Multilevel Perception Boundary-guided Network for Breast Lesion Segmentation in Ultrasound Images

Automatic segmentation of breast tumors from the ultrasound images is essential for the subsequent clinical diagnosis and treatment plan. Although the existing deep learning-based methods have achieved significant progress in automatic segmentation of breast tumor, their performance on tumors with similar intensity to the normal tissues is still not pleasant, especially for the tumor boundaries. To address this issue, we propose a PBNet composed by a multilevel global perception module (MGPM) and a boundary guided module (BGM) to segment breast tumors from ultrasound images. Specifically, in MGPM, the long-range spatial dependence between the voxels in a single level feature maps are modeled, and then the multilevel semantic information is fused to promote the recognition ability of the model for non-enhanced tumors. In BGM, the tumor boundaries are extracted from the high-level semantic maps using the dilation and erosion effects of max pooling, such boundaries are then used to guide the fusion of low and high-level features. Moreover, to improve the segmentation performance for tumor boundaries, a multi-level boundary-enhanced segmentation (BS) loss is proposed. The extensive comparison experiments on both publicly available dataset and in-house dataset demonstrate that the proposed PBNet outperforms the state-of-the-art methods in terms of both qualitative visualization results and quantitative evaluation metrics, with the Dice score, Jaccard coefficient, Specificity and HD95 improved by 0.70%, 1.1%, 0.1% and 2.5% respectively. In addition, the ablation experiments validate that the proposed MGPM is indeed beneficial for distinguishing the non-enhanced tumors and the BGM as well as the BS loss are also helpful for refining the segmentation contours of the tumor.