Cancer is one of the diseases that kill the most women in the world, with breast cancer being responsible for the highest number of cancer cases and consequently deaths. However, it can be prevented by early detection and, consequently, early treatment. Any development for detection or perdition this kind of cancer is important for a better healthy life. Many studies focus on a model with high accuracy in cancer prediction, but sometimes accuracy alone may not always be a reliable metric. This study implies an investigative approach to studying the performance of different machine learning algorithms based on boosting to predict breast cancer focusing on the recall metric. Boosting machine learning algorithms has been proven to be an effective tool for detecting medical diseases. The dataset of the University of California, Irvine (UCI) repository has been utilized to train and test the model classifier that contains their attributes. The main objective of this study is to use state-of-the-art boosting algorithms such as AdaBoost, XGBoost, CatBoost and LightGBM to predict and diagnose breast cancer and to find the most effective metric regarding recall, ROC-AUC, and confusion matrix. Furthermore, our study is the first to use these four boosting algorithms with Optuna, a library for hyperparameter optimization, and the SHAP method to improve the interpretability of our model, which can be used as a support to identify and predict breast cancer. We were able to improve AUC or recall for all the models and reduce the False Negative for AdaBoost and LigthGBM the final AUC were more than 99.41\% for all models.
Deep learning has shown to have great potential in medical applications. In critical domains as such, it is of high interest to have trustworthy algorithms which are able to tell when reliable assessments cannot be guaranteed. Detecting out-of-distribution (OOD) samples is a crucial step towards building a safe classifier. Following a previous study, showing that it is possible to classify breast cancer in point-of-care ultrasound images, this study investigates OOD detection using three different methods: softmax, energy score and deep ensembles. All methods are tested on three different OOD data sets. The results show that the energy score method outperforms the softmax method, performing well on two of the data sets. The ensemble method is the most robust, performing the best at detecting OOD samples for all three OOD data sets.
This paper proposes an efficient system for classifying cervical cancer cells using pre-trained convolutional neural networks (CNNs). We first fine-tune five pre-trained CNNs and minimize the overall cost of misclassification by prioritizing accuracy for certain classes that have higher associated costs or importance. To further enhance the performance of the models, supervised contrastive learning is included to make the models more adept at capturing important features and patterns. Extensive experimentation are conducted to evaluate the proposed system on the SIPaKMeD dataset. The experimental results demonstrate the effectiveness of the developed system, achieving an accuracy of 97.29%. To make our system more trustworthy, we have employed several explainable AI techniques to interpret how the models reached a specific decision. The implementation of the system can be found at - https://github.com/isha-67/CervicalCancerStudy.
Traditional deep learning approaches for breast cancer classification has predominantly concentrated on single-view analysis. In clinical practice, however, radiologists concurrently examine all views within a mammography exam, leveraging the inherent correlations in these views to effectively detect tumors. Acknowledging the significance of multi-view analysis, some studies have introduced methods that independently process mammogram views, either through distinct convolutional branches or simple fusion strategies, inadvertently leading to a loss of crucial inter-view correlations. In this paper, we propose an innovative multi-view network exclusively based on transformers to address challenges in mammographic image classification. Our approach introduces a novel shifted window-based dynamic attention block, facilitating the effective integration of multi-view information and promoting the coherent transfer of this information between views at the spatial feature map level. Furthermore, we conduct a comprehensive comparative analysis of the performance and effectiveness of transformer-based models under diverse settings, employing the CBIS-DDSM and Vin-Dr Mammo datasets. Our code is publicly available at https://github.com/prithuls/MV-Swin-T
Lung cancer (LC) remains a leading cause of death worldwide. Early diagnosis is critical to protect innocent human lives. Computed tomography (CT) scans are one of the primary imaging modalities for lung cancer diagnosis. However, manual CT scan analysis is time-consuming and prone to errors/not accurate. Considering these shortcomings, computational methods especially machine learning and deep learning algorithms are leveraged as an alternative to accelerate the accurate detection of CT scans as cancerous, and non-cancerous. In the present article, we proposed a novel transfer learning-based predictor called, Lung-EffNet for lung cancer classification. Lung-EffNet is built based on the architecture of EfficientNet and further modified by adding top layers in the classification head of the model. Lung-EffNet is evaluated by utilizing five variants of EfficientNet i. e., B0–B4. The experiments are conducted on the benchmark dataset “IQ-OTH/NCCD” for lung cancer patients grouped as benign, malignant, or normal based on the presence or absence of lung cancer. The class imbalance issue was handled through multiple data augmentation methods to overcome the biases. The developed model Lung-EffNet attained 99.10% of accuracy and a score of 0.97 to 0.99 of ROC on the test set. We compared the efficacy of the proposed fine-tuned pre-trained EfficientNet with other pre-trained CNN architectures. The predicted outcomes demonstrate that EfficientNetB1 based Lung-EffNet outperforms other CNNs in terms of both accuracy and efficiency. Moreover, it is faster and requires fewer parameters to train than other CNN based models, making it a good choice for large-scale deployment in clinical settings and a promising tool for automated lung cancer diagnosis from CT scan images.
