Automated detection and segmentation of pulmonary nodules on lung computed tomography (CT) scans can facilitate early lung cancer diagnosis. Existing supervised approaches for automated nodule segmentation on CT scans require voxel-based annotations for training, which are labor- and time-consuming to obtain. In this work, we propose a weakly-supervised method that generates accurate voxel-level nodule segmentation trained with image-level labels only. By adapting a convolutional neural network (CNN) trained for image classification, our proposed method learns discriminative regions from the activation maps of convolution units at different scales, and identifies the true nodule location with a novel candidate-screening framework. Experimental results on the public LIDC-IDRI dataset demonstrate that, our weakly-supervised nodule segmentation framework achieves competitive performance compared to a fully-supervised CNN-based segmentation method.
Detection of pulmonary nodules on chest CT is an essential step in the early diagnosis of lung cancer, which is critical for best patient care. Although a number of computer-aided nodule detection methods have been published in the literature, these methods still have two major drawbacks: missing out true nodules during the detection of nodule candidates and less-accurate identification of nodules from non-nodule. In this paper, we propose an automated pulmonary nodule detection algorithm that jointly combines progressive resolution and hierarchical saliency. Specifically, we design a 3D progr…
Early detection of pulmonary cancer is the most promising way to enhance a patient's chance for survival. Accurate pulmonary nodule detection in computed tomography (CT) images is a crucial step in diagnosing pulmonary cancer. In this paper, inspired by the successful use of deep convolutional neural networks (DCNNs) in natural image recognition, we propose a novel pulmonary nodule detection approach based on DCNNs. We first introduce a deconvolutional structure to Faster Region-based Convolutional Neural Network (Faster R-CNN) for candidate detection on axial slices. Then, a three-dimensional…
Pulmonary nodule detection, false positive reduction and segmentation represent three of the most common tasks in the computeraided analysis of chest CT images. Methods have been proposed for eachtask with deep learning based methods heavily favored recently. However training deep learning models to solve each task separately may be sub-optimal - resource intensive and without the benefit of feature sharing. Here, we propose a new end-to-end 3D deep convolutional neural net (DCNN), called NoduleNet, to solve nodule detection, false positive reduction and nodule segmentation jointly in a multi-…
University of Groningen, University Medical Center Groningen（格罗宁根大学医学中心）；Tianjin Medical University Cancer Institute and Hospital（天津医科大学肿瘤医院）；University of Twente（特温特大学）
Accurate pulmonary nodule detection is a crucial step in lung cancer screening. Computer-aided detection (CAD) systems are not routinely used by radiologists for pulmonary nodule detection in clinical practice despite their potential benefits. Maximum intensity projection (MIP) images improve the detection of pulmonary nodules in radiological evaluation with computed tomography (CT) scans. Inspired by the clinical methodology of radiologists, we aim to explore the feasibility of applying MIP images to improve the effectiveness of automatic lung nodule detection using convolutional neural netwo…
Korea Advanced Institute of Science and Technology（韩国科学技术院）；Hanbat National University（韩巴国立大学）
Background and Objective: In pulmonary nodule detection, the first stage, candidate detection, aims to detect suspicious pulmonary nodules. However, detected candidates include many false positives and thus in the following stage, false positive reduction, such false positives are reliably reduced. Note that this task is challenging due to 1) the imbalance between the numbers of nodules and non-nodules and 2) the intra-class diversity of non-nodules. Although techniques using 3D convolutional neural networks (CNNs) have shown promising performance, they suffer from high computational complexit…
