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Tang H, Huang H, Liu J, Zhu J, Gou F, Wu J. AI-Assisted Diagnosis and Decision-Making Method in Developing Countries for Osteosarcoma. Healthcare (Basel) 2022; 10:2313. [PMID: 36421636 PMCID: PMC9690527 DOI: 10.3390/healthcare10112313] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 10/28/2022] [Accepted: 11/15/2022] [Indexed: 10/29/2023] Open
Abstract
Osteosarcoma is a malignant tumor derived from primitive osteogenic mesenchymal cells, which is extremely harmful to the human body and has a high mortality rate. Early diagnosis and treatment of this disease is necessary to improve the survival rate of patients, and MRI is an effective tool for detecting osteosarcoma. However, due to the complex structure and variable location of osteosarcoma, cancer cells are highly heterogeneous and prone to aggregation and overlap, making it easy for doctors to inaccurately predict the area of the lesion. In addition, in developing countries lacking professional medical systems, doctors need to examine mass of osteosarcoma MRI images of patients, which is time-consuming and inefficient, and may result in misjudgment and omission. For the sake of reducing labor cost and improve detection efficiency, this paper proposes an Attention Condenser-based MRI image segmentation system for osteosarcoma (OMSAS), which can help physicians quickly locate the lesion area and achieve accurate segmentation of the osteosarcoma tumor region. Using the idea of AttendSeg, we constructed an Attention Condenser-based residual structure network (ACRNet), which greatly reduces the complexity of the structure and enables smaller hardware requirements while ensuring the accuracy of image segmentation. The model was tested on more than 4000 samples from two hospitals in China. The experimental results demonstrate that our model has higher efficiency, higher accuracy and lighter structure for osteosarcoma MRI image segmentation compared to other existing models.
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Affiliation(s)
- Haojun Tang
- School of Computer Science and Engineering, Central South University, Changsha 410083, China
| | - Hui Huang
- The First People’s Hospital of Huaihua, Huaihua 418000, China
| | - Jun Liu
- The Second People’s Hospital of Huaihua, Huaihua 418000, China
| | - Jun Zhu
- The First People’s Hospital of Huaihua, Huaihua 418000, China
- Collaborative Innovation Center for Medical Artificial Intelligence and Big Data Decision Making Assistance, Hunan University of Medicine, Huaihua 418000, China
| | - Fangfang Gou
- School of Computer Science and Engineering, Central South University, Changsha 410083, China
| | - Jia Wu
- School of Computer Science and Engineering, Central South University, Changsha 410083, China
- The First People’s Hospital of Huaihua, Huaihua 418000, China
- Collaborative Innovation Center for Medical Artificial Intelligence and Big Data Decision Making Assistance, Hunan University of Medicine, Huaihua 418000, China
- Research Center for Artificial Intelligence, Monash University, Melbourne, Clayton, VIC 3800, Australia
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2
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Liu F, Zhu J, Lv B, Yang L, Sun W, Dai Z, Gou F, Wu J. Auxiliary Segmentation Method of Osteosarcoma MRI Image Based on Transformer and U-Net. COMPUTATIONAL INTELLIGENCE AND NEUROSCIENCE 2022; 2022:9990092. [PMID: 36419505 PMCID: PMC9678467 DOI: 10.1155/2022/9990092] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 10/24/2022] [Accepted: 10/28/2022] [Indexed: 07/28/2023]
Abstract
One of the most prevalent malignant bone tumors is osteosarcoma. The diagnosis and treatment cycle are long and the prognosis is poor. It takes a lot of time to manually identify osteosarcoma from osteosarcoma magnetic resonance imaging (MRI). Medical image processing technology has greatly alleviated the problems faced by medical diagnoses. However, MRI images of osteosarcoma are characterized by high noise and blurred edges. The complex features increase the difficulty of lesion area identification. Therefore, this study proposes an osteosarcoma MRI image segmentation method (OSTransnet) based on Transformer and U-net. This technique primarily addresses the issues of fuzzy tumor edge segmentation and overfitting brought on by data noise. First, we optimize the dataset by changing the precise spatial distribution of noise and the data-increment image rotation process. The tumor is then segmented based on the model of U-Net and Transformer with edge improvement. It compensates for the limitations of U-semantic Net by using channel-based transformers. Finally, we also add an edge enhancement module (BAB) and a combined loss function to improve the performance of edge segmentation. The method's accuracy and stability are demonstrated by the detection and training results based on more than 4,000 MRI images of osteosarcoma, which also demonstrate how well the method works as an adjunct to clinical diagnosis and treatment.
