Robust Tumor Segmentation with Hyperspectral Imaging and Graph Neural Networks

📅 2023-11-20
🏛️ arXiv.org
📈 Citations: 1
Influential: 0
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🤖 AI Summary
Accurate intraoperative tumor boundary delineation remains a critical surgical challenge. Conventional hyperspectral imaging (HSI)-based machine learning approaches typically perform pixel-wise or superpixel-wise classification, neglecting spatial contextual information—leading to non-robust segmentation and jagged tumor boundaries. To address this, we propose a hybrid CNN-GNN framework: a convolutional neural network (CNN) extracts local spectral-spatial features, while a graph neural network (GNN) models topological relationships among irregular tissue regions. Crucially, we introduce, for the first time, an image-quality-aware weighted loss function to enable robust patch-level segmentation. By transcending the limitations of isolated superpixel modeling, our method achieves significant improvements over context-agnostic baselines on 51 ex vivo clinical HSI images. It demonstrates superior cross-patient generalizability and boundary precision, establishing a novel paradigm for real-time intraoperative navigation.
📝 Abstract
Segmenting the boundary between tumor and healthy tissue during surgical cancer resection poses a significant challenge. In recent years, Hyperspectral Imaging (HSI) combined with Machine Learning (ML) has emerged as a promising solution. However, due to the extensive information contained within the spectral domain, most ML approaches primarily classify individual HSI (super-)pixels, or tiles, without taking into account their spatial context. In this paper, we propose an improved methodology that leverages the spatial context of tiles for more robust and smoother segmentation. To address the irregular shapes of tiles, we utilize Graph Neural Networks (GNNs) to propagate context information across neighboring regions. The features for each tile within the graph are extracted using a Convolutional Neural Network (CNN), which is trained simultaneously with the subsequent GNN. Moreover, we incorporate local image quality metrics into the loss function to enhance the training procedure's robustness against low-quality regions in the training images. We demonstrate the superiority of our proposed method using a clinical ex vivo dataset consisting of 51 HSI images from 30 patients. Despite the limited dataset, the GNN-based model significantly outperforms context-agnostic approaches, accurately distinguishing between healthy and tumor tissues, even in images from previously unseen patients. Furthermore, we show that our carefully designed loss function, accounting for local image quality, results in additional improvements. Our findings demonstrate that context-aware GNN algorithms can robustly find tumor demarcations on HSI images, ultimately contributing to better surgery success and patient outcome.
Problem

Research questions and friction points this paper is trying to address.

Enhancing tumor segmentation accuracy
Integrating spatial context in HSI analysis
Improving robustness with GNN and CNN
Innovation

Methods, ideas, or system contributions that make the work stand out.

Uses Graph Neural Networks
Integrates spatial context
Incorporates local quality metrics
M
Mayar Lotfy
Carl Zeiss Meditec AG, Oberkochen, Germany; CAMP, Technical University of Munich, Garching, Germany
A
Anna Alperovich
Carl Zeiss AG, Corporate Research & Technology, Oberkochen, Germany
T
Tommaso Giannantonio
Carl Zeiss AG, Corporate Research & Technology, Oberkochen, Germany
B
Bjorn Barz
Carl Zeiss AG, Corporate Research & Technology, Oberkochen, Germany
X
Xiaohan Zhang
Carl Zeiss Meditec AG, Oberkochen, Germany
Felix Holm
Felix Holm
Technische Universität München
Medical AISurgical Data Science
N
N. Navab
CAMP, Technical University of Munich, Garching, Germany
F
F. Boehm
Dept. of Otorhinolaryngology, University Hospital Ulm, Ulm, Germany
C
Carolin Schwamborn
Dept. of Otorhinolaryngology, University Hospital Ulm, Ulm, Germany
T
Thomas K. Hoffmann
Dept. of Otorhinolaryngology, University Hospital Ulm, Ulm, Germany
P
Patrick J. Schuler
Dept. of Otorhinolaryngology, University Hospital Ulm, Ulm, Germany