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arXiv 2411.00609eess.IVcs.CVcs.LG
肿瘤位置加权的MRI-报告对比学习:一种提升儿童脑肿瘤诊断可解释性的框架
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)
Sara Ketabi, Matthias W. Wagner, Cynthia Hawkins, Uri Tabori, Birgit Betina Ertl-Wagner, Farzad Khalvati
Despite the promising performance of convolutional neural networks (CNNs) in brain tumor diagnosis from magnetic resonance imaging (MRI), their integration into the clinical workflow has been limited. That is mainly due to the fact that the features contributing to a model's prediction are unclear to radiologists and hence, clinically irrelevant, i.e., lack of explainability. As the invaluable sources of radiologists' knowledge and expertise, radiology reports can be integrated with MRI in a contrastive learning (CL) framework, enabling learning from image-report associations, to improve CNN explainability. In this work, we train a multimodal CL architecture on 3D brain MRI scans and radiology reports to learn informative MRI representations. Furthermore, we integrate tumor location, salient to several brain tumor analysis tasks, into this framework to improve its generalizability. We then apply the learnt image representations to improve explainability and performance of genetic marker classification of pediatric Low-grade Glioma, the most prevalent brain tumor in children, as a downstream task. Our results indicate a Dice score of 31.1% between the model's attention maps and manual tumor segmentation (as an explainability measure) with test classification performance of 87.7%, significantly outperforming the baselines. These enhancements can build trust in our model among radiologists, facilitating its integration into clinical practices for more efficient tumor diagnosis.
Clinically-Informed Modeling for Pediatric Brain Tumor Classification from Whole-Slide Histopathology Images
Dept. of Computer Science(计算机科学系);University of Texas at Austin(德克萨斯大学奥斯汀分校);School of Information(信息学院);Dell Children's Medical Center(德尔儿童医学中心);Dept. of OREI(OREI部门);University of Nevada, Reno(内华达大学里诺分校)
A multi-institutional pediatric dataset of clinical radiology MRIs by the Children's Brain Tumor Network
Children’s Hospital of Philadelphia(费城儿童医院);Perelman School of Medicine, University of Pennsylvania(宾夕法尼亚大学佩雷尔曼医学院);National Cancer Institute(美国国家癌症研究所);Children's National Hospital(儿童国家医院);Sheikh Zayed Institute for Pediatric Surgical Innovation(谢赫扎耶德儿科外科创新研究院)
Pediatric brain tumor classification using digital histopathology and deep learning: evaluation of SOTA methods on a multi-center Swedish cohort
Department of Biomedical Engineering, Linköping University, Sweden(生物医学工程系,利厄普大学);Center for Medical Image Science and Visualization, Linköping University, Sweden(医学影像科学与可视化中心,利厄普大学);Crown Princess Victoria Children’s Hospital and Department of Health, Medicine and Caring Sciences, Linköping University, Sweden(维多利亚公主儿童医院和健康、医学与关怀科学系,利厄普大学);Department of Radiology and Department of Health, Medicine and Caring Sciences, Linköping University, Sweden(放射科和健康、医学与关怀科学系,利厄普大学);Department of Oncology-Pathology, Karolinska Institutet, Solna, Sweden(肿瘤病理学系,卡罗林斯卡研究所,索纳);Department of Clinical Pathology and Cancer Diagnostics, Karolinska University Hospital, Sweden(临床病理学和癌症诊断系,卡罗林斯卡大学医院);Department of Radiation Physics and Department of Medical and Health Sciences, Linköping University, Sweden(放射物理系和医学与健康科学系,利厄普大学)
In the past few years, deep learning (DL) models have drawn great attention and shown superior performance on brain tumor and subregion segmentation tasks. However, the success is limited to segmentation of adult gliomas, where sufficient data have been collected, manually labeled, and published for training DL models. It is still challenging to segment pediatric tumors, because the appearances are different from adult gliomas. Hence, directly applying a pretained DL model on pediatric data usually generates unacceptable results. Because pediatric data is very limited, both labeled and unlabel…