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Affiliation(s)
- Feng Liu
- School of Information Engineering, Shandong Youth University of Political Science, Jinan, Shandong, China
- New Technology Research and Development Center of Intelligent Information Controlling in Universities of Shandong, Jinan 250103, China
| | - Jun Zhu
- The First People's Hospital of Huaihua, Huaihua 418000, Hunan, China
- Collaborative Innovation Center for Medical Artificial Intelligence and Big Data Decision Making Assistance, Hunan University of Medicine, Huaihua 418000, Hunan, China
| | - Baolong Lv
- School of Modern Service Management, Shandong Youth University of Political Science, Jinan, China
| | - Lei Yang
- School of Computer Science and Technology, Shandong Janzhu University, Jinan, China
| | - Wenyan Sun
- School of Information Engineering, Shandong Youth University of Political Science, Jinan, Shandong, China
| | - Zhehao Dai
- Department of Spine Surgery, The Second Xiangya Hospital, Central South University, Changsha 410011, China
| | - Fangfang Gou
- School of Computer Science and Engineering, Central South University, Changsha 410083, China
| | - Jia Wu
- School of Computer Science and Engineering, Central South University, Changsha 410083, China
- Research Center for Artificial Intelligence, Monash University, Melbourne, Clayton, Victoria 3800, Australia
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3
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Gou F, Liu J, Zhu J, Wu J. A Multimodal Auxiliary Classification System for Osteosarcoma Histopathological Images Based on Deep Active Learning. Healthcare (Basel) 2022; 10:2189. [PMID: 36360530 PMCID: PMC9690420 DOI: 10.3390/healthcare10112189] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 10/27/2022] [Accepted: 10/28/2022] [Indexed: 10/29/2023] Open
Abstract
Histopathological examination is an important criterion in the clinical diagnosis of osteosarcoma. With the improvement of hardware technology and computing power, pathological image analysis systems based on artificial intelligence have been widely used. However, classifying numerous intricate pathology images by hand is a tiresome task for pathologists. The lack of labeling data makes the system costly and difficult to build. This study constructs a classification assistance system (OHIcsA) based on active learning (AL) and a generative adversarial network (GAN). The system initially uses a small, labeled training set to train the classifier. Then, the most informative samples from the unlabeled images are selected for expert annotation. To retrain the network, the final chosen images are added to the initial labeled dataset. Experiments on real datasets show that our proposed method achieves high classification performance with an AUC value of 0.995 and an accuracy value of 0.989 using a small amount of labeled data. It reduces the cost of building a medical system. Clinical diagnosis can be aided by the system's findings, which can also increase the effectiveness and verifiable accuracy of doctors.
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Affiliation(s)
- Fangfang Gou
- School of Computer Science and Engineering, Central South University, Changsha 410083, China
| | - Jun Liu
- The Second People’s Hospital of Huaihua, Huaihua 418000, China
| | - Jun Zhu
- The First People’s Hospital of Huaihua, Huaihua 418000, China
- Collaborative Innovation Center for Medical Artificial Intelligence and Big Data Decision Making Assistance, Hunan University of Medicine, Huaihua 418000, China
| | - Jia Wu
- School of Computer Science and Engineering, Central South University, Changsha 410083, China
- Research Center for Artificial Intelligence, Monash University, Melbourne, VIC 3800, Australia
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4
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Auxiliary Segmentation Method of Osteosarcoma in MRI Images Based on Denoising and Local Enhancement. Healthcare (Basel) 2022; 10:healthcare10081468. [PMID: 36011123 PMCID: PMC9408522 DOI: 10.3390/healthcare10081468] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 08/01/2022] [Accepted: 08/03/2022] [Indexed: 12/23/2022] Open
Abstract
Osteosarcoma is a bone tumor which is malignant. There are many difficulties when doctors manually identify patients’ MRI images to complete the diagnosis. The osteosarcoma in MRI images is very complex, making its recognition and segmentation resource-consuming. Automatic osteosarcoma area segmentation can solve these problems to a certain extent. However, existing studies usually fail to balance segmentation accuracy and efficiency. They are either sensitive to noise with low accuracy or time-consuming. So we propose an auxiliary segmentation method based on denoising and local enhancement. The method first optimizes the osteosarcoma images, including removing noise using the Edge Enhancement based Transformer for Medical Image Denoising (Eformer) and using a non-parameter method to localize and enhance the tumor region in MRI images. Osteosarcoma was then segmented by Deep Feature Aggregation for Real-Time Semantic Segmentation (DFANet). Our method achieves impressive segmentation accuracy. Moreover, it is efficient in both time and space. It can provide information about the location and extent of the osteosarcoma as a basis for further diagnosis.
