Automating the decision making process of Todd’s age estimation method from the pubic symphysis with explainable machine learning

Age estimation is a fundamental task in forensic anthropology for both the living and the dead. The procedure consists of analyzing properties such as appearance, ossification patterns, and morphology in different skeletonized remains. The pubic symphysis is extensively used to assess adults’ age-at-death due to its reliability. Nevertheless, most methods currently used for skeleton-based age estimation are carried out manually, even though their automation has the potential to lead to a considerable improvement in terms of economic resources, effectiveness, and execution time. In particular, explainable machine learning emerges as a promising means of addressing this challenge by engaging forensic experts to refine and audit the extracted knowledge and discover unknown patterns hidden in the complex and uncertain available data. In this contribution we address the automation of the decision making process of Todd’s pioneering age assessment method to assist the forensic practitioner in its application. To do so, we make use of the pubic bone data base available at the Physical Anthropology lab of the University of Granada. The machine learning task is significantly complex as it becomes an imbalanced ordinal classification problem with a small sample size and a high dimension. We tackle it with the combination of an ordinal classification method and oversampling techniques through an extensive experimental setup. Two forensic anthropologists refine and validate the derived rule base according to their own expertise and the knowledge available in the area. The resulting automatic system, finally composed of 34 interpretable rules, outperforms the state-of-the-art accuracy. In addition, and more importantly, it allows the forensic experts to uncover novel and interesting insights about how Todd’s method works, in particular, and the guidelines to estimate age-at-death from pubic symphysis characteristics, generally.Ministry of Science and Innovation, Spain (MICINN) Spanish GovernmentAgencia Estatal de Investigacion (AEI) PID2021-122916NB-I00 Spanish Government PGC2018-101216-B-I00Junta de AndaluciaUniversity of Granada P18 -FR -4262 B-TIC-456-UGR20European CommissionUniversidad de Granada/CBU

A Survey on Deep Learning in Medical Image Analysis

Deep learning algorithms, in particular convolutional networks, have rapidly become a methodology of choice for analyzing medical images. This paper reviews the major deep learning concepts pertinent to medical image analysis and summarizes over 300 contributions to the field, most of which appeared in the last year. We survey the use of deep learning for image classification, object detection, segmentation, registration, and other tasks and provide concise overviews of studies per application area. Open challenges and directions for future research are discussed.Comment: Revised survey includes expanded discussion section and reworked introductory section on common deep architectures. Added missed papers from before Feb 1st 201

Fleshing Out the Bones: Studying the Human Remains Trade with Tensorflow and Inception

There is an active trade in human remains facilitated by social media sites. In this paper we ask: can machine learning detect visual signals in photographs indicating that the human remains depicted are for sale? Do such signals even exist? This paper describes an experiment in using Tensorflow and the Google Inception-v3 model against a corpus of publicly available photographs collected from Instagram. Previous examination of the associated metadata for these photos detected patterns in the connectivity and rhetoric surrounding this ‘bone trade’, including several instances where ‘for sale’ seemed to be implied, though not explicitly stated. The present study looks for signals in the visual rhetoric of the images as detected by the computer and how these signals may intersect with the other data present

Detection of osteoporosis in lumbar spine [L1-L4] trabecular bone: a review article

The human bones are categorized based on elemental micro architecture and porosity. The porosity of the inner trabecular bone is high that is 40-95% and the nature of the bone is soft and spongy where as the cortical bone is harder and is less porous that is 5 to 15%. Osteoporosis is a disease that normally affects women usually after their menopause. It largely causes mild bone fractures and further stages lead to the demise of an individual. This analysis is on the basis of bone mineral density (BMD) standards obtained through a variety of scientific methods experimented from different skeletal regions. The detection of osteoporosis in lumbar spine has been widely recognized as a promising way to frequent fractures. Therefore, premature analysis of osteoporosis will estimate the risk of the bone fracture which prevents life threats. This paper focuses on the advanced technology in imaging systems and fracture probability analysis of osteoporosis detection. The various segmentation techniques are explored to examine osteoporosis in particular region of the image and further significant attributes are extracted using different methods to classify normal and abnormal (osteoporotic) bones. The limitations of the reviewed papers are more in feature dimensions, lesser accuracy and expensive imaging modalities like computed tomography (CT), magnetic resonance imaging (MRI), and DEXA. To overcome these limitations it is suggested to have less feature dimensions, more accuracy and cost-effective imaging modality like X-ray. This is required to avoid bone fractures and to improve BMD with precision which further helps in the diagnosis of osteoporosis

