Feature-enhanced adversarial semi-supervised semantic segmentation network for pulmonary embolism annotation

This study established a feature-enhanced adversarial semi-supervised semantic segmentation model to automatically annotate pulmonary embolism (PE) lesion areas in computed tomography pulmonary angiogram (CTPA) images. In the current study, all of the PE CTPA image segmentation methods were trained...

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Main Authors: Ting-Wei Cheng, Yi Wei Chua, Ching-Chun Huang, Jerry Chang, Chin Kuo, Yun-Chien Cheng
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S240584402303267X
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author Ting-Wei Cheng
Yi Wei Chua
Ching-Chun Huang
Jerry Chang
Chin Kuo
Yun-Chien Cheng
author_facet Ting-Wei Cheng
Yi Wei Chua
Ching-Chun Huang
Jerry Chang
Chin Kuo
Yun-Chien Cheng
author_sort Ting-Wei Cheng
collection DOAJ
description This study established a feature-enhanced adversarial semi-supervised semantic segmentation model to automatically annotate pulmonary embolism (PE) lesion areas in computed tomography pulmonary angiogram (CTPA) images. In the current study, all of the PE CTPA image segmentation methods were trained by supervised learning. However, when CTPA images come from different hospitals, the supervised learning models need to be retrained and the images need to be relabeled. Therefore, this study proposed a semi-supervised learning method to make the model applicable to different datasets by the addition of a small number of unlabeled images. By training the model with both labeled and unlabeled images, the accuracy of unlabeled images was improved and the labeling cost was reduced. Our proposed semi-supervised segmentation model included a segmentation network and a discriminator network. We added feature information generated from the encoder of the segmentation network to the discriminator so that it could learn the similarities between the prediction label and ground truth label. The HRNet-based architecture was modified and used as the segmentation network. This HRNet-based architecture could maintain a higher resolution for convolutional operations to improve the prediction of small PE lesion areas. We used a labeled open-source dataset and an unlabeled National Cheng Kung University Hospital (NCKUH) (IRB number: B-ER-108-380) dataset to train the semi-supervised learning model, and the resulting mean intersection over union (mIOU), dice score, and sensitivity reached 0.3510, 0.4854, and 0.4253, respectively, on the NCKUH dataset. Then we fine-tuned and tested the model with a small number of unlabeled PE CTPA images in a dataset from China Medical University Hospital (CMUH) (IRB number: CMUH110-REC3-173). Comparing the results of our semi-supervised model with those of the supervised model, the mIOU, dice score, and sensitivity improved from 0.2344, 0.3325, and 0.3151 to 0.3721, 0.5113, and 0.4967, respectively. In conclusion, our semi-supervised model can improve the accuracy on other datasets and reduce the labor cost of labeling with the use of only a small number of unlabeled images for fine-tuning.
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spelling doaj.art-140c2fd6b9284ce0bb51a61d85da16f32023-05-31T04:46:28ZengElsevierHeliyon2405-84402023-05-0195e16060Feature-enhanced adversarial semi-supervised semantic segmentation network for pulmonary embolism annotationTing-Wei Cheng0Yi Wei Chua1Ching-Chun Huang2Jerry Chang3Chin Kuo4Yun-Chien Cheng5Department of Mechanical Engineering, College of Engineering, National Yang Ming Chiao Tung University, Hsin-Chu, TaiwanDepartment of Mechanical Engineering, College of Engineering, National Yang Ming Chiao Tung University, Hsin-Chu, TaiwanDepartment of Computer Science, College of Computer Science, National Yang Ming Chiao Tung University, Hsin-Chu, TaiwanDepartment of Mechanical Engineering, College of Engineering, National Yang Ming Chiao Tung University, Hsin-Chu, TaiwanDepartment of Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; College of Artificial Intelligence, National Yang Ming Chiao Tung University, Hsin-Chu, Taiwan; Corresponding author. Department of Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.Department of Mechanical Engineering, College of Engineering, National Yang Ming Chiao Tung University, Hsin-Chu, Taiwan; Corresponding author. Department of Mechanical Engineering, College of Engineering, National Yang Ming Chiao Tung University, Hsin-Chu, Taiwan.This study established a feature-enhanced adversarial semi-supervised semantic segmentation model to automatically annotate pulmonary embolism (PE) lesion areas in computed tomography pulmonary angiogram (CTPA) images. In the current study, all of the PE CTPA image segmentation methods were trained by supervised learning. However, when CTPA images come from different hospitals, the supervised learning models need to be retrained and the images need to be relabeled. Therefore, this study proposed a semi-supervised learning method to make the model applicable to different datasets by the addition of a small number of unlabeled images. By training the model with both labeled and unlabeled images, the accuracy of unlabeled images was improved and the labeling cost was reduced. Our proposed semi-supervised segmentation model included a segmentation network and a discriminator network. We added feature information generated from the encoder of the segmentation network to the discriminator so that it could learn the similarities between the prediction label and ground truth label. The HRNet-based architecture was modified and used as the segmentation network. This HRNet-based architecture could maintain a higher resolution for convolutional operations to improve the prediction of small PE lesion areas. We used a labeled open-source dataset and an unlabeled National Cheng Kung University Hospital (NCKUH) (IRB number: B-ER-108-380) dataset to train the semi-supervised learning model, and the resulting mean intersection over union (mIOU), dice score, and sensitivity reached 0.3510, 0.4854, and 0.4253, respectively, on the NCKUH dataset. Then we fine-tuned and tested the model with a small number of unlabeled PE CTPA images in a dataset from China Medical University Hospital (CMUH) (IRB number: CMUH110-REC3-173). Comparing the results of our semi-supervised model with those of the supervised model, the mIOU, dice score, and sensitivity improved from 0.2344, 0.3325, and 0.3151 to 0.3721, 0.5113, and 0.4967, respectively. In conclusion, our semi-supervised model can improve the accuracy on other datasets and reduce the labor cost of labeling with the use of only a small number of unlabeled images for fine-tuning.http://www.sciencedirect.com/science/article/pii/S240584402303267XPulmonary embolismComputed tomography pulmonary angiogramSemantic segmentationSemi-supervised learningUnlabeled images
spellingShingle Ting-Wei Cheng
Yi Wei Chua
Ching-Chun Huang
Jerry Chang
Chin Kuo
Yun-Chien Cheng
Feature-enhanced adversarial semi-supervised semantic segmentation network for pulmonary embolism annotation
Heliyon
Pulmonary embolism
Computed tomography pulmonary angiogram
Semantic segmentation
Semi-supervised learning
Unlabeled images
title Feature-enhanced adversarial semi-supervised semantic segmentation network for pulmonary embolism annotation
title_full Feature-enhanced adversarial semi-supervised semantic segmentation network for pulmonary embolism annotation
title_fullStr Feature-enhanced adversarial semi-supervised semantic segmentation network for pulmonary embolism annotation
title_full_unstemmed Feature-enhanced adversarial semi-supervised semantic segmentation network for pulmonary embolism annotation
title_short Feature-enhanced adversarial semi-supervised semantic segmentation network for pulmonary embolism annotation
title_sort feature enhanced adversarial semi supervised semantic segmentation network for pulmonary embolism annotation
topic Pulmonary embolism
Computed tomography pulmonary angiogram
Semantic segmentation
Semi-supervised learning
Unlabeled images
url http://www.sciencedirect.com/science/article/pii/S240584402303267X
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