In recent years, the prevalence of several pulmonary diseases, especially the coronavirus disease 2019 (COVID-19) pandemic, has attracted worldwide attention. These diseases can be effectively diagnosed and treated with the help of lung imaging. With the development of deep learning technology and the emergence of many public medical image datasets, the diagnosis of lung diseases via medical imaging has been further improved. This article reviews pulmonary CT and X-ray image detection and classification in the last decade. It also provides an overview of the detection of lung nodules, pneumonia, and other common lung lesions based on the imaging characteristics of various lesions. Furthermore, this review introduces 26 commonly used public medical image datasets, summarizes the latest technology, and discusses current challenges and future research directions.
National Chiao-Tung University（国立交通大学）；National Cheng Kung University Hospital（国立成功大学附属医院）；College of Medicine, National Cheng Kung University（国立成功大学医学院）
This study was conducted to develop a computer-aided detection (CAD) system for triaging patients with pulmonary embolism (PE). The purpose of the system was to reduce the death rate during the waiting period. Computed tomography pulmonary angiography (CTPA) is used for PE diagnosis. Because CTPA reports require a radiologist to review the case and suggest further management, this creates a waiting period during which patients may die. Our proposed CAD method was thus designed to triage patients with PE from those without PE. In contrast to related studies involving CAD systems that identify k…
MEDPSeg: Hierarchical polymorphic multitask learning for the segmentation of ground-glass opacities, consolidation, and pulmonary structures on computed tomography
School of Electrical and Computer Engineering, Universidade Estadual de Campinas（坎皮纳斯州立大学电气与计算机工程学院）；University of Iowa（爱荷华大学）
University of Electronic Science and Technology of China（电子科技大学）；University of Maryland School of Medicine（马里兰大学医学院）；Rutgers, the State University of New Jersey（罗格斯大学（新泽西州立大学））
Computed Tomography (CT) plays an important role in monitoring radiation-induced Pulmonary Fibrosis (PF), where accurate segmentation of the PF lesions is highly desired for diagnosis and treatment follow-up. However, the task is challenged by ambiguous boundary, irregular shape, various position and size of the lesions, as well as the difficulty in acquiring a large set of annotated volumetric images for training. To overcome these problems, we propose a novel convolutional neural network called PF-Net and incorporate it into a semi-supervised learning framework based on Iterative Confidence-…
Harbin Engineering University（哈尔滨工程大学）；Monash University（莫纳什大学）；Beijing Airdoc Technology Co., Ltd.（北京鹰瞳科技发展股份有限公司）；Chongqing Hospital of Traditional Chinese Medicine（重庆市中医院）；Chongqing Renji Hospital of Chinese Academy of Sciences（中国科学院重庆仁济医院）
Usually, lesions are not isolated but are associated with the surrounding tissues. For example, the growth of a tumour can depend on or infiltrate into the surrounding tissues. Due to the pathological nature of the lesions, it is challenging to distinguish their boundaries in medical imaging. However, these uncertain regions may contain diagnostic information. Therefore, the simple binarization of lesions by traditional binary segmentation can result in the loss of diagnostic information. In this work, we introduce the image matting into the 3D scenes and use the alpha matte, i.e., a soft mask…
Scuola Normale Superiore（比萨高等师范学校）；National Institute of Nuclear Physics (INFN)（国家核物理研究所）；University of Pavia（帕维亚大学）；University of Pisa（比萨大学）；University of Sassari（萨萨里大学）；University of Florence（佛罗伦萨大学）
The automatic assignment of a severity score to the CT scans of patients affected by COVID-19 pneumonia could reduce the workload in radiology departments. This study aims at exploiting Artificial intelligence (AI) for the identification, segmentation and quantification of COVID-19 pulmonary lesions. We investigated the effects of using multiple datasets, heterogeneously populated and annotated according to different criteria. We developed an automated analysis pipeline, the LungQuant system, based on a cascade of two U-nets. The first one (U-net_1) is devoted to the identification of the lung…
Lesion segmentation is a core task for quantitative analysis of MRI scans of Multiple Sclerosis patients. The recent success of deep learning techniques in a variety of medical image analysis applications has renewed community interest in this challenging problem and led to a burst of activity for new algorithm development. In this survey, we investigate the supervised CNN-based methods for MS lesion segmentation. We decouple these reviewed works into their algorithmic components and discuss each separately. For methods that provide evaluations on public benchmark datasets, we report compariso…
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 patholo…
Survey on deep learning in multimodal medical imaging for cancer detection
