Medical images used in clinical practice are heterogeneous and not the same quality as scans studied in academic research. Preprocessing breaks down in extreme cases when anatomy, artifacts, or imaging parameters are unusual or protocols are different. Methods robust to these variations are most needed. A novel deep learning method is proposed for fast and accurate segmentation of the human brain into 132 regions. The proposed model uses an efficient U-Net-like network and benefits from the intersection points of different views and hierarchical relations for the fusion of the orthogonal 2D planes and brain labels during the end-to-end training. Weakly supervised learning is deployed to take the advantage of partially labeled data for the whole brain segmentation and estimation of the intracranial volume (ICV). Moreover, data augmentation is used to expand the magnetic resonance imaging (MRI) data by generating realistic brain scans with high variability for robust training of the model while preserving data privacy. The proposed method can be applied to brain MRI data including skull or any other artifacts without preprocessing the images or a drop in performance. Several experiments using different atlases are conducted to evaluate the segmentation performance of the trained model compared to the state-of-the-art, and the results show higher segmentation accuracy and robustness of the proposed model compared to the existing methods across different intra- and inter-domain datasets.
Partial label learning (PLL) is a typical weakly supervised learning framework, where each training instance is associated with a candidate label set, among which only one label is valid. To solve PLL problems, typically methods try to perform disambiguation for candidate sets by either using prior knowledge, such as structure information of training data, or refining model outputs in a self-training manner. Unfortunately, these methods often fail to obtain a favorable performance due to the lack of prior information or unreliable predictions in the early stage of model training. In this paper, we propose a novel framework for partial label learning with meta objective guided disambiguation (MoGD), which aims to recover the ground-truth label from candidate labels set by solving a meta objective on a small validation set. Specifically, to alleviate the negative impact of false positive labels, we re-weight each candidate label based on the meta loss on the validation set. Then, the classifier is trained by minimizing the weighted cross entropy loss. The proposed method can be easily implemented by using various deep networks with the ordinary SGD optimizer. Theoretically, we prove the convergence property of meta objective and derive the estimation error bounds of the proposed method. Extensive experiments on various benchmark datasets and real-world PLL datasets demonstrate that the proposed method can achieve competent performance when compared with the state-of-the-art methods.
Tracking all nuclei of an embryo in noisy and dense fluorescence microscopy data is a challenging task. We build upon a recent method for nuclei tracking that combines weakly-supervised learning from a small set of nuclei center point annotations with an integer linear program (ILP) for optimal cell lineage extraction. Our work specifically addresses the following challenging properties of C. elegans embryo recordings: (1) Many cell divisions as compared to benchmark recordings of other organisms, and (2) the presence of polar bodies that are easily mistaken as cell nuclei. To cope with (1), we devise and incorporate a learnt cell division detector. To cope with (2), we employ a learnt polar body detector. We further propose automated ILP weights tuning via a structured SVM, alleviating the need for tedious manual set-up of a respective grid search. Our method outperforms the previous leader of the cell tracking challenge on the Fluo-N3DH-CE embryo dataset. We report a further extensive quantitative evaluation on two more C. elegans datasets. We will make these datasets public to serve as an extended benchmark for future method development. Our results suggest considerable improvements yielded by our method, especially in terms of the correctness of division event detection and the number and length of fully correct track segments. Code: https://github.com/funkelab/linajea
Partial label learning is a type of weakly supervised learning, where each training instance corresponds to a set of candidate labels, among which only one is true. In this paper, we introduce ProPaLL, a novel probabilistic approach to this problem, which has at least three advantages compared to the existing approaches: it simplifies the training process, improves performance, and can be applied to any deep architecture. Experiments conducted on artificial and real-world datasets indicate that ProPaLL outperforms the existing approaches.
Histopathological images contain abundant phenotypic information and pathological patterns, which are the gold standards for disease diagnosis and essential for the prediction of patient prognosis and treatment outcome. In recent years, computer-automated analysis techniques for histopathological images have been urgently required in clinical practice, and deep learning methods represented by convolutional neural networks have gradually become the mainstream in the field of digital pathology. However, obtaining large numbers of fine-grained annotated data in this field is a very expensive and difficult task, which hinders the further development of traditional supervised algorithms based on large numbers of annotated data. More recent studies have started to liberate from the traditional supervised paradigm, and the most representative ones are the studies on weakly supervised learning paradigm based on weak annotation, semi-supervised learning paradigm based on limited annotation, and self-supervised learning paradigm based on pathological image representation learning. These new methods have led a new wave of automatic pathological image diagnosis and analysis targeted at annotation efficiency. With a survey of over 130 papers, we present a comprehensive and systematic review of the latest studies on weakly supervised learning, semi-supervised learning, and self-supervised learning in the field of computational pathology from both technical and methodological perspectives. Finally, we present the key challenges and future trends for these techniques.
