Breast cancer diagnosis often requires accurate detection of metastasis in lymph nodes through Whole-slide Images (WSIs). Recent advances in deep convolutional neural networks (CNNs) have shown significant successes in medical image analysis and particularly in computational histopathology. Because of the outrageous large size of WSIs, most of the methods divide one slide into lots of small image patches and perform classification on each patch independently. However, neighboring patches often share spatial correlations, and ignoring these spatial correlations may result in inconsistent predictions. In this paper, we propose a neural conditional random field (NCRF) deep learning framework to detect cancer metastasis in WSIs. NCRF considers the spatial correlations between neighboring patches through a fully connected CRF which is directly incorporated on top of a CNN feature extractor. The whole deep network can be trained end-to-end with standard back-propagation algorithm with minor computational overhead from the CRF component. The CNN feature extractor can also benefit from considering spatial correlations via the CRF component. Compared to the baseline method without considering spatial correlations, we show that the proposed NCRF framework obtains probability maps of patch predictions with better visual quality. We also demonstrate that our method outperforms the baseline in cancer metastasis detection on the Camelyon16 dataset and achieves an average FROC score of 0.8096 on the test set. NCRF is open sourced at https://github.com/baidu-research/NCRF.
Cancer diseases constitute one of the most significant societal challenges. In this paper we introduce a novel histopathological dataset for prostate cancer detection. The proposed dataset, consisting of over 2.6 million tissue patches extracted from 430 fully annotated scans, 4675 scans with assigned binary diagnosis, and 46 scans with diagnosis given independently by a group of histopathologists, can be found at https://ai-econsilio.diag.pl. Furthermore, we propose a machine learning framework for detection of cancerous tissue regions and prediction of scan-level diagnosis, utilizing thresholding and statistical analysis to abstain from the decision in uncertain cases. During the experimental evaluation we identify several factors negatively affecting the performance of considered models, such as presence of label noise, data imbalance, and quantity of data, that can serve as a basis for further research. The proposed approach, composed of ensembles of deep neural networks operating on the histopathological scans at different scales, achieves 94.6% accuracy in patch-level recognition, and is compared in a scan-level diagnosis with 9 human histopathologists.
Pancreatic cancer is one of the global leading causes of cancer-related deaths. Despite the success of Deep Learning in computer-aided diagnosis and detection (CAD) methods, little attention has been paid to the detection of Pancreatic Cancer. We propose a method for detecting pancreatic tumor that utilizes clinically-relevant features in the surrounding anatomical structures, thereby better aiming to exploit the radiologist's knowledge compared to other, conventional deep learning approaches. To this end, we collect a new dataset consisting of 99 cases with pancreatic ductal adenocarcinoma (PDAC) and 97 control cases without any pancreatic tumor. Due to the growth pattern of pancreatic cancer, the tumor may not be always visible as a hypodense lesion, therefore experts refer to the visibility of secondary external features that may indicate the presence of the tumor. We propose a method based on a U-Net-like Deep CNN that exploits the following external secondary features: the pancreatic duct, common bile duct and the pancreas, along with a processed CT scan. Using these features, the model segments the pancreatic tumor if it is present. This segmentation for classification and localization approach achieves a performance of 99% sensitivity (one case missed) and 99% specificity, which realizes a 5% increase in sensitivity over the previous state-of-the-art method. The model additionally provides location information with reasonable accuracy and a shorter inference time compared to previous PDAC detection methods. These results offer a significant performance improvement and highlight the importance of incorporating the knowledge of the clinical expert when developing novel CAD methods.
Thermography has been used extensively as a complementary diagnostic tool in breast cancer detection. Among thermographic methods matrix factorization (MF) techniques show an unequivocal capability to detect thermal patterns corresponding to vasodilation in cancer cases. One of the biggest challenges in such techniques is selecting the best representation of the thermal basis. In this study, an embedding method is proposed to address this problem and Deep-semi-nonnegative matrix factorization (Deep-SemiNMF) for thermography is introduced, then tested for 208 breast cancer screening cases. First, we apply Deep-SemiNMF to infrared images to extract low-rank thermal representations for each case. Then, we embed low-rank bases to obtain one basis for each patient. After that, we extract 300 thermal imaging features, called thermomics, to decode imaging information for the automatic diagnostic model. We reduced the dimensionality of thermomics by spanning them onto Hilbert space using RBF kernel and select the three most efficient features using the block Hilbert Schmidt Independence Criterion Lasso (block HSIC Lasso). The preserved thermal heterogeneity successfully classified asymptomatic versus symptomatic patients applying a random forest model (cross-validated accuracy of 71.36% (69.42%-73.3%)).
