Over the last few years machine learning has demonstrated groundbreaking results in many areas of medical image analysis, including segmentation. A key assumption, however, is that the train- and test distributions match. We study a realistic scenario where this assumption is clearly violated, namely segmentation with missing input modalities. We describe two neural network approaches that can handle a variable number of input modalities. The first is modality dropout: a simple but surprisingly effective modification of the training. The second is the unified representation network: a network architecture that maps a variable number of input modalities into a unified representation that can be used for downstream tasks such as segmentation. We demonstrate that modality dropout makes a standard segmentation network reasonably robust to missing modalities, but that the same network works even better if trained on the unified representation.
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