Esempio n. 1
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 def test_rand_3d_elasticd(self, input_param, input_data, expected_val):
     g = Rand3DElasticd(**input_param)
     g.set_random_state(123)
     res = g(input_data)
     for key in res:
         result = res[key]
         expected = expected_val[key] if isinstance(expected_val, dict) else expected_val
         assert_allclose(result, expected, rtol=1e-4, atol=1e-4)
Esempio n. 2
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 def test_rand_3d_elasticd(self, input_param, input_data, expected_val):
     g = Rand3DElasticd(**input_param)
     g.set_random_state(123)
     res = g(input_data)
     for key in res:
         result = res[key]
         expected = expected_val[key] if isinstance(expected_val, dict) else expected_val
         self.assertEqual(torch.is_tensor(result), torch.is_tensor(expected))
         if torch.is_tensor(result):
             np.testing.assert_allclose(result.cpu().numpy(), expected.cpu().numpy(), rtol=1e-4, atol=1e-4)
         else:
             np.testing.assert_allclose(result, expected, rtol=1e-4, atol=1e-4)
     keys=["image", "label"],
     label_key="label",
     spatial_size=(96, 96, 96),
     pos=1,
     neg=1,
     num_samples=4,
     image_key="image",
     image_threshold=0,
 ),
 Rand3DElasticd(
     keys=["image", "label"],
     sigma_range=(0, 1),
     magnitude_range=(0, 1),
     spatial_size=None,
     prob=0.5,
     rotate_range=(0, -math.pi / 36, math.pi / 36, 0),  # -15, 15 / -5, 5
     shear_range=None,
     translate_range=None,
     scale_range=None,
     mode=("bilinear", "nearest"),
     padding_mode="zeros",
     # as_tensor_output=False
 ),
 RandGaussianNoised(keys=["image"],
                    prob=0.5,
                    mean=0.0,
                    std=0.1
                    # allow_missing_keys=False
                    ),
 #RandScaleIntensityd(
 #    keys=["image"],
 #    factors=0.05,  # this is 10%, try 5%
Esempio n. 4
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def main():
    opt = Options().parse()
    # monai.config.print_config()
    logging.basicConfig(stream=sys.stdout, level=logging.INFO)

    if opt.gpu_ids != '-1':
        num_gpus = len(opt.gpu_ids.split(','))
    else:
        num_gpus = 0
    print('number of GPU:', num_gpus)

    # Data loader creation

    # train images
    train_images = sorted(glob(os.path.join(opt.images_folder, 'train', 'image*.nii')))
    train_segs = sorted(glob(os.path.join(opt.labels_folder, 'train', 'label*.nii')))

    train_images_for_dice = sorted(glob(os.path.join(opt.images_folder, 'train', 'image*.nii')))
    train_segs_for_dice = sorted(glob(os.path.join(opt.labels_folder, 'train', 'label*.nii')))

    # validation images
    val_images = sorted(glob(os.path.join(opt.images_folder, 'val', 'image*.nii')))
    val_segs = sorted(glob(os.path.join(opt.labels_folder, 'val', 'label*.nii')))

    # test images
    test_images = sorted(glob(os.path.join(opt.images_folder, 'test', 'image*.nii')))
    test_segs = sorted(glob(os.path.join(opt.labels_folder, 'test', 'label*.nii')))

    # augment the data list for training
    for i in range(int(opt.increase_factor_data)):

        train_images.extend(train_images)
        train_segs.extend(train_segs)

    print('Number of training patches per epoch:', len(train_images))
    print('Number of training images per epoch:', len(train_images_for_dice))
    print('Number of validation images per epoch:', len(val_images))
    print('Number of test images per epoch:', len(test_images))

    # Creation of data directories for data_loader

    train_dicts = [{'image': image_name, 'label': label_name}
                  for image_name, label_name in zip(train_images, train_segs)]

    train_dice_dicts = [{'image': image_name, 'label': label_name}
                   for image_name, label_name in zip(train_images_for_dice, train_segs_for_dice)]

    val_dicts = [{'image': image_name, 'label': label_name}
                   for image_name, label_name in zip(val_images, val_segs)]

    test_dicts = [{'image': image_name, 'label': label_name}
                 for image_name, label_name in zip(test_images, test_segs)]

    # Transforms list
    # Need to concatenate multiple channels here if you want multichannel segmentation
    # Check other examples on Monai webpage.

    if opt.resolution is not None:
        train_transforms = [
            LoadImaged(keys=['image', 'label']),
            AddChanneld(keys=['image', 'label']),
            NormalizeIntensityd(keys=['image']),
            ScaleIntensityd(keys=['image']),
            Spacingd(keys=['image', 'label'], pixdim=opt.resolution, mode=('bilinear', 'nearest')),
            RandFlipd(keys=['image', 'label'], prob=0.1, spatial_axis=1),
            RandFlipd(keys=['image', 'label'], prob=0.1, spatial_axis=0),
            RandFlipd(keys=['image', 'label'], prob=0.1, spatial_axis=2),
            RandAffined(keys=['image', 'label'], mode=('bilinear', 'nearest'), prob=0.1,
                        rotate_range=(np.pi / 36, np.pi / 36, np.pi * 2), padding_mode="zeros"),
            RandAffined(keys=['image', 'label'], mode=('bilinear', 'nearest'), prob=0.1,
                        rotate_range=(np.pi / 36, np.pi / 2, np.pi / 36), padding_mode="zeros"),
            RandAffined(keys=['image', 'label'], mode=('bilinear', 'nearest'), prob=0.1,
                        rotate_range=(np.pi / 2, np.pi / 36, np.pi / 36), padding_mode="zeros"),
            Rand3DElasticd(keys=['image', 'label'], mode=('bilinear', 'nearest'), prob=0.1,
                           sigma_range=(5, 8), magnitude_range=(100, 200), scale_range=(0.15, 0.15, 0.15),
                           padding_mode="zeros"),
            RandAdjustContrastd(keys=['image'], gamma=(0.5, 2.5), prob=0.1),
            RandGaussianNoised(keys=['image'], prob=0.1, mean=np.random.uniform(0, 0.5), std=np.random.uniform(0, 1)),
            RandShiftIntensityd(keys=['image'], offsets=np.random.uniform(0,0.3), prob=0.1),
            RandSpatialCropd(keys=['image', 'label'], roi_size=opt.patch_size, random_size=False),
            ToTensord(keys=['image', 'label'])
        ]

