arXiv subjects

Sharib Ali

Publications and source records attributed to Sharib Ali.

At least 55 records · Page 3Linked to original sources

arXiv2021

Real-time Instance Segmentation of Surgical Instruments using Attention and Multi-scale Feature Fusion

Precise instrument segmentation aid surgeons to navigate the body more easily and increase patient safety. While accurate tracking of surgical instruments in real-time plays a crucial role in minimally invasive computer-assisted surgeries, it is a challenging task to achieve, mainly due to 1) complex surgical environment, and 2) model design with both optimal accuracy and speed. Deep learning gives us the opportunity to learn complex environment from large surgery scene environments and placements of these instruments in real world scenarios. The Robust Medical Instrument Segmentation 2019 challenge (ROBUST-MIS) provides more than 10,000 frames with surgical tools in different clinical settings. In this paper, we use a light-weight single stage instance segmentation model complemented with a convolutional block attention module for achieving both faster and accurate inference. We further improve accuracy through data augmentation and optimal anchor localisation strategies. To our knowledge, this is the first work that explicitly focuses on both real-time performance and improved accuracy. Our approach out-performed top team performances in the ROBUST-MIS challenge with over 44% improvement on both area-based metric MI_DSC and distance-based metric MI_NSD. We also demonstrate real-time performance (> 60 frames-per-second) with different but competitive variants of our final approach.

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arXiv2021

Exploring Deep Learning Methods for Real-Time Surgical Instrument Segmentation in Laparoscopy

Minimally invasive surgery is a surgical intervention used to examine the organs inside the abdomen and has been widely used due to its effectiveness over open surgery. Due to the hardware improvements such as high definition cameras, this procedure has significantly improved and new software methods have demonstrated potential for computer-assisted procedures. However, there exists challenges and requirements to improve detection and tracking of the position of the instruments during these surgical procedures. To this end, we evaluate and compare some popular deep learning methods that can be explored for the automated segmentation of surgical instruments in laparoscopy, an important step towards tool tracking. Our experimental results exhibit that the Dual decoder attention network (DDANet) produces a superior result compared to other recent deep learning methods. DDANet yields a Dice coefficient of 0.8739 and mean intersection-over-union of 0.8183 for the Robust Medical Instrument Segmentation (ROBUST-MIS) Challenge 2019 dataset, at a real-time speed of 101.36 frames-per-second that is critical for such procedures.

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arXiv2021

EndoUDA: A modality independent segmentation approach for endoscopy imaging

Gastrointestinal (GI) cancer precursors require frequent monitoring for risk stratification of patients. Automated segmentation methods can help to assess risk areas more accurately, and assist in therapeutic procedures or even removal. In clinical practice, addition to the conventional white-light imaging (WLI), complimentary modalities such as narrow-band imaging (NBI) and fluorescence imaging are used. While, today most segmentation approaches are supervised and only concentrated on a single modality dataset, this work exploits to use a target-independent unsupervised domain adaptation (UDA) technique that is capable to generalize to an unseen target modality. In this context, we propose a novel UDA-based segmentation method that couples the variational autoencoder and U-Net with a common EfficientNet-B4 backbone, and uses a joint loss for latent-space optimization for target samples. We show that our model can generalize to unseen target NBI (target) modality when trained using only WLI (source) modality. Our experiments on both upper and lower GI endoscopy data show the effectiveness of our approach compared to naive supervised approach and state-of-the-art UDA segmentation methods.

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arXiv2021

Assessing YOLACT++ for real time and robust instance segmentation of medical instruments in endoscopic procedures

Image-based tracking of laparoscopic instruments plays a fundamental role in computer and robotic-assisted surgeries by aiding surgeons and increasing patient safety. Computer vision contests, such as the Robust Medical Instrument Segmentation (ROBUST-MIS) Challenge, seek to encourage the development of robust models for such purposes, providing large, diverse, and annotated datasets. To date, most of the existing models for instance segmentation of medical instruments were based on two-stage detectors, which provide robust results but are nowhere near to the real-time (5 frames-per-second (fps)at most). However, in order for the method to be clinically applicable, real-time capability is utmost required along with high accuracy. In this paper, we propose the addition of attention mechanisms to the YOLACT architecture that allows real-time instance segmentation of instrument with improved accuracy on the ROBUST-MIS dataset. Our proposed approach achieves competitive performance compared to the winner ofthe 2019 ROBUST-MIS challenge in terms of robustness scores,obtaining 0.313 MI_DSC and 0.338 MI_NSD, while achieving real-time performance (37 fps)

