A shortage of dermatologists causes long wait times for patients who seek dermatologic care. In addition, the diagnostic accuracy of general practitioners has been reported to be lower than the accuracy of artificial intelligence software. This article describes the Skincare project (H2020, EIT Digital). Contributions include enabling technology for clinical decision support based on interactive machine learning (IML), a reference architecture towards a Digital European Healthcare Infrastructure (also cf. EIT MCPS), technical components for aggregating digitised patient information, and the integration of decision support technology into clinical test-bed environments. However, the main contribution is a diagnostic and decision support system in dermatology for patients and doctors, an interactive deep learning system for differential diagnosis of malignant skin lesions. In this article, we describe its functionalities and the user interfaces to facilitate machine learning from human input. The baseline deep learning system, which delivers state-of-the-art results and the potential to augment general practitioners and even dermatologists, was developed and validated using de-identified cases from a dermatology image data base (ISIC), which has about 20000 cases for development and validation, provided by board-certified dermatologists defining the reference standard for every case. ISIC allows for differential diagnosis, a ranked list of eight diagnoses, that is used to plan treatments in the common setting of diagnostic ambiguity. We give an overall description of the outcome of the Skincare project, and we focus on the steps to support communication and coordination between humans and machine in IML. This is an integral part of the development of future cognitive assistants in the medical domain, and we describe the necessary intelligent user interfaces.
Nankai University（南开大学）；Civil Aviation General Hospital（民航总医院）；Chinese PLA General Hospital（中国人民解放军总医院）
Breast lesions segmentation is an important step of computer-aided diagnosis system, and it has attracted much attention. However, accurate segmentation of malignant breast lesions is a challenging task due to the effects of heterogeneous structure and similar intensity distributions. In this paper, a novel bidirectional aware guidance network (BAGNet) is proposed to segment the malignant lesion from breast ultrasound images. Specifically, the bidirectional aware guidance network is used to capture the context between global (low-level) and local (high-level) features from the input coarse sal…
Malignant melanoma is a common skin cancer that is mostly curable before metastasis -when growths spawn in organs away from the original site. Melanoma is the most dangerous type of skin cancer if left untreated due to the high risk of metastasis. This paper presents Melatect, a machine learning (ML) model embedded in an iOS app that identifies potential malignant melanoma. Melatect accurately classifies lesions as malignant or benign over 96.6% of the time with no apparent bias or overfitting. Using the Melatect app, users have the ability to take pictures of skin lesions (moles) and subseque…
Iran University of Science and Technology（伊朗科技大学）；Radboud University Medical Center（拉德堡德大学医学中心）；Netherlands Cancer Institute（荷兰癌症研究所）
Purpose: We propose a deep learning-based computer-aided detection (CADe) method to detect breast lesions in ultrafast DCE-MRI sequences. This method uses both the three-dimensional spatial information and temporal information obtained from the early-phase of the dynamic acquisition. Methods: The proposed CADe method, based on a modified 3D RetinaNet model, operates on ultrafast T1 weighted sequences, which are preprocessed for motion compensation, temporal normalization, and are cropped before passing into the model. The model is optimized to enable the detection of relatively small breast le…
Whiting School of Engineering, Johns Hopkins University（约翰斯·霍普金斯大学怀廷工程学院）；School of Medicine, Johns Hopkins University（约翰斯·霍普金斯大学医学院）
Data-driven automatic approaches have demonstrated their great potential in resolving various clinical diagnostic dilemmas in neuro-oncology, especially with the help of standard anatomic and advanced molecular MR images. However, data quantity and quality remain a key determinant of, and a significant limit on, the potential of such applications. In our previous work, we explored synthesis of anatomic and molecular MR image network (SAMR) in patients with post-treatment malignant glioms. Now, we extend it and propose Confidence Guided SAMR (CG-SAMR) that synthesizes data from lesion informati…
Department of Internal medicine, National Taiwan University（台湾大学医学院）；department of medicine, national Taiwan University（台湾大学医学院）；department of internal medicine, National Taiwan University Hospital（台湾大学医学院附设医院）；department of medicine, National Taiwan University Cancer center（台湾大学医学院癌症中心）
The purpose of this study is to differentiate malignant and benign mediastinal lesions by using the three-dimensional convolutional neural network through the endobronchial ultrasound (EBUS) image. Compared with previous study, our proposed model is robust to noise and able to fuse various imaging features and spatiotemporal features of EBUS videos. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a diagnostic tool for intrathoracic lymph nodes. Physician can observe the characteristics of the lesion using grayscale mode, doppler mode, and elastography during the…
Automatic diagnosis of malignant melanoma highly depends on the segmentation methods used for the suspicious lesion. We suggest the parameter selection method (PSM) and maximum area method (MAM) for the segmentation of the lesion to be diagnosed. Herein, these segmentation methods are compared to a skin cancer expert's segmentation and three other conventional algorithms. The diagnosis of malignant melanoma based on the two suggested, three conventional, and expert's segmentation are compared with respect to sensitivity, specificity, and accuracy.
