7 research outputs found
Automatic calcium scoring in low-dose chest CT using deep neural networks with dilated convolutions
Heavy smokers undergoing screening with low-dose chest CT are affected by
cardiovascular disease as much as by lung cancer. Low-dose chest CT scans
acquired in screening enable quantification of atherosclerotic calcifications
and thus enable identification of subjects at increased cardiovascular risk.
This paper presents a method for automatic detection of coronary artery,
thoracic aorta and cardiac valve calcifications in low-dose chest CT using two
consecutive convolutional neural networks. The first network identifies and
labels potential calcifications according to their anatomical location and the
second network identifies true calcifications among the detected candidates.
This method was trained and evaluated on a set of 1744 CT scans from the
National Lung Screening Trial. To determine whether any reconstruction or only
images reconstructed with soft tissue filters can be used for calcification
detection, we evaluated the method on soft and medium/sharp filter
reconstructions separately. On soft filter reconstructions, the method achieved
F1 scores of 0.89, 0.89, 0.67, and 0.55 for coronary artery, thoracic aorta,
aortic valve and mitral valve calcifications, respectively. On sharp filter
reconstructions, the F1 scores were 0.84, 0.81, 0.64, and 0.66, respectively.
Linearly weighted kappa coefficients for risk category assignment based on per
subject coronary artery calcium were 0.91 and 0.90 for soft and sharp filter
reconstructions, respectively. These results demonstrate that the presented
method enables reliable automatic cardiovascular risk assessment in all
low-dose chest CT scans acquired for lung cancer screening
Automatic segmentation of MR brain images with a convolutional neural network
Automatic segmentation in MR brain images is important for quantitative
analysis in large-scale studies with images acquired at all ages.
This paper presents a method for the automatic segmentation of MR brain
images into a number of tissue classes using a convolutional neural network. To
ensure that the method obtains accurate segmentation details as well as spatial
consistency, the network uses multiple patch sizes and multiple convolution
kernel sizes to acquire multi-scale information about each voxel. The method is
not dependent on explicit features, but learns to recognise the information
that is important for the classification based on training data. The method
requires a single anatomical MR image only.
The segmentation method is applied to five different data sets: coronal
T2-weighted images of preterm infants acquired at 30 weeks postmenstrual age
(PMA) and 40 weeks PMA, axial T2- weighted images of preterm infants acquired
at 40 weeks PMA, axial T1-weighted images of ageing adults acquired at an
average age of 70 years, and T1-weighted images of young adults acquired at an
average age of 23 years. The method obtained the following average Dice
coefficients over all segmented tissue classes for each data set, respectively:
0.87, 0.82, 0.84, 0.86 and 0.91.
The results demonstrate that the method obtains accurate segmentations in all
five sets, and hence demonstrates its robustness to differences in age and
acquisition protocol
Computer-aided diagnosis through medical image retrieval in radiology.
Currently, radiologists face an excessive workload, which leads to high levels of fatigue, and consequently, to undesired diagnosis mistakes. Decision support systems can be used to prioritize and help radiologists making quicker decisions. In this sense, medical content-based image retrieval systems can be of extreme utility by providing well-curated similar examples. Nonetheless, most medical content-based image retrieval systems work by finding the most similar image, which is not equivalent to finding the most similar image in terms of disease and its severity. Here, we propose an interpretability-driven and an attention-driven medical image retrieval system. We conducted experiments in a large and publicly available dataset of chest radiographs with structured labels derived from free-text radiology reports (MIMIC-CXR-JPG). We evaluated the methods on two common conditions: pleural effusion and (potential) pneumonia. As ground-truth to perform the evaluation, query/test and catalogue images were classified and ordered by an experienced board-certified radiologist. For a profound and complete evaluation, additional radiologists also provided their rankings, which allowed us to infer inter-rater variability, and yield qualitative performance levels. Based on our ground-truth ranking, we also quantitatively evaluated the proposed approaches by computing the normalized Discounted Cumulative Gain (nDCG). We found that the Interpretability-guided approach outperforms the other state-of-the-art approaches and shows the best agreement with the most experienced radiologist. Furthermore, its performance lies within the observed inter-rater variability
3D Deep Learning on Medical Images: A Review
The rapid advancements in machine learning, graphics processing technologies
and availability of medical imaging data has led to a rapid increase in use of
deep learning models in the medical domain. This was exacerbated by the rapid
advancements in convolutional neural network (CNN) based architectures, which
were adopted by the medical imaging community to assist clinicians in disease
diagnosis. Since the grand success of AlexNet in 2012, CNNs have been
increasingly used in medical image analysis to improve the efficiency of human
clinicians. In recent years, three-dimensional (3D) CNNs have been employed for
analysis of medical images. In this paper, we trace the history of how the 3D
CNN was developed from its machine learning roots, give a brief mathematical
description of 3D CNN and the preprocessing steps required for medical images
before feeding them to 3D CNNs. We review the significant research in the field
of 3D medical imaging analysis using 3D CNNs (and its variants) in different
medical areas such as classification, segmentation, detection, and
localization. We conclude by discussing the challenges associated with the use
of 3D CNNs in the medical imaging domain (and the use of deep learning models,
in general) and possible future trends in the field.Comment: 13 pages, 4 figures, 2 table
Automatic coronary calcium scoring in cardiac CT angiography using convolutional neural networks
The amount of coronary artery calcification (CAC) is a strong and independent predictor of cardiovascular events. Non-contrast enhanced cardiac CT is considered a reference for quantification of CAC. Recently, it has been shown that CAC may be quantified in cardiac CT angiography (CCTA). We present a pattern recognition method that automatically identifies and quantifies CAC in CCTA. The study included CCTA scans of 50 patients equally distributed over five cardiovascular risk categories. CAC in CCTA was identified in two stages. In the first stage, potential CAC voxels were identified using a convolutional neural network (CNN). In the second stage, candidate CAC lesions were extracted based on the CNN output for analyzed voxels and thereafter described with a set of features and classified using a Random Forest. Ten-fold stratified cross-validation experiments were performed. CAC volume was quantified per patient and compared with manual reference annotations in the CCTA scan. Bland-Altman bias and limits of agreement between reference and automatic annotations were -15 (-198–168) after the first stage and -3 (-86 – 79) after the second stage. The results show that CAC can be automatically identified and quantified in CCTA using the proposed method. This might obviate the need for a dedicated non-contrast-enhanced CT scan for CAC scoring, which is regularly acquired prior to a CCTA scan, and thus reduce the CT radiation dose received by patients