        val_transforms = [
            LoadImaged(keys=['image', 'label']),
            AddChanneld(keys=['image', 'label']),
            NormalizeIntensityd(keys=['image']),
            ScaleIntensityd(keys=['image']),
            Spacingd(keys=['image', 'label'], pixdim=opt.resolution, mode=('bilinear', 'nearest')),
            ToTensord(keys=['image', 'label'])
        ]
    else:
        train_transforms = [
            LoadImaged(keys=['image', 'label']),
            AddChanneld(keys=['image', 'label']),
            NormalizeIntensityd(keys=['image']),
            ScaleIntensityd(keys=['image']),
            RandFlipd(keys=['image', 'label'], prob=0.1, spatial_axis=1),
            RandFlipd(keys=['image', 'label'], prob=0.1, spatial_axis=0),
            RandFlipd(keys=['image', 'label'], prob=0.1, spatial_axis=2),
            RandAffined(keys=['image', 'label'], mode=('bilinear', 'nearest'), prob=0.1,
                        rotate_range=(np.pi / 36, np.pi / 36, np.pi * 2), padding_mode="zeros"),
            RandAffined(keys=['image', 'label'], mode=('bilinear', 'nearest'), prob=0.1,
                        rotate_range=(np.pi / 36, np.pi / 2, np.pi / 36), padding_mode="zeros"),
            RandAffined(keys=['image', 'label'], mode=('bilinear', 'nearest'), prob=0.1,
                        rotate_range=(np.pi / 2, np.pi / 36, np.pi / 36), padding_mode="zeros"),
            Rand3DElasticd(keys=['image', 'label'], mode=('bilinear', 'nearest'), prob=0.1,
                           sigma_range=(5, 8), magnitude_range=(100, 200), scale_range=(0.15, 0.15, 0.15), padding_mode="zeros"),
            RandAdjustContrastd(keys=['image'],  gamma=(0.5, 2.5), prob=0.1),
            RandGaussianNoised(keys=['image'], prob=0.1, mean=np.random.uniform(0, 0.5), std=np.random.uniform(0, 1)),
            RandShiftIntensityd(keys=['image'], offsets=np.random.uniform(0,0.3), prob=0.1),
            RandSpatialCropd(keys=['image', 'label'], roi_size=opt.patch_size, random_size=False),
            ToTensord(keys=['image', 'label'])
        ]

        val_transforms = [
            LoadImaged(keys=['image', 'label']),
            AddChanneld(keys=['image', 'label']),
            NormalizeIntensityd(keys=['image']),
            ScaleIntensityd(keys=['image']),
            ToTensord(keys=['image', 'label'])
        ]

    train_transforms = Compose(train_transforms)
    val_transforms = Compose(val_transforms)

    # create a training data loader
    check_train = monai.data.Dataset(data=train_dicts, transform=train_transforms)
    train_loader = DataLoader(check_train, batch_size=opt.batch_size, shuffle=True, num_workers=opt.workers, pin_memory=torch.cuda.is_available())

    # create a training_dice data loader
    check_val = monai.data.Dataset(data=train_dice_dicts, transform=val_transforms)
    train_dice_loader = DataLoader(check_val, batch_size=1, num_workers=opt.workers, pin_memory=torch.cuda.is_available())

    # create a validation data loader
    check_val = monai.data.Dataset(data=val_dicts, transform=val_transforms)
    val_loader = DataLoader(check_val, batch_size=1, num_workers=opt.workers, pin_memory=torch.cuda.is_available())

    # create a validation data loader
    check_val = monai.data.Dataset(data=test_dicts, transform=val_transforms)
    test_loader = DataLoader(check_val, batch_size=1, num_workers=opt.workers, pin_memory=torch.cuda.is_available())

    # # try to use all the available GPUs
    # devices = get_devices_spec(None)

    # build the network
    net = build_net()
    net.cuda()

    if num_gpus > 1:
        net = torch.nn.DataParallel(net)

    if opt.preload is not None:
        net.load_state_dict(torch.load(opt.preload))

    dice_metric = DiceMetric(include_background=True, reduction="mean")
    post_trans = Compose([Activations(sigmoid=True), AsDiscrete(threshold_values=True)])

    # loss_function = monai.losses.DiceLoss(sigmoid=True)
    # loss_function = monai.losses.TverskyLoss(sigmoid=True, alpha=0.3, beta=0.7)
    loss_function = monai.losses.DiceCELoss(sigmoid=True)

    optim = torch.optim.Adam(net.parameters(), lr=opt.lr)
    net_scheduler = get_scheduler(optim, opt)

    # start a typical PyTorch training
    val_interval = 1
    best_metric = -1
    best_metric_epoch = -1
    epoch_loss_values = list()
    metric_values = list()
    writer = SummaryWriter()
    for epoch in range(opt.epochs):
        print("-" * 10)
        print(f"epoch {epoch + 1}/{opt.epochs}")
        net.train()
        epoch_loss = 0
        step = 0
        for batch_data in train_loader:
            step += 1
            inputs, labels = batch_data["image"].cuda(), batch_data["label"].cuda()
            optim.zero_grad()
            outputs = net(inputs)
            loss = loss_function(outputs, labels)
            loss.backward()
            optim.step()
            epoch_loss += loss.item()
            epoch_len = len(check_train) // train_loader.batch_size
            print(f"{step}/{epoch_len}, train_loss: {loss.item():.4f}")
            writer.add_scalar("train_loss", loss.item(), epoch_len * epoch + step)
        epoch_loss /= step
        epoch_loss_values.append(epoch_loss)
        print(f"epoch {epoch + 1} average loss: {epoch_loss:.4f}")
        update_learning_rate(net_scheduler, optim)

        if (epoch + 1) % val_interval == 0:
            net.eval()
            with torch.no_grad():

                def plot_dice(images_loader):

                    metric_sum = 0.0
                    metric_count = 0
                    val_images = None
                    val_labels = None
                    val_outputs = None
                    for data in images_loader:
                        val_images, val_labels = data["image"].cuda(), data["label"].cuda()
                        roi_size = opt.patch_size
                        sw_batch_size = 4
                        val_outputs = sliding_window_inference(val_images, roi_size, sw_batch_size, net)
                        val_outputs = post_trans(val_outputs)
                        value, _ = dice_metric(y_pred=val_outputs, y=val_labels)
                        metric_count += len(value)
                        metric_sum += value.item() * len(value)
                    metric = metric_sum / metric_count
                    metric_values.append(metric)
                    return metric, val_images, val_labels, val_outputs

                metric, val_images, val_labels, val_outputs = plot_dice(val_loader)

                # Save best model
                if metric > best_metric:
                    best_metric = metric
                    best_metric_epoch = epoch + 1
                    torch.save(net.state_dict(), "best_metric_model.pth")
                    print("saved new best metric model")

                metric_train, train_images, train_labels, train_outputs = plot_dice(train_dice_loader)
                metric_test, test_images, test_labels, test_outputs = plot_dice(test_loader)