The success of Convolutional Neural Networks (CNNs) in 3D medical image segmentation relies on massive fully annotated 3D volumes for training that are time-consuming and labor-intensive to acquire. In this paper, we propose to annotate a segmentation target with only seven points in 3D medical images, and design a two-stage weakly supervised learning framework PA-Seg. In the first stage, we employ geodesic distance transform to expand the seed points to provide more supervision signal. To further deal with unannotated image regions during training, we propose two contextual regularization strategies, i.e., multi-view Conditional Random Field (mCRF) loss and Variance Minimization (VM) loss, where the first one encourages pixels with similar features to have consistent labels, and the second one minimizes the intensity variance for the segmented foreground and background, respectively. In the second stage, we use predictions obtained by the model pre-trained in the first stage as pseudo labels. To overcome noises in the pseudo labels, we introduce a Self and Cross Monitoring (SCM) strategy, which combines self-training with Cross Knowledge Distillation (CKD) between a primary model and an auxiliary model that learn from soft labels generated by each other. Experiments on public datasets for Vestibular Schwannoma (VS) segmentation and Brain Tumor Segmentation (BraTS) demonstrated that our model trained in the first stage outperformed existing state-of-the-art weakly supervised approaches by a large margin, and after using SCM for additional training, the model's performance was close to its fully supervised counterpart on the BraTS dataset.
Understanding human emotions is a crucial ability for intelligent robots to provide better human-robot interactions. The existing works are limited to trimmed video-level emotion classification, failing to locate the temporal window corresponding to the emotion. In this paper, we introduce a new task, named Temporal Emotion Localization in videos~(TEL), which aims to detect human emotions and localize their corresponding temporal boundaries in untrimmed videos with aligned subtitles. TEL presents three unique challenges compared to temporal action localization: 1) The emotions have extremely varied temporal dynamics; 2) The emotion cues are embedded in both appearances and complex plots; 3) The fine-grained temporal annotations are complicated and labor-intensive. To address the first two challenges, we propose a novel dilated context integrated network with a coarse-fine two-stream architecture. The coarse stream captures varied temporal dynamics by modeling multi-granularity temporal contexts. The fine stream achieves complex plots understanding by reasoning the dependency between the multi-granularity temporal contexts from the coarse stream and adaptively integrates them into fine-grained video segment features. To address the third challenge, we introduce a cross-modal consensus learning paradigm, which leverages the inherent semantic consensus between the aligned video and subtitle to achieve weakly-supervised learning. We contribute a new testing set with 3,000 manually-annotated temporal boundaries so that future research on the TEL problem can be quantitatively evaluated. Extensive experiments show the effectiveness of our approach on temporal emotion localization. The repository of this work is at https://github.com/YYJMJC/Temporal-Emotion-Localization-in-Videos.
Two major causes of death in the United States and worldwide are stroke and myocardial infarction. The underlying cause of both is thrombi released from ruptured or eroded unstable atherosclerotic plaques that occlude vessels in the heart (myocardial infarction) or the brain (stroke). Clinical studies show that plaque composition plays a more important role than lesion size in plaque rupture or erosion events. To determine the plaque composition, various cell types in 3D cardiovascular immunofluorescent images of plaque lesions are counted. However, counting these cells manually is expensive, time-consuming, and prone to human error. These challenges of manual counting motivate the need for an automated approach to localize and count the cells in images. The purpose of this study is to develop an automatic approach to accurately detect and count cells in 3D immunofluorescent images with minimal annotation effort. In this study, we used a weakly supervised learning approach to train the HoVer-Net segmentation model using point annotations to detect nuclei in fluorescent images. The advantage of using point annotations is that they require less effort as opposed to pixel-wise annotation. To train the HoVer-Net model using point annotations, we adopted a popularly used cluster labeling approach to transform point annotations into accurate binary masks of cell nuclei. Traditionally, these approaches have generated binary masks from point annotations, leaving a region around the object unlabeled (which is typically ignored during model training). However, these areas may contain important information that helps determine the boundary between cells. Therefore, we used the entropy minimization loss function in these areas to encourage the model to output more confident predictions on the unlabeled areas. Our comparison studies indicate that the HoVer-Net model trained using our weakly ...