School of Medicine, Tsinghua University（清华大学医学院）；Department of Computer Science and Technology, Tsinghua University（清华大学计算机科学与技术系）
Automatic diagnosing lung cancer from Computed Tomography (CT) scans involves two steps: detect all suspicious lesions (pulmonary nodules) and evaluate the whole-lung/pulmonary malignancy. Currently, there are many studies about the first step, but few about the second step. Since the existence of nodule does not definitely indicate cancer, and the morphology of nodule has a complicated relationship with cancer, the diagnosis of lung cancer demands careful investigations on every suspicious nodule and integration of information of all nodules. We propose a 3D deep neural network to solve this …
University of Electronic Science and Technology of China（电子科技大学）；School of Information and Software Engineering, University of Electronic Science and Technology of China（电子科技大学信息与软件工程学院）
The early detection and early diagnosis of lung cancer are crucial to improve the survival rate of lung cancer patients. Pulmonary nodules detection results have a significant impact on the later diagnosis. In this work, we propose a new network named RUN to complete nodule detection in a single step by bypassing the candidate selection. The system introduces the shortcut of the residual network to improve the traditional U-Net, thereby solving the disadvantage of poor results due to its lack of depth. Furthermore, we compare the experimental results with the traditional U-Net. We validate our…
The Chinese University of Hong Kong（香港中文大学）；The Hong Kong Polytechnic University（香港理工大学）
In this paper, we propose a novel framework with 3D convolutional networks (ConvNets) for automated detection of pulmonary nodules from low-dose CT scans, which is a challenging yet crucial task for lung cancer early diagnosis and treatment. Different from previous standard ConvNets, we try to tackle the severe hard/easy sample imbalance problem in medical datasets and explore the benefits of localized annotations to regularize the learning, and hence boost the performance of ConvNets to achieve more accurate detections. Our proposed framework consists of two stages: 1) candidate screening, an…
University of Pennsylvania（宾夕法尼亚大学）；Perelman School of Medicine（佩雷尔曼医学院）
Pulmonary nodule detection plays an important role in lung cancer screening with low-dose computed tomography (CT) scans. It remains challenging to build nodule detection deep learning models with good generalization performance due to unbalanced positive and negative samples. In order to overcome this problem and further improve state-of-the-art nodule detection methods, we develop a novel deep 3D convolutional neural network with an Encoder-Decoder structure in conjunction with a region proposal network. Particularly, we utilize a dynamically scaled cross entropy loss to reduce the false pos…
Candidate generation, the first stage for most computer aided detection (CAD) systems, rapidly scans the entire image data for any possible abnormality locations, while the subsequent stages of the CAD system refine the candidates list to determine the most probable or significant of these candidates. The candidate generator creates a list of the locations and provides a size estimate for each candidate. A multiscale scale-normalized Laplacian of Gaussian (LoG) filtering method for detecting pulmonary nodules in whole-lung CT scans, presented in this paper, achieves a high sensitivity for both…
Radboud University Medical Center（拉德堡德大学医学中心）；Gentofte Hospital（根措夫特医院）；Fondazione IRCCS Istituto Nazionale dei Tumori（IRCCS国家肿瘤研究所基金会）
The introduction of lung cancer screening programs will produce an unprecedented amount of chest CT scans in the near future, which radiologists will have to read in order to decide on a patient follow-up strategy. According to the current guidelines, the workup of screen-detected nodules strongly relies on nodule size and nodule type. In this paper, we present a deep learning system based on multi-stream multi-scale convolutional networks, which automatically classifies all nodule types relevant for nodule workup. The system processes raw CT data containing a nodule without the need for any a…