Massey University（梅西大学）；Nantong University（南通大学）；Zhejiang Engineering Research Center of Intelligent Medicine（浙江省智能医学工程研究中心）；Jianpei Technology Co. Ltd（建培科技有限公司）
Medical Artificial Intelligence for Early Detection of Lung Cancer: A Survey
College of Computer Science and Artificial Intelligence, Southwest Minzu University, Chengdu, 610225, China（计算机科学与人工智能学院，西南民族大学）；The Australian National University, Canberra ACT 2601, Australia（澳大利亚国立大学）；School of Computer Science and Technology, Beijing Jiaotong University, Beijing, China（计算机科学与技术学校，北京交通大学）；Hunan university of technology, Zhuzhou, 410072, China（湖南理工大学）；University of Adelaide, Adelaide, South Australia 5005, Australia（阿德莱德大学）；La Trobe University, Melbourne, Victoria 3086, Australia（拉筹伯大学）
We developed a deep learning model-based system to automatically generate a quantitative Computed Tomography (CT) diagnostic report for Pulmonary Tuberculosis (PTB) cases.501 CT imaging datasets from 223 patients with active PTB were collected, and another 501 cases from a healthy population served as negative samples.2884 lesions of PTB were carefully labeled and classified manually by professional radiologists.Three state-of-the-art 3D convolution neural network (CNN) models were trained and evaluated in the inspection of PTB CT images. Transfer learning method was also utilized during this …
Scale-aware Test-time Click Adaptation for Pulmonary Nodule and Mass Segmentation
Wuhan University（武汉大学）；Artificial Intelligence Institute of Wuhan University（武汉大学人工智能研究院）；Swiss Federal Institute of Technology Lausanne (EPFL)（洛桑联邦理工学院（EPFL））；Dianei Technology（点内科技）
Beihang University（北京航空航天大学）；Beijing Advanced Innovation Center for Big Data and Brain Computing（北京大数据与脑计算高精尖创新中心）；Hangzhou Innovation Institute of Beihang University（北京航空航天大学杭州创新研究院）；The University of Texas at Dallas（德克萨斯大学达拉斯分校）；University of Technology Sydney（悉尼科技大学）
Although deep learning models like CNNs have achieved great success in medical image analysis, the small size of medical datasets remains a major bottleneck in this area. To address this problem, researchers have started looking for external information beyond current available medical datasets. Traditional approaches generally leverage the information from natural images via transfer learning. More recent works utilize the domain knowledge from medical doctors, to create networks that resemble how medical doctors are trained, mimic their diagnostic patterns, or focus on the features or areas …
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,…
Yale University（耶鲁大学）；IBM Almaden Research Center（IBM阿尔马登研究中心）；New York University（纽约大学）
Pulmonary Embolism (PE) is a life-threatening disorder associated with high mortality and morbidity. Prompt diagnosis and immediate initiation of therapeutic action is important. We explored a deep learning model to detect PE on volumetric contrast-enhanced chest CT scans using a 2-stage training strategy. First, a residual convolutional neural network (ResNet) was trained using annotated 2D images. In addition to the classification loss, an attention loss was added during training to help the network focus attention on PE. Next, a recurrent network was used to scan sequentially through the fe…
National Yang Ming Chiao Tung University（阳明交通大学）；National Cheng Kung University Hospital（国立成功大学医学院附设医院）；National Cheng Kung University（国立成功大学）
This study established a feature-enhanced adversarial semi-supervised semantic segmentation model to automatically annotate pulmonary embolism lesion areas in computed tomography pulmonary angiogram (CTPA) images. In current studies, all of the PE CTPA image segmentation methods are trained by supervised learning. However, the supervised learning models need to be retrained and the images need to be relabeled when the CTPA images come from different hospitals. This study proposed a semi-supervised learning method to make the model applicable to different datasets by adding a small amount of un…
ESIEE-Paris, University Paris-Est Marne-la-Vallée（巴黎东马恩拉瓦莱大学ESIEE巴黎）；Faculty of medicine, University of Monastir（莫纳斯提尔大学医学院）；ISITCom Hammam-Sousse, University of Sousse（苏斯大学哈马姆苏斯高等信息与通信技术学院）
Ocular pathology detection from fundus images presents an important challenge on health care. In fact, each pathology has different severity stages that may be deduced by verifying the existence of specific lesions. Each lesion is characterized by morphological features. Moreover, several lesions of different pathologies have similar features. We note that patient may be affected simultaneously by several pathologies. Consequently, the ocular pathology detection presents a multi-class classification with a complex resolution principle. Several detection methods of ocular pathologies from fundu…
