Validating polyp and instrument segmentation methods in colonoscopy through Medico 2020 and MedAI 2021 Challenges.

Automatic analysis of colonoscopy images has been an active field of research motivated by the importance of early detection of precancerous polyps. However, detecting polyps during the live examination can be challenging due to various factors such as variation of skills and experience among the endoscopists, lack of attentiveness, and fatigue leading to a high polyp miss-rate. Therefore, there is a need for an automated system that can flag missed polyps during the examination and improve patient care. Deep learning has emerged as a promising solution to this challenge as it can assist endoscopists in detecting and classifying overlooked polyps and abnormalities in real time, improving the accuracy of diagnosis and enhancing treatment. In addition to the algorithm's accuracy, transparency and interpretability are crucial to explaining the whys and hows of the algorithm's prediction. Further, conclusions based on incorrect decisions may be fatal, especially in medicine. Despite these pitfalls, most algorithms are developed in private data, closed source, or proprietary software, and methods lack reproducibility. Therefore, to promote the development of efficient and transparent methods, we have organized the "Medico automatic polyp segmentation (Medico 2020)" and "MedAI: Transparency in Medical Image Segmentation (MedAI 2021)" competitions. The Medico 2020 challenge received submissions from 17 teams, while the MedAI 2021 challenge also gathered submissions from another 17 distinct teams in the following year. We present a comprehensive summary and analyze each contribution, highlight the strength of the best-performing methods, and discuss the possibility of clinical translations of such methods into the clinic. Our analysis revealed that the participants improved dice coefficient metrics from 0.8607 in 2020 to 0.8993 in 2021 despite adding diverse and challenging frames (containing irregular, smaller, sessile, or flat polyps), which are frequently missed during a routine clinical examination. For the instrument segmentation task, the best team obtained a mean Intersection over union metric of 0.9364. For the transparency task, a multi-disciplinary team, including expert gastroenterologists, accessed each submission and evaluated the team based on open-source practices, failure case analysis, ablation studies, usability and understandability of evaluations to gain a deeper understanding of the models' credibility for clinical deployment. The best team obtained a final transparency score of 21 out of 25. Through the comprehensive analysis of the challenge, we not only highlight the advancements in polyp and surgical instrument segmentation but also encourage subjective evaluation for building more transparent and understandable AI-based colonoscopy systems. Moreover, we discuss the need for multi-center and out-of-distribution testing to address the current limitations of the methods to reduce the cancer burden and improve patient care.

Concealed Object Detection.

We present the first systematic study on concealed object detection (COD), which aims to identify objects that are visually embedded in their background. The high intrinsic similarities between the concealed objects and their background make COD far more challenging than traditional object detection/segmentation. To better understand this task, we collect a large-scale dataset, called COD10K, which consists of 10,000 images covering concealed objects in diverse real-world scenarios from 78 object categories. Further, we provide rich annotations including object categories, object boundaries, challenging attributes, object-level labels, and instance-level annotations. Our COD10K is the largest COD dataset to date, with the richest annotations, which enables comprehensive concealed object understanding and can even be used to help progress several other vision tasks, such as detection, segmentation, classification etc. Motivated by how animals hunt in the wild, we also design a simple but strong baseline for COD, termed the Search Identification Network (SINet). Without any bells and whistles, SINet outperforms twelve cutting-edge baselines on all datasets tested, making them robust, general architectures that could serve as catalysts for future research in COD. Finally, we provide some interesting findings, and highlight several potential applications and future directions. To spark research in this new field, our code, dataset, and online demo are available at our project page: http://mmcheng.net/cod.

Re-Thinking Co-Salient Object Detection.

In this article, we conduct a comprehensive study on the co-salient object detection (CoSOD) problem for images. CoSOD is an emerging and rapidly growing extension of salient object detection (SOD), which aims to detect the co-occurring salient objects in a group of images. However, existing CoSOD datasets often have a serious data bias, assuming that each group of images contains salient objects of similar visual appearances. This bias can lead to the ideal settings and effectiveness of models trained on existing datasets, being impaired in real-life situations, where similarities are usually semantic or conceptual. To tackle this issue, we first introduce a new benchmark, called CoSOD3k in the wild, which requires a large amount of semantic context, making it more challenging than existing CoSOD datasets. Our CoSOD3k consists of 3,316 high-quality, elaborately selected images divided into 160 groups with hierarchical annotations. The images span a wide range of categories, shapes, object sizes, and backgrounds. Second, we integrate the existing SOD techniques to build a unified, trainable CoSOD framework, which is long overdue in this field. Specifically, we propose a novel CoEG-Net that augments our prior model EGNet with a co-attention projection strategy to enable fast common information learning. CoEG-Net fully leverages previous large-scale SOD datasets and significantly improves the model scalability and stability. Third, we comprehensively summarize 40 cutting-edge algorithms, benchmarking 18 of them over three challenging CoSOD datasets (iCoSeg, CoSal2015, and our CoSOD3k), and reporting more detailed (i.e., group-level) performance analysis. Finally, we discuss the challenges and future works of CoSOD. We hope that our study will give a strong boost to growth in the CoSOD community. The benchmark toolbox and results are available on our project page at https://dpfan.net/CoSOD3K.

Siamese Network for RGB-D Salient Object Detection and Beyond.

Existing RGB-D salient object detection (SOD) models usually treat RGB and depth as independent information and design separate networks for feature extraction from each. Such schemes can easily be constrained by a limited amount of training data or over-reliance on an elaborately designed training process. Inspired by the observation that RGB and depth modalities actually present certain commonality in distinguishing salient objects, a novel joint learning and densely cooperative fusion (JL-DCF) architecture is designed to learn from both RGB and depth inputs through a shared network backbone, known as the Siamese architecture. In this paper, we propose two effective components: joint learning (JL), and densely cooperative fusion (DCF). The JL module provides robust saliency feature learning by exploiting cross-modal commonality via a Siamese network, while the DCF module is introduced for complementary feature discovery. Comprehensive experiments using 5 popular metrics show that the designed framework yields a robust RGB-D saliency detector with good generalization. As a result, JL-DCF significantly advances the SOTAs by an average of ~2.0% (F-measure) across 7 challenging datasets. In addition, we show that JL-DCF is readily applicable to other related multi-modal detection tasks, including RGB-T SOD and video SOD, achieving comparable or better performance.

Inf-Net: Automatic COVID-19 Lung Infection Segmentation From CT Images.

Coronavirus Disease 2019 (COVID-19) spread globally in early 2020, causing the world to face an existential health crisis. Automated detection of lung infections from computed tomography (CT) images offers a great potential to augment the traditional healthcare strategy for tackling COVID-19. However, segmenting infected regions from CT slices faces several challenges, including high variation in infection characteristics, and low intensity contrast between infections and normal tissues. Further, collecting a large amount of data is impractical within a short time period, inhibiting the training of a deep model. To address these challenges, a novel COVID-19 Lung Infection Segmentation Deep Network (Inf-Net) is proposed to automatically identify infected regions from chest CT slices. In our Inf-Net, a parallel partial decoder is used to aggregate the high-level features and generate a global map. Then, the implicit reverse attention and explicit edge-attention are utilized to model the boundaries and enhance the representations. Moreover, to alleviate the shortage of labeled data, we present a semi-supervised segmentation framework based on a randomly selected propagation strategy, which only requires a few labeled images and leverages primarily unlabeled data. Our semi-supervised framework can improve the learning ability and achieve a higher performance. Extensive experiments on our COVID-SemiSeg and real CT volumes demonstrate that the proposed Inf-Net outperforms most cutting-edge segmentation models and advances the state-of-the-art performance.