Chest X-ray (CXR) is one of the most commonly prescribed medical imaging procedures, often with over 2-10x more scans than other imaging modalities such as MRI, CT scan, and PET scans. These voluminous CXR scans place significant workloads on radiologists and medical practitioners. Organ segmentation is a crucial step to obtain effective computer-aided detection on CXR. In this work, we propose Structure Correcting Adversarial Network (SCAN) to segment lung fields and the heart in CXR images. SCAN incorporates a critic network to impose on the convolutional segmentation network the structural regularities emerging from human physiology. During training, the critic network learns to discriminate between the ground truth organ annotations from the masks synthesized by the segmentation network. Through this adversarial process the critic network learns the higher order structures and guides the segmentation model to achieve realistic segmentation outcomes. Extensive experiments show that our method produces highly accurate and natural segmentation. Using only very limited training data available, our model reaches human-level performance without relying on any existing trained model or dataset. Our method also generalizes well to CXR images from a different patient population and disease profiles, surpassing the current state-of-the-art.
We note that there is a growing body of recent works that apply neural networks end-to-end on CXR images @cite_8 @cite_9 . These models directly output clinical targets such as disease labels without well-defined intermediate outputs to aid interpretability. Furthermore, they generally require a large number of CXR images for training, which is not readily available for many clinical tasks involving CXR images.
@cite_9 @cite_8
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Despite the recent advances in automatically describing image contents, their applications have been mostly limited to image caption datasets containing natural images (e.g., Flickr 30k, MSCOCO). In this paper, we present a deep learning model to efficiently detect a disease from an image and annotate its contexts (e.g., location, severity and the affected organs). We employ a publicly available radiology dataset of chest x-rays and their reports, and use its image annotations to mine disease names to train convolutional neural networks (CNNs). In doing so, we adopt various regularization techniques to circumvent the large normal-vs-diseased cases bias. Recurrent neural networks (RNNs) are then trained to describe the contexts of a detected disease, based on the deep CNN features. Moreover, we introduce a novel approach to use the weights of the already trained pair of CNN RNN on the domain-specific image text dataset, to infer the joint image text contexts for composite image labeling. Significantly improved image annotation results are demonstrated using the recurrent neural cascade model by taking the joint image text contexts into account. Convolutional neural networks (CNNs) have been successfully used for fast and accurate estimation of dense correspondences between images in computer vision applications. However, much of their success is based on the availability of large training datasets with dense ground truth correspondences, which are only rarely available in medical applications. In this paper, we, therefore, address the problem of CNNs learning from few training data for medical image registration. Our contributions are threefold: (1) We present a novel approach for learning highly expressive appearance models from few training samples, (2) we show that this approach can be used to synthesize huge amounts of realistic ground truth training data for CNN-based medical image registration, and (3) we adapt the FlowNet architecture for CNN-based optical flow estimation to the medical image registration problem. This pipeline is applied to two medical data sets with less than 40 training images. We show that CNNs learned from the proposed generative model outperform those trained on random deformations or displacement fields estimated via classical image registration. Feedforward multilayer networks trained by supervised learning have recently demonstrated state of the art performance on image labeling problems such as boundary prediction and scene parsing. As even very low error rates can limit practical usage of such systems, methods that perform closer to human accuracy remain desirable. In this work, we propose a new type of network with the following properties that address what we hypothesize to be limiting aspects of existing methods: (1) a wide' structure with thousands of features, (2) a large field of view, (3) recursive iterations that exploit statistical dependencies in label space, and (4) a parallelizable architecture that can be trained in a fraction of the time compared to benchmark multilayer convolutional networks. For the specific image labeling problem of boundary prediction, we also introduce a novel example weighting algorithm that improves segmentation accuracy. Experiments in the challenging domain of connectomic reconstruction of neural circuity from 3d electron microscopy data show that these "Deep And Wide Multiscale Recursive" (DAWMR) networks lead to new levels of image labeling performance. The highest performing architecture has twelve layers, interwoven supervised and unsupervised stages, and uses an input field of view of 157,464 voxels ( @math ) to make a prediction at each image location. We present an associated open source software package that enables the simple and flexible creation of DAWMR networks. Deep convolutional neural networks (CNNs) have been shown to perform extremely well at a variety of tasks including subtasks of autonomous driving such as image segmentation and object classification. However, networks designed for these tasks typically require vast quantities of training data and long training periods to converge. We investigate the design rationale behind end-to-end driving network designs by proposing and comparing three small and computationally inexpensive deep end-to-end neural network models that generate driving control signals directly from input images. In contrast to prior work that segments the autonomous driving task, our models take on a novel approach to the autonomous driving problem by utilizing deep and thin Fully Convolutional Nets (FCNs) with recurrent neural nets and low parameter counts to tackle a complex end-to-end regression task predicting both steering and acceleration commands. In addition, we include layers optimized for classification to allow the networks to implicitly learn image semantics. We show that the resulting networks use 3x fewer parameters than the most recent comparable end-to-end driving network and 500x fewer parameters than the AlexNet variations and converge both faster and to lower losses while maintaining robustness against overfitting.