Shenzhen University（深圳大学）；Guangdong Province Traditional Chinese Medical Hospital（广东省中医院）
Automated breast ultrasound (ABUS) is a new and promising imaging modality for breast cancer detection and diagnosis, which could provide intuitive 3D information and coronal plane information with great diagnostic value. However, manually screening and diagnosing tumors from ABUS images is very time-consuming and overlooks of abnormalities may happen. In this study, we propose a novel two-stage 3D detection network for locating suspected lesion areas and further classifying lesions as benign or malignant tumors. Specifically, we propose a 3D detection network rather than frequently-used segme…
Shanghai Jiao Tong University（上海交通大学）；Shanghai General Hospital（上海市第一人民医院）；Shanghai Jiao Tong University School of Medicine（上海交通大学医学院）
Previous deep learning based Computer Aided Diagnosis (CAD) system treats multiple views of the same lesion as independent images. Since an ultrasound image only describes a partial 2D projection of a 3D lesion, such paradigm ignores the semantic relationship between different views of a lesion, which is inconsistent with the traditional diagnosis where sonographers analyze a lesion from at least two views. In this paper, we propose a multi-task framework that complements Benign/Malignant classification task with lesion recognition (LR) which helps leveraging relationship among multiple views …
PLUS: Plug-and-Play Enhanced Liver Lesion Diagnosis Model on Non-Contrast CT Scans
School of Biomedical Engineering, Tsinghua University（清华大学生物医学工程学院）；DAMO Academy, Alibaba Group（阿里集团达摩院）；Hupan Lab（汇看实验室）；Department of Radiology, Shengjing Hospital of China Medical University（中国医科大学附属盛京医院放射科）；Department of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital of Zhejiang University（浙江大学医学院附属第一医院肝胆外科）
Compressing and expanding (companding) HDR computerized tomography (CT) images to a single LDR image is still a relevant challenge. Besides the general need for simplification of the window setting method for the purpose of diagnosis, there are specific clinical needs for the resection of malignant lesions in the mandible, for example, where the lesions may exist in both the soft tissue and the bone. A successful medical algorithm has to take into account the requirement to variously expose the same range of specific gray levels, when they are presented by different body tissues. As a solution…
Hybrid Ensemble of Segmentation-Assisted Classification and GBDT for Skin Cancer Detection with Engineered Metadata and Synthetic Lesions from ISIC 2024 Non-Dermoscopic 3D-TBP Images
Machine learning is widely used in developing computer-aided diagnosis (CAD) schemes of medical images. However, CAD usually computes large number of image features from the targeted regions, which creates a challenge of how to identify a small and optimal feature vector to build robust machine learning models. In this study, we investigate feasibility of applying a random projection algorithm to build an optimal feature vector from the initially CAD-generated large feature pool and improve performance of machine learning model. We assemble a retrospective dataset involving 1,487 cases of mamm…
Background \& purpose: The recent emergence of neural networks models for the analysis of breast images has been a breakthrough in computer aided diagnostic. This approach was not yet developed in Contrast Enhanced Spectral Mammography (CESM) where access to large databases is complex. This work proposes a deep-learning-based Computer Aided Diagnostic development for CESM recombined images able to detect lesions and classify cases. Material \& methods: A large CESM diagnostic dataset with biopsy-proven lesions was collected from various hospitals and different acquisition systems. The annotate…
University of Malaya（马来亚大学）；University of Tehran（德黑兰大学）
