Han Yu1, Varut Vardhanabhuti1, and Peng Cao1
1The University of Hong Kong, Hong Kong, Hong Kong
Synopsis
We propose a novel gradient-based meta-learning scheme to tackle the challenges
when deploying the model to a different medical center with the lack of labeled
data. A pre-trained model is always suboptimal when deploying to different
medical centers, where various protocols and scanners are used. Our method
combines a 2D U-Net as a segmentor to generate segmentation maps and an
adversarial network to learn from the shape prior in the meta-train and
meta-test. Evaluation results on the public prostate MRI data and our HKU local
database show that our approach outperformed the existing naive U-Net methods.
Introduction
Prostate cancer is one of the most concerning cancers in males.
Recently, deep learning-based automated prostate segmentation methods are
proposed to segment the prostate from MRI. Many studies focus on the whole
gland segmentation, while it is necessary to obtain the zonal segmentation of
different zones in the prostate for cancer diagnosis (i.e., the PIRADS v2
score). Our work investigates the automated segmentation of the central zone
(CZ) and the peripheral zone (PZ) in prostate T2-weighted (T2w) images. The
lack of sufficient labeled data and the domain shift between medical centers
exist as two crucial challenges for deep learning-based segmentation approaches
in medical-AI practice. We introduce a U-Net segmentor and a CNN discriminator
using the meta-learning gradient update approach to tackle the lack of label
data and multi-center problems. Methods
We propose a novel gradient-based meta-learning training
scheme of the deep learning segmentation network. The model combines a 2D U-Net
as a segmentor and a GAN discriminator network. The meta-learning training
strategy involves the meta-train and meta-test tasks from public datasets. We
treat the CZ, PZ, and whole gland as the tasks in the meta-model, while data
from various centers and scanners we can randomly choose as different tasks.
Generally, we take a series of 5:1 samples from training/testing tasks and
update the network parameter. The CNN discriminator network in the adversarial
part consists of 4 convolution layers and a fully-connect layer. The input of the
adversarial network is cropped to the prostate ROI according to the ground
truth label. Batch normalization is enabled in the encoding and decoding
process. The training of the discriminator network also involves meta-train and
meta-test tasks. A shape-related loss has been further integrated into the
U-Net and discriminator network to learn from the compactness and smoothness of
zonal shapes. The public dataset we are using containg 6 center data with 20
samples each. We tested the trained model on the unseen local dataset (N=20)
and compared it with the conventional 2D and 3D U-Net model performance-based a
larger dataset (N=100) to validate our method. The training process is implemented
in tensorflow and a GPU card NVIDIA V100 with 20K iterations.Results
Our model achieved a higher Dice score (0.79, 0.87) for the
central zone (CZ) and peripheral zone (PZ), respectively. Compared with the 2D
U-Net results (0.78, 0.85) trained on a larger local dataset, the model
combined meta-learning, and the adversarial network has shown optimal
segmentation results and robustness in learning the shape smoothness and shape
prior of the prostate, even in relatively fewer local data (i.e., few-shot) and
public multi-center datasets. Conclusion
The gradient-based meta-learning network parameter learning
procedure demonstrated in this study outperforms the conventional training
process on the multi-center datasets. It presents better zonal segmentation
results to combine the 2D U-Net model with a CNN discriminator network. Acknowledgements
No acknowledgement found.References
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