineering, University of Tehran（塔里斯坦大学电气与计算机工程学院）；Department of Computer Science and Engineering, Sejong University（世宗大学计算机科学与工程系）
deepc GmbH（deepc有限公司）；Technische Universität München（慕尼黑工业大学）
High-quality labeled data is essential to successfully train supervised machine learning models. Although a large amount of unlabeled data is present in the medical domain, labeling poses a major challenge: medical professionals who can expertly label the data are a scarce and expensive resource. Making matters worse, voxel-wise delineation of data (e.g. for segmentation tasks) is tedious and suffers from high inter-rater variance, thus dramatically limiting available training data. We propose a recursive training strategy to perform the task of semantic segmentation given only very few traini…
Multi-task Learning Approach for Intracranial Hemorrhage Prognosis
Advanced Computing and e-Science Group, Institute of Physics of Cantabria (IFCA), CSIC - UC（先进计算与电子科学组，坎塔布里亚物理研究所（IFCA），CSIC-UC）；AI Technology for Life, Department of Computing and Information Sciences, Utrecht University（人工智能技术与生命，计算与信息科学系，乌得勒支大学）；Department of Radiology, The Netherlands Cancer Institute（放射科，荷兰癌症研究所）；Servicio de Radiología, Hospital Reina Sofía（放射科，雷娜·索菲亚医院）；Servicio de Radiología, Hospital Universitario Rey Juan Carlos（放射科，雷昂·卡洛斯大学医院）；Departamento de Tecnologías de La Información, Universidad CEU San Pablo（信息技术部，CEU桑帕布洛大学）
Intracranial hemorrhages (ICHs) are life-threatening brain injures with a relatively high incidence. In this paper, the automatic algorithm for the detection and classification of ICHs, including localization, is present. The set of binary convolutional neural network-based classifiers with a designed cascade-parallel architecture is used. This automatic system may lead to a distinct decrease in the diagnostic process's duration in acute cases. An average Jaccard coefficient of 53.7 % is achieved on the data from the publicly available head CT dataset CQ500.
We propose Artificial Intelligence Prospective Randomized Observer Blinding Evaluation (AI-PROBE) for quantitative clinical performance evaluation of radiology AI systems within prospective randomized clinical trials. AI-PROBE encompasses a study design and a matching radiology IT infrastructure that randomly blinds radiologists for results provided by AI-based image analysis. To demonstrate the applicability of our evaluation framework, we present a first prospective randomized clinical trial on the effect of Intra-Cranial Hemorrhage (ICH) detection in emergent care head CT on radiology study…
Union Strong Technology Beijing Co.（北京联强科技公司）；The University of Virginia（弗吉尼亚大学）；Beijing Tiantan hospital（北京天坛医院）
Intracranial aneurysm (IA) is a life-threatening blood spot in human's brain if it ruptures and causes cerebral hemorrhage. It is challenging to detect whether an IA has ruptured from medical images. In this paper, we propose a novel graph based neural network named GraphNet to detect IA rupture from 3D surface data. GraphNet is based on graph convolution network (GCN) and is designed for graph-level classification and node-level segmentation. The network uses GCN blocks to extract surface local features and pools to global features. 1250 patient data including 385 ruptured and 865 unruptured …
Sberbank AI Lab（俄罗斯联邦储蓄银行人工智能实验室）；New York University（纽约大学）
Segmentation of ischemic stroke and intracranial hemorrhage on computed tomography is essential for investigation and treatment of stroke. In this paper, we modified the U-Net CNN architecture for the stroke identification problem using non-contrast CT. We applied the proposed DL model to historical patient data and also conducted clinical experiments involving ten experienced radiologists. Our model achieved strong results on historical data, and significantly outperformed seven radiologist out of ten, while being on par with the remaining three.
Quantitative susceptibility mapping (QSM) is a valuable MRI post-processing technique that quantifies the magnetic susceptibility of body tissue from phase data. However, the traditional QSM reconstruction pipeline involves multiple non-trivial steps, including phase unwrapping, background field removal, and dipole inversion. These intermediate steps not only increase the reconstruction time but amplify noise and errors. This study develops a large-stencil Laplacian preprocessed deep learning-based neural network for near instant quantitative field and susceptibility mapping (i.e., iQFM and iQ…
SynVA: A Modular Toolkit for Vessel Generation and Aneurysm Editing
Visual Computing and Artificial Intelligence, Kiel University, Germany（视觉计算与人工智能研究所，基尔大学，德国）；Institute for Medical Informatics and Statistics, Kiel University, Germany（医学信息学与统计研究所，基尔大学，德国）；Clinic for Neuroradiology, Medical Faculty, Magdeburg University, Germany（神经放射科，马格德堡大学医学学院，德国）；Department of Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Germany（放射学与神经放射学部门，石勒苏益格-荷尔斯泰因大学医院，德国）；Faculty of Mathematics and Computer Science, Adam Mickiewicz University, Poland（数学与计算机科学学院，亚当·密茨凯维奇大学，波兰）
Research Institute for Signals, Systems and Computational Intelligence, sinc(i), CONICET, FICH-UNL（信号、系统与计算智能研究所 (sinc(i))，国家科学与技术研究理事会 (CONICET)，卢汉国立大学工程学院 (FICH-UNL)）；University of Cambridge（剑桥大学）；Imperial College London（帝国理工学院）
Decompressive craniectomy (DC) is a common surgical procedure consisting of the removal of a portion of the skull that is performed after incidents such as stroke, traumatic brain injury (TBI) or other events that could result in acute subdural hemorrhage and/or increasing intracranial pressure. In these cases, CT scans are obtained to diagnose and assess injuries, or guide a certain therapy and intervention. We propose a deep learning based method to reconstruct the skull defect removed during DC performed after TBI from post-operative CT images. This reconstruction is useful in multiple scen…
ETH Zurich（苏黎世联邦理工学院）；Max Planck Institute for Intelligent Systems（马克斯·普朗克智能系统研究所）；University Hospital of Tübingen（蒂宾根大学医院）；Kantonsspital Winterthur（温特图尔州立医院）；GlaxoSmithKline（葛兰素史克）
Privacy concerns around sharing personally identifiable information are a major practical barrier to data sharing in medical research. However, in many cases, researchers have no interest in a particular individual's information but rather aim to derive insights at the level of cohorts. Here, we utilize Generative Adversarial Networks (GANs) to create derived medical imaging datasets consisting entirely of synthetic patient data. The synthetic images ideally have, in aggregate, similar statistical properties to those of a source dataset but do not contain sensitive personal information. We ass…