Refer to the literature of lung nodule classification, many studies adopt Convolutional Neural Networks (CNN) to directly predict the malignancy of lung nodules with original thoracic Computed Tomography (CT) and nodule location. However, these studies cannot tell how the CNN works in terms of predicting the malignancy of the given nodule, e.g., it's hard to conclude that whether the region within the nodule or the contextual information matters according to the output of the CNN. In this paper, we propose an interpretable and multi-task learning CNN -- Joint learning for \textbf{P}ulmonary \t…
M3Net: A Macro-to-Meso-to-Micro Clinical-inspired Hierarchical 3D Network for Pulmonary Nodule Classification
Hefei Cancer Hospital of CAS, Institute of Health and Medical Technology, Hefei Institutes of Physical Science, Chinese Academy of Sciences（中国科学院合肥医疗健康研究院、健康与医疗技术研究所、物理研究所）；University of Science and Technology of China（中国科学技术大学）；Graduate School, Bengbu Medical College（蚌埠医疗学院研究生院）；Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China (USTC)（中国科学技术大学附属第一医院呼吸与危重症医学科、生命科学与医学学院）；Northeastern University（东北大学）；Institute of Semiconductors, Chinese Academy of Sciences（中国科学院半导体研究所）；College of Computing and Data Science (CCDS), Nanyang Technological University（南洋理工大学计算与数据科学学院）
Wuhan University（武汉大学）；Hubei Luojia Laboratory（湖北珞珈实验室）；The University of Electro-Communications（电气通信大学）；JD Explore Academy（京东探索研究院）；Dianei Technology（点内科技）；Shanghai Jiao Tong University（上海交通大学）；EPFL（洛桑联邦理工学院）
Lung cancer is the leading cause of cancer death worldwide. The best solution for lung cancer is to diagnose the pulmonary nodules in the early stage, which is usually accomplished with the aid of thoracic computed tomography (CT). As deep learning thrives, convolutional neural networks (CNNs) have been introduced into pulmonary nodule detection to help doctors in this labor-intensive task and demonstrated to be very effective. However, the current pulmonary nodule detection methods are usually domain-specific, and cannot satisfy the requirement of working in diverse real-world scenarios. To a…
Eurecat, Centre Tecnòlogic de Catalunya（加泰罗尼亚技术中心Eurecat）；Universitat Pompeu Fabra（庞培法布拉大学）；Vall d’Hebron University Hospital（瓦尔德希伯伦大学医院）；ICREA（加泰罗尼亚研究与高级研究院）
Nodule malignancy assessment is a complex, time-consuming and error-prone task. Current clinical practice requires measuring changes in size and density of the nodule at different time-points. State of the art solutions rely on 3D convolutional neural networks built on pulmonary nodules obtained from single CT scan per patient. In this work, we propose a two-stream 3D convolutional neural network that predicts malignancy by jointly analyzing two pulmonary nodule volumes from the same patient taken at different time-points. Best results achieve 77% of F1-score in test with an increment of 9% an…
Sun Yat-sen University（中山大学）；Technical University of Munich（慕尼黑工业大学）；Infervision Inc（推想科技）
Early diagnosis of pulmonary nodules (PNs) can improve the survival rate of patients and yet is a challenging task for radiologists due to the image noise and artifacts in computed tomography (CT) images. In this paper, we propose a novel and effective abnormality detector implementing the attention mechanism and group convolution on 3D single-shot detector (SSD) called group-attention SSD (GA-SSD). We find that group convolution is effective in extracting rich context information between continuous slices, and attention network can learn the target features automatically. We collected a large…
Diagnosis and treatment of multiple pulmonary nodules are clinically important but challenging. Prior studies on nodule characterization use solitary-nodule approaches on multiple nodular patients, which ignores the relations between nodules. In this study, we propose a multiple instance learning (MIL) approach and empirically prove the benefit to learn the relations between multiple nodules. By treating the multiple nodules from a same patient as a whole, critical relational information between solitary-nodule voxels is extracted. To our knowledge, it is the first study to learn the relations…
The City College of New York（纽约城市学院）；UMass CICS（马萨诸塞大学阿默斯特分校信息与计算机科学学院）；Google AI（谷歌人工智能）；Memorial Sloan-Kettering Cancer Center（纪念斯隆-凯特琳癌症中心）
