Adversarial regression training for visualizing the progression of chronic obstructive pulmonary disease with chest x-rays
Scientific Computing and Imaging Institute, University of Utah（犹他大学科学计算与成像研究所）；Department of Radiology and Imaging Sciences, University of Utah（犹他大学放射学与影像科学系）
Ricardo Bigolin Lanfredi, Joyce D. Schroeder, Clement Vachet, Tolga Tasdizen
备注：
Accepted for MICCAI 2019
发表信息：
International Conference on Medical Image Computing and Computer-Assisted Intervention. Springer, Cham, 2019. p. 685-693
Knowledge of what spatial elements of medical images deep learning methods use as evidence is important for model interpretability, trustiness, and validation. There is a lack of such techniques for models in regression tasks. We propose a method, called visualization for regression with a generative adversarial network (VR-GAN), for formulating adversarial training specifically for datasets containing regression target values characterizing disease severity. We use a conditional generative adversarial network where the generator attempts to learn to shift the output of a regressor through creating disease effect maps that are added to the original images. Meanwhile, the regressor is trained to predict the original regression value for the modified images. A model trained with this technique learns to provide visualization for how the image would appear at different stages of the disease. We analyze our method in a dataset of chest x-rays associated with pulmonary function tests, used for diagnosing chronic obstructive pulmonary disease (COPD). For validation, we compute the difference of two registered x-rays of the same patient at different time points and correlate it to the generated disease effect map. The proposed method outperforms a technique based on classification and provides realistic-looking images, making modifications to images following what radiologists usually observe for this disease. Implementation code is available at https://github.com/ricbl/vrgan.
Optimizing Convolutional Neural Networks for Chronic Obstructive Pulmonary Disease Detection in Clinical Computed Tomography Imaging
Technical University of Munich（慕尼黑工业大学）；Munich Institute of Biomedical Engineering（慕尼黑生物医学工程研究所）；Klinikum rechts der Isar（伊萨尔河右岸医院）；Institute for Advanced Study, Technical University of Munich（慕尼黑工业大学高等研究院）
National Tsing Hua University（国立清华大学）；Massachusetts Institute of Technology（麻省理工学院）；Emory University（埃默里大学）；Beth Israel Deaconess Medical Center（贝斯以色列女执事医疗中心）；Emory University School of Medicine（埃默里大学医学院）
Chronic obstructive pulmonary disease (COPD) is one of the most common chronic illnesses in the world and the third leading cause of mortality worldwide. It is often underdiagnosed or not diagnosed until later in the disease course. Spirometry tests are the gold standard for diagnosing COPD but can be difficult to obtain, especially in resource-poor countries. Chest X-rays (CXRs), however, are readily available and may serve as a screening tool to identify patients with COPD who should undergo further testing. Currently, no research applies deep learning (DL) algorithms that use large multi-si…
Accurate, automatic and complete extraction of pulmonary airway in medical images plays an important role in analyzing thoracic CT volumes such as lung cancer detection, chronic obstructive pulmonary disease (COPD), and bronchoscopic-assisted surgery navigation. However, this task remains challenges, due to the complex tree-like structure of the airways. In this technical report, we use two-stage fully convolutional networks (FCNs) to automatically segment pulmonary airway in thoracic CT scans from multi-sites. Specifically, we firstly adopt a 3D FCN with U-shape network architecture to segmen…
With more than 60,000 deaths annually in the United States, Pulmonary Embolism (PE) is among the most fatal cardiovascular diseases. It is caused by an artery blockage in the lung; confirming its presence is time-consuming and is prone to over-diagnosis. The utilization of automated PE detection systems is critical for diagnostic accuracy and efficiency. In this study we propose a two-stage attention-based CNN-LSTM network for predicting PE, its associated type (chronic, acute) and corresponding location (leftsided, rightsided or central) on computed tomography (CT) examinations. We trained ou…
Imperial College London（伦敦帝国理工学院）；Imperial College NHS Trust（帝国理工学院国民医疗服务信托）
Automated lobar segmentation allows regional evaluation of lung disease and is important for diagnosis and therapy planning. Advanced statistical workflows permitting such evaluation is a needed area within respiratory medicine; their adoption remains slow, with poor workflow accuracy. Diseased lung regions often produce high-density zones on CT images, limiting an algorithm's execution to specify damaged lobes due to oblique or lacking fissures. This impact motivated developing an improved machine learning method to segment lung lobes that utilises tracheobronchial tree information to enhance…