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Wu J, Zhou L, Gou F, Tan Y. A Residual Fusion Network for Osteosarcoma MRI Image Segmentation in Developing Countries. COMPUTATIONAL INTELLIGENCE AND NEUROSCIENCE 2022; 2022:7285600. [PMID: 35965771 PMCID: PMC9365532 DOI: 10.1155/2022/7285600] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Revised: 07/01/2022] [Accepted: 07/05/2022] [Indexed: 01/07/2023]
Abstract
Among primary bone cancers, osteosarcoma is the most common, peaking between the ages of a child's rapid bone growth and adolescence. The diagnosis of osteosarcoma requires observing the radiological appearance of the infected bones. A common approach is MRI, but the manual diagnosis of MRI images is prone to observer bias and inaccuracy and is rather time consuming. The MRI images of osteosarcoma contain semantic messages in several different resolutions, which are often ignored by current segmentation techniques, leading to low generalizability and accuracy. In the meantime, the boundaries between osteosarcoma and bones or other tissues are sometimes too ambiguous to separate, making it a challenging job for inexperienced doctors to draw a line between them. In this paper, we propose using a multiscale residual fusion network to handle the MRI images. We placed a novel subnetwork after the encoders to exchange information between the feature maps of different resolutions, to fuse the information they contain. The outputs are then directed to both the decoders and a shape flow block, used for improving the spatial accuracy of the segmentation map. We tested over 80,000 osteosarcoma MRI images from the PET-CT center of a well-known hospital in China. Our approach can significantly improve the effectiveness of the semantic segmentation of osteosarcoma images. Our method has higher F1, DSC, and IOU compared with other models while maintaining the number of parameters and FLOPS.
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Affiliation(s)
- Jia Wu
- School of Computer Science and Engineering, Central South University, Chang Sha 410083, China
- Research Center for Artificial Intelligence, Monash University, Clayton Vic 3800, Melbourne, Australia
| | - Luting Zhou
- School of Computer Science and Engineering, Central South University, Chang Sha 410083, China
| | - Fangfang Gou
- School of Computer Science and Engineering, Central South University, Chang Sha 410083, China
| | - Yanlin Tan
- PET-CT Center, The Second Xiangya Hospital of Central South University, Changsha 410083, China
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Wu J, Liu Z, Gou F, Zhu J, Tang H, Zhou X, Xiong W. BA-GCA Net: Boundary-Aware Grid Contextual Attention Net in Osteosarcoma MRI Image Segmentation. COMPUTATIONAL INTELLIGENCE AND NEUROSCIENCE 2022; 2022:3881833. [PMID: 35942441 PMCID: PMC9356797 DOI: 10.1155/2022/3881833] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Revised: 06/22/2022] [Accepted: 07/05/2022] [Indexed: 12/11/2022]
Abstract
Osteosarcoma is one of the most common bone tumors that occurs in adolescents. Doctors often use magnetic resonance imaging (MRI) through biosensors to diagnose and predict osteosarcoma. However, a number of osteosarcoma MRI images have the problem of the tumor shape boundary being vague, complex, or irregular, which causes doctors to encounter difficulties in diagnosis and also makes some deep learning methods lose segmentation details as well as fail to locate the region of the osteosarcoma. In this article, we propose a novel boundary-aware grid contextual attention net (BA-GCA Net) to solve the problem of insufficient accuracy in osteosarcoma MRI image segmentation. First, a novel grid contextual attention (GCA) is designed to better capture the texture details of the tumor area. Then the statistical texture learning block (STLB) and the spatial transformer block (STB) are integrated into the network to improve its ability to extract statistical texture features and locate tumor areas. Over 80,000 MRI images of osteosarcoma from the Second Xiangya Hospital are adopted as a dataset for training, testing, and ablation studies. Results show that our proposed method achieves higher segmentation accuracy than existing methods with only a slight increase in the number of parameters and computational complexity.
