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.

Medical Internet-of-Things Based Breast Cancer Diagnosis Using Hyperparameter-Optimized Neural Networks

In today’s healthcare setting, the accurate and timely diagnosis of breast cancer is critical for recovery and treatment in the early stages. In recent years, the Internet of Things (IoT) has experienced a transformation that allows the analysis of real-time and historical data using artificial intelligence (AI) and machine learning (ML) approaches. Medical IoT combines medical devices and AI applications with healthcare infrastructure to support medical diagnostics. The current state-of-the-art approach fails to diagnose breast cancer in its initial period, resulting in the death of most women. As a result, medical professionals and researchers are faced with a tremendous problem in early breast cancer detection. We propose a medical IoT-based diagnostic system that competently identifies malignant and benign people in an IoT environment to resolve the difficulty of identifying early-stage breast cancer. The artificial neural network (ANN) and convolutional neural network (CNN) with hyperparameter optimization are used for malignant vs. benign classification, while the Support Vector Machine (SVM) and Multilayer Perceptron (MLP) were utilized as baseline classifiers for comparison. Hyperparameters are important for machine learning algorithms since they directly control the behaviors of training algorithms and have a significant effect on the performance of machine learning models. We employ a particle swarm optimization (PSO) feature selection approach to select more satisfactory features from the breast cancer dataset to enhance the classification performance using MLP and SVM, while grid-based search was used to find the best combination of the hyperparameters of the CNN and ANN models. The Wisconsin Diagnostic Breast Cancer (WDBC) dataset was used to test the proposed approach. The proposed model got a classification accuracy of 98.5% using CNN, and 99.2% using ANN.publishedVersio

Metamaterial-inspired antenna array for application in microwave breast imaging systems for tumor detection

This paper presents a study of a planar antenna-array inspired by the metamaterial concept where the resonant elements have sub-wavelength dimensions for application in microwave medical imaging systems for detecting tumors in biological tissues. The proposed antenna consists of square-shaped concentric-rings which are connected to a central patch through a common feedline. The array structure comprises several antennas that are arranged to surround the sample breast model. One antenna at a time in the array is used in transmission-mode while others are in receive-mode. The antenna array operates over 2-12 GHz amply covering the frequency range of existing microwave imaging systems. Measured results show that compared to a standard patch antenna array the proposed array with identical dimensions exhibits an average radiation gain and efficiency improvement of 4.8 dBi and 18%, respectively. The average reflection-coefficient of the array over its operating range is better than S-11 <= -20 dB making it highly receptive to weak signals and minimizing the distortion encountered with the transmission of short duration pulse-trains. Moreover, the proposed antenna-array exhibits high-isolation on average of 30dB between radiators. This means that antennas in the array (i) can be closely spaced to accommodate more radiators to achieve higher-resolution imaging scans, and (ii) the imagining scans can be done over a wider frequency range to ascertain better contrast in electrical parameters between malignant tumor-tissue and the surrounding normal breast-tissue to facilitate the detection of breast-tumor. It is found that short wavelength gives better resolution. In this experimental study a standard biomedical breast model that mimics a real-human breast in terms of dielectric and optical properties was used to demonstrate the viability of the proposed antenna over a standard patch antenna in the detection and the localization of tumor. These results are encouraging for clinical trials and further refinement of the antenna-array

