Left ventricle (LV) endocardium segmentation in echocardiography video has received much attention as an important step in quantifying LV ejection fraction. Most existing methods are dedicated to exploiting temporal information on top of 2D convolutional networks. In addition to single appearance semantic learning, some research attempted to introduce motion cues through the optical flow estimation (OFE) task to enhance temporal consistency modeling. However, OFE in these methods is tightly coupled to LV endocardium segmentation, resulting in noisy inter-frame flow prediction, and post-optimization based on these flows accumulates errors. To address these drawbacks, we propose dynamic-guided spatiotemporal attention (DSA) for semi-supervised echocardiography video segmentation. We first fine-tune the off-the-shelf OFE network RAFT on echocardiography data to provide dynamic information. Taking inter-frame flows as additional input, we use a dual-encoder structure to extract motion and appearance features separately. Based on the connection between dynamic continuity and semantic consistency, we propose a bilateral feature calibration module to enhance both features. For temporal consistency modeling, the DSA is proposed to aggregate neighboring frame context using deformable attention that is realized by offsets grid attention. Dynamic information is introduced into DSA through a bilateral offset estimation module to effectively combine with appearance semantics and predict attention offsets, thereby guiding semantic-based spatiotemporal attention. We evaluated our method on two popular echocardiography datasets, CAMUS and EchoNet-Dynamic, and achieved state-of-the-art.

Automatic segmentation of left ventricular endocardium in echocardiography videos is critical for assessing various cardiac functions and improving the diagnosis of cardiac diseases. It is yet a challenging task due to heavy speckle noise, significant shape variability of cardiac structure, and limited labeled data. Particularly, the real-time demand in clinical practice makes this task even harder. In this paper, we propose a novel proxy- and kernel-based semi-supervised segmentation network (PKEcho-Net) to comprehensively address these challenges. We first propose a multi-scale region proxy (MRP) mechanism to model the region-wise contexts, in which a learnable region proxy with an arbitrary shape is developed in each layer of the encoder, allowing the network to identify homogeneous semantics and hence alleviate the influence of speckle noise on segmentation. To sufficiently and efficiently exploit temporal consistency, different from traditional methods which only utilize the temporal contexts of two neighboring frames via feature warping or self-attention mechanism, we formulate the semi-supervised segmentation with a group of learnable kernels, which can naturally and uniformly encode the appearances of left ventricular endocardium, as well as extracting the inter-frame contexts across the whole video to resist the fast shape variability of cardiac structures. Extensive experiments have been conducted on two famous public echocardiography video datasets, EchoNet-Dynamic and CAMUS. Our model achieves the best performance-efficiency trade-off when compared with other state-of-the-art approaches, attaining comparative accuracy with a much faster speed. The code is available at https://github.com/JingyinLin/PKEcho-Net.

Automatic polyp segmentation from colonoscopy images is an essential prerequisite for the development of computer-assisted therapy. However, the complex semantic information and the blurred edges of polyps make segmentation extremely difficult. In this paper, we propose a novel semi-supervised polyp segmentation framework using affinity contrastive learning (ACL-Net), which is implemented between student and teacher networks to consistently refine the pseudo-labels for semi-supervised polyp segmentation. By aligning the affinity maps between the two branches, a better polyp region activation can be obtained to fully exploit the appearance-level context encoded in the feature maps, thereby improving the capability of capturing not only global localization and shape context, but also the local textural and boundary details. By utilizing the rich inter-image affinity context and establishing a global affinity context based on the memory bank, a cross-image affinity aggregation (CAA) module is also implemented to further refine the affinity aggregation between the two branches. By continuously and adaptively refining pseudo-labels with optimized affinity, we can improve the semi-supervised polyp segmentation based on the mutually reinforced knowledge interaction among contrastive learning and consistency learning iterations. Extensive experiments on five benchmark datasets, including Kvasir-SEG, CVC-ClinicDB, CVC-300, CVC-ColonDB and ETIS, demonstrate the effectiveness and superiority of our method. Codes are available at https://github.com/xiewende/ACL-Net.