Lung cancer has the highest mortality rate of deadly cancers in the world. Early detection is essential to treatment of lung cancer. However, detection and accurate diagnosis of pulmonary nodules depend heavily on the experiences of radiologists and can be a heavy workload for them. Computer-aided diagnosis (CAD) systems have been developed to assist radiologists in nodule detection and diagnosis, greatly easing the workload while increasing diagnosis accuracy. Recent development of deep learning, greatly improved the performance of CAD systems. However, lack of model reliability and interpret…
the University of Hong Kong（香港大学）；China Agricultural University（中国农业大学）；Deepwise Healthcare（深睿医疗）
During clinical practice, radiologists often use attributes, e.g. morphological and appearance characteristics of a lesion, to aid disease diagnosis. Effectively modeling attributes as well as all relationships involving attributes could boost the generalization ability and verifiability of medical image diagnosis algorithms. In this paper, we introduce a hybrid neuro-probabilistic reasoning algorithm for verifiable attribute-based medical image diagnosis. There are two parallel branches in our hybrid algorithm, a Bayesian network branch performing probabilistic causal relationship reasoning a…
Otto von Guericke University Magdeburg（马格德堡奥托·冯·格里克大学）
Pulmonary cancer is one of the most commonly diagnosed and fatal cancers and is often diagnosed by incidental findings on computed tomography. Automated pulmonary nodule detection is an essential part of computer-aided diagnosis, which is still facing great challenges and difficulties to quickly and accurately locate the exact nodules' positions. This paper proposes a dual skip connection upsampling strategy based on Dual Path network in a U-Net structure generating multiscale feature maps, which aims to minimize the ratio of false positives and maximize the sensitivity for lesion detection of…
Khulna University of Engineering & Technology（库尔纳工程技术大学）；Imperial College London（帝国理工学院）；Royal Brompton Hospital（皇家布朗普顿医院）
The Computer-aided Diagnosis or Detection (CAD) approach for skin lesion analysis is an emerging field of research that has the potential to alleviate the burden and cost of skin cancer screening. Researchers have recently indicated increasing interest in developing such CAD systems, with the intention of providing a user-friendly tool to dermatologists to reduce the challenges encountered or associated with manual inspection. This article aims to provide a comprehensive literature survey and review of a total of 594 publications (356 for skin lesion segmentation and 238 for skin lesion classi…
Medical image computing has advanced rapidly with the advent of deep learning techniques such as convolutional neural networks. Deep convolutional neural networks can perform exceedingly well given full supervision. However, the success of such fully-supervised models for various image analysis tasks (e.g., anatomy or lesion segmentation from medical images) is limited to the availability of massive amounts of labeled data. Given small sample sizes, such models are prohibitively data biased with large domain shift. To tackle this problem, we propose a novel end-to-end medical image segmentatio…
Université de Sherbrooke（舍布鲁克大学）；Imagia cybernetics（Imagia cybernetics公司）；Google（谷歌）；Imeka Inc.（Imeka公司）
Segmentation of focal (localized) brain pathologies such as brain tumors and brain lesions caused by multiple sclerosis and ischemic strokes are necessary for medical diagnosis, surgical planning and disease development as well as other applications such as tractography. Over the years, attempts have been made to automate this process for both clinical and research reasons. In this regard, machine learning methods have long been a focus of attention. Over the past two years, the medical imaging field has seen a rise in the use of a particular branch of machine learning commonly known as deep l…
National University of Sciences and Technology (NUST)（国立科技大学（NUST））
Recent escalation in the field of computer vision underpins a huddle of algorithms with the magnificent potential to unravel the information contained within images. These computer vision algorithms are being practised in medical image analysis and are transfiguring the perception and interpretation of Imaging data. Among these algorithms, Vision Transformers are evolved as one of the most contemporary and dominant architectures that are being used in the field of computer vision. These are immensely utilized by a plenty of researchers to perform new as well as former experiments. Here, in thi…
A Comprehensive Review of Techniques, Algorithms, Advancements, Challenges, and Clinical Applications of Multi-modal Medical Image Fusion for Improved Diagnosis
Interdisciplinary Research Center for Finance and Digital Economy, King Fahd University of Petroleum and Minerals（金融与数字经济交叉研究中心，国王法赫德石油和矿物大学）；Department of Software Engineering, Faculty of Information Technology, Al-Ahliyya Amman University（软件工程系，信息科技学院，阿尔阿赫利亚大学）；Department of Information Systems and Operations Management, King Fahd University of Petroleum and Minerals（信息系统与运营管理系，国王法赫德石油和矿物大学）；ADAPT Research Centre, School of Computer Science, University of Galway（ADAPT研究中心，计算机科学学院，Galway大学）；Department of Mechanical and Nuclear Engineering, Khalifa University（机械与核工程系，哈利法大学）
