Deep convolutional neural networks (CNNs) have emerged as a new paradigm for Mammogram diagnosis. Contemporary CNN-based computer-aided-diagnosis (CAD) for breast cancer directly extract latent features from input mammogram image and ignore the importance of morphological features. In this paper, we introduce a novel deep learning framework for mammogram image processing, which computes mass segmentation and simultaneously predict diagnosis results. Specifically, our method is constructed in a dual-path architecture that solves the mapping in a dual-problem manner, with an additional consideration of important shape and boundary knowledge. One path called the Locality Preserving Learner (LPL), is devoted to hierarchically extracting and exploiting intrinsic features of the input. Whereas the other path, called the Conditional Graph Learner (CGL) focuses on generating geometrical features via modeling pixel-wise image to mask correlations. By integrating the two learners, both the semantics and structure are well preserved and the component learning paths in return complement each other, contributing an improvement to the mass segmentation and cancer classification problem at the same time. We evaluated our method on two most used public mammography datasets, DDSM and INbreast. Experimental results show that DualCoreNet achieves the best mammography segmentation and classification simultaneously, outperforming recent state-of-the-art models.
Medical image analysis benefits Computer Aided Diagnosis (CADx). A fundamental analyzing approach is the classification of medical images, which serves for skin lesion diagnosis, diabetic retinopathy grading, and cancer classification on histological images. When learning these discriminative classifiers, we observe that the convolutional neural networks (CNNs) are vulnerable to distractor interference. This is due to the similar sample appearances from different categories (i.e., small inter-class distance). Existing attempts select distractors from input images by empirically estimating their potential effects to the classifier. The essences of how these distractors affect CNN classification are not known. In this paper, we explore distractors from the CNN feature space via proposing a neuron intrinsic learning method. We formulate a novel distractor-aware loss that encourages large distance between the original image and its distractor in the feature space. The novel loss is combined with the original classification loss to update network parameters by back-propagation. Neuron intrinsic learning first explores distractors crucial to the deep classifier and then uses them to robustify CNN inherently. Extensive experiments on medical image benchmark datasets indicate that the proposed method performs favorably against the state-of-the-art approaches.
Data scarcity and class imbalance are two fundamental challenges in many machine learning applications to healthcare. Breast cancer classification in mammography exemplifies these challenges, with a malignancy rate of around 0.5% in a screening population, which is compounded by the relatively small size of lesions (~1% of the image) in malignant cases. Simultaneously, the prevalence of screening mammography creates a potential abundance of non-cancer exams to use for training. Altogether, these characteristics lead to overfitting on cancer cases, while under-utilizing non-cancer data. Here, we present a novel generative adversarial network (GAN) model for data augmentation that can realistically synthesize and remove lesions on mammograms. With self-attention and semi-supervised learning components, the U-net-based architecture can generate high resolution (256x256px) outputs, as necessary for mammography. When augmenting the original training set with the GAN-generated samples, we find a significant improvement in malignancy classification performance on a test set of real mammogram patches. Overall, the empirical results of our algorithm and the relevance to other medical imaging paradigms point to potentially fruitful further applications.
Cervical cancer will cause 460 000 deaths per year by 2040, approximately 90% are Sub-Saharan African women. A constantly increasing incidence in Africa making cervical cancer a priority by the World Health Organization (WHO) in terms of screening, diagnosis, and treatment. Conventionally, cancer diagnosis relies primarily on histopathological assessment, a deeply error-prone procedure requiring intelligent computer-aided systems as low-cost patient safety mechanisms but lack of labeled data in digital pathology limits their applicability. In this study, few cervical tissue digital slides from TCGA data portal were pre-processed to overcome whole-slide images obstacles and included in our proposed VGG16-CNN classification approach. Our results achieved an accuracy of 98,26% and an F1-score of 97,9%, which confirm the potential of transfer learning on this weakly-supervised task.
In this work we show preliminary results of deep multi-task learning in the area of computational pathology. We combine 11 tasks ranging from patch-wise oral cancer classification, one of the most prevalent cancers in the developing world, to multi-tissue nuclei instance segmentation and classification.
