Decoupled conditional contrastive learning with variable metadata for prostate lesion detection

Early diagnosis of prostate cancer is crucial for efficient treatment. Multi-parametric Magnetic Resonance Images (mp-MRI) are widely used for lesion detection. The Prostate Imaging Reporting and Data System (PI-RADS) has standardized interpretation of prostate MRI by defining a score for lesion malignancy. PI-RADS data is readily available from radiology reports but is subject to high inter-reports variability. We propose a new contrastive loss function that leverages weak metadata with multiple annotators per sample and takes advantage of inter-reports variability by defining metadata confidence. By combining metadata of varying confidence with unannotated data into a single conditional contrastive loss function, we report a 3% AUC increase on lesion detection on the public PI-CAI challenge dataset. Code is available at: https://github.com/camilleruppli/decoupled_ccl

Optimizing transformations for contrastive learning in a differentiable framework

Current contrastive learning methods use random transformations sampled from a large list of transformations, with fixed hyperparameters, to learn invariance from an unannotated database. Following previous works that introduce a small amount of supervision, we propose a framework to find optimal transformations for contrastive learning using a differentiable transformation network. Our method increases performances at low annotated data regime both in supervision accuracy and in convergence speed. In contrast to previous work, no generative model is needed for transformation optimization. Transformed images keep relevant information to solve the supervised task, here classification. Experiments were performed on 34000 2D slices of brain Magnetic Resonance Images and 11200 chest X-ray images. On both datasets, with 10% of labeled data, our model achieves better performances than a fully supervised model with 100% labels.

Combining Similarity and Adversarial Learning to Generate Visual Explanation: Application to Medical Image Classification

Explaining decisions of black-box classifiers is paramount in sensitive domains such as medical imaging since clinicians confidence is necessary for adoption. Various explanation approaches have been proposed, among which perturbation based approaches are very promising. Within this class of methods, we leverage a learning framework to produce our visual explanations method. From a given classifier, we train two generators to produce from an input image the so called similar and adversarial images. The similar image shall be classified as the input image whereas the adversarial shall not. Visual explanation is built as the difference between these two generated images. Using metrics from the literature, our method outperforms state-of-the-art approaches. The proposed approach is model-agnostic and has a low computation burden at prediction time. Thus, it is adapted for real-time systems. Finally, we show that random geometric augmentations applied to the original image play a regularization role that improves several previously proposed explanation methods. We validate our approach on a large chest X-ray database.