Abstract
Purpose
Automatic approach for bladder segmentation from computed tomography (CT) images is highly desirable in clinical practice. It is a challenging task since the bladder usually suffers large variations of appearance and low soft-tissue contrast in CT images. In this study, we present a deep learning-based approach which involves a convolutional neural network (CNN) and a 3D fully connected conditional random fields recurrent neural network (CRF-RNN) to perform accurate bladder segmentation. We also propose a novel preprocessing method, called dual-channel preprocessing, to further advance the segmentation performance of our approach.
Methods
The presented approach works as following: first, we apply our proposed preprocessing method on the input CT image and obtain a dual-channel image which consists of the CT image and an enhanced bladder density map. Second, we exploit a CNN to predict a coarse voxel-wise bladder score map on this dual-channel image. Finally, a 3D fully connected CRF-RNN refines the coarse bladder score map and produce final fine-localized segmentation result.
Results
We compare our approach to the state-of-the-art V-net on a clinical dataset. Results show that our approach achieves superior segmentation accuracy, outperforming the V-net by a significant margin. The Dice Similarity Coefficient of our approach (92.24%) is 8.12% higher than that of the V-net. Moreover, the bladder probability maps performed by our approach present sharper boundaries and more accurate localizations compared with that of the V-net.
Conclusion
Our approach achieves higher segmentation accuracy than the state-of-the-art method on clinical data. Both the dual-channel processing and the 3D fully connected CRF-RNN contribute to this improvement. The united deep network composed of the CNN and 3D CRF-RNN also outperforms a system where the CRF model acts as a post-processing method disconnected from the CNN.
Similar content being viewed by others
References
Men K, Dai J, Li Y (2017) Automatic segmentation of the clinical target volume and organs at risk in the planning CT for rectal cancer using deep dilated convolutional neural networks. Med Phys 44(12):6377–6389. https://doi.org/10.1002/mp.12602
Costa MJ, Delingette H, Novellas S, Ayache N (2007) Automatic segmentation of bladder and prostate using coupled 3D deformable models. In: International conference on medical image computing and computer-assisted intervention, pp 252–260. https://doi.org/10.1007/978-3-540-75757-3_31
Haas B, Coradi T, Scholz M, Kunz P, Huber M, Oppitz U, André L, Lengkeek V, Huyskens D, van Esch A, Reddick R (2008) Automatic segmentation of thoracic and pelvic CT images for radiotherapy planning using implicit anatomic knowledge and organ-specific segmentation strategies. Phys Med Biol 53(6):1751–1771. https://doi.org/10.1088/0031-9155/53/6/017
Zheng S , Jayasumana S, Romera-Paredes B, Vineet V, Su Z, Du D, Huang C, Torr PHS (2015) Conditional random fields as recurrent neural networks. In: Proceedings of the IEEE international conference on computer vision, pp 1529–1537. https://doi.org/10.1109/ICCV.2015.179
Ronneberger O, Fischer P, Brox T (2015) U-net: convolutional networks for biomedical image segmentation. In: International conference on medical image computing and computer-assisted intervention, pp 234–241. https://doi.org/10.1007/978-3-319-24574-4_28
Cirean DC, Giusti A, Gambardella LM, Schmidhuber J (2012) Deep Neural networks segment neuronal membranes in electron microscopy images. In: Advances in neural information processing systems, pp 2852–2860
Roth HR, Le L, Amal F, Shin H-C, Liu J, Turkbey E, Summers RM (2015) DeepOrgan: multi-level deep convolutional networks for automated pancreas segmentation. In: International conference on medical image computing and computer-assisted intervention, pp 556–564. https://doi.org/10.1007/978-3-319-24553-9_68
Han X (2017) Automatic liver lesion segmentation using a deep convolutional neural network method. arXiv preprint. arXiv:1704.07239. Accessed 24 Apr 2017
Zhou Y, Xie L, Shen W, Fishman E, Yuille A (2016) Pancreas segmentation in abdominal CT scan: a coarse-to-fine approach. arXiv preprint. arXiv:1612.08230. Accessed 25 Dec 2016
Chen H, Yu L, Dou Q, Shi L, Mok VCT, Heng PA (2015) Automatic detection of cerebral microbleeds via deep learning based 3D feature representation. In: International symposium on biomedical imaging, pp 764–767. https://doi.org/10.1109/isbi.2015.7163984
Prasoon A, Petersen K, Igel C, Lauze F, Dam E, Nielsen M (2013) Deep feature learning for knee cartilage segmentation using a triplanar convolutional neural network. In: International conference on medical image computing and computer-assisted intervention, pp 246–253. https://doi.org/10.1007/978-3-642-40763-5_31
