MammoDG: Generalisable Deep Learning Breaks the Limits of Cross-Domain Multi-Center Breast Cancer Screening

Breast cancer is a major cause of cancer death among women, emphasising the importance of early detection for improved treatment outcomes and quality of life. Mammography, the primary diagnostic imaging test, poses challenges due to the high variability and patterns in mammograms. Double reading of mammograms is recommended in many screening programs to improve diagnostic accuracy but increases radiologists' workload. Researchers explore Machine Learning models to support expert decision-making. Stand-alone models have shown comparable or superior performance to radiologists, but some studies note decreased sensitivity with multiple datasets, indicating the need for high generalisation and robustness models. This work devises MammoDG, a novel deep-learning framework for generalisable and reliable analysis of cross-domain multi-center mammography data. MammoDG leverages multi-view mammograms and a novel contrastive mechanism to enhance generalisation capabilities. Extensive validation demonstrates MammoDG's superiority, highlighting the critical importance of domain generalisation for trustworthy mammography analysis in imaging protocol variations.

Deep Learning Approach for Early Stage Lung Cancer Detection

Lung cancer is the leading cause of death among different types of cancers. Every year, the lives lost due to lung cancer exceed those lost to pancreatic, breast, and prostate cancer combined. The survival rate for lung cancer patients is very low compared to other cancer patients due to late diagnostics. Thus, early lung cancer diagnostics is crucial for patients to receive early treatments, increasing the survival rate or even becoming cancer-free. This paper proposed a deep-learning model for early lung cancer prediction and diagnosis from Computed Tomography (CT) scans. The proposed mode achieves high accuracy. In addition, it can be a beneficial tool to support radiologists' decisions in predicting and detecting lung cancer and its stage.

Detecting Throat Cancer from Speech Signals Using Machine Learning: A Reproducible Literature Review

In this work we perform a scoping review of the current literature on the detection of throat cancer from speech recordings using machine learning and artificial intelligence. We find 22 papers within this area and discuss their methods and results. We split these papers into two groups - nine performing binary classification, and 13 performing multi-class classification. The papers present a range of methods with neural networks being most commonly implemented. Many features are also extracted from the audio before classification, with the most common bring mel-frequency cepstral coefficients. None of the papers found in this search have associated code repositories and as such are not reproducible. Therefore, we create a publicly available code repository of our own classifiers. We use transfer learning on a multi-class problem, classifying three pathologies and healthy controls. Using this technique we achieve an unweighted average recall of 53.54%, sensitivity of 83.14%, and specificity of 64.00%. We compare our classifiers with the results obtained on the same dataset and find similar results.

WWFedCBMIR: World-Wide Federated Content-Based Medical Image Retrieval

The paper proposes a Federated Content-Based Medical Image Retrieval (FedCBMIR) platform that utilizes Federated Learning (FL) to address the challenges of acquiring a diverse medical data set for training CBMIR models. CBMIR assists pathologists in diagnosing breast cancer more rapidly by identifying similar medical images and relevant patches in prior cases compared to traditional cancer detection methods. However, CBMIR in histopathology necessitates a pool of Whole Slide Images (WSIs) to train to extract an optimal embedding vector that leverages search engine performance, which may not be available in all centers. The strict regulations surrounding data sharing in medical data sets also hinder research and model development, making it difficult to collect a rich data set. The proposed FedCBMIR distributes the model to collaborative centers for training without sharing the data set, resulting in shorter training times than local training. FedCBMIR was evaluated in two experiments with three scenarios on BreaKHis and Camelyon17 (CAM17). The study shows that the FedCBMIR method increases the F1-Score (F1S) of each client to 98%, 96%, 94%, and 97% in the BreaKHis experiment with a generalized model of four magnifications and does so in 6.30 hours less time than total local training. FedCBMIR also achieves 98% accuracy with CAM17 in 2.49 hours less training time than local training, demonstrating that our FedCBMIR is both fast and accurate for both pathologists and engineers. In addition, our FedCBMIR provides similar images with higher magnification for non-developed countries where participate in the worldwide FedCBMIR with developed countries to facilitate mitosis measuring in breast cancer diagnosis. We evaluate this scenario by scattering BreaKHis into four centers with different magnifications.

Structured State Space Models for Multiple Instance Learning in Digital Pathology

Multiple instance learning is an ideal mode of analysis for histopathology data, where vast whole slide images are typically annotated with a single global label. In such cases, a whole slide image is modelled as a collection of tissue patches to be aggregated and classified. Common models for performing this classification include recurrent neural networks and transformers. Although powerful compression algorithms, such as deep pre-trained neural networks, are used to reduce the dimensionality of each patch, the sequences arising from whole slide images remain excessively long, routinely containing tens of thousands of patches. Structured state space models are an emerging alternative for sequence modelling, specifically designed for the efficient modelling of long sequences. These models invoke an optimal projection of an input sequence into memory units that compress the entire sequence. In this paper, we propose the use of state space models as a multiple instance learner to a variety of problems in digital pathology. Across experiments in metastasis detection, cancer subtyping, mutation classification, and multitask learning, we demonstrate the competitiveness of this new class of models with existing state of the art approaches. Our code is available at https://github.com/MICS-Lab/s4_digital_pathology.

