Training Like a Medical Resident: Context-Prior Learning Toward Universal Medical Image Segmentation

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Hauptverfasser: Gao, Yunhe, Li, Zhuowei, Liu, Di, Zhou, Mu, Zhang, Shaoting, Metaxas, Dimitris N.
Format: Preprint
Veröffentlicht: 2023
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author Gao, Yunhe
Li, Zhuowei
Liu, Di
Zhou, Mu
Zhang, Shaoting
Metaxas, Dimitris N.
author_facet Gao, Yunhe
Li, Zhuowei
Liu, Di
Zhou, Mu
Zhang, Shaoting
Metaxas, Dimitris N.
contents A major focus of clinical imaging workflow is disease diagnosis and management, leading to medical imaging datasets strongly tied to specific clinical objectives. This scenario has led to the prevailing practice of developing task-specific segmentation models, without gaining insights from widespread imaging cohorts. Inspired by the training program of medical radiology residents, we propose a shift towards universal medical image segmentation, a paradigm aiming to build medical image understanding foundation models by leveraging the diversity and commonality across clinical targets, body regions, and imaging modalities. Towards this goal, we develop Hermes, a novel context-prior learning approach to address the challenges of data heterogeneity and annotation differences in medical image segmentation. In a large collection of eleven diverse datasets (2,438 3D images) across five modalities (CT, PET, T1, T2 and cine MRI) and multiple body regions, we demonstrate the merit of the universal paradigm over the traditional paradigm on addressing multiple tasks within a single model. By exploiting the synergy across tasks, Hermes achieves state-of-the-art performance on all testing datasets and shows superior model scalability. Results on two additional datasets reveals Hermes' strong performance for transfer learning, incremental learning, and generalization to downstream tasks. Hermes's learned priors demonstrate an appealing trait to reflect the intricate relations among tasks and modalities, which aligns with the established anatomical and imaging principles in radiology. The code is available: https://github.com/yhygao/universal-medical-image-segmentation.
format Preprint
id arxiv_https___arxiv_org_abs_2306_02416
institution arXiv
publishDate 2023
record_format arxiv
spellingShingle Training Like a Medical Resident: Context-Prior Learning Toward Universal Medical Image Segmentation
Gao, Yunhe
Li, Zhuowei
Liu, Di
Zhou, Mu
Zhang, Shaoting
Metaxas, Dimitris N.
Computer Vision and Pattern Recognition
A major focus of clinical imaging workflow is disease diagnosis and management, leading to medical imaging datasets strongly tied to specific clinical objectives. This scenario has led to the prevailing practice of developing task-specific segmentation models, without gaining insights from widespread imaging cohorts. Inspired by the training program of medical radiology residents, we propose a shift towards universal medical image segmentation, a paradigm aiming to build medical image understanding foundation models by leveraging the diversity and commonality across clinical targets, body regions, and imaging modalities. Towards this goal, we develop Hermes, a novel context-prior learning approach to address the challenges of data heterogeneity and annotation differences in medical image segmentation. In a large collection of eleven diverse datasets (2,438 3D images) across five modalities (CT, PET, T1, T2 and cine MRI) and multiple body regions, we demonstrate the merit of the universal paradigm over the traditional paradigm on addressing multiple tasks within a single model. By exploiting the synergy across tasks, Hermes achieves state-of-the-art performance on all testing datasets and shows superior model scalability. Results on two additional datasets reveals Hermes' strong performance for transfer learning, incremental learning, and generalization to downstream tasks. Hermes's learned priors demonstrate an appealing trait to reflect the intricate relations among tasks and modalities, which aligns with the established anatomical and imaging principles in radiology. The code is available: https://github.com/yhygao/universal-medical-image-segmentation.
title Training Like a Medical Resident: Context-Prior Learning Toward Universal Medical Image Segmentation
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2306.02416