Objective: A colon microarray data is a repository of thousands of gene expressions with different strengths for each cancer cell. It is necessary to detect which genes are responsible for cancer growth. This study presents an exhaustive comparative study of different machine learning (ML) systems which serves two major purposes: (a) identification of high risk differential genes using statistical tests and (b) development of a ML strategy for predicting cancer genes. Methods: Four statistical tests namely: Wilcoxon sign rank sum (WCSRS), t test, Kruskal–Wallis (KW), and F-test were adapted for cancerous gene identification using their p-values. The extracted gene set was used to classify cancer patients using ten classifiers namely: linear discriminant analysis (LDA), quadratic discriminant analysis (QDA), naïve Bayes (NB), Gaussian process classification (GPC), support vector machine (SVM), artificial neural network (ANN), logistic regression (LR), decision tree (DT), Adaboost (AB), and random forest (RF). Performance was then evaluated using cross-validation protocols and standardized metrics viz. accuracy (ACC) and area under the curve (AUC). Results: The colon cancer dataset consists of 2000 genes from 62 patients (40 cancer vs. 22 control). The overall mean ACC of our ML system using all four statistical tests and all ten classifiers was 90.50%. The ML system showed an ACC of 99.81% using a combination WCSRS test and RF-based classifier. This is an improvement of 8% over previously published values in literature. Conclusions: RF-based model with statistical tests for detection of high risk genes showed the best performance for accurate cancer classification in multi-center clinical trials
MRI (Magnetic Resonance Imaging) is a technique used to analyze and diagnose the problem defined by images like cancer or tumor in a brain. Physicians require good contrast images for better treatment purpose as it contains maximum information of the disease. MRI images are low contrast images which make diagnoses difficult; hence better localization of image pixels is required. Histogram Equalization techniques help to enhance the image so that it gives an improved visual quality and a well defined problem. The contrast and brightness is enhanced in such a way that it does not lose its original information and the brightness is preserved. We compare the different equalization techniques in this paper; the techniques are critically studied and elaborated. They are also tabulated to compare various parameters present in the image. In addition we have also segmented and extracted the tumor part out of the brain using K-means algorithm. For classification and feature extraction the method used is Support Vector Machine (SVM). The main goal of this research work is to help the medical field with a light of image processing.
Technology-assisted platforms provide reliable solutions in almost every field these days. One such important application in the medical field is the skin cancer classification in preliminary stages that need sensitive and precise data analysis. For the proposed study the Kaggle skin cancer dataset is utilized. The proposed study consists of two main phases. In the first phase, the images are preprocessed to remove the clutters thus producing a refined version of training images. To achieve that, a sharpening filter is applied followed by a hair removal algorithm. Different image quality measurement metrics including Peak Signal to Noise (PSNR), Mean Square Error (MSE), Maximum Absolute Squared Deviation (MXERR) and Energy Ratio/ Ratio of Squared Norms (L2RAT) are used to compare the overall image quality before and after applying preprocessing operations. The results from the aforementioned image quality metrics prove that image quality is not compromised however it is upgraded by applying the preprocessing operations. The second phase of the proposed research work incorporates deep learning methodologies that play an imperative role in accurate, precise and robust classification of the lesion mole. This has been reflected by using two state of the art deep learning models: Inception-v3 and MobileNet. The experimental results demonstrate notable improvement in train and validation accuracy by using the refined version of images of both the networks, however, the Inception-v3 network was able to achieve better validation accuracy thus it was finally selected to evaluate it on test data. The final test accuracy using state of art Inception-v3 network was 86%.
Technology aided platforms provide reliable tools in almost every field these days. These tools being supported by computational power are significant for applications that need sensitive and precise data analysis. One such important application in the medical field is Automatic Lesion Detection System (ALDS) for skin cancer classification. Computer aided diagnosis helps physicians and dermatologists to obtain a second opinion for proper analysis and treatment of skin cancer. Precise segmentation of the cancerous mole along with surrounding area is essential for proper analysis and diagnosis. This paper is focused towards the development of improved ALDS framework based on probabilistic approach that initially utilizes active contours and watershed merged mask for segmenting out the mole and later SVM and Neural Classifier are applied for the classification of the segmented mole. After lesion segmentation, the selected features are classified to ascertain that whether the case under consideration is melanoma or non-melanoma. The approach is tested for varying datasets and comparative analysis is performed that reflects the effectiveness of the proposed system.
Breast cancer is the malignant tumor that causes the highest number of cancer deaths in females. Digital mammograms (DM or 2D mammogram) and digital breast tomosynthesis (DBT or 3D mammogram) are the two types of mammography imagery that are used in clinical practice for breast cancer detection and diagnosis. Radiologists usually read both imaging modalities in combination; however, existing computer-aided diagnosis tools are designed using only one imaging modality. Inspired by clinical practice, we propose an innovative convolutional neural network (CNN) architecture for breast cancer classification, which uses both 2D and 3D mammograms, simultaneously. Our experiment shows that the proposed method significantly improves the performance of breast cancer classification. By assembling three CNN classifiers, the proposed model achieves 0.97 AUC, which is 34.72% higher than the methods using only one imaging modality.
