Dual-Channel Reliable Breast Ultrasound Image Classification Based on Explainable Attribution and Uncertainty Quantification

This paper focuses on the classification task of breast ultrasound images and researches on the reliability measurement of classification results. We proposed a dual-channel evaluation framework based on the proposed inference reliability and predictive reliability scores. For the inference reliability evaluation, human-aligned and doctor-agreed inference rationales based on the improved feature attribution algorithm SP-RISA are gracefully applied. Uncertainty quantification is used to evaluate the predictive reliability via the Test Time Enhancement. The effectiveness of this reliability evaluation framework has been verified on our breast ultrasound clinical dataset YBUS, and its robustness is verified on the public dataset BUSI. The expected calibration errors on both datasets are significantly lower than traditional evaluation methods, which proves the effectiveness of our proposed reliability measurement.

BSM loss: A superior way in modeling aleatory uncertainty of fine_grained classification

Artificial intelligence(AI)-assisted method had received much attention in the risk field such as disease diagnosis. Different from the classification of disease types, it is a fine-grained task to classify the medical images as benign or malignant. However, most research only focuses on improving the diagnostic accuracy and ignores the evaluation of model reliability, which limits its clinical application. For clinical practice, calibration presents major challenges in the low-data regime extremely for over-parametrized models and inherent noises. In particular, we discovered that modeling data-dependent uncertainty is more conducive to confidence calibrations. Compared with test-time augmentation(TTA), we proposed a modified Bootstrapping loss(BS loss) function with Mixup data augmentation strategy that can better calibrate predictive uncertainty and capture data distribution transformation without additional inference time. Our experiments indicated that BS loss with Mixup(BSM) model can halve the Expected Calibration Error(ECE) compared to standard data augmentation, deep ensemble and MC dropout. The correlation between uncertainty and similarity of in-domain data is up to -0.4428 under the BSM model. Additionally, the BSM model is able to perceive the semantic distance of out-of-domain data, demonstrating high potential in real-world clinical practice.

MIPR:Automatic Annotation of Medical Images with Pixel Rearrangement

Most of the state-of-the-art semantic segmentation reported in recent years is based on fully supervised deep learning in the medical domain. How?ever, the high-quality annotated datasets require intense labor and domain knowledge, consuming enormous time and cost. Previous works that adopt semi?supervised and unsupervised learning are proposed to address the lack of anno?tated data through assisted training with unlabeled data and achieve good perfor?mance. Still, these methods can not directly get the image annotation as doctors do. In this paper, inspired by self-training of semi-supervised learning, we pro?pose a novel approach to solve the lack of annotated data from another angle, called medical image pixel rearrangement (short in MIPR). The MIPR combines image-editing and pseudo-label technology to obtain labeled data. As the number of iterations increases, the edited image is similar to the original image, and the labeled result is similar to the doctor annotation. Therefore, the MIPR is to get labeled pairs of data directly from amounts of unlabled data with pixel rearrange?ment, which is implemented with a designed conditional Generative Adversarial Networks and a segmentation network. Experiments on the ISIC18 show that the effect of the data annotated by our method for segmentation task is is equal to or even better than that of doctors annotations

Soft-CP: A Credible and Effective Data Augmentation for Semantic Segmentation of Medical Lesions

The medical datasets are usually faced with the problem of scarcity and data imbalance. Moreover, annotating large datasets for semantic segmentation of medical lesions is domain-knowledge and time-consuming. In this paper, we propose a new object-blend method(short in soft-CP) that combines the Copy-Paste augmentation method for semantic segmentation of medical lesions offline, ensuring the correct edge information around the lession to solve the issue above-mentioned. We proved the method's validity with several datasets in different imaging modalities. In our experiments on the KiTS19[2] dataset, Soft-CP outperforms existing medical lesions synthesis approaches. The Soft-CP augementation provides gains of +26.5% DSC in the low data regime(10% of data) and +10.2% DSC in the high data regime(all of data), In offline training data, the ratio of real images to synthetic images is 3:1.

Cognitive Explainers of Graph Neural Networks Based on Medical Concepts

Although deep neural networks (DNN) have achieved state-of-the-art performance in various fields, some unexpected errors are often found in the neural network, which is very dangerous for some tasks requiring high reliability and high security.The non-transparency and unexplainably of CNN still limit its application in many fields, such as medical care and finance. Despite current studies that have been committed to visualizing the decision process of DNN, most of these methods focus on the low level and do not take into account the prior knowledge of medicine.In this work, we propose an interpretable framework based on key medical concepts, enabling CNN to explain from the perspective of doctors' cognition.We propose an interpretable automatic recognition framework for the ultrasonic standard plane, which uses a concept-based graph convolutional neural network to construct the relationships between key medical concepts, to obtain an interpretation consistent with a doctor's cognition.