Handwritten Chinese text recognition (HCTR) has been an active research topic for decades. However, most previous studies solely focus on the recognition of cropped text line images, ignoring the error caused by text line detection in real-world applications. Although some approaches aimed at page-level text recognition have been proposed in recent years, they either are limited to simple layouts or require very detailed annotations including expensive line-level and even character-level bounding boxes. To this end, we propose PageNet for end-to-end weakly supervised page-level HCTR. PageNet detects and recognizes characters and predicts the reading order between them, which is more robust and flexible when dealing with complex layouts including multi-directional and curved text lines. Utilizing the proposed weakly supervised learning framework, PageNet requires only transcripts to be annotated for real data; however, it can still output detection and recognition results at both the character and line levels, avoiding the labor and cost of labeling bounding boxes of characters and text lines. Extensive experiments conducted on five datasets demonstrate the superiority of PageNet over existing weakly supervised and fully supervised page-level methods. These experimental results may spark further research beyond the realms of existing methods based on connectionist temporal classification or attention. The source code is available at https://github.com/shannanyinxiang/PageNet.
Online and offline handwritten Chinese text recognition (HTCR) has been studied for decades. Early methods adopted oversegmentation-based strategies but suffered from low speed, insufficient accuracy, and high cost of character segmentation annotations. Recently, segmentation-free methods based on connectionist temporal classification (CTC) and attention mechanism, have dominated the field of HCTR. However, people actually read text character by character, especially for ideograms such as Chinese. This raises the question: are segmentation-free strategies really the best solution to HCTR? To explore this issue, we propose a new segmentation-based method for recognizing handwritten Chinese text that is implemented using a simple yet efficient fully convolutional network. A novel weakly supervised learning method is proposed to enable the network to be trained using only transcript annotations; thus, the expensive character segmentation annotations required by previous segmentation-based methods can be avoided. Owing to the lack of context modeling in fully convolutional networks, we propose a contextual regularization method to integrate contextual information into the network during the training stage, which can further improve the recognition performance. Extensive experiments conducted on four widely used benchmarks, namely CASIA-HWDB, CASIA-OLHWDB, ICDAR2013, and SCUT-HCCDoc, show that our method significantly surpasses existing methods on both online and offline HCTR, and exhibits a considerably higher inference speed than CTC/attention-based approaches.
While there have been increased researches using deep learning techniques for the extraction of vascular structure from the 2D en face OCTA, for such approach, it is known that the data annotation process on the curvilinear structure like the retinal vasculature is very costly and time consuming, albeit few tried to address the annotation problem. In this work, we propose the application of the scribble-base weakly-supervised learning method to automate the pixel-level annotation. The proposed method, called OCTAve, combines the weakly-supervised learning using scribble-annotated ground truth augmented with an adversarial and a novel self-supervised deep supervision. Our novel mechanism is designed to utilize the discriminative outputs from the discrimination layer of a UNet-like architecture where the Kullback-Liebler Divergence between the aggregate discriminative outputs and the segmentation map predicate is minimized during the training. This combined method leads to the better localization of the vascular structure as shown in our experiments. We validate our proposed method on the large public datasets i.e., ROSE, OCTA-500. The segmentation performance is compared against both state-of-the-art fully-supervised and scribble-based weakly-supervised approaches. The implementation of our work used in the experiments is located at [LINK].
Although deep learning algorithms have been intensively developed for computer-aided tuberculosis diagnosis (CTD), they mainly depend on carefully annotated datasets, leading to much time and resource consumption. Weakly supervised learning (WSL), which leverages coarse-grained labels to accomplish fine-grained tasks, has the potential to solve this problem. In this paper, we first propose a new large-scale tuberculosis (TB) chest X-ray dataset, namely the tuberculosis chest X-ray attribute dataset (TBX-Att), and then establish an attribute-assisted weakly-supervised framework to classify and localize TB by leveraging the attribute information to overcome the insufficiency of supervision in WSL scenarios. Specifically, first, the TBX-Att dataset contains 2000 X-ray images with seven kinds of attributes for TB relational reasoning, which are annotated by experienced radiologists. It also includes the public TBX11K dataset with 11200 X-ray images to facilitate weakly supervised detection. Second, we exploit a multi-scale feature interaction model for TB area classification and detection with attribute relational reasoning. The proposed model is evaluated on the TBX-Att dataset and will serve as a solid baseline for future research. The code and data will be available at https://github.com/GangmingZhao/tb-attribute-weak-localization.
