用不确定性评估筛选最可信超声帧,提升乳腺癌良恶性判断准确率。
Uncertainty Estimation for Trust Attribution to Speed-of-Sound Reconstruction with Variational Networks
- 基于蒙特卡洛丢弃与贝叶斯变分推断估算声速重建不确定性
- 不确定性引导选择使诊断AUC达76%~80%,优于无监督基线的64%
- 适用于超声数据质量不一场景,适合临床影像决策支持
声速(SoS)是组织的生物力学特征,其成像可作为潜在诊断生物标志物。从超声采集数据重建声速图像可建模为有限角度计算机断层成像问题,变分网络是一种有前景的模型驱动深度学习方法。然而,部分采集帧可能因运动、接触不良或声影等噪声影响而受损,进而影响声速重建质量。本文提出利用声速重建中的不确定性来评估各采集帧的可信度,并基于此对多帧数据进行事后自动筛选,以提升诊断决策。研究对比了蒙特卡洛丢弃和贝叶斯变分推断两种不确定性估计方法。在21个分类为BI-RADS 4级的可疑乳腺病灶上验证,每例四次采集中通过不确定性选出最可信帧。基于不确定性的帧选择使诊断曲线下面积(AUC)分别达到76%(蒙特卡洛丢弃)和80%(贝叶斯变分推断),显著优于最佳无不确定性基线(64%)。本工作首次将不确定性估计用于多帧数据中优选单帧以支持后续处理与决策。
原文摘要 · Abstract (English)
Speed-of-sound (SoS) is a biomechanical characteristic of tissue, and its imaging can provide a promising biomarker for diagnosis. Reconstructing SoS images from ultrasound acquisitions can be cast as a limited-angle computed-tomography problem, with Variational Networks being a promising model-based deep learning solution. Some acquired data frames may, however, get corrupted by noise due to, e.g., motion, lack of contact, and acoustic shadows, which in turn negatively affects the resulting SoS reconstructions. We propose to use the uncertainty in SoS reconstructions to attribute trust to each individual acquired frame. Given multiple acquisitions, we then use an uncertainty based automatic selection among these retrospectively, to improve diagnostic decisions. We investigate uncertainty estimation based on Monte Carlo Dropout and Bayesian Variational Inference. We assess our automatic frame selection method for differential diagnosis of breast cancer, distinguishing between benign fibroadenoma and malignant carcinoma. We evaluate 21 lesions classified as BI-RADS~4, which represents suspicious cases for probable malignancy. The most trustworthy frame among four acquisitions of each lesion was identified using uncertainty based criteria. Selecting a frame informed by uncertainty achieved an area under curve of 76% and 80% for Monte Carlo Dropout and Bayesian Variational Inference, respectively, superior to any uncertainty-uninformed baselines with the best one achieving 64%. A novel use of uncertainty estimation is proposed for selecting one of multiple data acquisitions for further processing and decision making.
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