arXiv subjects

Lie Ju

Publications and source records attributed to Lie Ju.

34 records · Page 2Linked to original sources

arXiv2024

Prompt-driven Latent Domain Generalization for Medical Image Classification

Deep learning models for medical image analysis easily suffer from distribution shifts caused by dataset artifacts bias, camera variations, differences in the imaging station, etc., leading to unreliable diagnoses in real-world clinical settings. Domain generalization (DG) methods, which aim to train models on multiple domains to perform well on unseen domains, offer a promising direction to solve the problem. However, existing DG methods assume domain labels of each image are available and accurate, which is typically feasible for only a limited number of medical datasets. To address these challenges, we propose a novel DG framework for medical image classification without relying on domain labels, called Prompt-driven Latent Domain Generalization (PLDG). PLDG consists of unsupervised domain discovery and prompt learning. This framework first discovers pseudo domain labels by clustering the bias-associated style features, then leverages collaborative domain prompts to guide a Vision Transformer to learn knowledge from discovered diverse domains. To facilitate cross-domain knowledge learning between different prompts, we introduce a domain prompt generator that enables knowledge sharing between domain prompts and a shared prompt. A domain mixup strategy is additionally employed for more flexible decision margins and mitigates the risk of incorrect domain assignments. Extensive experiments on three medical image classification tasks and one debiasing task demonstrate that our method can achieve comparable or even superior performance than conventional DG algorithms without relying on domain labels. Our code will be publicly available upon the paper is accepted.

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arXiv2023

NurViD: A Large Expert-Level Video Database for Nursing Procedure Activity Understanding

The application of deep learning to nursing procedure activity understanding has the potential to greatly enhance the quality and safety of nurse-patient interactions. By utilizing the technique, we can facilitate training and education, improve quality control, and enable operational compliance monitoring. However, the development of automatic recognition systems in this field is currently hindered by the scarcity of appropriately labeled datasets. The existing video datasets pose several limitations: 1) these datasets are small-scale in size to support comprehensive investigations of nursing activity; 2) they primarily focus on single procedures, lacking expert-level annotations for various nursing procedures and action steps; and 3) they lack temporally localized annotations, which prevents the effective localization of targeted actions within longer video sequences. To mitigate these limitations, we propose NurViD, a large video dataset with expert-level annotation for nursing procedure activity understanding. NurViD consists of over 1.5k videos totaling 144 hours, making it approximately four times longer than the existing largest nursing activity datasets. Notably, it encompasses 51 distinct nursing procedures and 177 action steps, providing a much more comprehensive coverage compared to existing datasets that primarily focus on limited procedures. To evaluate the efficacy of current deep learning methods on nursing activity understanding, we establish three benchmarks on NurViD: procedure recognition on untrimmed videos, procedure and action recognition on trimmed videos, and action detection. Our benchmark and code will be available at \url{https://github.com/minghu0830/NurViD-benchmark}.

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arXiv2023

Towards Novel Class Discovery: A Study in Novel Skin Lesions Clustering

Existing deep learning models have achieved promising performance in recognizing skin diseases from dermoscopic images. However, these models can only recognize samples from predefined categories, when they are deployed in the clinic, data from new unknown categories are constantly emerging. Therefore, it is crucial to automatically discover and identify new semantic categories from new data. In this paper, we propose a new novel class discovery framework for automatically discovering new semantic classes from dermoscopy image datasets based on the knowledge of known classes. Specifically, we first use contrastive learning to learn a robust and unbiased feature representation based on all data from known and unknown categories. We then propose an uncertainty-aware multi-view cross pseudo-supervision strategy, which is trained jointly on all categories of data using pseudo labels generated by a self-labeling strategy. Finally, we further refine the pseudo label by aggregating neighborhood information through local sample similarity to improve the clustering performance of the model for unknown categories. We conducted extensive experiments on the dermatology dataset ISIC 2019, and the experimental results show that our approach can effectively leverage knowledge from known categories to discover new semantic categories. We also further validated the effectiveness of the different modules through extensive ablation experiments. Our code will be released soon.

