Detection of subclinical atherosclerosis by image-based deep learning on chest x-ray

Aims. To develop a deep-learning based system for recognition of subclinical atherosclerosis on a plain frontal chest x-ray. Methods and Results. A deep-learning algorithm to predict coronary artery calcium (CAC) score (the AI-CAC model) was developed on 460 chest x-ray (80% training cohort, 20% internal validation cohort) of primary prevention patients (58.4% male, median age 63 [51-74] years) with available paired chest x-ray and chest computed tomography (CT) indicated for any clinical reason and performed within 3 months. The CAC score calculated on chest CT was used as ground truth. The model was validated on an temporally-independent cohort of 90 patients from the same institution (external validation). The diagnostic accuracy of the AI-CAC model assessed by the area under the curve (AUC) was the primary outcome. Overall, median AI-CAC score was 35 (0-388) and 28.9% patients had no AI-CAC. AUC of the AI-CAC model to identify a CAC>0 was 0.90 in the internal validation cohort and 0.77 in the external validation cohort. Sensitivity was consistently above 92% in both cohorts. In the overall cohort (n=540), among patients with AI-CAC=0, a single ASCVD event occurred, after 4.3 years. Patients with AI-CAC>0 had significantly higher Kaplan Meier estimates for ASCVD events (13.5% vs. 3.4%, log-rank=0.013). Conclusion. The AI-CAC model seems to accurately detect subclinical atherosclerosis on chest x-ray with elevated sensitivity, and to predict ASCVD events with elevated negative predictive value. Adoption of the AI-CAC model to refine CV risk stratification or as an opportunistic screening tool requires prospective evaluation.

Character Recognition in Byzantine Seals with Deep Neural Networks

Seals are small coin-shaped artifacts, mostly made of lead, held with strings to seal letters. This work presents the first attempt towards automatic reading of text on Byzantine seal images.Byzantine seals are generally decorated with iconography on the obverse side and Greek text on the reverse side. Text may include the sender's name, position in the Byzantine aristocracy, and elements of prayers. Both text and iconography are precious literary sources that wait to be exploited electronically, so the development of computerized systems for interpreting seals images is of paramount importance. This work's contribution is hence a deep, two-stages, character reading pipeline for transcribing Byzantine seal images. A first deep convolutional neural network (CNN) detects characters in the seal (character localization). A second convolutional network reads the localized characters (character classification). Finally, a diplomatic transcription of the seal is provided by post-processing the two network outputs. We provide an experimental evaluation of each CNN in isolation and both CNNs in combination. All performances are evaluated by cross-validation. Character localization achieves a mean average precision (mAP@0.5) greater than 0.9. Classification of characters cropped from ground truth bounding boxes achieves Top-1 accuracy greater than 0.92. End-to-end evaluation shows the efficiency of the proposed approach when compared to the SoTA for similar tasks.

Find the Lady: Permutation and Re-Synchronization of Deep Neural Networks

Deep neural networks are characterized by multiple symmetrical, equi-loss solutions that are redundant. Thus, the order of neurons in a layer and feature maps can be given arbitrary permutations, without affecting (or minimally affecting) their output. If we shuffle these neurons, or if we apply to them some perturbations (like fine-tuning) can we put them back in the original order i.e. re-synchronize? Is there a possible corruption threat? Answering these questions is important for applications like neural network white-box watermarking for ownership tracking and integrity verification. We advance a method to re-synchronize the order of permuted neurons. Our method is also effective if neurons are further altered by parameter pruning, quantization, and fine-tuning, showing robustness to integrity attacks. Additionally, we provide theoretical and practical evidence for the usual means to corrupt the integrity of the model, resulting in a solution to counter it. We test our approach on popular computer vision datasets and models, and we illustrate the threat and our countermeasure on a popular white-box watermarking method.