Reliable classification of benign and malignant lesions in breast ultrasound images can provide an effective and relatively low cost method for early diagnosis of breast cancer. The accuracy of the diagnosis is however highly dependent on the quality of the ultrasound systems and the experience of the users (radiologists). The leverage in deep convolutional neural network approaches provided solutions in efficient analysis of breast ultrasound images. In this study, we proposed a new framework for classification of breast cancer lesions by use of an attention module in modified VGG16 architect…
Indian Institute of Information Technology, Design and Manufacturing, Kancheepuram（印度信息技术与设计制造学院，坎奇普拉姆）
Skin cancer is the most common cancer in the existing world constituting one-third of the cancer cases. Benign skin cancers are not fatal, can be cured with proper medication. But it is not the same as the malignant skin cancers. In the case of malignant melanoma, in its peak stage, the maximum life expectancy is less than or equal to 5 years. But, it can be cured if detected in early stages. Though there are numerous clinical procedures, the accuracy of diagnosis falls between 49% to 81% and is time-consuming. So, dermoscopy has been brought into the picture. It helped in increasing the accur…
Stony Brook University（石溪大学）；City University of New York at CSI（纽约市立大学斯塔滕岛学院）；Southern Medical University（南方医科大学）；University of Texas Southwestern Medical Centre（德克萨斯大学西南医学中心）；The Fourth Medical University（第四医科大学）；University of Wisconsin（威斯康星大学）
The elasticity of soft tissues has been widely considered as a characteristic property to differentiate between healthy and vicious tissues and, therefore, motivated several elasticity imaging modalities, such as Ultrasound Elastography, Magnetic Resonance Elastography, and Optical Coherence Elastography. This paper proposes an alternative approach of modeling the elasticity using Computed Tomography (CT) imaging modality for model-based feature extraction machine learning (ML) differentiation of lesions. The model describes a dynamic non-rigid (or elastic) deformation in differential manifold…
Segmentation is essential for medical image analysis to identify and localize diseases, monitor morphological changes, and extract discriminative features for further diagnosis. Skin cancer is one of the most common types of cancer globally, and its early diagnosis is pivotal for the complete elimination of malignant tumors from the body. This research develops an Artificial Intelligence (AI) framework for supervised skin lesion segmentation employing the deep learning approach. The proposed framework, called MFSNet (Multi-Focus Segmentation Network), uses differently scaled feature maps for c…
Tsinghua University（清华大学）；the Third Affiliated Hospital of Zhengzhou University（郑州大学第三附属医院）
Pathological morphology diagnosis is the standard diagnosis method of hydatidiform mole. As a disease with malignant potential, the hydatidiform mole section of hydrops lesions is an important basis for diagnosis. Due to incomplete lesion development, early hydatidiform mole is difficult to distinguish, resulting in a low accuracy of clinical diagnosis. As a remarkable machine learning technology, image semantic segmentation networks have been used in many medical image recognition tasks. We developed a hydatidiform mole hydrops lesion segmentation model based on a novel loss function and trai…
Deep Learning is the newest and the current trend of the machine learning field that paid a lot of the researchers' attention in the recent few years. As a proven powerful machine learning tool, deep learning was widely used in several applications for solving various complex problems that require extremely high accuracy and sensitivity, particularly in the medical field. In general, brain tumor is one of the most common and aggressive malignant tumor diseases which is leading to a very short expected life if it is diagnosed at higher grade. Based on that, brain tumor grading is a very critica…
