Accurate, automated lesion detection in Computed Tomography (CT) is an important yet challenging task due to the large variation of lesion types, sizes, locations and appearances. Recent work on CT lesion detection employs two-stage region proposal based methods trained with centroid or bounding-box annotations. We propose a highly accurate and efficient one-stage lesion detector, by re-designing a RetinaNet to meet the particular challenges in medical imaging. Specifically, we optimize the anchor configurations using a differential evolution search algorithm. For training, we leverage the response evaluation criteria in solid tumors (RECIST) annotation which are measured in clinical routine. We incorporate dense masks from weak RECIST labels, obtained automatically using GrabCut, into the training objective, which in combination with other advancements yields new state-of-the-art performance. We evaluate our method on the public DeepLesion benchmark, consisting of 32,735 lesions across the body. Our one-stage detector achieves a sensitivity of 90.77% at 4 false positives per image, significantly outperforming the best reported methods by over 5%.
Convolutional neural networks (CNNs) deliver exceptional results for computer vision, including medical image analysis. With the growing number of available architectures, picking one over another is far from obvious. Existing art suggests that, when performing transfer learning, the performance of CNN architectures on ImageNet correlates strongly with their performance on target tasks. We evaluate that claim for melanoma classification, over 9 CNNs architectures, in 5 sets of splits created on the ISIC Challenge 2017 dataset, and 3 repeated measures, resulting in 135 models. The correlations we found were, to begin with, much smaller than those reported by existing art, and disappeared altogether when we considered only the top-performing networks: uncontrolled nuisances (i.e., splits and randomness) overcome any of the analyzed factors. Whenever possible, the best approach for melanoma classification is still to create ensembles of multiple models. We compared two choices for selecting which models to ensemble: picking them at random (among a pool of high-quality ones) vs. using the validation set to determine which ones to pick first. For small ensembles, we found a slight advantage on the second approach but found that random choice was also competitive. Although our aim in this paper was not to maximize performance, we easily reached AUCs comparable to the first place on the ISIC Challenge 2017.
Skin lesion identification is a key step toward dermatological diagnosis. When describing a skin lesion, it is very important to note its body site distribution as many skin diseases commonly affect particular parts of the body. To exploit the correlation between skin lesions and their body site distributions, in this study, we investigate the possibility of improving skin lesion classification using the additional context information provided by body location. Specifically, we build a deep multi-task learning (MTL) framework to jointly optimize skin lesion classification and body location classification (the latter is used as an inductive bias). Our MTL framework uses the state-of-the-art ImageNet pretrained model with specialized loss functions for the two related tasks. Our experiments show that the proposed MTL based method performs more robustly than its standalone (single-task) counterpart.