Abstract

Purpose The identification of abnormalities that are relatively rare within otherwise normal anatomy is a major challenge for deep learning in the semantic segmentation of medical images. The small number of samples of the minority classes in the training data makes the learning of optimal classification challenging, while the more frequently occurring samples of the majority class hamper the generalization of the classification boundary between infrequently occurring target objects and classes. In this paper, we developed a novel generative multi-adversarial network, called Ensemble-GAN, for mitigating this class imbalance problem in the semantic segmentation of abdominal images.Method The Ensemble-GAN framework is composed of a single-generator and a multi-discriminator variant for handling the class imbalance problem to provide a better generalization than existing approaches. The ensemble model aggregates the estimates of multiple models by training from different initializations and losses from various subsets of the training data. The single generator network analyzes the input image as a condition to predict a corresponding semantic segmentation image by use of feedback from the ensemble of discriminator networks. To evaluate the framework, we trained our framework on two public datasets, with different imbalance ratios and imaging modalities: the Chaos 2019 and the LiTS 2017.Result In terms of the F1 score, the accuracies of the semantic segmentation of healthy spleen, liver, and left and right kidneys were 0.93, 0.96, 0.90 and 0.94, respectively. The overall F1 scores for simultaneous segmentation of the lesions and liver were 0.83 and 0.94, respectively.Conclusion The proposed Ensemble-GAN framework demonstrated outstanding performance in the semantic segmentation of medical images in comparison with other approaches on popular abdominal imaging benchmarks. The Ensemble-GAN has the potential to segment abdominal images more accurately than human experts.

Highlights

  • One of the major challenges of deep learning for medical image analysis is the highly skewed class distribution of objects in medical images, which is referred to as the imbalanced classification problem

  • To demonstrate the generalization ability of our approach, we evaluated the performance of the Ensemble-generative adversarial networks (GANs) in semantic segmentation of organs and tumor regions from abdominal computed tomography (CT) and magnetic resonance (MR) images by use of a highly imbalanced training dataset where the number of pixels belonging to abnormal regions of interest was much smaller than that of normal regions

  • The Ensemble-GAN framework enables a single generator to learn from an ensemble of discriminators that differ by initialization, loss, and subsets of the training data

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Summary

Introduction

One of the major challenges of deep learning for medical image analysis is the highly skewed class distribution of objects in medical images, which is referred to as the imbalanced classification problem. In a binary classification, the imbalanced classification problem occurs when the number of samples representing a specific disease has fewer observations than the healthy class. The former is called an infrequent class or minority class, whereas the latter is called a majority class. We implemented the generator network in a multi-discriminator setting through simultaneous minimization of different losses to minimize the prediction error of the generator model as a multi-objective optimization problem. We developed methods for providing more accurate semantic segmentation of high-resolution medical images than existing approaches

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