The Third Affiliated Hospital of Tsinghua University（清华大学附属北京清华长庚医院）；Zhengzhou University（郑州大学）
As a disease with malignant potential, hydatidiform mole (HM) is one of the most common gestational trophoblastic diseases. For pathologists, the HM section of hydrops lesions is an important basis for diagnosis. In pathology departments, the diverse microscopic manifestations of HM lesions and the limited view under the microscope mean that physicians with extensive diagnostic experience are required to prevent missed diagnosis and misdiagnosis. Feature extraction can significantly improve the accuracy and speed of the diagnostic process. As a remarkable diagnosis assisting technology, comput…
Center for Data Science, New York University（纽约大学数据科学中心）；Department of Radiology, New York University School of Medicine（纽约大学医学院放射科）；Perlmutter Cancer Center, NYU Langone Health（纽约大学朗格尼医学中心珀尔马特癌症中心）；Center for Advanced Imaging Innovation and Research, NYU Langone Health（纽约大学朗格尼医学中心先进成像创新与研究中心）；Department of Computer Science, Courant Institute of Mathematical Sciences, New York University（纽约大学库朗数学科学研究所计算机科学系）
Breast cancer is the most common cancer in women, and hundreds of thousands of unnecessary biopsies are done around the world at a tremendous cost. It is crucial to reduce the rate of biopsies that turn out to be benign tissue. In this study, we build deep neural networks (DNNs) to classify biopsied lesions as being either malignant or benign, with the goal of using these networks as second readers serving radiologists to further reduce the number of false positive findings. We enhance the performance of DNNs that are trained to learn from small image patches by integrating global context prov…
Using Spatio-Temporal Dual-Stream Network with Self-Supervised Learning for Lung Tumor Classification on Radial Probe Endobronchial Ultrasound Video
National Yang Ming Chiao Tung University（国立阳明交通大学）；National Taiwan University Cancer Center（台湾大学癌症中心）；National Taiwan University Hospital（台湾大学医院）；National Taiwan University Hsin-Chu Hospital（台湾大学新竹医院）
Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University（郑州大学公共卫生学院流行病学与生物统计学系）；Victorian Melanoma Service, Alfred Health（阿尔弗雷德健康服务中心维多利亚黑色素瘤中心）；eResearch Centre, Monash University（莫纳什大学电子研究中心）
Dermatologists often diagnose or rule out early melanoma by evaluating the follow-up dermoscopic images of skin lesions. However, existing algorithms for early melanoma diagnosis are developed using single time-point images of lesions. Ignoring the temporal, morphological changes of lesions can lead to misdiagnosis in borderline cases. In this study, we propose a framework for automated early melanoma diagnosis using sequential dermoscopic images. To this end, we construct our method in three steps. First, we align sequential dermoscopic images of skin lesions using estimated Euclidean transfo…
Melanoma is considered to be the most aggressive form of skin cancer. Due to the similar shape of malignant and benign cancerous lesions, doctors spend considerably more time when diagnosing these findings. At present, the evaluation of malignancy is performed primarily by invasive histological examination of the suspicious lesion. Developing an accurate classifier for early and efficient detection can minimize and monitor the harmful effects of skin cancer and increase patient survival rates. This paper proposes a multi-class classification task using the CoAtNet architecture, a hybrid model …
Amasya University（阿马西亚大学）；Bilkent University（比尔肯特大学）；National Magnetic Resonance Research Center, Bilkent University（比尔肯特大学国家磁共振研究中心）；Sabuncu Brain Research Center, Bilkent University（比尔肯特大学萨本朱脑研究中心）
Melanoma is a fatal skin cancer that is curable and has dramatically increasing survival rate when diagnosed at early stages. Learning-based methods hold significant promise for the detection of melanoma from dermoscopic images. However, since melanoma is a rare disease, existing databases of skin lesions predominantly contain highly imbalanced numbers of benign versus malignant samples. In turn, this imbalance introduces substantial bias in classification models due to the statistical dominance of the majority class. To address this issue, we introduce a deep clustering approach based on the …
