<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Archiving and Interchange DTD v1.0 20120330//EN" "JATS-archivearticle1.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Medico Multimedia Task at MediaEval 2021: Transparency in Medical Image Segmentation</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Steven A. Hicks</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Debesh Jha</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
          <xref ref-type="aff" rid="aff4">4</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Vajira Thambawita</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Hugo L. Hammer</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Thomas de Lange</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff5">5</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Sravanthi Parasa</string-name>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Michael A. Riegler</string-name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Pål Halvorsen</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Oslo Metropolitan University</institution>
          ,
          <country country="NO">Norway</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Sahlgrenska University Hospital Mölndal</institution>
          ,
          <country country="SE">Sweden</country>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>SimulaMet</institution>
          ,
          <country country="NO">Norway</country>
        </aff>
        <aff id="aff3">
          <label>3</label>
          <institution>Swedish Medical Center</institution>
          ,
          <country country="US">USA</country>
        </aff>
        <aff id="aff4">
          <label>4</label>
          <institution>UiT The Arctic University of Norway</institution>
          ,
          <country country="NO">Norway</country>
        </aff>
        <aff id="aff5">
          <label>5</label>
          <institution>University of Gothenburg</institution>
          ,
          <country country="SE">Sweden</country>
        </aff>
      </contrib-group>
      <pub-date>
        <year>2021</year>
      </pub-date>
      <fpage>13</fpage>
      <lpage>15</lpage>
      <abstract>
        <p>The Medico Multimedia Task focuses on providing multimedia researchers with the opportunity to contribute to diferent areas of medicine using multimedia data to solve several subtasks. This year, the task focuses on transparency within machine learning-based medical segmentation systems, where the use case is gastrointestinal endoscopy. In this paper, we motivate the organization of this task, describe the development and test dataset, and present the evaluation process used to assess the participants' submissions.</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>INTRODUCTION</title>
      <p>Finding and removing colon polyps is an essential step in
preventing colorectal cancer. Current procedures have a high miss rate,
whereas computer-aided diagnosis systems can reduce the
probability that diagnosticians overlook a polyp during a colonoscopy.
As machine learning becomes more common in high-risk fields
like medicine, the need for transparent systems becomes more
critical. In this case, transparency is defined as giving as much
detail as possible on the diferent parts that make up a machine
learning pipeline, including everything from data collection to final
prediction. This task focuses on high-performing, eficient, and
transparent algorithms for polyp segmentation.</p>
      <p>
        The Medico Multimedia Task is held for the fifth time at the
MediaEval benchmark. We continue the tradition of using medical
data to develop machine learning models that solve real-world
issues in medicine [
        <xref ref-type="bibr" rid="ref2 ref4 ref5 ref6">2, 4–6</xref>
        ]. Like last year, we use the gastrointestinal
tract as the medical use case, where automatic polyp segmentation
is the primary focus. However, this year, we have more training
data and add an additional task that focuses on transparency in
the submitted solutions. The task is of interest to the researchers
working with multimedia segmentation, deep learning (semantic
segmentation), computer vision and trustable and transparent AI
systems.
      </p>
    </sec>
    <sec id="sec-2">
      <title>DATASET DETAILS</title>
      <p>
        The provided dataset is based on HyperKvasir [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]1, which is
currently the largest public gastrointestinal dataset. We combined
the segmentation part of HyperKvasir with additional images and
masks to create the development and testing datasets for this task.
The development dataset contains 1, 360 images of polyps and
corresponding image masks, while the test dataset consists of 200
image pairs collected from the same distribution as the development
dataset. The additional images added to the development dataset
were collected from the testing datasets that were used in two
previous tasks, namely EndoTect [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ] and last year’s Medico [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. The
ground truth for the provided dataset was created by an experienced
computer scientist, which was then verified by an expert
gastroenterologist with over ten years of experience. Example images and
corresponding segmentation masks can be seen in Figure 1.
3
      </p>
    </sec>
    <sec id="sec-3">
      <title>TASK DESCRIPTIONS AND EVALUATION</title>
      <p>The 2021 edition of the Medico Multimedia Task provides three
diferent subtasks, namely the polyp segmentation task, the eficient
segmentation task, and the transparent machine learning systems
task. The polyp segmentation subtask is the only subtask that is
required, the other two are optional. Each task allows for a total of
ifve submissions each.</p>
    </sec>
    <sec id="sec-4">
      <title>Subtask 1: Polyp Segmentation</title>
      <p>The polyp segmentation task targets high-performing polyp
segmentation systems. Using the provided development dataset,
participants are asked to develop models that automatically segment
the presence of colon polyps in a given image. Submission to this
task should be a zip file containing a predicted segmentation mask
using the .png file format for each image in the testing dataset. Each
predicted mask should use the same resolution as the input image
and have the same filename.</p>
      <p>Submissions will be evaluated based on the correctness of the
predicted masks using various segmentation metrics like pixel
accuracy, precision, recall, Sørensen–Dice coeficient (Dice), and
Intersection over Union (IoU). The primary metric used to rank the
submissions will be IoU. The participants will receive a .csv file
containing the evaluation metrics for each run.</p>
    </sec>
    <sec id="sec-5">
      <title>3.2 Subtask 2: Eficient Segmentation</title>
      <p>The eficient segmentation task aims for eficient segmentation
systems while still obtaining a satisfactory prediction accuracy. Model
eficiency is measured in the number of frames that a model can
process per second. The motivation behind this is the need for
real-time detection systems used during live endoscopy procedures.
