Image segmentation is critical to lots of medical applications. While deep learning (DL) methods continue to improve performance for many medical image segmentation tasks, data annotation is a big bottleneck to DL-based segmentation because (1) DL models tend to need a large amount of labeled data to train, and (2) it is highly time-consuming and label-intensive to voxel-wise label 3D medical images. Significantly reducing annotation effort while attaining good performance of DL segmentation models remains a major challenge. In our preliminary experiments, we observe that, using partially labeled datasets, there is indeed a large performance gap with respect to using fully annotated training datasets. In this paper, we propose a new DL framework for reducing annotation effort and bridging the gap between full annotation and sparse annotation in 3D medical image segmentation. We achieve this by (i) selecting representative slices in 3D images that minimize data redundancy and save annotation effort, and (ii) self-training with pseudo-labels automatically generated from the base-models trained using the selected annotated slices. Extensive experiments using two public datasets (the HVSMR 2016 Challenge dataset and mouse piriform cortex dataset) show that our framework yields competitive segmentation results comparing with state-of-the-art DL methods using less than ~ 20% of annotated data.

Automatic histopathology image segmentation is crucial to disease analysis. Limited available labeled data hinders the generalizability of trained models under the fully supervised setting. Semi-supervised learning (SSL) based on generative methods has been proven to be effective in utilizing diverse image characteristics. However, it has not been well explored what kinds of generated images would be more useful for model training and how to use such images. In this paper, we propose a new data guided generative method for histopathology image segmentation by leveraging the unlabeled data distributions. First, we design an image generation module. Image content and style are disentangled and embedded in a clustering-friendly space to utilize their distributions. New images are synthesized by sampling and cross-combining contents and styles. Second, we devise an effective data selection policy for judiciously sampling the generated images: (1) to make the generated training set better cover the dataset, the clusters that are underrepresented in the original training set are covered more; (2) to make the training process more effective, we identify and oversample the images of “hard cases” in the data for which annotated training data may be scarce. Our method is evaluated on glands and nuclei datasets. We show that under both the inductive and transductive settings, our SSL method consistently boosts the performance of common segmentation models and attains state-of-the-art results.

Deep learning has been applied successfully to many biomedical image segmentation tasks. However, due to the diversity and complexity of biomedical image data, manual annotation for training common deep learning models is very timeconsuming and labor-intensive, especially because normally only biomedical experts can annotate image data well. Human experts are often involved in a long and iterative process of annotation, as in active learning type annotation schemes. In this paper, we propose representative annotation (RA), a new deep learning framework for reducing annotation effort in biomedical image segmentation. RA uses unsupervised networks for feature extraction and selects representative image patches for annotation in the latent space of learned feature descriptors, which implicitly characterizes the underlying data while minimizing redundancy. A fully convolutional network (FCN) is then trained using the annotated selected image patches for image segmentation. Our RA scheme offers three compelling advantages: (1) It leverages the ability of deep neural networks to learn better representations of image data; (2) it performs one-shot selection for manual annotation and frees annotators from the iterative process of common active learning based annotation schemes; (3) it can be deployed to 3D images with simple extensions. We evaluate our RA approach using three datasets (two 2D and one 3D) and show our framework yields competitive segmentation results comparing with state-of-the-art methods.

3D image segmentation plays an important role in biomedical image analysis. Many 2D and 3D deep learning models have achieved state-of-the-art segmentation performance on 3D biomedical image datasets. Yet, 2D and 3D models have their own strengths and weaknesses, and by unifying them together, one may be able to achieve more accurate results. In this paper, we propose a new ensemble learning framework for 3D biomedical image segmentation that combines the merits of 2D and 3D models. First, we develop a fully convolutional network based meta-learner to learn how to improve the results from 2D and 3D models (base-learners). Then, to minimize over-fitting for our sophisticated meta-learner, we devise a new training method that uses the results of the baselearners as multiple versions of “ground truths”. Furthermore, since our new meta-learner training scheme does not depend on manual annotation, it can utilize abundant unlabeled 3D image data to further improve the model. Extensive experiments on two public datasets (the HVSMR 2016 Challenge dataset and the mouse piriform cortex dataset) show that our approach is effective under fully-supervised, semisupervised, and transductive settings, and attains superior performance over state-of-the-art image segmentation methods.

