ConnectedUNets Mass Segmentation from Whole Mammographic Images Prithul Sarker Sushmita Sarker George Bebis and Alireza Tavakkoli

2025-05-02 0 0 462.5KB 12 页 10玖币
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ConnectedUNets++: Mass Segmentation from
Whole Mammographic Images
Prithul Sarker, Sushmita Sarker, George Bebis, and Alireza Tavakkoli
Department of Computer Science and Engineering,
University of Nevada, Reno, United States
{prithulsarker, sushmita}@nevada.unr.edu
Abstract. Deep learning has made a breakthrough in medical image
segmentation in recent years due to its ability to extract high-level fea-
tures without the need for prior knowledge. In this context, U-Net is
one of the most advanced medical image segmentation models, with
promising results in mammography. Despite its excellent overall perfor-
mance in segmenting multimodal medical images, the traditional U-Net
structure appears to be inadequate in various ways. There are certain
U-Net design modifications, such as MultiResUNet, Connected-UNets
and AU-Net, that have improved overall performance in areas where the
conventional U-Net architecture appears to be deficient. Following the
success of UNet and its variants, we have presented two enhanced ver-
sions of the Connected-UNets architecture: ConnectedUNets+and Con-
nectedUNets++. In ConnectedUNets+, we have replaced the simple skip
connections of Connected-UNets architecture with residual skip connec-
tions, while in ConnectedUNets++, we have modified the encoder decoder
structure along with employing residual skip connections. We have eval-
uated our proposed architectures on two publicly available datasets, the
Curated Breast Imaging Subset of Digital Database for Screening Mam-
mography (CBIS-DDSM) and INbreast.
Keywords: Convolutional Neural Network ·Mammogram ·Semantic
Segmentation ·U-Net ·ConnectedU-Nets ·MultiResUNet
1 Introduction
Breast cancer is the most frequent type of cancer that causes death in women,
with 44,130 instances reported in the United States in 2021 [1]. The need for
frequent mammography screening has been stressed in many studies in order
to reduce mortality rates by finding breast malignancies before they spread to
other normal tissues and healthy organs. A mammogram is an X-ray image of
the breast to record changes in the tissue. The disease is typically identified by
the presence of abnormal masses and microcalcifications in mammograms [2], [3].
Radiologists examine a high number of mammograms on a daily basis looking for
abnormal lesions and assessing the location, shape, and type of any suspicious
*Prithul Sarker and Sushmita Sarker have equal contribution and are co-first authors
arXiv:2210.13668v3 [eess.IV] 4 Nov 2022
2 Sarker et al.
area in the breast. This is an important procedure which requires high precision
and accuracy, however, it is still costly and prone to errors since detecting these
regions is challenging as their pixel intensities often coincide with normal tissue.
Deep learning advances [4], especially Convolutional Neural Networks (CNN)
[5], have shown a lot of promise in addressing these issues. Despite being a game-
changer in computer vision, CNN architectures have a key drawback: they require
an enormous amount of training data. In order to solve this problem, U-Net [6] is
introduced which is built on a simple encoder-decoder network with multiple sets
of CNN. Even with a limited quantity of labeled training data, U-Net has demon-
strated tremendous promise in segmenting breast masses, to the point where it
has become the de-facto standard in medical image segmentation [7]. In light of
the success of U-Net, various U-Net versions, such as Connected-UNets [8] and
AU-Net [9], have been proposed. These variations have demonstrated promising
results but appear to be inefficient in terms of fully recovering the region of
interest in a given image.
In this work, we have proposed and experimented with two enhanced versions
of the Connected-UNets architecture. Although the proposed networks share an
architectural similarity, they are designed for different use cases which are crucial
in real-world scenario. The proposed architectures take the entire mammogram
image as input and perform mass segmentation along with mass boundary ex-
traction. The main contributions of our work include:
1. We have proposed ConnectedUNets+and ConnectedUNets++, two novel and
improved versions of the Connected-UNets, by utilizing residual skip connec-
tions and enhanced encoder-decoder in order to achieve better convergence.
2. We have assessed the proposed architectures using full mammogram images
in contrast to the baseline model which operates on cropped images of cor-
rectly detected and classified masses by an object detection model.
3. We have experimented using all the images from two publicly available