Accurate detection of pulmonary nodules with high sensitivity and specificity is essential for automatic lung cancer diagnosis from CT scans. Although many deep learning-based algorithms make great progress for improving the accuracy of nodule detection, the high false positive rate is still a challenging problem which limited the automatic diagnosis in routine clinical practice. In this paper, we propose a novel pulmonary nodule detection framework based on a 3D Feature Pyramid Network (3DFPN) to improve the sensitivity of nodule detection by employing multi-scale features to increase the res…
Dali University（大理大学）；Liuzhou Vocational & Technical College（柳州职业技术学院）；The Second Xiangya Hospital of Central South University（中南大学湘雅二医院）；Hunan Key Laboratory of Early Diagnosis and Precise Treatment of Lung Cancer（湖南省肺癌早期诊断与精准治疗重点实验室）；Early-Stage Lung Cancer Center（早期肺癌中心）
Detection of pulmonary nodules by CT is used for screening lung cancer in early stages.omputer aided diagnosis (CAD) based on deep-learning method can identify the suspected areas of pulmonary nodules in CT images, thus improving the accuracy and efficiency of CT diagnosis. The accuracy and robustness of deep learning models. Method:In this paper, we explore (1) the data augmentation method based on the generation model and (2) the model structure improvement method based on the embedding mechanism. Two strategies have been introduced in this study: a new data augmentation method and a embeddi…
Convolutional neural networks (CNNs) have been demonstrated to be highly effective in the field of pulmonary nodule detection. However, existing CNN based pulmonary nodule detection methods lack the ability to capture long-range dependencies, which is vital for global information extraction. In computer vision tasks, non-local operations have been widely utilized, but the computational cost could be very high for 3D computed tomography (CT) images. To address this issue, we propose a long short slice-aware network (LSSANet) for the detection of pulmonary nodules. In particular, we develop a ne…
Motivated by the problem of computer-aided detection (CAD) of pulmonary nodules, we introduce methods to propagate and fuse uncertainty information in a multi-stage Bayesian convolutional neural network (CNN) architecture. The question we seek to answer is "can we take advantage of the model uncertainty provided by one deep learning model to improve the performance of the subsequent deep learning models and ultimately of the overall performance in a multi-stage Bayesian deep learning architecture?". Our experiments show that propagating uncertainty through the pipeline enables us to improve th…
Cancer Hospital, Chinese Academic of Medical Science（中国医学科学院肿瘤医院）；Genonova Inc（Genonova公司）
This paper proposes a novel and efficient method to build a Computer-Aided Diagnoses (CAD) system for lung nodule detection based on Computed Tomography (CT). This task was treated as an Object Detection on Video (VID) problem by imitating how a radiologist reads CT scans. A lung nodule detector was trained to automatically learn nodule features from still images to detect lung nodule candidates with both high recall and accuracy. Unlike previous work which used 3-dimensional information around the nodule to reduce false positives, we propose two simple but efficient methods, Multi-slice propa…
Application of Computer Deep Learning Model in Diagnosis of Pulmonary Nodules
University of California, Davis（加州大学戴维斯分校）；University of Washington（华盛顿大学）；Northern Arizona University（北亚利桑那大学）；Arizona State University（亚利桑那州立大学）；University of Pennsylvania（宾夕法尼亚大学）；University of California San Diego（加州大学圣迭戈分校）
Radboud University Medical Center（拉德堡德大学医学中心）；Polytechnic University of Turin（都灵理工大学）；Istituto Nazionale di Fisica Nucleare（国家核物理研究院）；Radboud University Nijmegen（拉德堡德大学）；Radboud University（拉德堡德大学）；The Chinese University of Hong Kong（香港中文大学）；University of Pisa（比萨大学）
Automatic detection of pulmonary nodules in thoracic computed tomography (CT) scans has been an active area of research for the last two decades. However, there have only been few studies that provide a comparative performance evaluation of different systems on a common database. We have therefore set up the LUNA16 challenge, an objective evaluation framework for automatic nodule detection algorithms using the largest publicly available reference database of chest CT scans, the LIDC-IDRI data set. In LUNA16, participants develop their algorithm and upload their predictions on 888 CT scans in o…
