Abstract
Segmentation of colorectal tumors is the basis of preoperative prediction, staging, and therapeutic response evaluation. Due to the blurred boundary between lesions and normal colorectal tissue, it is hard to realize accurate segmentation. Routinely manual or semi-manual segmentation methods are extremely tedious, time-consuming, and highly operator-dependent. In the framework of FCNs, a segmentation method for colorectal tumor was presented. Normalization was applied to reduce the differences among images. Borrowing from transfer learning, VGG-16 was employed to extract features from normalized images. We conducted five side-output blocks from the last convolutional layer of each block of VGG-16 along the network, these side-output blocks can deep dive multiscale features, and produced corresponding predictions. Finally, all of the predictions from side-output blocks were fused to determine the final boundaries of the tumors. A quantitative comparison of 2772 colorectal tumor manual segmentation results from T2-weighted magnetic resonance images shows that the average Dice similarity coefficient, positive predictive value, specificity, sensitivity, Hammoude distance, and Hausdorff distance were 83.56, 82.67, 96.75, 87.85%, 0.2694, and 8.20, respectively. The proposed method is superior to U-net in colorectal tumor segmentation (P < 0.05). There is no difference between cross-entropy loss and Dice-based loss in colorectal tumor segmentation (P > 0.05). The results indicate that the introduction of FCNs contributed to accurate segmentation of colorectal tumors. This method has the potential to replace the present time-consuming and nonreproducible manual segmentation method.
Similar content being viewed by others
References
Stewart B, Wild CP (2017) World cancer report 2014. World Health Organisation, Geneva
Siegel RL, Miller KD, Fedewa SA, Ahnen DJ, Meester RG, Barzi A, Jemal A (2017) Colorectal cancer statistics, 2017. CA: Cancer J Clin 67(3):177–193
Kekelidze M, D’Errico L, Pansini M, Tyndall A, Hohmann J (2013) Colorectal cancer: current imaging methods and future perspectives for the diagnosis, staging and therapeutic response evaluation. World J Gastroenterol 19(46):8502
Huang Y-q, Liang C-h, He L, Tian J, Liang C-s, Chen X, Ma Z-l, Liu Z-y (2016) Development and validation of a radiomics nomogram for preoperative prediction of lymph node metastasis in colorectal cancer. J Clin Oncol 34(18):2157–2164
Christ PF, Elshaer MEA, Ettlinger F, Tatavarty S, Bickel M, Bilic P, Rempfler M, Armbruster M, Hofmann F, D’Anastasi M (2016) Automatic liver and lesion segmentation in CT using cascaded fully convolutional neural networks and 3D conditional random fields. In: International conference on medical image computing and computer-assisted intervention. Springer, New York, pp 415–423
Nie K, Shi L, Chen Q, Hu X, Jabbour SK, Yue N, Niu T, Sun X (2016) Rectal cancer: assessment of neoadjuvant chemoradiation outcome based on radiomics of multiparametric MRI. Clin Cancer Res 22(21):5256–5264
Zhao X, Wu Y, Song G, Li Z, Fan Y, Zhang Y (2016) Brain tumor segmentation using a fully convolutional neural network with conditional random fields. In: Crimi A, Menze B, Maier O, Reyes M, Winzeck S, Handels H (eds) Brainlesion: Glioma, Multiple Sclerosis, Stroke and Traumatic Brain Injuries: Second International Workshop, BrainLes 2016, with the Challenges on BRATS, ISLES and mTOP 2016, Held in Conjunction with MICCAI 2016, Athens, Greece, October 17, 2016, Revised Selected Papers. Springer, Cham, pp 75–87. https://doi.org/10.1007/978-3-319-55524-9_8
Pereira S, Pinto A, Alves V, Silva CA (2016) Brain tumor segmentation using convolutional neural networks in MRI images. IEEE Trans Med Imag 35(5):1240–1251
Day E, Betler J, Parda D, Reitz B, Kirichenko A, Mohammadi S, Miften M (2009) A region growing method for tumor volume segmentation on PET images for rectal and anal cancer patients. Med Phys. https://doi.org/10.1118/1.3213099
Irving B, Cifor A, Papież BW, Franklin J, Anderson EM, Brady SM, Schnabel JA (2014) Automated colorectal tumour segmentation in DCE-MRI using supervoxel neighbourhood contrast characteristics. In: Medical image computing and computer-assisted intervention—MICCAI 2014. Springer, Cham, pp 609–616
Krizhevsky A, Sutskever I, Hinton GE (2012) Imagenet classification with deep convolutional neural networks. In: Advances in neural information processing systems, pp 1097–1105
Zeiler MD, Fergus R (2014) Visualizing and understanding convolutional networks. In: European conference on computer vision. Springer, New York, pp 818–833
