Assessing generalisability of deep learning-based polyp detection and segmentation methods through a computer vision challenge.

Polyps are well-known cancer precursors identified by colonoscopy. However, variability in their size, appearance, and location makes the detection of polyps challenging. Moreover, colonoscopy surveillance and removal of polyps are highly operator-dependent procedures and occur in a highly complex organ topology. There exists a high missed detection rate and incomplete removal of colonic polyps. To assist in clinical procedures and reduce missed rates, automated methods for detecting and segmenting polyps using machine learning have been achieved in past years. However, the major drawback in most of these methods is their ability to generalise to out-of-sample unseen datasets from different centres, populations, modalities, and acquisition systems. To test this hypothesis rigorously, we, together with expert gastroenterologists, curated a multi-centre and multi-population dataset acquired from six different colonoscopy systems and challenged the computational expert teams to develop robust automated detection and segmentation methods in a crowd-sourcing Endoscopic computer vision challenge. This work put forward rigorous generalisability tests and assesses the usability of devised deep learning methods in dynamic and actual clinical colonoscopy procedures. We analyse the results of four top performing teams for the detection task and five top performing teams for the segmentation task. Our analyses demonstrate that the top-ranking teams concentrated mainly on accuracy over the real-time performance required for clinical applicability. We further dissect the devised methods and provide an experiment-based hypothesis that reveals the need for improved generalisability to tackle diversity present in multi-centre datasets and routine clinical procedures.

Densely Distilled Flow-Based Knowledge Transfer in Teacher-Student Framework for Image Classification.

We propose a new teacherstudent framework (TSF)-based knowledge transfer method, in which knowledge in the form of dense flow across layers is distilled from a pre-trained "teacher" deep neural network (DNN) and transferred to another "student" DNN. In the case of distilled knowledge, multiple overlapped flow-based items of information from the pre-trained teacher DNN are densely extracted across layers. Transference of the densely extracted teacher information is then achieved in the TSF using repetitive sequential training from bottom to top between the teacher and student DNN models. In other words, to efficiently transmit extracted useful teacher information to the student DNN, we perform bottom-up step-by-step transfer of densely distilled knowledge. The performance of the proposed method in terms of image classification accuracy and fast optimization is compared with those of existing TSF-based knowledge transfer methods for application to reliable image datasets, including CIFAR-10, CIFAR-100, MNIST, and SVHN. When the dense flow-based sequential knowledge transfer scheme is employed in the TSF, the trained student ResNet more accurately reflects the rich information of the pre-trained teacher ResNet and exhibits superior accuracy to the existing TSF-based knowledge transfer methods for all benchmark datasets considered in this study.