Classifying Breast Tumors using Medical Microwave Radar Imaging

Medical Microwave Imaging (MMI) has been studied in the past years to develop techniques to detect breast cancer at the earliest stages of development. Particularly, ultra-wideband (UWB) micro-wave radar imaging systems can detect and classify tumors as benign or malignant since this technique yields information about the size and shape of tumors. In this study we used this technology to classify tumors. The primary goal of this dissertation is two-folded. First, producing breast tumor numerical mod-els and using them in 2D MMI simulations that recreate the conditions of a UWB microwave radar imaging system. The breast tumor numerical produced resemble real tumor morphologies since they are made from breast MRI exams segmentations. Second, the data of the backscattered UWB microwave signals produced by the MMI simulations was used to classify tumors according to their size and histol-ogy, which is relevant to assess potential of UWB microwave radar imaging systems as a reliable alter-native method for the classification of breast tumors in the field of Medical Microwave Imaging. The Classification Algorithms used in this work were Pseudo Linear Discriminant Analysis (Pseudo-LDA), Pseudo Quadratic Discriminant Analysis (pseudo-QDA), and k-Nearest Neighbors (KNN), alongside with a feature extraction algorithm – Principal Component Analysis (PCA).A Imagem Médica por Microondas (do inglês, MMI) tem sido estudada nos últimos anos de forma a desenvolver técnicas de deteção do cancro da mama nas primeiras fases de desenvolvimento. Em particular, os sistemas de imagem de radar por microondas em banda ultralarga (do inglês UWB) podem detetar e classificar os tumores como benignos ou malignos, uma vez que esta técnica produz informação sobre o tamanho e a forma dos tumores. Neste estudo, utilizámos esta tecnologia para classificar os tumores. A dissertação tem dois objetivos principais. Primeiro, produzir fantomas de tumores mamários e utilizá-los em simulações de MMI em 2D que recriam as condições de um sistema de imagem de radar por microondas UWB. Os fantomas numéricos de tumores mamários produzidos possuem morfologias semelhantes a tumores reais, uma vez que são feitos a partir de segmentações de exames de ressonância magnética da mama. Em segundo lugar, as reflexões dos sinais de microondas UWB produzidos pelas simulações de MMI foram utilizados para classificar tumores de acordo com o seu tamanho e histologia, o que é relevante para avaliar o potencial dos sistemas de imagem de radar por microondas UWB como um método alternativo e fiável para a classificação de tumores mamários no campo da MMI. Os Algo-ritmos de Classificação utilizados neste trabalho foram a Pseudo Linear Discriminant Analysis (Pseudo-LDA), Pseudo Quadratic Discriminant Analysis (pseudo-QDA), e a K-Nearest Neighbors (KNN), jun-tamente com um algoritmo de extração de features - Análise de Componentes Principais (do inglês PCA)

Methods to Improve the Prediction Accuracy and Performance of Ensemble Models

The application of ensemble predictive models has been an important research area in predicting medical diagnostics, engineering diagnostics, and other related smart devices and related technologies. Most of the current predictive models are complex and not reliable despite numerous efforts in the past by the research community. The performance accuracy of the predictive models have not always been realised due to many factors such as complexity and class imbalance. Therefore there is a need to improve the predictive accuracy of current ensemble models and to enhance their applications and reliability and non-visual predictive tools. The research work presented in this thesis has adopted a pragmatic phased approach to propose and develop new ensemble models using multiple methods and validated the methods through rigorous testing and implementation in different phases. The first phase comprises of empirical investigations on standalone and ensemble algorithms that were carried out to ascertain their performance effects on complexity and simplicity of the classifiers. The second phase comprises of an improved ensemble model based on the integration of Extended Kalman Filter (EKF), Radial Basis Function Network (RBFN) and AdaBoost algorithms. The third phase comprises of an extended model based on early stop concepts, AdaBoost algorithm, and statistical performance of the training samples to minimize overfitting performance of the proposed model. The fourth phase comprises of an enhanced analytical multivariate logistic regression predictive model developed to minimize the complexity and improve prediction accuracy of logistic regression model. To facilitate the practical application of the proposed models; an ensemble non-invasive analytical tool is proposed and developed. The tool links the gap between theoretical concepts and practical application of theories to predict breast cancer survivability. The empirical findings suggested that: (1) increasing the complexity and topology of algorithms does not necessarily lead to a better algorithmic performance, (2) boosting by resampling performs slightly better than boosting by reweighting, (3) the prediction accuracy of the proposed ensemble EKF-RBFN-AdaBoost model performed better than several established ensemble models, (4) the proposed early stopped model converges faster and minimizes overfitting better compare with other models, (5) the proposed multivariate logistic regression concept minimizes the complexity models (6) the performance of the proposed analytical non-invasive tool performed comparatively better than many of the benchmark analytical tools used in predicting breast cancers and diabetics ailments. The research contributions to ensemble practice are: (1) the integration and development of EKF, RBFN and AdaBoost algorithms as an ensemble model, (2) the development and validation of ensemble model based on early stop concepts, AdaBoost, and statistical concepts of the training samples, (3) the development and validation of predictive logistic regression model based on breast cancer, and (4) the development and validation of a non-invasive breast cancer analytic tools based on the proposed and developed predictive models in this thesis. To validate prediction accuracy of ensemble models, in this thesis the proposed models were applied in modelling breast cancer survivability and diabetics’ diagnostic tasks. In comparison with other established models the simulation results of the models showed improved predictive accuracy. The research outlines the benefits of the proposed models, whilst proposes new directions for future work that could further extend and improve the proposed models discussed in this thesis

