Deep learning has been widely used for medical image segmentation and a large number of papers has been presented recording the success of deep learning in the field. A comprehensive thematic survey on medical image segmentation using deep learning techniques is presented. This paper makes two original contributions. Firstly, compared to traditional surveys that directly divide literatures of deep learning on medical image segmentation into many groups and introduce literatures in detail for each group, we classify currently popular literatures according to a multi‐level structure from coarse to fine. Secondly, this paper focuses on supervised and weakly supervised learning approaches, without including unsupervised approaches since they have been introduced in many old surveys and they are not popular currently. For supervised learning approaches, we analyse literatures in three aspects: the selection of backbone networks, the design of network blocks, and the improvement of loss functions. For weakly supervised learning approaches, we investigate literature according to data augmentation, transfer learning, and interactive segmentation, separately. Compared to existing surveys, this survey classifies the literatures very differently from before and is more convenient for readers to understand the relevant rationale and will guide them to think of appropriate improvements in medical image segmentation based on deep learning approaches.

As fuzzy c-means clustering (FCM) algorithm is sensitive to noise, local spatial information is often introduced to an objective function to improve the robustness of the FCM algorithm for image segmentation. However, the introduction of local spatial information often leads to a high computational complexity, arising out of an iterative calculation of the distance between pixels within local spatial neighbors and clustering centers. To address this issue, an improved FCM algorithm based on morphological reconstruction and membership filtering (FRFCM) that is significantly faster and more robust than FCM is proposed in this paper. First, the local spatial information of images is incorporated into FRFCM by introducing morphological reconstruction operation to guarantee noise-immunity and image detail-preservation. Second, the modification of membership partition, based on the distance between pixels within local spatial neighbors and clustering centers, is replaced by local membership filtering that depends only on the spatial neighbors of membership partition. Compared with state-of-the-art algorithms, the proposed FRFCM algorithm is simpler and significantly faster, since it is unnecessary to compute the distance between pixels within local spatial neighbors and clustering centers. In addition, it is efficient for noisy image segmentation because membership filtering are able to improve membership partition matrix efficiently. Experiments performed on synthetic and real-world images demonstrate that the proposed algorithm not only achieves better results, but also requires less time than the state-of-the-art algorithms for image segmentation.

Pain-related emotions are a major barrier to effective self rehabilitation in chronic pain. Automated coaching systems capable of detecting these emotions are a potential solution. This paper lays the foundation for the development of such systems by making three contributions. First, through literature reviews, an overview of how pain is expressed in chronic pain and the motivation for detecting it in physical rehabilitation is provided. Second, a fully labelled multimodal dataset (named `EmoPain') containing high resolution multiple-view face videos, head mounted and room audio signals, full body 3D motion capture and electromyographic signals from back muscles is supplied. Natural unconstrained pain related facial expressions and body movement behaviours were elicited from people with chronic pain carrying out physical exercises. Both instructed and non-instructed exercises were considered to reflect traditional scenarios of physiotherapist directed therapy and home-based self-directed therapy. Two sets of labels were assigned: level of pain from facial expressions annotated by eight raters and the occurrence of six pain-related body behaviours segmented by four experts. Third, through exploratory experiments grounded in the data, the factors and challenges in the automated recognition of such expressions and behaviour are described, the paper concludes by discussing potential avenues in the context of these findings also highlighting differences for the two exercise scenarios addressed.

A human being's cognitive system can be simulated by artificial intelligent systems. Machines and robots equipped with cognitive capability can automatically recognize a humans mental state through their gestures and facial expressions. In this paper, an artificial intelligent system is proposed to monitor depression. It can predict the scales of Beck depression inventory II (BDI-II) from vocal and visual expressions. First, different visual features are extracted from facial expression images. Deep learning method is utilized to extract key visual features from the facial expression frames. Second, spectral low-level descriptors and mel-frequency cepstral coefficients features are extracted from short audio segments to capture the vocal expressions. Third, feature dynamic history histogram (FDHH) is proposed to capture the temporal movement on the feature space. Finally, these FDHH and audio features are fused using regression techniques for the prediction of the BDI-II scales. The proposed method has been tested on the public Audio/Visual Emotion Challenges 2014 dataset as it is tuned to be more focused on the study of depression. The results outperform all the other existing methods on the same dataset.