Synthesized medical images have several important applications, e.g., as an intermedium in cross-modality image registration and as supplementary training samples to boost the generalization capability of a classifier. Especially, synthesized computed tomography (CT) data can provide X-ray attenuation map for radiation therapy planning. In this work, we propose a generic cross-modality synthesis approach with the following targets: 1) synthesizing realistic looking 3D images using unpaired training data, 2) ensuring consistent anatomical structures, which could be changed by geometric distortion in cross-modality synthesis and 3) improving volume segmentation by using synthetic data for modalities with limited training samples. We show that these goals can be achieved with an end-to-end 3D convolutional neural network (CNN) composed of mutually-beneficial generators and segmentors for image synthesis and segmentation tasks. The generators are trained with an adversarial loss, a cycle-consistency loss, and also a shape-consistency loss, which is supervised by segmentors, to reduce the geometric distortion. From the segmentation view, the segmentors are boosted by synthetic data from generators in an online manner. Generators and segmentors prompt each other alternatively in an end-to-end training fashion. With extensive experiments on a dataset including a total of 4,496 CT and magnetic resonance imaging (MRI) cardiovascular volumes, we show both tasks are beneficial to each other and coupling these two tasks results in better performance than solving them exclusively.
Synthesizing medical data to overcome insufficient labeled data attracted wide interests recently @cite_2 @cite_6 @cite_21 . Due to the diversity of medical modalities, learning an unsupervised translation between modalities is a promising direction @cite_28 . @cite_3 demonstrates the benefits on brain (MRI and CT) images, by using synthetic data as augmented training data to help lesion segmentation.
@cite_28 @cite_21 @cite_3 @cite_6 @cite_2
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Synthesized medical images have several important applications, e.g., as an intermedium in cross-modality image registration and as supplementary training samples to boost the generalization capability of a classifier. Especially, synthesized computed tomography (CT) data can provide X-ray attenuation map for radiation therapy planning. In this work, we propose a generic cross-modality synthesis approach with the following targets: 1) synthesizing realistic looking 3D images using unpaired training data, 2) ensuring consistent anatomical structures, which could be changed by geometric distortion in cross-modality synthesis and 3) improving volume segmentation by using synthetic data for modalities with limited training samples. We show that these goals can be achieved with an end-to-end 3D convolutional neural network (CNN) composed of mutually-beneficial generators and segmentors for image synthesis and segmentation tasks. The generators are trained with an adversarial loss, a cycle-consistency loss, and also a shape-consistency loss, which is supervised by segmentors, to reduce the geometric distortion. From the segmentation view, the segmentors are boosted by synthetic data from generators in an online manner. Generators and segmentors prompt each other alternatively in an end-to-end training fashion. With extensive experiments on a dataset including a total of 4,496 CT and magnetic resonance imaging (MRI) cardiovascular volumes, we show both tasks are beneficial to each other and coupling these two tasks results in better performance than solving them exclusively. Availability of multi-modal magnetic resonance imaging (MRI) databases opens up the opportunity to synthesize different MRI contrasts without actually acquiring the images. In theory such synthetic images have the potential to reduce the amount of acquisitions to perform certain analyses. However, to what extent they can substitute real acquisitions in the respective analyses is an open question. In this study, we used a synthesis method based on patch matching to test whether synthetic images can be useful in segmentation and inter-modality cross-subject registration of brain MRI. Thirty-nine T1 scans with 36 manually labeled structures of interest were used in the registration and segmentation of eight proton density (PD) scans, for which ground truth T1 data were also available. The results show that synthesized T1 contrast can considerably enhance the quality of non-linear registration compared with using the original PD data, and it is only marginally worse than using the original T1 scans. In segmentation, the relative improvement with respect to using the PD is smaller, but still statistically significant. Recently, cross-modal synthesis of subject-specific scans has been receiving significant attention from the medical imaging community. Though various synthesis approaches have been introduced in the recent past, most of them are either tailored to a specific application or proposed for the supervised setting, i.e., they assume the availability of training data from the same set of subjects in both source and target modalities. But, collecting multiple scans from each subject is undesirable. Hence, to address this issue, we propose a general unsupervised cross-modal medical image synthesis approach that works without paired training data. Given a source modality image of a subject, we first generate multiple target modality candidate values for each voxel independently using cross-modal nearest neighbor search. Then, we select the best candidate values jointly for all the voxels by simultaneously maximizing a global mutual information cost function and a local spatial consistency cost function. Finally, we use coupled sparse representation for further refinement of synthesized images. Our experiments on generating T1-MRI brain scans from T2-MRI and vice versa demonstrate that the synthesis capability of the proposed unsupervised approach is comparable to various state-of-the-art supervised approaches in the literature. Abstract Deep learning methods, and in particular convolutional neural networks (CNNs), have led to an enormous breakthrough in a wide range of computer vision tasks, primarily by using large-scale annotated datasets. However, obtaining such datasets in the medical domain remains a challenge. In this paper, we present methods for generating synthetic medical images using recently presented deep learning Generative Adversarial Networks (GANs). Furthermore, we show that generated medical images can be used for synthetic data augmentation, and improve the performance of CNN for medical image classification. Our novel method is demonstrated on a limited dataset of computed tomography (CT) images of 182 liver lesions (53 cysts, 64 metastases and 65 hemangiomas). We first exploit GAN architectures for synthesizing high quality liver lesion ROIs. Then we present a novel scheme for liver lesion classification using CNN. Finally, we train the CNN using classic data augmentation and our synthetic data augmentation and compare performance. In addition, we explore the quality of our synthesized examples using visualization and expert assessment. The classification performance using only classic data augmentation yielded 78.6 sensitivity and 88.4 specificity. By adding the synthetic data augmentation the results increased to 85.7 sensitivity and 92.4 specificity. We believe that this approach to synthetic data augmentation can generalize to other medical classification applications and thus support radiologists’ efforts to improve diagnosis.