The early identification of malignant pulmonary nodules is critical for better lung cancer prognosis and less invasive chemo or radio therapies. Nodule malignancy assessment done by radiologists is extremely useful for planning a preventive intervention but is, unfortunately, a complex, time-consuming and error-prone task. This explains the lack of large datasets containing radiologists malignancy characterization of nodules. In this article, we propose to assess nodule malignancy through 3D convolutional neural networks and to integrate it in an automated end-to-end existing pipeline of lung cancer detection. For training and testing purposes we used independent subsets of the LIDC dataset. Adding the probabilities of nodules malignity in a baseline lung cancer pipeline improved its F1-weighted score by 14.7%, whereas integrating the malignancy model itself using transfer learning outperformed the baseline prediction by 11.8% of F1-weighted score. Despite the limited size of the lung cancer datasets, integrating predictive models of nodule malignancy improves prediction of lung cancer.
This paper presents results of applying Inception v4 deep convolutional neural network to ICIAR-2018 Breast Cancer Classification Grand Challenge, part a. The Challenge task is to classify breast cancer biopsy results, presented in form of hematoxylin and eosin stained images. Breast cancer classification is of primary interest to the medical practitioners and thus binary classification of breast cancer images have been under investigation by many researchers, but multi-class categorization of histology breast images have been challenging due to the subtle differences among the categories. In this work extensive data augmentation is conducted to reduce overfitting and effectiveness of committee of several Inception v4 networks is studied. We report 89% accuracy on 4 class classification task and 93.7% on carcinoma/non-carcinoma two class classification task using our test set of 80 images.
Recent advances in computer vision and deep learning have led to breakthroughs in the development of automated skin image analysis. In particular, skin cancer classification models have achieved performance higher than trained expert dermatologists. However, no attempt has been made to evaluate the consistency in performance of machine learning models across populations with varying skin tones. In this paper, we present an approach to estimate skin tone in benchmark skin disease datasets, and investigate whether model performance is dependent on this measure. Specifically, we use individual typology angle (ITA) to approximate skin tone in dermatology datasets. We look at the distribution of ITA values to better understand skin color representation in two benchmark datasets: 1) the ISIC 2018 Challenge dataset, a collection of dermoscopic images of skin lesions for the detection of skin cancer, and 2) the SD-198 dataset, a collection of clinical images capturing a wide variety of skin diseases. To estimate ITA, we first develop segmentation models to isolate non-diseased areas of skin. We find that the majority of the data in the the two datasets have ITA values between 34.5{\deg} and 48{\deg}, which are associated with lighter skin, and is consistent with under-representation of darker skinned populations in these datasets. We also find no measurable correlation between performance of machine learning model and ITA values, though more comprehensive data is needed for further validation.
Deep Neural Networks (DNNs) show a significant impact on medical imaging. One significant problem with adopting DNNs for skin cancer classification is that the class frequencies in the existing datasets are imbalanced. This problem hinders the training of robust and well-generalizing models. Data Augmentation addresses this by using existing data more effectively. However, standard data augmentation implementations are manually designed and produce only limited reasonably alternative data. Instead, Generative Adversarial Networks (GANs) is utilized to generate a much broader set of augmentations. This paper proposes a novel enhancement for the progressive generative adversarial networks (PGAN) using self-attention mechanism. Self-attention mechanism is used to directly model the long-range dependencies in the feature maps. Accordingly, self-attention complements PGAN to generate fine-grained samples that comprise clinically-meaningful information. Moreover, the stabilization technique was applied to the enhanced generative model. To train the generative models, ISIC 2018 skin lesion challenge dataset was used to synthesize highly realistic skin lesion samples for boosting further the classification result. We achieve an accuracy of 70.1% which is 2.8% better than the non-augmented one of 67.3%.
Oral cancer incidence is rapidly increasing worldwide. The most important determinant factor in cancer survival is early diagnosis. To facilitate large scale screening, we propose a fully automated pipeline for oral cancer detection on whole slide cytology images. The pipeline consists of fully convolutional regression-based nucleus detection, followed by per-cell focus selection, and CNN based classification. Our novel focus selection step provides fast per-cell focus decisions at human-level accuracy. We demonstrate that the pipeline provides efficient cancer classification of whole slide cytology images, improving over previous results both in terms of accuracy and feasibility. The complete source code is available at https://github.com/MIDA-group/OralScreen.
We describe a software toolbox for the configuration of deep neural networks in the domain of skin cancer classification. The implemented software architecture allows developers to quickly set up new convolutional neural network (CNN) architectures and hyper-parameter configurations. At the same time, the user interface, manageable as a simple spreadsheet, allows non-technical users to explore different configuration settings that need to be explored when switching to different data sets. In future versions, meta leaning frameworks can be added, or AutoML systems that continuously improve over time. Preliminary results, conducted with two CNNs in the context melanoma detection on dermoscopic images, quantify the impact of image augmentation, image resolution, and rescaling filter on the overall detection performance and training time.
