Osteoarthritis (OA) poses a global health challenge, demanding precise diagnostic methods. Current radiographic assessments are time consuming and prone to variability, prompting the need for automated solutions. The existing deep learning models for OA assessment are unimodal single task systems and they don't incorporate relevant text information such as patient demographics, disease history, or physician reports. This study investigates employing Vision Language Processing (VLP) models to predict OA severity using Xray images and corresponding reports. Our method leverages Xray images of the knee and diverse report templates generated from tabular OA scoring values to train a CLIP (Contrastive Language Image PreTraining) style VLP model. Furthermore, we incorporate additional contrasting captions to enforce the model to discriminate between positive and negative reports. Results demonstrate the efficacy of these models in learning text image representations and their contextual relationships, showcase potential advancement in OA assessment, and establish a foundation for specialized vision language models in medical contexts.
This paper introduces a new approach to automatically quantify the severity of knee OA using X-ray images. Automatically quantifying knee OA severity involves two steps: first, automatically localizing the knee joints; next, classifying the localized knee joint images. We introduce a new approach to automatically detect the knee joints using a fully convolutional neural network (FCN). We train convolutional neural networks (CNN) from scratch to automatically quantify the knee OA severity optimizing a weighted ratio of two loss functions: categorical cross-entropy and mean-squared loss. This jo…
Insight Centre for Data Analytics, Dublin City University（都柏林城市大学数据洞察中心）；School of Health and Human Performance, Dublin City University（都柏林城市大学健康与人体表现学院）
This paper proposes a new approach to automatically quantify the severity of knee osteoarthritis (OA) from radiographs using deep convolutional neural networks (CNN). Clinically, knee OA severity is assessed using Kellgren \& Lawrence (KL) grades, a five point scale. Previous work on automatically predicting KL grades from radiograph images were based on training shallow classifiers using a variety of hand engineered features. We demonstrate that classification accuracy can be significantly improved using deep convolutional neural network models pre-trained on ImageNet and fine-tuned on knee O…
H-SemiS: Hierarchical Fusion of Semi and Self-Supervised Learning for Knee Osteoarthritis Severity Grading
Department of Computer Science and Engineering, Indian Institute of Technology (IIT) Indore, Indore 453552, India（印度理工学院Indore计算机科学与工程系）；Department of Computer Science and Engineering, National Institute of Technology Tiruchirappalli, Tiruchirappalli 620015, India（印度理工学院Tiruchirappalli计算机科学与工程系）
The examination of Osteoarthritis disease through X-ray by rheumatology can be classified into four grade of severity. This paper discusses about the application of artificial neural network backpropagation method for measuring the severity of the disease, where the observed X-ray range from wrist to fingers. The main procedures of system in this paper is divided into three, which are image processing, feature extraction, and artificial neural network process. First, an X-ray image digital (200x150 pixels and greyscale) will be thresholded, then extracted features based on probabilistic values…
Insight Centre for Data Analytics（洞察数据分析中心）；Dublin City University（都柏林城市大学）
This chapter presents the investigations and the results of feature learning using convolutional neural networks to automatically assess knee osteoarthritis (OA) severity and the associated clinical and diagnostic features of knee OA from X-ray images. Also, this chapter demonstrates that feature learning in a supervised manner is more effective than using conventional handcrafted features for automatic detection of knee joints and fine-grained knee OA image classification. In the general machine learning approach to automatically assess knee OA severity, the first step is to localize the regi…
An AI System for Continuous Knee Osteoarthritis Severity Grading Using Self-Supervised Anomaly Detection with Limited Data
Science Foundation Ireland Centre for Research Training in Machine Learning（科学基金会爱尔兰机器学习研究培训中心）；School of Medicine（医学院）；School of Computer Science（计算机科学学院）；University College Dublin（都柏林大学）；Insight Centre for Data Analytics（数据分析研究所）
University of Oulu（奥卢大学）；Oulu University Hospital（奥卢大学医院）；KU Leuven（鲁汶大学）；Ailean Technologies Oy
Knee osteoarthritis (OA) is one of the highest disability factors in the world. This musculoskeletal disorder is assessed from clinical symptoms, and typically confirmed via radiographic assessment. This visual assessment done by a radiologist requires experience, and suffers from moderate to high inter-observer variability. The recent literature has shown that deep learning methods can reliably perform the OA severity assessment according to the gold standard Kellgren-Lawrence (KL) grading system. However, these methods require large amounts of labeled data, which are costly to obtain. In thi…
