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Uncertainty Analysis Based Attention Network for Lung Nodule Segmentation from CT Images

Published:25 August 2022Publication History

ABSTRACT

In recent years, with the development of computer science and technology, computer aided diagnosis (CAD) systems have played important role in clinical practice. Using deep learning technology, existing CAD systems can predict whether CT images contain lung nodule automatically. However, for the precise segmentation of lung nodule and nodule boundary, further diagnosis by doctors is required. The current widely used segmentation networks still have segmentation uncertainty in the lung nodules boundary, which will interfere the accuracy of segmentation results. To solve this problem, this paper propose a UAA-UNet (Uncertainty Analysis Based Attention UNet) based on the uncertainty analysis of edge regions. The network structure is divided into two stages. In the first stage, the initial segmentation map of the lung nodule is obtained, and the second stage focuses on the uncertainty region of the initial segmentation map. By learning the features of the uncertainty region, the uncertainty is reduced and the segmentation accuracy is improved. The second stage includes two modules, the uncertainty attention module and the uncertainty elimination module. In uncertainty attention module, the entropy map of the initial segmentation map of the lung nodule is input into the network as attention information to improve the network's ability to understand uncertainty. In uncertainty elimination module, by using EWCE (entropy map weighted cross entropy loss function), the entropy map of the prediction result is fed back to the network as a weight factor to further improve the network's learning ability of the uncertain region. We selected lung nodule slices from 1012 patients in the Lung Image Database Consortium (LIDC) to validate the feasibility and effectiveness of the proposed method. The experiment result shows that, in the lung nodule segmentation task, by leveraging uncertainty analysis, the network achieves significant improvements over the baseline network.

