arXiv subjects
Publications and source records attributed to Yuyin Zhou.
A collection of the accepted abstracts for the Machine Learning for Health (ML4H) symposium 2021. This index is not complete, as some accepted abstracts chose to opt-out of inclusion.
Despite the routine use of electronic health record (EHR) data by radiologists to contextualize clinical history and inform image interpretation, the majority of deep learning architectures for medical imaging are unimodal, i.e., they only learn features from pixel-level information. Recent research revealing how race can be recovered from pixel data alone highlights the potential for serious biases in models which fail to account for demographics and other key patient attributes. Yet the lack of imaging datasets which capture clinical context, inclusive of demographics and longitudinal medical history, has left multimodal medical imaging underexplored. To better assess these challenges, we present RadFusion, a multimodal, benchmark dataset of 1794 patients with corresponding EHR data and high-resolution computed tomography (CT) scans labeled for pulmonary embolism. We evaluate several representative multimodal fusion models and benchmark their fairness properties across protected subgroups, e.g., gender, race/ethnicity, age. Our results suggest that integrating imaging and EHR data can improve classification performance and robustness without introducing large disparities in the true positive rate between population groups.
Pancreatic ductal adenocarcinoma (PDAC) is the third most common cause of cancer death in the United States. Predicting tumors like PDACs (including both classification and segmentation) from medical images by deep learning is becoming a growing trend, but usually a large number of annotated data are required for training, which is very labor-intensive and time-consuming. In this paper, we consider a partially supervised setting, where cheap image-level annotations are provided for all the training data, and the costly per-voxel annotations are only available for a subset of them. We propose an Inductive Attention Guidance Network (IAG-Net) to jointly learn a global image-level classifier for normal/PDAC classification and a local voxel-level classifier for semi-supervised PDAC segmentation. We instantiate both the global and the local classifiers by multiple instance learning (MIL), where the attention guidance, indicating roughly where the PDAC regions are, is the key to bridging them: For global MIL based normal/PDAC classification, attention serves as a weight for each instance (voxel) during MIL pooling, which eliminates the distraction from the background; For local MIL based semi-supervised PDAC segmentation, the attention guidance is inductive, which not only provides bag-level pseudo-labels to training data without per-voxel annotations for MIL training, but also acts as a proxy of an instance-level classifier. Experimental results show that our IAG-Net boosts PDAC segmentation accuracy by more than 5% compared with the state-of-the-arts.
Medical image segmentation is an essential prerequisite for developing healthcare systems, especially for disease diagnosis and treatment planning. On various medical image segmentation tasks, the u-shaped architecture, also known as U-Net, has become the de-facto standard and achieved tremendous success. However, due to the intrinsic locality of convolution operations, U-Net generally demonstrates limitations in explicitly modeling long-range dependency. Transformers, designed for sequence-to-sequence prediction, have emerged as alternative architectures with innate global self-attention mechanisms, but can result in limited localization abilities due to insufficient low-level details. In this paper, we propose TransUNet, which merits both Transformers and U-Net, as a strong alternative for medical image segmentation. On one hand, the Transformer encodes tokenized image patches from a convolution neural network (CNN) feature map as the input sequence for extracting global contexts. On the other hand, the decoder upsamples the encoded features which are then combined with the high-resolution CNN feature maps to enable precise localization. We argue that Transformers can serve as strong encoders for medical image segmentation tasks, with the combination of U-Net to enhance finer details by recovering localized spatial information. TransUNet achieves superior performances to various competing methods on different medical applications including multi-organ segmentation and cardiac segmentation. Code and models are available at https://github.com/Beckschen/TransUNet.