Lung nodules segmentation from CT with DeepHealth toolkit

The accurate and consistent border segmentation plays an important role in the tumor volume estimation and its treatment in the field of Medical Image Segmentation. Globally, Lung cancer is one of the leading causes of death and the early detection of lung nodules is essential for the early cancer diagnosis and survival rate of patients. The goal of this study was to demonstrate the feasibility of Deephealth toolkit including PyECVL and PyEDDL libraries to precisely segment lung nodules. Experiments for lung nodules segmentation has been carried out on UniToChest using PyECVL and PyEDDL, for data pre-processing as well as neural network training. The results depict accurate segmentation of lung nodules across a wide diameter range and better accuracy over a traditional detection approach. The datasets and the code used in this paper are publicly available as a baseline reference.

HEMP: High-order Entropy Minimization for neural network comPression

We formulate the entropy of a quantized artificial neural network as a differentiable function that can be plugged as a regularization term into the cost function minimized by gradient descent. Our formulation scales efficiently beyond the first order and is agnostic of the quantization scheme. The network can then be trained to minimize the entropy of the quantized parameters, so that they can be optimally compressed via entropy coding. We experiment with our entropy formulation at quantizing and compressing well-known network architectures over multiple datasets. Our approach compares favorably over similar methods, enjoying the benefits of higher order entropy estimate, showing flexibility towards non-uniform quantization (we use Lloyd-max quantization), scalability towards any entropy order to be minimized and efficiency in terms of compression. We show that HEMP is able to work in synergy with other approaches aiming at pruning or quantizing the model itself, delivering significant benefits in terms of storage size compressibility without harming the model's performance.

UniToPatho, a labeled histopathological dataset for colorectal polyps classification and adenoma dysplasia grading

Histopathological characterization of colorectal polyps allows to tailor patients' management and follow up with the ultimate aim of avoiding or promptly detecting an invasive carcinoma. Colorectal polyps characterization relies on the histological analysis of tissue samples to determine the polyps malignancy and dysplasia grade. Deep neural networks achieve outstanding accuracy in medical patterns recognition, however they require large sets of annotated training images. We introduce UniToPatho, an annotated dataset of 9536 hematoxylin and eosin (H&E) stained patches extracted from 292 whole-slide images, meant for training deep neural networks for colorectal polyps classification and adenomas grading. We present our dataset and provide insights on how to tackle the problem of automatic colorectal polyps characterization.

SeReNe: Sensitivity based Regularization of Neurons for Structured Sparsity in Neural Networks

Deep neural networks include millions of learnable parameters, making their deployment over resource-constrained devices problematic. SeReNe (Sensitivity-based Regularization of Neurons) is a method for learning sparse topologies with a structure, exploiting neural sensitivity as a regularizer. We define the sensitivity of a neuron as the variation of the network output with respect to the variation of the activity of the neuron. The lower the sensitivity of a neuron, the less the network output is perturbed if the neuron output changes. By including the neuron sensitivity in the cost function as a regularization term, we areable to prune neurons with low sensitivity. As entire neurons are pruned rather then single parameters, practical network footprint reduction becomes possible. Our experimental results on multiple network architectures and datasets yield competitive compression ratios with respect to state-of-the-art references.

LOss-Based SensiTivity rEgulaRization: towards deep sparse neural networks

LOBSTER (LOss-Based SensiTivity rEgulaRization) is a method for training neural networks having a sparse topology. Let the sensitivity of a network parameter be the variation of the loss function with respect to the variation of the parameter. Parameters with low sensitivity, i.e. having little impact on the loss when perturbed, are shrunk and then pruned to sparsify the network. Our method allows to train a network from scratch, i.e. without preliminary learning or rewinding. Experiments on multiple architectures and datasets show competitive compression ratios with minimal computational overhead.

DR2S : Deep Regression with Region Selection for Camera Quality Evaluation

In this work, we tackle the problem of estimating a camera capability to preserve fine texture details at a given lighting condition. Importantly, our texture preservation measurement should coincide with human perception. Consequently, we formulate our problem as a regression one and we introduce a deep convolutional network to estimate texture quality score. At training time, we use ground-truth quality scores provided by expert human annotators in order to obtain a subjective quality measure. In addition, we propose a region selection method to identify the image regions that are better suited at measuring perceptual quality. Finally, our experimental evaluation shows that our learning-based approach outperforms existing methods and that our region selection algorithm consistently improves the quality estimation.