Stacked Ensemble of Fine-Tuned CNNs for Knee Osteoarthritis Severity Grading
Indian Institute of Technology Guwahati（印度理工学院瓜瓦提分校）；Indian Institute of Technology Kanpur（印度理工学院坎浦尔分校）；California State University, Northridge（加州州立大学北岭分校）
Insight Centre for Data Analytics（洞察数据分析中心）；National University of Ireland Galway（爱尔兰国立高威大学）；Dublin City University（都柏林城市大学）；School of Health and Human Performance（健康与人类表现学院）；ZB MED – Information Centre for Life Sciences（ZB MED——生命科学信息中心）；University of Cologne（科隆大学）；School of Mathematics, Statistics and Applied Mathematics（数学、统计与应用数学学院）
Knee osteoarthritis (KOA) is a disease that impairs knee function and causes pain. A radiologist reviews knee X-ray images and grades the severity level of the impairments according to the Kellgren and Lawrence grading scheme; a five-point ordinal scale (0--4). In this study, we used Elastic Net (EN) and Random Forests (RF) to build predictive models using patient assessment data (i.e. signs and symptoms of both knees and medication use) and a convolution neural network (CNN) trained using X-ray images only. Linear mixed effect models (LMM) were used to model the within subject correlation bet…
Knee Osteoarthritis Severity Prediction using an Attentive Multi-Scale Deep Convolutional Neural Network
Indian Institute of Technology Guwahati（印度古瓦哈蒂印度理工学院）；Cleveland Clinic（克利夫兰诊所）；Duke-NUS Medical School（杜克-新加坡国立大学医学院）；National University of Singapore（新加坡国立大学）
Universitat Politècnica de Catalunya (UPC)（加泰罗尼亚理工大学）；Insight Centre for Data Analytics（Insight数据分析中心）；Dublin City University (DCU)（都柏林城市大学）
This work proposes a novel end-to-end convolutional neural network (CNN) architecture to automatically quantify the severity of knee osteoarthritis (OA) using X-Ray images, which incorporates trainable attention modules acting as unsupervised fine-grained detectors of the region of interest (ROI). The proposed attention modules can be applied at different levels and scales across any CNN pipeline helping the network to learn relevant attention patterns over the most informative parts of the image at different resolutions. We test the proposed attention mechanism on existing state-of-the-art CN…
PAII Inc.（PAII 公司）；Chang Gung Memorial Hospital（长庚纪念医院）；Ping An Technology（平安科技）
Knee osteoarthritis (OA) is a common degenerate joint disorder that affects a large population of elderly people worldwide. Accurate radiographic assessment of knee OA severity plays a critical role in chronic patient management. Current clinically-adopted knee OA grading systems are observer subjective and suffer from inter-rater disagreements. In this work, we propose a computer-aided diagnosis approach to provide more accurate and consistent assessments of both composite and fine-grained OA grades simultaneously. A novel semi-supervised learning method is presented to exploit the underlying…
Duke University（杜克大学）；Duke Clinical Research Institute（杜克临床研究所）；Duke-Margolis Center for Health Policy（杜克-马戈利斯卫生政策中心）；Duke Cancer Institute（杜克癌症研究所）
The assessment of knee osteoarthritis (KOA) severity on knee X-rays is a central criteria for the use of total knee arthroplasty. However, this assessment suffers from imprecise standards and a remarkably high inter-reader variability. An algorithmic, automated assessment of KOA severity could improve overall outcomes of knee replacement procedures by increasing the appropriateness of its use. We propose a novel deep learning-based five-step algorithm to automatically grade KOA from posterior-anterior (PA) views of radiographs: (1) image preprocessing (2) localization of knees joints in the im…
The severity of knee osteoarthritis is graded using the 5-point Kellgren-Lawrence (KL) scale where healthy knees are assigned grade 0, and the subsequent grades 1-4 represent increasing severity of the affliction. Although several methods have been proposed in recent years to develop models that can automatically predict the KL grade from a given radiograph, most models have been developed and evaluated on datasets not sourced from India. These models fail to perform well on the radiographs of Indian patients. In this paper, we propose a novel method using convolutional neural networks to auto…
Three-dimensional medical imaging enables detailed understanding of osteoarthritis structural status. However, there remains a vast need for automatic, thus, reader-independent measures that provide reliable assessment of subject-specific clinical outcomes. To this end, we derive a consistent generalization of the recently proposed B-score to Riemannian shape spaces. We further present an algorithmic treatment yielding simple, yet efficient computations allowing for analysis of large shape populations with several thousand samples. Our intrinsic formulation exhibits improved discrimination abi…
University of Oulu（奥卢大学）；Oulu University Hospital（奥卢大学医院）
Knee osteoarthritis (OA) is the most common musculoskeletal disease in the world. In primary healthcare, knee OA is diagnosed using clinical examination and radiographic assessment. Osteoarthritis Research Society International (OARSI) atlas of OA radiographic features allows to perform independent assessment of knee osteophytes, joint space narrowing and other knee features. This provides a fine-grained OA severity assessment of the knee, compared to the gold standard and most commonly used Kellgren-Lawrence (KL) composite score. However, both OARSI and KL grading systems suffer from moderate…