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arXiv2023

EPVT: Environment-aware Prompt Vision Transformer for Domain Generalization in Skin Lesion Recognition

Skin lesion recognition using deep learning has made remarkable progress, and there is an increasing need for deploying these systems in real-world scenarios. However, recent research has revealed that deep neural networks for skin lesion recognition may overly depend on disease-irrelevant image artifacts (i.e., dark corners, dense hairs), leading to poor generalization in unseen environments. To address this issue, we propose a novel domain generalization method called EPVT, which involves embedding prompts into the vision transformer to collaboratively learn knowledge from diverse domains. Concretely, EPVT leverages a set of domain prompts, each of which plays as a domain expert, to capture domain-specific knowledge; and a shared prompt for general knowledge over the entire dataset. To facilitate knowledge sharing and the interaction of different prompts, we introduce a domain prompt generator that enables low-rank multiplicative updates between domain prompts and the shared prompt. A domain mixup strategy is additionally devised to reduce the co-occurring artifacts in each domain, which allows for more flexible decision margins and mitigates the issue of incorrectly assigned domain labels. Experiments on four out-of-distribution datasets and six different biased ISIC datasets demonstrate the superior generalization ability of EPVT in skin lesion recognition across various environments. Code is avaliable at https://github.com/SiyuanYan1/EPVT.

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arXiv2023

Hierarchical Knowledge Guided Learning for Real-world Retinal Diseases Recognition

In the real world, medical datasets often exhibit a long-tailed data distribution (i.e., a few classes occupy the majority of the data, while most classes have only a limited number of samples), which results in a challenging long-tailed learning scenario. Some recently published datasets in ophthalmology AI consist of more than 40 kinds of retinal diseases with complex abnormalities and variable morbidity. Nevertheless, more than 30 conditions are rarely seen in global patient cohorts. From a modeling perspective, most deep learning models trained on these datasets may lack the ability to generalize to rare diseases where only a few available samples are presented for training. In addition, there may be more than one disease for the presence of the retina, resulting in a challenging label co-occurrence scenario, also known as \textit{multi-label}, which can cause problems when some re-sampling strategies are applied during training. To address the above two major challenges, this paper presents a novel method that enables the deep neural network to learn from a long-tailed fundus database for various retinal disease recognition. Firstly, we exploit the prior knowledge in ophthalmology to improve the feature representation using a hierarchy-aware pre-training. Secondly, we adopt an instance-wise class-balanced sampling strategy to address the label co-occurrence issue under the long-tailed medical dataset scenario. Thirdly, we introduce a novel hybrid knowledge distillation to train a less biased representation and classifier. We conducted extensive experiments on four databases, including two public datasets and two in-house databases with more than one million fundus images. The experimental results demonstrate the superiority of our proposed methods with recognition accuracy outperforming the state-of-the-art competitors, especially for these rare diseases.

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arXiv2022

3D Matting: A Benchmark Study on Soft Segmentation Method for Pulmonary Nodules Applied in Computed Tomography

Usually, lesions are not isolated but are associated with the surrounding tissues. For example, the growth of a tumour can depend on or infiltrate into the surrounding tissues. Due to the pathological nature of the lesions, it is challenging to distinguish their boundaries in medical imaging. However, these uncertain regions may contain diagnostic information. Therefore, the simple binarization of lesions by traditional binary segmentation can result in the loss of diagnostic information. In this work, we introduce the image matting into the 3D scenes and use the alpha matte, i.e., a soft mask, to describe lesions in a 3D medical image. The traditional soft mask acted as a training trick to compensate for the easily mislabelled or under-labelled ambiguous regions. In contrast, 3D matting uses soft segmentation to characterize the uncertain regions more finely, which means that it retains more structural information for subsequent diagnosis and treatment. The current study of image matting methods in 3D is limited. To address this issue, we conduct a comprehensive study of 3D matting, including both traditional and deep-learning-based methods. We adapt four state-of-the-art 2D image matting algorithms to 3D scenes and further customize the methods for CT images to calibrate the alpha matte with the radiodensity. Moreover, we propose the first end-to-end deep 3D matting network and implement a solid 3D medical image matting benchmark. Its efficient counterparts are also proposed to achieve a good performance-computation balance. Furthermore, there is no high-quality annotated dataset related to 3D matting, slowing down the development of data-driven deep-learning-based methods. To address this issue, we construct the first 3D medical matting dataset. The validity of the dataset was verified through clinicians' assessments and downstream experiments.

