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arXiv 2010.04049eess.IVcs.CVcs.LG
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肺部病变分级的大规模放射病理学研究

Hierarchical Classification of Pulmonary Lesions: A Large-Scale Radio-Pathomics Study

Shanghai Jiao Tong University(上海交通大学);Dianei Technology(点内科技);Huawei Hisilicon(华为海思);Shanghai Pulmonary Hospital, Tongji University(同济大学附属上海市肺科医院)

Jiancheng Yang, Mingze Gao, Kaiming Kuang, Bingbing Ni, Yunlang She, Dong Xie, Chang Chen

摘要:

通过计算机断层扫描(CT)诊断肺部病变对于肺癌相关疾病的临床决策非常重要,但也具有挑战性。深度学习在肺癌的计算机辅助诊断(CADx)领域取得了巨大的成功,但由于放射学诊断的困难,它存在标签模糊性。考虑到侵入性病理分析作为肺癌诊断的临床金标准,在这项研究中,我们通过一个大规模的放射病理组学数据集解决了标签模糊问题,该数据集包含5,134个具有病理证实标签的放射CT图像,包括癌症(例如,侵袭性/非侵袭性腺癌,鳞状细胞癌)和非癌症疾病(例如,肺结核、错构瘤)。这个名为Pulmonary-RadPath的回顾性数据集能够开发和验证准确的深度学习系统,以非侵入性程序预测侵入性病理标签,即,放射性CT扫描本文提出了一个肺部病变的三级分级系统,它涵盖了癌症诊断中的大多数疾病。我们探讨了几种技术,分层分类在这个数据集上,并提出了一个泄漏密集层次方法,在实验中证明了有效性。我们的研究在数据规模(6倍大),疾病全面性和层次结构方面显着优于现有技术。令人鼓舞的结果表明了促进精准医疗的潜力。

英文摘要:

Diagnosis of pulmonary lesions from computed tomography (CT) is important but challenging for clinical decision making in lung cancer related diseases. Deep learning has achieved great success in computer aided diagnosis (CADx) area for lung cancer, whereas it suffers from label ambiguity due to the difficulty in the radiological diagnosis. Considering that invasive pathological analysis serves as the clinical golden standard of lung cancer diagnosis, in this study, we solve the label ambiguity issue via a large-scale radio-pathomics dataset containing 5,134 radiological CT images with pathologically confirmed labels, including cancers (e.g., invasive/non-invasive adenocarcinoma, squamous carcinoma) and non-cancer diseases (e.g., tuberculosis, hamartoma). This retrospective dataset, named Pulmonary-RadPath, enables development and validation of accurate deep learning systems to predict invasive pathological labels with a non-invasive procedure, i.e., radiological CT scans. A three-level hierarchical classification system for pulmonary lesions is developed, which covers most diseases in cancer-related diagnosis. We explore several techniques for hierarchical classification on this dataset, and propose a Leaky Dense Hierarchy approach with proven effectiveness in experiments. Our study significantly outperforms prior arts in terms of data scales (6x larger), disease comprehensiveness and hierarchies. The promising results suggest the potentials to facilitate precision medicine.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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