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Integrating Spatial Configuration into Heatmap Regression Based CNNs for Landmark Localization

Christian Payer, Darko Štern, Horst Bischof, Martin Urschler

arXiv:1908.00748v1eess.IVcs.CV

TL;DR

Medical landmark localization is challenging because CNNs often need more training data than medical imaging can provide, while locally similar structures create ambiguous predictions. The paper introduces SCN, an end-to-end CNN that combines local appearance and spatial configuration, and reports state-of-the-art localization error even with limited training images.

  • Problem

    CNNs require large training datasets, while medical imaging often has limited data, and locally similar structures create ambiguity in landmark localization.

  • Method

    SCN splits landmark localization into two interacting components that combine local-appearance heatmaps with spatial-configuration heatmaps in an end-to-end network.

  • Results

    SCN achieves state-of-the-art localization error even when only limited amounts of training images are available.

  • Takeaways & Limitations

    Combining local appearance and spatial configuration provides a generic end-to-end architecture for landmark localization under limited training data.

Abstract

from arXiv · show

In many medical image analysis applications, often only a limited amount of training data is available, which makes training of convolutional neural networks (CNNs) challenging. In this work on anatomical landmark localization, we propose a CNN architecture that learns to split the localization task into two simpler sub-problems, reducing the need for large training datasets. Our fully convolutional SpatialConfiguration-Net (SCN) dedicates one component to locally accurate but ambiguous candidate predictions, while the other component improves robustness to ambiguities by incorporating the spatial configuration of landmarks. In our experimental evaluation, we show that the proposed SCN outperforms related methods in terms of landmark localization error on size-limited datasets.

1. Introduction

Anatomical landmark localization is important in medical image analysis but is difficult when locally similar structures create ambiguity. SCN addresses this challenge while reducing the training data required by CNN-based localization.

  • Landmark localization supports medical image analysis tasks including segmentation and registration.
  • Locally similar structures make anatomical landmark predictions ambiguous.
  • CNNs typically require large training datasets, which are difficult to obtain in medical imaging because of ethical, financial, and annotation-time constraints.
  • SCN reduces the required training data by splitting landmark localization into two successive steps, following the idea of handcrafted graphical models.

2. Method

SCN combines heatmap regression with two interacting components: one generates locally accurate but ambiguous candidates, while the other uses spatial configuration to resolve ambiguities. Their element-wise product forms the final landmark heatmaps.

  • Heatmap regression encodes each landmark’s pseudo-probability at pixel positions and predicts one heatmap per landmark.
  • SpatialConfiguration-Net: The local-appearance component generates accurate but potentially ambiguous heatmaps from the input image.
  • SpatialConfiguration-Net: The spatial-configuration component uses predicted local-appearance heatmaps to generate less accurate but unambiguous spatial configuration heatmaps.
  • SpatialConfiguration-Net: SCN obtains each final heatmap by element-wise multiplication of the corresponding local-appearance and spatial-configuration outputs.
  • SpatialConfiguration-Net: The multiplication forces both components to respond near the target landmark while allowing one component to respond elsewhere only when the other does not.

3. Experiments and Results

On 895 radiographs of left hands with 37 annotated landmarks, SCN was evaluated against established methods and localization U-Net using three-fold cross-validation. It outperformed all compared methods with all training images and remained superior to localization U-Net with substantially fewer images.

  • The evaluation used 895 left-hand radiographs containing 37 annotated landmarks on fingertips and bone joints.
  • SCN was compared with state-of-the-art random regression forests, a previous CNN method, and a localization U-Net for heatmap regression.
  • With all training images, SCN outperformed every compared method on image-specific point-to-point localization error.
  • When training images were reduced to 100, 50, and 10, SCN greatly outperformed the localization U-Net.

4. Conclusion

The paper combines local appearance and spatial configuration in one end-to-end network for landmark localization. The resulting architecture achieves state-of-the-art localization error with limited training images, while future work targets occlusion, multi-object localization, and segmentation.

  • SCN combines local appearance and spatial configuration within a single end-to-end trained network.
  • The generic architecture achieves state-of-the-art localization error even with limited amounts of training images.
  • Planned extensions address occluded structures, multi-object localization, and semantic segmentation using structural constraints.
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