Weakly-supervised Learning For Catheter Segmentation in 3D Frustum Ultrasound

Accurate and efficient catheter segmentation in 3D ultrasound (US) is essential for ultrasound-guided cardiac interventions. State-of-the-art segmentation algorithms, based on convolutional neural networks (CNNs), suffer from high computational cost and large 3D data size for GPU implementation, which are far from satisfactory for real-time applications. In this paper, we propose a novel approach for efficient catheter segmentation in 3D US. Instead of using Cartesian US, our approach performs catheter segmentation in Frustum US (i.e., the US data before scan conversion). Compared to Cartesian US, Frustum US has a much smaller volume size, therefore the catheter can be segmented more efficiently in Frustum US. However, annotating the irregular and deformed Frustum images is challenging, and it is laborious to obtain the voxel-level annotation. To address this, we propose a weakly supervised learning framework, which requires only bounding-box annotations. The labels of the voxels are generated by incorporating class activation maps with line filtering, which are iteratively updated during the training cycles. Our experimental results show that, compared to Cartesian US, the catheter can be segmented much more efficiently in Frustum US (i.e., 0.25 s per volume) with better accuracy. Extensive experiments also validate the effectiveness of the proposed weakly supervised learning method.