Mask Enhanced Deeply Supervised Prostate Cancer Detection on B-mode Micro-Ultrasound

Prostate cancer is a leading cause of cancer-related deaths among men. The recent development of high frequency, micro-ultrasound imaging offers improved resolution compared to conventional ultrasound and potentially a better ability to differentiate clinically significant cancer from normal tissue. However, the features of prostate cancer remain subtle, with ambiguous borders with normal tissue and large variations in appearance, making it challenging for both machine learning and humans to localize it on micro-ultrasound images. We propose a novel Mask Enhanced Deeply-supervised Micro-US network, termed MedMusNet, to automatically and more accurately segment prostate cancer to be used as potential targets for biopsy procedures. MedMusNet leverages predicted masks of prostate cancer to enforce the learned features layer-wisely within the network, reducing the influence of noise and improving overall consistency across frames. MedMusNet successfully detected 76% of clinically significant cancer with a Dice Similarity Coefficient of 0.365, significantly outperforming the baseline Swin-M2F in specificity and accuracy (Wilcoxon test, Bonferroni correction, p-value<0.05). While the lesion-level and patient-level analyses showed improved performance compared to human experts and different baseline, the improvements did not reach statistical significance, likely on account of the small cohort. We have presented a novel approach to automatically detect and segment clinically significant prostate cancer on B-mode micro-ultrasound images. Our MedMusNet model outperformed other models, surpassing even human experts. These preliminary results suggest the potential for aiding urologists in prostate cancer diagnosis via biopsy and treatment decision-making.

SwinMM: Masked Multi-view with Swin Transformers for 3D Medical Image Segmentation

Recent advancements in large-scale Vision Transformers have made significant strides in improving pre-trained models for medical image segmentation. However, these methods face a notable challenge in acquiring a substantial amount of pre-training data, particularly within the medical field. To address this limitation, we present Masked Multi-view with Swin Transformers (SwinMM), a novel multi-view pipeline for enabling accurate and data-efficient self-supervised medical image analysis. Our strategy harnesses the potential of multi-view information by incorporating two principal components. In the pre-training phase, we deploy a masked multi-view encoder devised to concurrently train masked multi-view observations through a range of diverse proxy tasks. These tasks span image reconstruction, rotation, contrastive learning, and a novel task that employs a mutual learning paradigm. This new task capitalizes on the consistency between predictions from various perspectives, enabling the extraction of hidden multi-view information from 3D medical data. In the fine-tuning stage, a cross-view decoder is developed to aggregate the multi-view information through a cross-attention block. Compared with the previous state-of-the-art self-supervised learning method Swin UNETR, SwinMM demonstrates a notable advantage on several medical image segmentation tasks. It allows for a smooth integration of multi-view information, significantly boosting both the accuracy and data-efficiency of the model. Code and models are available at https://github.com/UCSC-VLAA/SwinMM/.