Unsupervised domain adaptation method for segmenting cross-sectional CCA images

Background and Objectives: Automatic vessel segmentation in ultrasound is challenging due to the quality of the ultrasound images, which is affected by attenuation, high level of speckle noise and acoustic shadowing. Recently, deep convolutional neural networks are increasing in popularity due to their great performance on image segmentation problems, including vessel segmentation. Traditionally, large labeled datasets are required to train a network that achieves high performance, and is able to generalize well to different orientations, transducers and ultrasound scanners. However, these large datasets are rare, given that it is challenging and time-consuming to acquire and manually annotate in-vivo data. Methods: In this work, we present a model-based, unsupervised domain adaptation method that consists of two stages. In the first stage, the network is trained on simulated ultrasound images, which have an accurate ground truth. In the second stage, the network continues training on in-vivo data in an unsupervised way, therefore not requiring the data to be labelled. Rather than using an adversarial neural network, prior knowledge on the elliptical shape of the segmentation mask is used to detect unexpected outputs. Results: The segmentation performance was quantified using manually segmented images as ground truth. Due to the proposed domain adaptation method, the median Dice similarity coefficient increased from 0 to 0.951, outperforming a domain adversarial neural network (median Dice 0.922) and a state-of-the-art Star-Kalman algorithm that was specifically designed for this dataset (median Dice 0.942). Conclusions: The results show that it is feasible to first train a neural network on simulated data, and then apply model-based domain adaptation to further improve segmentation performance by training on unlabeled in-vivo data. This overcomes the limitation of conventional deep learning approaches to require large amounts of manually labeled in-vivo data. Since the proposed domain adaptation method only requires prior knowledge on the shape of the segmentation mask, performance can be explored in various domains and applications in future research. © 2022 The Author(s)