Advancing Medical Imaging Informatics by Deep Learning-Based Domain Adaptation

Introduction : There has been a rapid development of deep learning (DL) models for medical imaging. However, DL requires a large labeled dataset for training the models. Getting large-scale labeled data remains a challenge, and multi-center datasets suffer from heterogeneity due to patient diversity and varying imaging protocols. Domain adaptation (DA) has been developed to transfer the knowledge from a labeled data domain to a related but unlabeled domain in either image space or feature space. DA is a type of transfer learning (TL) that can improve the performance of models when applied to multiple different datasets. Objective : In this survey, we review the state-of-the-art DL-based DA methods for medical imaging. We aim to summarize recent advances, highlighting the motivation, challenges, and opportunities, and to discuss promising directions for future work in DA for medical imaging. Methods : We surveyed peer-reviewed publications from leading biomedical journals and conferences between 2017-2020, that reported the use of DA in medical imaging applications, grouping them by methodology, image modality, and learning scenarios. Results : We mainly focused on pathology and radiology as application areas. Among various DA approaches, we discussed domain transformation (DT) and latent feature-space transformation (LFST). We highlighted the role of unsupervised DA in image segmentation and described opportunities for future development. Conclusion : DA has emerged as a promising solution to deal with the lack of annotated training data. Using adversarial techniques, unsupervised DA has achieved good performance, especially for segmentation tasks. Opportunities include domain transferability, multi-modal DA, and applications that benefit from synthetic data.