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Affiliation(s)
- Jia Wu
- School of Computer Science and Engineering, Central South University, Changsha 410083, China
- Research Center for Artificial Intelligence, Monash University, Melbourne, Clayton VIC 3800, Australia
- The First People's Hospital of Huaihua, Huaihua, Hunan, China
- Collaborative Innovation Center for Medical Artificial Intelligence and Big Data Decision Making Assis-10 Tance, Hunan University of Medicine, Changsha, China
| | - Zikang Liu
- School of Computer Science and Engineering, Central South University, Changsha 410083, China
| | - Fangfang Gou
- School of Computer Science and Engineering, Central South University, Changsha 410083, China
| | - Jun Zhu
- The First People's Hospital of Huaihua, Huaihua, Hunan, China
- Collaborative Innovation Center for Medical Artificial Intelligence and Big Data Decision Making Assis-10 Tance, Hunan University of Medicine, Changsha, China
| | - Haoyu Tang
- The First People's Hospital of Huaihua, Huaihua, Hunan, China
- Collaborative Innovation Center for Medical Artificial Intelligence and Big Data Decision Making Assis-10 Tance, Hunan University of Medicine, Changsha, China
| | - Xian Zhou
- Jiangxi University of Chinese Medicine, Nanchang 330004, JiangXi, China
| | - Wangping Xiong
- Jiangxi University of Chinese Medicine, Nanchang 330004, JiangXi, China
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Multi-Scale Tumor Localization Based on Priori Guidance-Based Segmentation Method for Osteosarcoma MRI Images. MATHEMATICS 2022. [DOI: 10.3390/math10122099] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Osteosarcoma is a malignant osteosarcoma that is extremely harmful to human health. Magnetic resonance imaging (MRI) technology is one of the commonly used methods for the imaging examination of osteosarcoma. Due to the large amount of osteosarcoma MRI image data and the complexity of detection, manual identification of osteosarcoma in MRI images is a time-consuming and labor-intensive task for doctors, and it is highly subjective, which can easily lead to missed and misdiagnosed problems. AI medical image-assisted diagnosis alleviates this problem. However, the brightness of MRI images and the multi-scale of osteosarcoma make existing studies still face great challenges in the identification of tumor boundaries. Based on this, this study proposed a prior guidance-based assisted segmentation method for MRI images of osteosarcoma, which is based on the few-shot technique for tumor segmentation and fine fitting. It not only solves the problem of multi-scale tumor localization, but also greatly improves the recognition accuracy of tumor boundaries. First, we preprocessed the MRI images using prior generation and normalization algorithms to reduce model performance degradation caused by irrelevant regions and high-level features. Then, we used a prior-guided feature abdominal muscle network to perform small-sample segmentation of tumors of different sizes based on features in the processed MRI images. Finally, using more than 80,000 MRI images from the Second Xiangya Hospital for experiments, the DOU value of the method proposed in this paper reached 0.945, which is at least 4.3% higher than other models in the experiment. We showed that our method specifically has higher prediction accuracy and lower resource consumption.
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Ouyang T, Yang S, Gou F, Dai Z, Wu J. Rethinking U-Net from an Attention Perspective with Transformers for Osteosarcoma MRI Image Segmentation. COMPUTATIONAL INTELLIGENCE AND NEUROSCIENCE 2022; 2022:7973404. [PMID: 35707196 PMCID: PMC9192230 DOI: 10.1155/2022/7973404] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Revised: 04/24/2022] [Accepted: 04/28/2022] [Indexed: 12/17/2022]
Abstract
Osteosarcoma is one of the most common primary malignancies of bone in the pediatric and adolescent populations. The morphology and size of osteosarcoma MRI images often show great variability and randomness with different patients. In developing countries, with large populations and lack of medical resources, it is difficult to effectively address the difficulties of early diagnosis of osteosarcoma with limited physician manpower alone. In addition, with the proposal of precision medicine, existing MRI image segmentation models for osteosarcoma face the challenges of insufficient segmentation accuracy and high resource consumption. Inspired by transformer's self-attention mechanism, this paper proposes a lightweight osteosarcoma image segmentation architecture, UATransNet, by adding a multilevel guided self-aware attention module (MGAM) to the encoder-decoder architecture of U-Net. We successively perform dataset classification optimization and remove MRI image irrelevant background. Then, UATransNet is designed with transformer self-attention component (TSAC) and global context aggregation component (GCAC) at the bottom of the encoder-decoder architecture to perform integration of local features and global dependencies and aggregation of contexts to learned features. In addition, we apply dense residual learning to the convolution module and combined with multiscale jump connections, to improve the feature extraction capability. In this paper, we experimentally evaluate more than 80,000 osteosarcoma MRI images and show that our UATransNet yields more accurate segmentation performance. The IOU and DSC values of osteosarcoma are 0.922 ± 0.03 and 0.921 ± 0.04, respectively, and provide intuitive and accurate efficient decision information support for physicians.
