Abstract

Robust automated segmentation of white matter hyperintensities (WMHs) in different datasets (domains) is highly challenging due to differences in acquisition (scanner, sequence), population (WMH amount and location) and limited availability of manual segmentations to train supervised algorithms. In this work we explore various domain adaptation techniques such as transfer learning and domain adversarial learning methods, including domain adversarial neural networks and domain unlearning, to improve the generalisability of our recently proposed triplanar ensemble network, which is our baseline model. We used datasets with variations in intensity profile, lesion characteristics and acquired using different scanners. For the source domain, we considered a dataset consisting of data acquired from 3 different scanners, while the target domain consisted of 2 datasets. We evaluated the domain adaptation techniques on the target domain datasets, and additionally evaluated the performance on the source domain test dataset for the adversarial techniques. For transfer learning, we also studied various training options such as minimal number of unfrozen layers and subjects required for fine-tuning in the target domain. On comparing the performance of different techniques on the target dataset, domain adversarial training of neural network gave the best performance, making the technique promising for robust WMH segmentation.

Highlights

  • White matter hyperintensities of presumed vascular origin (WMHs, known as white matter lesions) are bright localised regions on T2-weighted and FLAIR images

  • We explored various domain adaptation techniques such as transfer learning, domain adversarial training and iterative domain unlearning for white matter hyperintensities (WMHs) segmentation using a triplanar ensemble model as the baseline method

  • On performing leave-oneout evaluation of TrUE-Net and the top-ranking method of MICCAI WMH Segmentation Challenge training Dataset (MWSC) 2017 (Li et al, 2018) on the datasets used as target domain in this study, TrUE-Net provided better performance metric values, especially on the Oxford Vascular Study (OXVASC) dataset

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Summary

Introduction

White matter hyperintensities of presumed vascular origin (WMHs, known as white matter lesions) are bright localised regions on T2-weighted and FLAIR images. Used techniques to improve model generalisability include data augmentation (Shorten and Khoshgoftaar, 2019), and the use of ensemble networks (with different initialisations (Li et al, 2018) or planes (Prasoon et al, 2013)), which have been shown to be resistant to over-fitting (Krizhevsky et al, 2012; Simonyan and Zisserman, 2014; Kamnitsas et al, 2017; Winzeck et al, 2019), which can occur with more complex models (Opitz and Maclin, 1999) These techniques cope mostly with minor variance in dataset characteristics within a domain and might not be sufficient for generalising across datasets obtained from different sources/domains

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