                # Logger bar
                print(
                    "current epoch: {} Training dice: {:.4f} Validation dice: {:.4f} Testing dice: {:.4f} Best Validation dice: {:.4f} at epoch {}".format(
                        epoch + 1, metric_train, metric, metric_test, best_metric, best_metric_epoch
                    )
                )

                writer.add_scalar("Mean_epoch_loss", epoch_loss, epoch + 1)
                writer.add_scalar("Testing_dice", metric_test, epoch + 1)
                writer.add_scalar("Training_dice", metric_train, epoch + 1)
                writer.add_scalar("Validation_dice", metric, epoch + 1)
                # plot the last model output as GIF image in TensorBoard with the corresponding image and label
                val_outputs = (val_outputs.sigmoid() >= 0.5).float()
                plot_2d_or_3d_image(val_images, epoch + 1, writer, index=0, tag="validation image")
                plot_2d_or_3d_image(val_labels, epoch + 1, writer, index=0, tag="validation label")
                plot_2d_or_3d_image(val_outputs, epoch + 1, writer, index=0, tag="validation inference")

    print(f"train completed, best_metric: {best_metric:.4f} at epoch: {best_metric_epoch}")
    writer.close()
        pos=1,
        neg=0,
        num_samples=1,
        image_key=DataType.Image,
        image_threshold=0,
    ),
    # This function handles both affine and elastic deformation together
    # To minimise padding issues, we will elastic and affine transform first on original before any cropping
    Rand3DElasticd(
        keys=[DataType.Image, DataType.Label],
        sigma_range=(5, 8),  # Sigma range for elastic deformation
        magnitude_range=(100, 200),  # maginitude range for elastic deformation
        mode=('bilinear', 'nearest'),
        # Output to desired crop size
        spatial_size=(96, 96, 16),
        # Probability of augmentation - we will kepp most unchanged and augment 30%
        prob=0.4,
        # Only rotate depthwise as patient generally only varies in the depthwise direction
        rotate_range=(0, 0, np.pi / 15),
        # Set translation to 0.1
        translate_range=(0.1, 0.1, 0.1),
        # scale in all direction by 0.1
        scale_range=(0.1, 0.1, 0.1)),
    ManualWindowIntensity(keys=DataType.Image),
    # RandomWindowIntensity(keys=DataType.Image, thresholds=[1024, 512, 256, 128], prob=0.8), # Commented out, manual windowing used instead
    ConvertToMultiChannelBasedOnLabelsClassesd(keys=DataType.Label),
    ToTensord(keys=[DataType.Image, DataType.Label]),
    PermutateTransform(keys=[DataType.Image, DataType.Label]),
])

val_transform = Compose([
Esempio n. 6
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def main():
    opt = Options().parse()
    # monai.config.print_config()
    logging.basicConfig(stream=sys.stdout, level=logging.INFO)

    set_determinism(seed=0)
    logging.basicConfig(stream=sys.stdout, level=logging.INFO)
    device = torch.device(opt.gpu_id)

    # ------- Data loader creation ----------

    # images
    images = sorted(glob(os.path.join(opt.images_folder, 'image*.nii')))
    segs = sorted(glob(os.path.join(opt.labels_folder, 'label*.nii')))

    train_files = []
    val_files = []

    for i in range(opt.models_ensemble):
        train_files.append([{
            "image": img,
            "label": seg
        } for img, seg in zip(
            images[:(opt.split_val * i)] +
            images[(opt.split_val *
                    (i + 1)):(len(images) -
                              opt.split_val)], segs[:(opt.split_val * i)] +
            segs[(opt.split_val * (i + 1)):(len(images) - opt.split_val)])])
        val_files.append([{
            "image": img,
            "label": seg
        } for img, seg in zip(
            images[(opt.split_val * i):(opt.split_val *
                                        (i + 1))], segs[(opt.split_val *
                                                         i):(opt.split_val *
                                                             (i + 1))])])

    test_files = [{
        "image": img,
        "label": seg
    } for img, seg in zip(images[(len(images) -
                                  opt.split_test):len(images)], segs[(
                                      len(images) -
                                      opt.split_test):len(images)])]

    # ----------- Transforms list --------------

    if opt.resolution is not None:
        train_transforms = [
            LoadImaged(keys=['image', 'label']),
            AddChanneld(keys=['image', 'label']),
            NormalizeIntensityd(keys=['image']),
            ScaleIntensityd(keys=['image']),
            Spacingd(keys=['image', 'label'],
                     pixdim=opt.resolution,
                     mode=('bilinear', 'nearest')),
            RandFlipd(keys=['image', 'label'], prob=0.1, spatial_axis=1),
            RandFlipd(keys=['image', 'label'], prob=0.1, spatial_axis=0),
            RandFlipd(keys=['image', 'label'], prob=0.1, spatial_axis=2),
            RandAffined(keys=['image', 'label'],
                        mode=('bilinear', 'nearest'),
                        prob=0.1,
                        rotate_range=(np.pi / 36, np.pi / 36, np.pi * 2),
                        padding_mode="zeros"),
            RandAffined(keys=['image', 'label'],
                        mode=('bilinear', 'nearest'),
                        prob=0.1,
                        rotate_range=(np.pi / 36, np.pi / 2, np.pi / 36),
                        padding_mode="zeros"),
            RandAffined(keys=['image', 'label'],
                        mode=('bilinear', 'nearest'),
                        prob=0.1,
                        rotate_range=(np.pi / 2, np.pi / 36, np.pi / 36),
                        padding_mode="zeros"),
            Rand3DElasticd(keys=['image', 'label'],
                           mode=('bilinear', 'nearest'),
                           prob=0.1,
                           sigma_range=(5, 8),
                           magnitude_range=(100, 200),
                           scale_range=(0.15, 0.15, 0.15),
                           padding_mode="zeros"),
            RandAdjustContrastd(keys=['image'], gamma=(0.5, 2.5), prob=0.1),
            RandGaussianNoised(keys=['image'],
                               prob=0.1,
                               mean=np.random.uniform(0, 0.5),
                               std=np.random.uniform(0, 1)),
            RandShiftIntensityd(keys=['image'],
                                offsets=np.random.uniform(0, 0.3),
                                prob=0.1),
            RandSpatialCropd(keys=['image', 'label'],
                             roi_size=opt.patch_size,
                             random_size=False),
            ToTensord(keys=['image', 'label'])
        ]

