Super-efficient Echocardiography Video Segmentation via Proxy- and Kernel-Based Semi-supervised Learning

Automatic segmentation of left ventricular endocardium in echocardiography videos is critical for assessing various cardiac functions and improving the diagnosis of cardiac diseases. It is yet a challenging task due to heavy speckle noise, significant shape variability of cardiac structure, and limited labeled data. Particularly, the real-time demand in clinical practice makes this task even harder. In this paper, we propose a novel proxy- and kernel-based semi-supervised segmentation network (PKEcho-Net) to comprehensively address these challenges. We first propose a multi-scale region proxy (MRP) mechanism to model the region-wise contexts, in which a learnable region proxy with an arbitrary shape is developed in each layer of the encoder, allowing the network to identify homogeneous semantics and hence alleviate the influence of speckle noise on segmentation. To sufficiently and efficiently exploit temporal consistency, different from traditional methods which only utilize the temporal contexts of two neighboring frames via feature warping or self-attention mechanism, we formulate the semi-supervised segmentation with a group of learnable kernels, which can naturally and uniformly encode the appearances of left ventricular endocardium, as well as extracting the inter-frame contexts across the whole video to resist the fast shape variability of cardiac structures. Extensive experiments have been conducted on two famous public echocardiography video datasets, EchoNet-Dynamic and CAMUS. Our model achieves the best performance-efficiency trade-off when compared with other state-of-the-art approaches, attaining comparative accuracy with a much faster speed. The code is available at https://github.com/JingyinLin/PKEcho-Net.