Abstract
In the last years, deep learning has dramatically improved the performances in a variety of medical image analysis applications. Among different types of deep learning models, convolutional neural networks have been among the most successful and they have been used in many applications in medical imaging. Training deep convolutional neural networks often requires large amounts of image data to generalize well to new unseen images. It is often time-consuming and expensive to collect large amounts of data in the medical image domain due to expensive imaging systems, and the need for experts to manually make ground truth annotations. A potential problem arises if new structures are added when a decision support system is already deployed and in use. Since the field of radiation therapy is constantly developing, the new structures would also have to be covered by the decision support system. In the present work, we propose a novel loss function to solve multiple problems: imbalanced datasets, partially-labeled data, and incremental learning. The proposed loss function adapts to the available data in order to utilize all available data, even when some have missing annotations. We demonstrate that the proposed loss function also works well in an incremental learning setting, where an existing model is easily adapted to semi-automatically incorporate delineations of new organs when they appear. Experiments on a large in-house dataset show that the proposed method performs on par with baseline models, while greatly reducing the training time and eliminating the hassle of maintaining multiple models in practice.
Highlights
C ANCER is the second leading cause of death globally and accounted for an estimated 10 million deaths in 2020 [1]
We demonstrate that the proposed loss function works well in an incremental learning setting, where an existing model is adapted to semi-automatically incorporate delineations of new organs when they appear
The automatic delineation would make it possible to delineate more organs at risk. This would in time lead to a better understanding of the relation to dose to certain volumes and side effects of the treatment
Summary
C ANCER is the second leading cause of death globally and accounted for an estimated 10 million deaths in 2020 [1]. Before the radiation therapy can begin, an oncologist manually marks or delineates, the regions in the body that should be treated (target volumes) and the regions that are important to avoid. Delineation is an essential part of the treatment planning process, but a time-consuming and monotonic manual task for radiation oncologists. Decision support systems that automate the delineation process would be beneficial in order to reduce the amount of time spent on the challenging task of manually delineating target volumes and organs [3], [4]. The automatic delineation would make it possible to delineate more organs at risk. This would in time lead to a better understanding of the relation to dose to certain volumes and side effects of the treatment
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