        val_transforms = [
            LoadImaged(keys=['image', 'label']),
            AddChanneld(keys=['image', 'label']),
            NormalizeIntensityd(keys=['image']),
            ScaleIntensityd(keys=['image']),
            Spacingd(keys=['image', 'label'],
                     pixdim=opt.resolution,
                     mode=('bilinear', 'nearest')),
            ToTensord(keys=['image', 'label'])
        ]
    else:
        train_transforms = [
            LoadImaged(keys=['image', 'label']),
            AddChanneld(keys=['image', 'label']),
            NormalizeIntensityd(keys=['image']),
            ScaleIntensityd(keys=['image']),
            RandFlipd(keys=['image', 'label'], prob=0.1, spatial_axis=1),
            RandFlipd(keys=['image', 'label'], prob=0.1, spatial_axis=0),
            RandFlipd(keys=['image', 'label'], prob=0.1, spatial_axis=2),
            RandAffined(keys=['image', 'label'],
                        mode=('bilinear', 'nearest'),
                        prob=0.1,
                        rotate_range=(np.pi / 36, np.pi / 36, np.pi * 2),
                        padding_mode="zeros"),
            RandAffined(keys=['image', 'label'],
                        mode=('bilinear', 'nearest'),
                        prob=0.1,
                        rotate_range=(np.pi / 36, np.pi / 2, np.pi / 36),
                        padding_mode="zeros"),
            RandAffined(keys=['image', 'label'],
                        mode=('bilinear', 'nearest'),
                        prob=0.1,
                        rotate_range=(np.pi / 2, np.pi / 36, np.pi / 36),
                        padding_mode="zeros"),
            Rand3DElasticd(keys=['image', 'label'],
                           mode=('bilinear', 'nearest'),
                           prob=0.1,
                           sigma_range=(5, 8),
                           magnitude_range=(100, 200),
                           scale_range=(0.15, 0.15, 0.15),
                           padding_mode="zeros"),
            RandAdjustContrastd(keys=['image'], gamma=(0.5, 2.5), prob=0.1),
            RandGaussianNoised(keys=['image'],
                               prob=0.1,
                               mean=np.random.uniform(0, 0.5),
                               std=np.random.uniform(0, 1)),
            RandShiftIntensityd(keys=['image'],
                                offsets=np.random.uniform(0, 0.3),
                                prob=0.1),
            RandSpatialCropd(keys=['image', 'label'],
                             roi_size=opt.patch_size,
                             random_size=False),
            ToTensord(keys=['image', 'label'])
        ]

        val_transforms = [
            LoadImaged(keys=['image', 'label']),
            AddChanneld(keys=['image', 'label']),
            NormalizeIntensityd(keys=['image']),
            ScaleIntensityd(keys=['image']),
            ToTensord(keys=['image', 'label'])
        ]

    train_transforms = Compose(train_transforms)
    val_transforms = Compose(val_transforms)

    # ---------- Creation of DataLoaders -------------

    train_dss = [
        CacheDataset(data=train_files[i], transform=train_transforms)
        for i in range(opt.models_ensemble)
    ]
    train_loaders = [
        DataLoader(train_dss[i],
                   batch_size=opt.batch_size,
                   shuffle=True,
                   num_workers=opt.workers,
                   pin_memory=torch.cuda.is_available())
        for i in range(opt.models_ensemble)
    ]

    val_dss = [
        CacheDataset(data=val_files[i], transform=val_transforms)
        for i in range(opt.models_ensemble)
    ]
    val_loaders = [
        DataLoader(val_dss[i],
                   batch_size=1,
                   num_workers=opt.workers,
                   pin_memory=torch.cuda.is_available())
        for i in range(opt.models_ensemble)
    ]

    test_ds = CacheDataset(data=test_files, transform=val_transforms)
    test_loader = DataLoader(test_ds,
                             batch_size=1,
                             num_workers=opt.workers,
                             pin_memory=torch.cuda.is_available())

    def train(index):

        # ---------- Build the nn-Unet network ------------

        if opt.resolution is None:
            sizes, spacings = opt.patch_size, opt.spacing
        else:
            sizes, spacings = opt.patch_size, opt.resolution

        strides, kernels = [], []

        while True:
            spacing_ratio = [sp / min(spacings) for sp in spacings]
            stride = [
                2 if ratio <= 2 and size >= 8 else 1
                for (ratio, size) in zip(spacing_ratio, sizes)
            ]
            kernel = [3 if ratio <= 2 else 1 for ratio in spacing_ratio]
            if all(s == 1 for s in stride):
                break
            sizes = [i / j for i, j in zip(sizes, stride)]
            spacings = [i * j for i, j in zip(spacings, stride)]
            kernels.append(kernel)
            strides.append(stride)
        strides.insert(0, len(spacings) * [1])
        kernels.append(len(spacings) * [3])

        net = monai.networks.nets.DynUNet(
            spatial_dims=3,
            in_channels=opt.in_channels,
            out_channels=opt.out_channels,
            kernel_size=kernels,
            strides=strides,
            upsample_kernel_size=strides[1:],
            res_block=True,
            # act=act_type,
            # norm=Norm.BATCH,
        ).to(device)

        from torch.autograd import Variable
        from torchsummaryX import summary

        data = Variable(
            torch.randn(int(opt.batch_size), int(opt.in_channels),
                        int(opt.patch_size[0]), int(opt.patch_size[1]),
                        int(opt.patch_size[2]))).cuda()

        out = net(data)
        summary(net, data)
        print("out size: {}".format(out.size()))

        # if opt.preload is not None:
        #     net.load_state_dict(torch.load(opt.preload))

        # ---------- ------------------------ ------------

        optim = torch.optim.Adam(net.parameters(), lr=opt.lr)
        lr_scheduler = torch.optim.lr_scheduler.LambdaLR(
            optim, lr_lambda=lambda epoch: (1 - epoch / opt.epochs)**0.9)

        loss_function = monai.losses.DiceCELoss(sigmoid=True)

        val_post_transforms = Compose([
            Activationsd(keys="pred", sigmoid=True),
            AsDiscreted(keys="pred", threshold_values=True),
            # KeepLargestConnectedComponentd(keys="pred", applied_labels=[1])
        ])

        val_handlers = [
            StatsHandler(output_transform=lambda x: None),
            CheckpointSaver(save_dir="./runs/",
                            save_dict={"net": net},
                            save_key_metric=True),
        ]

        evaluator = SupervisedEvaluator(
            device=device,
            val_data_loader=val_loaders[index],
            network=net,
            inferer=SlidingWindowInferer(roi_size=opt.patch_size,
                                         sw_batch_size=opt.batch_size,
                                         overlap=0.5),
            post_transform=val_post_transforms,
            key_val_metric={
                "val_mean_dice":
                MeanDice(
                    include_background=True,
                    output_transform=lambda x: (x["pred"], x["label"]),
                )
            },
            val_handlers=val_handlers)

