Deep Learning for Improved Polyp Detection from Synthetic Narrow-Band Imaging

To cope with the growing prevalence of colorectal cancer (CRC), screening programs for polyp detection and removal have proven their usefulness. Colonoscopy is considered the best-performing procedure for CRC screening. To ease the examination, deep learning based methods for automatic polyp detection have been developed for conventional white-light imaging (WLI). Compared with WLI, narrow-band imaging (NBI) can improve polyp classification during colonoscopy but requires special equipment. We propose a CycleGAN-based framework to convert images captured with regular WLI to synthetic NBI (SNBI) as a pre-processing method for improving object detection on WLI when NBI is unavailable. This paper first shows that better results for polyp detection can be achieved on NBI compared to a relatively similar dataset of WLI. Secondly, experimental results demonstrate that our proposed modality translation can achieve improved polyp detection on SNBI images generated from WLI compared to the original WLI. This is because our WLI-to-SNBI translation model can enhance the observation of polyp surface patterns in the generated SNBI images.

An Interpretable Deep Learning Approach for Skin Cancer Categorization

Skin cancer is a serious worldwide health issue, precise and early detection is essential for better patient outcomes and effective treatment. In this research, we use modern deep learning methods and explainable artificial intelligence (XAI) approaches to address the problem of skin cancer detection. To categorize skin lesions, we employ four cutting-edge pre-trained models: XceptionNet, EfficientNetV2S, InceptionResNetV2, and EfficientNetV2M. Image augmentation approaches are used to reduce class imbalance and improve the generalization capabilities of our models. Our models decision-making process can be clarified because of the implementation of explainable artificial intelligence (XAI). In the medical field, interpretability is essential to establish credibility and make it easier to implement AI driven diagnostic technologies into clinical workflows. We determined the XceptionNet architecture to be the best performing model, achieving an accuracy of 88.72%. Our study shows how deep learning and explainable artificial intelligence (XAI) can improve skin cancer diagnosis, laying the groundwork for future developments in medical image analysis. These technologies ability to allow for early and accurate detection could enhance patient care, lower healthcare costs, and raise the survival rates for those with skin cancer. Source Code: https://github.com/Faysal-MD/An-Interpretable-Deep-Learning?Approach-for-Skin-Cancer-Categorization-IEEE2023

Double-Condensing Attention Condenser: Leveraging Attention in Deep Learning to Detect Skin Cancer from Skin Lesion Images

Skin cancer is the most common type of cancer in the United States and is estimated to affect one in five Americans. Recent advances have demonstrated strong performance on skin cancer detection, as exemplified by state of the art performance in the SIIM-ISIC Melanoma Classification Challenge; however these solutions leverage ensembles of complex deep neural architectures requiring immense storage and compute costs, and therefore may not be tractable. A recent movement for TinyML applications is integrating Double-Condensing Attention Condensers (DC-AC) into a self-attention neural network backbone architecture to allow for faster and more efficient computation. This paper explores leveraging an efficient self-attention structure to detect skin cancer in skin lesion images and introduces a deep neural network design with DC-AC customized for skin cancer detection from skin lesion images. The final model is publicly available as a part of a global open-source initiative dedicated to accelerating advancement in machine learning to aid clinicians in the fight against cancer.

ProsDectNet: Bridging the Gap in Prostate Cancer Detection via Transrectal B-mode Ultrasound Imaging

Interpreting traditional B-mode ultrasound images can be challenging due to image artifacts (e.g., shadowing, speckle), leading to low sensitivity and limited diagnostic accuracy. While Magnetic Resonance Imaging (MRI) has been proposed as a solution, it is expensive and not widely available. Furthermore, most biopsies are guided by Transrectal Ultrasound (TRUS) alone and can miss up to 52% cancers, highlighting the need for improved targeting. To address this issue, we propose ProsDectNet, a multi-task deep learning approach that localizes prostate cancer on B-mode ultrasound. Our model is pre-trained using radiologist-labeled data and fine-tuned using biopsy-confirmed labels. ProsDectNet includes a lesion detection and patch classification head, with uncertainty minimization using entropy to improve model performance and reduce false positive predictions. We trained and validated ProsDectNet using a cohort of 289 patients who underwent MRI-TRUS fusion targeted biopsy. We then tested our approach on a group of 41 patients and found that ProsDectNet outperformed the average expert clinician in detecting prostate cancer on B-mode ultrasound images, achieving a patient-level ROC-AUC of 82%, a sensitivity of 74%, and a specificity of 67%. Our results demonstrate that ProsDectNet has the potential to be used as a computer-aided diagnosis system to improve targeted biopsy and treatment planning.

Clinical Melanoma Diagnosis with Artificial Intelligence: Insights from a Prospective Multicenter Study

Early detection of melanoma, a potentially lethal type of skin cancer with high prevalence worldwide, improves patient prognosis. In retrospective studies, artificial intelligence (AI) has proven to be helpful for enhancing melanoma detection. However, there are few prospective studies confirming these promising results. Existing studies are limited by low sample sizes, too homogenous datasets, or lack of inclusion of rare melanoma subtypes, preventing a fair and thorough evaluation of AI and its generalizability, a crucial aspect for its application in the clinical setting. Therefore, we assessed 'All Data are Ext' (ADAE), an established open-source ensemble algorithm for detecting melanomas, by comparing its diagnostic accuracy to that of dermatologists on a prospectively collected, external, heterogeneous test set comprising eight distinct hospitals, four different camera setups, rare melanoma subtypes, and special anatomical sites. We advanced the algorithm with real test-time augmentation (R-TTA, i.e. providing real photographs of lesions taken from multiple angles and averaging the predictions), and evaluated its generalization capabilities. Overall, the AI showed higher balanced accuracy than dermatologists (0.798, 95% confidence interval (CI) 0.779-0.814 vs. 0.781, 95% CI 0.760-0.802; p<0.001), obtaining a higher sensitivity (0.921, 95% CI 0.900- 0.942 vs. 0.734, 95% CI 0.701-0.770; p<0.001) at the cost of a lower specificity (0.673, 95% CI 0.641-0.702 vs. 0.828, 95% CI 0.804-0.852; p<0.001). As the algorithm exhibited a significant performance advantage on our heterogeneous dataset exclusively comprising melanoma-suspicious lesions, AI may offer the potential to support dermatologists particularly in diagnosing challenging cases.

