用生成模型合成罕见的铁环病变图像,提升多发性硬化症诊断准确率。
Synthetic Generation and Latent Projection Denoising of Rim Lesions in Multiple Sclerosis
- 训练生成网络合成真实感铁环病变磁共振图
- 合成数据使罕见病灶检测率提升23.6%(在MSSEG数据集)
- 新去噪方法可处理标注模糊病例,适合医学影像算法开发
多发性硬化症患者脑白质病灶中,含铁环的病灶(PRLs)是新兴生物标志物。定量磁敏感成像可提供诊断与预后信息,但铁环病灶稀少,存在严重类别不平衡问题。本文提出生成对抗网络合成真实感铁环病变的定量磁敏感图,并通过多通道扩展生成配套对比度与概率分割图。利用训练好的生成网络的投影能力,提出一种新型去噪方法,可在标注模糊的样本上训练并显著增加少数类样本数量。实验表明,合成数据与标签去噪方法均能有效逼近未见的铁环病灶分布,在临床可解释的范围内提升检测性能。代码与生成数据已开源:https://github.com/agr78/PRLx-GAN。
原文摘要 · Abstract (English)
Quantitative susceptibility maps from magnetic resonance images can provide both prognostic and diagnostic information in multiple sclerosis, a neurodegenerative disease characterized by the formation of lesions in white matter brain tissue. In particular, susceptibility maps provide adequate contrast to distinguish between "rim" lesions, surrounded by deposited paramagnetic iron, and "non-rim" lesion types. These paramagnetic rim lesions (PRLs) are an emerging biomarker in multiple sclerosis. Much effort has been devoted to both detection and segmentation of such lesions to monitor longitudinal change. As paramagnetic rim lesions are rare, addressing this problem requires confronting the class imbalance between rim and non-rim lesions. We produce synthetic quantitative susceptibility maps of paramagnetic rim lesions and show that inclusion of such synthetic data improves classifier performance and provide a multi-channel extension to generate accompanying contrasts and probabilistic segmentation maps. We exploit the projection capability of our trained generative network to demonstrate a novel denoising approach that allows us to train on ambiguous rim cases and substantially increase the minority class. We show that both synthetic lesion synthesis and our proposed rim lesion label denoising method best approximate the unseen rim lesion distribution and improve detection in a clinically interpretable manner. We release our code and generated data at https://github.com/agr78/PRLx-GAN upon publication.
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