We consider the problem of volumetric (3D) unsupervised domain adaptation (UDA) in cross-modality medical image segmentation, aiming to perform segmentation on the unannotated target domain (e.g. MRI) with the help of labeled source domain (e.g. CT). Previous UDA methods in medical image analysis usually suffer from two challenges: 1) they focus on processing and analyzing data at 2D level only, thus missing semantic information from the depth level; 2) one-to-one mapping is adopted during the style-transfer process, leading to insufficient alignment in the target domain. Different from the existing methods, in our work, we conduct a first of its kind investigation on multi-style image translation for complete image alignment to alleviate the domain shift problem, and also introduce 3D segmentation in domain adaptation tasks to maintain semantic consistency at the depth level. In particular, we develop an unsupervised domain adaptation framework incorporating a novel quartet self-attention module to efficiently enhance relationships between widely separated features in spatial regions on a higher dimension, leading to a substantial improvement in segmentation accuracy in the unlabeled target domain. In two challenging cross-modality tasks, specifically brain structures and multi-organ abdominal segmentation, our model is shown to outperform current state-of-the-art methods by a significant margin, demonstrating its potential as a benchmark resource for the biomedical and health informatics research community.

Skin lesions affect millions of people worldwide. They can be easily recognized based on their typically abnormal texture and color but are difficult to diagnose due to similar symptoms among certain types of lesions. The motivation for this study is to collate and analyze machine learning (ML) applications in skin lesion research, with the goal of encouraging the development of automated systems for skin disease diagnosis. To assist dermatologists in their clinical diagnosis, several skin image datasets have been developed and published online. Such efforts have motivated researchers and medical staff to develop automatic skin diagnosis systems using image segmentation and classification processes. This paper summarizes the fundamental steps in skin lesion diagnosis based on papers mainly published since 2013. The applications of ML methods (including traditional ML and deep learning (DL)) in skin disease recognition are reviewed based on their contributions, methods, and achieved results. Such technical analysis is beneficial to the continuing development of reliable and effective computer-aided skin disease diagnosis systems. We believe that more research efforts will lead to the current automatic skin diagnosis studies being used in real clinical settings in the near future.

Automatic nuclei segmentation and classification play a vital role in digital pathology. However, previous works are mostly built on data with limited diversity and small sizes, making the results questionable or misleading in actual downstream tasks. In this article, we aim to build a reliable and robust method capable of dealing with data from the ‘the clinical wild’. Specifically, we study and design a new method to simultaneously detect, segment, and classify nuclei from Haematoxylin and Eosin (H&E) stained histopathology data, and evaluate our approach using the recent largest dataset: PanNuke. We address the detection and classification of each nuclei as a novel semantic keypoint estimation problem to determine the center point of each nuclei. Next, the corresponding class-agnostic masks for nuclei center points are obtained using dynamic instance segmentation. Meanwhile, we proposed a novel Joint Pyramid Fusion Module (JPFM) to model the cross-scale dependencies, thus enhancing the local feature for better nuclei detection and classification. By decoupling two simultaneous challenging tasks and taking advantage of JPFM, our method can benefit from class-aware detection and class-agnostic segmentation, thus leading to a significant performance boost. We demonstrate the superior performance of our proposed approach for nuclei segmentation and classification across 19 different tissue types, delivering new benchmark results.

Unsupervised cross-modality medical image adaptation aims to alleviate the severe domain gap between different imaging modalities without using the target domain label. A key in this campaign relies upon aligning the distributions of source and target domain. One common attempt is to enforce the global alignment between two domains, which, however, ignores the fatal local-imbalance domain gap problem, i.e., some local features with larger domain gap are harder to transfer. Recently, some methods conduct alignment focusing on local regions to improve the efficiency of model learning. While this operation may cause a deficiency of critical information from contexts. To tackle this limitation, we propose a novel strategy to alleviate the domain gap imbalance considering the characteristics of medical images, namely Global-Local Union Alignment . Specifically, a feature-disentanglement style-transfer module first synthesizes the target-like source images to reduce the global domain gap. Then, a local feature mask is integrated to reduce the ‘inter-gap’ for local features by prioritizing those discriminative features with larger domain gap. This combination of global and local alignment can precisely localize the crucial regions in segmentation target while preserving the overall semantic consistency. We conduct a series of experiments with two cross-modality adaptation tasks, i,e. cardiac substructure and abdominal multi-organ segmentation. Experimental results indicate that our method achieves state-of-the-art performance in both tasks.