Convolutional Neural Networks (CNNs) require a large amount of annotated data to learn from, which is often difficult to obtain in the medical domain. In this paper we show that the sample complexity of CNNs can be significantly improved by using 3D roto-translation group convolutions (G-Convs) instead of the more conventional translational convolutions. These 3D G-CNNs were applied to the problem of false positive reduction for pulmonary nodule detection, and proved to be substantially more effective in terms of performance, sensitivity to malignant nodules, and speed of convergence compared to a strong and comparable baseline architecture with regular convolutions, data augmentation and a similar number of parameters. For every dataset size tested, the G-CNN achieved a FROC score close to the CNN trained on ten times more data.
Alleviating Hyperparameter-Tuning Burden in SVM Classifiers for Pulmonary Nodules Diagnosis with Multi-Task Bayesian Optimization
Yau Mathematical Sciences Center Tsinghua University（姚数学科学中心清华大学）；The First Affiliated Hospital of Guangzhou Medical University（广州医科大学第一附属医院）；China State Key Laboratory of Respiratory Disease（中国呼吸疾病国家重点实验室）；Academy of Mathematics and Systems Science Chinese Academy of Sciences（数学科学学院中国科学院）；University of Chinese Academy of Sciences（中国科学院大学）；Department of Thoracic Surgery and Oncology The First Affiliated Hospital of Guangzhou Medical University（胸外科与肿瘤科广州医科大学第一附属医院）
Machine learning applications in medical imaging are frequently limited by the lack of quality labeled data. In this paper, we explore the self training method, a form of semi-supervised learning, to address the labeling burden. By integrating reinforcement learning, we were able to expand the application of self training to complex segmentation networks without any further human annotation. The proposed approach, reinforced self training (ReST), fine tunes a semantic segmentation networks by introducing a policy network that learns to generate pseudolabels. We incorporate an expert demonstrat…
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…
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…
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 …
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…
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…
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…
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 …
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-…
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…
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…
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…
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…
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）
Otto von Guericke University Magdeburg（马格德堡奥托·冯·格里克大学）
Pulmonary cancer is one of the most commonly diagnosed and fatal cancers and is often diagnosed by incidental findings on computed tomography. Automated pulmonary nodule detection is an essential part of computer-aided diagnosis, which is still facing great challenges and difficulties to quickly and accurately locate the exact nodules' positions. This paper proposes a dual skip connection upsampling strategy based on Dual Path network in a U-Net structure generating multiscale feature maps, which aims to minimize the ratio of false positives and maximize the sensitivity for lesion detection of…
Longitudinal Multimodal Transformer Integrating Imaging and Latent Clinical Signatures From Routine EHRs for Pulmonary Nodule Classification
Vanderbilt University（范德堡大学）；Siemens Healthineers（西门子医疗）；Saint Luke’s Mid America Heart Institute（圣卢克中美洲心脏研究所）；Vanderbilt University Medical Center（范德堡大学医学中心）
Shanghai Jiao Tong University（上海交通大学）；Shanghai Institute for Advanced Communication and Data Science（上海先进通信与数据科学研究院）；AI Institute Shanghai Jiao Tong University（上海交通大学人工智能研究院）；Shanghai Chest Hospital（上海市胸科医院）；Shanghai General Hospital（上海市第一人民医院）
Follow-up serves an important role in the management of pulmonary nodules for lung cancer. Imaging diagnostic guidelines with expert consensus have been made to help radiologists make clinical decision for each patient. However, tumor growth is such a complicated process that it is difficult to stratify high-risk nodules from low-risk ones based on morphologic characteristics. On the other hand, recent deep learning studies using convolutional neural networks (CNNs) to predict the malignancy score of nodules, only provides clinicians with black-box predictions. To this end, we propose a unifie…
Objectives: To compare artificial intelligence (AI) as a second reader in detecting lung nodules on chest X-rays (CXR) versus radiologists of two binational institutions, and to evaluate AI performance when using two different modes: automated versus assisted (additional remote radiologist review). Methods: The CXR public database (n = 247) of the Japanese Society of Radiological Technology with various types and sizes of lung nodules was analyzed. Eight radiologists evaluated the CXR images with regard to the presence of lung nodules and nodule conspicuity. After radiologist review, the AI so…
Controllable Lung Nodule Synthesis via Histogram-Regularized Latent Diffusion Models
Johns Hopkins University（约翰霍普金斯大学）；Department of Radiology and Nuclear Medicine, University Medical Center Mannheim, Heidelberg University（放射学与核医学科，曼海姆大学医学中心，海德堡大学）
University of Georgia（佐治亚大学）；First Affiliated Hospital, School of Medicine, Zhejiang University（浙江大学医学院附属第一医院）
Lung cancer is the leading cause of cancer-related death worldwide. Early diagnosis of pulmonary nodules in Computed Tomography (CT) chest scans provides an opportunity for designing effective treatment and making financial and care plans. In this paper, we consider the problem of diagnostic classification between benign and malignant lung nodules in CT images, which aims to learn a direct mapping from 3D images to class labels. To achieve this goal, four two-pathway Convolutional Neural Networks (CNN) are proposed, including a basic 3D CNN, a novel multi-output network, a 3D DenseNet, and an …