AI assisted method for efficiently generating breast ultrasound screening reports

Ultrasound is the preferred choice for early screening of dense breast cancer. Clinically, doctors have to manually write the screening report which is time-consuming and laborious, and it is easy to miss and miswrite. Therefore, this paper proposes a method for efficiently generating personalized breast ultrasound screening preliminary reports by AI, especially for benign and normal cases which account for the majority. Doctors then make simple adjustments or corrections to quickly generate final reports. The proposed approach has been tested using a database of 1133 breast tumor instances. Experimental results indicate this pipeline improves doctors' work efficiency by up to 90%, which greatly reduces repetitive work.

Knowledge AI: New Medical AI Solution for Medical image Diagnosis

The implementation of medical AI has always been a problem. The effect of traditional perceptual AI algorithm in medical image processing needs to be improved. Here we propose a method of knowledge AI, which is a combination of perceptual AI and clinical knowledge and experience. Based on this method, the geometric information mining of medical images can represent the experience and information and evaluate the quality of medical images.

More Reliable AI Solution: Breast Ultrasound Diagnosis Using Multi-AI Combination

Objective: Breast cancer screening is of great significance in contemporary women's health prevention. The existing machines embedded in the AI system do not reach the accuracy that clinicians hope. How to make intelligent systems more reliable is a common problem. Methods: 1) Ultrasound image super-resolution: the SRGAN super-resolution network reduces the unclearness of ultrasound images caused by the device itself and improves the accuracy and generalization of the detection model. 2) In response to the needs of medical images, we have improved the YOLOv4 and the CenterNet models. 3) Multi-AI model: based on the respective advantages of different AI models, we employ two AI models to determine clinical resuls cross validation. And we accept the same results and refuses others. Results: 1) With the help of the super-resolution model, the YOLOv4 model and the CenterNet model both increased the mAP score by 9.6% and 13.8%. 2) Two methods for transforming the target model into a classification model are proposed. And the unified output is in a specified format to facilitate the call of the molti-AI model. 3) In the classification evaluation experiment, concatenated by the YOLOv4 model (sensitivity 57.73%, specificity 90.08%) and the CenterNet model (sensitivity 62.64%, specificity 92.54%), the multi-AI model will refuse to make judgments on 23.55% of the input data. Correspondingly, the performance has been greatly improved to 95.91% for the sensitivity and 96.02% for the specificity. Conclusion: Our work makes the AI model more reliable in medical image diagnosis. Significance: 1) The proposed method makes the target detection model more suitable for diagnosing breast ultrasound images. 2) It provides a new idea for artificial intelligence in medical diagnosis, which can more conveniently introduce target detection models from other fields to serve medical lesion screening.

Deformable Registration Using Average Geometric Transformations for Brain MR Images

Accurate registration of medical images is vital for doctor's diagnosis and quantitative analysis. In this paper, we propose a new deformable medical image registration method based on average geometric transformations and VoxelMorph CNN architecture. We compute the differential geometric information including Jacobian determinant(JD) and the curl vector(CV) of diffeomorphic registration field and use them as multi-channel of VoxelMorph CNN for second train. In addition, we use the average transformation to construct a standard brain MRI atlas which can be used as fixed image. We verify our method on two datasets including ADNI dataset and MRBrainS18 Challenge dataset, and obtain excellent improvement on MR image registration with average Dice scores and non-negative Jacobian locations compared with MIT's original method. The experimental results show the method can achieve better performance in brain MRI diagnosis.

Facial Expression Recognition Research Based on Deep Learning

With the development of deep learning, the structure of convolution neural network is becoming more and more complex and the performance of object recognition is getting better. However, the classification mechanism of convolution neural networks is still an unsolved core problem. The main problem is that convolution neural networks have too many parameters, which makes it difficult to analyze them. In this paper, we design and train a convolution neural network based on the expression recognition, and explore the classification mechanism of the network. By using the Deconvolution visualization method, the extremum point of the convolution neural network is projected back to the pixel space of the original image, and we qualitatively verify that the trained expression recognition convolution neural network forms a detector for the specific facial action unit. At the same time, we design the distance function to measure the distance between the presence of facial feature unit and the maximal value of the response on the feature map of convolution neural network. The greater the distance, the more sensitive the feature map is to the facial feature unit. By comparing the maximum distance of all facial feature elements in the feature graph, the mapping relationship between facial feature element and convolution neural network feature map is determined. Therefore, we have verified that the convolution neural network has formed a detector for the facial Action unit in the training process to realize the expression recognition.