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arXiv2022

3D Matting: A Soft Segmentation Method Applied in Computed Tomography

Three-dimensional (3D) images, such as CT, MRI, and PET, are common in medical imaging applications and important in clinical diagnosis. Semantic ambiguity is a typical feature of many medical image labels. It can be caused by many factors, such as the imaging properties, pathological anatomy, and the weak representation of the binary masks, which brings challenges to accurate 3D segmentation. In 2D medical images, using soft masks instead of binary masks generated by image matting to characterize lesions can provide rich semantic information, describe the structural characteristics of lesions more comprehensively, and thus benefit the subsequent diagnoses and analyses. In this work, we introduce image matting into the 3D scenes to describe the lesions in 3D medical images. The study of image matting in 3D modality is limited, and there is no high-quality annotated dataset related to 3D matting, therefore slowing down the development of data-driven deep-learning-based methods. To address this issue, we constructed the first 3D medical matting dataset and convincingly verified the validity of the dataset through quality control and downstream experiments in lung nodules classification. We then adapt the four selected state-of-the-art 2D image matting algorithms to 3D scenes and further customize the methods for CT images. Also, we propose the first end-to-end deep 3D matting network and implement a solid 3D medical image matting benchmark, which will be released to encourage further research.

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arXiv2022

Skin Lesion Recognition with Class-Hierarchy Regularized Hyperbolic Embeddings

In practice, many medical datasets have an underlying taxonomy defined over the disease label space. However, existing classification algorithms for medical diagnoses often assume semantically independent labels. In this study, we aim to leverage class hierarchy with deep learning algorithms for more accurate and reliable skin lesion recognition. We propose a hyperbolic network to learn image embeddings and class prototypes jointly. The hyperbola provably provides a space for modeling hierarchical relations better than Euclidean geometry. Meanwhile, we restrict the distribution of hyperbolic prototypes with a distance matrix that is encoded from the class hierarchy. Accordingly, the learned prototypes preserve the semantic class relations in the embedding space and we can predict the label of an image by assigning its feature to the nearest hyperbolic class prototype. We use an in-house skin lesion dataset which consists of around 230k dermoscopic images on 65 skin diseases to verify our method. Extensive experiments provide evidence that our model can achieve higher accuracy with less severe classification errors than models without considering class relations.

cs.CV↗

arXiv2022

Unsupervised Domain Adaptive Fundus Image Segmentation with Category-level Regularization

Existing unsupervised domain adaptation methods based on adversarial learning have achieved good performance in several medical imaging tasks. However, these methods focus only on global distribution adaptation and ignore distribution constraints at the category level, which would lead to sub-optimal adaptation performance. This paper presents an unsupervised domain adaptation framework based on category-level regularization that regularizes the category distribution from three perspectives. Specifically, for inter-domain category regularization, an adaptive prototype alignment module is proposed to align feature prototypes of the same category in the source and target domains. In addition, for intra-domain category regularization, we tailored a regularization technique for the source and target domains, respectively. In the source domain, a prototype-guided discriminative loss is proposed to learn more discriminative feature representations by enforcing intra-class compactness and inter-class separability, and as a complement to traditional supervised loss. In the target domain, an augmented consistency category regularization loss is proposed to force the model to produce consistent predictions for augmented/unaugmented target images, which encourages semantically similar regions to be given the same label. Extensive experiments on two publicly fundus datasets show that the proposed approach significantly outperforms other state-of-the-art comparison algorithms.

