Abstract
Early detection and diagnosis of breast cancer using ultrasound images are crucial for timely diagnostic decision and treatment in clinical application. However, the similarity between tumors and background and also severe shadow noises in ultrasound images make accurate segmentation of breast tumor challenging. In this paper, we propose a large pre-trained model for breast tumor segmentation, with robust performance when applied to new datasets. Specifically, our model is built upon UNet backbone with deep supervision for each stage of the decoder. Besides using Dice score, we also design discriminator-based loss on each stage of the decoder to penalize the distribution dissimilarity from multi-scales. Our proposed model is validated on a large clinical dataset with more than 10000 cases, and shows significant improvement than other representative models. Besides, we apply our large pretrained model to two public datasets without fine tuning, and obtain extremely good results. This indicates great generalizability of our large pre-trained model, as well as robustness to multi-site data. The code is publicly available at https://github.com/limy-ulab/US-SEG.
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References
Siegel, R.L., Miller, K.D., Fuchs, H.E., Jemal, A.: Cancer statistics. CA: Cancer J. Clin. 72(1), 7–33 (2022)
Arnold, M., Morgan, E., Rumgay, H., Mafra, A., Singh, D., Laversanne, M., et al.: Current and future burden of breast cancer: global statistics for 2020 and 2040. Breast 66, 15–23 (2022)
Berg, W.A., Zhang, Z., Lehrer, D., Jong, R.A., Pisano, E.D., Barr, R.G., et al.: Detection of breast cancer with addition of annual screening ultrasound or a single screening MRI to mammography in women with elevated breast cancer risk. J. Am. Med. Assoc. (JAMA) 307(13), 1394–1404 (2012)
Kalager, M., Haldorsen, T., Bretthauer, M., Hoff, G., Thoresen, S.O., Adami, H.O.: Improved breast cancer survival following introduction of an organized mammography screening program among both screened and unscreened women: a population-based cohort study. Breast Cancer Res. BCR 11(4), 1–9 (2009)
Cheng, H.D., Shan, J., Ju, W., Guo, Y., Zhang, L.: Automated breast cancer detection and classification using ultrasound images: a survey. Pattern Recogn. 43(1), 299–317 (2010)
Kratkiewicz, K., Pattyn, A., Alijabbari, N., Mehrmohammadi, M.: Ultrasound and photoacoustic imaging of breast cancer: clinical systems, challenges, and future outlook. J. Clin. Med. 11(5), 1165 (2022)
Ragab, M., Albukhari, A., Alyami, J., Mansour, R.F.: Ensemble deep-learning-enabled clinical decision support system for breast cancer diagnosis and classification on ultrasound images. Biology (Basel) 11(3), 439 (2022)
Xian, M., Zhang, Y., Cheng, H.-D., Xu, F., Zhang, B., Ding, J.: Automatic breast ultrasound image segmentation: a survey. Pattern Recogn. 79, 340–355 (2018)
Calas, M.J.G., Almeida, R.M.V.R., Gutfilen, B., Pereira, W.C.A.: Intraobserver interpretation of breast ultrasonography following the BI-RADS classification. Eur. J. Radiol. 74(3), 525–528 (2010)
Yap, M.H., Edirisinghe, E.A., Bez, H.E.: Processed images in human perception: a case study in ultrasound breast imaging. Eur. J. Radiol. 73(3), 682–687 (2010)
Jalalian, A., Mashohor, S.B., Mahmud, H.R., Saripan, M.I.B., Ramli, A.R.B., Karasfi, B.: Computer-aided detection/diagnosis of breast cancer in mammography and ultrasound: a review. Clin. Imaging 37(3), 420–426 (2013)