Breast Ultrasound plays a vital role in cancer diagnosis as a non-invasive approach with cost-effective. In recent years, with the development of deep learning, many CNN-based approaches have been widely researched in both tumor localization and cancer classification tasks. Even though previous single models achieved great performance in both tasks, these methods have some limitations in inference time, GPU requirement, and separate fine-tuning for each model. In this study, we aim to redesign and build end-to-end multi-task architecture to conduct both segmentation and classification. With our proposed approach, we achieved outstanding performance and time efficiency, with 79.8% and 86.4% in DeepLabV3+ architecture in the segmentation task.
Skin cancer is a global health concern, necessitating early and accurate diagnosis for improved patient outcomes. This study introduces a groundbreaking approach to skin cancer classification, employing the Vision Transformer, a state-of-the-art deep learning architecture renowned for its success in diverse image analysis tasks. Utilizing the HAM10000 dataset of 10,015 meticulously annotated skin lesion images, the model undergoes preprocessing for enhanced robustness. The Vision Transformer, adapted to the skin cancer classification task, leverages the self-attention mechanism to capture intricate spatial dependencies, achieving superior performance over traditional deep learning architectures. Segment Anything Model aids in precise segmentation of cancerous areas, attaining high IOU and Dice Coefficient. Extensive experiments highlight the model's supremacy, particularly the Google-based ViT patch-32 variant, which achieves 96.15% accuracy and showcases potential as an effective tool for dermatologists in skin cancer diagnosis, contributing to advancements in dermatological practices.
Classifying hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (ICC) is a critical step in treatment selection and prognosis evaluation for patients with liver diseases. Traditional histopathological diagnosis poses challenges in this context. In this study, we introduce a novel polarization and radiomics feature fusion network, which combines polarization features obtained from Mueller matrix images of liver pathological samples with radiomics features derived from corresponding pathological images to classify HCC and ICC. Our fusion network integrates a two-tier fusion approach, comprising early feature-level fusion and late classification-level fusion. By harnessing the strengths of polarization imaging techniques and image feature-based machine learning, our proposed fusion network significantly enhances classification accuracy. Notably, even at reduced imaging resolutions, the fusion network maintains robust performance due to the additional information provided by polarization features, which may not align with human visual perception. Our experimental results underscore the potential of this fusion network as a powerful tool for computer-aided diagnosis of HCC and ICC, showcasing the benefits and prospects of integrating polarization imaging techniques into the current image-intensive digital pathological diagnosis. We aim to contribute this innovative approach to top-tier journals, offering fresh insights and valuable tools in the fields of medical imaging and cancer diagnosis. By introducing polarization imaging into liver cancer classification, we demonstrate its interdisciplinary potential in addressing challenges in medical image analysis, promising advancements in medical imaging and cancer diagnosis.
Breast cancer(BC) is a prevalent type of malignant tumor in women. Early diagnosis and treatment are vital for enhancing the patients' survival rate. Downsampling in deep networks may lead to loss of information, so for compensating the detail and edge information and allowing convolutional neural networks to pay more attention to seek the lesion region, we propose a multi-stages attention architecture based on NSNP neurons with autapses. First, unlike the single-scale attention acquisition methods of existing methods, we set up spatial attention acquisition at each feature map scale of the convolutional network to obtain an fusion global information on attention guidance. Then we introduce a new type of NSNP variants called NSNP neurons with autapses. Specifically, NSNP systems are modularized as feature encoders, recoding the features extracted from convolutional neural network as well as the fusion of attention information and preserve the key characteristic elements in feature maps. This ensures the retention of valuable data while gradually transforming high-dimensional complicated info into low-dimensional ones. The proposed method is evaluated on the public dataset BreakHis at various magnifications and classification tasks. It achieves a classification accuracy of 96.32% at all magnification cases, outperforming state-of-the-art methods. Ablation studies are also performed, verifying the proposed model's efficacy. The source code is available at XhuBobYoung/Breast-cancer-Classification.