Dalian University of Technology（大连理工大学）；Key Laboratory for Ubiquitous Network and Service Software of Liaoning Province（辽宁省泛在网络与服务软件重点实验室）
More and more attention has been paid to the segmentation of pulmonary nodules. Among the current methods based on deep learning, 3D segmentation methods directly input 3D images, which takes up a lot of memory and brings huge computation. However, most of the 2D segmentation methods with less parameters and calculation have the problem of lacking spatial relations between slices, resulting in poor segmentation performance. In order to solve these problems, we propose an adjacent slice feature guided 2.5D network. In this paper, we design an adjacent slice feature fusion model to introduce inf…
Computed tomography (CT) generates a stack of cross-sectional images covering a region of the body. The visual assessment of these images for the identification of potential abnormalities is a challenging and time consuming task due to the large amount of information that needs to be processed. In this article we propose a deep artificial neural network architecture, ReCTnet, for the fully-automated detection of pulmonary nodules in CT scans. The architecture learns to distinguish nodules and normal structures at the pixel level and generates three-dimensional probability maps highlighting are…
Eurecat Centre Tecnològic de Catalunya（加泰罗尼亚埃urecat技术中心）；Universitat Pompeu Fabra（庞培法布拉大学）；Vall d’Hebron University Hospital（瓦尔德希伯伦大学医院）；ICREA（加泰罗尼亚研究与高等研究院）
Lung cancer follow-up is a complex, error prone, and time consuming task for clinical radiologists. Several lung CT scan images taken at different time points of a given patient need to be individually inspected, looking for possible cancerogenous nodules. Radiologists mainly focus their attention in nodule size, density, and growth to assess the existence of malignancy. In this study, we present a novel method based on a 3D siamese neural network, for the re-identification of nodules in a pair of CT scans of the same patient without the need for image registration. The network was integrated …
The City College of New York（纽约城市学院）；UMass CICS（马萨诸塞大学信息与计算机科学学院）；Google AI（谷歌人工智能）；Memorial Sloan Kettering Cancer Center（纪念斯隆凯特琳癌症中心）
Accurate detection of pulmonary nodules with high sensitivity and specificity is essential for automatic lung cancer diagnosis from CT scans. Although many deep learning-based algorithms make great progress for improving the accuracy of nodule detection, the high false positive rate is still a challenging problem which limits the automatic diagnosis in routine clinical practice. Moreover, the CT scans collected from multiple manufacturers may affect the robustness of Computer-aided diagnosis (CAD) due to the differences in intensity scales and machine noises. In this paper, we propose a novel …
University of California, Irvine（加州大学尔湾分校）；Baidu Research（百度研究院）
In this work, we present a fully automated lung CT cancer diagnosis system, DeepLung. DeepLung contains two parts, nodule detection and classification. Considering the 3D nature of lung CT data, two 3D networks are designed for the nodule detection and classification respectively. Specifically, a 3D Faster R-CNN is designed for nodule detection with a U-net-like encoder-decoder structure to effectively learn nodule features. For nodule classification, gradient boosting machine (GBM) with 3D dual path network (DPN) features is proposed. The nodule classification subnetwork is validated on a pub…
Eurecat Centre Tecnològic de Catalunya（加泰罗尼亚技术中心）；Universitat Pompeu Fabra（庞培法布拉大学）；Vall d'Hebron University Hospital（瓦尔德希布伦大学医院）；ICREA（加泰罗尼亚高级研究院）
We address the problem of supporting radiologists in the longitudinal management of lung cancer. Therefore, we proposed a deep learning pipeline, composed of four stages that completely automatized from the detection of nodules to the classification of cancer, through the detection of growth in the nodules. In addition, the pipeline integrated a novel approach for nodule growth detection, which relied on a recent hierarchical probabilistic U-Net adapted to report uncertainty estimates. Also, a second novel method was introduced for lung cancer nodule classification, integrating into a two stre…