We worked with Nestle SHIELD (Skin Health, Innovation, Education, and Longevity Development, NSH) to develop a deep learning model that is able to assess acne severity from selfie images as accurate as dermatologists. The model was deployed as a mobile application, providing patients an easy way to assess and track the progress of their acne treatment. NSH acquired 4,700 selfie images for this study and recruited 11 internal dermatologists to label them in five categories: 1-Clear, 2- Almost Clear, 3-Mild, 4-Moderate, 5-Severe. Using OpenCV to detect facial landmarks we cut specific skin patch…
Temporal Evolution of Knee Osteoarthritis: A Diffusion-based Morphing Model for X-ray Medical Image Synthesis
Massachusetts General Hospital（麻省总医院）；Harvard Medical School（哈佛医学院）；University of Orleans（奥尔良大学）；IDP Institute（IDP研究所）；Jiangsu Institute of Hematology（江苏省血液研究所）；First Affiliated Hospital of Soochow University（苏州大学附属第一医院）；Cancer Hospital of Pernambuco（伯南布哥癌症医院）
Parkinson's disease (PD) is a progressive neurological disorder primarily affecting motor function resulting in tremor at rest, rigidity, bradykinesia, and postural instability. The physical severity of PD impairments can be quantified through the Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS), a widely used clinical rating scale. Accurate and quantitative assessment of disease progression is critical to developing a treatment that slows or stops further advancement of the disease. Prior work has mainly focused on dopamine transport neuroimaging for diagnosis or…
Clinical outcome or severity prediction from medical images has largely focused on learning representations from single-timepoint or snapshot scans. It has been shown that disease progression can be better characterized by temporal imaging. We therefore hypothesized that outcome predictions can be improved by utilizing the disease progression information from sequential images. We present a deep learning approach that leverages temporal progression information to improve clinical outcome predictions from single-timepoint images. In our method, a self-attention based Temporal Convolutional Netw…
Center for Research and Formation in Artificial Intelligence, Universidad de los Andes（安第斯大学人工智能研究与形成中心）；King Abdullah University of Science and Technology (KAUST)（阿卜杜拉国王科技大学）
Adversarial Robustness is a growing field that evidences the brittleness of neural networks. Although the literature on adversarial robustness is vast, a dimension is missing in these studies: assessing how severe the mistakes are. We call this notion "Adversarial Severity" since it quantifies the downstream impact of adversarial corruptions by computing the semantic error between the misclassification and the proper label. We propose to study the effects of adversarial noise by measuring the Robustness and Severity into a large-scale dataset: iNaturalist-H. Our contributions are: (i) we intro…
Charles Sturt University（查尔斯特大学）；University of Technology Sydney（悉尼科技大学）；Wollongong Hospital（伍伦贡医院）
The application of computer vision for COVID-19 diagnosis is complex and challenging, given the risks associated with patient misclassifications. Arguably, the primary value of medical imaging for COVID-19 lies rather on patient prognosis. Radiological images can guide physicians assessing the severity of the disease, and a series of images from the same patient at different stages can help to gauge disease progression. Hence, a simple method based on lung-pathology interpretable features for scoring disease severity from Chest X-rays is proposed here. As the primary contribution, this method …
National Institute of Technology Delhi（德里国家理工学院）；Indian Institute of Technology, Roorkee（鲁尔基印度理工学院）
Background and Objective: During pandemics, the use of artificial intelligence (AI) approaches combined with biomedical science play a significant role in reducing the burden on the healthcare systems and physicians. The rapid increment in cases of COVID-19 has led to an increase in demand for hospital beds and other medical equipment. However, since medical facilities are limited, it is recommended to diagnose patients as per the severity of the infection. Keeping this in mind, we share our research in detecting COVID-19 as well as assessing its severity using chest-CT scans and Deep Learning…
University College London（伦敦大学学院）；Ege University Hospital（爱琴大学医院）；St Antonius Hospital（圣安东尼乌斯医院）；Mayo Clinic Rochester（罗切斯特梅奥诊所）
Abnormal airway dilatation, termed traction bronchiectasis, is a typical feature of idiopathic pulmonary fibrosis (IPF). Volumetric computed tomography (CT) imaging captures the loss of normal airway tapering in IPF. We postulated that automated quantification of airway abnormalities could provide estimates of IPF disease extent and severity. We propose AirQuant, an automated computational pipeline that systematically parcellates the airway tree into its lobes and generational branches from a deep learning based airway segmentation, deriving airway structural measures from chest CT. Importantl…