From Explanations to Architecture: Explainability-Driven CNN Refinement for Brain Tumor Classification in MRI
American International Brac University Faculty of Psychology University-Bangladesh(美国国际布拉大学心理学学院(孟加拉国));Shinawatra University Department of Computer Science(辛纳瓦特大学计算机科学系);American International North South University(美国国际北南大学);American International University–Bangladesh Department of Computer Science(美国国际大学–孟加拉国计算机科学系);Multimedia University Department of Computer Science(多媒体大学计算机科学系)
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)
The Hospital for Sick Children(病童医院);University of Toronto(多伦多大学);Vector Institute(矢量研究所)
Brain tumor segmentation is a critical task for tumor volumetric analyses and AI algorithms. However, it is a time-consuming process and requires neuroradiology expertise. While there has been extensive research focused on optimizing brain tumor segmentation in the adult population, studies on AI guided pediatric tumor segmentation are scarce. Furthermore, MRI signal characteristics of pediatric and adult brain tumors differ, necessitating the development of segmentation algorithms specifically designed for pediatric brain tumors. We developed a segmentation model trained on magnetic resonance…
Automated ensemble method for pediatric brain tumor segmentation
Manning College of Information and Computer Sciences, University of Massachusetts Amherst(马萨诸塞大学阿默斯特分校曼宁信息与计算机科学学院);Institute for Applied Life Sciences, University of Massachusetts Amherst(马萨诸塞大学阿默斯特分校应用生命科学研究所);UMass Chan Medical School - Baystate Campus(马萨诸塞大学陈医学院贝塞特校区);Baystate Medical Center(贝塞特医疗中心)
Wuhan Children’s Hospital affiliated with Tongji Medical College(同济医学院附属武汉儿童医院);Huazhong University of Science and Technology(华中科技大学)
Neuroblastoma is one of the most common cancers in infants, and the initial diagnosis of this disease is difficult. At present, the MYCN gene amplification (MNA) status is detected by invasive pathological examination of tumor samples. This is time-consuming and may have a hidden impact on children. To handle this problem, we adopt multiple machine learning (ML) algorithms to predict the presence or absence of MYCN gene amplification. The dataset is composed of retrospective CT images of 23 neuroblastoma patients. Different from previous work, we develop the algorithm without manually-segmente…
A New Logic For Pediatric Brain Tumor Segmentation
1 Northwestern University, Feinberg School of Medicine, Chicago IL, USA 2 Children’s National Hospital, Sheikh Zayed Institute for Pediatric Surgical Innovation, Washington, DC, USA 3 Ann \& Robert H Lurie Children's Hospital of Chicago, Chicago, IL, USA
University of São Paulo(圣保罗大学);Instituto da Criança – HC-FM(儿童研究所——医学院附属医院)
The importance of imaging exams, such as Magnetic Resonance Imaging (MRI), for the diagnostic and follow-up of pediatric pathologies and the assessment of anatomical structures' development has been increasingly highlighted in recent times. Manual analysis of MRIs is time-consuming, subjective, and requires significant expertise. To mitigate this, automatic techniques are necessary. Most techniques focus on adult subjects, while pediatric MRI has specific challenges such as the ongoing anatomical and histological changes related to normal development of the organs, reduced signal-to-noise rati…
Towards Reliable Pediatric Brain Tumor Segmentation: Task-Specific nnU-Net Enhancements
Institute of Natural Sciences, School of Mathematical Sciences, MOE-LSC, Shanghai Jiao Tong University(自然科学院,数学科学学院,MOE-LSC,上海交通大学);Department of Radiology, Huashan Hospital, Fudan University(放射科,华山医院,复旦大学);Department of Neurosurgery, Huashan Hospital, Fudan University(神经外科,华山医院,复旦大学)
Frequency-Aware Ensemble Learning for BraTS 2025 Pediatric Brain Tumor Segmentation