3D Convolution Neural Networks (CNNs) have been widely applied to 3D scene understanding, such as video analysis and volumetric image recognition. However, 3D networks can easily lead to over-parameterization which incurs expensive computation cost. In this paper, we propose Channel-wise Automatic KErnel Shrinking (CAKES), to enable efficient 3D learning by shrinking standard 3D convolutions into a set of economic operations e.g., 1D, 2D convolutions. Unlike previous methods, CAKES performs channel-wise kernel shrinkage, which enjoys the following benefits: 1) enabling operations deployed in every layer to be heterogeneous, so that they can extract diverse and complementary information to benefit the learning process; and 2) allowing for an efficient and flexible replacement design, which can be generalized to both spatial-temporal and volumetric data. Further, we propose a new search space based on CAKES, so that the replacement configuration can be determined automatically for simplifying 3D networks. CAKES shows superior performance to other methods with similar model size, and it also achieves comparable performance to state-of-the-art with much fewer parameters and computational costs on tasks including 3D medical imaging segmentation and video action recognition. Codes and models are available at https://github.com/yucornetto/CAKES
Leveraging temporal information has been regarded as essential for developing video understanding models. However, how to properly incorporate temporal information into the recent successful instance discrimination based contrastive self-supervised learning (CSL) framework remains unclear. As an intuitive solution, we find that directly applying temporal augmentations does not help, or even impair video CSL in general. This counter-intuitive observation motivates us to re-design existing video CSL frameworks, for better integration of temporal knowledge. To this end, we present Temporal-aware Contrastive self-supervised learningTaCo, as a general paradigm to enhance video CSL. Specifically, TaCo selects a set of temporal transformations not only as strong data augmentation but also to constitute extra self-supervision for video understanding. By jointly contrasting instances with enriched temporal transformations and learning these transformations as self-supervised signals, TaCo can significantly enhance unsupervised video representation learning. For instance, TaCo demonstrates consistent improvement in downstream classification tasks over a list of backbones and CSL approaches. Our best model achieves 85.1% (UCF-101) and 51.6% (HMDB-51) top-1 accuracy, which is a 3% and 2.4% relative improvement over the previous state-of-the-art.
Although deep neural networks have been a dominant method for many 2D vision tasks, it is still challenging to apply them to 3D tasks, such as medical image segmentation, due to the limited amount of annotated 3D data and limited computational resources. In this chapter, by rethinking the strategy to apply 3D Convolutional Neural Networks to segment medical images, we propose a novel 3D-based coarse-to-fine framework to efficiently tackle these challenges. The proposed 3D-based framework outperforms their 2D counterparts by a large margin since it can leverage the rich spatial information along all three axes. We further analyze the threat of adversarial attacks on the proposed framework and show how to defense against the attack. We conduct experiments on three datasets, the NIH pancreas dataset, the JHMI pancreas dataset and the JHMI pathological cyst dataset, where the first two and the last one contain healthy and pathological pancreases respectively, and achieve the current state-of-the-art in terms of Dice-Sorensen Coefficient (DSC) on all of them. Especially, on the NIH pancreas segmentation dataset, we outperform the previous best by an average of over $2\%$, and the worst case is improved by $7\%$ to reach almost $70\%$, which indicates the reliability of our framework in clinical applications.
Person re-identification (re-ID) has attracted much attention recently due to its great importance in video surveillance. In general, distance metrics used to identify two person images are expected to be robust under various appearance changes. However, our work observes the extreme vulnerability of existing distance metrics to adversarial examples, generated by simply adding human-imperceptible perturbations to person images. Hence, the security danger is dramatically increased when deploying commercial re-ID systems in video surveillance. Although adversarial examples have been extensively applied for classification analysis, it is rarely studied in metric analysis like person re-identification. The most likely reason is the natural gap between the training and testing of re-ID networks, that is, the predictions of a re-ID network cannot be directly used during testing without an effective metric. In this work, we bridge the gap by proposing Adversarial Metric Attack, a parallel methodology to adversarial classification attacks. Comprehensive experiments clearly reveal the adversarial effects in re-ID systems. Meanwhile, we also present an early attempt of training a metric-preserving network, thereby defending the metric against adversarial attacks. At last, by benchmarking various adversarial settings, we expect that our work can facilitate the development of adversarial attack and defense in metric-based applications.
In this paper, we present a novel unsupervised domain adaptation (UDA) method, named Domain Adaptive Relational Reasoning (DARR), to generalize 3D multi-organ segmentation models to medical data collected from different scanners and/or protocols (domains). Our method is inspired by the fact that the spatial relationship between internal structures in medical images is relatively fixed, e.g., a spleen is always located at the tail of a pancreas, which serves as a latent variable to transfer the knowledge shared across multiple domains. We formulate the spatial relationship by solving a jigsaw puzzle task, i.e., recovering a CT scan from its shuffled patches, and jointly train it with the organ segmentation task. To guarantee the transferability of the learned spatial relationship to multiple domains, we additionally introduce two schemes: 1) Employing a super-resolution network also jointly trained with the segmentation model to standardize medical images from different domain to a certain spatial resolution; 2) Adapting the spatial relationship for a test image by test-time jigsaw puzzle training. Experimental results show that our method improves the performance by 29.60% DSC on target datasets on average without using any data from the target domain during training.
Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal cancers among the population. Screening for PDACs in dynamic contrast-enhanced CT is beneficial for early diagnosis. In this paper, we investigate the problem of automated detecting PDACs in multi-phase (arterial and venous) CT scans. Multiple phases provide more information than single phase, but they are unaligned and inhomogeneous in texture, making it difficult to combine cross-phase information seamlessly. We study multiple phase alignment strategies, i.e., early alignment (image registration), late alignment (high-level feature registration), and slow alignment (multi-level feature registration), and suggest an ensemble of all these alignments as a promising way to boost the performance of PDAC detection. We provide an extensive empirical evaluation on two PDAC datasets and show that the proposed alignment ensemble significantly outperforms previous state-of-the-art approaches, illustrating the strong potential for clinical use.
In this paper, we study physical adversarial attacks on object detectors in the wild. Previous works mostly craft instance-dependent perturbations only for rigid or planar objects. To this end, we propose to learn an adversarial pattern to effectively attack all instances belonging to the same object category, referred to as Universal Physical Camouflage Attack (UPC). Concretely, UPC crafts camouflage by jointly fooling the region proposal network, as well as misleading the classifier and the regressor to output errors. In order to make UPC effective for non-rigid or non-planar objects, we introduce a set of transformations for mimicking deformable properties. We additionally impose optimization constraint to make generated patterns look natural to human observers. To fairly evaluate the effectiveness of different physical-world attacks, we present the first standardized virtual database, AttackScenes, which simulates the real 3D world in a controllable and reproducible environment. Extensive experiments suggest the superiority of our proposed UPC compared with existing physical adversarial attackers not only in virtual environments (AttackScenes), but also in real-world physical environments. Code and dataset are available at https://mesunhlf.github.io/index_physical.html.
Non-Local (NL) blocks have been widely studied in various vision tasks. However, it has been rarely explored to embed the NL blocks in mobile neural networks, mainly due to the following challenges: 1) NL blocks generally have heavy computation cost which makes it difficult to be applied in applications where computational resources are limited, and 2) it is an open problem to discover an optimal configuration to embed NL blocks into mobile neural networks. We propose AutoNL to overcome the above two obstacles. Firstly, we propose a Lightweight Non-Local (LightNL) block by squeezing the transformation operations and incorporating compact features. With the novel design choices, the proposed LightNL block is 400x computationally cheaper} than its conventional counterpart without sacrificing the performance. Secondly, by relaxing the structure of the LightNL block to be differentiable during training, we propose an efficient neural architecture search algorithm to learn an optimal configuration of LightNL blocks in an end-to-end manner. Notably, using only 32 GPU hours, the searched AutoNL model achieves 77.7% top-1 accuracy on ImageNet under a typical mobile setting (350M FLOPs), significantly outperforming previous mobile models including MobileNetV2 (+5.7%), FBNet (+2.8%) and MnasNet (+2.1%). Code and models are available at https://github.com/LiYingwei/AutoNL.
Tubular structure segmentation in medical images, e.g., segmenting vessels in CT scans, serves as a vital step in the use of computers to aid in screening early stages of related diseases. But automatic tubular structure segmentation in CT scans is a challenging problem, due to issues such as poor contrast, noise and complicated background. A tubular structure usually has a cylinder-like shape which can be well represented by its skeleton and cross-sectional radii (scales). Inspired by this, we propose a geometry-aware tubular structure segmentation method, Deep Distance Transform (DDT), which combines intuitions from the classical distance transform for skeletonization and modern deep segmentation networks. DDT first learns a multi-task network to predict a segmentation mask for a tubular structure and a distance map. Each value in the map represents the distance from each tubular structure voxel to the tubular structure surface. Then the segmentation mask is refined by leveraging the shape prior reconstructed from the distance map. We apply our DDT on six medical image datasets. The experiments show that (1) DDT can boost tubular structure segmentation performance significantly (e.g., over 13% improvement measured by DSC for pancreatic duct segmentation), and (2) DDT additionally provides a geometrical measurement for a tubular structure, which is important for clinical diagnosis (e.g., the cross-sectional scale of a pancreatic duct can be an indicator for pancreatic cancer).
Recent development of adversarial attacks has proven that ensemble-based methods outperform traditional, non-ensemble ones in black-box attack. However, as it is computationally prohibitive to acquire a family of diverse models, these methods achieve inferior performance constrained by the limited number of models to be ensembled. In this paper, we propose Ghost Networks to improve the transferability of adversarial examples. The critical principle of ghost networks is to apply feature-level perturbations to an existing model to potentially create a huge set of diverse models. After that, models are subsequently fused by longitudinal ensemble. Extensive experimental results suggest that the number of networks is essential for improving the transferability of adversarial examples, but it is less necessary to independently train different networks and ensemble them in an intensive aggregation way. Instead, our work can be used as a computationally cheap and easily applied plug-in to improve adversarial approaches both in single-model and multi-model attack, compatible with residual and non-residual networks. By reproducing the NeurIPS 2017 adversarial competition, our method outperforms the No.1 attack submission by a large margin, demonstrating its effectiveness and efficiency. Code is available at https://github.com/LiYingwei/ghost-network.
