Self-supervised region-aware segmentation of COVID-19 CT images using 3D GAN and contrastive learning.

Medical image segmentation is a key initial step in several therapeutic applications. While most of the automatic segmentation models are supervised, which require a well-annotated paired dataset, we introduce a novel annotation-free pipeline to perform segmentation of COVID-19 CT images. Our pipeline consists of three main subtasks: automatically generating a 3D pseudo-mask in self-supervised mode using a generative adversarial network (GAN), leveraging the quality of the pseudo-mask, and building a multi-objective segmentation model to predict lesions. Our proposed 3D GAN architecture removes infected regions from COVID-19 images and generates synthesized healthy images while keeping the 3D structure of the lung the same. Then, a 3D pseudo-mask is generated by subtracting the synthesized healthy images from the original COVID-19 CT images. We enhanced pseudo-masks using a contrastive learning approach to build a region-aware segmentation model to focus more on the infected area. The final segmentation model can be used to predict lesions in COVID-19 CT images without any manual annotation at the pixel level. We show that our approach outperforms the existing state-of-the-art unsupervised and weakly-supervised segmentation techniques on three datasets by a reasonable margin. Specifically, our method improves the segmentation results for the CT images with low infection by increasing sensitivity by 20% and the dice score up to 4%. The proposed pipeline overcomes some of the major limitations of existing unsupervised segmentation approaches and opens up a novel horizon for different applications of medical image segmentation.

Attention Cueing and Activity Equally Reduce False Alarm Rate in Visual-Auditory Associative Learning through Improving Memory.

In our daily life, we continually exploit already learned multisensory associations and form new ones when facing novel situations. Improving our associative learning results in higher cognitive capabilities. We experimentally and computationally studied the learning performance of healthy subjects in a visual-auditory sensory associative learning task across active learning, attention cueing learning, and passive learning modes. According to our results, the learning mode had no significant effect on learning association of congruent pairs. In addition, subjects' performance in learning congruent samples was not correlated with their vigilance score. Nevertheless, vigilance score was significantly correlated with the learning performance of the non-congruent pairs. Moreover, in the last block of the passive learning mode, subjects significantly made more mistakes in taking non-congruent pairs as associated and consciously reported lower confidence. These results indicate that attention and activity equally enhanced visual-auditory associative learning for non-congruent pairs, while false alarm rate in the passive learning mode did not decrease after the second block. We investigated the cause of higher false alarm rate in the passive learning mode by using a computational model, composed of a reinforcement learning module and a memory-decay module. The results suggest that the higher rate of memory decay is the source of making more mistakes and reporting lower confidence in non-congruent pairs in the passive learning mode.