        train_post_transforms = Compose([
            Activationsd(keys="pred", sigmoid=True),
            AsDiscreted(keys="pred", threshold_values=True),
            # KeepLargestConnectedComponentd(keys="pred", applied_labels=[1]),
        ])

        train_handlers = [
            ValidationHandler(validator=evaluator,
                              interval=5,
                              epoch_level=True),
            LrScheduleHandler(lr_scheduler=lr_scheduler, print_lr=True),
            StatsHandler(tag_name="train_loss",
                         output_transform=lambda x: x["loss"]),
            CheckpointSaver(save_dir="./runs/",
                            save_dict={
                                "net": net,
                                "opt": optim
                            },
                            save_final=True,
                            epoch_level=True),
        ]

        trainer = SupervisedTrainer(
            device=device,
            max_epochs=opt.epochs,
            train_data_loader=train_loaders[index],
            network=net,
            optimizer=optim,
            loss_function=loss_function,
            inferer=SimpleInferer(),
            post_transform=train_post_transforms,
            amp=False,
            train_handlers=train_handlers,
        )
        trainer.run()
        return net

    models = [train(i) for i in range(opt.models_ensemble)]

    # -------- Test the models ---------

    def ensemble_evaluate(post_transforms, models):

        evaluator = EnsembleEvaluator(
            device=device,
            val_data_loader=test_loader,
            pred_keys=opt.pred_keys,
            networks=models,
            inferer=SlidingWindowInferer(roi_size=opt.patch_size,
                                         sw_batch_size=opt.batch_size,
                                         overlap=0.5),
            post_transform=post_transforms,
            key_val_metric={
                "test_mean_dice":
                MeanDice(
                    include_background=True,
                    output_transform=lambda x: (x["pred"], x["label"]),
                )
            },
        )
        evaluator.run()

    mean_post_transforms = Compose([
        MeanEnsembled(
            keys=opt.pred_keys,
            output_key="pred",
            # in this particular example, we use validation metrics as weights
            weights=opt.weights_models,
        ),
        Activationsd(keys="pred", sigmoid=True),
        AsDiscreted(keys="pred", threshold_values=True),
        # KeepLargestConnectedComponentd(keys="pred", applied_labels=[1])
    ])

    print('Results from MeanEnsembled:')
    ensemble_evaluate(mean_post_transforms, models)

    vote_post_transforms = Compose([
        Activationsd(keys=opt.pred_keys, sigmoid=True),
        # transform data into discrete before voting
        AsDiscreted(keys=opt.pred_keys, threshold_values=True),
        # KeepLargestConnectedComponentd(keys="pred", applied_labels=[1]),
        VoteEnsembled(keys=opt.pred_keys, output_key="pred"),
    ])

    print('Results from VoteEnsembled:')
    ensemble_evaluate(vote_post_transforms, models)
Esempio n. 7
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def train(n_feat,
          crop_size,
          bs,
          ep,
          optimizer="rmsprop",
          lr=5e-4,
          pretrain=None):
    model_name = f"./HaN_{n_feat}_{bs}_{ep}_{crop_size}_{lr}_"
    print(f"save the best model as '{model_name}' during training.")

    crop_size = [int(cz) for cz in crop_size.split(",")]
    print(f"input image crop_size: {crop_size}")

    # starting training set loader
    train_images = ImageLabelDataset(path=TRAIN_PATH, n_class=N_CLASSES)
    if np.any([cz == -1 for cz in crop_size]):  # using full image
        train_transform = Compose([
            AddChannelDict(keys="image"),
            Rand3DElasticd(
                keys=("image", "label"),
                spatial_size=crop_size,
                sigma_range=(10, 50),  # 30
                magnitude_range=(600, 1200),  # 1000
                prob=0.8,
                rotate_range=(np.pi / 12, np.pi / 12, np.pi / 12),
                shear_range=(np.pi / 18, np.pi / 18, np.pi / 18),
                translate_range=tuple(sz * 0.05 for sz in crop_size),
                scale_range=(0.2, 0.2, 0.2),
                mode=("bilinear", "nearest"),
                padding_mode=("border", "zeros"),
            ),
        ])
        train_dataset = Dataset(train_images, transform=train_transform)
        # when bs > 1, the loader assumes that the full image sizes are the same across the dataset
        train_dataloader = torch.utils.data.DataLoader(train_dataset,
                                                       num_workers=4,
                                                       batch_size=bs,
                                                       shuffle=True)
    else:
        # draw balanced foreground/background window samples according to the ground truth label
        train_transform = Compose([
            AddChannelDict(keys="image"),
            SpatialPadd(
                keys=("image", "label"),
                spatial_size=crop_size),  # ensure image size >= crop_size
            RandCropByPosNegLabeld(keys=("image", "label"),
                                   label_key="label",
                                   spatial_size=crop_size,
                                   num_samples=bs),
            Rand3DElasticd(
                keys=("image", "label"),
                spatial_size=crop_size,
                sigma_range=(10, 50),  # 30
                magnitude_range=(600, 1200),  # 1000
                prob=0.8,
                rotate_range=(np.pi / 12, np.pi / 12, np.pi / 12),
                shear_range=(np.pi / 18, np.pi / 18, np.pi / 18),
                translate_range=tuple(sz * 0.05 for sz in crop_size),
                scale_range=(0.2, 0.2, 0.2),
                mode=("bilinear", "nearest"),
                padding_mode=("border", "zeros"),
            ),
        ])
        train_dataset = Dataset(train_images, transform=train_transform
                                )  # each dataset item is a list of windows
        train_dataloader = torch.utils.data.DataLoader(  # stack each dataset item into a single tensor
            train_dataset,
            num_workers=4,
            batch_size=1,
            shuffle=True,
            collate_fn=list_data_collate)
    first_sample = first(train_dataloader)
    print(first_sample["image"].shape)

