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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Ensemble U-Net Model for Efficient Polyp Segmentation</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Shruti Shrestha</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Bishesh Khanal</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Sharib Ali</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Institute of Biomedical Engineering, Department of Engineering Science</institution>
          ,
          <addr-line>Oxford</addr-line>
          ,
          <country country="UK">UK</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>NepAL Applied Mathematics and Informatics Institute for Research (NAAMII)</institution>
          ,
          <addr-line>Kathmandu</addr-line>
          ,
          <country country="NP">Nepal</country>
        </aff>
      </contrib-group>
      <pub-date>
        <year>2020</year>
      </pub-date>
      <fpage>14</fpage>
      <lpage>15</lpage>
      <abstract>
        <p>This paper presents our approach developed for the Medico automatic polyp segmentation challenge 2020 1. We used a U-Net model with two diferent encoder backbones: ResNet-34 and EficientNetB2. The two models were trained separately, and trained for ensembling using Tversky loss. We performed CutMix and standard augmentations for data pre-processing. For ensembling, we chose the hyperparameter of the loss function in the range that makes individual models have high recall while relaxing the precision. We evaluated the individual models and the ensemble model on validation data. ResNet-34 backbone model and the ensemble model were submitted to the challenge website for further evaluation on the test data. Our ensemble model improved performance on metrics compared to the single networks by achieving a Dice Coeficient of 0.8316, Intersection Over Union of 0.7550, Precision of 0.8851, and Overall Accuracy of 0.9583.</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>INTRODUCTION</title>
      <p>
        Colorectal cancers are one of the leading causes of death
worldwide. Colonoscopy is preferred for detecting and removing the
colorectal polyps, which are the predecessors of Colorectal
Cancers(CRC) [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ]. Polyps generally occur as a protrusion of the mucosa
looking like a bumpy structure. However, wide variation in shape,
size, intensity of polyps, and specular reflection in colonoscopy
images can make polyps very dificult to detect by endoscopists
that can have a severe impact on CRC patients and often are
contributor to higher mortality rate in CRC [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ]. In recent years, several
computer-aided polyp detection and segmentation methods has
been developed [
        <xref ref-type="bibr" rid="ref2 ref4 ref7">2, 4, 7</xref>
        ]. While the detection methods provide
image level presence or absence of polyps or locate them with a
rectangular box, semantic segmentation provides pixel-wise
classiifcation targeting finer polyp boundaries. In this paper, we focus
on semantic segmentation for automated delineation of polyps.
      </p>
    </sec>
    <sec id="sec-2">
      <title>RELATED WORK</title>
      <p>
        The state-of-the-art polyp segmentation methods use
Convolutional Neural Networks (CNN). Akbari et al. [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ] used FCN-8S [
        <xref ref-type="bibr" rid="ref15">15</xref>
        ]
network to get region of probable polyps followed by Otsu
thresholding to select the largest connected component to segment polyp
regions, resulting in 81% accuracy in the CVC- ColonDB database2.
Sanchez et al. [
        <xref ref-type="bibr" rid="ref16">16</xref>
        ] first proposed a polyp detection system using
texture to find potential polyps windows, which were further
segmented to produce masks for polyp location and extension. Kang
et al. [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ] used a transfer learning-based ensemble method. They
1https://multimediaeval.github.io/editions/2020/tasks/medico/
2http://mv.cvc.uab.es/projects/colon-qa/cvccolondb/
ensembled Mask R-CNN [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ] models, one with ResNet-50 backbone
and another with ResNet-101 [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ], and then performed bit wise
combination of two predicted masks. CNN based polyp segmentation
method must have uncertainty in predictions. [
        <xref ref-type="bibr" rid="ref18">18</xref>
        ] studied
uncertainty estimation and model interpretability for polyp segmentation
task. It also provided the advancements on two methods, firstly in
FCN-8 [
        <xref ref-type="bibr" rid="ref15">15</xref>
        ] by keeping batch normalization after each layer, and
secondly in SegNet by including dropouts. Their best performance
method on EndoScene dataset used Monte Carlo Dropout model
and had far fewer parameters.
3
      </p>
    </sec>
    <sec id="sec-3">
      <title>DATASET</title>
      <p>
        We use publicly available Kvasir-SEG dataset [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ] that consists of
1000 images of gastrointestinal polyp images and corresponding
manually annotated segmentation masks verified by an experienced
gastroenterologist. The sample-images of this data set are shown
in Figure 1. We performed a random split of the dataset into 80%
and 20% train-validation split resulting into 880 training set and
120 validation set. 160 test images were provided by the organisers
during the [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ] challenge for which no ground truth masks were
provided.