For the system to be considered real-time, it should be able to
process at least 30 frames per second. To participate in this subtask,
participants must use the development dataset to train a polyp
segmentation model. Furthermore, this task also requires the
participants to submit a Docker image of their implementation to be
evaluated on the organizers’ hardware. The Docker submission
should generate a .csv submission file that contains the name of
the segmented image and the time (in seconds) used to perform
the segmentation. A detailed description of the preparation and
submission requirements of the Docker image is available on the
oficial GitHub repository 2.</p>
      <p>Models will be evaluated based on the performance metrics used
to evaluate the polyp segmentation task and the number of frames
that can be segmented per second. Submission will be ranked based
on a balanced metric between predictive performance and speed.
All submissions are evaluated on what can be considered
consumergrade hardware, that is, a computer running Arch Linux with an
Intel Core i9-10900K processor, an Nvidia GeForce RTX 3090
graphics processing unit (GPU), and 32 gigabytes of RAM.
3.3</p>
    </sec>
    <sec id="sec-6">
      <title>Subtask 3: Transparent Machine Learning</title>
    </sec>
    <sec id="sec-7">
      <title>Systems</title>
      <p>
        The goal of the transparent machine learning system task is to
promote more transparency in medical applications of machine
learning. The motivation behind this task is rooted in a general lack of
transparency in medical machine learning research [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]. A lot of
work is often published using private data, closed-source
implementations, and lackluster evaluations, making the systems not
very reproducible or transparent. We leave it to the participants
to determine what makes a machine learning system transparent.
Still, some ideas include failure analysis, ablation studies, model
explanations, open and commented source code, and detailed
implementation descriptions.
      </p>
      <p>Submissions to this task will be evaluated by a committee
comprised of at least three computer scientists and expert
gastroenterologists that are familiar with AI. The committee will evaluate the
submissions from diferent perspectives. For example, the medical
doctors will look at the system from a clinic point of view,
assessing transparency based on how it can be used in the clinic. The
computer scientists will look at the technical transparency of the
submissions, like source code descriptions and the clarity of the
implementation. Each team that submits to this task will receive a
report on the level of transparency determined by the evaluation
committee.</p>
    </sec>
    <sec id="sec-8">
      <title>4 DISCUSSION AND OUTLOOK</title>
      <p>Automatic segmentation of polyps in the gastrointestinal tract is
a problem that is highly requested by medical doctors working in
the field. Being more transparent about the work that goes into
developing these methods would not only help doctors make more
informed decisions on what systems should be used, but can also
aid in further development by future researchers. We hope that
this task will encourage the multimedia community to aid in the
development of computer-assisted finding segmentation, and
further motivate the use of transparent and open implementations of
machine learning systems in medicine.</p>
    </sec>
  </body>
  <back>
    <ref-list>
      <ref id="ref1">
        <mixed-citation>
          [1]
          <string-name>
            <given-names>Hanna</given-names>
            <surname>Borgli</surname>
          </string-name>
          , Vajira Thambawita, Pia H Smedsrud, Steven Hicks, Debesh Jha, Sigrun L Eskeland, Kristin Ranheim Randel, Konstantin Pogorelov, Mathias Lux, Duc Tien Dang Nguyen, Dag Johansen, Carsten Griwodz, Håkon K Stensland,
          <string-name>
            <surname>Enrique</surname>
          </string-name>
          Garcia-Ceja, Peter T Schmidt, Hugo L Hammer,
          <article-title>Michael A Riegler, Pål Halvorsen</article-title>
          , and Thomas de Lange.
          <year>2020</year>
          .
          <article-title>HyperKvasir, a comprehensive multi-class image and video dataset for gastrointestinal endoscopy</article-title>
          .