Roth HR, Lu L, Seff A, Cherry KM, Hoffman J, Wang S, Liu J, Turkbey E, Summers RM (2014) A new 2.5D representation for lymph node detection using random sets of deep convolutional neural network observations. In: International conference on medical image computing and computer-assisted intervention, pp 520–527. https://doi.org/10.1007/978-3-319-10404-1_65
Setio AAA, Ciompi F, Litjens G, Gerke P, Jacobs C, van Riel SJ, Wille MMW, Naqibullah M, Sanchez CI, van Ginneken B (2016) Pulmonary nodule detection in CT images: false positive reduction using multi-view convolutional networks. IEEE Trans Med Imaging 35(5):1160–1169. https://doi.org/10.1109/tmi.2016.2536809
Milletari F, Navab N, Ahmadi S-A (2016) V-net: fully convolutional neural networks for volumetric medical image segmentation. In: Fourth international conference on 3d Vision, pp 565–571. https://doi.org/10.1109/3dv.2016.79
Çiçek Ö, Abdulkadir A, Lienkamp SS, Brox T, Ronneberger O (2016) 3D U-net: learning dense volumetric segmentation from sparse annotation. In: International conference on medical image computing and computer-assisted intervention, pp 424–432. https://doi.org/10.1007/978-3-319-46723-8_49
Kamnitsas K, Ledig C, Newcombe VFJ, Simpson JP, Kane AD, Menon DK, Rueckert D, Glocker B (2017) Efficient multi-scale 3D CNN with fully connected CRF for accurate brain lesion segmentation. Med Image Anal 36:61–78. https://doi.org/10.1016/j.media.2016.10.004
Chen H, Dou Q, Lequan Y, Heng P-A (2017) Voxresnet: deep voxelwise residual networks for brain segmentation from 3D MR images. Neuroimage. https://doi.org/10.1016/j.neuroimage.2017.04.041
Yu L, Yang X, Chen H, Qin J, Heng P-A (2017) Volumetric ConvNets with mixed residual connections for automated prostate segmentation from 3D MR images. In: Thirty-first AAAI conference on artificial intelligence
Christ PF, Ettlinger F, Grün F, Elshaer MEA, Lipkova J, Schlecht S, Ahmaddy F, Tatavarty S, Bickel M, Bilic P, Remper M, Hofmann F, D’Anastasi M, Ahmadi S-A, Kaissis G, Holch J, Sommer W, Braren R, Heinemann V, Menze B (2017) Automatic liver and tumor segmentation of CT and MRI volumes using cascaded fully convolutional neural networks. arXiv preprint. arxiv:1702.05970. Accessed 20 Feb 2017
Roth HR, Oda H, Hayashi Y, Oda M, Shimizu N, Fujiwara M, Misawa K, Mori K (2017) Hierarchical 3D fully convolutional networks for multi-organ segmentation. arXiv preprint. arXiv:1704.06382. Accessed 21 Apr 2017
Shelhamer E, Long J, Darrell T (2017) Fully convolutional networks for semantic segmentation. IEEE Trans Pattern Anal Mach Intell 39(4):640–651. https://doi.org/10.1109/TPAMI.2016.2572683
He K, Zhang X, Ren S, Sun J (2016) Deep residual learning for image recognition. In: Proceedings of the IEEE conference on computer vision and pattern recognition, pp 770–778. https://doi.org/10.1109/cvpr.2016.90
Krähenbühl P, Koltun V (2012) Efficient inference in fully connected CRFs with Gaussian edge potentials. In: Proceedings of the IEEE conference on computer vision and pattern recognition, pp 109–117. https://doi.org/10.1109/cvpr.2012.6247724
Chen L-C, Papandreou G, Kokkinos I, Murphy K, Yuille AL (2017) DeepLab: semantic image segmentation with deep convolutional nets, atrous convolution, and fully connected CRFs. IEEE Trans Pattern Anal Mach Intell PP(99):1–1. https://doi.org/10.1109/tpami.2017.2699184
Ioffe S, Szegedy C (2015) Batch normalization: accelerating deep network training by reducing internal covariate shift. arXiv preprint. arXiv:1502.03167. Accessed 11 Feb 2015
Lécun Y, Bottou L, Bengio Y, Haffner P (1998) Gradient-based learning applied to document recognition. Proc IEEE 86(11):2278–2324. https://doi.org/10.1109/5.726791
Jia Y, Shelhamer E, Donahue J, Karayev S, Long J, Girshick R, Guadarrama S, Darrell T (2014) Caffe: convolutional architecture for fast feature embedding. In: Proceedings of the ACM international conference on multimedia, pp 675–678. https://doi.org/10.1145/2647868.2654889
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Funding
This work is funded by the National Key R&D Program of China (2017YFC0113100) and the National Natural Science Foundation of China (61601012).
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
For this type of study formal consent is not required.
Informed consent
Statement of informed consent is not applicable since the manuscript does not contain any participants’ data.
Rights and permissions
About this article
Cite this article
Xu, X., Zhou, F. & Liu, B. Automatic bladder segmentation from CT images using deep CNN and 3D fully connected CRF-RNN. Int J CARS 13, 967–975 (2018). https://doi.org/10.1007/s11548-018-1733-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11548-018-1733-7