Institute of Natural Sciences, School of Mathematical Sciences, MOE-LSC, Shanghai Jiao Tong University(自然科学院、数学科学学院、MOE-LSC、上海交通大学);Department of Radiology, Huashan Hospital, Fudan University(放射科、华山医院、复旦大学);Department of Neurosurgery, Huashan Hospital, Fudan University(神经外科、华山医院、复旦大学)
Towards Label-Free Brain Tumor Segmentation: Unsupervised Learning with Multimodal MRI
Universitat Politècnica de Catalunya (UPC)(西班牙巴塞罗那理工大学);University College Dublin (UCD)(都柏林大学);Dublin City University (DCU)(都柏林城市大学);Insight Research Ireland Center For Data Analytics(爱尔兰数据分析研究中心)
The Brain Tumor Segmentation in Pediatrics (BraTS-PEDs) Challenge: Focus on Pediatrics (CBTN-CONNECT-DIPGR-ASNR-MICCAI BraTS-PEDs)
Center for Data-Driven Discovery in Biomedicine (D3b)(生物医学数据驱动发现中心);Children’s Hospital of Philadelphia(费城儿童医院);Department of Neurosurgery, University of Pennsylvania(宾夕法尼亚大学神经外科);Center for AI & Data Science for Integrated Diagnostics (AI2D)(综合诊断人工智能与数据科学中心);Center for Biomedical Image Computing and Analytics (CBICA)(生物医学图像计算与分析中心);Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National Hospital(儿童医院谢赫·扎耶德儿科外科创新研究所);Sage Bionetworks(赛基生物网络公司);Medical Artificial Intelligence (MAI) Lab, Crestview Radiology(Crestview放射科医学人工智能实验室);Montreal Neurological Institute (MNI), McGill University(麦吉尔大学蒙特利尔神经学研究所);Department of Radiology, Perelman School of Medicine, University of Pennsylvania(宾夕法尼亚大学佩雷尔曼医学院放射科);Division of Computational Pathology, Department of Pathology and Laboratory Medicine, Indiana University School of Medicine(印第安纳大学医学院病理学与实验医学系计算病理学分部);Department of Neurosurgery at the University of Southern California(南加州大学神经外科);Department of Radiology, Duke University Medical Center(杜克大学医学中心放射科);Mayo Clinic(梅奥诊所);Center for Global Health, Perelman School of Medicine, University of Pennsylvania(宾夕法尼亚大学佩雷尔曼医学院全球健康中心);Department of Informatics, Technical University Munich(慕尼黑工业大学信息学系);TranslaTUM - Central Institute for Translational Cancer Research, Technical University of Munich(慕尼黑工业大学TranslaTUM转化癌症研究中心)
Improving Pediatric Low-Grade Neuroepithelial Tumors Molecular Subtype Identification Using a Novel AUROC Loss Function for Convolutional Neural Networks
The Hospital for Sick Children (SickKids)(病童医院 (SickKids));SickKids Research Institute(SickKids研究所);University of Toronto(多伦多大学);University Hospital Augsburg(奥格斯堡大学医院);Vector Institute(Vector研究所)
Despite its tremendous value for the diagnosis, treatment monitoring and surveillance of children with cancer, whole body staging with positron emission tomography (PET) is time consuming and associated with considerable radiation exposure. 100x (1% of the standard clinical dosage) ultra-low-dose/ultra-fast whole-body PET reconstruction has the potential for cancer imaging with unprecedented speed and improved safety, but it cannot be achieved by the naive use of machine learning techniques. In this study, we utilize the global similarity between baseline and follow-up PET and magnetic resonan…
Automated segmentation of pediatric neuroblastoma on multi-modal MRI: Results of the SPPIN challenge at MICCAI 2023
Princess Máxima Center for Pediatric Oncology(玛西玛公主儿科肿瘤中心);University Medical Center Utrecht(乌得勒支大学医学中心);Utrecht University(乌得勒支大学);Osaka University(大阪大学);Muroran Institute of Technology(室兰工业大学);Niigata University of Health and Welfare(新潟医疗福祉大学);AGH University of Krakow(克拉科夫AGH科技大学);HES-SO Valais-Wallis(瑞士西部应用科学与艺术大学瓦莱分校);University of Geneva(日内瓦大学);Shanghai Artificial Intelligence Laboratory(上海人工智能实验室);South China Normal University(华南师范大学);La Fe Health Research Institute(拉费健康研究所);University of Nebraska Medical Center(内布拉斯加大学医学中心);Wageningen Food Safety Research(瓦赫宁根食品安全研究所)
BraTS-PEDs: Results of the Multi-Consortium International Pediatric Brain Tumor Segmentation Challenge 2023
