Computer-Aided Diagnosis and Treatment of Tumors is a hot topic of deep learning in recent years, which constitutes a series of medical tasks, such as detection of tumor markers, the outline of tumor leisures, subtypes and stages of tumors, prediction of therapeutic effect, and drug development. Meanwhile, there are some deep learning models with precise positioning and excellent performance produced in mainstream task scenarios. Thus follow to introduce deep learning methods from task-orient, mainly focus on the improvements for medical tasks. Then to summarize the recent progress in four stages of tumor diagnosis and treatment, which named In-Vitro Diagnosis (IVD), Imaging Diagnosis (ID), Pathological Diagnosis (PD), and Treatment Planning (TP). According to the specific data types and medical tasks of each stage, we present the applications of deep learning in the Computer-Aided Diagnosis and Treatment of Tumors and analyzing the excellent works therein. This survey concludes by discussing research issues and suggesting challenges for future improvement.
The brain tumor is the most aggressive kind of tumor and can cause low life expectancy if diagnosed at the later stages. Manual identification of brain tumors is tedious and prone to errors. Misdiagnosis can lead to false treatment and thus reduce the chances of survival for the patient. Medical resonance imaging (MRI) is the conventional method used to diagnose brain tumors and their types. This paper attempts to eliminate the manual process from the diagnosis process and use machine learning instead. We proposed the use of pretrained convolutional neural networks (CNN) for the diagnosis and …
University of Idaho（爱达荷大学）；Harbin Institute of Technology（哈尔滨工业大学）；Medical College at Qingdao University（青岛大学医学院）
Deep learning-based computer-aided diagnosis has achieved unprecedented performance in breast cancer detection. However, most approaches are computationally intensive, which impedes their broader dissemination in real-world applications. In this work, we propose an efficient and light-weighted multitask learning architecture to classify and segment breast tumors simultaneously. We incorporate a segmentation task into a tumor classification network, which makes the backbone network learn representations focused on tumor regions. Moreover, we propose a new numerically stable loss function that e…
Tunghai University（东海大学）；Changhua Christian Hospital（彰化基督教医院）
Malignant and benign breast tumors present differently in their shape and size on sonography. Morphological information provided by tumor contours are important in clinical diagnosis. However, ultrasound images contain noises and tissue texture; clinical diagnosis thus highly depends on the experience of physicians. The manual way to sketch three-dimensional (3D) contours of breast tumor is a time-consuming and complicate task. If automatic contouring could provide a precise breast tumor contour that might assist physicians in making an accurate diagnosis. This study presents an efficient meth…
A Synthetic Data-Driven Radiology Foundation Model for Pan-tumor Clinical Diagnosis
Shanghai Jiao Tong University（上海交通大学）；Shanghai AI Lab（上海人工智能实验室）；The First Hospital of China Medical University（中国医科大学附属第一医院）；Harvard Medical School（哈佛医学院）
Tumor Location-weighted MRI-Report Contrastive Learning: A Framework for Improving the Explainability of Pediatric Brain Tumor Diagnosis
The Hospital for Sick Children（病童医院）；University of Toronto（多伦多大学）；Vector Institute for Artificial Intelligence（矢量人工智能研究所）；University Hospital Augsburg（奥格斯堡大学医院）
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…
CancerUniT: Towards a Single Unified Model for Effective Detection, Segmentation, and Diagnosis of Eight Major Cancers Using a Large Collection of CT Scans
DAMO Academy, Alibaba Group（阿里巴巴集团达摩院）；Johns Hopkins University（约翰斯·霍普金斯大学）；Hupan Lab（湖畔实验室）；Sun Yat-sen University Cancer Center（中山大学肿瘤防治中心）；Sichuan Cancer Hospital（四川省肿瘤医院）；The First Affiliated Hospital of Zhejiang University（浙江大学医学院附属第一医院）；Shengjing Hospital of China Medical University（中国医科大学附属盛京医院）；Guangdong Provincial People’s Hospital（广东省人民医院）
A Multi-Stage Deep Learning Framework with PKCP-MixUp Augmentation for Pediatric Liver Tumor Diagnosis Using Multi-Phase Contrast-Enhanced CT
Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology（华中科技大学同济医学院武汉儿童医院（武汉市妇幼保健院））；Wuhan University（武汉大学）；Wuhan Cloud Computing Technology Co., Ltd.（武汉云计算技术有限公司）
Erasmus Medical Center（伊拉斯姆斯医学中心）；Erasmus MC Cancer Institute（伊拉斯姆斯医学中心癌症研究所）；Delft University of Technology（代尔夫特理工大学）
Distinguishing gastrointestinal stromal tumors (GISTs) from other intra-abdominal tumors and GISTs molecular analysis is necessary for treatment planning, but challenging due to its rarity. The aim of this study was to evaluate radiomics for distinguishing GISTs from other intra-abdominal tumors, and in GISTs, predict the c-KIT, PDGFRA,BRAF mutational status and mitotic index (MI). All 247 included patients (125 GISTS, 122 non-GISTs) underwent a contrast-enhanced venous phase CT. The GIST vs. non-GIST radiomics model, including imaging, age, sex and location, had a mean area under the curve (A…