Whole slide image (WSI) classification is a fundamental task for the diagnosis and treatment of diseases; but, curation of accurate labels is time-consuming and limits the application of fully-supervised methods. To address this, multiple instance learning (MIL) is a popular method that poses classification as a weakly supervised learning task with slide-level labels only. While current MIL methods apply variants of the attention mechanism to re-weight instance features with stronger models, scant attention is paid to the properties of the data distribution. In this work, we propose to re-calibrate the distribution of a WSI bag (instances) by using the statistics of the max-instance (critical) feature. We assume that in binary MIL, positive bags have larger feature magnitudes than negatives, thus we can enforce the model to maximize the discrepancy between bags with a metric feature loss that models positive bags as out-of-distribution. To achieve this, unlike existing MIL methods that use single-batch training modes, we propose balanced-batch sampling to effectively use the feature loss i.e., (+/-) bags simultaneously. Further, we employ a position encoding module (PEM) to model spatial/morphological information, and perform pooling by multi-head self-attention (PSMA) with a Transformer encoder. Experimental results on existing benchmark datasets show our approach is effective and improves over state-of-the-art MIL methods.
As a widely used weakly supervised learning scheme, modern multiple instance learning (MIL) models achieve competitive performance at the bag level. However, instance-level prediction, which is essential for many important applications, remains largely unsatisfactory. We propose to conduct novel active deep multiple instance learning that samples a small subset of informative instances for annotation, aiming to significantly boost the instance-level prediction. A variance regularized loss function is designed to properly balance the bias and variance of instance-level predictions, aiming to effectively accommodate the highly imbalanced instance distribution in MIL and other fundamental challenges. Instead of directly minimizing the variance regularized loss that is non-convex, we optimize a distributionally robust bag level likelihood as its convex surrogate. The robust bag likelihood provides a good approximation of the variance based MIL loss with a strong theoretical guarantee. It also automatically balances bias and variance, making it effective to identify the potentially positive instances to support active sampling. The robust bag likelihood can be naturally integrated with a deep architecture to support deep model training using mini-batches of positive-negative bag pairs. Finally, a novel P-F sampling function is developed that combines a probability vector and predicted instance scores, obtained by optimizing the robust bag likelihood. By leveraging the key MIL assumption, the sampling function can explore the most challenging bags and effectively detect their positive instances for annotation, which significantly improves the instance-level prediction. Experiments conducted over multiple real-world datasets clearly demonstrate the state-of-the-art instance-level prediction achieved by the proposed model.
Automatically identifying the structural substrates underlying cardiac abnormalities can potentially provide real-time guidance for interventional procedures. With the knowledge of cardiac tissue substrates, the treatment of complex arrhythmias such as atrial fibrillation and ventricular tachycardia can be further optimized by detecting arrhythmia substrates to target for treatment (i.e., adipose) and identifying critical structures to avoid. Optical coherence tomography (OCT) is a real-time imaging modality that aids in addressing this need. Existing approaches for cardiac image analysis mainly rely on fully supervised learning techniques, which suffer from the drawback of workload on labor-intensive annotation process of pixel-wise labeling. To lessen the need for pixel-wise labeling, we develop a two-stage deep learning framework for cardiac adipose tissue segmentation using image-level annotations on OCT images of human cardiac substrates. In particular, we integrate class activation mapping with superpixel segmentation to solve the sparse tissue seed challenge raised in cardiac tissue segmentation. Our study bridges the gap between the demand on automatic tissue analysis and the lack of high-quality pixel-wise annotations. To the best of our knowledge, this is the first study that attempts to address cardiac tissue segmentation on OCT images via weakly supervised learning techniques. Within an in-vitro human cardiac OCT dataset, we demonstrate that our weakly supervised approach on image-level annotations achieves comparable performance as fully supervised methods trained on pixel-wise annotations.