cs.CV↗

arXiv2021

NanoNet: Real-Time Polyp Segmentation in Video Capsule Endoscopy and Colonoscopy

Deep learning in gastrointestinal endoscopy can assist to improve clinical performance and be helpful to assess lesions more accurately. To this extent, semantic segmentation methods that can perform automated real-time delineation of a region-of-interest, e.g., boundary identification of cancer or precancerous lesions, can benefit both diagnosis and interventions. However, accurate and real-time segmentation of endoscopic images is extremely challenging due to its high operator dependence and high-definition image quality. To utilize automated methods in clinical settings, it is crucial to design lightweight models with low latency such that they can be integrated with low-end endoscope hardware devices. In this work, we propose NanoNet, a novel architecture for the segmentation of video capsule endoscopy and colonoscopy images. Our proposed architecture allows real-time performance and has higher segmentation accuracy compared to other more complex ones. We use video capsule endoscopy and standard colonoscopy datasets with polyps, and a dataset consisting of endoscopy biopsies and surgical instruments, to evaluate the effectiveness of our approach. Our experiments demonstrate the increased performance of our architecture in terms of a trade-off between model complexity, speed, model parameters, and metric performances. Moreover, the resulting model size is relatively tiny, with only nearly 36,000 parameters compared to traditional deep learning approaches having millions of parameters.

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arXiv2021

Multi-class motion-based semantic segmentation for ureteroscopy and laser lithotripsy

Kidney stones represent a considerable burden for public health-care systems. Ureteroscopy with laser lithotripsy has evolved as the most commonly used technique for the treatment of kidney stones. Automated segmentation of kidney stones and laser fiber is an important initial step to performing any automated quantitative analysis of the stones, particularly stone-size estimation, that helps the surgeon decide if the stone requires more fragmentation. Factors such as turbid fluid inside the cavity, specularities, motion blur due to kidney movements and camera motion, bleeding, and stone debris impact the quality of vision within the kidney and lead to extended operative times. To the best of our knowledge, this is the first attempt made towards multi-class segmentation in ureteroscopy and laser lithotripsy data. We propose an end-to-end CNN-based framework for the segmentation of stones and laser fiber. The proposed approach utilizes two sub-networks: HybResUNet, a version of residual U-Net, that uses residual connections in the encoder path of U-Net and a DVFNet that generates DVF predictions which are then used to prune the prediction maps. We also present ablation studies that combine dilated convolutions, recurrent and residual connections, ASPP and attention gate. We propose a compound loss function that improves our segmentation performance. We have also provided an ablation study to determine the optimal data augmentation strategy. Our qualitative and quantitative results illustrate that our proposed method outperforms SOTA methods such as UNet and DeepLabv3+ showing an improvement of 5.2% and 15.93%, respectively, for the combined mean of DSC and JI in our invivo test dataset. We also show that our proposed model generalizes better on a new clinical dataset showing a mean improvement of 25.4%, 20%, and 11% over UNet, HybResUNet, and DeepLabv3+, respectively, for the same metric.

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arXiv2021

Real-Time Polyp Detection, Localization and Segmentation in Colonoscopy Using Deep Learning

Computer-aided detection, localisation, and segmentation methods can help improve colonoscopy procedures. Even though many methods have been built to tackle automatic detection and segmentation of polyps, benchmarking of state-of-the-art methods still remains an open problem. This is due to the increasing number of researched computer vision methods that can be applied to polyp datasets. Benchmarking of novel methods can provide a direction to the development of automated polyp detection and segmentation tasks. Furthermore, it ensures that the produced results in the community are reproducible and provide a fair comparison of developed methods. In this paper, we benchmark several recent state-of-the-art methods using Kvasir-SEG, an open-access dataset of colonoscopy images for polyp detection, localisation, and segmentation evaluating both method accuracy and speed. Whilst, most methods in literature have competitive performance over accuracy, we show that the proposed ColonSegNet achieved a better trade-off between an average precision of 0.8000 and mean IoU of 0.8100, and the fastest speed of 180 frames per second for the detection and localisation task. Likewise, the proposed ColonSegNet achieved a competitive dice coefficient of 0.8206 and the best average speed of 182.38 frames per second for the segmentation task. Our comprehensive comparison with various state-of-the-art methods reveals the importance of benchmarking the deep learning methods for automated real-time polyp identification and delineations that can potentially transform current clinical practices and minimise miss-detection rates.