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…
NMAM Institute of Technology（NMAM理工学院）；Visvesvaraya Technological University（韦斯韦斯瓦拉亚理工大学）；Sahyadri College of Engineering and Management（萨亚德里工程与管理学院）；JSS Academy of Technical Education（JSS技术教育学院）
Lung cancer begins in the lungs and leading to the reason of cancer demise amid population in the creation. According to the American Cancer Society, which estimates about 27% of the deaths because of cancer. In the early phase of its evolution, lung cancer does not cause any symptoms usually. Many of the patients have been diagnosed in a developed phase where symptoms become more prominent, that results in poor curative treatment and high mortality rate. Computer Aided Detection systems are used to achieve greater accuracies for the lung cancer diagnosis. In this research exertion, we propose…
We evaluate two different methods for the integration of prediction uncertainty into diagnostic image classifiers to increase patient safety in deep learning. In the first method, Monte Carlo sampling is applied with dropout at test time to get a posterior distribution of the class labels (Bayesian ResNet). The second method extends ResNet to a probabilistic approach by predicting the parameters of the posterior distribution and sampling the final result from it (Variational ResNet).The variance of the posterior is used as metric for uncertainty.Both methods are trained on a data set of optica…
Beihang University（北京航空航天大学）；Massachusetts General Hospital, Harvard Medical School（哈佛医学院麻省总医院）；Shanghai Jiao Tong University（上海交通大学）；Ruijin Hospital, Shanghai Jiao Tong University School of Medicine（上海交通大学医学院附属瑞金医院）
In the clinical diagnosis and treatment of brain tumors, manual image reading consumes a lot of energy and time. In recent years, the automatic tumor classification technology based on deep learning has entered people's field of vision. Brain tumors can be divided into primary and secondary intracranial tumors according to their source. However, to our best knowledge, most existing research on brain tumors are limited to primary intracranial tumor images and cannot classify the source of the tumor. In order to solve the task of tumor source type classification, we analyze the existing technolo…
Shanghai Jiao Tong University（上海交通大学）；University of Georgia（佐治亚大学）；ShanghaiTech University（上海科技大学）；Shanghai United Imaging Intelligence Co., Ltd.（上海联影智能医疗科技有限公司）
When deep neural network (DNN) was first introduced to the medical image analysis community, researchers were impressed by its performance. However, it is evident now that a large number of manually labeled data is often a must to train a properly functioning DNN. This demand for supervision data and labels is a major bottleneck in current medical image analysis, since collecting a large number of annotations from experienced experts can be time-consuming and expensive. In this paper, we demonstrate that the eye movement of radiologists reading medical images can be a new form of supervision t…
Glioma Multimodal MRI Analysis System for Tumor Layered Diagnosis via Multi-task Semi-supervised Learning
Cancer Research Institute, Central South University（中南大学肿瘤研究所）；School of Physics & Electronic Science, Changsha University of Science & Technology（长沙理工大学物理与电子科学学院）；IFLYTEK Research（iFlytek研究院）；School of Life Sciences, Central South University（中南大学生命科学学院）；Department of Radiology, Xiangya Hospital, Central South University（中南大学湘雅医院放射科）；School of Computer Science and Engineering, Central South University（中南大学计算机科学与工程学院）；Department of Neurosurgery, Xiangya Hospital, Central South University（中南大学湘雅医院神经外科）
In practice, histopathological diagnosis of tumor malignancy often requires a human expert to scan through histopathological images at multiple magnification levels, after which a final diagnosis can be accurately determined. However, previous research on such classification tasks using convolutional neural networks primarily determine a diagnosis for a single magnification level. In this paper, we propose a case-based approach using deep residual neural networks for histopathological malignancy diagnosis, where a case is defined as a sequence of images from the patient at all available levels…
Recently deep learning has been playing a major role in the field of computer vision. One of its applications is the reduction of human judgment in the diagnosis of diseases. Especially, brain tumor diagnosis requires high accuracy, where minute errors in judgment may lead to disaster. For this reason, brain tumor segmentation is an important challenge for medical purposes. Currently several methods exist for tumor segmentation but they all lack high accuracy. Here we present a solution for brain tumor segmenting by using deep learning. In this work, we studied different angles of brain MR ima…