Radboud University Medical Center（拉德堡德大学医学中心）；Meander Medical Center（米安德医疗中心）；Jewish National Health（犹太国家健康中心）
Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of morbidity and mortality. While COPD diagnosis is based on lung function tests, early stages and progression of different aspects of the disease can be visible and quantitatively assessed on computed tomography (CT) scans. Many studies have been published that quantify imaging biomarkers related to COPD. In this paper we present a convolutional neural network that directly computes visual emphysema scores and predicts the outcome of lung function tests for 195 CT scans from the COPDGene study. Contrary to previous work, the prop…
Zebra Medical Vision Ltd（斑马医疗视觉有限公司）；Rabin Medical Center（拉宾医疗中心）
Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of morbidity and mortality worldwide. Identifying those at highest risk of deterioration would allow more effective distribution of preventative and surveillance resources. Secondary pulmonary hypertension is a manifestation of advanced COPD, which can be reliably diagnosed by the main Pulmonary Artery (PA) to Ascending Aorta (Ao) ratio. In effect, a PA diameter to Ao diameter ratio of greater than 1 has been demonstrated to be a reliable marker of increased pulmonary arterial pressure. Although clinically valuable and readily vis…
Bharti School of Telecommunications Technology & Management, Indian Institute of Technology Delhi（印度理工学院德里分校巴蒂电信技术与管理学院）；Teleradiology Solutions（远程放射学解决方案公司）；CSIR-Institute of Genomics and Integrative Biology（CSIR基因组学与整合生物学研究所）；Christian Medical College, Vellore（韦洛尔基督教医学院）
A chest radiograph, commonly called chest x-ray (CxR), plays a vital role in the diagnosis of various lung diseases, such as lung cancer, tuberculosis, pneumonia, and many more. Automated segmentation of the lungs is an important step to design a computer-aided diagnostic tool for examination of a CxR. Precise lung segmentation is considered extremely challenging because of variance in the shape of the lung caused by health issues, age, and gender. The proposed work investigates the use of an efficient deep convolutional neural network for accurate segmentation of lungs from CxR. We attempt an…
A Self-training Framework for Semi-supervised Pulmonary Vessel Segmentation and Its Application in COPD
Northeastern University（东北大学）；The First Affiliated Hospital of Guangzhou Medical University（广州医科大学附属第一医院）；Shenyang University of Technology（沈阳工业大学）；Hetao Institute of Guangzhou National Laboratory（广州国家实验室河套研究院）；China Medical University（中国医科大学）
Automated diagnosis of lung diseases using vision transformer: a comparative study on chest x-ray classification
Centro de Investigación en Computación, Instituto Politécnico Nacional (CIC-IPN)（墨西哥国立理工学院计算机研究中心）；Grand Asian University of Sialkot（锡亚尔科特大亚洲大学）；The Islamia University of Bahawalpur（巴哈瓦尔布尔伊斯兰大学）；Zhejiang Normal University（浙江师范大学）；Leads University Lahore（拉合尔利兹大学）
University of Waterloo（滑铁卢大学）；Waterloo Artificial Intelligence Institute（滑铁卢人工智能研究所）；DarwinAI Corp.（DarwinAI公司）
Pulmonary fibrosis is a devastating chronic lung disease that causes irreparable lung tissue scarring and damage, resulting in progressive loss in lung capacity and has no known cure. A critical step in the treatment and management of pulmonary fibrosis is the assessment of lung function decline, with computed tomography (CT) imaging being a particularly effective method for determining the extent of lung damage caused by pulmonary fibrosis. Motivated by this, we introduce Fibrosis-Net, a deep convolutional neural network design tailored for the prediction of pulmonary fibrosis progression fro…
University College London（伦敦大学学院）；KU Leuven（鲁汶大学）；University Hospitals Leuven（鲁汶大学医院）；University of Antwerp（安特卫普大学）
Several chronic lung diseases, like idiopathic pulmonary fibrosis (IPF) are characterised by abnormal dilatation of the airways. Quantification of airway features on computed tomography (CT) can help characterise disease progression. Physics based airway measurement algorithms have been developed, but have met with limited success in part due to the sheer diversity of airway morphology seen in clinical practice. Supervised learning methods are also not feasible due to the high cost of obtaining precise airway annotations. We propose synthesising airways by style transfer using perceptual losse…
Chronic respiratory diseases, such as chronic obstructive pulmonary disease and asthma, are a serious health crisis, affecting a large number of people globally and inflicting major costs on the economy. Current methods for assessing the progression of respiratory symptoms are either subjective and inaccurate, or complex and cumbersome, and do not incorporate environmental factors. Lacking predictive assessments and early intervention, unexpected exacerbations can lead to hospitalizations and high medical costs. This work presents a multi-modal solution for predicting the exacerbation risks of…