Center for Data-Driven Discovery in Biomedicine (D3b)(数据驱动生物医学发现中心);The Children’s Hospital of Philadelphia(费城儿童医院);Sheikh Zayed Institute for Pediatric Surgical Innovation(谢赫扎伊德儿童外科创新研究所);Children’s National Hospital(儿童国家医院);Department of Neurosurgery(神经外科部门);Dana-Farber Brigham Cancer Center & Boston Children’s Hospital(达纳-法伯布里弗癌症中心及波士顿儿童医院);Department of Paediatric Radiology(儿科放射科部门);University of Utah(犹他大学);Cincinnati Children’s Hospital Medical Center(辛辛那提儿童医学中心);Department of Radiology(放射科部门);Division of Neuroradiology, Department of Radiology, Boston Children’s Hospital, Harvard Medical School(神经放射科,放射科,波士顿儿童医院,哈佛医学院);College of Arts and Sciences, University of Pennsylvania(艺术与科学学院,宾夕法尼亚大学);Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences(诊断与介入放射科,全印度医学科学院);Department of Diagnostic & Interventional Imaging, Neuroradiology section, The University of Texas Health at Houston, Texas, USA(诊断与介入成像部门,神经放射科,德克萨斯大学健康科学中心,德克萨斯,美国);Beth Israel Deaconess Medical Center, Harvard Medical School(贝斯以色列医疗中心,哈佛医学院);UNIDAD DE PATOLOGIA CLINICA(临床病理部门)
The Brain Tumor Segmentation (BraTS) Challenge 2023: Focus on Pediatrics (CBTN-CONNECT-DIPGR-ASNR-MICCAI BraTS-PEDs)
Center for Data-Driven Discovery in Biomedicine (D3b), Children’s Hospital of Philadelphia(费城儿童医院生物医学数据驱动发现中心);University of Pennsylvania(宾夕法尼亚大学);Center for AI & Data Science for Integrated Diagnostics (AI2D)(综合诊断人工智能与数据科学中心);Center for Biomedical Image Computing and Analytics (CBICA), University of Pennsylvania(宾夕法尼亚大学生物医学图像计算与分析中心);Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National Hospital(儿童医院谢赫·扎耶德儿科外科创新研究所);Thomas Jefferson University Hospital(托马斯杰斐逊大学医院);Sage Bionetworks;Montreal Neurological Institute (MNI), McGill University(麦吉尔大学蒙特利尔神经学研究所);Perelman School of Medicine, University of Pennsylvania(宾夕法尼亚大学佩雷尔曼医学院);University of Southern California(南加州大学);Duke University Medical Center(杜克大学医学中心);Mayo Clinic(梅奥诊所);Center for Global Health, Perelman School of Medicine, University of Pennsylvania(宾夕法尼亚大学佩雷尔曼医学院全球健康中心);Technical University of Munich(慕尼黑工业大学);TranslaTUM - Central Institute for Translational Cancer Research, Technical University of Munich(慕尼黑工业大学转化肿瘤学研究中心(TranslaTUM));National Cancer Institute(美国国家癌症 Institute)
Memorial Sloan Kettering Cancer Center(纪念斯隆凯特琳癌症中心);Indian Institute of Technology, Madras(印度理工学院马德拉斯分校)
Purpose Supervised deep learning in radiology suffers from notorious inherent limitations: 1) It requires large, hand-annotated data sets, 2) It is non-generalizable, and 3) It lacks explainability and intuition. We have recently proposed Reinforcement Learning to address all threes. However, we applied it to images with radiologist eye tracking points, which limits the state-action space. Here we generalize the Deep-Q Learning to a gridworld-based environment, so that only the images and image masks are required. Materials and Methods We trained a Deep Q network on 30 two-dimensional image sl…
Bridging visual saliency and large language models for explainable deep learning in medical imaging
Department of Mathematics and Computer science(数学与计算机科学系);Institute of Cognitive Science(认知科学研究所);Rhodes University(罗德斯大学);National Institute for Theoretical and Computational Sciences (NITheCS)(理论与计算科学国家研究所)
Telecom Paris, Institut Polytechnique de Paris(巴黎综合理工学院电信学院);Philips Research Paris(飞利浦巴黎研究院);Imagine Institute, Universite de Paris(巴黎大学想象研究所);Universite de Paris(巴黎大学);Sorbonne Universite(索邦大学)
Due to a high heterogeneity in pose and size and to a limited number of available data, segmentation of pediatric images is challenging for deep learning methods. In this work, we propose a new CNN architecture that is pose and scale invariant thanks to the use of Spatial Transformer Network (STN). Our architecture is composed of three sequential modules that are estimated together during training: (i) a regression module to estimate a similarity matrix to normalize the input image to a reference one; (ii) a differentiable module to find the region of interest to segment; (iii) a segmentation …
Adaptable Segmentation Pipeline for Diverse Brain Tumors with Radiomic-Guided Subtyping and Lesion-Wise Model Ensemble
Sheikh Zayed Institute for Pediatric Surgical Innovation(Sheikh Zayed儿童外科创新研究所);Children’s National Hospital(儿童医院);University of Washington(华盛顿大学);Universidad Politécnica de Madrid(马德里理工大学);CIBER-BBN;ISCIII;School of Medicine and Health Sciences(医学与健康科学学院)
