Melanoma diagnosed and treated in its early stages can increase the survival rate. A projected increase in skin cancer incidents and a dearth of dermatopathologists have emphasized the need for computational pathology (CPATH) systems. CPATH systems with deep learning (DL) models have the potential to identify the presence of melanoma by exploiting underlying morphological and cellular features. This paper proposes a DL method to detect melanoma and distinguish between normal skin and benign/malignant melanocytic lesions in Whole Slide Images (WSI). Our method detects lesions with high accuracy and localizes them on a WSI to identify potential regions of interest for pathologists. Interestingly, our DL method relies on using a single CNN network to create localization maps first and use them to perform slide-level predictions to determine patients who have melanoma. Our best model provides favorable patch-wise classification results with a 0.992 F1 score and 0.99 sensitivity on unseen data.
Colorectal cancer is among the most prevalent cause of cancer-related mortality worldwide. Detection and removal of polyps at an early stage can help reduce mortality and even help in spreading over adjacent organs. Early polyp detection could save the lives of millions of patients over the world as well as reduce the clinical burden. However, the detection polyp rate varies significantly among endoscopists. There is numerous deep learning-based method proposed, however, most of the studies improve accuracy. Here, we propose a novel architecture, Residual Upsampling Network (RUPNet) for colon polyp segmentation that can process in real-time and show high recall and precision. The proposed architecture, RUPNet, is an encoder-decoder network that consists of three encoders, three decoder blocks, and some additional upsampling blocks at the end of the network. With an image size of $512 \times 512$, the proposed method achieves an excellent real-time operation speed of 152.60 frames per second with an average dice coefficient of 0.7658, mean intersection of union of 0.6553, sensitivity of 0.8049, precision of 0.7995, and F2-score of 0.9361. The results suggest that RUPNet can give real-time feedback while retaining high accuracy indicating a good benchmark for early polyp detection.
Lung cancer is a leading cause of death worldwide. Early-stage detection of lung cancer is essential for a more favorable prognosis. Radiogenomics is an emerging discipline that combines medical imaging and genomics features for modeling patient outcomes non-invasively. This study presents a radiogenomics pipeline that has: 1) a novel mixed architecture (RA-Seg) to segment lung cancer through attention and recurrent blocks; and 2) deep feature classifiers to distinguish Epidermal Growth Factor Receptor (EGFR) mutation status. We evaluate the proposed algorithm on multiple public datasets to assess its generalizability and robustness. We demonstrate how the proposed segmentation and classification methods outperform existing baseline and SOTA approaches (73.54 Dice and 93 F1 scores).
Histological evaluation of tissue samples is a typical approach to identify colorectal cancer metastases in the peritoneum. For immediate assessment, reliable and real-time in-vivo imaging would be required. For example, intraoperative confocal laser microscopy has been shown to be suitable for distinguishing organs and also malignant and benign tissue. So far, the analysis is done by human experts. We investigate the feasibility of automatic colon cancer classification from confocal laser microscopy images using deep learning models. We overcome very small dataset sizes through transfer learning with state-of-the-art architectures. We achieve an accuracy of 89.1% for cancer detection in the peritoneum which indicates viability as an intraoperative decision support system.
Since data scarcity and data heterogeneity are prevailing for medical images, well-trained Convolutional Neural Networks (CNNs) using previous normalization methods may perform poorly when deployed to a new site. However, a reliable model for real-world applications should be able to generalize well both on in-distribution (IND) and out-of-distribution (OOD) data (e.g., the new site data). In this study, we present a novel normalization technique called window normalization (WIN), which is a simple yet effective alternative to existing normalization methods. Specifically, WIN perturbs the normalizing statistics with the local statistics computed on a window of features. This feature-level augmentation technique regularizes the models well and improves their OOD generalization significantly. Taking its advantage, we propose a novel self-distillation method called WIN-WIN to further improve the OOD generalization in classification. WIN-WIN is easily implemented with twice forward passes and a consistency constraint, which can be a simple extension for existing methods. Extensive experimental results on various tasks (such as glaucoma detection, breast cancer detection, chromosome classification, optic disc and cup segmentation, etc.) and datasets (26 datasets) demonstrate the generality and effectiveness of our methods. The code is available at https://github.com/joe1chief/windowNormalizaion.
