1,694 research outputs found
Automatic Pulmonary Nodule Detection in CT Scans Using Convolutional Neural Networks Based on Maximum Intensity Projection
Accurate pulmonary nodule detection is a crucial step in lung cancer
screening. Computer-aided detection (CAD) systems are not routinely used by
radiologists for pulmonary nodule detection in clinical practice despite their
potential benefits. Maximum intensity projection (MIP) images improve the
detection of pulmonary nodules in radiological evaluation with computed
tomography (CT) scans. Inspired by the clinical methodology of radiologists, we
aim to explore the feasibility of applying MIP images to improve the
effectiveness of automatic lung nodule detection using convolutional neural
networks (CNNs). We propose a CNN-based approach that takes MIP images of
different slab thicknesses (5 mm, 10 mm, 15 mm) and 1 mm axial section slices
as input. Such an approach augments the two-dimensional (2-D) CT slice images
with more representative spatial information that helps discriminate nodules
from vessels through their morphologies. Our proposed method achieves
sensitivity of 92.67% with 1 false positive per scan and sensitivity of 94.19%
with 2 false positives per scan for lung nodule detection on 888 scans in the
LIDC-IDRI dataset. The use of thick MIP images helps the detection of small
pulmonary nodules (3 mm-10 mm) and results in fewer false positives.
Experimental results show that utilizing MIP images can increase the
sensitivity and lower the number of false positives, which demonstrates the
effectiveness and significance of the proposed MIP-based CNNs framework for
automatic pulmonary nodule detection in CT scans. The proposed method also
shows the potential that CNNs could gain benefits for nodule detection by
combining the clinical procedure.Comment: Submitted to IEEE TM
Accurate Pulmonary Nodule Detection in Computed Tomography Images Using Deep Convolutional Neural Networks
Early detection of pulmonary cancer is the most promising way to enhance a
patient's chance for survival. Accurate pulmonary nodule detection in computed
tomography (CT) images is a crucial step in diagnosing pulmonary cancer. In
this paper, inspired by the successful use of deep convolutional neural
networks (DCNNs) in natural image recognition, we propose a novel pulmonary
nodule detection approach based on DCNNs. We first introduce a deconvolutional
structure to Faster Region-based Convolutional Neural Network (Faster R-CNN)
for candidate detection on axial slices. Then, a three-dimensional DCNN is
presented for the subsequent false positive reduction. Experimental results of
the LUng Nodule Analysis 2016 (LUNA16) Challenge demonstrate the superior
detection performance of the proposed approach on nodule detection(average
FROC-score of 0.891, ranking the 1st place over all submitted results).Comment: MICCAI 2017 accepte
A novel ultrafast-low-dose computed tomography protocol allows concomitant coronary artery evaluation and lung cancer screening
BACKGROUND:Cardiac computed tomography (CT) is often performed in patients who are at high risk for lung cancer in whom screening is currently recommended. We tested diagnostic ability and radiation exposure of a novel ultra-low-dose CT protocol that allows concomitant coronary artery evaluation and lung screening.
METHODS: We studied 30 current or former heavy smoker subjects with suspected or known coronary artery disease who underwent CT assessment of both coronary arteries and thoracic area (Revolution CT, General Electric). A new ultrafast-low-dose single protocol was used for ECG-gated helical acquisition of the heart and the whole chest. A single IV iodine bolus (70-90 ml) was used. All patients with CT evidence of coronary stenosis underwent also invasive coronary angiography.
RESULTS: All the coronary segments were assessable in 28/30 (93%) patients. Only 8 coronary segments were not assessable in 2 patients due to motion artefacts (assessability: 98%; 477/485 segments). In the assessable segments, 20/21 significant stenoses (> 70% reduction of vessel diameter) were correctly diagnosed. Pulmonary nodules were detected in 5 patients, thus requiring to schedule follow-up surveillance CT thorax. Effective dose was 1.3 ± 0.9 mSv (range: 0.8-3.2 mSv). Noteworthy, no contrast or radiation dose increment was required with the new protocol as compared to conventional coronary CT protocol.
