Coronavirus Disease 2019 (COVID-19) has rapidly spread in 2020, emerging a mass of studies for lung infection segmentation from CT images. Though many methods have been proposed for this issue, it is a challenging task because of infections of various size appearing in different lobe zones. To tackle these issues, we propose a Graph-based Pyramid Global Context Reasoning (Graph-PGCR) module, which is capable of modeling long-range dependencies among disjoint infections as well as adapt size variation. We first incorporate graph convolution to exploit long-term contextual information from multiple lobe zones. Different from previous average pooling or maximum object probability, we propose a saliency-aware projection mechanism to pick up infection-related pixels as a set of graph nodes. After graph reasoning, the relation-aware features are reversed back to the original coordinate space for the down-stream tasks. We further construct multiple graphs with different sampling rates to handle the size variation problem. To this end, distinct multi-scale long-range contextual patterns can be captured. Our Graph-PGCR module is plug-and-play, which can be integrated into any architecture to improve its performance. Experiments demonstrated that the proposed method consistently boost the performance of state-of-the-art backbone architectures on both of public and our private COVID-19 datasets.
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