Instituto de Investigación e Innovación en Bioingeniería, Universitat Politècnica de València（瓦伦西亚理工大学生物工程研究与创新研究所）；Pathology Department. Hospital Clínico Universitario de Valencia, Universidad de Valencia（瓦伦西亚大学临床大学医院病理科）
Melanoma is an aggressive neoplasm responsible for the majority of deaths from skin cancer. Specifically, spitzoid melanocytic tumors are one of the most challenging melanocytic lesions due to their ambiguous morphological features. The gold standard for its diagnosis and prognosis is the analysis of skin biopsies. In this process, dermatopathologists visualize skin histology slides under a microscope, in a high time-consuming and subjective task. In the last years, computer-aided diagnosis (CAD) systems have emerged as a promising tool that could support pathologists in daily clinical practic…
The incidence rate for skin cancer has been steadily increasing throughout the world, leading to it being a serious issue. Diagnosis at an early stage has the potential to drastically reduce the harm caused by the disease, however, the traditional biopsy is a labor-intensive and invasive procedure. In addition, numerous rural communities do not have easy access to hospitals and do not prefer visiting one for what they feel might be a minor issue. Using machine learning and deep learning for skin cancer classification can increase accessibility and reduce the discomforting procedures involved i…
Vanderbilt University（范德堡大学）；Vanderbilt University Medical Center（范德堡大学医学中心）
Features learned from single radiologic images are unable to provide information about whether and how much a lesion may be changing over time. Time-dependent features computed from repeated images can capture those changes and help identify malignant lesions by their temporal behavior. However, longitudinal medical imaging presents the unique challenge of sparse, irregular time intervals in data acquisition. While self-attention has been shown to be a versatile and efficient learning mechanism for time series and natural images, its potential for interpreting temporal distance between sparse,…
Explainable Multimodal Deep Learning Integrating Imaging and Clinical Data for Oral Potentially Malignant Disorder Detection
Wyant College of Optical Sciences, University of Arizona（亚利桑那大学怀恩特光学科学学院）；Beckman Laser Institute & Medical Clinic, University of California Irvine（加州大学尔湾分校贝克曼激光研究所与医学诊所）
The iToBoS dataset: skin region images extracted from 3D total body photographs for lesion detection
Computer Vision and Robotics Research Institute, University of Girona（赫罗纳大学计算机视觉与机器人研究所）；Hospital Clínic Barcelona, Universitat de Barcelona（巴塞罗那大学巴塞罗那临床医院）；Frazer Institute, The University of Queensland（昆士兰大学弗雷泽研究所）；University of Trieste（的里雅斯特大学）；ISAHIT；Canfield Scientific, Inc.（坎菲尔德科学公司）；HUN-REN Institute for Computer Science and Control（HUN-REN计算机科学与控制研究所）
Focalyx Technologies（Focalyx科技公司）；City University of Hong Kong（香港城市大学）；University College London（伦敦大学学院）；Urological Research Network（泌尿外科研究网络）
Prostate cancer (PCa) is one of the leading causes of death for men worldwide. Multi-parametric magnetic resonance (mpMR) imaging has emerged as a non-invasive diagnostic tool for detecting and localising prostate tumours by specialised radiologists. These radiological examinations, for example, for differentiating malignant lesions from benign prostatic hyperplasia in transition zones and for defining the boundaries of clinically significant cancer, remain challenging and highly skill-and-experience-dependent. We first investigate experimental results in developing object detection neural net…
Uncertainty-Aware Multimodal Fusion for Oral Lesion Classification
