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Kevin McGuinness
kevin.mcguinness@dcu.ie
Assistant Professor
School of Electronic Engineering
Dublin City University
http://bit.ly/dlcv2018
#DLUPC
Medical Imaging at DCU
Day 2 Lecture 6
Overview
Computer aided diagnosis of knee-osteoarthritis
Neonatal brain image segmentation
Detecting ischemic lesions in neonatal brains
Task: predict KL grade from X-Ray images
3
Pipeline: locate and classify
4
Detection performance
FCN detection performance
Template matching: (J > 0.5) 8.3%
SVM on handcrafted features: (J > 0.5): 38.6%
5
Multi-objective learning helps!
Same network used to regress on KL grade and predict a discrete KL grade
Jointly train on both objectives
6
Comparison with the state-of-the-art
7
How far are we from human-level accuracy?
Most errors are between grade 0 and 1 and grade 1 and 2.
Human experts have a hard time with these grades too.
Agreement among humans on OAI
● weighted kappa of 0.70 [0.65-0.76]
Human machine agreement
● weighted kappa of 0.67 [0.65-0.68]
Predictions agree with the “gold standard” about as well as
the “gold standard” agrees with itself.
Confusion matrix
8
Neonatal brain image segmentation
Volumetric semantic segmentation: label each pixel with class of brain matter.
Applications:
● Prerequisite for volumetric analysis
● Early identification of risk factors for impaired brain development
Challenge:
● Neonatal brains very different
● Sparse training data! Neobrains challenge has 2 training examples
9
Cerebellum Unmyelinated
white matter
Cortical grey
matter
Ventricles Cerebrospinal
fluid
Brainstem
The task
10
11
Some background…
Semantic segmentation and fully
convolutional networks
Semantic segmentation
Label every pixel!
Don’t differentiate
instances (cows)
Classic computer
vision problem
12
Semantic segmentation via pixelwise classification
COW
Extract
patch
Run through
a classifier
Classify center
pixel
Repeat for every
pixel
13
Convolutionalizing
X
batch
MLP y
batch of
predictions
Loss
≍
CNN
14
Semantic segmentation using a FCN
CNN
Run “fully convolutional” network to get
all pixels at once
Smaller output
due to pooling
15
Fully convolutional networks
Long et al. Fully Convolutional Networks for Semantic Segmentation. CVPR 2015
Learnable upsampling!
16
Dilated convolutions
We usually use striding and pooling to reduce
the resolution so subsequent filters can take into
account a larger spatial region
● 2x, 3x effective aperture size
● Reduce computation
● Spatial invariance
Cost: loss of spatial resolution
Dilated convolutions can be used to increase
effective aperture size without sacrificing spatial
resolution.
AKA. Atrous convolutions, convolution with
holes.
Animation from: http://nicolovaligi.com/deep-learning-models-semantic-segmentation.html
17
Dilated convolutions
18
Dilated convolutions
19
Our model
● 8 layer FCN
● 64/96 convolution filters per layer
● Atrous (dilated) convolution to increase receptive field
without sacrificing prediction resolution
● 9D per pixel softmax over classes
● Binary cross entropy loss
● L2
regularization
● Aggressive data augmentation: scale, crop, rotate, flip,
gamma
● Train on 2 axial volumes (~50 slides per volume) for 500
epochs using Adam optimizer
Animation from: http://nicolovaligi.com/deep-learning-models-semantic-segmentation.html
20
Sample results
Cerebellum Unmyelinated
white matter
Cortical grey
matter
Ventricles Cerebrospinal
fluid
Brainstem 21
Tissue Ours LRDE_LTCI
UPF_SIMBioSy
s
Cerebellum 0.92 0.94 0.94
Myelinated white matter 0.51 0.06 0.54
Basal ganglia and thalami 0.91 0.91 0.93
Ventricles 0.89 0.87 0.83
Unmyelinated white matter 0.93 0.93 0.91
Brainstem 0.82 0.85 0.85
Cortical grey matter 0.88 0.87 0.85
Cerebrospinal fluid 0.83 0.83 0.79
UWM+MWM 0.93 0.93 0.90
CSF+Ven 0.84 0.84 0.79
0.85 0.80 0.83
Neobrains challenge
New state of the art on
Neobrains infant brain
segmentation challenge for axial
volume segmentation
Deep learning with only 2
training examples!
No ensembling yet. Best
competing approach is a large
ensemble.
Second best is also a deep net. 22
Detecting ischemic lesions
Another neonatal brain MRI analysis task
Pixelwize binary classification task: {lesion, no lesion}
Application:
● Automatic quantification of ischemic injury
Same challenges as before: sparse labelled training data.
23
24
Previous state of the art
Random forest classifier trained on hand-crafted features
● Manually created brain mask
● Superpixel segmentation
● 9 hand crafted features based on:
○ Superpixel volume,
○ intensity,
○ spatial location,
○ distance to brain mask, etc.
Keelin Murphy et al, Automatic quantification of ischemic injury on diffusion-weighted MRI of neonatal hypoxic
ischemic encephalopathy, NeuroImage: Clinical 14, 2017 https://doi.org/10.1016/j.nicl.2017.01.005 25
Our model
Almost identical to approach to brain segmentation!
● Fully convolutional network (4 layer)
● Atrous convolutions
● Data augmentation
● 3x3 filters, 64-96-96-1 channels
● Adam optimizer
This is only an initial attempt: more improvements expected with improved model.
26
Sample results
27
Comparison with state of the art
28
Questions?

