Dynamic memory to alleviate catastrophic forgetting in continual learning with medical imaging.

Journal: Nature communications
Published Date:

Abstract

Medical imaging is a central part of clinical diagnosis and treatment guidance. Machine learning has increasingly gained relevance because it captures features of disease and treatment response that are relevant for therapeutic decision-making. In clinical practice, the continuous progress of image acquisition technology or diagnostic procedures, the diversity of scanners, and evolving imaging protocols hamper the utility of machine learning, as prediction accuracy on new data deteriorates, or models become outdated due to these domain shifts. We propose a continual learning approach to deal with such domain shifts occurring at unknown time points. We adapt models to emerging variations in a continuous data stream while counteracting catastrophic forgetting. A dynamic memory enables rehearsal on a subset of diverse training data to mitigate forgetting while enabling models to expand to new domains. The technique balances memory by detecting pseudo-domains, representing different style clusters within the data stream. Evaluation of two different tasks, cardiac segmentation in magnetic resonance imaging and lung nodule detection in computed tomography, demonstrate a consistent advantage of the method.

Authors

  • Matthias Perkonigg
    Universitätsklinik für Radiologie und Nuklearmedizin, Computational Imaging Research Lab, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.
  • Johannes Hofmanninger
    Universitätsklinik für Radiologie und Nuklearmedizin, Computational Imaging Research Lab, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.
  • Christian J Herold
    From the Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, FND-210, Boston, MA 02114-2698 (O.S.P., J.A.B.); International Society for Strategic Studies in Radiology (IS3R), Vienna, Austria (M.D., D.R.E., C.J.H., S.O.S., J.A.B.); Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria (G.L., C.J.H.); Computer Science and Artificial Intelligence Lab, Massachusetts Institute of Technology, Boston, Mass (G.L.); Department of Radiology, Charité-Universitätsmedizin, Berlin, Germany (M.D.); Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, Calif (D.R.E.); and Institute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany (S.O.S.).
  • James A Brink
  • Oleg Pianykh
    Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
  • Helmut Prosch
    Universitätsklinik für Radiologie und Nuklearmedizin, Computational Imaging Research Lab, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.
  • Georg Langs
    Department of Biomedical Imaging and Image-guided Therapy Computational Imaging Research Lab, Medical University of Vienna Vienna Austria.