1 School of Medical Science \& Technology, IIT Kharagpur, India 2 Department of Electrical Engineering, IIT Kharagpur, India 3 Dr. B.C. Roy Multispeciality Medical Research Centre, IIT Kharagpur, India
College of Information Science and Technology, Northwest University（西北大学信息科学与技术学院）；University of Texas Southwestern Medical Center（德克萨斯大学西南医学中心）
Breast ultrasound (US) is an effective imaging modality for breast cancer detec-tion and diagnosis. The structural characteristics of breast lesion play an im-portant role in Computer-Aided Diagnosis (CAD). In this paper, a novel struc-ture-aware triplet path networks (SATPN) was designed to integrate classifica-tion and two image reconstruction tasks to achieve accurate diagnosis on US im-ages with small training dataset. Specifically, we enhance clinically-approved breast lesion structure characteristics though converting original breast US imag-es to BIRADS-oriented feature maps (BFMs) with…
Dartmouth College（达特茅斯学院）；Dartmouth-Hitchcock Medical Center（达特茅斯-希区柯克医疗中心）；Geisel School of Medicine（盖塞尔医学院）；Metrohealth System（都会医疗系统）；Case Western Reserve University（凯斯西储大学）
Recently, there has been great interest in developing Artificial Intelligence (AI) enabled computer-aided diagnostics solutions for the diagnosis of skin cancer. With the increasing incidence of skin cancers, low awareness among a growing population, and a lack of adequate clinical expertise and services, there is an immediate need for AI systems to assist clinicians in this domain. A large number of skin lesion datasets are available publicly, and researchers have developed AI-based image classification solutions, particularly deep learning algorithms, to distinguish malignant skin lesions fr…
VRVis Zentrum für Virtual Reality und Visualisierung Forschungs-GmbH（VRVis虚拟现实与可视化研究中心有限公司）
Machine learning and deep learning methods have become essential for computer-assisted prediction in medicine, with a growing number of applications also in the field of mammography. Typically these algorithms are trained for a specific task, e.g., the classification of lesions or the prediction of a mammogram's pathology status. To obtain a comprehensive view of a patient, models which were all trained for the same task(s) are subsequently ensembled or combined. In this work, we propose a pipeline approach, where we first train a set of individual, task-specific models and subsequently invest…
Malignant melanoma is the deadliest form of skin cancer and, in recent years, is rapidly growing in terms of the incidence worldwide rate. The most effective approach to targeted treatment is early diagnosis. Deep learning algorithms, specifically convolutional neural networks, represent a methodology for the image analysis and representation. They optimize the features design task, essential for an automatic approach on different types of images, including medical. In this paper, we adopted pretrained deep convolutional neural networks architectures for the image representation with purpose t…
Southern Medical University（南方医科大学）；ZhuJiang Hospital（珠江医院）；Guangdong Provincial Research Center for Artificial Organ and Tissue Engineering（广东省人工器官与组织工程研究中心）；Institute of Regenerative Medicine（再生医学研究所）；State Key Laboratory of Organ Failure Research（器官衰竭研究国家重点实验室）；School of Biomedical Engineering（生物医学工程学院）；Guangzhou Medical University（广州医科大学）；The 2nd affiliated hospital of Guangzhou Medical University（广州医科大学附属第二医院）
Objectives: Pancreatic cancer is a lethal disease, hard to diagnose and usually results in poor prognosis and high mortality. Developing an artificial intelligence (AI) algorithm to accurately and universally predict the early cancer risk of all kinds of pancreatic cancer is extremely important. We propose an ensemble AI algorithm to predict universally cancer risk of all kinds of pancreatic lesions with noncontrast CT. Methods: Our algorithm combines the radiomics method and a support tensor machine (STM) by the evidence reasoning (ER) technique to construct a binary classifier, called RadSTM…