Large language models (LLMs) have recently demonstrated their potential in clinical applications, providing valuable medical knowledge and advice. For example, a large dialog LLM like ChatGPT has successfully passed part of the US medical licensing exam. However, LLMs currently have difficulty processing images, making it challenging to interpret information from medical images, which are rich in information that supports clinical decisions. On the other hand, computer-aided diagnosis (CAD) networks for medical images have seen significant success in the medical field by using advanced deep-le…
Hybrid Deep Learning Framework for Classification of Kidney CT Images: Diagnosis of Stones, Cysts, and Tumors
School of Engineering & Technology, BML Munjal University（BML Munjal大学工程与技术学院）；Center for Advanced Data and Computational Science, BML Munjal University（BML Munjal大学先进数据与计算科学中心）
Isfahan University of Technology（伊斯法罕理工大学）；Seattle University（西雅图大学）；McMaster University（麦克马斯特大学）
According to the World Health Organization (WHO), cancer is the second leading cause of death worldwide, responsible for over 9.5 million deaths in 2018 alone. Brain tumors count for one out of every four cancer deaths. Therefore, accurate and timely diagnosis of brain tumors will lead to more effective treatments. Physicians classify brain tumors only with biopsy operation by brain surgery, and after diagnosing the type of tumor, a treatment plan is considered for the patient. Automatic systems based on machine learning algorithms can allow physicians to diagnose brain tumors with noninvasive…
Recent works on Multimodal 3D Computer-aided diagnosis have demonstrated that obtaining a competitive automatic diagnosis model when a 3D convolution neural network (CNN) brings more parameters and medical images are scarce remains nontrivial and challenging. Considering both consistencies of regions of interest in multimodal images and diagnostic accuracy, we propose a novel mutual attention-based hybrid dimensional network for MultiModal 3D medical image classification (MMNet). The hybrid dimensional network integrates 2D CNN with 3D convolution modules to generate deeper and more informativ…
Wireless capsule endoscopy (WCE) is a process in which a patient swallows a camera-embedded pill-shaped device that passes through the gastrointestinal (GI) tract, captures and transmits images to an external receiver. WCE devices are considered as a replacement of conventional endoscopy methods which are usually painful and distressful for the patients. WCE devices produce over 60,000 images typically during their course of operation inside the GI tract. These images need to be examined by expert physicians who attempt to identify frames that contain inflammation / disease. It can be hectic f…
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…
Beijing Institute of Technology（北京理工大学）；Xuanwu Hospital, Capital Medical University（首都医科大学宣武医院）；National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College（中国医学科学院北京协和医学院肿瘤医院（国家癌症中心/国家肿瘤临床医学研究中心））
Current Computer-Aided Diagnosis (CAD) methods mainly depend on medical images. The clinical information, which usually needs to be considered in practical clinical diagnosis, has not been fully employed in CAD. In this paper, we propose a novel deep learning-based method for fusing Magnetic Resonance Imaging (MRI)/Computed Tomography (CT) images and clinical information for diagnostic tasks. Two paths of neural layers are performed to extract image features and clinical features, respectively, and at the same time clinical features are employed as the attention to guide the extraction of imag…
COVID-19 Computer-aided Diagnosis through AI-assisted CT Imaging Analysis: Deploying a Medical AI System
University of Ioannina（约阿尼纳大学）；AIandMe SMPC（AIandMe SMPC公司）；National Technical University of Athens（雅典国立技术大学）；Queen Mary University of London（伦敦大学玛丽皇后学院）
We introduce a new dataset called Synthetic COVID-19 Chest X-ray Dataset for training machine learning models. The dataset consists of 21,295 synthetic COVID-19 chest X-ray images to be used for computer-aided diagnosis. These images, generated via an unsupervised domain adaptation approach, are of high quality. We find that the synthetic images not only improve performance of various deep learning architectures when used as additional training data under heavy imbalance conditions, but also detect the target class with high confidence. We also find that comparable performance can also be achi…
Low grade endometrial stromal sarcoma (LGESS) is rare form of cancer, accounting for about 0.2% of all uterine cancer cases. Approximately 75% of LGESS patients are initially misdiagnosed with leiomyoma, which is a type of benign tumor, also known as fibroids. In this research, uterine tissue biopsy images of potential LGESS patients are preprocessed using segmentation and staining normalization algorithms. A variety of classic machine learning and leading deep learning models are then applied to classify tissue images as either benign or cancerous. For the classic techniques considered, the h…