Reconstruction of Microwave Imaging using Machine Learning

Tese de mestrado, Engenharia Biomédica e Biofísica, 2022, Universidade de Lisboa, Faculdade de CiênciasBreast cancer is the most diagnosed cancer in women. The gold standard technique for mass screening is X-ray mammography, which requires the use of ionising radiation. Mammography has a high false positive rate for women under 50, since the technique is highly sensitive to breast density. Magnetic Resonance Imaging (MRI), Positron Emission Tomography (PET) and Ultrasound Imaging (US) have been suggested as complementary imaging tools to lessen the false positive results; however present some disadvantages. The potential of using microwave signals for breast cancer detection and monitoring has been studied for over 20 years. Microwave Breast Imaging (MBI) is a low-cost, non-invasive and non-ionising technique. The reflected microwave signals are transformed into an image via beamforming algorithms. These images have limited resolution, which may result in a considerable high rate of false positives and false negatives. In this dissertation, a complementary method of image reconstruction using Machine Learning (ML) models to predict the healthy or tumorous nature of breast is proposed. To study the potential of the proposed method, microwave signals were collected with a monostatic radar-based microwave system. The signal was acquired from three breast phantoms: one mimicking a homogeneous breast and two mimicking heterogeneous breasts. The phantoms had a cavity to introduce a plug, which included types of tumour models in terms of malignancies. From the signals, portions with and without tumour signature were extracted to train classification models. The most robust models were used to reconstruct a binary image of the breast with values of “hit” for tumorous focal points, and values of “miss” for healthy focal points. Eventually, the reconstructed images resulting from the proposed method were compared with the images obtained using the traditional beamforming method, DAS. Overall, the results obtained with the method ML-based were satisfactory, since for most phantoms the regions classified as tumour, indeed corresponded to the real position of the tumour

Machine Learning Algorithms for Breast Cancer Diagnosis: Challenges, Prospects and Future Research Directions

Early diagnosis of breast cancer does not only increase the chances of survival but also control the diffusion of cancerous cells in the body. Previously, researchers have developed machine learning algorithms in breast cancer diagnosis such as Support Vector Machine, K-Nearest Neighbor, Convolutional Neural Network, K-means, Fuzzy C-means, Neural Network, Principle Component Analysis (PCA) and Naive Bayes. Unfortunately these algorithms fall short in one way or another due to high levels of computational complexities. For instance, support vector machine employs feature elimination scheme for eradicating data ambiguity and detecting tumors at initial stage. However this scheme is expensive in terms of execution time. On its part, k-means algorithm employs Euclidean distance to determine the distance between cluster centers and data points. However this scheme does not guarantee high accuracy when executed in different iterations. Although the K-nearest Neighbor algorithm employs feature reduction, principle component analysis and 10 fold cross validation methods for enhancing classification accuracy, it is not efficient in terms of processing time. On the other hand, fuzzy c-means algorithm employs fuzziness value and termination criteria to determine the execution time on datasets. However, it proves to be extensive in terms of computational time due to several iterations and fuzzy measure calculations involved. Similarly, convolutional neural network employed back propagation and classification method but the scheme proves to be slow due to frequent retraining. In addition, the neural network achieves low accuracy in its predictions. Since all these algorithms seem to be expensive and time consuming, it necessary to integrate quantum computing principles with conventional machine learning algorithms. This is because quantum computing has the potential to accelerate computations by simultaneously carrying out calculation on many inputs. In this paper, a review of the current machine learning algorithms for breast cancer prediction is provided. Based on the observed shortcomings, a quantum machine learning based classifier is recommended. The proposed working mechanisms of this classifier are elaborated towards the end of this paper

Deep Learning in Medical Image Analysis

The accelerating power of deep learning in diagnosing diseases will empower physicians and speed up decision making in clinical environments. Applications of modern medical instruments and digitalization of medical care have generated enormous amounts of medical images in recent years. In this big data arena, new deep learning methods and computational models for efficient data processing, analysis, and modeling of the generated data are crucially important for clinical applications and understanding the underlying biological process. This book presents and highlights novel algorithms, architectures, techniques, and applications of deep learning for medical image analysis