CONCLUSIONS:The novel ultrafast-low-dose CT protocol allows lung cancer screening at time of coronary artery evaluation. The new approach might enhance the cost-effectiveness of coronary CT in heavy smokers with suspected or known coronary artery disease
Towards automatic pulmonary nodule management in lung cancer screening with deep learning
The introduction of lung cancer screening programs will produce an
unprecedented amount of chest CT scans in the near future, which radiologists
will have to read in order to decide on a patient follow-up strategy. According
to the current guidelines, the workup of screen-detected nodules strongly
relies on nodule size and nodule type. In this paper, we present a deep
learning system based on multi-stream multi-scale convolutional networks, which
automatically classifies all nodule types relevant for nodule workup. The
system processes raw CT data containing a nodule without the need for any
additional information such as nodule segmentation or nodule size and learns a
representation of 3D data by analyzing an arbitrary number of 2D views of a
given nodule. The deep learning system was trained with data from the Italian
MILD screening trial and validated on an independent set of data from the
Danish DLCST screening trial. We analyze the advantage of processing nodules at
multiple scales with a multi-stream convolutional network architecture, and we
show that the proposed deep learning system achieves performance at classifying
nodule type that surpasses the one of classical machine learning approaches and
is within the inter-observer variability among four experienced human
observers.Comment: Published on Scientific Report
Medical imaging analysis with artificial neural networks
Given that neural networks have been widely reported in the research community of medical imaging, we provide a focused literature survey on recent neural network developments in computer-aided diagnosis, medical image segmentation and edge detection towards visual content analysis, and medical image registration for its pre-processing and post-processing, with the aims of increasing awareness of how neural networks can be applied to these areas and to provide a foundation for further research and practical development. Representative techniques and algorithms are explained in detail to provide inspiring examples illustrating: (i) how a known neural network with fixed structure and training procedure could be applied to resolve a medical imaging problem; (ii) how medical images could be analysed, processed, and characterised by neural networks; and (iii) how neural networks could be expanded further to resolve problems relevant to medical imaging. In the concluding section, a highlight of comparisons among many neural network applications is included to provide a global view on computational intelligence with neural networks in medical imaging
An Interpretable Deep Hierarchical Semantic Convolutional Neural Network for Lung Nodule Malignancy Classification
While deep learning methods are increasingly being applied to tasks such as
computer-aided diagnosis, these models are difficult to interpret, do not
incorporate prior domain knowledge, and are often considered as a "black-box."
The lack of model interpretability hinders them from being fully understood by
target users such as radiologists. In this paper, we present a novel
interpretable deep hierarchical semantic convolutional neural network (HSCNN)
to predict whether a given pulmonary nodule observed on a computed tomography
(CT) scan is malignant. Our network provides two levels of output: 1) low-level
radiologist semantic features, and 2) a high-level malignancy prediction score.
The low-level semantic outputs quantify the diagnostic features used by
radiologists and serve to explain how the model interprets the images in an
expert-driven manner. The information from these low-level tasks, along with
the representations learned by the convolutional layers, are then combined and
used to infer the high-level task of predicting nodule malignancy. This unified
architecture is trained by optimizing a global loss function including both
low- and high-level tasks, thereby learning all the parameters within a joint
framework. Our experimental results using the Lung Image Database Consortium
(LIDC) show that the proposed method not only produces interpretable lung
cancer predictions but also achieves significantly better results compared to
common 3D CNN approaches
A Comparative Study for 2D and 3D Computer-aided Diagnosis Methods for Solitary Pulmonary Nodules
Many computer-aided diagnosis (CAD) methods, including 2D and 3D approaches, have been proposed for solitary pulmonary nodules (SPNs). However, the detection and diagnosis of SPNs remain challenging in many clinical circumstances. One goal of this work is to investigate the relative diagnostic accuracy of 2D and 3D methods. An additional goal is to develop a two-stage approach that combines the simplicity of 2D and the accuracy of 3D methods. The experimental results show statistically significant differences between the diagnostic accuracy of 2D and 3D methods. The results also show that with a very minor drop in diagnostic performance the two-stage approach can significantly reduce the number of nodules needed to be processed by the 3D method, streamlining the computational demand
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