    # starting validation set loader
    val_transform = Compose([AddChannelDict(keys="image")])
    val_dataset = Dataset(ImageLabelDataset(VAL_PATH, n_class=N_CLASSES),
                          transform=val_transform)
    val_dataloader = torch.utils.data.DataLoader(val_dataset,
                                                 num_workers=1,
                                                 batch_size=1)
    print(val_dataset[0]["image"].shape)
    print(
        f"training images: {len(train_dataloader)}, validation images: {len(val_dataloader)}"
    )

    model = UNetPipe(spatial_dims=3,
                     in_channels=1,
                     out_channels=N_CLASSES,
                     n_feat=n_feat)
    model = flatten_sequential(model)
    lossweight = torch.from_numpy(
        np.array([2.22, 1.31, 1.99, 1.13, 1.93, 1.93, 1.0, 1.0, 1.90, 1.98],
                 np.float32))

    if optimizer.lower() == "rmsprop":
        optimizer = torch.optim.RMSprop(model.parameters(), lr=lr)  # lr = 5e-4
    elif optimizer.lower() == "momentum":
        optimizer = torch.optim.SGD(model.parameters(), lr=lr,
                                    momentum=0.9)  # lr = 1e-4 for finetuning
    else:
        raise ValueError(
            f"Unknown optimizer type {optimizer}. (options are 'rmsprop' and 'momentum')."
        )

    # config GPipe
    x = first_sample["image"].float()
    x = torch.autograd.Variable(x.cuda())
    partitions = torch.cuda.device_count()
    print(f"partition: {partitions}, input: {x.size()}")
    balance = balance_by_size(partitions, model, x)
    model = GPipe(model, balance, chunks=4, checkpoint="always")

    # config loss functions
    dice_loss_func = DiceLoss(softmax=True, reduction="none")
    # use the same pipeline and loss in
    # AnatomyNet: Deep learning for fast and fully automated whole‐volume segmentation of head and neck anatomy,
    # Medical Physics, 2018.
    focal_loss_func = FocalLoss(reduction="none")

    if pretrain:
        print(f"loading from {pretrain}.")
        pretrained_dict = torch.load(pretrain)["weight"]
        model_dict = model.state_dict()
        pretrained_dict = {
            k: v
            for k, v in pretrained_dict.items() if k in model_dict
        }
        model_dict.update(pretrained_dict)
        model.load_state_dict(pretrained_dict)

    b_time = time.time()
    best_val_loss = [0] * (N_CLASSES - 1)  # foreground
    for epoch in range(ep):
        model.train()
        trainloss = 0
        for b_idx, data_dict in enumerate(train_dataloader):
            x_train = data_dict["image"]
            y_train = data_dict["label"]
            flagvec = data_dict["with_complete_groundtruth"]

            x_train = torch.autograd.Variable(x_train.cuda())
            y_train = torch.autograd.Variable(y_train.cuda().float())
            optimizer.zero_grad()
            o = model(x_train).to(0, non_blocking=True).float()

            loss = (dice_loss_func(o, y_train.to(o)) * flagvec.to(o) *
                    lossweight.to(o)).mean()
            loss += 0.5 * (focal_loss_func(o, y_train.to(o)) * flagvec.to(o) *
                           lossweight.to(o)).mean()
            loss.backward()
            optimizer.step()
            trainloss += loss.item()

            if b_idx % 20 == 0:
                print(
                    f"Train Epoch: {epoch} [{b_idx}/{len(train_dataloader)}] \tLoss: {loss.item()}"
                )
        print(f"epoch {epoch} TRAIN loss {trainloss / len(train_dataloader)}")

        if epoch % 10 == 0:
            model.eval()
            # check validation dice
            val_loss = [0] * (N_CLASSES - 1)
            n_val = [0] * (N_CLASSES - 1)
            for data_dict in val_dataloader:
                x_val = data_dict["image"]
                y_val = data_dict["label"]
                with torch.no_grad():
                    x_val = torch.autograd.Variable(x_val.cuda())
                o = model(x_val).to(0, non_blocking=True)
                loss = compute_meandice(o,
                                        y_val.to(o),
                                        mutually_exclusive=True,
                                        include_background=False)
                val_loss = [
                    l.item() + tl if l == l else tl
                    for l, tl in zip(loss[0], val_loss)
                ]
                n_val = [
                    n + 1 if l == l else n for l, n in zip(loss[0], n_val)
                ]
            val_loss = [l / n for l, n in zip(val_loss, n_val)]
            print(
                "validation scores %.4f, %.4f, %.4f, %.4f, %.4f, %.4f, %.4f, %.4f, %.4f"
                % tuple(val_loss))
            for c in range(1, 10):
                if best_val_loss[c - 1] < val_loss[c - 1]:
                    best_val_loss[c - 1] = val_loss[c - 1]
                    state = {
                        "epoch": epoch,
                        "weight": model.state_dict(),
                        "score_" + str(c): best_val_loss[c - 1]
                    }
                    torch.save(state, f"{model_name}" + str(c))
            print(
                "best validation scores %.4f, %.4f, %.4f, %.4f, %.4f, %.4f, %.4f, %.4f, %.4f"
                % tuple(best_val_loss))

    print("total time", time.time() - b_time)
def main():
    opt = Options().parse()
    # monai.config.print_config()
    logging.basicConfig(stream=sys.stdout, level=logging.INFO)

    # check gpus
    if opt.gpu_ids != '-1':
        num_gpus = len(opt.gpu_ids.split(','))
    else:
        num_gpus = 0
    print('number of GPU:', num_gpus)

    # Data loader creation
    # train images
    train_images = sorted(glob(os.path.join(opt.images_folder, 'train', 'image*.nii')))
    train_segs = sorted(glob(os.path.join(opt.labels_folder, 'train', 'label*.nii')))

    train_images_for_dice = sorted(glob(os.path.join(opt.images_folder, 'train', 'image*.nii')))
    train_segs_for_dice = sorted(glob(os.path.join(opt.labels_folder, 'train', 'label*.nii')))

    # validation images
    val_images = sorted(glob(os.path.join(opt.images_folder, 'val', 'image*.nii')))
    val_segs = sorted(glob(os.path.join(opt.labels_folder, 'val', 'label*.nii')))

    # test images
    test_images = sorted(glob(os.path.join(opt.images_folder, 'test', 'image*.nii')))
    test_segs = sorted(glob(os.path.join(opt.labels_folder, 'test', 'label*.nii')))

    # augment the data list for training
    for i in range(int(opt.increase_factor_data)):
    
        train_images.extend(train_images)
        train_segs.extend(train_segs)

    print('Number of training patches per epoch:', len(train_images))
    print('Number of training images per epoch:', len(train_images_for_dice))
    print('Number of validation images per epoch:', len(val_images))
    print('Number of test images per epoch:', len(test_images))

    # Creation of data directories for data_loader

    train_dicts = [{'image': image_name, 'label': label_name}
                  for image_name, label_name in zip(train_images, train_segs)]

    train_dice_dicts = [{'image': image_name, 'label': label_name}
                   for image_name, label_name in zip(train_images_for_dice, train_segs_for_dice)]

    val_dicts = [{'image': image_name, 'label': label_name}
                   for image_name, label_name in zip(val_images, val_segs)]

    test_dicts = [{'image': image_name, 'label': label_name}
                 for image_name, label_name in zip(test_images, test_segs)]

