Chest X-Ray (CXR) images are commonly used for clinical screening and diagnosis. Automatically writing reports for these images can considerably lighten the workload of radiologists for summarizing descriptive findings and conclusive impressions. The complex structures between and within sections of the reports pose a great challenge to the automatic report generation. Specifically, the section Impression is a diagnostic summarization over the section Findings; and the appearance of normality dominates each section over that of abnormality. Existing studies rarely explore and consider this fundamental structure information. In this work, we propose a novel framework that exploits the structure information between and within report sections for generating CXR imaging reports. First, we propose a two-stage strategy that explicitly models the relationship between Findings and Impression. Second, we design a novel cooperative multi-agent system that implicitly captures the imbalanced distribution between abnormality and normality. Experiments on two CXR report datasets show that our method achieves state-of-the-art performance in terms of various evaluation metrics. Our results expose that the proposed approach is able to generate high-quality medical reports through integrating the structure information.
Hospital Italiano de Buenos Aires（布宜诺斯艾利斯意大利医院）；Universidad Tecnológica Nacional（国家技术大学）
BACKGROUND AND OBJECTIVES: The multiple chest x-ray datasets released in the last years have ground-truth labels intended for different computer vision tasks, suggesting that performance in automated chest-xray interpretation might improve by using a method that can exploit diverse types of annotations. This work presents a Deep Learning method based on the late fusion of different convolutional architectures, that allows training with heterogeneous data with a simple implementation, and evaluates its performance on independent test data. We focused on obtaining a clinically useful tool that c…
University of Michigan（密歇根大学）；Institute for Healthcare Policy & Innovation（医疗政策与创新研究所）；Department of Electrical Engineering and Computer Science（电气工程与计算机科学系）；Department of Radiology（放射科）；Department of Internal Medicine（内科）
While deep learning has shown promise in improving the automated diagnosis of disease based on chest X-rays, deep networks may exhibit undesirable behavior related to shortcuts. This paper studies the case of spurious class skew in which patients with a particular attribute are spuriously more likely to have the outcome of interest. For instance, clinical protocols might lead to a dataset in which patients with pacemakers are disproportionately likely to have congestive heart failure. This skew can lead to models that take shortcuts by heavily relying on the biased attribute. We explore this p…
AI Research Laboratory, RE-THINKING COMPANY（RE-THINKING 公司人工智能研究实验室）
We initially proposed a deep learning approach for foreign objects inpainting in smartphone-camera captured chest radiographs utilizing the cheXphoto dataset. Foreign objects which can significantly affect the quality of a computer-aided diagnostic prediction are captured under various settings. In this paper, we used multi-method to tackle both removal and inpainting chest radiographs. Firstly, an object detection model is trained to separate the foreign objects from the given image. Subsequently, the binary mask of each object is extracted utilizing a segmentation model. Each pair of the bin…
Pakistan Institute of Engineering & Applied Sciences（巴基斯坦工程与应用科学学院）；PIEAS Artificial Intelligence Center (PAIC)（PIEAS人工智能中心）；Center for Mathematical Sciences（数学科学中心）
COVID-19 is a highly contagious respiratory infection that has affected a large population across the world and continues with its devastating consequences. It is imperative to detect COVID-19 at the earliest to limit the span of infection. In this work, a new classification technique CB-STM-RENet based on deep Convolutional Neural Network (CNN) and Channel Boosting is proposed for the screening of COVID-19 in chest X-Rays. In this connection, to learn the COVID-19 specific radiographic patterns, a new convolution block based on split-transform-merge (STM) is developed. This new block systemat…
The field of medical diagnostics contains a wealth of challenges which closely resemble classical machine learning problems; practical constraints, however, complicate the translation of these endpoints naively into classical architectures. Many tasks in radiology, for example, are largely problems of multi-label classification wherein medical images are interpreted to indicate multiple present or suspected pathologies. Clinical settings drive the necessity for high accuracy simultaneously across a multitude of pathological outcomes and greatly limit the utility of tools which consider only a …
University of Waterloo（滑铁卢大学）；National Research Council Canada（加拿大国家研究委员会）
Building AI models with trustworthiness is important especially in regulated areas such as healthcare. In tackling COVID-19, previous work uses convolutional neural networks as the backbone architecture, which has shown to be prone to over-caution and overconfidence in making decisions, rendering them less trustworthy -- a crucial flaw in the context of medical imaging. In this study, we propose a feature learning approach using Vision Transformers, which use an attention-based mechanism, and examine the representation learning capability of Transformers as a new backbone architecture for medi…
