A methodology for peripheral nerve segmentation using a multiple annotators approach based on Centered Kernel Alignment

Peripheral Nerve Blocking (PNB) is a technique commonly used to perform regional anesthesia and for pain management. The success of PNB procedures depends on the accurate location of the target nerve. Recently, ultrasound imaging has been widely used to locate nerve structures to carry out PNB, due to it enables a non-invasive visualization of the target nerve and the anatomical structures around it. However, the ultrasound images are affected by several artifacts making difficult the accurate delimitation of nerves. In the literature, several approaches have been proposed to carry out automatic or semi-automatic segmentation. Nevertheless, these methods are designed assuming that the gold standard is available, and for this segmentation problem this gold standard can not be obtained considering that it corresponds to subjective interpretation. In this sense, for building those segmentation models, we do not have access to the actual label but an amount of subjective annotations provided by multiple experts. To deal with this drawback we use the concepts of a relatively new area of machine learning known as “Learning from crowds”, this area deals with supervised learning problems considering the case when the gold standard is not available. In this project, we develop a nerve segmentation system that includes: a preprocessing stage, feature extraction methodology based on adaptive methods, and a Centered Kernel Alignment (CKA) based representation to measure the annotators performance for building a classifier with multiple annotators in order to support peripheral nerve segmentation. Our approach to classification with multiple annotators based on CKA is tested on both simulated data and real data; similarly, the methodology of automatic segmentation proposed in this work was tested over ultrasound images labeled by a set of specialists who give their opinion about the location of nerve structures. According to the results, we conclude that our methodology can be used to locate nerve structures in ultrasound images even if the gold standard (the actual location of nerve structures) is not available in the training stage. Moreover, we determine that the approach proposed in this work could be implemented as a guiding tool for the anesthesiologist to carry out PNB procedures assisted by ultrasound imaging

A methodology for peripheral nerve segmentation using a multiple annotators approach based on Centered Kernel Alignment

Peripheral Nerve Blocking (PNB) is a technique commonly used to perform regional anesthesia and for pain management. The success of PNB procedures depends on the accurate location of the target nerve. Recently, ultrasound imaging has been widely used to locate nerve structures to carry out PNB, due to it enables a non-invasive visualization of the target nerve and the anatomical structures around it. However, the ultrasound images are affected by several artifacts making difficult the accurate delimitation of nerves. In the literature, several approaches have been proposed to carry out automatic or semi-automatic segmentation. Nevertheless, these methods are designed assuming that the gold standard is available, and for this segmentation problem this gold standard can not be obtained considering that it corresponds to subjective interpretation. In this sense, for building those segmentation models, we do not have access to the actual label but an amount of subjective annotations provided by multiple experts. To deal with this drawback we use the concepts of a relatively new area of machine learning known as “Learning from crowds”, this area deals with supervised learning problems considering the case when the gold standard is not available. In this project, we develop a nerve segmentation system that includes: a preprocessing stage, feature extraction methodology based on adaptive methods, and a Centered Kernel Alignment (CKA) based representation to measure the annotators performance for building a classifier with multiple annotators in order to support peripheral nerve segmentation. Our approach to classification with multiple annotators based on CKA is tested on both simulated data and real data; similarly, the methodology of automatic segmentation proposed in this work was tested over ultrasound images labeled by a set of specialists who give their opinion about the location of nerve structures. According to the results, we conclude that our methodology can be used to locate nerve structures in ultrasound images even if the gold standard (the actual location of nerve structures) is not available in the training stage. Moreover, we determine that the approach proposed in this work could be implemented as a guiding tool for the anesthesiologist to carry out PNB procedures assisted by ultrasound imaging

Location of the optic disc in scanning laser ophthalmoscope images and validation

In this thesis we propose two methods for optic disc (OD) localization in scanning laser ophthalmoscope (SLO) images. The methods share a locating phase, while differ in the OD segmentation. We tested the algorithms on a pilot of 50 images (1536x1536) from a Heildelberg SPECTRALIS SLO camera, annotated by four expert ophthalmologists. The second algorithm performs better than the first one achieving accuracy of 90%. We compared also our methods with a validated OD algorithm on fundus images

Pan-tumor CAnine cuTaneous Cancer Histology (CATCH) dataset

Due to morphological similarities, the differentiation of histologic sections of cutaneous tumors into individual subtypes can be challenging. Recently, deep learning-based approaches have proven their potential for supporting pathologists in this regard. However, many of these supervised algorithms require a large amount of annotated data for robust development. We present a publicly available dataset of 350 whole slide images of seven different canine cutaneous tumors complemented by 12,424 polygon annotations for 13 histologic classes, including seven cutaneous tumor subtypes. In inter-rater experiments, we show a high consistency of the provided labels, especially for tumor annotations. We further validate the dataset by training a deep neural network for the task of tissue segmentation and tumor subtype classification. We achieve a class-averaged Jaccard coefficient of 0.7047, and 0.9044 for tumor in particular. For classification, we achieve a slide-level accuracy of 0.9857. Since canine cutaneous tumors possess various histologic homologies to human tumors the added value of this dataset is not limited to veterinary pathology but extends to more general fields of application

