arXiv subjects

S. Kevin Zhou

Publications and source records attributed to S. Kevin Zhou.

At least 127 records · Page 7Linked to original sources

arXiv2022

Recovering medical images from CT film photos

While medical images such as computed tomography (CT) are stored in DICOM format in hospital PACS, it is still quite routine in many countries to print a film as a transferable medium for the purposes of self-storage and secondary consultation. Also, with the ubiquitousness of mobile phone cameras, it is quite common to take pictures of CT films, which unfortunately suffer from geometric deformation and illumination variation. In this work, we study the problem of recovering a CT film, which marks \textbf{the first attempt} in the literature, to the best of our knowledge. We start with building a large-scale head CT film database CTFilm20K, consisting of approximately 20,000 pictures, using the widely used computer graphics software Blender. We also record all accompanying information related to the geometric deformation (such as 3D coordinate, depth, normal, and UV maps) and illumination variation (such as albedo map). Then we propose a deep framework called \textbf{F}ilm \textbf{I}mage \textbf{Re}covery \textbf{Net}work (\textbf{FIReNet}) to tackle geometric deformation and illumination variation using the multiple maps extracted from the CT films to collaboratively guide the recovery process. Finally, we convert the dewarped images to DICOM files with our cascade model for further analysis such as radiomics feature extraction. Extensive experiments demonstrate the superiority of our approach over the previous approaches. We plan to open source the simulated images and deep models for promoting the research on CT film image analysis.

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arXiv2022

Undersampled MRI Reconstruction with Side Information-Guided Normalisation

Magnetic resonance (MR) images exhibit various contrasts and appearances based on factors such as different acquisition protocols, views, manufacturers, scanning parameters, etc. This generally accessible appearance-related side information affects deep learning-based undersampled magnetic resonance imaging (MRI) reconstruction frameworks, but has been overlooked in the majority of current works. In this paper, we investigate the use of such side information as normalisation parameters in a convolutional neural network (CNN) to improve undersampled MRI reconstruction. Specifically, a Side Information-Guided Normalisation (SIGN) module, containing only few layers, is proposed to efficiently encode the side information and output the normalisation parameters. We examine the effectiveness of such a module on two popular reconstruction architectures, D5C5 and OUCR. The experimental results on both brain and knee images under various acceleration rates demonstrate that the proposed method improves on its corresponding baseline architectures with a significant margin.

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arXiv2022

Rib Suppression in Digital Chest Tomosynthesis

Digital chest tomosynthesis (DCT) is a technique to produce sectional 3D images of a human chest for pulmonary disease screening, with 2D X-ray projections taken within an extremely limited range of angles. However, under the limited angle scenario, DCT contains strong artifacts caused by the presence of ribs, jamming the imaging quality of the lung area. Recently, great progress has been achieved for rib suppression in a single X-ray image, to reveal a clearer lung texture. We firstly extend the rib suppression problem to the 3D case at the software level. We propose a $\textbf{T}$omosynthesis $\textbf{RI}$b Su$\textbf{P}$pression and $\textbf{L}$ung $\textbf{E}$nhancement $\textbf{Net}$work (TRIPLE-Net) to model the 3D rib component and provide a rib-free DCT. TRIPLE-Net takes the advantages from both 2D and 3D domains, which model the ribs in DCT with the exact FBP procedure and 3D depth information, respectively. The experiments on simulated datasets and clinical data have shown the effectiveness of TRIPLE-Net to preserve lung details as well as improve the imaging quality of pulmonary diseases. Finally, an expert user study confirms our findings.

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arXiv2022

Medical Aegis: Robust adversarial protectors for medical images

Deep neural network based medical image systems are vulnerable to adversarial examples. Many defense mechanisms have been proposed in the literature, however, the existing defenses assume a passive attacker who knows little about the defense system and does not change the attack strategy according to the defense. Recent works have shown that a strong adaptive attack, where an attacker is assumed to have full knowledge about the defense system, can easily bypass the existing defenses. In this paper, we propose a novel adversarial example defense system called Medical Aegis. To the best of our knowledge, Medical Aegis is the first defense in the literature that successfully addresses the strong adaptive adversarial example attacks to medical images. Medical Aegis boasts two-tier protectors: The first tier of Cushion weakens the adversarial manipulation capability of an attack by removing its high-frequency components, yet posing a minimal effect on classification performance of the original image; the second tier of Shield learns a set of per-class DNN models to predict the logits of the protected model. Deviation from the Shield's prediction indicates adversarial examples. Shield is inspired by the observations in our stress tests that there exist robust trails in the shallow layers of a DNN model, which the adaptive attacks can hardly destruct. Experimental results show that the proposed defense accurately detects adaptive attacks, with negligible overhead for model inference.

