Modality-Agnostic Learning for Medical Image Segmentation Using Multi-modality Self-distillation

Medical image segmentation of tumors and organs at risk is a time-consuming yet critical process in the clinic that utilizes multi-modality imaging (e.g, different acquisitions, data types, and sequences) to increase segmentation precision. In this paper, we propose a novel framework, Modality-Agnostic learning through Multi-modality Self-dist-illation (MAG-MS), to investigate the impact of input modalities on medical image segmentation. MAG-MS distills knowledge from the fusion of multiple modalities and applies it to enhance representation learning for individual modalities. Thus, it provides a versatile and efficient approach to handle limited modalities during testing. Our extensive experiments on benchmark datasets demonstrate the high efficiency of MAG-MS and its superior segmentation performance than current state-of-the-art methods. Furthermore, using MAG-MS, we provide valuable insight and guidance on selecting input modalities for medical image segmentation tasks.

Dual self-distillation of U-shaped networks for 3D medical image segmentation

U-shaped networks and its variants have demonstrated exceptional results for medical image segmentation. In this paper, we propose a novel dual self-distillation (DSD) framework for U-shaped networks for 3D medical image segmentation. DSD distills knowledge from the ground-truth segmentation labels to the decoder layers and also between the encoder and decoder layers of a single U-shaped network. DSD is a generalized training strategy that could be attached to the backbone architecture of any U-shaped network to further improve its segmentation performance. We attached DSD on two state-of-the-art U-shaped backbones, and extensive experiments on two public 3D medical image segmentation datasets (cardiac substructure and brain tumor) demonstrated significant improvement over those backbones. On average, after attaching DSD to the U-shaped backbones, we observed an improvement of 4.25% and 3.15% in Dice similarity score for cardiac substructure and brain tumor segmentation respectively.

SA-GAN: Structure-Aware Generative Adversarial Network for Shape-Preserving Synthetic CT Generation

In medical image synthesis, model training could be challenging due to the inconsistencies between images of different modalities even with the same patient, typically caused by internal status/tissue changes as different modalities are usually obtained at a different time. This paper proposes a novel deep learning method, Structure-aware Generative Adversarial Network (SA-GAN), that preserves the shapes and locations of in-consistent structures when generating medical images. SA-GAN is employed to generate synthetic computed tomography (synCT) images from magnetic resonance imaging (MRI) with two parallel streams: the global stream translates the input from the MRI to the CT domain while the local stream automatically segments the inconsistent organs, maintains their locations and shapes in MRI, and translates the organ intensities to CT. Through extensive experiments on a pelvic dataset, we demonstrate that SA-GAN provides clinically acceptable accuracy on both synCTs and organ segmentation and supports MR-only treatment planning in disease sites with internal organ status changes.