  We aim at segmenting small organs (e.g., the pancreas) from abdominal CT
scans. As the target often occupies a relatively small region in the input
image, deep neural networks can be easily confused by the complex and variable
background. To alleviate this, researchers proposed a coarse-to-fine approach,
which used prediction from the first (coarse) stage to indicate a smaller input
region for the second (fine) stage. Despite its effectiveness, this algorithm
dealt with two stages individually, which lacked optimizing a global energy
function, and limited its ability to incorporate multi-stage visual cues.
Missing contextual information led to unsatisfying convergence in iterations,
and that the fine stage sometimes produced even lower segmentation accuracy
than the coarse stage.
  This paper presents a Recurrent Saliency Transformation Network. The key
innovation is a saliency transformation module, which repeatedly converts the
segmentation probability map from the previous iteration as spatial weights and
applies these weights to the current iteration. This brings us two-fold
benefits. In training, it allows joint optimization over the deep networks
dealing with different input scales. In testing, it propagates multi-stage
visual information throughout iterations to improve segmentation accuracy.
Experiments in the NIH pancreas segmentation dataset demonstrate the
state-of-the-art accuracy, which outperforms the previous best by an average of
over 2%. Much higher accuracies are also reported on several small organs in a
larger dataset collected by ourselves. In addition, our approach enjoys better
convergence properties, making it more efficient and reliable in practice.