University of California, Irvine（加州大学欧文分校）；Deepvoxel Inc.（Deepvoxel公司）
Pulmonary nodule detection using low-dose Computed Tomography (CT) is often the first step in lung disease screening and diagnosis. Recently, algorithms based on deep convolutional neural nets have shown great promise for automated nodule detection. Most of the existing deep learning nodule detection systems are constructed in two steps: a) nodule candidates screening and b) false positive reduction, using two different models trained separately. Although it is commonly adopted, the two-step approach not only imposes significant resource overhead on training two independent deep learning model…
Detection of pulmonary nodules in chest CT imaging plays a crucial role in early diagnosis of lung cancer. Manual examination is highly time-consuming and error prone, calling for computer-aided detection, both to improve efficiency and reduce misdiagnosis. Over the years, a range of systems have been proposed, mostly following a two-phase paradigm with: 1) candidate detection, 2) false positive reduction. Recently, deep learning has become a dominant force in algorithm development. As for candidate detection, prior art was mainly based on the two-stage Faster R-CNN framework, which starts wit…
University of California, Irvine（加州大学欧文分校）；Lenovo AI Lab（联想人工智能实验室）
Recently deep learning has been witnessing widespread adoption in various medical image applications. However, training complex deep neural nets requires large-scale datasets labeled with ground truth, which are often unavailable in many medical image domains. For instance, to train a deep neural net to detect pulmonary nodules in lung computed tomography (CT) images, current practice is to manually label nodule locations and sizes in many CT images to construct a sufficiently large training dataset, which is costly and difficult to scale. On the other hand, electronic medical records (EMR) co…
Yandex School of Data Analysis（Yandex数据分析学院）；Tel Aviv University（特拉维夫大学）
Content-based retrieval supports a radiologist decision making process by presenting the doctor the most similar cases from the database containing both historical diagnosis and further disease development history. We present a deep learning system that transforms a 3D image of a pulmonary nodule from a CT scan into a low-dimensional embedding vector. We demonstrate that such a vector representation preserves semantic information about the nodule and offers a viable approach for content-based image retrieval (CBIR). We discuss the theoretical limitations of the available datasets and overcome …
CPLOYO: A Pulmonary Nodule Detection Model with Multi-Scale Feature Fusion and Nonlinear Feature Learning
Tongji Hospital, School of Medicine, Tongji University（同济大学医学院附属同济医院）；Shanghai Pulmonology Hospital, School of Medicine, Tongji University（同济大学医学院附属上海肺科医院）；Carnegie Mellon University（卡内基梅隆大学）
MSDet: Receptive Field Enhanced Multiscale Detection for Tiny Pulmonary Nodule
College of Computer Science and Artificial Intelligence, Southwest Minzu University（西南民族大学计算机科学与人工智能学院）；School of Intelligent System Engineering, Sun Yat-sen University（中山大学智能系统工程学院）；University of Warwick（华威大学）；Australian National University（澳大利亚国立大学）；School of Computer Science and Technology, Beijing Jiaotong University（北京交通大学计算机科学与技术学院）；University of Toronto（多伦多大学）；University of Adelaide（阿德莱德大学）；La Trobe University（拉筹伯大学）
Lung cancer is a global and dangerous disease, and its early detection is crucial to reducing the risks of mortality. In this regard, it has been of great interest in developing a computer-aided system for pulmonary nodules detection as early as possible on thoracic CT scans. In general, a nodule detection system involves two steps: (i) candidate nodule detection at a high sensitivity, which captures many false positives and (ii) false positive reduction from candidates. However, due to the high variation of nodule morphological characteristics and the possibility of mistaking them for neighbo…
Eurecat, Centre Tecnològic de Catalunya（加泰罗尼亚技术中心 Eurecat）；Universitat Pompeu Fabra（庞培法布拉大学）；ICREA
