Deep Learning-Based Concurrent Brain Registration and Tumor Segmentation

Image registration and segmentation are the two most studied problems in medical image analysis. Deep learning algorithms have recently gained a lot of attention due to their success and state-of-the-art results in variety of problems and communities. In this paper, we propose a novel, efficient, and multi-task algorithm that addresses the problems of image registration and brain tumor segmentation jointly. Our method exploits the dependencies between these tasks through a natural coupling of their interdependencies during inference. In particular, the similarity constraints are relaxed within the tumor regions using an efficient and relatively simple formulation. We evaluated the performance of our formulation both quantitatively and qualitatively for registration and segmentation problems on two publicly available datasets (BraTS 2018 and OASIS 3), reporting competitive results with other recent state-of-the-art methods. Moreover, our proposed framework reports significant amelioration (p < 0.005) for the registration performance inside the tumor locations, providing a generic method that does not need any predefined conditions (e.g., absence of abnormalities) about the volumes to be registered. Our implementation is publicly available online at https://github.com/TheoEst/joint_registration_tumor_segmentation.

[1]  Sébastien Ourselin,et al.  Automatic Brain Tumor Segmentation Using Cascaded Anisotropic Convolutional Neural Networks , 2017, BrainLes@MICCAI.

[2]  Irène Buvat,et al.  Monitoring tumour response during chemo-radiotherapy: a parametric method using FDG-PET/CT images in patients with oesophageal cancer , 2014, EJNMMI Research.

[3]  Konstantinos Kamnitsas,et al.  Ensembles of Multiple Models and Architectures for Robust Brain Tumour Segmentation , 2017, BrainLes@MICCAI.

[4]  Christos Davatzikos,et al.  Deformable Registration of Glioma Images Using EM Algorithm and Diffusion Reaction Modeling , 2011, IEEE Transactions on Medical Imaging.

[5]  Jeffrey N. Rouder,et al.  Bayesian t tests for accepting and rejecting the null hypothesis , 2009, Psychonomic bulletin & review.

[6]  Brian B. Avants,et al.  The Multimodal Brain Tumor Image Segmentation Benchmark (BRATS) , 2015, IEEE Transactions on Medical Imaging.

[7]  Ross B. Girshick,et al.  Focal Loss for Dense Object Detection , 2017, IEEE Transactions on Pattern Analysis and Machine Intelligence.

[8]  Bruce Fischl,et al.  Combined Volumetric and Surface Registration , 2009, IEEE Transactions on Medical Imaging.

[9]  Nikos Paragios,et al.  Deformable Medical Image Registration: A Survey , 2013, IEEE Transactions on Medical Imaging.

[10]  Marie Blonski,et al.  A Probabilistic Atlas of Diffuse WHO Grade II Glioma Locations in the Brain , 2016, PloS one.

[11]  Radka Stoyanova,et al.  Daily Tracking of Glioblastoma Resection Cavity, Cerebral Edema, and Tumor Volume with MRI-Guided Radiation Therapy , 2018, Cureus.

[12]  Dacheng Tao,et al.  Learning Contextual and Attentive Information for Brain Tumor Segmentation , 2018, BrainLes@MICCAI.

[13]  Christos Davatzikos,et al.  Advancing The Cancer Genome Atlas glioma MRI collections with expert segmentation labels and radiomic features , 2017, Scientific Data.

[14]  E. Holland Progenitor cells and glioma formation , 2001, Current opinion in neurology.

[15]  Meiyun Wang,et al.  Automated glioma detection and segmentation using graphical models , 2018, PloS one.

[16]  Brian B. Avants,et al.  Symmetric diffeomorphic image registration with cross-correlation: Evaluating automated labeling of elderly and neurodegenerative brain , 2008, Medical Image Anal..

[17]  Maria Werner-Wasik,et al.  Evaluating changes in radiation treatment volumes from post-operative to same-day planning MRI in High-grade gliomas , 2012, Radiation oncology.

[18]  Nikos Paragios,et al.  Joint Tumor Segmentation and Dense Deformable Registration of Brain MR Images , 2012, MICCAI.

