Meta semi-supervised medical image segmentation with label hierarchy.

Semi-supervised learning (SSL) has attracted increasing attention in medical image segmentation, where the mainstream usually explores perturbation-based consistency as a regularization to leverage unlabelled data. However, unlike directly optimizing segmentation task objectives, consistency regularization is a compromise by incorporating invariance towards perturbations, and inevitably suffers from noise in self-predicted targets. The above issues result in a knowledge gap between supervised guidance and unsupervised regularization. To bridge the knowledge gap, this work proposes a meta-based semi-supervised segmentation framework with the exploitation of label hierarchy. Two main prominent components named Divide and Generalize, and Label Hierarchy, are built in this work. Concretely, rather than merging all knowledge indiscriminately, we dynamically divide consistency regularization from supervised guidance as different domains. Then, a domain generalization technique is introduced with a meta-based optimization objective which ensures the update on supervised guidance should generalize to the consistency regularization, thereby bridging the knowledge gap. Furthermore, to alleviate the negative impact of noise in self-predicted targets, we propose to distill the noisy pixel-level consistency by exploiting label hierarchy and extracting hierarchical consistencies. Comprehensive experiments on two public medical segmentation benchmarks demonstrate the superiority of our framework to other semi-supervised segmentation methods, with new state-of-the-art results.

Multi-task hourglass network for online automatic diagnosis of developmental dysplasia of the hip.

Developmental dysplasia of the hip (DDH) is one of the most common diseases in children. Due to the experience-requiring medical image analysis work, online automatic diagnosis of DDH has intrigued the researchers. Traditional implementation of online diagnosis faces challenges with reliability and interpretability. In this paper, we establish an online diagnosis tool based on a multi-task hourglass network, which can accurately extract landmarks to detect the extent of hip dislocation and predict the age of the femoral head. Our method utilizes a multi-task hourglass network, which trains an encoder-decoder network to regress the landmarks and predict the developmental age for online DDH diagnosis. With the support of precise image analysis and fast GPU computing, our method can help overcome the shortage of medical resources and enable telehealth for DDH diagnosis. Applying this approach to a dataset of DDH X-ray images, we demonstrate 4.64 mean pixel error of landmark detection compared to the results of human experts. Moreover, we can improve the accuracy of the age prediction of femoral heads to 89%. Our online automatic diagnosis system has provided service to 112 patients, and the results demonstrate the effectiveness of our method.