Image and Video Processing (eess.IV)

Abstract: Medical image segmentation plays an important role in computer-aided diagnosis. Attention mechanisms that distinguish important parts from irrelevant parts have been widely used in medical image segmentation tasks. This paper systematically reviews the basic principles of attention mechanisms and their applications in medical image segmentation. First, we review the basic concepts of attention mechanism and formulation. Second, we surveyed over 300 articles related to medical image segmentation, and divided them into two groups based on their attention mechanisms, non-Transformer attention and Transformer attention. In each group, we deeply analyze the attention mechanisms from three aspects based on the current literature work, i.e., the principle of the mechanism (what to use), implementation methods (how to use), and application tasks (where to use). We also thoroughly analyzed the advantages and limitations of their applications to different tasks. Finally, we summarize the current state of research and shortcomings in the field, and discuss the potential challenges in the future, including task specificity, robustness, standard evaluation, etc. We hope that this review can showcase the overall research context of traditional and Transformer attention methods, provide a clear reference for subsequent research, and inspire more advanced attention research, not only in medical image segmentation, but also in other image analysis scenarios.

Abstract: The alignment of tissue between histopathological whole-slide-images (WSI) is crucial for research and clinical applications. Advances in computing, deep learning, and availability of large WSI datasets have revolutionised WSI analysis. Therefore, the current state-of-the-art in WSI registration is unclear. To address this, we conducted the ACROBAT challenge, based on the largest WSI registration dataset to date, including 4,212 WSIs from 1,152 breast cancer patients. The challenge objective was to align WSIs of tissue that was stained with routine diagnostic immunohistochemistry to its H&E-stained counterpart. We compare the performance of eight WSI registration algorithms, including an investigation of the impact of different WSI properties and clinical covariates. We find that conceptually distinct WSI registration methods can lead to highly accurate registration performances and identify covariates that impact performances across methods. These results establish the current state-of-the-art in WSI registration and guide researchers in selecting and developing methods.

Abstract: Incorporation of physical information in machine learning frameworks are opening and transforming many application domains. Here the learning process is augmented through the induction of fundamental knowledge and governing physical laws. In this work we explore their utility for computer vision tasks in interpreting and understanding visual data. We present a systematic literature review of formulation and approaches to computer vision tasks guided by physical laws, known as physics-informed computer vision. We begin by decomposing the popular computer vision pipeline into a taxonomy of stages and investigate approaches to incorporate governing physical equations in each stage. Existing approaches in each task are analyzed with regard to what governing physical processes are modeled for integration and how they are formulated to be incorporated, i.e. modify data (observation bias), modify networks (inductive bias), and modify losses (learning bias) to include physical rules. The taxonomy offers a unified view of the application of the physics-informed capability, highlighting where physics-informed machine learning has been conducted and where the gaps and opportunities are. Finally, we highlight open problems and challenges to inform future research avenues. While still in its early days, the study of physics-informed computer vision has the promise to develop better computer vision models that can improve physical plausibility, accuracy, data efficiency and generalization in increasingly realistic applications.

Abstract: In recent months, the monkeypox (mpox) virus -- previously endemic in a limited area of the world -- has started spreading in multiple countries until being declared a ``public health emergency of international concern'' by the World Health Organization. The alert was renewed in February 2023 due to a persisting sustained incidence of the virus in several countries and worries about possible new outbreaks. Low-income countries with inadequate infrastructures for vaccine and testing administration are particularly at risk. A symptom of mpox infection is the appearance of skin rashes and eruptions, which can drive people to seek medical advice. A technology that might help perform a preliminary screening based on the aspect of skin lesions is the use of Machine Learning for image classification. However, to make this technology suitable on a large scale, it should be usable directly on mobile devices of people, with a possible notification to a remote medical expert. In this work, we investigate the adoption of Deep Learning to detect mpox from skin lesion images. The proposal leverages Transfer Learning to cope with the scarce availability of mpox image datasets. As a first step, a homogenous, unpolluted, dataset is produced by manual selection and preprocessing of available image data. It will also be released publicly to researchers in the field. Then, a thorough comparison is conducted amongst several Convolutional Neural Networks, based on a 10-fold stratified cross-validation. The best models are then optimized through quantization for use on mobile devices; measures of classification quality, memory footprint, and processing times validate the feasibility of our proposal. Additionally, the use of eXplainable AI is investigated as a suitable instrument to both technically and clinically validate classification outcomes.

Abstract: Skin cancer is a serious condition that requires accurate identification and treatment. One way to assist clinicians in this task is by using computer-aided diagnosis (CAD) tools that can automatically segment skin lesions from dermoscopic images. To this end, a new adversarial learning-based framework called EGAN has been developed. This framework uses an unsupervised generative network to generate accurate lesion masks. It consists of a generator module with a top-down squeeze excitation-based compound scaled path and an asymmetric lateral connection-based bottom-up path, and a discriminator module that distinguishes between original and synthetic masks. Additionally, a morphology-based smoothing loss is implemented to encourage the network to create smooth semantic boundaries of lesions. The framework is evaluated on the International Skin Imaging Collaboration (ISIC) Lesion Dataset 2018 and outperforms the current state-of-the-art skin lesion segmentation approaches with a Dice coefficient, Jaccard similarity, and Accuracy of 90.1%, 83.6%, and 94.5%, respectively. This represents a 2% increase in Dice Coefficient, 1% increase in Jaccard Index, and 1% increase in Accuracy.