[19]  Zhen Yang,et al.  Intensity-modulated radiotherapy for gliomas:dosimetric effects of changes in gross tumor volume on organs at risk and healthy brain tissue , 2016, OncoTargets and therapy.

[20]  Grant T. Harris,et al.  Comparing Effect Sizes in Follow-Up Studies: ROC Area, Cohen's d, and r , 2005, Law and human behavior.

[21]  Sébastien Ourselin,et al.  Generalised Dice overlap as a deep learning loss function for highly unbalanced segmentations , 2017, DLMIA/ML-CDS@MICCAI.

[22]  et al.,et al.  Identifying the Best Machine Learning Algorithms for Brain Tumor Segmentation, Progression Assessment, and Overall Survival Prediction in the BRATS Challenge , 2018, ArXiv.

[23]  Christos Davatzikos,et al.  GLISTR: Glioma Image Segmentation and Registration , 2012, IEEE Transactions on Medical Imaging.

[24]  Nikos Paragios,et al.  Context Aware 3D CNNs for Brain Tumor Segmentation , 2018, BrainLes@MICCAI.

[25]  M Brada,et al.  High-grade glioma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. , 2014, Annals of oncology : official journal of the European Society for Medical Oncology.

[26]  Seyed-Ahmad Ahmadi,et al.  V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation , 2016, 2016 Fourth International Conference on 3D Vision (3DV).

[27]  Daniel Rueckert,et al.  Multimodal surface matching with higher-order smoothness constraints , 2017, NeuroImage.

[28]  O. Gallego,et al.  SEOM clinical guideline of diagnosis and management of low-grade glioma (2017) , 2017, Clinical and Translational Oncology.

[29]  Anil K. Bera,et al.  Efficient tests for normality, homoscedasticity and serial independence of regression residuals , 1980 .

[30]  Nikos Paragios,et al.  DRAMMS: Deformable Registration via Attribute Matching and Mutual-Saliency Weighting , 2009, IPMI.

[31]  Peter Balter,et al.  Delta-radiomics features for the prediction of patient outcomes in non–small cell lung cancer , 2017, Scientific Reports.

[32]  John G. Csernansky,et al.  Open Access Series of Imaging Studies: Longitudinal MRI Data in Nondemented and Demented Older Adults , 2010, Journal of Cognitive Neuroscience.

[33]  Daniel Rueckert,et al.  Temporal sparse free-form deformations , 2013, Medical Image Anal..

[34]  B. Schultz Levene's Test for Relative Variation , 1985 .

[35]  Mert R. Sabuncu,et al.  Unsupervised Learning for Fast Probabilistic Diffeomorphic Registration , 2018, MICCAI.

[36]  Klaus H. Maier-Hein,et al.  Brain Tumor Segmentation and Radiomics Survival Prediction: Contribution to the BRATS 2017 Challenge , 2017, BrainLes@MICCAI.

[37]  Jae-Uk Jeong,et al.  Evaluation of variability in target volume delineation for newly diagnosed glioblastoma: a multi-institutional study from the Korean Radiation Oncology Group , 2015, Radiation Oncology.

[38]  Nikos Paragios,et al.  Linear and Deformable Image Registration with 3D Convolutional Neural Networks , 2018, RAMBO+BIA+TIA@MICCAI.

[39]  Max A. Viergever,et al.  elastix: A Toolbox for Intensity-Based Medical Image Registration , 2010, IEEE Transactions on Medical Imaging.

[40]  Nassir Navab,et al.  Dense Registration with Deformation Priors , 2009, IPMI.

[41]  Richard McKinley,et al.  Ensembles of Densely-Connected CNNs with Label-Uncertainty for Brain Tumor Segmentation , 2018, BrainLes@MICCAI.

[42]  Iasonas Kokkinos,et al.  Deforming Autoencoders: Unsupervised Disentangling of Shape and Appearance , 2018, ECCV.

[43]  Andriy Myronenko,et al.  3D MRI brain tumor segmentation using autoencoder regularization , 2018, BrainLes@MICCAI.

[44]  Klaus H. Maier-Hein,et al.  No New-Net , 2018, 1809.10483.