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Affiliation(s)
- Tianxiang Ouyang
- School of Computer Science and Engineering, Central South University, Changsha 410083, China
| | - Shun Yang
- Department of Spine Surgery, The Second Xiangya Hospital, Central South University, Changsha 410011, China
| | - Fangfang Gou
- School of Computer Science and Engineering, Central South University, Changsha 410083, China
| | - Zhehao Dai
- Department of Spine Surgery, The Second Xiangya Hospital, Central South University, Changsha 410011, China
| | - Jia Wu
- School of Computer Science and Engineering, Central South University, Changsha 410083, China
- Research Center for Artificial Intelligence, Monash University, Melbourne, Clayton, VIC 3800, Australia
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Node Screening Method Based on Federated Learning with IoT in Opportunistic Social Networks. MATHEMATICS 2022. [DOI: 10.3390/math10101669] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
With the advent of the 5G era, the number of Internet of Things (IoT) devices has surged, and the population’s demand for information and bandwidth is increasing. The mobile device networks in IoT can be regarded as independent “social nodes”, and a large number of social nodes are combined to form a new “opportunistic social network”. In this network, a large amount of data will be transmitted and the efficiency of data transmission is low. At the same time, the existence of “malicious nodes” in the opportunistic social network will cause problems of unstable data transmission and leakage of user privacy. In the information society, these problems will have a great impact on data transmission and data security; therefore, in order to solve the above problems, this paper first divides the nodes into “community divisions”, and then proposes a more effective node selection algorithm, i.e., the FL node selection algorithm based on Distributed Proximal Policy Optimization in IoT (FABD) algorithm, based on Federated Learning (FL). The algorithm is mainly divided into two processes: multi-threaded interaction and a global network update. The device node selection problem in federated learning is constructed as a Markov decision process. It takes into account the training quality and efficiency of heterogeneous nodes and optimizes it according to the distributed near-end strategy. At the same time, malicious nodes are screened to ensure the reliability of data, prevent data loss, and alleviate the problem of user privacy leakage. Through experimental simulation, compared with other algorithms, the FABD algorithm has a higher delivery rate and lower data transmission delay and significantly improves the reliability of data transmission.
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An Attention-Preserving Network-Based Method for Assisted Segmentation of Osteosarcoma MRI Images. MATHEMATICS 2022. [DOI: 10.3390/math10101665] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Osteosarcoma is a malignant bone tumor that is extremely dangerous to human health. Not only does it require a large amount of work, it is also a complicated task to outline the lesion area in an image manually, using traditional methods. With the development of computer-aided diagnostic techniques, more and more researchers are focusing on automatic segmentation techniques for osteosarcoma analysis. However, existing methods ignore the size of osteosarcomas, making it difficult to identify and segment smaller tumors. This is very detrimental to the early diagnosis of osteosarcoma. Therefore, this paper proposes a Contextual Axial-Preserving Attention Network (CaPaN)-based MRI image-assisted segmentation method for osteosarcoma detection. Based on the use of Res2Net, a parallel decoder is added to aggregate high-level features which effectively combines the local and global features of osteosarcoma. In addition, channel feature pyramid (CFP) and axial attention (A-RA) mechanisms are used. A lightweight CFP can extract feature mapping and contextual information of different sizes. A-RA uses axial attention to distinguish tumor tissues by mining, which reduces computational costs and thus improves the generalization performance of the model. We conducted experiments using a real dataset provided by the Second Xiangya Affiliated Hospital and the results showed that our proposed method achieves better segmentation results than alternative models. In particular, our method shows significant advantages with respect to small target segmentation. Its precision is about 2% higher than the average values of other models. For the segmentation of small objects, the DSC value of CaPaN is 0.021 higher than that of the commonly used U-Net method.
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Osteosarcoma MRI Image-Assisted Segmentation System Base on Guided Aggregated Bilateral Network. MATHEMATICS 2022. [DOI: 10.3390/math10071090] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Osteosarcoma is a primary malignant tumor. It is difficult to cure and expensive to treat. Generally, diagnosis is made by analyzing MRI images of patients. In the process of clinical diagnosis, the mainstream method is the still time-consuming and laborious manual screening. Modern computer image segmentation technology can realize the automatic processing of the original image of osteosarcoma and assist doctors in diagnosis. However, to achieve a better effect of segmentation, the complexity of the model is relatively high, and the hardware conditions in developing countries are limited, so it is difficult to use it directly. Based on this situation, we propose an osteosarcoma aided segmentation method based on a guided aggregated bilateral network (OSGABN), which improves the segmentation accuracy of the model and greatly reduces the parameter scale, effectively alleviating the above problems. The fast bilateral segmentation network (FaBiNet) is used to segment images. It is a high-precision model with a detail branch that captures low-level information and a lightweight semantic branch that captures high-level semantic context. We used more than 80,000 osteosarcoma MRI images from three hospitals in China for detection, and the results showed that our model can achieve an accuracy of around 0.95 and a params of 2.33 M.
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