Few-shot image segmentation for cross-institution male pelvic organs using registration-assisted prototypical learning

The ability to adapt medical image segmentation networks for a novel class such as an unseen anatomical or pathological structure, when only a few labelled examples of this class are available from local healthcare providers, is sought-after. This potentially addresses two widely recognised limitati...

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Main Authors: Li, Y, Fu, Y, Yang, Q, Min, Z, Yan, W, Huisman, H, Barratt, D, Prisacariu, V, Hu, Y
Format: Internet publication
Language:English
Published: arXiv 2022
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author Li, Y
Fu, Y
Yang, Q
Min, Z
Yan, W
Huisman, H
Barratt, D
Prisacariu, V
Hu, Y
author_facet Li, Y
Fu, Y
Yang, Q
Min, Z
Yan, W
Huisman, H
Barratt, D
Prisacariu, V
Hu, Y
author_sort Li, Y
collection OXFORD
description The ability to adapt medical image segmentation networks for a novel class such as an unseen anatomical or pathological structure, when only a few labelled examples of this class are available from local healthcare providers, is sought-after. This potentially addresses two widely recognised limitations in deploying modern deep learning models to clinical practice, expertise-and-labour-intensive labelling and cross-institution generalisation. This work presents the first 3D few-shot interclass segmentation network for medical images, using a labelled multi-institution dataset from prostate cancer patients with eight regions of interest. We propose an image alignment module registering the predicted segmentation of both query and support data, in a standard prototypical learning algorithm, to a reference atlas space. The built-in registration mechanism can effectively utilise the prior knowledge of consistent anatomy between subjects, regardless whether they are from the same institution or not. Experimental results demonstrated that the proposed registration-assisted prototypical learning significantly improved segmentation accuracy (p-values<0.01) on query data from a holdout institution, with varying availability of support data from multiple institutions. We also report the additional benefits of the proposed 3D networks with 75% fewer parameters and an arguably simpler implementation, compared with existing 2D few-shot approaches that segment 2D slices of volumetric medical images.
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spelling oxford-uuid:428c030e-5555-43d4-8dca-8c7116d2de702024-01-11T15:31:36ZFew-shot image segmentation for cross-institution male pelvic organs using registration-assisted prototypical learningInternet publicationhttp://purl.org/coar/resource_type/c_7ad9uuid:428c030e-5555-43d4-8dca-8c7116d2de70EnglishSymplectic ElementsarXiv2022Li, YFu, YYang, QMin, ZYan, WHuisman, HBarratt, DPrisacariu, VHu, YThe ability to adapt medical image segmentation networks for a novel class such as an unseen anatomical or pathological structure, when only a few labelled examples of this class are available from local healthcare providers, is sought-after. This potentially addresses two widely recognised limitations in deploying modern deep learning models to clinical practice, expertise-and-labour-intensive labelling and cross-institution generalisation. This work presents the first 3D few-shot interclass segmentation network for medical images, using a labelled multi-institution dataset from prostate cancer patients with eight regions of interest. We propose an image alignment module registering the predicted segmentation of both query and support data, in a standard prototypical learning algorithm, to a reference atlas space. The built-in registration mechanism can effectively utilise the prior knowledge of consistent anatomy between subjects, regardless whether they are from the same institution or not. Experimental results demonstrated that the proposed registration-assisted prototypical learning significantly improved segmentation accuracy (p-values<0.01) on query data from a holdout institution, with varying availability of support data from multiple institutions. We also report the additional benefits of the proposed 3D networks with 75% fewer parameters and an arguably simpler implementation, compared with existing 2D few-shot approaches that segment 2D slices of volumetric medical images.
spellingShingle Li, Y
Fu, Y
Yang, Q
Min, Z
Yan, W
Huisman, H
Barratt, D
Prisacariu, V
Hu, Y
Few-shot image segmentation for cross-institution male pelvic organs using registration-assisted prototypical learning
title Few-shot image segmentation for cross-institution male pelvic organs using registration-assisted prototypical learning
title_full Few-shot image segmentation for cross-institution male pelvic organs using registration-assisted prototypical learning
title_fullStr Few-shot image segmentation for cross-institution male pelvic organs using registration-assisted prototypical learning
title_full_unstemmed Few-shot image segmentation for cross-institution male pelvic organs using registration-assisted prototypical learning
title_short Few-shot image segmentation for cross-institution male pelvic organs using registration-assisted prototypical learning
title_sort few shot image segmentation for cross institution male pelvic organs using registration assisted prototypical learning
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