Diseased skeletal muscle expresses mononuclear cell infiltration in the regions of perimysium. Accurate annotation or segmentation of perimysium can help biologists and clinicians to determine individualized patient treatment and allow for reasonable prognostication. However, manual perimysium annotation is time consuming and prone to inter-observer variations. Meanwhile, the presence of ambiguous patterns in muscle images significantly challenge many traditional automatic annotation algorithms. In this paper, we propose an automatic perimysium annotation algorithm based on deep convolutional neural network (CNN). We formulate the automatic annotation of perimysium in muscle images as a pixel-wise classification problem, and the CNN is trained to label each image pixel with raw RGB values of the patch centered at the pixel. The algorithm is applied to 82 diseased skeletal muscle images. We have achieved an average precision of 94% on the test dataset.
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