Automatic prostate segmentation in transrectal ultrasound (TRUS) images is of essential importance for image-guided prostate interventions and treatment planning. However, developing such automatic solutions remains very challenging due to the missing/ambiguous boundary and inhomogeneous intensity distribution of the prostate in TRUS, as well as the large variability in prostate shapes. This paper develops a novel 3D deep neural network equipped with attention modules for better prostate segmentation in TRUS by fully exploiting the complementary information encoded in different layers of the convolutional neural network (CNN). Our attention module utilizes the attention mechanism to selectively leverage the multi-level features integrated from different layers to refine the features at each individual layer, suppressing the non-prostate noise at shallow layers of the CNN and increasing more prostate details into features at deep layers. Experimental results on challenging 3D TRUS volumes show that our method attains satisfactory segmentation performance. The proposed attention mechanism is a general strategy to aggregate multi-level deep features and has the potential to be used for other medical image segmentation tasks. The code is publicly available at.

ABUS, or Automated breast ultrasound, is an innovative and promising method of screening for breast examination. Comparing to common B-mode 2D ultrasound, ABUS attains operator-independent image acquisition and also provides 3D views of the whole breast. Nonetheless, reviewing ABUS images is particularly time-intensive and errors by oversight might occur. For this study, we offer an innovative 3D convolutional network, which is used for ABUS for automated cancer detection, in order to accelerate reviewing and meanwhile to obtain high detection sensitivity with low false positives (FPs). Specifically, we offer a densely deep supervision method in order to augment the detection sensitivity greatly by effectively using multi-layer features. Furthermore, we suggest a threshold loss in order to present voxel-level adaptive threshold for discerning cancer vs. non-cancer, which can attain high sensitivity with low false positives. The efficacy of our network is verified from a collected dataset of 219 patients with 614 ABUS volumes, including 745 cancer regions, and 144 healthy women with a total of 900 volumes, without abnormal findings. Extensive experiments demonstrate our method attains a sensitivity of 95% with 0.84 FP per volume. The proposed network provides an effective cancer detection scheme for breast examination using ABUS by sustaining high sensitivity with low false positives. The code is publicly available at https://github.com/nawang0226/abus_code.

Automatic delineation of skin lesion contours from dermoscopy images is a basic step in the process of diagnosis and treatment of skin lesions. However, it is a challenging task due to the high variations of appearances and sizes of skin lesions. In order to deal with such challenges, we propose a new dense deconvolutional network (DDN) for skin lesion segmentation based on residual learning. Specifically, the proposed network consists of dense deconvolutional layers (DDLs), chained residual pooling (CRP), and hierarchical supervision (HS). First, unlike traditional deconvolutional layers, DDLs are adopted to maintain the dimensions of the input and output images unchanged. The DDNs are trained in an end-to-end manner without the need of prior knowledge or complicated post-processing procedures. Second, the CRP aims to capture rich contextual background information and fuse multi-level features. By combining the local and global contextual information via multi-level feature fusion, the high-resolution prediction output is obtained. Third, HS is added to serve as an auxiliary loss and refine the prediction mask. The extensive experiments based on the public ISBI 2016 and 2017 skin lesion challenge datasets demonstrate the superior segmentation results of our proposed method over the state-of-the-art methods.