Zhou, Y., Chen, H., Li, Y., Cao, X., Wang, S., Shen, D.: Cross-model attention-guided tumor segmentation for 3D automated breast ultrasound (ABUS) images. IEEE J. Biomed. Health Inform. 26(1), 301–311 (2021)
Su, R., Zhang, D., Liu, J., Cheng, C.: Msu-net: Multi-scale u-net for 2D medical image segmentation. Front. Genet. 12, 639930 (2021)
Zhou, Z., Rahman Siddiquee, M.M., Tajbakhsh, N., Liang, J.: Unet++: a nested U-net architecture for medical image segmentation. In: Stoyanov, D., et al. (eds.) DLMIA/ML-CDS -2018. LNCS, vol. 11045, pp. 3–11. Springer, Cham (2018). https://doi.org/10.1007/978-3-030-00889-5_1
Li, M., Lian, F., Guo, S.: Multi-scale selection and multi-channel fusion model for pancreas segmentation using adversarial deep convolutional nets. J. Digit. Imaging 35, 47–55 (2022)
Oktay, O., et al.: Attention U-net: learning where to look for the pancreas. arXiv preprint arXiv:180403999 (2018)
Huang, H., et al. (eds.) Unet 3+: a full-scale connected unet for medical image segmentation. In: ICASSP 2020–2020 IEEE International Conference on Acoustics, Speech and Signal Processing (ICASSP). IEEE (2020)
Liu, X., Guo, S., Yang, B., Ma, S., Zhang, H., Li, J., et al.: Automatic organ segmentation for CT scans based on super-pixel and convolutional neural networks. J. Digit. Imaging 31, 748–760 (2018)
Pei, Y., Mu, L., Fu, Y., He, K., Li, H., Guo, S., et al.: Colorectal tumor segmentation of CT scans based on a convolutional neural network with an attention mechanism. IEEE Access. 8, 64131–64138 (2020)
Ronneberger, O., Fischer, P., Brox, T.: U-net: convolutional networks for biomedical image segmentation. In: Navab, N., Hornegger, J., Wells, W.M., Frangi, A.F. (eds.) MICCAI 2015. LNCS, vol. 9351, pp. 234–241. Springer, Cham (2015). https://doi.org/10.1007/978-3-319-24574-4_28
Goodfellow, I.J., et al.: Generative adversarial nets. In: Proceedings of the 27th International Conference on Neural Information Processing Systems, Montreal, Canada, vol. 2, pp. 2672–2680. MIT Press, Cambridge (2014)
Negi, A., Raj, A.N.J., Nersisson, R., Zhuang, Z., Murugappan, M.: RDA-UNET-WGAN: an accurate breast ultrasound lesion segmentation using Wasserstein generative adversarial networks. Arab. J. Sci. Eng. 45(8), 6399–6410 (2020)
Huang, Q., Huang, Y., Luo, Y., Yuan, F., Li, X.: Segmentation of breast ultrasound image with semantic classification of superpixels. Med. Image Anal. 61, 101657 (2020)
Zhang, Z., Liu, Q., Wang, Y.: Road extraction by deep residual u-net. IEEE Geosci. Remote Sens. Lett. 15(5), 749–753 (2018)
Badrinarayanan, V., Kendall, A., Cipolla, R.: Segnet: a deep convolutional encoder-decoder architecture for image segmentation. IEEE Trans. Pattern Anal. Mach. Intell. 39(12), 2481–2495 (2017)
Qin, X., Zhang, Z., Huang, C., Dehghan, M., Zaiane, O.R., Jagersand, M.: U2-Net: going deeper with nested U-structure for salient object detection. Pattern Recogn. 106, 107404 (2020)
Acknowledgment
This work was supported in part by The Key R&D Program of Guangdong Province, China (grant number 2021B0101420006), National Natural Science Foundation of China (grant number 62131015), and Science and Technology Commission of Shanghai Municipality (STCSM) (grant number 21010502600).
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Li, M. et al. (2023). Developing Large Pre-trained Model for Breast Tumor Segmentation from Ultrasound Images. In: Greenspan, H., et al. Medical Image Computing and Computer Assisted Intervention – MICCAI 2023. MICCAI 2023. Lecture Notes in Computer Science, vol 14226. Springer, Cham. https://doi.org/10.1007/978-3-031-43990-2_9
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