GDN: A Stacking Network Used for Skin Cancer Diagnosis

Skin cancer, the primary type of cancer that can be identified by visual recognition, requires an automatic identification system that can accurately classify different types of lesions. This paper presents GoogLe-Dense Network (GDN), which is an image-classification model to identify two types of skin cancer, Basal Cell Carcinoma, and Melanoma. GDN uses stacking of different networks to enhance the model performance. Specifically, GDN consists of two sequential levels in its structure. The first level performs basic classification tasks accomplished by GoogLeNet and DenseNet, which are trained in parallel to enhance efficiency. To avoid low accuracy and long training time, the second level takes the output of the GoogLeNet and DenseNet as the input for a logistic regression model. We compare our method with four baseline networks including ResNet, VGGNet, DenseNet, and GoogLeNet on the dataset, in which GoogLeNet and DenseNet significantly outperform ResNet and VGGNet. In the second level, different stacking methods such as perceptron, logistic regression, SVM, decision trees and K-neighbor are studied in which Logistic Regression shows the best prediction result among all. The results prove that GDN, compared to a single network structure, has higher accuracy in optimizing skin cancer detection.

UGGNet: Bridging U-Net and VGG for Advanced Breast Cancer Diagnosis

In the field of medical imaging, breast ultrasound has emerged as a crucial diagnostic tool for early detection of breast cancer. However, the accuracy of diagnosing the location of the affected area and the extent of the disease depends on the experience of the physician. In this paper, we propose a novel model called UGGNet, combining the power of the U-Net and VGG architectures to enhance the performance of breast ultrasound image analysis. The U-Net component of the model helps accurately segment the lesions, while the VGG component utilizes deep convolutional layers to extract features. The fusion of these two architectures in UGGNet aims to optimize both segmentation and feature representation, providing a comprehensive solution for accurate diagnosis in breast ultrasound images. Experimental results have demonstrated that the UGGNet model achieves a notable accuracy of 78.2% on the "Breast Ultrasound Images Dataset."

SCPMan: Shape Context and Prior Constrained Multi-scale Attention Network for Pancreatic Segmentation

Due to the poor prognosis of Pancreatic cancer, accurate early detection and segmentation are critical for improving treatment outcomes. However, pancreatic segmentation is challenged by blurred boundaries, high shape variability, and class imbalance. To tackle these problems, we propose a multiscale attention network with shape context and prior constraint for robust pancreas segmentation. Specifically, we proposed a Multi-scale Feature Extraction Module (MFE) and a Mixed-scale Attention Integration Module (MAI) to address unclear pancreas boundaries. Furthermore, a Shape Context Memory (SCM) module is introduced to jointly model semantics across scales and pancreatic shape. Active Shape Model (ASM) is further used to model the shape priors. Experiments on NIH and MSD datasets demonstrate the efficacy of our model, which improves the state-of-the-art Dice Score for 1.01% and 1.03% respectively. Our architecture provides robust segmentation performance, against the blurry boundaries, and variations in scale and shape of pancreas.

Hybrid Whale-Mud-Ring Optimization for Precise Color Skin Cancer Image Segmentation

Timely identification and treatment of rapidly progressing skin cancers can significantly contribute to the preservation of patients' health and well-being. Dermoscopy, a dependable and accessible tool, plays a pivotal role in the initial stages of skin cancer detection. Consequently, the effective processing of digital dermoscopy images holds significant importance in elevating the accuracy of skin cancer diagnoses. Multilevel thresholding is a key tool in medical imaging that extracts objects within the image to facilitate its analysis. In this paper, an enhanced version of the Mud Ring Algorithm hybridized with the Whale Optimization Algorithm, named WMRA, is proposed. The proposed approach utilizes bubble-net attack and mud ring strategy to overcome stagnation in local optima and obtain optimal thresholds. The experimental results show that WMRA is powerful against a cluster of recent methods in terms of fitness, Peak Signal to Noise Ratio (PSNR), and Mean Square Error (MSE).

Anatomy-informed Data Augmentation for Enhanced Prostate Cancer Detection

Data augmentation (DA) is a key factor in medical image analysis, such as in prostate cancer (PCa) detection on magnetic resonance images. State-of-the-art computer-aided diagnosis systems still rely on simplistic spatial transformations to preserve the pathological label post transformation. However, such augmentations do not substantially increase the organ as well as tumor shape variability in the training set, limiting the model's ability to generalize to unseen cases with more diverse localized soft-tissue deformations. We propose a new anatomy-informed transformation that leverages information from adjacent organs to simulate typical physiological deformations of the prostate and generates unique lesion shapes without altering their label. Due to its lightweight computational requirements, it can be easily integrated into common DA frameworks. We demonstrate the effectiveness of our augmentation on a dataset of 774 biopsy-confirmed examinations, by evaluating a state-of-the-art method for PCa detection with different augmentation settings.