Automated diagnosis of 7 canine skin tumors using machine learning on H&E-stained whole slide images

Microscopic evaluation of hematoxylin and eosin-stained slides is still the diagnostic gold standard for a variety of diseases, including neoplasms. Nevertheless, intra- and interrater variability are well documented among pathologists. So far, computer assistance via automated image analysis has shown potential to support pathologists in improving accuracy and reproducibility of quantitative tasks. In this proof of principle study, we describe a machine-learning-based algorithm for the automated diagnosis of 7 of the most common canine skin tumors: trichoblastoma, squamous cell carcinoma, peripheral nerve sheath tumor, melanoma, histiocytoma, mast cell tumor, and plasmacytoma. We selected, digitized, and annotated 350 hematoxylin and eosin-stained slides (50 per tumor type) to create a database divided into training, n = 245 whole-slide images (WSIs), validation (n = 35 WSIs), and test sets (n = 70 WSIs). Full annotations included the 7 tumor classes and 6 normal skin structures. The data set was used to train a convolutional neural network (CNN) for the automatic segmentation of tumor and nontumor classes. Subsequently, the detected tumor regions were classified patch-wise into 1 of the 7 tumor classes. A majority of patches-approach led to a tumor classification accuracy of the network on the slide-level of 95% (133/140 WSIs), with a patch-level precision of 85%. The same 140 WSIs were provided to 6 experienced pathologists for diagnosis, who achieved a similar slide-level accuracy of 98% (137/140 correct majority votes). Our results highlight the feasibility of artificial intelligence-based methods as a support tool in diagnostic oncologic pathology with future applications in other species and tumor types

Spatial models of cell distribution in human lumbar dorsal root ganglia

Dorsal root ganglia (DRG), which contain the somata of primary sensory neurons, have increasingly been considered as novel targets for clinical neural interfaces, both for neuroprosthetic and pain applications. Effective use of either neural recording or stimulation technologies requires an appropriate spatial position relative to the target neural element, whether axon or cell body. However, the internal three- dimensional spatial organization of human DRG neural fibers and somata has not been quantitatively described. In this study, we analyzed 202 cross- sectional images across the length of 31 human L4 and L5 DRG from 10 donors. We used a custom semi- automated graphical user interface to identify the locations of neural elements in the images and normalize the output to a consistent spatial reference for direct comparison by spinal level. By applying a recursive partitioning algorithm, we found that the highest density of cell bodies at both spinal levels could be found in the inner 85% of DRG length, the outer- most 25- 30% radially, and the dorsal- most 69- 76%. While axonal density was fairly homogeneous across the DRG length, there was a distinct low density region in the outer 7- 11% radially. These findings are consistent with previous qualitative reports of neural distribution in DRG. The quantitative measurements we provide will enable improved targeting of future neural interface technologies and DRG- focused pharmaceutical therapies, and provide a rigorous anatomical description of the bridge between the central and peripheral nervous systems.Dorsal root ganglia (DRG) are novel targets for neural interface technologies that treat neurological disorders, such as chronic pain and spinal cord injury. The three- dimensional cellular anatomy of DRG are not well- mapped, particularly in humans, limiting the effectiveness of neurotechnology. We developed a semi- automated algorithm to quantify the three- dimensional distribution of neural elements in histologically- processed tissue. We applied this algorithm to sequential NF200- stained histology slices obtained from human lumbar DRG and demonstrated that cell bodies typically congregate around the dorsal edge of the ganglia. These results are crucial to the development of safe and effective clinical neural interface technologies.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/155471/1/cne24848_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/155471/2/cne24848.pd

A supervised learning framework in the context of multiple annotators

The increasing popularity of crowdsourcing platforms, i.e., Amazon Mechanical Turk, is changing how datasets for supervised learning are built. In these cases, instead of having datasets labeled by one source (which is supposed to be an expert who provided the absolute gold standard), we have datasets labeled by multiple annotators with different and unknown expertise. Hence, we face a multi-labeler scenario, which typical supervised learning models cannot tackle. For such a reason, much attention has recently been given to the approaches that capture multiple annotators’ wisdom. However, such methods residing on two key assumptions: the labeler’s performance does not depend on the input space and independence among the annotators, which are hardly feasible in real-world settings..