School of Information and Communication Engineering, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610054, China; Laboratory of Imaging Detection and Intelligent Perception, University of Electronic Science and Technology of China, Chengdu, 611731, China.
Sichuan Provincial People's Hospital, Chengdu, Sichuan, 610072, China; School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610054, China.
Comput Biol Med. 2021 Jun;133:104357. doi: 10.1016/j.compbiomed.2021.104357. Epub 2021 Mar 30.
False positive reduction plays a key role in computer-aided detection systems for pulmonary nodule detection in computed tomography (CT) scans. However, this remains a challenge owing to the heterogeneity and similarity of anisotropic pulmonary nodules. In this study, a novel attention-embedded complementary-stream convolutional neural network (AECS-CNN) is proposed to obtain more representative features of nodules for false positive reduction. The proposed network comprises three function blocks: 1) attention-guided multi-scale feature extraction, 2) complementary-stream block with an attention module for feature integration, and 3) classification block. The inputs of the network are multi-scale 3D CT volumes due to variations in nodule sizes. Subsequently, a gradual multi-scale feature extraction block with an attention module was applied to acquire more contextual information regarding the nodules. A subsequent complementary-stream integration block with an attention module was utilized to learn the significantly complementary features. Finally, the candidates were classified using a fully connected layer block. An exhaustive experiment on the LUNA16 challenge dataset was conducted to verify the effectiveness and performance of the proposed network. The AECS-CNN achieved a sensitivity of 0.92 with 4 false positives per scan. The results indicate that the attention mechanism can improve the network performance in false positive reduction, the proposed AECS-CNN can learn more representative features, and the attention module can guide the network to learn the discriminated feature channels and the crucial information embedded in the data, thereby effectively enhancing the performance of the detection system.
在计算机辅助检测系统中,假阳性减少对于肺部结节在 CT 扫描中的检测起着关键作用。然而,由于各向异性肺结节的异质性和相似性,这仍然是一个挑战。在这项研究中,提出了一种新的基于注意力的互补流卷积神经网络(AECS-CNN),用于获得用于减少假阳性的结节更具代表性的特征。所提出的网络由三个功能块组成:1)基于注意力的多尺度特征提取,2)具有注意力模块的互补流块用于特征集成,3)分类块。由于结节大小的变化,网络的输入是多尺度的 3D CT 体。随后,应用具有注意力模块的渐进式多尺度特征提取块来获取有关结节的更多上下文信息。随后使用具有注意力模块的互补流集成块来学习具有显著互补特征。最后,使用全连接层块对候选对象进行分类。在 LUNA16 挑战赛数据集上进行了详尽的实验,以验证所提出的网络的有效性和性能。AECS-CNN 在每扫描 4 个假阳性的情况下达到了 0.92 的灵敏度。结果表明,注意力机制可以提高假阳性减少中的网络性能,所提出的 AECS-CNN 可以学习更具代表性的特征,注意力模块可以引导网络学习区分的特征通道和数据中嵌入的关键信息,从而有效提高检测系统的性能。