Multi-phase CT is widely adopted for the diagnosis of kidney cancer due to the complementary information among phases. However, the complete set of multi-phase CT is often not available in practical clinical applications. In recent years, there have been some studies to generate the missing modality image from the available data. Nevertheless, the generated images are not guaranteed to be effective for the diagnosis task. In this paper, we propose a unified framework for kidney cancer diagnosis with incomplete multi-phase CT, which simultaneously recovers missing CT images and classifies cancer subtypes using the completed set of images. The advantage of our framework is that it encourages a synthesis model to explicitly learn to generate missing CT phases that are helpful for classifying cancer subtypes. We further incorporate lesion segmentation network into our framework to exploit lesion-level features for effective cancer classification in the whole CT volumes. The proposed framework is based on fully 3D convolutional neural networks to jointly optimize both synthesis and classification of 3D CT volumes. Extensive experiments on both in-house and external datasets demonstrate the effectiveness of our framework for the diagnosis with incomplete data compared with state-of-the-art baselines. In particular, cancer subtype classification using the completed CT data by our method achieves higher performance than the classification using the given incomplete data.
Most convolutional neural network (CNN) based methods for skin cancer classification obtain their results using only dermatological images. Although good classification results have been shown, more accurate results can be achieved by considering the patient's metadata, which is valuable clinical information for dermatologists. Current methods only use the simple joint fusion structure (FS) and fusion modules (FMs) for the multi-modal classification methods, there still is room to increase the accuracy by exploring more advanced FS and FM. Therefore, in this paper, we design a new fusion method that combines dermatological images (dermoscopy images or clinical images) and patient metadata for skin cancer classification from the perspectives of FS and FM. First, we propose a joint-individual fusion (JIF) structure that learns the shared features of multi-modality data and preserves specific features simultaneously. Second, we introduce a fusion attention (FA) module that enhances the most relevant image and metadata features based on both the self and mutual attention mechanism to support the decision-making pipeline. We compare the proposed JIF-MMFA method with other state-of-the-art fusion methods on three different public datasets. The results show that our JIF-MMFA method improves the classification results for all tested CNN backbones and performs better than the other fusion methods on the three public datasets, demonstrating our method's effectiveness and robustness
Lung cancer is one of the deadliest diseases and the leading cause of illness and death. Since lung cancer cannot predicted at premature stage, it able to only be discovered more broadly once it has spread to other lung parts. The risk grows when radiologists and other specialists determine whether lung cancer is current. Owing to significance of determining type of treatment and its depth based on severity of the illness, critical to develop smart and automatic cancer prediction scheme is precise, at which stage of cancer. In this paper, Double Integral Enhanced Zeroing Neural Network Optimized with ALSOA fostered Lung Cancer Classification using CT Images (LCC-DIEZNN-ALSO-CTI) is proposed. Initially, input CT image is amassed from lung cancer dataset. The input CT image is pre-processing via Unscented Trainable Kalman Filtering (UTKF) technique. In pre-processing stage unwanted noise are removed from CT images. Afterwards, grayscale statistic features and Haralick texture features extracted by Adaptive and Concise Empirical Wavelet Transform (ACEWT). The proposed model is implemented on MATLAB. The performance of the proposed method is analyzed through existing techniques. The proposed method attains 18.32%, 27.20%, and 34.32% higher accuracy analyzed with existing method likes Deep Learning Assisted Predict of Lung Cancer on Computed Tomography Images Utilizing AHHMM (LCC-AHHMM-CT), Convolutional neural networks based pulmonary nodule malignancy assessment in pipeline for classifying lung cancer (LCC-ICNN-CT), Automated Decision Support Scheme for Lung Cancer Identification with Categorization (LCC-RFCN-MLRPN-CT) methods respectively.
