Propagating uncertainty across cascaded medical imaging tasks for improved deep learning inference

Although deep networks have been shown to perform very well on a variety of medical imaging tasks, inference in the presence of pathology presents several challenges to common models. These challenges impede the integration of deep learning models into real clinical workflows, where the customary pr...

Full description

Bibliographic Details
Main Authors: Mehta, R, Christinck, T, Nair, T, Bussy, A, Premasiri, S, Costantino, M, Chakravarthy, MM, Arnold, DL, Gal, Y, Arbel, T
Format: Journal article
Language:English
Published: IEEE 2021
_version_ 1797108097303445504
author Mehta, R
Christinck, T
Nair, T
Bussy, A
Premasiri, S
Costantino, M
Chakravarthy, MM
Arnold, DL
Gal, Y
Arbel, T
author_facet Mehta, R
Christinck, T
Nair, T
Bussy, A
Premasiri, S
Costantino, M
Chakravarthy, MM
Arnold, DL
Gal, Y
Arbel, T
author_sort Mehta, R
collection OXFORD
description Although deep networks have been shown to perform very well on a variety of medical imaging tasks, inference in the presence of pathology presents several challenges to common models. These challenges impede the integration of deep learning models into real clinical workflows, where the customary process of cascading deterministic outputs from a sequence of image-based inference steps (e.g. registration, segmentation) generally leads to an accumulation of errors that impacts the accuracy of downstream inference tasks. In this paper, we propose that by embedding uncertainty estimates across cascaded inference tasks, performance on the downstream inference tasks should be improved. We demonstrate the effectiveness of the proposed approach in three different clinical contexts: (i) We demonstrate that by propagating T2 weighted lesion segmentation results and their associated uncertainties, subsequent T2 lesion detection performance is improved when evaluated on a proprietary large-scale, multi-site, clinical trial dataset acquired from patients with Multiple Sclerosis. (ii) We show an improvement in brain tumour segmentation performance when the uncertainty map associated with a synthesised missing MR volume is provided as an additional input to a follow-up brain tumour segmentation network, when evaluated on the publicly available BraTS-2018 dataset. (iii) We show that by propagating uncertainties from a voxel-level hippocampus segmentation task, the subsequent regression of the Alzheimer's disease clinical score is improved.
first_indexed 2024-03-07T07:22:53Z
format Journal article
id oxford-uuid:6d52bc3d-dc66-44a4-b3b2-d598913b67d1
institution University of Oxford
language English
last_indexed 2024-03-07T07:22:53Z
publishDate 2021
publisher IEEE
record_format dspace
spelling oxford-uuid:6d52bc3d-dc66-44a4-b3b2-d598913b67d12022-11-04T12:05:13ZPropagating uncertainty across cascaded medical imaging tasks for improved deep learning inference Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:6d52bc3d-dc66-44a4-b3b2-d598913b67d1EnglishSymplectic ElementsIEEE2021Mehta, RChristinck, TNair, TBussy, APremasiri, SCostantino, MChakravarthy, MMArnold, DLGal, YArbel, TAlthough deep networks have been shown to perform very well on a variety of medical imaging tasks, inference in the presence of pathology presents several challenges to common models. These challenges impede the integration of deep learning models into real clinical workflows, where the customary process of cascading deterministic outputs from a sequence of image-based inference steps (e.g. registration, segmentation) generally leads to an accumulation of errors that impacts the accuracy of downstream inference tasks. In this paper, we propose that by embedding uncertainty estimates across cascaded inference tasks, performance on the downstream inference tasks should be improved. We demonstrate the effectiveness of the proposed approach in three different clinical contexts: (i) We demonstrate that by propagating T2 weighted lesion segmentation results and their associated uncertainties, subsequent T2 lesion detection performance is improved when evaluated on a proprietary large-scale, multi-site, clinical trial dataset acquired from patients with Multiple Sclerosis. (ii) We show an improvement in brain tumour segmentation performance when the uncertainty map associated with a synthesised missing MR volume is provided as an additional input to a follow-up brain tumour segmentation network, when evaluated on the publicly available BraTS-2018 dataset. (iii) We show that by propagating uncertainties from a voxel-level hippocampus segmentation task, the subsequent regression of the Alzheimer's disease clinical score is improved.
spellingShingle Mehta, R
Christinck, T
Nair, T
Bussy, A
Premasiri, S
Costantino, M
Chakravarthy, MM
Arnold, DL
Gal, Y
Arbel, T
Propagating uncertainty across cascaded medical imaging tasks for improved deep learning inference
title Propagating uncertainty across cascaded medical imaging tasks for improved deep learning inference
title_full Propagating uncertainty across cascaded medical imaging tasks for improved deep learning inference
title_fullStr Propagating uncertainty across cascaded medical imaging tasks for improved deep learning inference
title_full_unstemmed Propagating uncertainty across cascaded medical imaging tasks for improved deep learning inference
title_short Propagating uncertainty across cascaded medical imaging tasks for improved deep learning inference
title_sort propagating uncertainty across cascaded medical imaging tasks for improved deep learning inference
work_keys_str_mv AT mehtar propagatinguncertaintyacrosscascadedmedicalimagingtasksforimproveddeeplearninginference
AT christinckt propagatinguncertaintyacrosscascadedmedicalimagingtasksforimproveddeeplearninginference
AT nairt propagatinguncertaintyacrosscascadedmedicalimagingtasksforimproveddeeplearninginference
AT bussya propagatinguncertaintyacrosscascadedmedicalimagingtasksforimproveddeeplearninginference
AT premasiris propagatinguncertaintyacrosscascadedmedicalimagingtasksforimproveddeeplearninginference
AT costantinom propagatinguncertaintyacrosscascadedmedicalimagingtasksforimproveddeeplearninginference
AT chakravarthymm propagatinguncertaintyacrosscascadedmedicalimagingtasksforimproveddeeplearninginference
AT arnolddl propagatinguncertaintyacrosscascadedmedicalimagingtasksforimproveddeeplearninginference
AT galy propagatinguncertaintyacrosscascadedmedicalimagingtasksforimproveddeeplearninginference
AT arbelt propagatinguncertaintyacrosscascadedmedicalimagingtasksforimproveddeeplearninginference