论文标题

非对比度CT扫描中可解释的急性缺血性卒中梗塞分割的不对称分解网络

Asymmetry Disentanglement Network for Interpretable Acute Ischemic Stroke Infarct Segmentation in Non-Contrast CT Scans

论文作者

Ni, Haomiao, Xue, Yuan, Wong, Kelvin, Volpi, John, Wong, Stephen T. C., Wang, James Z., Huang, Xiaolei

论文摘要

非对比度CT(NCCT)图像中准确的梗塞分割是迈向计算机辅助急性缺血性中风(AIS)评估的关键步骤。在临床实践中,双边对称比较脑半球通常用于定位病理异常。最近的研究探讨了不对称的协助AIS分割。但是,在评估其对AIS的贡献时,大多数以前基于对称性的工作都混合了不同类型的不对称性。在本文中,我们提出了一个新型的不对称分解网络(ADN),以自动将NCCT中的病理不对称性和内在的解剖不对称分离,以进行更有效和可解释的AIS分割。 ADN首先基于输入NCCT进行不对称分解,该输入nccts产生不同类型的3D不对称图。然后生成合成的,内在的 - 敏化补偿和病理 - 敏化 - 对称性NCCT体积,后来用作分割网络的输入。 ADN的培训结合了领域知识,并采用了组织型的意识到正则化损失功能,以鼓励临床上敏锐的病理不对称提取。加上无监督的3D转换网络,ADN在公共NCCT数据集上实现了最新的AIS分割性能。除了出色的表现外,我们认为学到的临床可解剖的不对称图也可以为更好地理解AIS评估提供见解。我们的代码可从https://github.com/nihaomiao/miccai22_adn获得。

Accurate infarct segmentation in non-contrast CT (NCCT) images is a crucial step toward computer-aided acute ischemic stroke (AIS) assessment. In clinical practice, bilateral symmetric comparison of brain hemispheres is usually used to locate pathological abnormalities. Recent research has explored asymmetries to assist with AIS segmentation. However, most previous symmetry-based work mixed different types of asymmetries when evaluating their contribution to AIS. In this paper, we propose a novel Asymmetry Disentanglement Network (ADN) to automatically separate pathological asymmetries and intrinsic anatomical asymmetries in NCCTs for more effective and interpretable AIS segmentation. ADN first performs asymmetry disentanglement based on input NCCTs, which produces different types of 3D asymmetry maps. Then a synthetic, intrinsic-asymmetry-compensated and pathology-asymmetry-salient NCCT volume is generated and later used as input to a segmentation network. The training of ADN incorporates domain knowledge and adopts a tissue-type aware regularization loss function to encourage clinically-meaningful pathological asymmetry extraction. Coupled with an unsupervised 3D transformation network, ADN achieves state-of-the-art AIS segmentation performance on a public NCCT dataset. In addition to the superior performance, we believe the learned clinically-interpretable asymmetry maps can also provide insights towards a better understanding of AIS assessment. Our code is available at https://github.com/nihaomiao/MICCAI22_ADN.

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