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Prior-aware Neural Network for Partially-Supervised Multi-Organ Segmentation (1904.06346v2)

Published 12 Apr 2019 in cs.CV

Abstract: 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%.

Citations (169)

Summary

  • The paper presents the Prior-aware Neural Network (PaNN), which incorporates anatomical priors like organ size distributions to improve multi-organ segmentation using partially-labeled data.
  • PaNN achieved state-of-the-art results on the MICCAI 2015 challenge, with an average Dice score of 84.97%, significantly improving segmentation accuracy especially for challenging organs.
  • Integrating anatomical priors into neural networks reduces the need for extensive fully-labeled datasets, opening new possibilities for efficient medical image analysis and automated diagnosis.

Prior-aware Neural Network for Partially-Supervised Multi-Organ Segmentation

The paper presents a novel approach for improving multi-organ segmentation in abdominal CT scans, addressing the specific challenge of limited fully annotated datasets in medical imaging. The proposed method, known as the Prior-aware Neural Network (PaNN), leverages partially-labeled datasets by incorporating anatomical priors into the segmentation process. This approach proves particularly useful in the medical field, where data annotation is labor-intensive and costly due to the requirement of expert radiologists.

Methodology

The key innovation of PaNN lies in its integration of anatomical priors that capture size distributions of abdominal organs as a constraint in the model training process. These priors are derived from fully-labeled datasets and used to correct the background ambiguity that occurs in partially-labeled data, where non-targeted organs are merely classified as background. The authors propose a prior-aware loss function that penalizes deviations from expected organ size distributions, using a min-max optimization form to effectively train the network under this constraint. This is accomplished using the stochastic primal-dual gradient algorithm, facilitating optimization that accounts for the average output organ size distributions relative to known priors.

Results

PaNN achieves state-of-the-art performance on challenging datasets such as the MICCAI 2015 Multi-Atlas Labeling Challenge. It reports an average Dice score of 84.97%, representing a significant improvement of 3.27% over previous techniques. The method demonstrates enhanced accuracy, especially for difficult-to-segment organs like the pancreas and gallbladder, effectively utilizing additional, partially-labeled data to improve model robustness and segmentation precision. The success of PaNN in surpassing existing benchmarks underscores the role of domain-specific anatomical knowledge in enhancing deep learning models applied to medical imaging.

Implications and Future Work

The integration of anatomical priors into neural network training opens avenues for improved segmentation models that minimize dependence on fully-labeled datasets. This work highlights the potential of using partial supervision to unlock more value in existing data. This methodology could be extended to other medical imaging modalities and applications where similar annotation challenges exist. Furthermore, future research could explore the incorporation of more complex anatomical priors, such as spatial relationships between organs, and the integration of semi-supervised learning paradigms that exploit unlabeled data further.

Conclusion

The Prior-aware Neural Network (PaNN) represents a significant step forward in medical image segmentation, demonstrating that embedding anatomical priors into training procedures can dramatically enhance model performance without the constraints of fully-labeled data. This strategy reduces the dependency on extensive annotation, thus potentially accelerating advancements in automated medical diagnosis and intervention systems by making them more accessible and efficient.