Peripheral nerve segmentation using Nonparametric Bayesian Hierarchical Clustering

Random Fourier Features-Based Deep Learning Improvement with Class Activation Interpretability for Nerve Structure Segmentation

Peripheral nerve blocking (PNB) is a standard procedure to support regional anesthesia. Still, correct localization of the nerve's structure is needed to avoid adverse effects; thereby, ultrasound images are used as an aid approach. In addition, image-based automatic nerve segmentation from deep learning methods has been proposed to mitigate attenuation and speckle noise ultrasonography issues. Notwithstanding, complex architectures highlight the region of interest lacking suitable data interpretability concerning the learned features from raw instances. Here, a kernel-based deep learning enhancement is introduced for nerve structure segmentation. In a nutshell, a random Fourier features-based approach was utilized to complement three well-known semantic segmentation architectures, e.g., fully convolutional network, U-net, and ResUnet. Moreover, two ultrasound image datasets for PNB were tested. Obtained results show that our kernel-based approach provides a better generalization capability from image segmentation-based assessments on different nerve structures. Further, for data interpretability, a semantic segmentation extension of the GradCam++ for class-activation mapping was used to reveal relevant learned features separating between nerve and background. Thus, our proposal favors both straightforward (shallow) and complex architectures (deeper neural networks).

A probabilistic framework based on SLIC-superpixel and Gaussian processes for segmenting nerves in ultrasound images

We deal with an important problem in the field of anesthesiology known as automatic segmentation of nerve structures depicted in ultrasound images. This is important to aid the experts in anesthesiology, in order to carry out Peripheral Nerve Blocking (PNB). Ultrasound imaging has gained recent interest for performing PNB procedures since it offers a non-invasive visualization of the nerve and the anatomical structures around it. However, the location of these nerves in ultrasound images is a difficult task for the specialist due to the artifacts (i.e. speckle noise) that affect the intelligibility of a given image. In this paper, we present a probabilistic approach based on Simple Linear Iterative Clustering (SLIC-superpixels) and Gaussian processes for automatic segmentation of peripheral nerves. First, we use Graph cuts segmentation to define a region of interest (ROI). Such a ROI is divided into several correlated regions using SLIC-superpixels, then, a nonlinear Wavelet transform is applied as feature extraction stage. Finally, we use a classification scheme based on Gaussian Processes in order to predict the label of each parametrized superpixel (the label can be "nerve" or "background"). The accuracy of the proposed method is measured in terms of the Dice coefficient. Results obtained show performances with a Dice coefficient of 0.6524±0.0085 which brings accurate performances in nerve segmentation processes.