Recent advances in contrastive learning have enlightened diverse applications across various semi-supervised fields. Jointly training supervised learning and unsupervised learning with a shared feature encoder becomes a common scheme. Though it benefits from taking advantage of both feature-dependent information from self-supervised learning and label-dependent information from supervised learning, this scheme remains suffering from bias of the classifier. In this work, we systematically explore the relationship between self-supervised learning and supervised learning, and study how self-supervised learning helps robust data-efficient deep learning. We propose hyperspherical consistency regularization (HCR), a simple yet effective plug-and-play method, to regularize the classifier using feature-dependent information and thus avoid bias from labels. Specifically, HCR first projects logits from the classifier and feature projections from the projection head on the respective hypersphere, then it enforces data points on hyperspheres to have similar structures by minimizing binary cross entropy of pairwise distances' similarity metrics. Extensive experiments on semi-supervised and weakly-supervised learning demonstrate the effectiveness of our method, by showing superior performance with HCR.
Data of general object images have two most common structures: (1) each object of a given shape can be rendered in multiple different views, and (2) shapes of objects can be categorized in such a way that the diversity of shapes is much larger across categories than within a category. Existing deep generative models can typically capture either structure, but not both. In this work, we introduce a novel deep generative model, called CIGMO, that can learn to represent category, shape, and view factors from image data. The model is comprised of multiple modules of shape representations that are each specialized to a particular category and disentangled from view representation, and can be learned using a group-based weakly supervised learning method. By empirical investigation, we show that our model can effectively discover categories of object shapes despite large view variation and quantitatively supersede various previous methods including the state-of-the-art invariant clustering algorithm. Further, we show that our approach using category-specialization can enhance the learned shape representation to better perform down-stream tasks such as one-shot object identification as well as shape-view disentanglement.
Detection of fights is an important surveillance application in videos. Most existing methods use supervised binary action recognition. Since frame-level annotations are very hard to get for anomaly detection, weakly supervised learning using multiple instance learning is widely used. This paper explores the detection of fights in videos as one special type of anomaly detection and as binary action recognition. We use the UBI-Fight and NTU-CCTV-Fight datasets for most of the study since they have frame-level annotations. We find that the anomaly detection has similar or even better performance than the action recognition. Furthermore, we study to use anomaly detection as a toolbox to generate training datasets for action recognition in an iterative way conditioned on the performance of the anomaly detection. Experiment results should show that we achieve state-of-the-art performance on three fight detection datasets.
[Purpose] The pathology is decisive for disease diagnosis, but relies heavily on the experienced pathologists. Recently, pathological artificial intelligence (PAI) is thought to improve diagnostic accuracy and efficiency. However, the high performance of PAI based on deep learning in the laboratory generally cannot be reproduced in the clinic. [Methods] Because the data preparation is important for PAI, the paper has reviewed PAI-related studies in the PubMed database published from January 2017 to February 2022, and 118 studies were included. The in-depth analysis of methods for preparing data is performed, including obtaining slides of pathological tissue, cleaning, screening, and then digitizing. Expert review, image annotation, dataset division for model training and validation are also discussed. We further discuss the reasons why the high performance of PAI is not reproducible in the clinical practices and show some effective ways to improve clinical performances of PAI. [Results] The robustness of PAI depend on randomized collection of representative disease slides, including rigorous quality control and screening, correction of digital discrepancies, reasonable annotation, and the amount of data. The digital pathology is fundamental of clinical-grade PAI, and the techniques of data standardization and weakly supervised learning methods based on whole slide image (WSI) are effective ways to overcome obstacles of performance reproduction. [Conclusion] The representative data, the amount of labeling and consistency from multi-centers is the key to performance reproduction. The digital pathology for clinical diagnosis, data standardization and technique of WSI-based weakly supervised learning hopefully build clinical-grade PAI. Keywords: pathological artificial intelligence; data preparation; clinical-grade; deep learning
Hispathological image segmentation algorithms play a critical role in computer aided diagnosis technology. The development of weakly supervised segmentation algorithm alleviates the problem of medical image annotation that it is time-consuming and labor-intensive. As a subset of weakly supervised learning, Multiple Instance Learning (MIL) has been proven to be effective in segmentation. However, there is a lack of related information between instances in MIL, which limits the further improvement of segmentation performance. In this paper, we propose a novel weakly supervised method for pixel-level segmentation in histopathology images, which introduces Transformer into the MIL framework to capture global or long-range dependencies. The multi-head self-attention in the Transformer establishes the relationship between instances, which solves the shortcoming that instances are independent of each other in MIL. In addition, deep supervision is introduced to overcome the limitation of annotations in weakly supervised methods and make the better utilization of hierarchical information. The state-of-the-art results on the colon cancer dataset demonstrate the superiority of the proposed method compared with other weakly supervised methods. It is worth believing that there is a potential of our approach for various applications in medical images.