Abstract
We propose an end-to-end deep learning method that learns to estimate emphysema extent from proportions of the diseased tissue. These proportions were visually estimated by experts using a standard grading system, in which grades correspond to intervals (label example: 1–5% of diseased tissue). The proposed architecture encodes the knowledge that the labels represent a volumetric proportion. A custom loss is designed to learn with intervals. Thus, during training, our network learns to segment the diseased tissue such that its proportions fit the ground truth intervals. Our architecture and loss combined improve the performance substantially (8% ICC) compared to a more conventional regression network. We outperform traditional lung densitometry and two recently published methods for emphysema quantification by a large margin (at least 7% AUC and 15% ICC), and achieve near-human-level performance. Moreover, our method generates emphysema segmentations that predict the spatial distribution of emphysema at human level.
Original language | English |
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Title of host publication | Medical Image Computing and Computer Assisted Intervention – MICCAI 2018 - 21st International Conference, 2018, Proceedings |
Editors | Gabor Fichtinger, Christos Davatzikos, Carlos Alberola-López, Alejandro F. Frangi, Julia A. Schnabel |
Pages | 768-776 |
Number of pages | 9 |
DOIs | |
Publication status | Published - 2018 |
Event | 21st International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2018 - Granada, Spain Duration: 16 Sept 2018 → 20 Sept 2018 |
Publication series
Series | Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics) |
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Volume | 11071 LNCS |
ISSN | 0302-9743 |
Conference
Conference | 21st International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2018 |
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Country/Territory | Spain |
City | Granada |
Period | 16/09/18 → 20/09/18 |
Bibliographical note
Funding Information:Acknowledgment. This research is financed by the Netherlands Organization for Scientific Research (NWO) and COSMONiO.
Publisher Copyright:
© Springer Nature Switzerland AG 2018.