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arXiv2022

Universal Segmentation of 33 Anatomies

In the paper, we present an approach for learning a single model that universally segments 33 anatomical structures, including vertebrae, pelvic bones, and abdominal organs. Our model building has to address the following challenges. Firstly, while it is ideal to learn such a model from a large-scale, fully-annotated dataset, it is practically hard to curate such a dataset. Thus, we resort to learn from a union of multiple datasets, with each dataset containing the images that are partially labeled. Secondly, along the line of partial labelling, we contribute an open-source, large-scale vertebra segmentation dataset for the benefit of spine analysis community, CTSpine1K, boasting over 1,000 3D volumes and over 11K annotated vertebrae. Thirdly, in a 3D medical image segmentation task, due to the limitation of GPU memory, we always train a model using cropped patches as inputs instead a whole 3D volume, which limits the amount of contextual information to be learned. To this, we propose a cross-patch transformer module to fuse more information in adjacent patches, which enlarges the aggregated receptive field for improved segmentation performance. This is especially important for segmenting, say, the elongated spine. Based on 7 partially labeled datasets that collectively contain about 2,800 3D volumes, we successfully learn such a universal model. Finally, we evaluate the universal model on multiple open-source datasets, proving that our model has a good generalization performance and can potentially serve as a solid foundation for downstream tasks.

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arXiv2022

Learning Incrementally to Segment Multiple Organs in a CT Image

There exists a large number of datasets for organ segmentation, which are partially annotated and sequentially constructed. A typical dataset is constructed at a certain time by curating medical images and annotating the organs of interest. In other words, new datasets with annotations of new organ categories are built over time. To unleash the potential behind these partially labeled, sequentially-constructed datasets, we propose to incrementally learn a multi-organ segmentation model. In each incremental learning (IL) stage, we lose the access to previous data and annotations, whose knowledge is assumingly captured by the current model, and gain the access to a new dataset with annotations of new organ categories, from which we learn to update the organ segmentation model to include the new organs. While IL is notorious for its `catastrophic forgetting' weakness in the context of natural image analysis, we experimentally discover that such a weakness mostly disappears for CT multi-organ segmentation. To further stabilize the model performance across the IL stages, we introduce a light memory module and some loss functions to restrain the representation of different categories in feature space, aggregating feature representation of the same class and separating feature representation of different classes. Extensive experiments on five open-sourced datasets are conducted to illustrate the effectiveness of our method.

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arXiv2022

MixCL: Pixel label matters to contrastive learning

Contrastive learning and self-supervised techniques have gained prevalence in computer vision for the past few years. It is essential for medical image analysis, which is often notorious for its lack of annotations. Most existing self-supervised methods applied in natural imaging tasks focus on designing proxy tasks for unlabeled data. For example, contrastive learning is often based on the fact that an image and its transformed version share the same identity. However, pixel annotations contain much valuable information for medical image segmentation, which is largely ignored in contrastive learning. In this work, we propose a novel pre-training framework called Mixed Contrastive Learning (MixCL) that leverages both image identities and pixel labels for better modeling by maintaining identity consistency, label consistency, and reconstruction consistency together. Consequently, thus pre-trained model has more robust representations that characterize medical images. Extensive experiments demonstrate the effectiveness of the proposed method, improving the baseline by 5.28% and 14.12% in Dice coefficient when 5% labeled data of Spleen and 15% of BTVC are used in fine-tuning, respectively.

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arXiv2021

DuDoTrans: Dual-Domain Transformer Provides More Attention for Sinogram Restoration in Sparse-View CT Reconstruction

While Computed Tomography (CT) reconstruction from X-ray sinograms is necessary for clinical diagnosis, iodine radiation in the imaging process induces irreversible injury, thereby driving researchers to study sparse-view CT reconstruction, that is, recovering a high-quality CT image from a sparse set of sinogram views. Iterative models are proposed to alleviate the appeared artifacts in sparse-view CT images, but the computation cost is too expensive. Then deep-learning-based methods have gained prevalence due to the excellent performances and lower computation. However, these methods ignore the mismatch between the CNN's \textbf{local} feature extraction capability and the sinogram's \textbf{global} characteristics. To overcome the problem, we propose \textbf{Du}al-\textbf{Do}main \textbf{Trans}former (\textbf{DuDoTrans}) to simultaneously restore informative sinograms via the long-range dependency modeling capability of Transformer and reconstruct CT image with both the enhanced and raw sinograms. With such a novel design, reconstruction performance on the NIH-AAPM dataset and COVID-19 dataset experimentally confirms the effectiveness and generalizability of DuDoTrans with fewer involved parameters. Extensive experiments also demonstrate its robustness with different noise-level scenarios for sparse-view CT reconstruction. The code and models are publicly available at https://github.com/DuDoTrans/CODE

