Precise determination and assessment of bladder cancer (BC) extent of muscle invasion involvement guides proper risk stratification and personalized therapy selection. In this context, segmentation of both bladder walls and cancer are of pivotal importance, as it provides invaluable information to stage the primary tumour. Hence, multi region segmentation on patients presenting with symptoms of bladder tumours using deep learning heralds a new level of staging accuracy and prediction of the biologic behaviour of the tumour. Nevertheless, despite the success of these models in other medical problems, progress in multi region bladder segmentation is still at a nascent stage, with just a handful of works tackling a multi region scenario. Furthermore, most existing approaches systematically follow prior literature in other clinical problems, without casting a doubt on the validity of these methods on bladder segmentation, which may present different challenges. Inspired by this, we provide an in-depth look at bladder cancer segmentation using deep learning models. The critical determinants for accurate differentiation of muscle invasive disease, current status of deep learning based bladder segmentation, lessons and limitations of prior work are highlighted.
Segmentation of certain hollow organs, such as the bladder, is especially hard to automate due to their complex geometry, vague intensity gradients in the soft tissues, and a tedious manual process of the data annotation routine. Yet, accurate localization of the walls and the cancer regions in the radiologic images of such organs is an essential step in oncology. To address this issue, we propose a new class of hollow kernels that learn to 'mimic' the contours of the segmented organ, effectively replicating its shape and structural complexity. We train a series of the U-Net-like neural networks using the proposed kernels and demonstrate the superiority of the idea in various spatio-temporal convolution scenarios. Specifically, the dilated hollow-kernel architecture outperforms state-of-the-art spatial segmentation models, whereas the addition of temporal blocks with, e.g., Bi-LSTM, establishes a new multi-class baseline for the bladder segmentation challenge. Our spatio-temporal model based on the hollow kernels reaches the mean dice scores of 0.936, 0.736, and 0.712 for the bladder's inner wall, the outer wall, and the tumor regions, respectively. The results pave the way towards other domain-specific deep learning applications where the shape of the segmented object could be used to form a proper convolution kernel for boosting the segmentation outcome.
We present an approach for fully automatic urinary bladder segmentation in CT images with artificial neural networks in this study. Automatic medical image analysis has become an invaluable tool in the different treatment stages of diseases. Especially medical image segmentation plays a vital role, since segmentation is often the initial step in an image analysis pipeline. Since deep neural networks have made a large impact on the field of image processing in the past years, we use two different deep learning architectures to segment the urinary bladder. Both of these architectures are based on pre-trained classification networks that are adapted to perform semantic segmentation. Since deep neural networks require a large amount of training data, specifically images and corresponding ground truth labels, we furthermore propose a method to generate such a suitable training data set from Positron Emission Tomography/Computed Tomography image data. This is done by applying thresholding to the Positron Emission Tomography data for obtaining a ground truth and by utilizing data augmentation to enlarge the dataset. In this study, we discuss the influence of data augmentation on the segmentation results, and compare and evaluate the proposed architectures in terms of qualitative and quantitative segmentation performance. The results presented in this study allow concluding that deep neural networks can be considered a promising approach to segment the urinary bladder in CT images.
Fish embryo models are increasingly being used both for the assessment of chemicals efficacy and potential toxicity. This article proposes a methodology to automatically detect the swim bladder on 2D images of Medaka fish embryos seen either in dorsal view or in lateral view. After embryo segmentation and for each studied orientation, the method builds an atlas of a healthy embryo. This atlas is then used to define the region of interest and to guide the swim bladder segmentation with a discrete globally optimal active contour. Descriptors are subsequently designed from this segmentation. An automated random forest clas-sifier is built from these descriptors in order to classify embryos with and without a swim bladder. The proposed method is assessed on a dataset of 261 images, containing 202 embryos with a swim bladder (where 196 are in dorsal view and 6 are in lateral view) and 59 without (where 43 are in dorsal view and 16 are in lateral view). We obtain an average precision rate of 95% in the total dataset following 5-fold cross-validation.