Daily Papers

Multiparametric magnetic resonance imaging (mpMRI) has demonstrated promising results in prostate cancer (PCa) detection using deep convolutional neural networks (CNNs). Recently, transformers have achieved competitive performance compared to CNNs in computer vision. Large-scale transformers need abundant annotated data for training, which are difficult to obtain in medical imaging. Self-supervised learning can effectively leverage unlabeled data to extract useful semantic representations without annotation and its associated costs. This can improve model performance on downstream tasks with limited labelled data and increase generalizability. We introduce a novel end-to-end Cross-Shaped windows (CSwin) transformer UNet model, CSwin UNet, to detect clinically significant prostate cancer (csPCa) in prostate bi-parametric MR imaging (bpMRI) and demonstrate the effectiveness of our proposed self-supervised pre-training framework. Using a large prostate bpMRI dataset with 1500 patients, we first pre-train CSwin transformer using multi-task self-supervised learning to improve data-efficiency and network generalizability. We then finetuned using lesion annotations to perform csPCa detection. Five-fold cross validation shows that self-supervised CSwin UNet achieves 0.888 AUC and 0.545 Average Precision (AP), significantly outperforming four state-of-the-art models (Swin UNETR, DynUNet, Attention UNet, UNet). Using a separate bpMRI dataset with 158 patients, we evaluated our model robustness to external hold-out data. Self-supervised CSwin UNet achieves 0.79 AUC and 0.45 AP, still outperforming all other comparable methods and demonstrating generalization to a dataset shift.

We present CSWin Transformer, an efficient and effective Transformer-based backbone for general-purpose vision tasks. A challenging issue in Transformer design is that global self-attention is very expensive to compute whereas local self-attention often limits the field of interactions of each token. To address this issue, we develop the Cross-Shaped Window self-attention mechanism for computing self-attention in the horizontal and vertical stripes in parallel that form a cross-shaped window, with each stripe obtained by splitting the input feature into stripes of equal width. We provide a mathematical analysis of the effect of the stripe width and vary the stripe width for different layers of the Transformer network which achieves strong modeling capability while limiting the computation cost. We also introduce Locally-enhanced Positional Encoding (LePE), which handles the local positional information better than existing encoding schemes. LePE naturally supports arbitrary input resolutions, and is thus especially effective and friendly for downstream tasks. Incorporated with these designs and a hierarchical structure, CSWin Transformer demonstrates competitive performance on common vision tasks. Specifically, it achieves 85.4\% Top-1 accuracy on ImageNet-1K without any extra training data or label, 53.9 box AP and 46.4 mask AP on the COCO detection task, and 52.2 mIOU on the ADE20K semantic segmentation task, surpassing previous state-of-the-art Swin Transformer backbone by +1.2, +2.0, +1.4, and +2.0 respectively under the similar FLOPs setting. By further pretraining on the larger dataset ImageNet-21K, we achieve 87.5% Top-1 accuracy on ImageNet-1K and high segmentation performance on ADE20K with 55.7 mIoU. The code and models are available at https://github.com/microsoft/CSWin-Transformer.