Benefiting from the advancements in deep learning, various genomic analytical techniques, such as survival analysis, classification of tumors and their subtypes, and exploration of specific pathways, have significantly enhanced our understanding of the biological mechanisms driving cancer. However, the overfitting issue, arising from the limited number of patient samples, poses a challenge in improving the accuracy of genome analysis by deepening the neural network. Furthermore, it remains uncertain whether novel approaches such as the sparsely gated mixture of expert (MOE) and self-attention mechanisms can improve the accuracy of genomic analysis. In this paper, we introduce a novel sparsely gated RNA-seq analysis framework called Gene-MOE. This framework exploits the potential of the MOE layers and the proposed mixture of attention expert (MOAE) layers to enhance the analysis accuracy. Additionally, it addresses overfitting challenges by integrating pan-cancer information from 33 distinct cancer types through pre-training.We pre-trained Gene-MOE on TCGA pan-cancer RNA-seq dataset with 33 cancer types. Subsequently, we conducted experiments involving cancer classification and survival analysis based on the pre-trained Gene-MOE. According to the survival analysis results on 14 cancer types, Gene-MOE outperformed state-of-the-art models on 12 cancer types. Through detailed feature analysis, we found that the Gene-MOE model could learn rich feature representations of high-dimensional genes. According to the classification results, the total accuracy of the classification model for 33 cancer classifications reached 95.8%, representing the best performance compared to state-of-the-art models. These results indicate that Gene-MOE holds strong potential for use in cancer classification and survival analysis.
Machine learning (ML) models are becoming integral in healthcare technologies, presenting a critical need for formal assurance to validate their safety, fairness, robustness, and trustworthiness. These models are inherently prone to errors, potentially posing serious risks to patient health and could even cause irreparable harm. Traditional software assurance techniques rely on fixed code and do not directly apply to ML models since these algorithms are adaptable and learn from curated datasets through a training process. However, adapting established principles, such as boundary testing using synthetic test data can effectively bridge this gap. To this end, we present a novel technique called Mix-Up Boundary Analysis (MUBA) that facilitates evaluating image classifiers in terms of prediction fairness. We evaluated MUBA for two important medical imaging tasks -- brain tumour classification and breast cancer classification -- and achieved promising results. This research aims to showcase the importance of adapting traditional assurance principles for assessing ML models to enhance the safety and reliability of healthcare technologies. To facilitate future research, we plan to publicly release our code for MUBA.
Breast cancer is a serious disease that inflicts millions of people each year, and the number of cases is increasing. Early detection is the best way to reduce the impact of the disease. Researchers have developed many techniques to detect breast cancer, including the use of histopathology images in CAD systems. This research proposes a technique that combine already fully trained model using adaptive average ensemble, this is different from the literature which uses average ensemble before training and the average ensemble is trained simultaneously. Our approach is different because it used adaptive average ensemble after training which has increased the performance of evaluation metrics. It averages the outputs of every trained model, and every model will have weight according to its accuracy. The accuracy in the adaptive weighted ensemble model has achieved 98% where the accuracy has increased by 1 percent which is better than the best participating model in the ensemble which was 97%. Also, it decreased the numbers of false positive and false negative and enhanced the performance metrics.
This paper discusses the role of Transfer Learning (TL) and transformers in cancer detection based on image analysis. With the enormous evolution of cancer patients, the identification of cancer cells in a patient's body has emerged as a trend in the field of Artificial Intelligence (AI). This process involves analyzing medical images, such as Computed Tomography (CT) scans and Magnetic Resonance Imaging (MRIs), to identify abnormal growths that may help in cancer detection. Many techniques and methods have been realized to improve the quality and performance of cancer classification and detection, such as TL, which allows the transfer of knowledge from one task to another with the same task or domain. TL englobes many methods, particularly those used in image analysis, such as transformers and Convolutional Neural Network (CNN) models trained on the ImageNet dataset. This paper analyzes and criticizes each method of TL based on image analysis and compares the results of each method, showing that transformers have achieved the best results with an accuracy of 97.41% for colon cancer detection and 94.71% for Histopathological Lung cancer. Future directions for cancer detection based on image analysis are also discussed.
