IEEE J Biomed Health Inform. 2021 Jul;25(7):2673-2685. doi: 10.1109/JBHI.2020.3043589. Epub 2021 Jul 27.
Cervical cancer, as one of the most frequently diagnosed cancers in women, is curable when detected early. However, automated algorithms for cervical pathology precancerous diagnosis are limited.
In this paper, instead of popular patch-wise classification, an end-to-end patch-wise segmentation algorithm is proposed to focus on the spatial structure changes of pathological tissues. Specifically, a triple up-sampling segmentation network (TriUpSegNet) is constructed to aggregate spatial information. Second, a distribution consistency loss (DC-loss) is designed to constrain the model to fit the inter-class relationship of the cervix. Third, the Gauss-like weighted post-processing is employed to reduce patch stitching deviation and noise.
The algorithm is evaluated on three challenging and public datasets: 1) MTCHI for cervical precancerous diagnosis, 2) DigestPath for colon cancer, and 3) PAIP for liver cancer. The Dice coefficient is 0.7413 on the MTCHI dataset, which is significantly higher than the published state-of-the-art results.
Experiments on the public dataset MTCHI indicate the superiority of the proposed algorithm on cervical pathology precancerous diagnosis. In addition, the experiments on two other pathological datasets, i.e., DigestPath and PAIP, demonstrate the effectiveness and generalization ability of the TriUpSegNet and weighted post-processing on colon and liver cancers.
The end-to-end TriUpSegNet with DC-loss and weighted post-processing leads to improved segmentation in pathology of various cancers.
宫颈癌是女性最常见的癌症之一,早期发现是可以治愈的。然而,用于宫颈癌前病变诊断的自动化算法有限。
本文提出了一种端到端的逐块分割算法,而不是流行的逐块分类方法,以关注病理组织的空间结构变化。具体来说,构建了一个三重上采样分割网络(TriUpSegNet)来聚合空间信息。其次,设计了分布一致性损失(DC-loss)来约束模型拟合宫颈的类间关系。第三,采用高斯加权后处理来减少斑块拼接偏差和噪声。
该算法在三个具有挑战性和公开的数据集上进行了评估:1)用于宫颈癌前病变诊断的 MTCHI,2)用于结肠癌的 DigestPath,3)用于肝癌的 PAIP。在 MTCHI 数据集上的 Dice 系数为 0.7413,明显高于已发表的最先进结果。
在公共数据集 MTCHI 上的实验表明,该算法在宫颈癌前病变诊断方面具有优越性。此外,在另外两个病理数据集,即 DigestPath 和 PAIP 上的实验,证明了 TriUpSegNet 和加权后处理在结肠癌和肝癌中的有效性和泛化能力。
带 DC-loss 和加权后处理的端到端 TriUpSegNet 可改善各种癌症的病理分割。