cs.CV↗

arXiv2021

Deep learning for detection and segmentation of artefact and disease instances in gastrointestinal endoscopy

The Endoscopy Computer Vision Challenge (EndoCV) is a crowd-sourcing initiative to address eminent problems in developing reliable computer aided detection and diagnosis endoscopy systems and suggest a pathway for clinical translation of technologies. Whilst endoscopy is a widely used diagnostic and treatment tool for hollow-organs, there are several core challenges often faced by endoscopists, mainly: 1) presence of multi-class artefacts that hinder their visual interpretation, and 2) difficulty in identifying subtle precancerous precursors and cancer abnormalities. Artefacts often affect the robustness of deep learning methods applied to the gastrointestinal tract organs as they can be confused with tissue of interest. EndoCV2020 challenges are designed to address research questions in these remits. In this paper, we present a summary of methods developed by the top 17 teams and provide an objective comparison of state-of-the-art methods and methods designed by the participants for two sub-challenges: i) artefact detection and segmentation (EAD2020), and ii) disease detection and segmentation (EDD2020). Multi-center, multi-organ, multi-class, and multi-modal clinical endoscopy datasets were compiled for both EAD2020 and EDD2020 sub-challenges. The out-of-sample generalization ability of detection algorithms was also evaluated. Whilst most teams focused on accuracy improvements, only a few methods hold credibility for clinical usability. The best performing teams provided solutions to tackle class imbalance, and variabilities in size, origin, modality and occurrences by exploring data augmentation, data fusion, and optimal class thresholding techniques.

cs.CV↗

arXiv2020

DDANet: Dual Decoder Attention Network for Automatic Polyp Segmentation

Colonoscopy is the gold standard for examination and detection of colorectal polyps. Localization and delineation of polyps can play a vital role in treatment (e.g., surgical planning) and prognostic decision making. Polyp segmentation can provide detailed boundary information for clinical analysis. Convolutional neural networks have improved the performance in colonoscopy. However, polyps usually possess various challenges, such as intra-and inter-class variation and noise. While manual labeling for polyp assessment requires time from experts and is prone to human error (e.g., missed lesions), an automated, accurate, and fast segmentation can improve the quality of delineated lesion boundaries and reduce missed rate. The Endotect challenge provides an opportunity to benchmark computer vision methods by training on the publicly available Hyperkvasir and testing on a separate unseen dataset. In this paper, we propose a novel architecture called ``DDANet'' based on a dual decoder attention network. Our experiments demonstrate that the model trained on the Kvasir-SEG dataset and tested on an unseen dataset achieves a dice coefficient of 0.7874, mIoU of 0.7010, recall of 0.7987, and a precision of 0.8577, demonstrating the generalization ability of our model.

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arXiv2020

Unsupervised Adversarial Domain Adaptation For Barrett's Segmentation

Barrett's oesophagus (BE) is one of the early indicators of esophageal cancer. Patients with BE are monitored and undergo ablation therapies to minimise the risk, thereby making it eminent to identify the BE area precisely. Automated segmentation can help clinical endoscopists to assess and treat BE area more accurately. Endoscopy imaging of BE can include multiple modalities in addition to the conventional white light (WL) modality. Supervised models require large amount of manual annotations incorporating all data variability in the training data. However, it becomes cumbersome, tedious and labour intensive work to generate manual annotations, and additionally modality specific expertise is required. In this work, we aim to alleviate this problem by applying an unsupervised domain adaptation technique (UDA). Here, UDA is trained on white light endoscopy images as source domain and are well-adapted to generalise to produce segmentation on different imaging modalities as target domain, namely narrow band imaging and post acetic-acid WL imaging. Our dataset consists of a total of 871 images consisting of both source and target domains. Our results show that the UDA-based approach outperforms traditional supervised U-Net segmentation by nearly 10% on both Dice similarity coefficient and intersection-over-union.