Computer-aided detection systems based on deep learning have shown great potential in breast cancer detection. However, the lack of domain generalization of artificial neural networks is an important obstacle to their deployment in changing clinical environments. In this work, we explore the domain generalization of deep learning methods for mass detection in digital mammography and analyze in-depth the sources of domain shift in a large-scale multi-center setting. To this end, we compare the performance of eight state-of-the-art detection methods, including Transformer-based models, trained in a single domain and tested in five unseen domains. Moreover, a single-source mass detection training pipeline is designed to improve the domain generalization without requiring images from the new domain. The results show that our workflow generalizes better than state-of-the-art transfer learning-based approaches in four out of five domains while reducing the domain shift caused by the different acquisition protocols and scanner manufacturers. Subsequently, an extensive analysis is performed to identify the covariate shifts with bigger effects on the detection performance, such as due to differences in patient age, breast density, mass size, and mass malignancy. Ultimately, this comprehensive study provides key insights and best practices for future research on domain generalization in deep learning-based breast cancer detection.
With the development of computer technology, various models have emerged in artificial intelligence. The transformer model has been applied to the field of computer vision (CV) after its success in natural language processing (NLP). Radiologists continue to face multiple challenges in today's rapidly evolving medical field, such as increased workload and increased diagnostic demands. Although there are some conventional methods for lung cancer detection before, their accuracy still needs to be improved, especially in realistic diagnostic scenarios. This paper creatively proposes a segmentation method based on efficient transformer and applies it to medical image analysis. The algorithm completes the task of lung cancer classification and segmentation by analyzing lung cancer data, and aims to provide efficient technical support for medical staff. In addition, we evaluated and compared the results in various aspects. For the classification mission, the max accuracy of Swin-T by regular training and Swin-B in two resolutions by pre-training can be up to 82.3%. For the segmentation mission, we use pre-training to help the model improve the accuracy of our experiments. The accuracy of the three models reaches over 95%. The experiments demonstrate that the algorithm can be well applied to lung cancer classification and segmentation missions.
Nowadays, Breast cancer has risen to become one of the most prominent causes of death in recent years. Among all malignancies, this is the most frequent and the major cause of death for women globally. Manually diagnosing this disease requires a good amount of time and expertise. Breast cancer detection is time-consuming, and the spread of the disease can be reduced by developing machine-based breast cancer predictions. In Machine learning, the system can learn from prior instances and find hard-to-detect patterns from noisy or complicated data sets using various statistical, probabilistic, and optimization approaches. This work compares several machine learning algorithm's classification accuracy, precision, sensitivity, and specificity on a newly collected dataset. In this work Decision tree, Random Forest, Logistic Regression, Naive Bayes, and XGBoost, these five machine learning approaches have been implemented to get the best performance on our dataset. This study focuses on finding the best algorithm that can forecast breast cancer with maximum accuracy in terms of its classes. This work evaluated the quality of each algorithm's data classification in terms of efficiency and effectiveness. And also compared with other published work on this domain. After implementing the model, this study achieved the best model accuracy, 94% on Random Forest and XGBoost.
Screening mammography improves breast cancer outcomes by enabling early detection and treatment. However, false positive callbacks for additional imaging from screening exams cause unnecessary procedures, patient anxiety, and financial burden. This work demonstrates an AI algorithm that reduces false positives by identifying mammograms not suspicious for breast cancer. We trained the algorithm to determine the absence of cancer using 123,248 2D digital mammograms (6,161 cancers) and performed a retrospective study on 14,831 screening exams (1,026 cancers) from 15 US and 3 UK sites. Retrospective evaluation of the algorithm on the largest of the US sites (11,592 mammograms, 101 cancers) a) left the cancer detection rate unaffected (p=0.02, non-inferiority margin 0.25 cancers per 1000 exams), b) reduced callbacks for diagnostic exams by 31.1% compared to standard clinical readings, c) reduced benign needle biopsies by 7.4%, and d) reduced screening exams requiring radiologist interpretation by 41.6% in the simulated clinical workflow. This work lays the foundation for semi-autonomous breast cancer screening systems that could benefit patients and healthcare systems by reducing false positives, unnecessary procedures, patient anxiety, and expenses.
Convolutional Neural Networks (CNN) have had a huge success in many areas of computer vision and medical image analysis. However, there is still an immense potential for performance improvement in mammogram breast cancer detection Computer-Aided Detection (CAD) systems by integrating all the information that the radiologist utilizes, such as symmetry and temporal data. In this work, we proposed a patch based multi-input CNN that learns symmetrical difference to detect breast masses. The network was trained on a large-scale dataset of 28294 mammogram images. The performance was compared to a baseline architecture without symmetry context using Area Under the ROC Curve (AUC) and Competition Performance Metric (CPM). At candidate level, AUC value of 0.933 with 95% confidence interval of [0.920, 0.954] was obtained when symmetry information is incorporated in comparison with baseline architecture which yielded AUC value of 0.929 with [0.919, 0.947] confidence interval. By incorporating symmetrical information, although there was no a significant candidate level performance again (p = 0.111), we have found a compelling result at exam level with CPM value of 0.733 (p = 0.001). We believe that including temporal data, and adding benign class to the dataset could improve the detection performance.