The early identification of malignant pulmonary nodules is critical for better lung cancer prognosis and less invasive chemo or radio therapies. Nodule malignancy assessment done by radiologists is extremely useful for planning a preventive intervention but is, unfortunately, a complex, time-consuming and error-prone task. This explains the lack of large datasets containing radiologists malignancy characterization of nodules. In this article, we propose to assess nodule malignancy through 3D convolutional neural networks and to integrate it in an automated end-to-end existing pipeline of lung …
Shanghai Jiao Tong University（上海交通大学）；INSA Lyon（里昂国立应用科学学院）；CNRS（法国国家科学研究中心）；INSERM（法国国家健康与医学研究院）；Université de Lyon（里昂大学）；Guizhou University（贵州大学）；Shanghai Chest Hospital（上海市胸科医院）
To investigate whether the pleurae, airways and vessels surrounding a nodule on non-contrast computed tomography (CT) can discriminate benign and malignant pulmonary nodules. The LIDC-IDRI dataset, one of the largest publicly available CT database, was exploited for study. A total of 1556 nodules from 694 patients were involved in statistical analysis, where nodules with average scorings <3 and >3 were respectively denoted as benign and malignant. Besides, 339 nodules from 113 patients with diagnosis ground-truth were independently evaluated. Computer algorithms were developed to segment pulmo…
University of California, Irvine（加州大学欧文分校）；Baidu Research（百度研究院）；Tencent Medical AI Lab（腾讯医疗人工智能实验室）
In this work, we present a fully automated lung computed tomography (CT) cancer diagnosis system, DeepLung. DeepLung consists of two components, nodule detection (identifying the locations of candidate nodules) and classification (classifying candidate nodules into benign or malignant). Considering the 3D nature of lung CT data and the compactness of dual path networks (DPN), two deep 3D DPN are designed for nodule detection and classification respectively. Specifically, a 3D Faster Regions with Convolutional Neural Net (R-CNN) is designed for nodule detection with 3D dual path blocks and a U-…
Academy of Mathematics and Systems Science, Chinese Academy of Sciences（中国科学院数学与系统科学研究院）；The First Affiliated Hospital of Guangzhou Medical University（广州医科大学附属第一医院）；State Key Laboratory of Respiratory Disease（呼吸疾病国家重点实验室）；University of Wisconsin-Madison（威斯康星大学麦迪逊分校）；University of Chinese Academy of Sciences（中国科学院大学）
Lung cancer is the commonest cause of cancer deaths worldwide, and its mortality can be reduced significantly by performing early diagnosis and screening. Since the 1960s, driven by the pressing needs to accurately and effectively interpret the massive volume of chest images generated daily, computer-assisted diagnosis of pulmonary nodule has opened up new opportunities to relax the limitation from physicians' subjectivity, experiences and fatigue. And the fair access to the reliable and affordable computer-assisted diagnosis will fight the inequalities in incidence and mortality between popul…
Lung cancer has the highest mortality rate of deadly cancers in the world. Early detection is essential to treatment of lung cancer. However, detection and accurate diagnosis of pulmonary nodules depend heavily on the experiences of radiologists and can be a heavy workload for them. Computer-aided diagnosis (CAD) systems have been developed to assist radiologists in nodule detection and diagnosis, greatly easing the workload while increasing diagnosis accuracy. Recent development of deep learning, greatly improved the performance of CAD systems. However, lack of model reliability and interpret…
VUNO Inc.（VUNO公司）；Imperial College London（帝国理工学院）；Asan Medical Center（峨山医疗中心）；University of Ulsan（蔚山大学）
Generating large quantities of quality labeled data in medical imaging is very time consuming and expensive. The performance of supervised algorithms for various tasks on imaging has improved drastically over the years, however the availability of data to train these algorithms have become one of the main bottlenecks for implementation. To address this, we propose a semi-supervised learning method where pseudo-negative labels from unlabeled data are used to further refine the performance of a pulmonary nodule detection network in chest radiographs. After training with the proposed network, the…