Vision Transformer-based Model for Severity Quantification of Lung Pneumonia Using Chest X-ray Images
University of the Basque Country（巴斯克大学）；IKERBASQUE；Ho Chi Minh City Open University（胡志明市开放大学）；University of Strasbourg（斯特拉斯堡大学）；INSERM（法国国家健康与医学研究院）；Université de Haute-Alsace（上阿尔萨斯大学）
本文提出 ViTReg-IP，一种由 ViT 与回归头构成的轻量模型，用于根据胸部 X 光量化 COVID-19 等肺病严重程度，并在多来源数据集上验证其低成本、高性能与泛化性。
University of Copenhagen（哥本哈根大学）；Eindhoven University of Technology（埃因霍温理工大学）；Hvidovre Hospital（维兹奥勒医院）；Bispebjerg Hospital（比斯佩比约医院）；Erasmus MC - University Medical Center Rotterdam（伊拉斯谟医学中心——鹿特丹大学医学中心）
Supervised feature learning using convolutional neural networks (CNNs) can provide concise and disease relevant representations of medical images. However, training CNNs requires annotated image data. Annotating medical images can be a time-consuming task and even expert annotations are subject to substantial inter- and intra-rater variability. Assessing visual similarity of images instead of indicating specific pathologies or estimating disease severity could allow non-experts to participate, help uncover new patterns, and possibly reduce rater variability. We consider the task of assessing e…
University of Bournemouth（伯恩茅斯大学）；École de Technolgie Superieure de Montréal（蒙特利尔高等技术学院）；Diagnos Inc.（Diagnos公司）；CRCHUM University of Montreal Hospital Centre（蒙特利尔大学医院研究中心）
Assessing the degree of disease severity in biomedical images is a task similar to standard classification but constrained by an underlying structure in the label space. Such a structure reflects the monotonic relationship between different disease grades. In this paper, we propose a straightforward approach to enforce this constraint for the task of predicting Diabetic Retinopathy (DR) severity from eye fundus images based on the well-known notion of Cost-Sensitive classification. We expand standard classification losses with an extra term that acts as a regularizer, imposing greater penaltie…
University of Virginia（弗吉尼亚大学）；Columbia University（哥伦比亚大学）
Eosinophilic Esophagitis (EoE) is an inflammatory esophageal disease which is increasing in prevalence. The diagnostic gold-standard involves manual review of a patient's biopsy tissue sample by a clinical pathologist for the presence of 15 or greater eosinophils within a single high-power field (400x magnification). Diagnosing EoE can be a cumbersome process with added difficulty for assessing the severity and progression of disease. We propose an automated approach for quantifying eosinophils using deep image segmentation. A U-Net model and post-processing system are applied to generate eosi…
Qatar Computing Research Institute, HBKU（哈马德·本·哈利法大学卡塔尔计算研究所）；BJIT Limited（BJIT有限公司）
During a disaster event, images shared on social media helps crisis managers gain situational awareness and assess incurred damages, among other response tasks. Recent advances in computer vision and deep neural networks have enabled the development of models for real-time image classification for a number of tasks, including detecting crisis incidents, filtering irrelevant images, classifying images into specific humanitarian categories, and assessing the severity of damage. Despite several efforts, past works mainly suffer from limited resources (i.e., labeled images) available to train more…
Penn State University（宾夕法尼亚州立大学）；International Institute of Tropical Agriculture（国际热带农业研究所）
Convolutional neural network models (CNNs) have made major advances in computer vision tasks in the last five years. Given the challenge in collecting real world datasets, most studies report performance metrics based on available research datasets. In scenarios where CNNs are to be deployed on images or videos from mobile devices, models are presented with new challenges due to lighting, angle, and camera specifications, which are not accounted for in research datasets. It is essential for assessment to also be conducted on real world datasets if such models are to be reliably integrated with…
Saratoga High School（萨拉托加高中）；Stanford University（斯坦福大学）
Chest X-rays of coronavirus disease 2019 (COVID-19) patients are frequently obtained to determine the extent of lung disease and are a valuable source of data for creating artificial intelligence models. Most work to date assessing disease severity on chest imaging has focused on segmenting computed tomography (CT) images; however, given that CTs are performed much less frequently than chest X-rays for COVID-19 patients, automated lung lesion segmentation on chest X-rays could be clinically valuable. There currently exists a universal shortage of chest X-rays with ground truth COVID-19 lung le…
GLOMIA-Pro: A Generalizable Longitudinal Medical Image Analysis Framework for Disease Progression Prediction
School of Medical Technology, Beijing Institute of Technology（北京理工大学医学技术学院）；Department of Thoracic Surgery, Sun Yat-sen University Cancer Center（中山大学肿瘤医院胸外科部门）；Department of Radiology, The Fifth Affiliated Hospital of Sun Yat-sen University（中山大学第五附属医院放射科部门）；Beijing Duanliu Medical Technology Co., Ltd.（北京杜流医疗科技有限公司）