With the rapid growth of medical and biomedical image data, energy-efficient solutions for analyzing such image data that can be processed fast and accurately on platforms with low power budget are highly desirable. This paper uses segmenting glial cells in brain microscopy images as a case study to demonstrate how to achieve biomedical image segmentation with significant energy saving and minimal comprise in accuracy. Specifically, we design, train, implement, and evaluate Fully Convolutional Networks (FCNs) for biomedical image segmentation on IBM's neurosynaptic DNN processor - TrueNorth (TN). Comparisons in terms of accuracy and energy dissipation of TN with that of a low power NVIDIA TX2 mobile GPU platform have been conducted. Experimental results show that TN can offer at least two orders of magnitude improvement in energy efficiency when compared to TX2 GPU for the same workload.

With pervasive applications of medical imaging in health-care, biomedical image segmentation plays a central role in quantitative analysis, clinical diagnosis, and medical intervention. Since manual annotation suffers limited reproducibility, arduous efforts, and excessive time, automatic segmentation is desired to process increasingly larger scale histopathological data. Recently, deep neural networks (DNNs), particularly fully convolutional networks (FCNs), have been widely applied to biomedical image segmentation, attaining much improved performance. At the same time, quantization of DNNs has become an active research topic, which aims to represent weights with less memory (precision) to considerably reduce memory and computation requirements of DNNs while maintaining acceptable accuracy. In this paper, we apply quantization techniques to FCNs for accurate biomedical image segmentation. Unlike existing literatures on quantization which primarily targets memory and computation complexity reduction, we apply quantization as a method to reduce overfitting in FCNs for better accuracy. Specifically, we focus on a state-of-the-art segmentation framework, suggestive annotation [26], which judiciously extracts representative annotation samples from the original training dataset, obtaining an effective small-sized balanced training dataset. We develop two new quantization processes for this framework: (1) suggestive annotation with quantization for highly representative training samples, and (2) network training with quantization for high accuracy. Extensive experiments on the MICCAI Gland dataset show that both quantization processes can improve the segmentation performance, and our proposed method exceeds the current state-of-the-art performance by up to 1%. In addition, our method has a reduction of up to 6.4x on memory usage.

Ultrasound as a well-established imaging modality is widely used in imaging lymph nodes for clinical diagnosis and disease analysis. Quantitative analysis of lymph node features, morphology, and relations can provide valuable information for diagnosis and immune system studies. For such analysis, it is necessary to first accurately segment the lymph node areas in ultrasound images. In this paper, we develop a new deep learning method, called Coarse-to-Fine Stacked Fully Convolutional Nets (CFS-FCN), for automatically segmenting lymph nodes in ultrasound images. Our method consists of multiple stages of FCN modules. We train the CFS-FCN model to learn the segmentation knowledge from a coarse-to-fine, simple-to-complex manner. A data set of 80 ultrasound images containing both normal and diseased lymph nodes is used in our experiments, which show that our method considerably outperforms the state-of-the-art deep learning methods for lymph node segmentation.

Segmentation of 3D images is a fundamental problem in biomedical image analysis. Deep learning (DL) approaches have achieved the state-of-the-art segmentation performance. To exploit the 3D contexts using neural networks, known DL segmentation methods, including 3D convolution, 2D convolution on the planes orthogonal to 2D slices, and LSTM in multiple directions, all suffer incompatibility with the highly anisotropic dimensions in common 3D biomedical images. In this paper, we propose a new DL framework for 3D image segmentation, based on a combination of a fully convolutional network (FCN) and a recurrent neural network (RNN), which are responsible for exploiting the intra-slice and inter-slice contexts, respectively. To our best knowledge, this is the first DL framework for 3D image segmentation that explicitly leverages 3D image anisotropism. Evaluating using a dataset from the ISBI Neuronal Structure Segmentation Challenge and in-house image stacks for 3D fungus segmentation, our approach achieves promising results, comparing to the known DL-based 3D segmentation approaches.

Glands are vital tissues found throughout the human body and their structure and function are affected by many diseases. The ability to segment and detect glands among other types of tissues is important for the study of normal and disease processes and is readily visualized by pathologists in microscopic detail. In this paper, we develop a new approach for segmenting and detecting intestinal glands in H&E stained histology images, which utilizes a set of advanced image processing techniques such as graph search, ensemble, feature extraction and classification. Our method computes fast, and is able to preserve gland boundaries robustly and detect glands accurately. We tested the performance of gland detection and segmentation by analyzing a dataset of 1723 glands from digitized high-resolution clinical histology images obtained in normal and diseased intestines. The experimental results show that our method outperforms considerably the state-of-the-art methods for gland segmentation and detection tasks.