Dense regression activation maps for lesion segmentation in CT scans of COVID-19 patients

Copyright © 2023 The Author(s). Published by Elsevier B.V. All rights reserved..

Automatic lesion segmentation on thoracic CT enables rapid quantitative analysis of lung involvement in COVID-19 infections. However, obtaining a large amount of voxel-level annotations for training segmentation networks is prohibitively expensive. Therefore, we propose a weakly-supervised segmentation method based on dense regression activation maps (dRAMs). Most weakly-supervised segmentation approaches exploit class activation maps (CAMs) to localize objects. However, because CAMs were trained for classification, they do not align precisely with the object segmentations. Instead, we produce high-resolution activation maps using dense features from a segmentation network that was trained to estimate a per-lobe lesion percentage. In this way, the network can exploit knowledge regarding the required lesion volume. In addition, we propose an attention neural network module to refine dRAMs, optimized together with the main regression task. We evaluated our algorithm on 90 subjects. Results show our method achieved 70.2% Dice coefficient, substantially outperforming the CAM-based baseline at 48.6%. We published our source code at https://github.com/DIAGNijmegen/bodyct-dram.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:86

Enthalten in:

Medical image analysis - 86(2023) vom: 01. Mai, Seite 102771

Sprache:

Englisch

Beteiligte Personen:

Xie, Weiyi [VerfasserIn]
Jacobs, Colin [VerfasserIn]
Charbonnier, Jean-Paul [VerfasserIn]
van Ginneken, Bram [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Class activation map
Computed tomography
Dense regression activation map
Journal Article
Medical imaging
Research Support, Non-U.S. Gov't
Weakly-supervised semantic segmentation

Anmerkungen:

Date Completed 21.04.2023

Date Revised 27.04.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.media.2023.102771

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM353548200