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arXiv2021

Improving Generalizability in Limited-Angle CT Reconstruction with Sinogram Extrapolation

Computed tomography (CT) reconstruction from X-ray projections acquired within a limited angle range is challenging, especially when the angle range is extremely small. Both analytical and iterative models need more projections for effective modeling. Deep learning methods have gained prevalence due to their excellent reconstruction performances, but such success is mainly limited within the same dataset and does not generalize across datasets with different distributions. Hereby we propose ExtraPolationNetwork for limited-angle CT reconstruction via the introduction of a sinogram extrapolation module, which is theoretically justified. The module complements extra sinogram information and boots model generalizability. Extensive experimental results show that our reconstruction model achieves state-of-the-art performance on NIH-AAPM dataset, similar to existing approaches. More importantly, we show that using such a sinogram extrapolation module significantly improves the generalization capability of the model on unseen datasets (e.g., COVID-19 and LIDC datasets) when compared to existing approaches.

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arXiv2021

GAN-based disentanglement learning for chest X-ray rib suppression

Clinical evidence has shown that rib-suppressed chest X-rays (CXRs) can improve the reliability of pulmonary disease diagnosis. However, previous approaches on generating rib-suppressed CXR face challenges in preserving details and eliminating rib residues. We hereby propose a GAN-based disentanglement learning framework called Rib Suppression GAN, or RSGAN, to perform rib suppression by utilizing the anatomical knowledge embedded in unpaired computed tomography (CT) images. In this approach, we employ a residual map to characterize the intensity difference between CXR and the corresponding rib-suppressed result. To predict the residual map in CXR domain, we disentangle the image into structure- and contrast-specific features and transfer the rib structural priors from digitally reconstructed radiographs (DRRs) computed by CT. Furthermore, we employ additional adaptive loss to suppress rib residue and preserve more details. We conduct extensive experiments based on 1,673 CT volumes, and four benchmarking CXR datasets, totaling over 120K images, to demonstrate that (i) our proposed RSGAN achieves superior image quality compared to the state-of-the-art rib suppression methods; (ii) combining CXR with our rib-suppressed result leads to better performance in lung disease classification and tuberculosis area detection.

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arXiv2021

Combo Loss: Handling Input and Output Imbalance in Multi-Organ Segmentation

Simultaneous segmentation of multiple organs from different medical imaging modalities is a crucial task as it can be utilized for computer-aided diagnosis, computer-assisted surgery, and therapy planning. Thanks to the recent advances in deep learning, several deep neural networks for medical image segmentation have been introduced successfully for this purpose. In this paper, we focus on learning a deep multi-organ segmentation network that labels voxels. In particular, we examine the critical choice of a loss function in order to handle the notorious imbalance problem that plagues both the input and output of a learning model. The input imbalance refers to the class-imbalance in the input training samples (i.e., small foreground objects embedded in an abundance of background voxels, as well as organs of varying sizes). The output imbalance refers to the imbalance between the false positives and false negatives of the inference model. In order to tackle both types of imbalance during training and inference, we introduce a new curriculum learning based loss function. Specifically, we leverage Dice similarity coefficient to deter model parameters from being held at bad local minima and at the same time gradually learn better model parameters by penalizing for false positives/negatives using a cross entropy term. We evaluated the proposed loss function on three datasets: whole body positron emission tomography (PET) scans with 5 target organs, magnetic resonance imaging (MRI) prostate scans, and ultrasound echocardigraphy images with a single target organ i.e., left ventricular. We show that a simple network architecture with the proposed integrative loss function can outperform state-of-the-art methods and results of the competing methods can be improved when our proposed loss is used.