Objective: We develop a computer-aided diagnosis (CAD) system using deep learning approaches for lesion detection and classification on whole-slide images (WSIs) with breast cancer. The deep features being distinguishing in classification from the convolutional neural networks (CNN) are demonstrated in this study to provide comprehensive interpretability for the proposed CAD system using pathological knowledge. Methods: In the experiment, a total of 186 slides of WSIs were collected and classified into three categories: Non-Carcinoma, Ductal Carcinoma in Situ (DCIS), and Invasive Ductal Carcin…
Today, over 700,000 people are living with brain tumors in the United States. Brain tumors can spread very quickly to other parts of the brain and the spinal cord unless necessary preventive action is taken. Thus, the survival rate for this disease is less than 40% for both men and women. A conclusive and early diagnosis of a brain tumor could be the difference between life and death for some. However, brain tumor detection and segmentation are tedious and time-consuming processes as it can only be done by radiologists and clinical experts. The use of computer vision techniques, such as Mask R…
Realism in Action: Anomaly-Aware Diagnosis of Brain Tumors from Medical Images Using YOLOv8 and DeiT
Department of CS \& IT Institute for Advanced Studies in Basic Sciences (IASBS) Zanjan, Iran；Department of Computer Engineering University of Zanjan (ZNU) Zanjan, Iran
King Khalid University（哈立德国王大学）；Karunya Institute of Technology and Sciences（卡鲁尼亚理工学院）
Retinoblastoma is the most prominent childhood primary intraocular malignancy that impacts the vision of children and adults worldwide. In contrasting and comparing with adults it is uveal melanoma. It is an aggressive tumor that can fill and destroy the eye and the surrounding structures. Therefore early detection of retinoblastoma in childhood is the key. The major impact of the research is to identify the tumor cells in the retina. Also is to find out the stages of the tumor and its corresponding group. The proposed systems assist the ophthalmologists for accurate prediction and diagnosis o…
Northwestern Polytechnical University（西北工业大学）；Tianjin Medical University（天津医科大学）
Goal: Squamous cell carcinoma of cervix is one of the most prevalent cancer worldwide in females. Traditionally, the most indispensable diagnosis of cervix squamous carcinoma is histopathological assessment which is achieved under microscope by pathologist. However, human evaluation of pathology slide is highly depending on the experience of pathologist, thus big inter- and intra-observer variability exists. Digital pathology, in combination with deep learning provides an opportunity to improve the objectivity and efficiency of histopathologic slide analysis. Methods: In this study, we obtaine…
Transferring Knowledge from High-Quality to Low-Quality MRI for Adult Glioma Diagnosis
The Chinese University of Hong Kong (CUHK)（香港中文大学）；CUHK Shenzhen Research Institute（香港中文大学深圳研究院）；China Medical University（中国医科大学）；University College London（伦敦大学学院）；UCL Hawkes Institute（伦敦大学学院霍克斯研究所）
University of Turin（都灵大学）；Azienda Ospedaliera Città della Salute e della Scienza Presidio Molinette（健康与科学城医院莫利内特分院）；AOU San Luigi Gonzaga（圣路易吉·贡扎加大学医院）
Early screening of patients is a critical issue in order to assess immediate and fast responses against the spread of COVID-19. The use of nasopharyngeal swabs has been considered the most viable approach; however, the result is not immediate or, in the case of fast exams, sufficiently accurate. Using Chest X-Ray (CXR) imaging for early screening potentially provides faster and more accurate response; however, diagnosing COVID from CXRs is hard and we should rely on deep learning support, whose decision process is, on the other hand, "black-boxed" and, for such reason, untrustworthy. We propos…
Institute of Big Data（大数据研究所）；VinUniversity（文大大学）；Hospital 108（108医院）；Hanoi Medical University Hospital（河内医科大学医院）；Yale University（耶鲁大学）
Mammography, or breast X-ray, is the most widely used imaging modality to detect cancer and other breast diseases. Recent studies have shown that deep learning-based computer-assisted detection and diagnosis (CADe or CADx) tools have been developed to support physicians and improve the accuracy of interpreting mammography. However, most published datasets of mammography are either limited on sample size or digitalized from screen-film mammography (SFM), hindering the development of CADe and CADx tools which are developed based on full-field digital mammography (FFDM). To overcome this challeng…
Automatic segmentation of liver tumors in medical images is crucial for the computer-aided diagnosis and therapy. It is a challenging task, since the tumors are notoriously small against the background voxels. This paper proposes a new three-stage curriculum learning approach for training deep networks to tackle this small object segmentation problem. The learning in the first stage is performed on the whole input to obtain an initial deep network for tumor segmenta-tion. Then the second stage of learning focuses the strength-ening of tumor specific features by continuing training the network …
