Symmetrical awareness network for cross-site ultrasound thyroid nodule segmentation

Recent years have seen remarkable progress of learning-based methods on Ultrasound Thyroid Nodules segmentation. However, with very limited annotations, the multi-site training data from different domains makes the task remain challenging. Due to domain shift, the existing methods cannot be well generalized to the out-of-set data, which limits the practical application of deep learning in the field of medical imaging. In this work, we propose an effective domain adaptation framework which consists of a bidirectional image translation module and two symmetrical image segmentation modules. The framework improves the generalization ability of deep neural networks in medical image segmentation. The image translation module conducts the mutual conversion between the source domain and the target domain, while the symmetrical image segmentation modules perform image segmentation tasks in both domains. Besides, we utilize adversarial constraint to further bridge the domain gap in feature space. Meanwhile, a consistency loss is also utilized to make the training process more stable and efficient. Experiments on a multi-site ultrasound thyroid nodule dataset achieve 96.22% for PA and 87.06% for DSC in average, demonstrating that our method performs competitively in cross-domain generalization ability with state-of-the-art segmentation methods.