This paper proposes novel end-to-end framework for detecting suspicious pulmonary nodules in chest CT scans. The method core idea is a new nodule segmentation architecture with a model-based feature projection block on three-dimensional convolutions. This block acts as a preliminary feature extractor for a two-dimensional U-Net-like convolutional network. Using the proposed approach along with an axial, coronal, and sagittal projection analysis makes it possible to abandon the widely used false positives reduction step. The proposed method achieves SOTA on LUNA2016 with 0.959 average sensitivi…
EMeRALDS: Electronic Medical Record Driven Automated Lung Nodule Detection and Classification in Thoracic CT Images
Faculty of Electrical and Electronics Engineering, University of Engineering（电气电子工程学院，工程大学）；Department of Engineering Sciences, University of Agder（工程科学系，阿格德大学）；Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National Hospital（谢赫扎耶德小儿外科创新研究所，儿童医院）；School of Medicine and Health Sciences, George Washington University（医学与健康科学学院，乔治华盛顿大学）
Convolutional neural networks (CNN) are now being widely used for classifying and detecting pulmonary abnormalities in chest radiographs. Two complementary generalization properties of CNNs, translation invariance and equivariance, are particularly useful in detecting manifested abnormalities associated with pulmonary disease, regardless of their spatial locations within the image. However, these properties also come with the loss of exact spatial information and global relative positions of abnormalities detected in local regions. Global relative positions of such abnormalities may help disti…
University of Maryland Baltimore County（马里兰大学巴尔的摩县分校）
We present a hybrid algorithm to estimate lung nodule malignancy that combines imaging biomarkers from Radiologist's annotation with image classification of CT scans. Our algorithm employs a 3D Convolutional Neural Network (CNN) as well as a Random Forest in order to combine CT imagery with biomarker annotation and volumetric radiomic features. We analyze and compare the performance of the algorithm using only imagery, only biomarkers, combined imagery + biomarkers, combined imagery + volumetric radiomic features and finally the combination of imagery + biomarkers + volumetric features in orde…
Indian Institute of Technology Kharagpur（印度理工学院卡拉格普尔分校）；Intel Technology India Pvt. Ltd.（英特尔技术印度私人有限公司）
Lung cancer is the most common form of cancer found worldwide with a high mortality rate. Early detection of pulmonary nodules by screening with a low-dose computed tomography (CT) scan is crucial for its effective clinical management. Nodules which are symptomatic of malignancy occupy about 0.0125 - 0.025\% of volume in a CT scan of a patient. Manual screening of all slices is a tedious task and presents a high risk of human errors. To tackle this problem we propose a computationally efficient two stage framework. In the first stage, a convolutional neural network (CNN) trained adversarially …
Detecting malignant pulmonary nodules at an early stage can allow medical interventions which may increase the survival rate of lung cancer patients. Using computer vision techniques to detect nodules can improve the sensitivity and the speed of interpreting chest CT for lung cancer screening. Many studies have used CNNs to detect nodule candidates. Though such approaches have been shown to outperform the conventional image processing based methods regarding the detection accuracy, CNNs are also known to be limited to generalize on under-represented samples in the training set and prone to imp…
Recent studies have shown that lung cancer screening using annual low-dose computed tomography (CT) reduces lung cancer mortality by 20% compared to traditional chest radiography. Therefore, CT lung screening has started to be used widely all across the world. However, analyzing these images is a serious burden for radiologists. The number of slices in a CT scan can be up to 600. Therefore, computer-aided-detection (CAD) systems are very important for faster and more accurate assessment of the data. In this study, we proposed a framework that analyzes CT lung screenings using convolutional neu…
UNSW（新南威尔士大学）；Victor Chang Cardiac Research Institute（维克多·张心脏研究所）
Heart failure (HF) is one of the most prevalent life-threatening cardiovascular diseases in which 6.5 million people are suffering in the USA and more than 23 million worldwide. Mechanical circulatory support of HF patients can be achieved by implanting a left ventricular assist device (LVAD) into HF patients as a bridge to transplant, recovery or destination therapy and can be controlled by measurement of normal and abnormal pulmonary arterial wedge pressure (PAWP). While there are no commercial long-term implantable pressure sensors to measure PAWP, real-time non-invasive estimation of abnor…
Harvard University（哈佛大学）；University of Central Florida（中佛罗里达大学）
Lung cancer is the leading cause of cancer related mortality by a significant margin. While new technologies, such as image segmentation, have been paramount to improved detection and earlier diagnoses, there are still significant challenges in treating the disease. In particular, despite an increased number of curative resections, many postoperative patients still develop recurrent lesions. Consequently, there is a significant need for prognostic tools that can more accurately predict a patient's risk for recurrence. In this paper, we explore the use of convolutional neural networks (CNNs) fo…
The Coronavirus (COVID-19), which is an infectious pulmonary disorder, has affected millions of people and has been declared as a global pandemic by the WHO. Due to highly contagious nature of COVID-19 and its high possibility of causing severe conditions in the patients, the development of rapid and accurate diagnostic tools have gained importance. The real-time reverse transcription-polymerize chain reaction (RT-PCR) is used to detect the presence of Coronavirus RNA by using the mucus and saliva mixture samples. But, RT-PCR suffers from having low-sensitivity especially in the early stage. T…