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arXiv2020

Kvasir-Instrument: Diagnostic and therapeutic tool segmentation dataset in gastrointestinal endoscopy

Gastrointestinal (GI) pathologies are periodically screened, biopsied, and resected using surgical tools. Usually the procedures and the treated or resected areas are not specifically tracked or analysed during or after colonoscopies. Information regarding disease borders, development and amount and size of the resected area get lost. This can lead to poor follow-up and bothersome reassessment difficulties post-treatment. To improve the current standard and also to foster more research on the topic we have released the ``Kvasir-Instrument'' dataset which consists of $590$ annotated frames containing GI procedure tools such as snares, balloons and biopsy forceps, etc. Beside of the images, the dataset includes ground truth masks and bounding boxes and has been verified by two expert GI endoscopists. Additionally, we provide a baseline for the segmentation of the GI tools to promote research and algorithm development. We obtained a dice coefficient score of 0.9158 and a Jaccard index of 0.8578 using a classical U-Net architecture. A similar dice coefficient score was observed for DoubleUNet. The qualitative results showed that the model did not work for the images with specularity and the frames with multiple instruments, while the best result for both methods was observed on all other types of images. Both, qualitative and quantitative results show that the model performs reasonably good, but there is a large potential for further improvements. Benchmarking using the dataset provides an opportunity for researchers to contribute to the field of automatic endoscopic diagnostic and therapeutic tool segmentation for GI endoscopy.

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arXiv2020

Additive Angular Margin for Few Shot Learning to Classify Clinical Endoscopy Images

Endoscopy is a widely used imaging modality to diagnose and treat diseases in hollow organs as for example the gastrointestinal tract, the kidney and the liver. However, due to varied modalities and use of different imaging protocols at various clinical centers impose significant challenges when generalising deep learning models. Moreover, the assembly of large datasets from different clinical centers can introduce a huge label bias that renders any learnt model unusable. Also, when using new modality or presence of images with rare patterns, a bulk amount of similar image data and their corresponding labels are required for training these models. In this work, we propose to use a few-shot learning approach that requires less training data and can be used to predict label classes of test samples from an unseen dataset. We propose a novel additive angular margin metric in the framework of prototypical network in few-shot learning setting. We compare our approach to the several established methods on a large cohort of multi-center, multi-organ, and multi-modal endoscopy data. The proposed algorithm outperforms existing state-of-the-art methods.

cs.CV↗

arXiv2020

Endoscopy disease detection challenge 2020

Whilst many technologies are built around endoscopy, there is a need to have a comprehensive dataset collected from multiple centers to address the generalization issues with most deep learning frameworks. What could be more important than disease detection and localization? Through our extensive network of clinical and computational experts, we have collected, curated and annotated gastrointestinal endoscopy video frames. We have released this dataset and have launched disease detection and segmentation challenge EDD2020 https://edd2020.grand-challenge.org to address the limitations and explore new directions. EDD2020 is a crowd sourcing initiative to test the feasibility of recent deep learning methods and to promote research for building robust technologies. In this paper, we provide an overview of the EDD2020 dataset, challenge tasks, evaluation strategies and a short summary of results on test data. A detailed paper will be drafted after the challenge workshop with more detailed analysis of the results.

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arXiv2019

Conv2Warp: An unsupervised deformable image registration with continuous convolution and warping

Recent successes in deep learning based deformable image registration (DIR) methods have demonstrated that complex deformation can be learnt directly from data while reducing computation time when compared to traditional methods. However, the reliance on fully linear convolutional layers imposes a uniform sampling of pixel/voxel locations which ultimately limits their performance. To address this problem, we propose a novel approach of learning a continuous warp of the source image. Here, the required deformation vector fields are obtained from a concatenated linear and non-linear convolution layers and a learnable bicubic Catmull-Rom spline resampler. This allows to compute smooth deformation field and more accurate alignment compared to using only linear convolutions and linear resampling. In addition, the continuous warping technique penalizes disagreements that are due to topological changes. Our experiments demonstrate that this approach manages to capture large non-linear deformations and minimizes the propagation of interpolation errors. While improving accuracy the method is computationally efficient. We present comparative results on a range of public 4D CT lung (POPI) and brain datasets (CUMC12, MGH10).

cs.CV↗

arXiv2019

Efficient video indexing for monitoring disease activity and progression in the upper gastrointestinal tract