4
      </p>
    </sec>
    <sec id="sec-4">
      <title>METHOD</title>
      <p>
        An encoder decoder architecture with transfer learning was
used for computing the predicted mask on the provided polyp
dataset [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ]. In addition to this, we have also exploited diferent data
augmentation techniques and used Tversky loss function [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ] to
tune the precision and recall of the individual models for efective
ensembling.
4.1
      </p>
    </sec>
    <sec id="sec-5">
      <title>Encoder-decoder architecture</title>
      <p>
        The encoder-decoder architecture is one of the widely used
architectures for medical image segmentation. The encoder takes
the input and downscales it by computing feature representations
at various resolution scales and outputs feature maps that hold
encoded information of the input image. In the decoder part these
feature maps are up sampled and restored to the full segmentation
map. Here we use a U-Net architecture developed by Ronnerberger
et al. [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ]. In this model, the authors include a skip-connection to
propagate the original resolution information from encoder to the
decoder layers. In this work, we have exploited ResNet-34 [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ] and
EficientNet-B2 [
        <xref ref-type="bibr" rid="ref17">17</xref>
        ] backbones in the U-Net architecture.
      </p>
      <p>Single model. We used ResNet-34 as our first model. The weights
saved after the training phase were loaded in the network and test
data were fed to get the predicted polyp masks.</p>
      <p>Ensemble model. We used two models, ResNet-34 and
EficientNetB2, to predict our masks. Then we ensembled the predictions by
using bit wise multiplication between the two predicted masks.
4.2</p>
    </sec>
    <sec id="sec-6">
      <title>Data Augmentation</title>
      <p>
        We used random angles for rotations, contrast, gaussian noise,
zoom, elastic deformation, resize, flips, afine, and scaling to
overcome overfitting. We also used CutMix regularization [
        <xref ref-type="bibr" rid="ref19">19</xref>
        ] in the
data augmentation process which chooses a patch from another
random image of the same batch and appends the patch in the
current training image. We observed that using CutMix regularizer
increased the accuracy by up to 3% in the validation set.
4.3
      </p>
    </sec>
    <sec id="sec-7">
      <title>Loss function</title>
      <p>
        Tversky loss [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ] L  is a generalisation of Dice similarity
coeficient and F  scores. This loss is used for an imbalance dataset.
By adjusting the hyperparameters as in [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ], we used random beta
values from 0.9 to 1. Random values of beta were used to create
variation between the two models, ResNet-34 and EficientNet-B2.
By using beta in this range, it focuses more on the false negatives
and decreases them.
      </p>
      <p>Í</p>
      <p>=1    
L  = 1 − Í
=1 [    +   (1 −   ) + (1 − ) (1 −   )   ]
(1)
where,   is 1 if the pixel j is a ground truth polyp mask and 0 if
it is a non polyp mask. Also,   is the probability of pixel j to be a
polyp and (1-  ) is the probability of a pixel j to be a non-polyp.
 ∈ [0.9,1) is a hyperparameter. This loss function penalizes false
negatives when  is kept in this range. N is the number of pixels.
5
5.1</p>
    </sec>
    <sec id="sec-8">
      <title>EXPERIMENTS</title>
    </sec>
    <sec id="sec-9">
      <title>Implementation Details</title>
      <p>
        We used ResNet-34 as backbone for our first model (model-I),
and a combined ensemble model with EficientNet-B2 as backbone
for our second model (model-II). Transfer learning based approach
with a pre-trained mechanism using the ImageNet dataset was
implemented. Adam optimiser [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ] was used with a learning rate
of 1−3, and default beta values of 1 = 0.9, 2 = 0.99.
5.2
      </p>
    </sec>
    <sec id="sec-10">
      <title>Evaluation metrics</title>
      <p>We have used dice coeficient (DSC), Jaccard or
intersection-overunion (IoU), precision (Prec.), recall (Rec.), overall accuracy (Acc.)
and frames-per-second (FPS) to evaluate our approach.</p>
      <p>Quantitative results for both of our model on validation set are
shown in Table 1. It can be observed that our ensemble model
(model-II) outperformed our single method (model-I). However, the
FPS is reduced to half for the model-II. Similar observation can be
seen from Table 2 where model-II has nearly 2% improved DSC and
IoU metric scores compared to the model-I. This better outcome
with model-II was obtained as the multiplied outputs between the
two models was considered. Qualitative results for both the models
on unseen test data provided by the challenge organisers are shown
in Figure 2.</p>
      <p>We have proposed to use an ensemble model that performs a
bit-wise operation to output the final mask between two backbone
architectures. Additionally, we have performed several data
augmentation techniques and weighted loss that provided us with
improved results on both validation and unseen test set. In future,
we aim to apply dilated convolutions and attention networks to
exploit the strength of the encoder-decoder architecture.</p>
    </sec>
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