In this study, a radiomics approach was extended to optical fluorescence molecular imaging data for tissue classification, termed 'optomics'. Fluorescence molecular imaging is emerging for precise surgical guidance during head and neck squamous cell carcinoma (HNSCC) resection. However, the tumor-to-normal tissue contrast is confounded by intrinsic physiological limitations of heterogeneous expression of the target molecule, epidermal growth factor receptor (EGFR). Optomics seek to improve tumor identification by probing textural pattern differences in EGFR expression conveyed by fluorescence. A total of 1,472 standardized optomic features were extracted from fluorescence image samples. A supervised machine learning pipeline involving a support vector machine classifier was trained with 25 top-ranked features selected by minimum redundancy maximum relevance criterion. Model predictive performance was compared to fluorescence intensity thresholding method by classifying testing set image patches of resected tissue with histologically confirmed malignancy status. The optomics approach provided consistent improvement in prediction accuracy on all test set samples, irrespective of dose, compared to fluorescence intensity thresholding method (mean accuracies of 89% vs. 81%; P = 0.0072). The improved performance demonstrates that extending the radiomics approach to fluorescence molecular imaging data offers a promising image analysis technique for cancer detection in fluorescence-guided surgery.
The following work presents how autoencoding all the possible hidden activations of a network for a given problem can provide insight about its structure, behavior, and vulnerabilities. The method, termed self-introspection, can show that a trained model showcases similar activation patterns (albeit randomly distributed due to initialization) when shown data belonging to the same category, and classification errors occur in fringe areas where the activations are not as clearly defined, suggesting some form of random, slowly varying, implicit encoding occurring within deep networks, that can be observed with this representation. Additionally, obtaining a low-dimensional representation of all the activations allows for (1) real-time model evaluation in the context of a multiclass classification problem, (2) the rearrangement of all hidden layers by their relevance in obtaining a specific output, and (3) the obtainment of a framework where studying possible counter-measures to noise and adversarial attacks is possible. Self-introspection can show how damaged input data can modify the hidden activations, producing an erroneous response. A few illustrative are implemented for feedforward and convolutional models and the MNIST and CIFAR-10 datasets, showcasing its capabilities as a model evaluation framework.