Endoscopy is a routine imaging technique used for both diagnosis and minimally invasive surgical treatment. While the endoscopy video contains a wealth of information, tools to capture this information for the purpose of clinical reporting are rather poor. In date, endoscopists do not have any access to tools that enable them to browse the video data in an efficient and user friendly manner. Fast and reliable video retrieval methods could for example, allow them to review data from previous exams and therefore improve their ability to monitor disease progression. Deep learning provides new avenues of compressing and indexing video in an extremely efficient manner. In this study, we propose to use an autoencoder for efficient video compression and fast retrieval of video images. To boost the accuracy of video image retrieval and to address data variability like multi-modality and view-point changes, we propose the integration of a Siamese network. We demonstrate that our approach is competitive in retrieving images from 3 large scale videos of 3 different patients obtained against the query samples of their previous diagnosis. Quantitative validation shows that the combined approach yield an overall improvement of 5% and 8% over classical and variational autoencoders, respectively.

cs.CV↗

arXiv2019

Ink removal from histopathology whole slide images by combining classification, detection and image generation models

Histopathology slides are routinely marked by pathologists using permanent ink markers that should not be removed as they form part of the medical record. Often tumour regions are marked up for the purpose of highlighting features or other downstream processing such an gene sequencing. Once digitised there is no established method for removing this information from the whole slide images limiting its usability in research and study. Removal of marker ink from these high-resolution whole slide images is non-trivial and complex problem as they contaminate different regions and in an inconsistent manner. We propose an efficient pipeline using convolution neural networks that results in ink-free images without compromising information and image resolution. Our pipeline includes a sequential classical convolution neural network for accurate classification of contaminated image tiles, a fast region detector and a domain adaptive cycle consistent adversarial generative model for restoration of foreground pixels. Both quantitative and qualitative results on four different whole slide images show that our approach yields visually coherent ink-free whole slide images.

cs.CV↗

arXiv2019

Endoscopy artifact detection (EAD 2019) challenge dataset

Endoscopic artifacts are a core challenge in facilitating the diagnosis and treatment of diseases in hollow organs. Precise detection of specific artifacts like pixel saturations, motion blur, specular reflections, bubbles and debris is essential for high-quality frame restoration and is crucial for realizing reliable computer-assisted tools for improved patient care. At present most videos in endoscopy are currently not analyzed due to the abundant presence of multi-class artifacts in video frames. Through the endoscopic artifact detection (EAD 2019) challenge, we address this key bottleneck problem by solving the accurate identification and localization of endoscopic frame artifacts to enable further key quantitative analysis of unusable video frames such as mosaicking and 3D reconstruction which is crucial for delivering improved patient care. This paper summarizes the challenge tasks and describes the dataset and evaluation criteria established in the EAD 2019 challenge.

cs.CV↗

arXiv2019

A deep learning framework for quality assessment and restoration in video endoscopy

Endoscopy is a routine imaging technique used for both diagnosis and minimally invasive surgical treatment. Artifacts such as motion blur, bubbles, specular reflections, floating objects and pixel saturation impede the visual interpretation and the automated analysis of endoscopy videos. Given the widespread use of endoscopy in different clinical applications, we contend that the robust and reliable identification of such artifacts and the automated restoration of corrupted video frames is a fundamental medical imaging problem. Existing state-of-the-art methods only deal with the detection and restoration of selected artifacts. However, typically endoscopy videos contain numerous artifacts which motivates to establish a comprehensive solution. We propose a fully automatic framework that can: 1) detect and classify six different primary artifacts, 2) provide a quality score for each frame and 3) restore mildly corrupted frames. To detect different artifacts our framework exploits fast multi-scale, single stage convolutional neural network detector. We introduce a quality metric to assess frame quality and predict image restoration success. Generative adversarial networks with carefully chosen regularization are finally used to restore corrupted frames. Our detector yields the highest mean average precision (mAP at 5% threshold) of 49.0 and the lowest computational time of 88 ms allowing for accurate real-time processing. Our restoration models for blind deblurring, saturation correction and inpainting demonstrate significant improvements over previous methods. On a set of 10 test videos we show that our approach preserves an average of 68.7% which is 25% more frames than that retained from the raw videos.

cs.CV↗