Breast cancer screening, primarily conducted through mammography, is often supplemented with ultrasound for women with dense breast tissue. However, existing deep learning models analyze each modality independently, missing opportunities to integrate information across imaging modalities and time. In this study, we present Multi-modal Transformer (MMT), a neural network that utilizes mammography and ultrasound synergistically, to identify patients who currently have cancer and estimate the risk of future cancer for patients who are currently cancer-free. MMT aggregates multi-modal data through self-attention and tracks temporal tissue changes by comparing current exams to prior imaging. Trained on 1.3 million exams, MMT achieves an AUROC of 0.943 in detecting existing cancers, surpassing strong uni-modal baselines. For 5-year risk prediction, MMT attains an AUROC of 0.826, outperforming prior mammography-based risk models. Our research highlights the value of multi-modal and longitudinal imaging in cancer diagnosis and risk stratification.
Breast Cancer is the most common cancer among women, which is also visible in men, and accounts for more than 1 in 10 new cancer diagnoses each year. It is also the second most common cause of women who die from cancer. Hence, it necessitates early detection and tailored treatment. Early detection can provide appropriate and patient-based therapeutic schedules. Moreover, early detection can also provide the type of cyst. This paper employs class-level data augmentation, addressing the undersampled classes and raising their detection rate. This approach suggests two key components: class-level data augmentation on structure-preserving stain normalization techniques to hematoxylin and eosin-stained images and transformer-based ViTNet architecture via transfer learning for multiclass classification of breast cancer images. This merger enables categorizing breast cancer images with advanced image processing and deep learning as either benign or as one of four distinct malignant subtypes by focusing on class-level augmentation and catering to unique characteristics of each class with increasing precision of classification on undersampled classes, which leads to lower mortality rates associated with breast cancer. The paper aims to ease the duties of the medical specialist by operating multiclass classification and categorizing the image into benign or one of four different malignant types of breast cancers.
Visual explanation (attention)-guided learning uses not only labels but also explanations to guide model reasoning process. While visual attention-guided learning has shown promising results, it requires a large number of explanation annotations that are time-consuming to prepare. However, in many real-world situations, it is usually desired to prompt the model with visual attention without model retraining. For example, when doing AI-assisted cancer classification on a medical image, users (e.g., clinicians) can provide the AI model with visual attention prompt on which areas are indispensable and which are precluded. Despite its promising objectives, achieving visual attention-prompted prediction presents several major challenges: 1) How can the visual prompt be effectively integrated into the model's reasoning process? 2) How should the model handle samples that lack visual prompts? 3) What is the impact on the model's performance when a visual prompt is imperfect? This paper introduces a novel framework for attention-prompted prediction and learning, utilizing visual prompts to steer the model's reasoning process. To improve performance in non-prompted situations and align it with prompted scenarios, we propose a co-training approach for both non-prompted and prompted models, ensuring they share similar parameters and activations. Additionally, for instances where the visual prompt does not encompass the entire input image, we have developed innovative attention prompt refinement methods. These methods interpolate the incomplete prompts while maintaining alignment with the model's explanations. Extensive experiments on four datasets demonstrate the effectiveness of our proposed framework in enhancing predictions for samples both with and without prompt.
Breast cancer is the most widespread neoplasm among women and early detection of this disease is critical. Deep learning techniques have become of great interest to improve diagnostic performance. However, distinguishing between malignant and benign masses in whole mammograms poses a challenge, as they appear nearly identical to an untrained eye, and the region of interest (ROI) constitutes only a small fraction of the entire image. In this paper, we propose a framework, parameterized hypercomplex attention maps (PHAM), to overcome these problems. Specifically, we deploy an augmentation step based on computing attention maps. Then, the attention maps are used to condition the classification step by constructing a multi-dimensional input comprised of the original breast cancer image and the corresponding attention map. In this step, a parameterized hypercomplex neural network (PHNN) is employed to perform breast cancer classification. The framework offers two main advantages. First, attention maps provide critical information regarding the ROI and allow the neural model to concentrate on it. Second, the hypercomplex architecture has the ability to model local relations between input dimensions thanks to hypercomplex algebra rules, thus properly exploiting the information provided by the attention map. We demonstrate the efficacy of the proposed framework on both mammography images as well as histopathological ones. We surpass attention-based state-of-the-art networks and the real-valued counterpart of our approach. The code of our work is available at https://github.com/ispamm/AttentionBCS.