A-QCF-Net: An Adaptive Quaternion Cross-Fusion Network for Multimodal Liver Tumor Segmentation from Unpaired Datasets
University College of Engineering, Bharathidasan Institute of Technology Campus, Anna University(安娜大学工程学院,巴拉特拉桑理工学院校区,安娜大学);National Institute of Technology(国家理工学院)
University of Chicago Medicine(芝加哥大学医学中心);Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai(西奈山伊坎医学院蒂施癌症研究所);Ghost Autonomy, Inc.(Ghost Autonomy 公司);University of Wisconsin at Madison(威斯康星大学麦迪逊分校);University of Chicago(芝加哥大学)
Artificial intelligence methods including deep neural networks (DNN) can provide rapid molecular classification of tumors from routine histology with accuracy that matches or exceeds human pathologists. Discerning how neural networks make their predictions remains a significant challenge, but explainability tools help provide insights into what models have learned when corresponding histologic features are poorly defined. Here, we present a method for improving explainability of DNN models using synthetic histology generated by a conditional generative adversarial network (cGAN). We show that …
Generalizable and Explainable Deep Learning for Medical Image Computing: An Overview
School of Artificial Intelligence, Guilin University of Electronic Technology(桂林电子科技大学人工智能学院);École de Technologie Supérieure (ETS)(高等技术学院);College of Computer Science and Engineering, Taibah University(塔伊布大学计算机科学与工程学院);College of Computer Science and Engineering, Jeddah University(吉达大学计算机科学与工程学院)
Pneumonia App: a mobile application for efficient pediatric pneumonia diagnosis using explainable convolutional neural networks (CNN)
Zhejiang Key Laboratory of Imaging and Interventional Medicine, Zhejiang Engineering Research Center of Interventional Medicine Engineering and Biotechnology, The Fifth Affiliated Hospital of Wenzhou Medical University(温州医科大学附属第五医院);Tsinghua-Berkeley Shenzhen Institute, Tsinghua Shenzhen International Graduate School, Tsinghua University(清华大学深圳国际研究生院清华-伯克利深圳学院);Institute of Biopharmaceutical and Health Engineering, Shenzhen International Graduate School, Tsinghua University(清华大学深圳国际研究生院生物医药与健康工程研究院);Key Lab for Industrial Biocatalysis, Ministry of Education, Department of Chemical Engineering, Tsinghua University(清华大学化学工程系工业生物催化教育部重点实验室);State Key Laboratory of Urban Water Resources and Environment, School of Civil & Environmental Engineering, Harbin Institute of Technology (Shenzhen)(哈尔滨工业大学(深圳)土木与环境工程学院城市水资源与水环境国家重点实验室);Department of Radiology, The University of Hong Kong - Shenzhen Hospital(香港大学深圳医院放射科)
Explainability of decisions made by deep neural networks is of high value as it allows for validation and improvement of models. This work proposes an approach to explain semantic segmentation networks by means of layer-wise relevance propagation. As an exemplary application, we investigate which MRI sequences are most relevant for liver tumor segmentation.
Model Ensemble for Brain Tumor Segmentation in Magnetic Resonance Imaging
Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National Hospital(谢赫·扎耶德儿科外科创新研究所,儿童国家医院);CIBER-BBN, ISCIII(西班牙生物医学研究中心-生物工程、生物材料与纳米医学分部,卡洛斯三世卫生研究所);Princeton University(普林斯顿大学);School of Medicine and Health Sciences, George Washington University(乔治·华盛顿大学医学与健康科学学院)
Pneumonia is a lung infection that causes 15% of childhood mortality, over 800,000 children under five every year, all over the world. This pathology is mainly caused by viruses or bacteria. X-rays imaging analysis is one of the most used methods for pneumonia diagnosis. These clinical images can be analyzed using machine learning methods such as convolutional neural networks (CNN), which learn to extract critical features for the classification. However, the usability of these systems is limited in medicine due to the lack of interpretability, because of these models cannot be used to generat…