Multi-centre colonoscopy images from various medical centres exhibit distinct complicating factors and overlays that impact the image content, contingent on the specific acquisition centre. Existing Deep Segmentation networks struggle to achieve adequate generalizability in such data sets, and the currently available data augmentation methods do not effectively address these sources of data variability. As a solution, we introduce an innovative data augmentation approach centred on interpretability saliency maps, aimed at enhancing the generalizability of Deep Learning models within the realm of multi-centre colonoscopy image segmentation. The proposed augmentation technique demonstrates increased robustness across different segmentation models and domains. Thorough testing on a publicly available multi-centre dataset for polyp detection demonstrates the effectiveness and versatility of our approach, which is observed both in quantitative and qualitative results. The code is publicly available at: https://github.com/nki-radiology/interpretability_augmentation
Systems capable of analyzing and quantifying human physical or behavioral traits, known as biometrics systems, are growing in use and application variability. Since its evolution from handcrafted features and traditional machine learning to deep learning and automatic feature extraction, the performance of biometric systems increased to outstanding values. Nonetheless, the cost of this fast progression is still not understood. Due to its opacity, deep neural networks are difficult to understand and analyze, hence, hidden capacities or decisions motivated by the wrong motives are a potential risk. Researchers have started to pivot their focus towards the understanding of deep neural networks and the explanation of their predictions. In this paper, we provide a review of the current state of explainable biometrics based on the study of 47 papers and discuss comprehensively the direction in which this field should be developed.
Treatments for breast cancer have continued to evolve and improve in recent years, resulting in a substantial increase in survival rates, with approximately 80\% of patients having a 10-year survival period. Given the serious impact that breast cancer treatments can have on a patient's body image, consequently affecting her self-confidence and sexual and intimate relationships, it is paramount to ensure that women receive the treatment that optimizes both survival and aesthetic outcomes. Currently, there is no gold standard for evaluating the aesthetic outcome of breast cancer treatment. In addition, there is no standard way to show patients the potential outcome of surgery. The presentation of similar cases from the past would be extremely important to manage women's expectations of the possible outcome. In this work, we propose a deep neural network to perform the aesthetic evaluation. As a proof-of-concept, we focus on a binary aesthetic evaluation. Besides its use for classification, this deep neural network can also be used to find the most similar past cases by searching for nearest neighbours in the highly semantic space before classification. We performed the experiments on a dataset consisting of 143 photos of women after conservative treatment for breast cancer. The results for accuracy and balanced accuracy showed the superior performance of our proposed model compared to the state of the art in aesthetic evaluation of breast cancer treatments. In addition, the model showed a good ability to retrieve similar previous cases, with the retrieved cases having the same or adjacent class (in the 4-class setting) and having similar types of asymmetry. Finally, a qualitative interpretability assessment was also performed to analyse the robustness and trustworthiness of the model.