Zhan Xiangbing, Liu Jun, Long Huiyun, Zhu Jun, Tang Haoyu, Gou Fangfang, Wu Jia
State Key Laboratory of Public Big Data, College of Computer Science and Technology, Guizhou University, Guiyang 550025, China.
The Second People's Hospital of Huaihua, Huaihua 418000, China.
Diagnostics (Basel). 2023 Jan 7;13(2):223. doi: 10.3390/diagnostics13020223.
Bone malignant tumors are metastatic and aggressive, with poor treatment outcomes and prognosis. Rapid and accurate diagnosis is crucial for limb salvage and increasing the survival rate. There is a lack of research on deep learning to segment bone malignant tumor lesions in medical images with complex backgrounds and blurred boundaries. Therefore, we propose a new intelligent auxiliary framework for the medical image segmentation of bone malignant tumor lesions, which consists of a supervised edge-attention guidance segmentation network (SEAGNET). We design a boundary key points selection module to supervise the learning of edge attention in the model to retain fine-grained edge feature information. We precisely locate malignant tumors by instance segmentation networks while extracting feature maps of tumor lesions in medical images. The rich contextual-dependent information in the feature map is captured by mixed attention to better understand the uncertainty and ambiguity of the boundary, and edge attention learning is used to guide the segmentation network to focus on the fuzzy boundary of the tumor region. We implement extensive experiments on real-world medical data to validate our model. It validates the superiority of our method over the latest segmentation methods, achieving the best performance in terms of the Dice similarity coefficient (0.967), precision (0.968), and accuracy (0.996). The results prove the important contribution of the framework in assisting doctors to improve the accuracy of diagnosis and clinical efficiency.
骨恶性肿瘤具有转移性和侵袭性,治疗效果和预后较差。快速准确的诊断对于保肢和提高生存率至关重要。目前缺乏针对医学图像中背景复杂、边界模糊的骨恶性肿瘤病变进行深度学习分割的研究。因此,我们提出了一种用于骨恶性肿瘤病变医学图像分割的新型智能辅助框架,该框架由一个监督式边缘注意力引导分割网络(SEAGNET)组成。我们设计了一个边界关键点选择模块来监督模型中边缘注意力的学习,以保留细粒度的边缘特征信息。我们通过实例分割网络精确地定位恶性肿瘤,同时提取医学图像中肿瘤病变的特征图。通过混合注意力捕获特征图中丰富的上下文相关信息,以更好地理解边界的不确定性和模糊性,并使用边缘注意力学习来引导分割网络关注肿瘤区域的模糊边界。我们在真实世界的医学数据上进行了广泛的实验来验证我们的模型。结果验证了我们的方法优于最新的分割方法,在骰子相似系数(0.967)、精确率(0.968)和准确率(0.996)方面取得了最佳性能。结果证明了该框架在协助医生提高诊断准确性和临床效率方面的重要贡献。