Szegedy C, Liu W, Jia Y, Sermanet P, Reed S, Anguelov D, Erhan D, Vanhoucke V, Rabinovich A (2015) Going deeper with convolutions. arXiv preprint arXiv:1409.4842, pp 1–9
Szegedy C, Vanhoucke V, Ioffe S, Shlens J, Wojna Z (2016) Rethinking the inception architecture for computer vision. In: Proceedings of the IEEE conference on computer vision and pattern recognition, pp 2818–2826
He K, Zhang X, Ren S, Sun J (2016) Deep residual learning for image recognition. arXiv preprint arXiv:1512.03385, pp 770–778
Ciresan D, Giusti A, Gambardella LM, Schmidhuber J (2012) Deep neural networks segment neuronal membranes in electron microscopy images. In: Advances in neural information processing systems. Morgan Kaufmann, San Mateo, pp 2843–2851
Trebeschi S, van Griethuysen JJM, Lambregts DMJ, Lahaye MJ, Parmer C, Bakers FCH, Peters NHGM., Beets-Tan RGH, Aerts HJWL. (2017) Deep learning for fully-automated localization and segmentation of rectal cancer on multiparametric MR. Sci Rep 7:5301. https://doi.org/10.1038/s41598-017-05728-9
Long J, Shelhamer E, Darrell T (2015) Fully convolutional networks for semantic segmentation. arXiv preprint arXiv:1605.06211, pp 3431–3440
Chang PDF (2016) Convolutional deep residual neural networks for brain tumor segmentation. In: International Workshop on Brainlesion: glioma, multiple sclerosis, stroke and traumatic brain injuries. Springer, New York, pp 108–118
Luo Y, Cheng H, Yang L (2016) Size-invariant fully convolutional neural network for vessel segmentation of digital retinal images. In: Signal and information processing association annual summit and conference (APSIPA), 2016 Asia-Pacific. IEEE, pp 1–7
Fu H, Xu Y, Wong DWK, Liu J (2016) Retinal vessel segmentation via deep learning network and fully-connected conditional random fields. In: 2016 IEEE 13th international symposium on biomedical imaging (ISBI). IEEE, pp 698–701
Huang L, Xia W, Zhang B, Qiu B, Gao X (2017) MSFCN-multiple supervised fully convolutional networks for the osteosarcoma segmentation of CT images. Comput Methods Programs Biomed 143:67–74
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. Springer, New York, pp 234–241
Simonyan K, Zisserman A (2014) Very deep convolutional networks for large-scale image recognition. arXiv preprint arXiv:14091556
Nyúl LG, Udupa JK, Zhang X (2000) New variants of a method of MRI scale standardization. IEEE Trans Med Imag 19(2):143–150
Nyul LG, Udupa JK (1999) On standardizing the MR image intensity scale. Magnet Reson Med 42(6):1072–1081
Milletari F, Navab N, Ahmadi S-A (2016) V-net: fully convolutional neural networks for volumetric medical image segmentation. In: 2016 Fourth International Conference on 3D vision (3DV). IEEE, pp 565–571
He K, Zhang X, Ren S, Sun J (2015) Delving deep into rectifiers: surpassing human-level performance on imagenet classification. In: Proceedings of the IEEE international conference on computer vision, pp 1026–1034
Zeiler MD, Krishnan D, Taylor GW, Fergus R (2010) Deconvolutional networks. In: 2010 IEEE Computer Society Conference on computer vision and pattern recognition, 13–18 June 2010. pp 2528–2535. https://doi.org/10.1109/CVPR.2010.5539957
Kingma D, Ba J (2014) Adam: A method for stochastic optimization. arXiv preprint arXiv:14126980
Crum WR, Camara O, Hill DLG (2006) Generalized overlap measures for evaluation and validation in medical image analysis. IEEE Trans Med Imag 25(11):1451–1461
Silveira M, Marques JS (2008) Level set segmentation of dermoscopy images. In: 2008 5th IEEE International Symposium on biomedical imaging: from nano to macro. IEEE, pp 173–176
Taha AA, Hanbury A (2015) An efficient algorithm for calculating the exact Hausdorff distance. IEEE Trans Pattern Anal Mach Intell 37(11):2153–2163
Chollet F (2017) Keras (2015). http://keras.io
Tajbakhsh N, Shin JY, Gurudu SR, Hurst RT, Kendall CB, Gotway MB, Liang J (2016) Convolutional neural networks for medical image analysis: full training or fine tuning? IEEE Trans Med Imag 35(5):1299–1312
Acknowledgements
This work was supported by the National Natural Science Foundation of China (81571772).
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Jian, J., Xiong, F., Xia, W. et al. Fully convolutional networks (FCNs)-based segmentation method for colorectal tumors on T2-weighted magnetic resonance images. Australas Phys Eng Sci Med 41, 393–401 (2018). https://doi.org/10.1007/s13246-018-0636-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13246-018-0636-9