Advanced Computational Methods for Oncological Image Analysis

[Cancer is the second most common cause of death worldwide and encompasses highly variable clinical and biological scenarios. Some of the current clinical challenges are (i) early diagnosis of the disease and (ii) precision medicine, which allows for treatments targeted to specific clinical cases. The ultimate goal is to optimize the clinical workflow by combining accurate diagnosis with the most suitable therapies. Toward this, large-scale machine learning research can define associations among clinical, imaging, and multi-omics studies, making it possible to provide reliable diagnostic and prognostic biomarkers for precision oncology. Such reliable computer-assisted methods (i.e., artificial intelligence) together with clinicians’ unique knowledge can be used to properly handle typical issues in evaluation/quantification procedures (i.e., operator dependence and time-consuming tasks). These technical advances can significantly improve result repeatability in disease diagnosis and guide toward appropriate cancer care. Indeed, the need to apply machine learning and computational intelligence techniques has steadily increased to effectively perform image processing operations—such as segmentation, co-registration, classification, and dimensionality reduction—and multi-omics data integration.

Computer aided assessment of CT scans of traumatic brain injury patients

A thesis submitted in partial fulfilment for the degree of Doctor of PhilosophyOne of the serious public health problems is the Traumatic Brain Injury, also known as silent epidemic, affecting millions every year. Management of these patients essentially involves neuroimaging and noncontrast CT scans are the first choice amongst doctors. Significant anatomical changes identified on the neuroimages and volumetric assessment of haemorrhages and haematomas are of critical importance for assessing the patients’ condition for targeted therapeutic and/or surgical interventions. Manual demarcation and annotation by experts is still considered gold standard, however, the interpretation of neuroimages is fraught with inter-observer variability and is considered ’Achilles heel’ amongst radiologists. Errors and variability can be attributed to factors such as poor perception, inaccurate deduction, incomplete knowledge or the quality of the image and only a third of doctors confidently report the findings. The applicability of computer aided dianosis in segmenting the apposite regions and giving ’second opinion’ has been positively appraised to assist the radiologists, however, results of the approaches vary due to parameters of algorithms and manual intervention required from doctors and this presents a gap for automated segmentation and estimation of measurements of noncontrast brain CT scans. The Pattern Driven, Content Aware Active Contours (PDCAAC) Framework developed in this thesis provides robust and efficient segmentation of significant anatomical landmarks, estimations of their sizes and correlation to CT rating to assist the radiologists in establishing the diagnosis and prognosis more confidently. The integration of clinical profile of the patient into image segmentation algorithms has significantly improved their performance by highlighting characteristics of the region of interest. The modified active contour method in the PDCAAC framework achieves Jaccard Similarity Index (JI) of 0.87, which is a significant improvement over the existing methods of active contours achieving JI of 0.807 with Simple Linear Iterative Clustering and Distance Regularized Level Set Evolution. The Intraclass Correlation Coefficient of intracranial measurements is >0.97 compared with radiologists. Automatic seeding of the initial seed curve within the region of interest is incorporated into the method which is a novel approach and alleviates limitation of existing methods. The proposed PDCAAC framework can be construed as a contribution towards research to formulate correlations between image features and clinical variables encompassing normal development, ageing, pathological and traumatic cases propitious to improve management of such patients. Establishing prognosis usually entails survival but the focus can also be extended to functional outcomes, residual disability and quality of life issues