IEEE Trans Med Imaging. 2021 Dec;40(12):3519-3530. doi: 10.1109/TMI.2021.3089661. Epub 2021 Nov 30.
Organ segmentation from medical images is one of the most important pre-processing steps in computer-aided diagnosis, but it is a challenging task because of limited annotated data, low-contrast and non-homogenous textures. Compared with natural images, organs in the medical images have obvious anatomical prior knowledge (e.g., organ shape and position), which can be used to improve the segmentation accuracy. In this paper, we propose a novel segmentation framework which integrates the medical image anatomical prior through loss into the deep learning models. The proposed prior loss function is based on probabilistic atlas, which is called as deep atlas prior (DAP). It includes prior location and shape information of organs, which are important prior information for accurate organ segmentation. Further, we combine the proposed deep atlas prior loss with the conventional likelihood losses such as Dice loss and focal loss into an adaptive Bayesian loss in a Bayesian framework, which consists of a prior and a likelihood. The adaptive Bayesian loss dynamically adjusts the ratio of the DAP loss and the likelihood loss in the training epoch for better learning. The proposed loss function is universal and can be combined with a wide variety of existing deep segmentation models to further enhance their performance. We verify the significance of our proposed framework with some state-of-the-art models, including fully-supervised and semi-supervised segmentation models on a public dataset (ISBI LiTS 2017 Challenge) for liver segmentation and a private dataset for spleen segmentation.
医学图像器官分割是计算机辅助诊断中最重要的预处理步骤之一,但由于标注数据有限、对比度低和纹理不均匀,这是一项具有挑战性的任务。与自然图像相比,医学图像中的器官具有明显的解剖学先验知识(例如,器官形状和位置),可用于提高分割准确性。在本文中,我们提出了一种新的分割框架,通过将医学图像解剖学先验知识的损失纳入深度学习模型中。所提出的先验损失函数基于概率图谱,称为深度图谱先验(DAP)。它包含器官的先验位置和形状信息,这些信息是准确器官分割的重要先验信息。此外,我们将所提出的深度图谱先验损失与传统的似然损失(例如 Dice 损失和焦点损失)结合到贝叶斯框架中的自适应贝叶斯损失中,该损失由先验和似然组成。自适应贝叶斯损失在训练阶段动态调整 DAP 损失和似然损失的比例,以更好地学习。所提出的损失函数具有通用性,可以与各种现有的深度学习分割模型结合使用,以进一步提高其性能。我们使用一些最先进的模型(包括公共数据集(ISBI LiTS 2017 挑战赛)上的全监督和半监督分割模型)来验证我们提出的框架的意义,用于肝脏分割,以及用于脾脏分割的私有数据集。