Different aspects of a clinical sample can be revealed by multiple types of omics data. Integrated analysis of multi-omics data provides a comprehensive view of patients, which has the potential to facilitate more accurate clinical decision making. However, omics data are normally high dimensional with large number of molecular features and relatively small number of available samples with clinical labels. The "dimensionality curse" makes it challenging to train a machine learning model using high dimensional omics data like DNA methylation and gene expression profiles. Here we propose an end-to-end deep learning model called OmiVAE to extract low dimensional features and classify samples from multi-omics data. OmiVAE combines the basic structure of variational autoencoders with a classification network to achieve task-oriented feature extraction and multi-class classification. The training procedure of OmiVAE is comprised of an unsupervised phase without the classifier and a supervised phase with the classifier. During the unsupervised phase, a hierarchical cluster structure of samples can be automatically formed without the need for labels. And in the supervised phase, OmiVAE achieved an average classification accuracy of 97.49% after 10-fold cross-validation among 33 tumour types and normal samples, which shows better performance than other existing methods. The OmiVAE model learned from multi-omics data outperformed that using only one type of omics data, which indicates that the complementary information from different omics datatypes provides useful insights for biomedical tasks like cancer classification.
Deep learning techniques have proven high accuracy for identifying melanoma in digitised dermoscopic images. A strength is that these methods are not constrained by features that are pre-defined by human semantics. A down-side is that it is difficult to understand the rationale of the model predictions and to identify potential failure modes. This is a major barrier to adoption of deep learning in clinical practice. In this paper we ask if two existing local interpretability methods, Grad-CAM and Kernel SHAP, can shed light on convolutional neural networks trained in the context of melanoma detection. Our contributions are (i) we first explore the domain space via a reproducible, end-to-end learning framework that creates a suite of 30 models, all trained on a publicly available data set (HAM10000), (ii) we next explore the reliability of GradCAM and Kernel SHAP in this context via some basic sanity check experiments (iii) finally, we investigate a random selection of models from our suite using GradCAM and Kernel SHAP. We show that despite high accuracy, the models will occasionally assign importance to features that are not relevant to the diagnostic task. We also show that models of similar accuracy will produce different explanations as measured by these methods. This work represents first steps in bridging the gap between model accuracy and interpretability in the domain of skin cancer classification.
Digital histology images are amenable to the application of convolutional neural network (CNN) for analysis due to the sheer size of pixel data present in them. CNNs are generally used for representation learning from small image patches (e.g. 224x224) extracted from digital histology images due to computational and memory constraints. However, this approach does not incorporate high-resolution contextual information in histology images. We propose a novel way to incorporate larger context by a context-aware neural network based on images with a dimension of 1,792x1,792 pixels. The proposed framework first encodes the local representation of a histology image into high dimensional features then aggregates the features by considering their spatial organization to make a final prediction. The proposed method is evaluated for colorectal cancer grading and breast cancer classification. A comprehensive analysis of some variants of the proposed method is presented. Our method outperformed the traditional patch-based approaches, problem-specific methods, and existing context-based methods quantitatively by a margin of 3.61%. Code and dataset related information is available at this link: https://tia-lab.github.io/Context-Aware-CNN
Skin cancer, a major form of cancer, is a critical public health problem with 123,000 newly diagnosed melanoma cases and between 2 and 3 million non-melanoma cases worldwide each year. The leading cause of skin cancer is high exposure of skin cells to UV radiation, which can damage the DNA inside skin cells leading to uncontrolled growth of skin cells. Skin cancer is primarily diagnosed visually employing clinical screening, a biopsy, dermoscopic analysis, and histopathological examination. It has been demonstrated that the dermoscopic analysis in the hands of inexperienced dermatologists may cause a reduction in diagnostic accuracy. Early detection and screening of skin cancer have the potential to reduce mortality and morbidity. Previous studies have shown Deep Learning ability to perform better than human experts in several visual recognition tasks. In this paper, we propose an efficient seven-way automated multi-class skin cancer classification system having performance comparable with expert dermatologists. We used a pretrained MobileNet model to train over HAM10000 dataset using transfer learning. The model classifies skin lesion image with a categorical accuracy of 83.1 percent, top2 accuracy of 91.36 percent and top3 accuracy of 95.34 percent. The weighted average of precision, recall, and f1-score were found to be 0.89, 0.83, and 0.83 respectively. The model has been deployed as a web application for public use at (https://saketchaturvedi.github.io). This fast, expansible method holds the potential for substantial clinical impact, including broadening the scope of primary care practice and augmenting clinical decision-making for dermatology specialists.