In general, deep learning based models require a tremendous amount of samples for appropriate training, which is difficult to satisfy in the medical field. This issue can usually be avoided with a proper initialization of the weights. On the task of medical image segmentation in general, two techniques are usually employed to tackle the training of a deep network @math . The first one consists in reusing some weights of a network @math pre-trained on a large scale database ( @math ImageNet). This procedure, also known as , happens to reduce the flexibility when it comes to new network design since @math is constrained to match some parts of @math . The second commonly used technique consists in working on image patches to benefit from the large number of available patches. This paper brings together these two techniques and propose to train arbitrarily designed networks, with a focus on relatively small databases, in two stages: patch pre-training and full sized image fine-tuning. An experimental work have been carried out on the tasks of retinal blood vessel segmentation and the optic disc one, using four publicly available databases. Furthermore, three types of network are considered, going from a very light weighted network to a densely connected one. The final results show the efficiency of the proposed framework along with state of the art results on all the databases.
On the task of optic disc segmentation, @cite_1 presented a multi-level FCNN with a patch-to-patch scheme which aggregates segmentations from different scales. The network is applied on patches centered on the optic disc. Therefore, an optic disc detection is required beforehand. proposed a patch-to-label network which classifies the central pixel of an input patch into four classes: blood vessel, optic disc, fovea, and background. Because of the lack of training data, most of the RIS models are patch-based. However, some propositions have been made using an image-to-image scheme based on weights transfer from the VGG network.
@cite_1
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Glaucoma is a chronic eye disease that leads to irreversible vision loss. The cup to disc ratio (CDR) plays an important role in the screening and diagnosis of glaucoma. Thus, the accurate and automatic segmentation of optic disc (OD) and optic cup (OC) from fundus images is a fundamental task. Most existing methods segment them separately, and rely on hand-crafted visual feature from fundus images. In this paper, we propose a deep learning architecture, named M-Net, which solves the OD and OC segmentation jointly in a one-stage multi-label system. The proposed M-Net mainly consists of multi-scale input layer, U-shape convolutional network, side-output layer, and multi-label loss function. The multi-scale input layer constructs an image pyramid to achieve multiple level receptive field sizes. The U-shape convolutional network is employed as the main body network structure to learn the rich hierarchical representation, while the side-output layer acts as an early classifier that produces a companion local prediction map for different scale layers. Finally, a multi-label loss function is proposed to generate the final segmentation map. For improving the segmentation performance further, we also introduce the polar transformation, which provides the representation of the original image in the polar coordinate system. The experiments show that our M-Net system achieves state-of-the-art OD and OC segmentation result on ORIGA data set. Simultaneously, the proposed method also obtains the satisfactory glaucoma screening performances with calculated CDR value on both ORIGA and SCES datasets. An efficient optic disk localization and segmentation are important tasks in an automated retinal image analysis system. General-purpose edge detection algorithms often fail to segment the optic disk due to fuzzy boundaries, inconsistent image contrast or missing edge features. This paper presents a method to automatically locate and boundary detect of the optic disk. The detection procedure comprises two independent methodologies. On one hand, a location methodology obtains a pixel that belongs to the OD using iterative thresholding method followed by Principal Component Analysis techniques (PCA) and, on the other hand, a boundary segmentation methodology estimates the OD boundary by applying region-based active contour model in a variational level set formulation (RSF). The method uses an improved geometric active contour model which can not only solve the boundary leakage problem but also is less sensitive to intensity inhomogeneity The results from the RSF method were compared with conventional optic disk detection using a geometric active contour models (ACM) and later verified with hand-drawn ground truth. Results indicate 89 accuracy for identification and 95.05 average accuracy in localizing the optic disc boundary. Fully convolutional networks (FCNs) are well known to provide state-of-the-art results in various medical image segmentation tasks. However, these models usually need a tremendous number of training samples to achieve good performances. Unfortunately, this requirement is often difficult to satisfy in the medical imaging field, due to the scarcity of labeled images. As a consequence, the common tricks for FCNs’ training go from data augmentation and transfer learning to patch-based segmentation. In the latter, the segmentation of an image involves patch extraction, patch segmentation, then patch aggregation. This paper presents a framework that takes advantage of all these tricks by starting with a patch-level segmentation which is then extended to the image level by transfer learning. The proposed framework follows two main steps. Given a image database ( D ), a first network ( N _P ) is designed and trained using patches extracted from ( D ). Then, ( N _P ) is used to pre-train a FCN ( N _I ) to be trained on the full sized images of ( D ). Experimental results are presented on the task of retinal blood vessel segmentation using the well known publicly available DRIVE database. Deep Convolutional Neural Networks (DCNNs) have recently shown state of the art performance in high level vision tasks, such as image classification and object detection. This work brings together methods from DCNNs and probabilistic graphical models for addressing the task of pixel-level classification (also called "semantic image segmentation"). We show that responses at the final layer of DCNNs are not sufficiently localized for accurate object segmentation. This is due to the very invariance properties that make DCNNs good for high level tasks. We overcome this poor localization property of deep networks by combining the responses at the final DCNN layer with a fully connected Conditional Random Field (CRF). Qualitatively, our "DeepLab" system is able to localize segment boundaries at a level of accuracy which is beyond previous methods. Quantitatively, our method sets the new state-of-art at the PASCAL VOC-2012 semantic image segmentation task, reaching 71.6 IOU accuracy in the test set. We show how these results can be obtained efficiently: Careful network re-purposing and a novel application of the 'hole' algorithm from the wavelet community allow dense computation of neural net responses at 8 frames per second on a modern GPU.