References

  1. Center M, Siegel R, Jemal A. Global cancer facts & figures. Atlanta: American Cancer Society, 2011, 3: 1-52.Google ScholarGoogle Scholar
  2. Wanqing Chen PhD, MD, Rongshou Zheng MPH, Peter D. Baade PhD, Siwei Zhang BMedSc, Hongmei Zeng PhD, MD, Freddie Bray PhD, Ahmedin Jemal DVM, PhD, Xue Qin Yu PhD, MPH, Jie He MD. Cancer statistics in China, 2015. CA: a cancer journal for clinicians, 2016, 66(2): 115-132.Google ScholarGoogle Scholar
  3. David R.Baldwin. Prediction of risk of lung cancer in populations and in pulmonary nodules: significant progress to drive changes in paradigms. Lung Cancer, 2015, 89(1): 1-3.Google ScholarGoogle ScholarCross RefCross Ref
  4. Gabriel I. Barbash, M.D., M.P.H., and Sherry A. Glied, Ph.D. New technology and health care costs–the case of robot-assisted surgery. The New England journal of medicine, 2010, 363(8): 701.Google ScholarGoogle Scholar
  5. Joao Rodrigo Ferreirada Silva Sousa, Aristofanes Correa Silva, Anselmo Cardosode Paiva, Rodolfo Acatauassu Nunes. Methodology for automatic detection of lung nodules in computerized tomography images. Computer methods and programs in biomedicine, 2010, 98(1): 1-14.Google ScholarGoogle Scholar
  6. Shanhui Sun, Christian Bauer, Reinhard Beichel. Automated 3-D segmentation of lungs with lung cancer in CT data using a novel robust active shape model approach. IEEE transactions on medical imaging, 2011, 31(2): 449-460.Google ScholarGoogle Scholar
  7. Jinsa Kuruvilla, K.Gunavathi. "Lung cancer classification using neural networks for CT images." Computer methods and programs in biomedicine 113.1 (2014): 202-209.Google ScholarGoogle Scholar
  8. Messay, T., Hardie, R. C., & Tuinstra, T. R. (2015). Segmentation of pulmonary nodules in computed tomography using a regression neural network approach and its application to the lung image database consortium and image database resource initiative dataset. Medical image analysis, 22(1), 48-62.Google ScholarGoogle Scholar
  9. Mohsen Keshani, Zohreh Azimifar, Farshad Tajeripour, Reza Boostani. Lung nodule segmentation and recognition using SVM classifier and active contour modeling: A complete intelligent system. Computers in biology and medicine, 2013, 43(4): 287-300.Google ScholarGoogle Scholar
  10. Shelhamer Evan, Long Jonathan, Darrell Trevor. Fully convolutional networks for semantic segmentation. IEEE transactions on pattern analysis and machine intelligence, 2016, 39(4): 640-651.Google ScholarGoogle Scholar
  11. LiangChieh Chen, George Papandreou, Iasonas Kokkinos, Kevin Murphy, Alan L. Yuille. Deeplab: Semantic image segmentation with deep convolutional nets, atrous convolution, and fully connected crfs. IEEE transactions on pattern analysis and machine intelligence, 2017, 40(4): 834-848.Google ScholarGoogle Scholar
  12. Shuo Wang, Mu Zhou, Zaiyi Liu, Zhenyu Liu, Dongsheng Gu, Yali Zang, Di Dong, Olivier Gevaert, Jie Tian. Central focused convolutional neural networks: Developing a data-driven model for lung nodule segmentation. Medical image analysis, 2017, 40: 172-183.Google ScholarGoogle Scholar
  13. Sihang Chen, Yifan Wang. Pulmonary nodule segmentation in computed tomography with an encoder-decoder architecture. In 2019 10th International Conference on Information Technology in Medicine and Education (ITME) (pp. 157-162). IEEE.Google ScholarGoogle Scholar
  14. M Liu, J Dong, X Dong, H Yu, L Qi. Segmentation of lung nodule in CT images based on mask R-CNN//2018 9th International Conference on Awareness Science and Technology (iCAST). IEEE, 2018: 1-6.Google ScholarGoogle Scholar
  15. [online] Available:https://wiki.cancerimagingarchive.net/display/Public/LIDC-IDRI.Google ScholarGoogle Scholar
  16. Rafael Wiemker, Martin Bergtholdt, Ekta Dharaiya, Sven Kabus, Michael C. Lee. Agreement of CAD features with expert observer ratings for characterization of pulmonary nodules in CT using the LIDC-IDRI database//Medical Imaging 2009: Computer-Aided Diagnosis. International Society for Optics and Photonics, 2009, 7260: 72600H.Google ScholarGoogle Scholar
  17. Wook-Jin Choi, Tae-Sun Choi. Automated pulmonary nodule detection system in computed tomography images: A hierarchical block classification approach. Entropy, 2013, 15(2): 507-523.Google ScholarGoogle ScholarCross RefCross Ref
  18. Qiang Li,Shusuke Sone,Kunio Doi. Selective enhancement filters for nodules, vessels, and airway walls in two‐and three‐dimensional CT scans. Medical physics, 2003, 30(8): 2040-2051.Google ScholarGoogle Scholar
  19. Tomokazu Oda, Mitsuru Kubo, Yoshiki Kawata, Noboru Niki, Kenji Eguchi, Hironobu Ohmatsu, Ryutaro Kakinuma, Masahiro Kaneko, Masahiko Kusumoto, Noriyuki Moriyama, Kiyoshi Mori, Hiroyuki Nishiyama. Detection algorithm of lung cancer candidate nodules on multislice CT images//Medical Imaging 2002: Image Processing. International Society for Optics and Photonics, 2002, 4684: 1354-1361.Google ScholarGoogle Scholar
  20. Ezhil E.Nithila, S.S.Kumar. Automatic detection of solitary pulmonary nodules using swarm intelligence optimized neural networks on CT images. Engineering science and technology, an international journal, 2017, 20(3): 1192-1202.Google ScholarGoogle Scholar
  21. O Ronneberger, P Fischer, T Brox. (2015, October). U-net: Convolutional networks for biomedical image segmentation. In International Conference on Medical image computing and computer-assisted intervention (pp. 234-241). Springer, Cham.Google ScholarGoogle ScholarCross RefCross Ref
  22. O Oktay, J Schlemper, L L Folgoc, M Lee, M Heinrich, K Misawa, K Mori, S McDonagh, N Y Hammerla, B Kainz, B Glocker, D Rueckert. (2018). Attention u-net: Learning where to look for the pancreas. arXiv preprint arXiv:1804.03999.Google ScholarGoogle Scholar
  23. Xiao Xiao, Shen Lian, Zhiming Luo, Shaozi Li. Weighted res-unet for high-quality retina vessel segmentation//2018 9th international conference on information technology in medicine and education (ITME). IEEE, 2018: 327-331.Google ScholarGoogle Scholar
  24. Md Zahangir Alom, Mahmudul Hasan, Chris Yakopcic, Tarek M. Taha, Vijayan K. Asari. Recurrent residual convolutional neural network based on u-net (r2u-net) for medical image segmentation. arXiv preprint arXiv:1802.06955, 2018.Google ScholarGoogle Scholar
  25. Sijing Cai, Yunxian Tian, Harvey Lui, Haishan Zeng, Yi Wu, Guannan Chen. Dense-UNet: a novel multiphoton in vivo cellular image segmentation model based on a convolutional neural network. Quantitative imaging in medicine and surgery, 2020, 10(6): 1275.Google ScholarGoogle Scholar

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    • Published in

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      ICVARS '22: Proceedings of the 6th International Conference on Virtual and Augmented Reality Simulations
      March 2022
      119 pages
      ISBN:9781450387330
      DOI:10.1145/3546607

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      Publication History

      • Published: 25 August 2022

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