Abstract

We present a 3D deep neural network known as URDNet for detecting ground-glass opacity (GGO) nodules in 3D CT images. Prior work on GGO detection repurposes classifiers on a large number of windows to perform detection or fine-tuning by box regression based on a previous window classification step. Instead, we consider GGO detection as a multitarget regression problem to focus on the location of GGO. Furthermore, to capture multiscale information, we introduce a backbone network which is a contracting-expanding structure similar to 2D U-net, but we inject the source CT inputs into each layer in the contracting pathway to prevent source information loss at different scales. At last, we propose a two-stage training method for URDNet. In the first stage, the backbone of the network for feature extraction is trained, and in the second, the overall URDNet is fine-tuned based on the previous pretrained weights. By using this training method in conjunction with data augmentation and hard negative mining techniques, our URDNet can be effectively trained even on a small amount of annotated CT images. We evaluate the proposed method on the LIDC-IDRI dataset. It achieves the sensitivity of 90.8% with only 1 false positive per scan. Experimental results show that our detection method achieves the superior detection performance over the state-of-the-art methods. Due to its simplicity and effective, URDNet can be easier to apply to medical IoT systems for improving the efficiency of overall health systems.

Highlights

  • Lung cancer is currently a leading cause of cancer death worldwide and is responsible for more than 1.3 million deaths annually [1]

  • Our main contributions are summarized as follows: (1) We present an end-to-end deep convolutional neural network which is unified and only regression for ground-glass opacity (GGO) detection in 3D CT scans which leads to outstanding performance of GGO detection on LIDCIDRI

  • We present a 3D convolutional detector network known as URDNet that was constructed of a multiscale input-output U-shaped network for GGO detection in CT images

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Summary

Introduction

Lung cancer is currently a leading cause of cancer death worldwide and is responsible for more than 1.3 million deaths annually [1]. Detection and treatment of lung cancer at an early stage can improve the survival rate. GGO is a highly important CT imaging sign for detection of lung cancer at an early stage [2], which is defined as increased attenuation of the lung parenchyma without obscuration of the pulmonary vascular markings on the CT images [3]. The new coronavirus COVID-19 pandemic is prevalent, and its main symptoms are related to GGO. Due to their indistinct boundaries and no clear rules for brightness and shape, GGO nodules are overlooked, even by experienced radiologists. A promising solution to this problem is the use of computer-aided detection techniques

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