    # Transforms list

    if opt.resolution is not None:
        train_transforms = [
            LoadImaged(keys=['image', 'label']),
            AddChanneld(keys=['image', 'label']),
            # ThresholdIntensityd(keys=['image'], threshold=-135, above=True, cval=-135),  # CT HU filter
            # ThresholdIntensityd(keys=['image'], threshold=215, above=False, cval=215),
            CropForegroundd(keys=['image', 'label'], source_key='image'),               # crop CropForeground

            NormalizeIntensityd(keys=['image']),                                          # augmentation
            ScaleIntensityd(keys=['image']),                                              # intensity
            Spacingd(keys=['image', 'label'], pixdim=opt.resolution, mode=('bilinear', 'nearest')),  # resolution

            RandFlipd(keys=['image', 'label'], prob=0.15, spatial_axis=1),
            RandFlipd(keys=['image', 'label'], prob=0.15, spatial_axis=0),
            RandFlipd(keys=['image', 'label'], prob=0.15, spatial_axis=2),
            RandAffined(keys=['image', 'label'], mode=('bilinear', 'nearest'), prob=0.1,
                        rotate_range=(np.pi / 36, np.pi / 36, np.pi * 2), padding_mode="zeros"),
            RandAffined(keys=['image', 'label'], mode=('bilinear', 'nearest'), prob=0.1,
                        rotate_range=(np.pi / 36, np.pi / 2, np.pi / 36), padding_mode="zeros"),
            RandAffined(keys=['image', 'label'], mode=('bilinear', 'nearest'), prob=0.1,
                        rotate_range=(np.pi / 2, np.pi / 36, np.pi / 36), padding_mode="zeros"),
            Rand3DElasticd(keys=['image', 'label'], mode=('bilinear', 'nearest'), prob=0.1,
                           sigma_range=(5, 8), magnitude_range=(100, 200), scale_range=(0.15, 0.15, 0.15),
                           padding_mode="zeros"),
            RandGaussianSmoothd(keys=["image"], sigma_x=(0.5, 1.15), sigma_y=(0.5, 1.15), sigma_z=(0.5, 1.15), prob=0.1,),
            RandAdjustContrastd(keys=['image'], gamma=(0.5, 2.5), prob=0.1),
            RandGaussianNoised(keys=['image'], prob=0.1, mean=np.random.uniform(0, 0.5), std=np.random.uniform(0, 15)),
            RandShiftIntensityd(keys=['image'], offsets=np.random.uniform(0,0.3), prob=0.1),

            SpatialPadd(keys=['image', 'label'], spatial_size=opt.patch_size, method= 'end'),  # pad if the image is smaller than patch
            RandSpatialCropd(keys=['image', 'label'], roi_size=opt.patch_size, random_size=False),
            ToTensord(keys=['image', 'label'])
        ]

        val_transforms = [
            LoadImaged(keys=['image', 'label']),
            AddChanneld(keys=['image', 'label']),
            # ThresholdIntensityd(keys=['image'], threshold=-135, above=True, cval=-135),
            # ThresholdIntensityd(keys=['image'], threshold=215, above=False, cval=215),
            CropForegroundd(keys=['image', 'label'], source_key='image'),                   # crop CropForeground

            NormalizeIntensityd(keys=['image']),                                      # intensity
            ScaleIntensityd(keys=['image']),
            Spacingd(keys=['image', 'label'], pixdim=opt.resolution, mode=('bilinear', 'nearest')),  # resolution

            SpatialPadd(keys=['image', 'label'], spatial_size=opt.patch_size, method= 'end'),  # pad if the image is smaller than patch
            ToTensord(keys=['image', 'label'])
        ]
    else:
        train_transforms = [
            LoadImaged(keys=['image', 'label']),
            AddChanneld(keys=['image', 'label']),
            # ThresholdIntensityd(keys=['image'], threshold=-135, above=True, cval=-135),
            # ThresholdIntensityd(keys=['image'], threshold=215, above=False, cval=215),
            CropForegroundd(keys=['image', 'label'], source_key='image'),               # crop CropForeground

            NormalizeIntensityd(keys=['image']),                                          # augmentation
            ScaleIntensityd(keys=['image']),                                              # intensity

            RandFlipd(keys=['image', 'label'], prob=0.15, spatial_axis=1),
            RandFlipd(keys=['image', 'label'], prob=0.15, spatial_axis=0),
            RandFlipd(keys=['image', 'label'], prob=0.15, spatial_axis=2),
            RandAffined(keys=['image', 'label'], mode=('bilinear', 'nearest'), prob=0.1,
                        rotate_range=(np.pi / 36, np.pi / 36, np.pi * 2), padding_mode="zeros"),
            RandAffined(keys=['image', 'label'], mode=('bilinear', 'nearest'), prob=0.1,
                        rotate_range=(np.pi / 36, np.pi / 2, np.pi / 36), padding_mode="zeros"),
            RandAffined(keys=['image', 'label'], mode=('bilinear', 'nearest'), prob=0.1,
                        rotate_range=(np.pi / 2, np.pi / 36, np.pi / 36), padding_mode="zeros"),
            Rand3DElasticd(keys=['image', 'label'], mode=('bilinear', 'nearest'), prob=0.1,
                           sigma_range=(5, 8), magnitude_range=(100, 200), scale_range=(0.15, 0.15, 0.15),
                           padding_mode="zeros"),
            RandGaussianSmoothd(keys=["image"], sigma_x=(0.5, 1.15), sigma_y=(0.5, 1.15), sigma_z=(0.5, 1.15), prob=0.1,),
            RandAdjustContrastd(keys=['image'], gamma=(0.5, 2.5), prob=0.1),
            RandGaussianNoised(keys=['image'], prob=0.1, mean=np.random.uniform(0, 0.5), std=np.random.uniform(0, 1)),
            RandShiftIntensityd(keys=['image'], offsets=np.random.uniform(0,0.3), prob=0.1),

            SpatialPadd(keys=['image', 'label'], spatial_size=opt.patch_size, method= 'end'),  # pad if the image is smaller than patch
            RandSpatialCropd(keys=['image', 'label'], roi_size=opt.patch_size, random_size=False),
            ToTensord(keys=['image', 'label'])
        ]

        val_transforms = [
            LoadImaged(keys=['image', 'label']),
            AddChanneld(keys=['image', 'label']),
            # ThresholdIntensityd(keys=['image'], threshold=-135, above=True, cval=-135),
            # ThresholdIntensityd(keys=['image'], threshold=215, above=False, cval=215),
            CropForegroundd(keys=['image', 'label'], source_key='image'),                   # crop CropForeground

