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Semi- and Weakly-Supervised Learning for Mammogram Mass Segmentation with Limited Annotations


Core Concepts
Utilizing limited annotations, a hybrid-supervised learning framework enhances breast mass segmentation accuracy.
Abstract
Accurate identification of breast masses is crucial in diagnosing breast cancer. Obtaining pixel-wise annotations for training deep neural networks is expensive. A semi- and weakly-supervised learning framework combines limited strongly-labeled samples with sufficient weakly-labeled samples. The framework includes an auxiliary branch, a segmentation branch, and a spatial prompting module to enhance performance. Disentangling obscure features into lesion-related and others boosts accuracy. Experiments on CBIS-DDSM and INbreast datasets validate the method's effectiveness.
Stats
Approximately 2.3 million new cases of female breast cancer in 2020. CBIS-DDSM dataset contains 1592 mass images. INbreast dataset contains 107 mass images. Dice Coefficient and Structure Measure used for quantitative comparison.
Quotes
"Accurate identification of breast masses is crucial in diagnosing breast cancer." "Our goal is to train an effective segmentation model by integrating strong and weak labels." "Our method achieves state-of-the-art results on all metrics."

Deeper Inquiries

How can the proposed framework be adapted for other medical imaging tasks

The proposed framework for mammogram mass segmentation with limited annotations can be adapted for other medical imaging tasks by following a similar approach of utilizing semi- and weakly-supervised learning. The key lies in disentangling the tasks into different branches, such as an auxiliary branch for background identification and a segmentation branch for final prediction. By incorporating limited strongly-labeled samples along with sufficient weakly-labeled samples, the framework can effectively learn from both types of annotations to achieve accurate results. For other medical imaging tasks like lung nodule detection in CT scans or tumor segmentation in MRI images, the framework can be modified to suit the specific characteristics of each task. For instance, in lung nodule detection, the auxiliary branch could focus on identifying normal lung tissue while the segmentation branch targets nodule boundaries. By adapting the disentanglement strategy and spatial prompting module to these new tasks, it is possible to create a label-efficient learning framework that leverages both strong and weak annotations effectively.

What are the potential limitations or drawbacks of utilizing weakly-labeled samples in hybrid-supervised learning

While utilizing weakly-labeled samples in hybrid-supervised learning offers advantages such as reducing annotation costs and increasing dataset size, there are potential limitations and drawbacks to consider: Noise from Weak Labels: Weak labels may not always accurately represent lesion boundaries or areas of interest. This noise introduced by uncertain annotations can impact model performance if not handled properly. Limited Information: Weak labels provide less detailed information compared to strong pixel-wise annotations. This limitation may hinder the model's ability to learn intricate features necessary for precise segmentation. Model Generalization: Relying heavily on weak labels without proper regularization techniques or supervision strategies might lead to overfitting on noisy data, affecting generalization capabilities across different datasets or unseen cases. Complexity in Model Training: Integrating both strong and weak supervision requires careful design of loss functions, training strategies, and network architectures. Balancing these components effectively is crucial but challenging. Addressing these limitations through robust regularization methods, feature disentanglement techniques like those proposed in this study, and careful validation procedures can help mitigate the drawbacks associated with using weakly-labeled samples in hybrid-supervised learning frameworks.

How can the disentanglement of features into lesion-related and others be applied to different types of medical image analysis tasks

The disentanglement of features into lesion-related and others can be applied to various types of medical image analysis tasks beyond mammogram mass segmentation: Brain Tumor Segmentation: In brain MRI analysis, distinguishing between tumor regions (lesion-related) and healthy brain tissue (others) is crucial for accurate tumor localization and delineation. Retinal Disease Detection: For detecting retinal diseases like diabetic retinopathy from fundus images, separating features related to pathological lesions from normal retinal structures could enhance disease classification accuracy. 3Skin Lesion Classification: When classifying skin lesions from dermoscopy images based on malignancy risk assessment or disease type recognition, feature disentanglement could aid in isolating malignant attributes from benign ones within skin lesion representations. By applying feature-level disentanglement techniques tailored to each specific medical imaging task's requirements, the models' interpretability improves while enhancing their performance at segmenting or classifying relevant regions of interest within complex medical images
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