The standard diagnostic procedures for targeted therapies in lung cancer treatment involve histological subtyping and subsequent detection of key driver mutations, such as EGFR. Even though molecular profiling can uncover the driver mutation, the process is often expensive and time-consuming. Deep learning-oriented image analysis offers a more economical alternative for discovering driver mutations directly from whole slide images (WSIs). In this work, we used customized deep learning pipelines with weak supervision to identify the morphological correlates of EGFR mutation from hematoxylin and eosin-stained WSIs, in addition to detecting tumor and histologically subtyping it. We demonstrate the effectiveness of our pipeline by conducting rigorous experiments and ablation studies on two lung cancer datasets - TCGA and a private dataset from India. With our pipeline, we achieved an average area under the curve (AUC) of 0.964 for tumor detection, and 0.942 for histological subtyping between adenocarcinoma and squamous cell carcinoma on the TCGA dataset. For EGFR detection, we achieved an average AUC of 0.864 on the TCGA dataset and 0.783 on the dataset from India. Our key learning points include the following. Firstly, there is no particular advantage of using a feature extractor layers trained on histology, if one is going to fine-tune the feature extractor on the target dataset. Secondly, selecting patches with high cellularity, presumably capturing tumor regions, is not always helpful, as the sign of a disease class may be present in the tumor-adjacent stroma.
Oral cancer speech is a disease which impacts more than half a million people worldwide every year. Analysis of oral cancer speech has so far focused on read speech. In this paper, we 1) present and 2) analyse a three-hour long spontaneous oral cancer speech dataset collected from YouTube. 3) We set baselines for an oral cancer speech detection task on this dataset. The analysis of these explainable machine learning baselines shows that sibilants and stop consonants are the most important indicators for spontaneous oral cancer speech detection.
Today, gastric cancer is one of the diseases which affected many people's life. Early detection and accuracy are the main and crucial challenges in finding this kind of cancer. In this paper, a method to increase the accuracy of the diagnosis of detecting cancer using lint and colour features of tongue based on deep convolutional neural networks and support vector machine is proposed. In the proposed method, the region of tongue is first separated from the face image by {deep RCNN} \color{black} Recursive Convolutional Neural Network (R-CNN) \color{black}. After the necessary preprocessing, the images to the convolutional neural network are provided and the training and test operations are triggered. The results show that the proposed method is correctly able to identify the area of the tongue as well as the patient's person from the non-patient. Based on experiments, the DenseNet network has the highest accuracy compared to other deep architectures. The experimental results show that the accuracy of this network for gastric cancer detection reaches 91% which shows the superiority of method in comparison to the state-of-the-art methods.
Breast cancer is among the most deadly diseases, distressing mostly women worldwide. Although traditional methods for detection have presented themselves as valid for the task, they still commonly present low accuracies and demand considerable time and effort from professionals. Therefore, a computer-aided diagnosis (CAD) system capable of providing early detection becomes hugely desirable. In the last decade, machine learning-based techniques have been of paramount importance in this context, since they are capable of extracting essential information from data and reasoning about it. However, such approaches still suffer from imbalanced data, specifically on medical issues, where the number of healthy people samples is, in general, considerably higher than the number of patients. Therefore this paper proposes the $\text{O}^2$PF, a data oversampling method based on the unsupervised Optimum-Path Forest Algorithm. Experiments conducted over the full oversampling scenario state the robustness of the model, which is compared against three well-established oversampling methods considering three breast cancer and three general-purpose tasks for medical issues datasets.
With the advent of state-of-the-art machine learning and deep learning technologies, several industries are moving towards the field. Applications of such technologies are highly diverse ranging from natural language processing to computer vision. Object recognition is one such area in the computer vision domain. Although proven to perform with high accuracy, there are still areas where such models can be improved. This is in-fact highly important in real-world use cases like autonomous driving or cancer detection, that are highly sensitive and expect such technologies to have almost no uncertainties. In this paper, we attempt to visualise the uncertainties in object recognition models and propose a correction process via user feedback. We further demonstrate our approach on the data provided by the VAST 2020 Mini-Challenge 2.
Breast cancer has become one of the most prevalent cancers by which people all over the world are affected and is posed serious threats to human beings, in a particular woman. In order to provide effective treatment or prevention of this cancer, disease diagnosis in the early stages would be of high importance. There have been various methods to detect this disorder in which using images have to play a dominant role. Deep learning has been recently adopted widely in different areas of science, especially medicine. In breast cancer detection problems, some diverse deep learning techniques have been developed on different datasets and resulted in good accuracy. In this article, we aimed to present a deep neural network model to classify histopathological images from the Databiox image dataset as the first application on this image database. Our proposed model named BCNet has taken advantage of the transfer learning approach in which VGG16 is selected from available pertained models as a feature extractor. Furthermore, to address the problem of insufficient data, we employed the data augmentation technique to expand the input dataset. All implementations in this research, ranging from pre-processing actions to depicting the diagram of the model architecture, have been carried out using tf.keras API. As a consequence of the proposed model execution, the significant validation accuracy of 88% and evaluation accuracy of 72% obtained.