Deep learning from label proportions for emphysema quantification

Gerda Bortsova*, Florian Dubost, Silas Ørting, Ioannis Katramados, Laurens Hogeweg, Laura Thomsen, Mathilde Wille, Marleen de Bruijne

*Corresponding author for this work

Research output: Chapter/Conference proceedingConference proceedingAcademicpeer-review

23 Citations (Scopus)

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 languageEnglish
Title of host publicationMedical Image Computing and Computer Assisted Intervention – MICCAI 2018 - 21st International Conference, 2018, Proceedings
EditorsGabor Fichtinger, Christos Davatzikos, Carlos Alberola-López, Alejandro F. Frangi, Julia A. Schnabel
Pages768-776
Number of pages9
DOIs
Publication statusPublished - 2018
Event21st International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2018 - Granada, Spain
Duration: 16 Sept 201820 Sept 2018

Publication series

SeriesLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume11071 LNCS
ISSN0302-9743

Conference

Conference21st International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2018
Country/TerritorySpain
CityGranada
Period16/09/1820/09/18

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.

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