Ultrasound image-based thyroid nodule automatic segmentation using convolutional neural networks
Abstract
Purpose Delineation of thyroid nodule boundaries from ultrasound images plays an important role in calculation of clinical indices and diagnosis of thyroid diseases. However, it is challenging for accurate and automatic segmentation of thyroid nodules because of their heterogeneous appearance and components similar to the background. In this study, we employ a deep convolutional neural network (CNN) to automatically segment thyroid nodules from ultrasound images.Methods Our CNN-based method formulates a thyroid nodule segmentation problem as a patch classification task, where the relationship among patches is ignored. Specifically, the CNN used image patches from images of normal thyroids and thyroid nodules as inputs and then generated the segmentation probability maps as outputs. A multi-view strategy is used to improve the performance of the CNN-based model. Additionally, we compared the performance of our approach with that of the commonly used segmentation methods on the same dataset.Results The experimental results suggest that our proposed method outperforms prior methods on thyroid nodule segmentation. Moreover, the results show that the CNN-based model is able to delineate multiple nodules in thyroid ultrasound images accurately and effectively. In detail, our CNN-based model can achieve an average of the overlap metric, dice ratio, true positive rate, false positive rate, and modified Hausdorff distance as [Formula: see text], [Formula: see text], [Formula: see text], [Formula: see text], [Formula: see text] on overall folds, respectively.Conclusion Our proposed method is fully automatic without any user interaction. Quantitative results also indicate that our method is so efficient and accurate that it can be good enough to replace the time-consuming and tedious manual segmentation approach, demonstrating the potential clinical applications.
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Formulating segmentation as a patch-level classification task can significantly reduce extensive computation cost and memory requirement.
“This method can significantly reduce the extensive computation cost and memory requirement.”
From Deep Learning in Medical Ultrasound Analysis: A Review (2019) · cites this paper as [125]
Cites
ImageNet classification with deep convolutional neural networks
Krizhevsky, A., Sutskever, I., & Hinton, G. E. (2017) · Communications of the ACM · doi:10.1145/3065386 · Cited by 112,155 · see citing works
Gradient-based learning applied to document recognition
Lecun, Y., Bottou, L., Bengio, Y., & Haffner, P. (1998) · Proceedings of the IEEE · doi:10.1109/5.726791 · Cited by 58,805 · see citing works
Delving Deep into Rectifiers: Surpassing Human-Level Performance on ImageNet Classification
He, K., Zhang, X., Ren, S., & Sun, J. (2015) · 2015 IEEE International Conference on Computer Vision (ICCV) · doi:10.1109/iccv.2015.123 · Cited by 19,741 · see citing works
Improving neural networks by preventing co-adaptation of feature detectors
Hinton, G. E., Srivastava, N., Krizhevsky, A., Sutskever, I., & Salakhutdinov, R. R. (2012) · arXiv · doi:10.48550/arxiv.1207.0580 · Cited by 6,382 · see citing works
Fukushima, K. (1980) · Biological Cybernetics · doi:10.1007/bf00344251 · Cited by 5,759 · see citing works
Multi-column deep neural networks for image classification
Ciresan, D. C., Meier, U., & Schmidhuber, J. (2012) · IEEE Computer Society Conference on Computer Vision and Pattern Recognition/Proceedings - IEEE Computer Society Conference on Computer Vision and Pattern Recognition/Proceedings · doi:10.1109/cvpr.2012.6248110 · Cited by 3,760 · see citing works
Distance Regularized Level Set Evolution and Its Application to Image Segmentation
Li, C., Xu, C., Gui, C., & Fox, M. D. (2010) · IEEE Transactions on Image Processing · doi:10.1109/tip.2010.2069690 · Cited by 2,106 · see citing works
The Essential Physics of Medical Imaging
Bushberg, J. T., Seibert, J. A., Leidholdt, E. M., Boone, J. M., & Goldschmidt, E. J. (2003) · Medical Physics · doi:10.1118/1.1585033 · Cited by 2,088 · see citing works
(2013) · Cited by 2,056 · see citing works
Mitosis Detection in Breast Cancer Histology Images with Deep Neural Networks
Cireşan, D. C., Giusti, A., Gambardella, L. M., & Schmidhuber, J. (2013) · Lecture Notes in Computer Science · doi:10.1007/978-3-642-40763-5_51 · Cited by 1,536 · see citing works
Papini, E., Guglielmi, R., Bianchini, A., Crescenzi, A., Taccogna, S., Nardi, F., Panunzi, C., Rinaldi, R., Toscano, V., & Pacella, C. M. (2002) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.87.5.8504 · Cited by 1,440 · see citing works
(2012) · neural information processing systems · Cited by 1,291 · see citing works
Combining SVMs with Various Feature Selection Strategies
Chen, Y., & Lin, C. (2008) · Studies in fuzziness and soft computing · doi:10.1007/978-3-540-35488-8_13 · Cited by 1,008 · see citing works
Connectomic reconstruction of the inner plexiform layer in the mouse retina
