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Deep learning for multi-site ms lesions segmentation: two-step intensity standardization and generalized loss function

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HAL Id: hal-02052250

https://hal.archives-ouvertes.fr/hal-02052250

Submitted on 28 Feb 2019

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Deep learning for multi-site ms lesions segmentation:

two-step intensity standardization and generalized loss

function

Francesca Galassi, Solène Tarride, Emmanuel Vallée, Olivier Commowick,

Christian Barillot

To cite this version:

Francesca Galassi, Solène Tarride, Emmanuel Vallée, Olivier Commowick, Christian Barillot. Deep

learning for multi-site ms lesions segmentation: two-step intensity standardization and generalized

loss function. ISBI 2019 - 16th IEEE International Symposium on Biomedical Imaging, Apr 2019,

Venice, Italy. pp.1. �hal-02052250�

(2)

DEEP LEARNING FOR MULTI-SITE MS LESIONS SEGMENTATION:

TWO-STEP INTENSITY STANDARDIZATION AND GENERALIZED LOSS FUNCTION

Francesca Galassi

, Sol`ene Tarride

, Emmanuel Vall´ee

, Olivier Commowick

, Christian Barillot

INRIA, CNRS, INSERM, IRISA, Empenn, Rennes, France

Orange Labs, Lannion, France

ABSTRACT

We present an improved CNN framework for the segmen-tation of Multiple Sclerosis (MS) lesions from multimodal MRI. It uses a two-step intensity normalization and a casca-ded network with cost sensitive learning. Performance was assessed on a public multi-site dataset.

Index Terms— MRI, MS lesions, Segmentation, CNN 1. INTRODUCTION

Performance of deep learning based classifiers in MS le-sions segmentation is affected by intensity variability of MRI data as well as by high class imbalance. This work aims to mitigate the issue of intensity variability by using a two-step normalization and class imbalance by cost sensitive learning of a CNN cascaded network.

2. MATERIAL AND METHODS

We trained and evaluated the framework on the multi-site MICCAI 2016 MS lesion segmentation challenge dataset [1]. It includes 3D T1-w and 3D FLAIR images of 53 MS patients from four MR sites (15 train and 38 test datasets). One site was not included in the train dataset.

MR images were denoised, rigidly registered towards T1-w, skull-stripped and bias corrected. We acquired 20 MRI da-tasets of healthy subjects and generated an atlas representing the average intensity and shape of the controls per modality. We normalized each modality of each MS patient using the corresponding modality template image and k-means standar-dization. Finally, we normalized each image independently by subtracting its mean and dividing by its standard deviation.

We trained a two-CNN 3D patch-wise cascaded network [2] using a Generalized Dice Loss (GDL) [3], rather than the standard cross-entropy, where the contribution of a label was corrected by the inverse of its volume.

3. RESULTS

Lesion load varied from ∼ 0.5cm3to ∼ 70cm3. Average performance scores are reported in Table 1, with/without the

Table 1. Average scores on all test set and unseen site only Dice-score F1-score F1-score

(unseen site)

[2] @ MICCAI16 0.541 0.490 0.280

[2] + IN 0.583 0.514 0.516

[2] + GDL 0.602 0.548 0.534

[2] + IN + GDL 0.624 0.604 0.614

use of intensity normalization (IN) and/or GDL. The paired Wilcoxon-test for the F1-score ([2] + IN + GDL) vs [2] retur-ned a p-value equal to 6.16e-07.

4. DISCUSSION AND CONCLUSIONS

Network performance improved with the use of the two-step intensity normalization and Generalized Dice Loss. Top ranked methods at the MICCAI 2016 challenge ob-tained : (DSC=0.541, F1-score=0.490) and (DSC=0.591, F1-score=0.386) [1]. The framework outperformed all chal-lengers, with higher precision and recall (DSC=0.624, F1-score=0.604). Scores were consistent across all sites. A mar-ked improvement over [2] was achieved on the site that was not included in the train dataset.

5. REFERENCES

[1] O. Commowick., A. Istace., M. Kain et al., Objective Evaluation of Multiple Sclerosis Lesion Segmentation using a Data Management and Processing Infrastructure. Scientific reports, vol. 8, no. 1, Sept 2018.

[2] S. Valverde, M. Cabezas, E. Roura. et al., Impro-ving automated multiple sclerosis lesion segmentation with a cascaded 3D convolutional neural network approach, Neuroi-mage, vol. 15, no. 155, pp. 159-168, Apr 2017.

[3] C.H. Sudre, W. Li, T. Vercauteren et al., Genera-lised Dice Overlap as a Deep Learning Loss Function for Highly Unbalanced Segmentations, DLMIA, ML-CDS, Lec-ture Notes in Computer Science, vol. 10553, Springer, 2017.

Figure

Table 1 . Average scores on all test set and unseen site only Dice-score F1-score F1-score

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