Beihang University（北京航空航天大学）；National Institute of Informatics（国立情报学研究所）；Peng Cheng Laboratory（鹏城实验室）；Central South University（中南大学）
Though deep learning has shown successful performance in classifying the label and severity stage of certain disease, most of them give few evidence on how to make prediction. Here, we propose to exploit the interpretability of deep learning application in medical diagnosis. Inspired by Koch's Postulates, a well-known strategy in medical research to identify the property of pathogen, we define a pathological descriptor that can be extracted from the activated neurons of a diabetic retinopathy detector. To visualize the symptom and feature encoded in this descriptor, we propose a GAN based meth…
COVID-19 is a new pulmonary disease which is driving stress to the hospitals due to the large number of cases worldwide. Imaging of lungs can play a key role in monitoring of the healthy status. Non-contrast chest computed tomography (CT) has been used for this purpose, mainly in China, with a significant success. However, this approach cannot be used massively mainly for both high risk and cost and in some countries also because this tool is not extensively available. Alternatively, chest X-ray, although less sensitive than CT-scan, can provide important information about the evolution of pul…
Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis (Mtb.) that produces pulmonary damage due to its airborne nature. This fact facilitates the disease fast-spreading, which, according to the World Health Organization (WHO), in 2021 caused 1.2 million deaths and 9.9 million new cases. Fortunately, X-Ray Computed Tomography (CT) images enable capturing specific manifestations of TB that are undetectable using regular diagnostic tests. However, this procedure is unfeasible to process the thousands of volume images belonging to the different TB animal models and humans…
Faculty of Engineering and Applied Science, Ontario Tech University（安大略理工大学工程与应用科学学院）；Faculty of Business and Information Technology, Ontario Tech University（安大略理工大学商业与信息技术学院）
Deep learning has introduced several learning-based methods to recognize breast tumours and presents high applicability in breast cancer diagnostics. It has presented itself as a practical installment in Computer-Aided Diagnostic (CAD) systems to further assist radiologists in diagnostics for different modalities. A deep learning network trained on images provided by hospitals or public databases can perform classification, detection, and segmentation of lesion types. Significant progress has been made in recognizing tumours on 2D images but recognizing 3D images remains a frontier so far. The…
BS-LDM: Effective Bone Suppression in High-Resolution Chest X-Ray Images with Conditional Latent Diffusion Models
Hangzhou Dianzi University（杭州电子科技大学）；National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital&Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College（中国医学科学院国家癌症中心/国家临床医学研究中心/癌症医院及深圳医院）；Central South University（中南大学）；Yunnan University（云南大学）；School of Biomedical Engineering, Shenzhen University（深圳大学生物医学工程学院）；Shenzhen Research Institute of Big Data（深圳大数据研究院）
A Recent Survey of Vision Transformers for Medical Image Segmentation
Pakistan Institute of Engineering & Applied Sciences（巴基斯坦工程与应用科学研究所）；Avid Radio pharmaceuticals（Avid放射性制药公司）；Eli Lilly and Company（礼来公司）；University of Engineering and Applied Sciences（工程与应用科学大学）；Air University（航空大学）；Islamia College Peshawar（白沙瓦伊斯兰学院）；Korea National University of Transportation（韩国国立交通大学）
COVID-19 (Coronavirus disease 2019) has been quickly spreading since its outbreak, impacting financial markets and healthcare systems globally. Countries all around the world have adopted a number of extraordinary steps to restrict the spreading virus, where early COVID-19 diagnosis is essential. Medical images such as X-ray images and Computed Tomography scans are becoming one of the main diagnostic tools to combat COVID-19 with the aid of deep learning-based systems. In this survey, we investigate the main contributions of deep learning applications using medical images in fighting against C…
A Survey of Multimodal Ophthalmic Diagnostics: From Task-Specific Approaches to Foundational Models
College of Computer Science and Software Engineering, Shenzhen University, Shenzhen, China（深圳大学计算机科学与软件工程学院）；Shenzhen Key Laboratory of Visual Object Detection and Recognition, Harbin Institute of Technology, Shenzhen, 518055, China（视觉对象检测与识别深圳重点实验室）；Laboratory for Artificial Intelligence in Design, Hong Kong（人工智能设计实验室）；School of Artificial Intelligence, Shenzhen University, Shenzhen, China（深圳大学人工智能学院）
Is the medical image segmentation problem solved? A survey of current developments and future directions
University of Texas Southwestern Medical Center（德克萨斯大学西南医学中心）；University of Pennsylvania（宾夕法尼亚大学）；Cleveland Clinic（克利夫兰诊所）；Mayo Clinic（梅奥诊所）；Brigham and Women’s Hospital, Harvard Medical School（哈佛医学院布莱根妇女医院）