Helmstaedter, M., Briggman, K. L., Turaga, S. C., Jain, V., Seung, H. S., & Denk, W. (2013) · Nature · doi:10.1038/nature12346 · Cited by 997 · see citing works
Mackay, D. J. C. (1995) · Network Computation in Neural Systems · doi:10.1088/0954-898x/6/3/011 · Cited by 915 · see citing works
Deep convolutional neural networks for multi-modality isointense infant brain image segmentation
Zhang, W., Li, R., Deng, H., Wang, L., Lin, W., Ji, S., & Shen, D. (2015) · NeuroImage · doi:10.1016/j.neuroimage.2014.12.061 · Cited by 817 · see citing works
Integrating spatial fuzzy clustering with level set methods for automated medical image segmentation
Li, B. N., Chui, C. K., Chang, S. K.-Y., & Ong, S. H. (2010) · Computers in Biology and Medicine · doi:10.1016/j.compbiomed.2010.10.007 · Cited by 442 · see citing works
Convolutional Networks Can Learn to Generate Affinity Graphs for Image Segmentation
Turaga, S. C., Murray, J. F., Jain, V., Roth, F., Helmstaedter, M., Briggman, K., Denk, W., & Seung, H. S. (2010) · Neural Computation · doi:10.1162/neco.2009.10-08-881 · Cited by 376 · see citing works
Thyroid Segmentation and Volume Estimation in Ultrasound Images
Chang, C., Lei, Y.-F., Tseng, C., et al. (2010) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2010.2041003 · Cited by 123 · see citing works
Wang, L., Shi, F., Gao, Y., Li, G., Gilmore, J. H., Lin, W., & Shen, D. G. (2013) · NeuroImage · doi:10.1016/j.neuroimage.2013.11.040 · Cited by 104 · see citing works
Savelonas, M. A., Iakovidis, D. K., Legakis, I., et al. (2008) · IEEE Transactions on Information Technology in Biomedicine · doi:10.1109/titb.2008.2007192 · Cited by 69 · see citing works
Koundal, D., Gupta, S., & Singh, S. (2015) · Applied Soft Computing · doi:10.1016/j.asoc.2015.11.035 · Cited by 69 · see citing works
Ravishankar, H., Prabhu, S. M., Vaidya, V., & Singhal, N. (2016) · IEEE International Symposium on Biomedical Imaging (ISBI) · doi:10.1109/isbi.2016.7493382 · Cited by 58 · see citing works
Thyroid classification and segmentation in ultrasound images using machine learning algorithms
Selvathi, D., & Sharnitha, V. S. (2011) · International Conference on Signal Processing, Communication, Computing and Networking Technologies (ICSCCN) · doi:10.1109/icsccn.2011.6024666 · Cited by 57 · see citing works
A genetically optimized level set approach to segmentation of thyroid ultrasound images
Iakovidis, D. K., Savelonas, M. A., Karkanis, S. A., & Maroulis, D. (2007) · Applied Intelligence · doi:10.1007/s10489-007-0066-y · Cited by 49 · see citing works
Quantitative analyses of sonographic images of the parotid gland in patients with Sjögren’s syndrome
Chikui, T., Okamura, K., Tokumori, K., Nakamura, S., Shimizu, M., Koga, M., & Yoshiura, K. (2006) · Ultrasound in Medicine & Biology · doi:10.1016/j.ultrasmedbio.2006.01.013 · Cited by 42 · see citing works
AUTOMATIC THYROID NODULE SEGMENTATION AND COMPONENT ANALYSIS IN ULTRASOUND IMAGES
Chang, C., Huang, H.-C., & Chen, S.-J. (2010) · Biomedical Engineering Applications Basis and Communications · doi:10.4015/s1016237210001803 · Cited by 27 · see citing works
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Deep Learning in Medical Ultrasound Analysis: A Review
Liu, S., Wang, Y., Yang, X., Lei, B., Liu, L., Li, S. X., Ni, D., & Wang, T. (2019) · Engineering · doi:10.1016/j.eng.2018.11.020 · Cited by 798 · see citing works
Multi-task learning for quality assessment of fetal head ultrasound images
Lin, Z., Li, S., Ni, D., Liao, Y., Wen, H., Du, J., Chen, S., Wang, T., & Lei, B. (2019) · Medical Image Analysis · doi:10.1016/j.media.2019.101548 · Cited by 129 · see citing works
Xu, L., Liu, M., Shen, Z., Wang, H., Liu, X., Wang, X., Wang, S., Li, T., Yu, S., Hou, M., et al. (2020) · Computerized Medical Imaging and Graphics · doi:10.1016/j.compmedimag.2019.101690 · Cited by 87 · see citing works
- Authors
- Ma, J., Wu, F., Jiang, T., Zhao, Q., & Kong, D.
- Affiliations
- Zhejiang University (CN)
- First Affiliated Hospital Zhejiang University (CN)
- Venue
- International Journal of Computer Assisted Radiology and Surgery
- Published
- 2017-07-31
- Volume
- 12
- Issue
- 11
- Pages
- 1895-1910
- ISSN
- 1861-6410 (ISSN-L)
- 1861-6429
- OpenAlex
- W2741754476
- Cited by
- 187
- References
- 27
- Citations by year
- 2026: 8 · 2025: 25 · 2024: 24 · 2023: 29 · 2022: 35 · 2021: 29 · 2020: 6 · 2019: 20 · 2018: 11
- FWCI
- 4.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Computer Assisted Radiology and Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Medical Image Segmentation Techniques
- Physical Sciences › Computer Science › Artificial Intelligence › AI in cancer detection
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Cancer Diagnosis and Treatment
- Keywords
- thyroid nodule segmentation, thyroid ultrasound, convolutional neural networks, patch-based classification, automatic segmentation, thyroid dysfunction
- MeSH terms
- Adult, Aged, Female, Humans, Image Processing, Computer-Assisted, Male, Middle Aged, Probability, Ultrasonography, Neural Networks, Computer, Thyroid Nodule, Young Adult
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