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arXiv2022

Medical Matting: A New Perspective on Medical Segmentation with Uncertainty

It is difficult to accurately label ambiguous and complex shaped targets manually by binary masks. The weakness of binary mask under-expression is highlighted in medical image segmentation, where blurring is prevalent. In the case of multiple annotations, reaching a consensus for clinicians by binary masks is more challenging. Moreover, these uncertain areas are related to the lesions' structure and may contain anatomical information beneficial to diagnosis. However, current studies on uncertainty mainly focus on the uncertainty in model training and data labels. None of them investigate the influence of the ambiguous nature of the lesion itself.Inspired by image matting, this paper introduces alpha matte as a soft mask to represent uncertain areas in medical scenes and accordingly puts forward a new uncertainty quantification method to fill the gap of uncertainty research for lesion structure. In this work, we introduce a new architecture to generate binary masks and alpha mattes in a multitasking framework, which outperforms all state-of-the-art matting algorithms compared. The proposed uncertainty map is able to highlight the ambiguous regions and a novel multitasking loss weighting strategy we presented can improve performance further and demonstrate their concrete benefits. To fully-evaluate the effectiveness of our proposed method, we first labelled three medical datasets with alpha matte to address the shortage of available matting datasets in medical scenes and prove the alpha matte to be a more efficient labeling method than a binary mask from both qualitative and quantitative aspects.

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arXiv2021

Unsupervised Domain Adaptation for Retinal Vessel Segmentation with Adversarial Learning and Transfer Normalization

Retinal vessel segmentation plays a key role in computer-aided screening, diagnosis, and treatment of various cardiovascular and ophthalmic diseases. Recently, deep learning-based retinal vessel segmentation algorithms have achieved remarkable performance. However, due to the domain shift problem, the performance of these algorithms often degrades when they are applied to new data that is different from the training data. Manually labeling new data for each test domain is often a time-consuming and laborious task. In this work, we explore unsupervised domain adaptation in retinal vessel segmentation by using entropy-based adversarial learning and transfer normalization layer to train a segmentation network, which generalizes well across domains and requires no annotation of the target domain. Specifically, first, an entropy-based adversarial learning strategy is developed to reduce the distribution discrepancy between the source and target domains while also achieving the objective of entropy minimization on the target domain. In addition, a new transfer normalization layer is proposed to further boost the transferability of the deep network. It normalizes the features of each domain separately to compensate for the domain distribution gap. Besides, it also adaptively selects those feature channels that are more transferable between domains, thus further enhancing the generalization performance of the network. We conducted extensive experiments on three regular fundus image datasets and an ultra-widefield fundus image dataset, and the results show that our approach yields significant performance gains compared to other state-of-the-art methods.

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arXiv2021

Relational Subsets Knowledge Distillation for Long-tailed Retinal Diseases Recognition

In the real world, medical datasets often exhibit a long-tailed data distribution (i.e., a few classes occupy most of the data, while most classes have rarely few samples), which results in a challenging imbalance learning scenario. For example, there are estimated more than 40 different kinds of retinal diseases with variable morbidity, however with more than 30+ conditions are very rare from the global patient cohorts, which results in a typical long-tailed learning problem for deep learning-based screening models. In this study, we propose class subset learning by dividing the long-tailed data into multiple class subsets according to prior knowledge, such as regions and phenotype information. It enforces the model to focus on learning the subset-specific knowledge. More specifically, there are some relational classes that reside in the fixed retinal regions, or some common pathological features are observed in both the majority and minority conditions. With those subsets learnt teacher models, then we are able to distill the multiple teacher models into a unified model with weighted knowledge distillation loss. The proposed framework proved to be effective for the long-tailed retinal diseases recognition task. The experimental results on two different datasets demonstrate that our method is flexible and can be easily plugged into many other state-of-the-art techniques with significant improvements.

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arXiv2021

Improving Medical Image Classification with Label Noise Using Dual-uncertainty Estimation

Deep neural networks are known to be data-driven and label noise can have a marked impact on model performance. Recent studies have shown great robustness to classic image recognition even under a high noisy rate. In medical applications, learning from datasets with label noise is more challenging since medical imaging datasets tend to have asymmetric (class-dependent) noise and suffer from high observer variability. In this paper, we systematically discuss and define the two common types of label noise in medical images - disagreement label noise from inconsistency expert opinions and single-target label noise from wrong diagnosis record. We then propose an uncertainty estimation-based framework to handle these two label noise amid the medical image classification task. We design a dual-uncertainty estimation approach to measure the disagreement label noise and single-target label noise via Direct Uncertainty Prediction and Monte-Carlo-Dropout. A boosting-based curriculum training procedure is later introduced for robust learning. We demonstrate the effectiveness of our method by conducting extensive experiments on three different diseases: skin lesions, prostate cancer, and retinal diseases. We also release a large re-engineered database that consists of annotations from more than ten ophthalmologists with an unbiased golden standard dataset for evaluation and benchmarking.