            NormalizeIntensityd(keys=['image']),                                      # intensity
            ScaleIntensityd(keys=['image']),

            SpatialPadd(keys=['image', 'label'], spatial_size=opt.patch_size, method= 'end'),  # pad if the image is smaller than patch
            ToTensord(keys=['image', 'label'])
        ]

    train_transforms = Compose(train_transforms)
    val_transforms = Compose(val_transforms)

    # create a training data loader
    check_train = monai.data.Dataset(data=train_dicts, transform=train_transforms)
    train_loader = DataLoader(check_train, batch_size=opt.batch_size, shuffle=True, collate_fn=list_data_collate, num_workers=opt.workers, pin_memory=False)

    # create a training_dice data loader
    check_val = monai.data.Dataset(data=train_dice_dicts, transform=val_transforms)
    train_dice_loader = DataLoader(check_val, batch_size=1, num_workers=opt.workers, collate_fn=list_data_collate, pin_memory=False)

    # create a validation data loader
    check_val = monai.data.Dataset(data=val_dicts, transform=val_transforms)
    val_loader = DataLoader(check_val, batch_size=1, num_workers=opt.workers, collate_fn=list_data_collate, pin_memory=False)

    # create a validation data loader
    check_val = monai.data.Dataset(data=test_dicts, transform=val_transforms)
    test_loader = DataLoader(check_val, batch_size=1, num_workers=opt.workers, collate_fn=list_data_collate, pin_memory=False)

    # build the network
    if opt.network is 'nnunet':
        net = build_net()  # nn build_net
    elif opt.network is 'unetr':
        net = build_UNETR() # UneTR
    net.cuda()

    if num_gpus > 1:
        net = torch.nn.DataParallel(net)

    if opt.preload is not None:
        net.load_state_dict(torch.load(opt.preload))

    dice_metric = DiceMetric(include_background=True, reduction="mean", get_not_nans=False)
    post_trans = Compose([EnsureType(), Activations(sigmoid=True), AsDiscrete(threshold_values=True)])

    loss_function = monai.losses.DiceCELoss(sigmoid=True)
    torch.backends.cudnn.benchmark = opt.benchmark


    if opt.network is 'nnunet':

        optim = torch.optim.SGD(net.parameters(), lr=opt.lr, momentum=0.99, weight_decay=3e-5, nesterov=True,)
        net_scheduler = torch.optim.lr_scheduler.LambdaLR(optim, lr_lambda=lambda epoch: (1 - epoch / opt.epochs) ** 0.9)

    elif opt.network is 'unetr':

        optim = torch.optim.AdamW(net.parameters(), lr=1e-4, weight_decay=1e-5)

    # start a typical PyTorch training
    val_interval = 1
    best_metric = -1
    best_metric_epoch = -1
    epoch_loss_values = list()
    writer = SummaryWriter()
    for epoch in range(opt.epochs):
        print("-" * 10)
        print(f"epoch {epoch + 1}/{opt.epochs}")
        net.train()
        epoch_loss = 0
        step = 0
        for batch_data in train_loader:
            step += 1
            inputs, labels = batch_data["image"].cuda(), batch_data["label"].cuda()
            optim.zero_grad()
            outputs = net(inputs)
            loss = loss_function(outputs, labels)
            loss.backward()
            optim.step()
            epoch_loss += loss.item()
            epoch_len = len(check_train) // train_loader.batch_size
            print(f"{step}/{epoch_len}, train_loss: {loss.item():.4f}")
            writer.add_scalar("train_loss", loss.item(), epoch_len * epoch + step)
        epoch_loss /= step
        epoch_loss_values.append(epoch_loss)
        print(f"epoch {epoch + 1} average loss: {epoch_loss:.4f}")
        if opt.network is 'nnunet':
            update_learning_rate(net_scheduler, optim)

        if (epoch + 1) % val_interval == 0:
            net.eval()
            with torch.no_grad():

                def plot_dice(images_loader):

                    val_images = None
                    val_labels = None
                    val_outputs = None
                    for data in images_loader:
                        val_images, val_labels = data["image"].cuda(), data["label"].cuda()
                        roi_size = opt.patch_size
                        sw_batch_size = 4
                        val_outputs = sliding_window_inference(val_images, roi_size, sw_batch_size, net)
                        val_outputs = [post_trans(i) for i in decollate_batch(val_outputs)]
                        dice_metric(y_pred=val_outputs, y=val_labels)

                    # aggregate the final mean dice result
                    metric = dice_metric.aggregate().item()
                    # reset the status for next validation round
                    dice_metric.reset()

                    return metric, val_images, val_labels, val_outputs

                metric, val_images, val_labels, val_outputs = plot_dice(val_loader)

                # Save best model
                if metric > best_metric:
                    best_metric = metric
                    best_metric_epoch = epoch + 1
                    torch.save(net.state_dict(), "best_metric_model.pth")
                    print("saved new best metric model")

                metric_train, train_images, train_labels, train_outputs = plot_dice(train_dice_loader)
                metric_test, test_images, test_labels, test_outputs = plot_dice(test_loader)

                # Logger bar
                print(
                    "current epoch: {} Training dice: {:.4f} Validation dice: {:.4f} Testing dice: {:.4f} Best Validation dice: {:.4f} at epoch {}".format(
                        epoch + 1, metric_train, metric, metric_test, best_metric, best_metric_epoch
                    )
                )

                writer.add_scalar("Mean_epoch_loss", epoch_loss, epoch + 1)
                writer.add_scalar("Testing_dice", metric_test, epoch + 1)
                writer.add_scalar("Training_dice", metric_train, epoch + 1)
                writer.add_scalar("Validation_dice", metric, epoch + 1)
                # plot the last model output as GIF image in TensorBoard with the corresponding image and label
                # val_outputs = (val_outputs.sigmoid() >= 0.5).float()
                plot_2d_or_3d_image(val_images, epoch + 1, writer, index=0, tag="validation image")
                plot_2d_or_3d_image(val_labels, epoch + 1, writer, index=0, tag="validation label")
                plot_2d_or_3d_image(val_outputs, epoch + 1, writer, index=0, tag="validation inference")
                plot_2d_or_3d_image(test_images, epoch + 1, writer, index=0, tag="test image")
                plot_2d_or_3d_image(test_labels, epoch + 1, writer, index=0, tag="test label")
                plot_2d_or_3d_image(test_outputs, epoch + 1, writer, index=0, tag="test inference")

    print(f"train completed, best_metric: {best_metric:.4f} at epoch: {best_metric_epoch}")
    writer.close()