Trauma is the worldwide leading cause of death and disability in those younger than 45 years, and pelvic fractures are a major source of morbidity and mortality. Automated segmentation of multiple foci of arterial bleeding from abdominopelvic trauma CT could provide rapid objective measurements of the total extent of active bleeding, potentially augmenting outcome prediction at the point of care, while improving patient triage, allocation of appropriate resources, and time to definitive intervention. In spite of the importance of active bleeding in the quick tempo of trauma care, the task is still quite challenging due to the variable contrast, intensity, location, size, shape, and multiplicity of bleeding foci. Existing work [4] presents a heuristic rule-based segmentation technique which requires multiple stages and cannot be efficiently optimized end-to-end. To this end, we present, Multi-Scale Attentional Network (MSAN), the first yet reliable end-to-end network, for automated segmentation of active hemorrhage from contrast-enhanced trauma CT scans. MSAN consists of the following components: 1) an encoder which fully integrates the global contextual information from holistic 2D slices; 2) a multi-scale strategy applied both in the training stage and the inference stage to handle the challenges induced by variation of target sizes; 3) an attentional module to further refine the deep features, leading to better segmentation quality; and 4) a multi-view mechanism to fully leverage the 3D information. Our MSAN reports a significant improvement of more than 7% compared to prior arts in terms of DSC.
Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal cancers with an overall five-year survival rate of 8%. Due to subtle texture changes of PDAC, pancreatic dual-phase imaging is recommended for better diagnosis of pancreatic disease. In this study, we aim at enhancing PDAC automatic segmentation by integrating multi-phase information (i.e., arterial phase and venous phase). To this end, we present Hyper-Pairing Network (HPN), a 3D fully convolution neural network which effectively integrates information from different phases. The proposed approach consists of a dual path network where the two parallel streams are interconnected with hyper-connections for intensive information exchange. Additionally, a pairing loss is added to encourage the commonality between high-level feature representations of different phases. Compared to prior arts which use single phase data, HPN reports a significant improvement up to 7.73% (from 56.21% to 63.94%) in terms of DSC.
Automatic abnormality detection in abdominal CT scans can help doctors improve the accuracy and efficiency in diagnosis. In this paper we aim at detecting pancreatic ductal adenocarcinoma (PDAC), the most common pancreatic cancer. Taking the fact that the existence of tumor can affect both the shape and the texture of pancreas, we design a system to extract the shape and texture feature at the same time for detecting PDAC. In this paper we propose a two-stage method for this 3D classification task. First, we segment the pancreas into a binary mask. Second, a FusionNet is proposed to take both the binary mask and CT image as input and perform a binary classification. The optimal architecture of the FusionNet is obtained by searching a pre-defined functional space. We show that the classification results using either shape or texture information are complementary, and by fusing them with the optimized architecture, the performance improves by a large margin. Our method achieves a specificity of 97% and a sensitivity of 92% on 200 normal scans and 136 scans with PDAC.
Accurate multi-organ abdominal CT segmentation is essential to many clinical applications such as computer-aided intervention. As data annotation requires massive human labor from experienced radiologists, it is common that training data are partially labeled, e.g., pancreas datasets only have the pancreas labeled while leaving the rest marked as background. However, these background labels can be misleading in multi-organ segmentation since the "background" usually contains some other organs of interest. To address the background ambiguity in these partially-labeled datasets, we propose Prior-aware Neural Network (PaNN) via explicitly incorporating anatomical priors on abdominal organ sizes, guiding the training process with domain-specific knowledge. More specifically, PaNN assumes that the average organ size distributions in the abdomen should approximate their empirical distributions, a prior statistics obtained from the fully-labeled dataset. As our training objective is difficult to be directly optimized using stochastic gradient descent [20], we propose to reformulate it in a min-max form and optimize it via the stochastic primal-dual gradient algorithm. PaNN achieves state-of-the-art performance on the MICCAI2015 challenge "Multi-Atlas Labeling Beyond the Cranial Vault", a competition on organ segmentation in the abdomen. We report an average Dice score of 84.97%, surpassing the prior art by a large margin of 3.27%.