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arXiv2021

Leveraging Regular Fundus Images for Training UWF Fundus Diagnosis Models via Adversarial Learning and Pseudo-Labeling

Recently, ultra-widefield (UWF) 200\degree~fundus imaging by Optos cameras has gradually been introduced because of its broader insights for detecting more information on the fundus than regular 30 degree - 60 degree fundus cameras. Compared with UWF fundus images, regular fundus images contain a large amount of high-quality and well-annotated data. Due to the domain gap, models trained by regular fundus images to recognize UWF fundus images perform poorly. Hence, given that annotating medical data is labor intensive and time consuming, in this paper, we explore how to leverage regular fundus images to improve the limited UWF fundus data and annotations for more efficient training. We propose the use of a modified cycle generative adversarial network (CycleGAN) model to bridge the gap between regular and UWF fundus and generate additional UWF fundus images for training. A consistency regularization term is proposed in the loss of the GAN to improve and regulate the quality of the generated data. Our method does not require that images from the two domains be paired or even that the semantic labels be the same, which provides great convenience for data collection. Furthermore, we show that our method is robust to noise and errors introduced by the generated unlabeled data with the pseudo-labeling technique. We evaluated the effectiveness of our methods on several common fundus diseases and tasks, such as diabetic retinopathy (DR) classification, lesion detection and tessellated fundus segmentation. The experimental results demonstrate that our proposed method simultaneously achieves superior generalizability of the learned representations and performance improvements in multiple tasks.

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arXiv2021

Synergic Adversarial Label Learning for Grading Retinal Diseases via Knowledge Distillation and Multi-task Learning

The need for comprehensive and automated screening methods for retinal image classification has long been recognized. Well-qualified doctors annotated images are very expensive and only a limited amount of data is available for various retinal diseases such as age-related macular degeneration (AMD) and diabetic retinopathy (DR). Some studies show that AMD and DR share some common features like hemorrhagic points and exudation but most classification algorithms only train those disease models independently. Inspired by knowledge distillation where additional monitoring signals from various sources is beneficial to train a robust model with much fewer data. We propose a method called synergic adversarial label learning (SALL) which leverages relevant retinal disease labels in both semantic and feature space as additional signals and train the model in a collaborative manner. Our experiments on DR and AMD fundus image classification task demonstrate that the proposed method can significantly improve the accuracy of the model for grading diseases. In addition, we conduct additional experiments to show the effectiveness of SALL from the aspects of reliability and interpretability in the context of medical imaging application.

cs.CV↗

arXiv2020

Bridge the Domain Gap Between Ultra-wide-field and Traditional Fundus Images via Adversarial Domain Adaptation

For decades, advances in retinal imaging technology have enabled effective diagnosis and management of retinal disease using fundus cameras. Recently, ultra-wide-field (UWF) fundus imaging by Optos camera is gradually put into use because of its broader insights on fundus for some lesions that are not typically seen in traditional fundus images. Research on traditional fundus images is an active topic but studies on UWF fundus images are few. One of the most important reasons is that UWF fundus images are hard to obtain. In this paper, for the first time, we explore domain adaptation from the traditional fundus to UWF fundus images. We propose a flexible framework to bridge the domain gap between two domains and co-train a UWF fundus diagnosis model by pseudo-labelling and adversarial learning. We design a regularisation technique to regulate the domain adaptation. Also, we apply MixUp to overcome the over-fitting issue from incorrect generated pseudo-labels. Our experimental results on either single or both domains demonstrate that the proposed method can well adapt and transfer the knowledge from traditional fundus images to UWF fundus images and improve the performance of retinal disease recognition.

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