Self-Supervised Deep Learning to Enhance Breast Cancer Detection on Screening Mammography

A major limitation in applying deep learning to artificial intelligence (AI) systems is the scarcity of high-quality curated datasets. We investigate strong augmentation based self-supervised learning (SSL) techniques to address this problem. Using breast cancer detection as an example, we first identify a mammogram-specific transformation paradigm and then systematically compare four recent SSL methods representing a diversity of approaches. We develop a method to convert a pretrained model from making predictions on uniformly tiled patches to whole images, and an attention-based pooling method that improves the classification performance. We found that the best SSL model substantially outperformed the baseline supervised model. The best SSL model also improved the data efficiency of sample labeling by nearly 4-fold and was highly transferrable from one dataset to another. SSL represents a major breakthrough in computer vision and may help the AI for medical imaging field to shift away from supervised learning and dependency on scarce labels.

Use of Transfer Learning and Wavelet Transform for Breast Cancer Detection

Breast cancer is one of the most common cause of deaths among women. Mammography is a widely used imaging modality that can be used for cancer detection in its early stages. Deep learning is widely used for the detection of cancerous masses in the images obtained via mammography. The need to improve accuracy remains constant due to the sensitive nature of the datasets so we introduce segmentation and wavelet transform to enhance the important features in the image scans. Our proposed system aids the radiologist in the screening phase of cancer detection by using a combination of segmentation and wavelet transforms as pre-processing augmentation that leads to transfer learning in neural networks. The proposed system with these pre-processing techniques significantly increases the accuracy of detection on Mini-MIAS.

Anatomy-Aware Lymph Node Detection in Chest CT using Implicit Station Stratification

Finding abnormal lymph nodes in radiological images is highly important for various medical tasks such as cancer metastasis staging and radiotherapy planning. Lymph nodes (LNs) are small glands scattered throughout the body. They are grouped or defined to various LN stations according to their anatomical locations. The CT imaging appearance and context of LNs in different stations vary significantly, posing challenges for automated detection, especially for pathological LNs. Motivated by this observation, we propose a novel end-to-end framework to improve LN detection performance by leveraging their station information. We design a multi-head detector and make each head focus on differentiating the LN and non-LN structures of certain stations. Pseudo station labels are generated by an LN station classifier as a form of multi-task learning during training, so we do not need another explicit LN station prediction model during inference. Our algorithm is evaluated on 82 patients with lung cancer and 91 patients with esophageal cancer. The proposed implicit station stratification method improves the detection sensitivity of thoracic lymph nodes from 65.1% to 71.4% and from 80.3% to 85.5% at 2 false positives per patient on the two datasets, respectively, which significantly outperforms various existing state-of-the-art baseline techniques such as nnUNet, nnDetection and LENS.

Breast Cancer Segmentation using Attention-based Convolutional Network and Explainable AI

Breast cancer (BC) remains a significant health threat, with no long-term cure currently available. Early detection is crucial, yet mammography interpretation is hindered by high false positives and negatives. With BC incidence projected to surpass lung cancer, improving early detection methods is vital. Thermography, using high-resolution infrared cameras, offers promise, especially when combined with artificial intelligence (AI). This work presents an attention-based convolutional neural network for segmentation, providing increased speed and precision in BC detection and classification. The system enhances images and performs cancer segmentation with explainable AI. We propose a transformer-attention-based convolutional architecture (UNet) for fault identification and employ Gradient-weighted Class Activation Mapping (Grad-CAM) to analyze areas of bias and weakness in the UNet architecture with IRT images. The superiority of our proposed framework is confirmed when compared with existing deep learning frameworks.

Color Deconvolution applied to Domain Adaptation in HER2 histopathological images

Breast cancer early detection is crucial for improving patient outcomes. The Institut Catal\`a de la Salut (ICS) has launched the DigiPatICS project to develop and implement artificial intelligence algorithms to assist with the diagnosis of cancer. In this paper, we propose a new approach for facing the color normalization problem in HER2-stained histopathological images of breast cancer tissue, posed as an style transfer problem. We combine the Color Deconvolution technique with the Pix2Pix GAN network to present a novel approach to correct the color variations between different HER2 stain brands. Our approach focuses on maintaining the HER2 score of the cells in the transformed images, which is crucial for the HER2 analysis. Results demonstrate that our final model outperforms the state-of-the-art image style transfer methods in maintaining the cell classes in the transformed images and is as effective as them in generating realistic images.