College of Physics and Information Engineering, Fuzhou University（福州大学物理与信息工程学院）；Thoracic Department, Fujian Medical University Union Hospital（福建医科大学附属协和医院胸外科）
Background and Objective:Computer-aided diagnosis (CAD) systems promote diagnosis effectiveness and alleviate pressure of radiologists. A CAD system for lung cancer diagnosis includes nodule candidate detection and nodule malignancy evaluation. Recently, deep learning-based pulmonary nodule detection has reached satisfactory performance ready for clinical application. However, deep learning-based nodule malignancy evaluation depends on heuristic inference from low-dose computed tomography volume to malignant probability, which lacks clinical cognition. Methods:In this paper, we propose a joint…
Institute of Computing Technology, Chinese Academy of Sciences（中国科学院计算技术研究所）；University of Chinese Academy of Sciences（中国科学院大学）；Southeast University（东南大学）；Lenovo Research（联想研究院）
Automated segmentation of kidney and tumor from 3D CT scans is necessary for the diagnosis, monitoring, and treatment planning of the disease. In this paper, we describe a two-stage framework for kidney and tumor segmentation based on 3D fully convolutional network (FCN). The first stage preliminarily locate the kidney and cut off the irrelevant background to reduce class imbalance and computation cost. Then the second stage precisely segment the kidney and tumor on the cropped patch. The proposed method ranks the 4th place out of 105 competitive teams in MICCAI 2019 KiTS Challenge with a Comp…
Northeastern University（东北大学）；China Medical University（中国医科大学）；University of Luebeck（吕贝克大学）
The gold standard for gastric cancer detection is gastric histopathological image analysis, but there are certain drawbacks in the existing histopathological detection and diagnosis. In this paper, based on the study of computer aided diagnosis system, graph based features are applied to gastric cancer histopathology microscopic image analysis, and a classifier is used to classify gastric cancer cells from benign cells. Firstly, image segmentation is performed, and after finding the region, cell nuclei are extracted using the k-means method, the minimum spanning tree (MST) is drawn, and graph …
Breast tumor segmentation provides accurate tumor boundary, and serves as a key step toward further cancer quantification. Although deep learning-based approaches have been proposed and achieved promising results, existing approaches have difficulty in detecting small breast tumors. The capacity to detecting small tumors is particularly important in finding early stage cancers using computer-aided diagnosis (CAD) systems. In this paper, we propose a novel deep learning architecture called Small Tumor-Aware Network (STAN), to improve the performance of segmenting tumors with different size. The…
Brain Tumor Detection Through Diverse CNN Architectures in IoT Healthcare Industries: Fast R-CNN, U-Net, Transfer Learning-Based CNN, and Fully Connected CNN
School of Electrical and Computer Engineering, University of Oklahoma（俄克拉荷马大学电气与计算机工程学院）
Non-invasive techniques such as magnetic resonance imaging (MRI) are widely employed in brain tumor diagnostics. However, manual segmentation of brain tumors from 3D MRI volumes is a time-consuming task that requires trained expert radiologists. Due to the subjectivity of manual segmentation, there is low inter-rater reliability which can result in diagnostic discrepancies. As the success of many brain tumor treatments depends on early intervention, early detection is paramount. In this context, a fully automated segmentation method for brain tumor segmentation is necessary as an efficient and…
Computer-Aided Osteoporosis Diagnosis Using Transfer Learning with Enhanced Features from Stacked Deep Learning Modules
Bangladesh Army University of Science and Technology（孟加拉国陆军科技大学）；Brac University（BRAC大学）；National Institute of Textile Engineering and Research (NITER)（国家纺织工程与研究所（NITER））；University of Dhaka（达卡大学）
Vrije Universiteit（阿姆斯特丹自由大学）；Amsterdam UMC（阿姆斯特丹大学医学中心）；Amsterdam Neuroscience（阿姆斯特丹神经科学研究所）；Erasmus MC（伊拉斯姆斯医学中心）；University College London（伦敦大学学院）；TU Delft（代尔夫特理工大学）
Computer-aided methods have shown added value for diagnosing and predicting brain disorders and can thus support decision making in clinical care and treatment planning. This chapter will provide insight into the type of methods, their working, their input data - such as cognitive tests, imaging and genetic data - and the types of output they provide. We will focus on specific use cases for diagnosis, i.e. estimating the current 'condition' of the patient, such as early detection and diagnosis of dementia, differential diagnosis of brain tumours, and decision making in stroke. Regarding predic…