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Medical Imaging at DCU - Kevin McGuinness - UPC Barcelona 2018

  • 1. Kevin McGuinness kevin.mcguinness@dcu.ie Assistant Professor School of Electronic Engineering Dublin City University http://bit.ly/dlcv2018 #DLUPC Medical Imaging at DCU Day 2 Lecture 6
  • 2. Overview Computer aided diagnosis of knee-osteoarthritis Neonatal brain image segmentation Detecting ischemic lesions in neonatal brains
  • 3. Task: predict KL grade from X-Ray images 3
  • 4. Pipeline: locate and classify 4
  • 5. Detection performance FCN detection performance Template matching: (J > 0.5) 8.3% SVM on handcrafted features: (J > 0.5): 38.6% 5
  • 6. Multi-objective learning helps! Same network used to regress on KL grade and predict a discrete KL grade Jointly train on both objectives 6
  • 7. Comparison with the state-of-the-art 7
  • 8. How far are we from human-level accuracy? Most errors are between grade 0 and 1 and grade 1 and 2. Human experts have a hard time with these grades too. Agreement among humans on OAI ● weighted kappa of 0.70 [0.65-0.76] Human machine agreement ● weighted kappa of 0.67 [0.65-0.68] Predictions agree with the “gold standard” about as well as the “gold standard” agrees with itself. Confusion matrix 8
  • 9. Neonatal brain image segmentation Volumetric semantic segmentation: label each pixel with class of brain matter. Applications: ● Prerequisite for volumetric analysis ● Early identification of risk factors for impaired brain development Challenge: ● Neonatal brains very different ● Sparse training data! Neobrains challenge has 2 training examples 9
  • 10. Cerebellum Unmyelinated white matter Cortical grey matter Ventricles Cerebrospinal fluid Brainstem The task 10
  • 11. 11 Some background… Semantic segmentation and fully convolutional networks
  • 12. Semantic segmentation Label every pixel! Don’t differentiate instances (cows) Classic computer vision problem 12
  • 13. Semantic segmentation via pixelwise classification COW Extract patch Run through a classifier Classify center pixel Repeat for every pixel 13
  • 15. Semantic segmentation using a FCN CNN Run “fully convolutional” network to get all pixels at once Smaller output due to pooling 15
  • 16. Fully convolutional networks Long et al. Fully Convolutional Networks for Semantic Segmentation. CVPR 2015 Learnable upsampling! 16
  • 17. Dilated convolutions We usually use striding and pooling to reduce the resolution so subsequent filters can take into account a larger spatial region ● 2x, 3x effective aperture size ● Reduce computation ● Spatial invariance Cost: loss of spatial resolution Dilated convolutions can be used to increase effective aperture size without sacrificing spatial resolution. AKA. Atrous convolutions, convolution with holes. Animation from: http://nicolovaligi.com/deep-learning-models-semantic-segmentation.html 17
  • 20. Our model ● 8 layer FCN ● 64/96 convolution filters per layer ● Atrous (dilated) convolution to increase receptive field without sacrificing prediction resolution ● 9D per pixel softmax over classes ● Binary cross entropy loss ● L2 regularization ● Aggressive data augmentation: scale, crop, rotate, flip, gamma ● Train on 2 axial volumes (~50 slides per volume) for 500 epochs using Adam optimizer Animation from: http://nicolovaligi.com/deep-learning-models-semantic-segmentation.html 20
  • 21. Sample results Cerebellum Unmyelinated white matter Cortical grey matter Ventricles Cerebrospinal fluid Brainstem 21
  • 22. Tissue Ours LRDE_LTCI UPF_SIMBioSy s Cerebellum 0.92 0.94 0.94 Myelinated white matter 0.51 0.06 0.54 Basal ganglia and thalami 0.91 0.91 0.93 Ventricles 0.89 0.87 0.83 Unmyelinated white matter 0.93 0.93 0.91 Brainstem 0.82 0.85 0.85 Cortical grey matter 0.88 0.87 0.85 Cerebrospinal fluid 0.83 0.83 0.79 UWM+MWM 0.93 0.93 0.90 CSF+Ven 0.84 0.84 0.79 0.85 0.80 0.83 Neobrains challenge New state of the art on Neobrains infant brain segmentation challenge for axial volume segmentation Deep learning with only 2 training examples! No ensembling yet. Best competing approach is a large ensemble. Second best is also a deep net. 22
  • 23. Detecting ischemic lesions Another neonatal brain MRI analysis task Pixelwize binary classification task: {lesion, no lesion} Application: ● Automatic quantification of ischemic injury Same challenges as before: sparse labelled training data. 23
  • 24. 24
  • 25. Previous state of the art Random forest classifier trained on hand-crafted features ● Manually created brain mask ● Superpixel segmentation ● 9 hand crafted features based on: ○ Superpixel volume, ○ intensity, ○ spatial location, ○ distance to brain mask, etc. Keelin Murphy et al, Automatic quantification of ischemic injury on diffusion-weighted MRI of neonatal hypoxic ischemic encephalopathy, NeuroImage: Clinical 14, 2017 https://doi.org/10.1016/j.nicl.2017.01.005 25
  • 26. Our model Almost identical to approach to brain segmentation! ● Fully convolutional network (4 layer) ● Atrous convolutions ● Data augmentation ● 3x3 filters, 64-96-96-1 channels ● Adam optimizer This is only an initial attempt: more improvements expected with improved model. 26
  • 28. Comparison with state of the art 28