Brigham and Women’s Hospital（布莱根妇女医院）；Harvard Medical School（哈佛医学院）
Accurately and precisely characterizing the morphology of small pulmonary structures from Computed Tomography (CT) images, such as airways and vessels, is becoming of great importance for diagnosis of pulmonary diseases. The smaller conducting airways are the major site of increased airflow resistance in chronic obstructive pulmonary disease (COPD), while accurately sizing vessels can help identify arterial and venous changes in lung regions that may determine future disorders. However, traditional methods are often limited due to image resolution and artifacts. We propose a Convolutional Neur…
Friedrich-Alexander-Universität Erlangen-Nürnberg（埃尔朗根-纽伦堡弗里德里希-亚历山大大学）；Siemens Healthcare GmbH（西门子医疗有限公司）；University of Leeds（利兹大学）；CHRU Lille（里尔大学地区医院中心）
Chronic obstructive pulmonary disease (COPD) is a lung disease that is not fully reversible and one of the leading causes of morbidity and mortality in the world. Early detection and diagnosis of COPD can increase the survival rate and reduce the risk of COPD progression in patients. Currently, the primary examination tool to diagnose COPD is spirometry. However, computed tomography (CT) is used for detecting symptoms and sub-type classification of COPD. Using different imaging modalities is a difficult and tedious task even for physicians and is subjective to inter-and intra-observer variatio…
University of Patras（帕特雷大学）；Industrial Systems Institute（工业系统研究所）；Athena Research Institute（雅典娜研究所）
Asthma is a common chronic disease of the respiratory system causing significant disability and societal burden. It affects more than 300 million people worldwide, while more than 100 million people will likely have asthma by 2025. The price of asthma varies greatly from nation to nation. Mean yearly cost can be estimated to 1900 EUR in Europe and $3100 in the United States. Managing asthma involves controlling symptoms, preventing exacerbations, and maintaining lung function. Improved asthma control is reduces the risk of exacerbations and lung function impairment while reducing the direct co…
4D VQ-GAN: Synthesising Medical Scans at Any Time Point for Personalised Disease Progression Modelling of Idiopathic Pulmonary Fibrosis
Hawkes Institute, University College London（伦敦大学学院霍克斯研究所）；Department of Computer Science, University College London（伦敦大学学院计算机科学系）；Department of Med. Physics & Biomedical Engineering, University College London（伦敦大学学院医学物理与生物医学工程系）；Department of Respiratory Medicine, University Hospitals Leuven（鲁汶大学医院呼吸医学科）；NIHR Southampton Biomedical Research Centre and Clinical and Experimental Sciences, University of Southampton（南安普顿大学NIHR南安普顿生物医学研究中心与临床与实验科学系）；UCL Respiratory, University College London（伦敦大学学院呼吸科）
Deformable Image Registration of Dark-Field Chest Radiographs for Local Lung Signal Change Assessment
Technical University of Munich（慕尼黑工业大学）；Munich Institute for Biomedical Engineering, Technical University of Munich（慕尼黑工业大学慕尼黑生物医学工程研究所）；Klinikum rechts der Isar, Technical University of Munich（慕尼黑工业大学右岸医院）；TUM University Hospital（慕尼黑工业大学大学医院）；Philips Innovative Technologies（飞利浦创新技术公司）；Institute for Advanced Study, Technical University of Munich（慕尼黑工业大学高等研究院）
Institute of Information and Communication Technology, Bangladesh University of Engineering and Technology（孟加拉国工程技术大学信息与通信技术研究所）
Lung disease is common throughout the world. These include chronic obstructive pulmonary disease, pneumonia, asthma, tuberculosis, fibrosis, etc. Timely diagnosis of lung disease is essential. Many image processing and machine learning models have been developed for this purpose. Different forms of existing deep learning techniques including convolutional neural network (CNN), vanilla neural network, visual geometry group based neural network (VGG), and capsule network are applied for lung disease prediction.The basic CNN has poor performance for rotated, tilted, or other abnormal image orient…
NIHR Imperial Biomedical Research Centre（英国国家健康研究所帝国生物医学研究中心）；Imperial College London（帝国理工学院）；NHLI（英国国家心肺研究所）；Columbia University（哥伦比亚大学）；Royal Brompton and Harefield NHS Foundation Trust（皇家布朗普顿与哈菲尔德国民保健服务基金会信托）
Chronic Pulmonary Aspergillosis (CPA) is a complex lung disease caused by infection with Aspergillus. Computed tomography (CT) images are frequently requested in patients with suspected and established disease, but the radiological signs on CT are difficult to quantify making accurate follow-up challenging. We propose a novel method to train Convolutional Neural Networks using only regional labels on the presence of pathological signs, to not only detect CPA, but also spatially localize pathological signs. We use average intensity projections within different ranges of Hounsfield-unit (HU) val…