datasets, the Curated Breast Imaging Subset of Digital Database for Screen-
ing Mammography (CBIS-DDSM) [10] and INbreast [11] for segmenting
the region of interest (ROI) of breast mass tumors.
To the best of our knowledge, our paper is the first to address the shortcom-
ings of other papers’ methodologies and to conduct an unbiased comparison. We
applied the same loss function, optimizer, and image size to all architectures to
maintain objectivity. Additionally, to ensure a fair and accurate comparison, we
used full mammograms as input for all the models and adopted a comparable
preprocessing approach.
2 Related Works
U-Net [6], a deep learning network having an encoder-decoder architecture, is
among the most prominent deep neural networks commonly employed in med-
ical image segmentation. The network has a symmetric architecture, with an
encoder which extracts spatial information from the image and a decoder which
ConnectedUNets++: Mass Segmentation from Whole Mammographic Images 3
constructs the segmentation map from the encoded data. The encoder and de-
coder are linked by a series of skip connections which are the most innovative
component of the U-Net architecture since they enable the network to recover
spatial data that has been lost due to pooling procedures. Abdelhafiz et al. [12]
used a vanilla U-Net model to segment mass lesions in whole mammograms.
To segment suspicious regions in mammograms, Ravitha Rajalakshmi et al. [13]
presented a deeply supervised U-Net model (DS U-Net) combined with a dense
Conditional Random Field (CRF). Li et al. [14] proposed a Conditional Resid-
ual U-Net, named CRUNet, to improve the performance of the basic U-Net for
breast mass segmentation.
Though U-Net is among the most popular and successful deep learning mod-
els for biomedical image segmentation, several improvements are still possible.
Specifically, the concatenation of encoder and decoder features reveals a signif-
icant semantic gap despite the preservation of dispersed spatial features, which
is a shortcoming of the simple skip connections. To deal with this issue, Ibte-
haz et al. [15] proposed the MultiResUNet architecture by incorporating some
convolutional layers along with shortcut connections in U-Net. Instead of sim-
ply concatenating the feature maps from the encoder stage to the decoder stage,
they first pass them through a chain of convolutional layers and then concatenate
them with the decoder features, which makes learning substantially easier. This
idea is inspired from the image-to-image conversion using convolutional neural
networks [16], where pooling layers are not favorable for the loss of informa-
tion. MultiResUNet has shown excellent results on different biomedical images,
however, the authors did not experiment with mammograms.
Based on the U-Net architecture, Baccouche et al. [8] proposed an improved
architecture that connects two simple U-Nets, called Connected-UNets. In addi-
tion to the original idea of the U-Net architecture, which includes skip connec-
tions between the encoder and decoder networks, it cascades a second U-Net and
adds skip connections between the decoder of the first U-Net and the encoder
of the second U-Net. The key idea was to recovering fine-grained characteristics
lost in U-Net’s encoding process. However, the authors first used YOLO [17] to
detect the location of masses in mammograms, and then applied their method
to segment only correctly localized masses. Such an approach is not optimum
in practical settings where it is desirable to simultaneously localize and segment
masses in whole mammograms rather than processing cropped mammograms.
Several modifications of the U-Net architecture have also been proposed by
incorporating an attention mechanism, which has shown to be extremely effec-
tive in medical image segmentation. Oktay et al. [18] proposed a new attention
U-Net by adding an attention gate into the conventional U-Net. This enhanced
the accuracy of the predictions. However, they didn’t evaluate their model for
breast mass segmentation. Similarly, Li et al. [19] built an attention dense U-
Net for breast mass segmentation, which was compared to U-Net [6], Attention
U-Net [18], and DenseNet [20]. In another study by Sun et al. [9], an attention-
guided dense upsampling network, called AUNet, was built for breast mass seg-
mentation in full mammograms. The major drawback of the papers mentioned
摘要:

ConnectedUNets++:MassSegmentationfromWholeMammographicImagesPrithulSarker,SushmitaSarker,GeorgeBebis,andAlirezaTavakkoliDepartmentofComputerScienceandEngineering,UniversityofNevada,Reno,UnitedStatesfprithulsarker,sushmitag@nevada.unr.eduAbstract.Deeplearninghasmadeabreakthroughinmedicalimagesegmen...

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