X-rays are commonly performed imaging tests that use small amounts of radiation to produce pictures of the organs, tissues, and bones of the body. X-rays of the chest are used to detect abnormalities or diseases of the airways, blood vessels, bones, heart, and lungs. In this work we present a stochastic attention-based model that is capable of learning what regions within a chest X-ray scan should be visually explored in order to conclude that the scan contains a specific radiological abnormality. The proposed model is a recurrent neural network (RNN) that learns to sequentially sample the ent…
Florida International University（佛罗里达国际大学）；Technical University of Munich（慕尼黑工业大学）；Stanford University（斯坦福大学）
Chest X-ray radiography is one of the earliest medical imaging technologies and remains one of the most widely-used for diagnosis, screening, and treatment follow up of diseases related to lungs and heart. The literature in this field of research reports many interesting studies dealing with the challenging tasks of bone suppression and organ segmentation but performed separately, limiting any learning that comes with the consolidation of parameters that could optimize both processes. This study, and for the first time, introduces a multitask deep learning model that generates simultaneously t…
University Medical Center Hamburg-Eppendorf（汉堡-埃彭多夫大学医学中心）；Hamburg University of Technology（汉堡工业大学）；Philips Research（飞利浦研究院）
The increased availability of X-ray image archives (e.g. the ChestX-ray14 dataset from the NIH Clinical Center) has triggered a growing interest in deep learning techniques. To provide better insight into the different approaches, and their applications to chest X-ray classification, we investigate a powerful network architecture in detail: the ResNet-50. Building on prior work in this domain, we consider transfer learning with and without fine-tuning as well as the training of a dedicated X-ray network from scratch. To leverage the high spatial resolution of X-ray data, we also include an ext…
Indian Institute of Technology Kharagpur（印度理工学院卡拉格普尔分校）；Apollo Gleneagles Hospital（阿波罗格伦伊格尔斯医院）；Intel Technology India Pvt. Ltd.（英特尔技术印度私人有限公司）
Chest radiographs are primarily employed for the screening of pulmonary and cardio-/thoracic conditions. Being undertaken at primary healthcare centers, they require the presence of an on-premise reporting Radiologist, which is a challenge in low and middle income countries. This has inspired the development of machine learning based automation of the screening process. While recent efforts demonstrate a performance benchmark using an ensemble of deep convolutional neural networks (CNN), our systematic search over multiple standard CNN architectures identified single candidate CNN models whose…
University of the Witwatersrand, Johannesburg（金山大学（约翰内斯堡））；Helen Joseph Hospital（海伦·约瑟夫医院）
Chest x-rays are a vital tool in the workup of many patients. Similar to most medical imaging modalities, they are profoundly multi-modal and are capable of visualising a variety of combinations of conditions. There is an ever pressing need for greater quantities of labelled data to develop new diagnostic tools, however this is in direct opposition to concerns regarding patient confidentiality which constrains access through permission requests and ethics approvals. Previous work has sought to address these concerns by creating class-specific GANs that synthesise images to augment training dat…
Google Health（谷歌健康）；Advanced Clinical（先进临床）；Apollo Radiology International（阿波罗国际放射学）；Center of Infectious Disease Research in Zambia（赞比亚传染病研究中心）；Sibanye Stillwater（斯班耶-斯蒂尔沃特）；Clickmedix
Tuberculosis (TB) is a top-10 cause of death worldwide. Though the WHO recommends chest radiographs (CXRs) for TB screening, the limited availability of CXR interpretation is a barrier. We trained a deep learning system (DLS) to detect active pulmonary TB using CXRs from 9 countries across Africa, Asia, and Europe, and utilized large-scale CXR pretraining, attention pooling, and noisy student semi-supervised learning. Evaluation was on (1) a combined test set spanning China, India, US, and Zambia, and (2) an independent mining population in South Africa. Given WHO targets of 90% sensitivity an…
Juelich Supercomputing Center, Research Center Juelich（于利希研究中心于利希超级计算中心）；Helmholtz AI（亥姆霍兹AI）；LAION
Increasing model, data and compute budget scale in the pre-training has been shown to strongly improve model generalization and transfer learning in vast line of work done in language modeling and natural image recognition. However, most studies on the positive effect of larger scale were done in scope of in-domain setting, with source and target data being in close proximity. To study effect of larger scale for both in-domain and out-of-domain setting when performing full and few-shot transfer, we combine here for the first time large, openly available medical X-Ray chest imaging datasets to …
Mohammed VI Polytechnic University（穆罕默德六世理工大学）；Moulay Ismail University（穆莱·伊斯梅尔大学）；University Mohammed V in Rabat（拉巴特穆罕默德五世大学）；ENSIAS（国立统计与应用经济学院）
Recently, researchers, specialists, and companies around the world are rolling out deep learning and image processing-based systems that can fastly process hundreds of X-Ray and computed tomography (CT) images to accelerate the diagnosis of pneumonia such as SARS, COVID-19, and aid in its containment. Medical images analysis is one of the most promising research areas, it provides facilities for diagnosis and making decisions of a number of diseases such as MERS, COVID-19. In this paper, we present a comparison of recent Deep Convolutional Neural Network (DCNN) architectures for automatic bina…