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arXiv2021

Shallow Feature Matters for Weakly Supervised Object Localization

Weakly supervised object localization (WSOL) aims to localize objects by only utilizing image-level labels. Class activation maps (CAMs) are the commonly used features to achieve WSOL. However, previous CAM-based methods did not take full advantage of the shallow features, despite their importance for WSOL. Because shallow features are easily buried in background noise through conventional fusion. In this paper, we propose a simple but effective Shallow feature-aware Pseudo supervised Object Localization (SPOL) model for accurate WSOL, which makes the utmost of low-level features embedded in shallow layers. In practice, our SPOL model first generates the CAMs through a novel element-wise multiplication of shallow and deep feature maps, which filters the background noise and generates sharper boundaries robustly. Besides, we further propose a general class-agnostic segmentation model to achieve the accurate object mask, by only using the initial CAMs as the pseudo label without any extra annotation. Eventually, a bounding box extractor is applied to the object mask to locate the target. Experiments verify that our SPOL outperforms the state-of-the-art on both CUB-200 and ImageNet-1K benchmarks, achieving 93.44% and 67.15% (i.e., 3.93% and 2.13% improvement) Top-5 localization accuracy, respectively.

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arXiv2021

Shallow Attention Network for Polyp Segmentation

Accurate polyp segmentation is of great importance for colorectal cancer diagnosis. However, even with a powerful deep neural network, there still exists three big challenges that impede the development of polyp segmentation. (i) Samples collected under different conditions show inconsistent colors, causing the feature distribution gap and overfitting issue; (ii) Due to repeated feature downsampling, small polyps are easily degraded; (iii) Foreground and background pixels are imbalanced, leading to a biased training. To address the above issues, we propose the Shallow Attention Network (SANet) for polyp segmentation. Specifically, to eliminate the effects of color, we design the color exchange operation to decouple the image contents and colors, and force the model to focus more on the target shape and structure. Furthermore, to enhance the segmentation quality of small polyps, we propose the shallow attention module to filter out the background noise of shallow features. Thanks to the high resolution of shallow features, small polyps can be preserved correctly. In addition, to ease the severe pixel imbalance for small polyps, we propose a probability correction strategy (PCS) during the inference phase. Note that even though PCS is not involved in the training phase, it can still work well on a biased model and consistently improve the segmentation performance. Quantitative and qualitative experimental results on five challenging benchmarks confirm that our proposed SANet outperforms previous state-of-the-art methods by a large margin and achieves a speed about 72FPS.

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arXiv2021

Where is the disease? Semi-supervised pseudo-normality synthesis from an abnormal image

Pseudo-normality synthesis, which computationally generates a pseudo-normal image from an abnormal one (e.g., with lesions), is critical in many perspectives, from lesion detection, data augmentation to clinical surgery suggestion. However, it is challenging to generate high-quality pseudo-normal images in the absence of the lesion information. Thus, expensive lesion segmentation data have been introduced to provide lesion information for the generative models and improve the quality of the synthetic images. In this paper, we aim to alleviate the need of a large amount of lesion segmentation data when generating pseudo-normal images. We propose a Semi-supervised Medical Image generative LEarning network (SMILE) which not only utilizes limited medical images with segmentation masks, but also leverages massive medical images without segmentation masks to generate realistic pseudo-normal images. Extensive experiments show that our model outperforms the best state-of-the-art model by up to 6% for data augmentation task and 3% in generating high-quality images. Moreover, the proposed semi-supervised learning achieves comparable medical image synthesis quality with supervised learning model, using only 50 of segmentation data.

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arXiv2021

A Hierarchical Feature Constraint to Camouflage Medical Adversarial Attacks

Deep neural networks (DNNs) for medical images are extremely vulnerable to adversarial examples (AEs), which poses security concerns on clinical decision making. Luckily, medical AEs are also easy to detect in hierarchical feature space per our study herein. To better understand this phenomenon, we thoroughly investigate the intrinsic characteristic of medical AEs in feature space, providing both empirical evidence and theoretical explanations for the question: why are medical adversarial attacks easy to detect? We first perform a stress test to reveal the vulnerability of deep representations of medical images, in contrast to natural images. We then theoretically prove that typical adversarial attacks to binary disease diagnosis network manipulate the prediction by continuously optimizing the vulnerable representations in a fixed direction, resulting in outlier features that make medical AEs easy to detect. However, this vulnerability can also be exploited to hide the AEs in the feature space. We propose a novel hierarchical feature constraint (HFC) as an add-on to existing adversarial attacks, which encourages the hiding of the adversarial representation within the normal feature distribution. We evaluate the proposed method on two public medical image datasets, namely {Fundoscopy} and {Chest X-Ray}. Experimental results demonstrate the superiority of our adversarial attack method as it bypasses an array of state-of-the-art adversarial detectors more easily than competing attack methods, supporting that the great vulnerability of medical features allows an attacker more room to manipulate the adversarial representations.

