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Poster - Israel Chaparro Cruz

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Israel N. Chaparro-Cruza and Javier A.

Montoya-Zegarraa,b

a Department of Computer Science, Universidad Catolica San Pablo, Arequipa, Perú. b Institute for Biomedical Engineering, ETH Zurich, Zurich, Switzerland.

Abstract: Medical images are often expensive to acquire. Thus, the use of medical datasets can be restrictive for training deep learning models. In this paper, we propose a novel GAN generator for multimodal semantic image synthesis of brain images based on a novel denormalization
block named BORDE. Our model generates very realistic and plausible synthetic images that when combined with real data helps to improve the accuracy in brain segmentation tasks. This allows us to prove the need for more domain-specific techniques in GANs models.

Introduction Related Work Proposal Experimental Results:


Brain stroke represents the second leading cause of death One seminal work is Pix2pix [15], which comprises an BORDE Block: Given an a-priori input, we propose a block called BORDE to Quantitative results:
worldwide. Gliomas are the most common tumor with various encoder-decoder generator that takes as input a generate realistic-looking brain images with very fine details characterized by
heterogeneous histological sub-regions characterized by varying semantic map. Thenceforth, different architectures and precise contours and localized texture information.
intensity profiles. Accurate segmentation is decisive for loss modifications have been proposed [10], [16], [17]
diagnosis and treatment. to improve Pix2pix’s image synthesis quality.

Deep learning advances have shown promising results but In SPADE [10], the authors noticed that the
require a massive amount of annotated datasets; nonetheless, normalization layers tend to “wash away” the input
especially in the medical domain, such annotations are expensive semantic information. To address this issue, the authors
to acquire, require expert annotation level, and can be limited propose using the input semantic map to denormalize
due to privacy issues. or modulate the model activations through a
normalization layers.
Motivation: GANs can be used to generate additional annotated
training data. If cGANs were trained to generate realistic-looking Normalization layers helps to stabilize and speed up the
images conditioned on semantic map, then the model can be learning process in two steps. A more recent approach
used for semantic image synthesis tasks. This task is still is SEAN [11]. This model introduces a simple but
challenging, many state-of-the-art models use scene, or face effective block conditioned on a segmentation mask In a BORDE block, the input information is split over different normalization
benchmark datasets. that describes the semantic regions in the output image. layers. This helps to generate semantic-coherent synthetic images.
We noticed that those datasets differ quite a lot from medical
images datasets. BORDE Generator: Our generator relies on a decoder architecture built by
Proposal BORDE blocks.

Denormalization: We propose a novel denormalization


technique called BOundary and sub-Region Qualitative Results:
DEnormalization (BORDE) intended for brain image
synthesis.

Given the a-priori information M (boundary mask,


foreground or sub-regions mask/map), the goal is to
inject the a-priori information directly on the Noise is injected into the model in two different ways: (i) a constant Gaussian
denormalization layer. input noise to represent the general sketch, (ii) different per channel noise
auxiliary input. In addition, residual connections are added at each stage [25].
Finally, our generator is multi-task generating images of the required modalities
and also an image of the segmentation contours (boundary) where the foreground
contour is also included.

Methodology:
Datasets: 1) BraTS 2020: The Multimodal Brain Tumor Segmentation Challenge
Conclusions:
We have proposed BORDE, a normalization block
The denormalization process is given by the calculation (BraTS) contains multimodal MRI scans from 369 different patients [1], [14],
and generator, that produce realistic multimodal
of the parameters γ and β and applied to the normalized [28]. 2) ISLES 2018: The Ischemic Stroke Lesion Segmentation challenge
brain images of tumor lesions or ischemic strokes.
activation map considering two important (ISLES) contains 63 different multimodal CT perfusion scans [2], [29].
The paper is available at (scan We further demonstrate that our model
characteristics: (i) spatial-variance and (ii) instance- Pre-processing: We first convert the 3D volumes and their annotations into stacks
QR code) and has been published outperforms different SOTA baselines.
specific normalization. of 2D images and add the foreground as part of the segmentation map.
at the 34th Conference on
Baselines: : SPADE [10] and SEAN [11]
Graphics, Patterns and Images - Acknowledgments:
These properties allow improving the image quality, Evaluation: We train our proposal and baselines with both datasets to generate
SIBGRAPI 2021. This study was supported by grant 234-2015-
especially in smaller sub-regions, by incrementally synthetic images and use them as Data Augmentation (DA) in a segmentation
Contact: ichaparroc@gmail.com injecting a-priori information network U-Net [30]. FONDECYT (Master Program) from
CONCYTEC-PERU.

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