Shanghai Jiao Tong University（上海交通大学）；Imperial College London（帝国理工学院）；Shanghai Chest Hospital（上海市胸科医院）；Shanghai Center for Brain Science and Brain-Inspired Technology（上海脑科学与类脑研究中心）
The LIDC-IDRI database is the most popular benchmark for lung cancer prediction. However, with subjective assessment from radiologists, nodules in LIDC may have entirely different malignancy annotations from the pathological ground truth, introducing label assignment errors and subsequent supervision bias during training. The LIDC database thus requires more objective labels for learning-based cancer prediction. Based on an extra small dataset containing 180 nodules diagnosed by pathological examination, we propose to re-label LIDC data to mitigate the effect of original annotation bias verifi…
Scale-aware Test-time Click Adaptation for Pulmonary Nodule and Mass Segmentation
Wuhan University（武汉大学）；Artificial Intelligence Institute of Wuhan University（武汉大学人工智能研究院）；Swiss Federal Institute of Technology Lausanne (EPFL)（洛桑联邦理工学院（EPFL））；Dianei Technology（点内科技）
University of California, Irvine（加州大学欧文分校）；University of California, Irvine School of Medicine（加州大学欧文分校医学院）
Early detection of pulmonary nodules in computed tomography (CT) images is essential for successful outcomes among lung cancer patients. Much attention has been given to deep convolutional neural network (DCNN)-based approaches to this task, but models have relied at least partly on 2D or 2.5D components for inherently 3D data. In this paper, we introduce a novel DCNN approach, consisting of two stages, that is fully three-dimensional end-to-end and utilizes the state-of-the-art in object detection. First, nodule candidates are identified with a U-Net-inspired 3D Faster R-CNN trained using onl…
Sir Run Run Shaw Hospital（邵逸夫医院）；School of Medicine, Zhejiang University（浙江大学医学院）；School of Computer Science and Technology, Hangzhou Dianzi University（杭州电子科技大学计算机科学与技术学院）；College of Medicine, Zhejiang University（浙江大学医学院）
Automatic pulmonary nodules classification is significant for early diagnosis of lung cancers. Recently, deep learning techniques have enabled remarkable progress in this field. However, these deep models are typically of high computational complexity and work in a black-box manner. To combat these challenges, in this work, we aim to build an efficient and (partially) explainable classification model. Specially, we use \emph{neural architecture search} (NAS) to automatically search 3D network architectures with excellent accuracy/speed trade-off. Besides, we use the convolutional block attenti…
The mortality of lung cancer has ranked high among cancers for many years. Early detection of lung cancer is critical for disease prevention, cure, and mortality rate reduction. However, existing detection methods on pulmonary nodules introduce an excessive number of false positive proposals in order to achieve high sensitivity, which is not practical in clinical situations. In this paper, we propose the multi-head detection and spatial squeeze-and-attention network, MHSnet, to detect pulmonary nodules, in order to aid doctors in the early diagnosis of lung cancers. Specifically, we first intr…
FZ-VLM: A Two Stage Florence-Zephyr Vision Language Model Framework for Pulmonary Nodule Characterization and Clinical Decision Making
College of Engineering, University of Guelph（圭尔夫大学工程学院）；Holland Bloorview Kids Rehabilitation Hospital（霍兰德布鲁尔维尤儿童康复医院）；Guelph General Hospital（圭尔夫综合医院）；Ontario Veterinary College, University of Guelph（圭尔夫大学安大略兽医学院）
University of Patras（帕特雷大学）；School of Medicine（医学院）；Laboratory of Nuclear Medicine（核医学实验室）
Lung Cancer is the most common cause of cancer-related death worldwide. Early and automatic diagnosis of Solitary Pulmonary Nodules (SPN) in Computer Tomography (CT) chest scans can provide early treatment as well as doctor liberation from time-consuming procedures. Deep Learning has been proven as a popular and influential method in many medical imaging diagnosis areas. In this study, we consider the problem of diagnostic classification between benign and malignant lung nodules in CT images derived from a PET/CT scanner. More specifically, we intend to develop experimental Convolutional Neura…