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arXiv2021

Anatomy-guided Multimodal Registration by Learning Segmentation without Ground Truth: Application to Intraprocedural CBCT/MR Liver Segmentation and Registration

Multimodal image registration has many applications in diagnostic medical imaging and image-guided interventions, such as Transcatheter Arterial Chemoembolization (TACE) of liver cancer guided by intraprocedural CBCT and pre-operative MR. The ability to register peri-procedurally acquired diagnostic images into the intraprocedural environment can potentially improve the intra-procedural tumor targeting, which will significantly improve therapeutic outcomes. However, the intra-procedural CBCT often suffers from suboptimal image quality due to lack of signal calibration for Hounsfield unit, limited FOV, and motion/metal artifacts. These non-ideal conditions make standard intensity-based multimodal registration methods infeasible to generate correct transformation across modalities. While registration based on anatomic structures, such as segmentation or landmarks, provides an efficient alternative, such anatomic structure information is not always available. One can train a deep learning-based anatomy extractor, but it requires large-scale manual annotations on specific modalities, which are often extremely time-consuming to obtain and require expert radiological readers. To tackle these issues, we leverage annotated datasets already existing in a source modality and propose an anatomy-preserving domain adaptation to segmentation network (APA2Seg-Net) for learning segmentation without target modality ground truth. The segmenters are then integrated into our anatomy-guided multimodal registration based on the robust point matching machine. Our experimental results on in-house TACE patient data demonstrated that our APA2Seg-Net can generate robust CBCT and MR liver segmentation, and the anatomy-guided registration framework with these segmenters can provide high-quality multimodal registrations. Our code is available at https://github.com/bbbbbbzhou/APA2Seg-Net.

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arXiv2021

Deep Learning to Segment Pelvic Bones: Large-scale CT Datasets and Baseline Models

Purpose: Pelvic bone segmentation in CT has always been an essential step in clinical diagnosis and surgery planning of pelvic bone diseases. Existing methods for pelvic bone segmentation are either hand-crafted or semi-automatic and achieve limited accuracy when dealing with image appearance variations due to the multi-site domain shift, the presence of contrasted vessels, coprolith and chyme, bone fractures, low dose, metal artifacts, etc. Due to the lack of a large-scale pelvic CT dataset with annotations, deep learning methods are not fully explored. Methods: In this paper, we aim to bridge the data gap by curating a large pelvic CT dataset pooled from multiple sources and different manufacturers, including 1, 184 CT volumes and over 320, 000 slices with different resolutions and a variety of the above-mentioned appearance variations. Then we propose for the first time, to the best of our knowledge, to learn a deep multi-class network for segmenting lumbar spine, sacrum, left hip, and right hip, from multiple-domain images simultaneously to obtain more effective and robust feature representations. Finally, we introduce a post-processing tool based on the signed distance function (SDF) to eliminate false predictions while retaining correctly predicted bone fragments. Results: Extensive experiments on our dataset demonstrate the effectiveness of our automatic method, achieving an average Dice of 0.987 for a metal-free volume. SDF post-processor yields a decrease of 10.5% in hausdorff distance by maintaining important bone fragments in post-processing phase. Conclusion: We believe this large-scale dataset will promote the development of the whole community and plan to open source the images, annotations, codes, and trained baseline models at https://github.com/ICT-MIRACLE-lab/CTPelvic1K.

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arXiv2021

Aggregative Self-Supervised Feature Learning from a Limited Sample

Self-supervised learning (SSL) is an efficient approach that addresses the issue of limited training data and annotation shortage. The key part in SSL is its proxy task that defines the supervisory signals and drives the learning toward effective feature representations. However, most SSL approaches usually focus on a single proxy task, which greatly limits the expressive power of the learned features and therefore deteriorates the network generalization capacity. In this regard, we hereby propose two strategies of aggregation in terms of complementarity of various forms to boost the robustness of self-supervised learned features. We firstly propose a principled framework of multi-task aggregative self-supervised learning from a limited sample to form a unified representation, with an intent of exploiting feature complementarity among different tasks. Then, in self-aggregative SSL, we propose to self-complement an existing proxy task with an auxiliary loss function based on a linear centered kernel alignment metric, which explicitly promotes the exploring of where are uncovered by the features learned from a proxy task at hand to further boost the modeling capability. Our extensive experiments on 2D natural image and 3D medical image classification tasks under limited data and annotation scenarios confirm that the proposed aggregation strategies successfully boost the classification accuracy.

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