TRSA-Net: Task Relation Spatial Co-Attention for Joint Segmentation, Quantification and Uncertainty Estimation on Paired 2D Echocardiography.

Clinical workflow of cardiac assessment on 2D echocardiography requires both accurate segmentation and quantification of the Left Ventricle (LV) from paired apical 4-chamber and 2-chamber. Moreover, uncertainty estimation is significant in clinically understanding the performance of a model. However, current research on 2D echocardiography ignores this vital task while joint segmentation with quantification, hence motivating the need for a unified optimization method. In this paper, we propose a multitask model with Task Relation Spatial co-Attention (referred as TRSA-Net) for joint segmentation, quantification, and uncertainty estimation on paired 2D echo. TRSA-Net achieves multitask joint learning by novelly exploring the spatial correlation between tasks. The task relation spatial co-attention learns the spatial mapping among task-specific features by non-local and co-excitation, which forcibly joints embedded spatial information in the segmentation and quantification. The Boundary-aware Structure Consistency (BSC) and Joint Indices Constraint (JIC) are integrated into the multitask learning optimization objective to guide the learning of segmentation and quantification paths. The BSC creatively promotes structural similarity of predictions, and JIC explores the internal relationship between three quantitative indices. We validate the efficacy of our TRSA-Net on the public CAMUS dataset. Extensive comparison and ablation experiments show that our approach can achieve competitive segmentation performance and highly accurate results on quantification.