          <source>Scientific Data</source>
          <volume>7</volume>
          ,
          <issue>1</issue>
          (
          <year>2020</year>
          ),
          <volume>283</volume>
          . https://doi.org/10.1038/s41597-020-00622-y
        </mixed-citation>
      </ref>
      <ref id="ref2">
        <mixed-citation>
          [2]
          <string-name>
            <given-names>Steven</given-names>
            <surname>Hicks</surname>
          </string-name>
          , Pål Halvorsen, Trine B.
          <string-name>
            <surname>Haugen</surname>
          </string-name>
          ,
          <string-name>
            <surname>Jorunn M. Andersen</surname>
            , Oliwia Witczak, Konstantin Pogorelov, Hugo L. Hammer, Duc Tien Dang Nguyen, Mathias Lux, and
            <given-names>Michael</given-names>
          </string-name>
          <string-name>
            <surname>Riegler</surname>
          </string-name>
          .
          <year>2019</year>
          .
          <article-title>Medico multimedia task at MediaEval 2019</article-title>
          .
          <source>In Proc. of MediaEval 2019 CEUR Workshop.</source>
        </mixed-citation>
      </ref>
      <ref id="ref3">
        <mixed-citation>
          [3]
          <string-name>
            <surname>Steven</surname>
            <given-names>A.</given-names>
          </string-name>
          <string-name>
            <surname>Hicks</surname>
          </string-name>
          , Debesh Jha, Vajira Thambawita, Pål Halvorsen, Hugo L.
          <string-name>
            <surname>Hammer</surname>
            , and
            <given-names>Michael A.</given-names>
          </string-name>
          <string-name>
            <surname>Riegler</surname>
          </string-name>
          .
          <year>2021</year>
          .
          <article-title>The EndoTect 2020 Challenge: Evaluation and Comparison of Classification, Segmentation and Inference Time for Endoscopy</article-title>
          .
          <source>In Pattern Recognition. ICPR International Workshops and Challenges, Alberto Del Bimbo</source>
          ,
          <string-name>
            <given-names>Rita</given-names>
            <surname>Cucchiara</surname>
          </string-name>
          , Stan Sclarof, Giovanni Maria Farinella, Tao Mei, Marco Bertini, Hugo Jair Escalante, and Roberto Vezzani (Eds.). Springer International Publishing, Cham,
          <fpage>263</fpage>
          -
          <lpage>274</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref4">
        <mixed-citation>
          [4]
          <string-name>
            <given-names>Debesh</given-names>
            <surname>Jha</surname>
          </string-name>
          , Steven Hicks, Krister Emanuelsen, Håvard Johansen, Dag Johansen, Thomas de Lange, Michael Riegler, and
          <string-name>
            <given-names>Pål</given-names>
            <surname>Halvorsen</surname>
          </string-name>
          .
          <year>2020</year>
          . Medico Multimedia Task at MediaEval 2020:
          <article-title>Automatic Polyp Segmentation</article-title>
          .
          <source>In Proc. of MediaEval 2020 CEUR Workshop.</source>
        </mixed-citation>
      </ref>
      <ref id="ref5">
        <mixed-citation>
          [5]
          <string-name>
            <given-names>Konstantin</given-names>
            <surname>Pogorelov</surname>
          </string-name>
          , Michael Riegler, Pål Halvorsen, Steven Hicks, Kristin Ranheim Randel, Duc Tien Dang Nguyen, Mathias Lux, Olga Ostroukhova, and Thomas de Lange.
          <year>2018</year>
          .
          <article-title>Medico multimedia task at MediaEval 2018</article-title>
          .
          <source>In Proc. of MediaEval 2018 CEUR Workshop.</source>
        </mixed-citation>
      </ref>
      <ref id="ref6">
        <mixed-citation>
          [6]
          <string-name>
            <given-names>Michael</given-names>
            <surname>Riegler</surname>
          </string-name>
          , Konstantin Pogorelov, Pål Halvorsen, Carsten Griwodz, Thomas Lange, Kristin Randel, Sigrun Eskeland, Duc Tien Dang Nguyen, Mathias Lux, and
          <string-name>
            <given-names>Concetto</given-names>
            <surname>Spampinato</surname>
          </string-name>
          .
          <year>2017</year>
          .
          <article-title>Multimedia for medicine: the medico task at Mediaeval 2017</article-title>
          .
          <source>In Proc. CEUR Worksh. Multim. Bench. Worksh.</source>
        </mixed-citation>
      </ref>
      <ref id="ref7">
        <mixed-citation>
          [7]
          <string-name>
            <given-names>Hannah</given-names>
            <surname>Stower</surname>
          </string-name>
          .
          <year>2020</year>
          .
          <article-title>Transparency in medical AI</article-title>
          .
          <source>Nature Medicine</source>
          (
          <year>2020</year>
          ). https://doi.org/10.1038/s41591-020-01147-y
        </mixed-citation>
      </ref>
    </ref-list>
  </back>
</article>