CELNet: Evidence Localization for Pathology Images using Weakly Supervised Learning

Despite deep convolutional neural networks boost the performance of image classification and segmentation in digital pathology analysis, they are usually weak in interpretability for clinical applications or require heavy annotations to achieve object localization. To overcome this problem, we propose a weakly supervised learning-based approach that can effectively learn to localize the discriminative evidence for a diagnostic label from weakly labeled training data. Experimental results show that our proposed method can reliably pinpoint the location of cancerous evidence supporting the decision of interest, while still achieving a competitive performance on glimpse-level and slide-level histopathologic cancer detection tasks.Comment: Accepted for MICCAI 201

Edge-variational Graph Convolutional Networks for Uncertainty-aware Disease Prediction

There is a rising need for computational models that can complementarily leverage data of different modalities while investigating associations between subjects for population-based disease analysis. Despite the success of convolutional neural networks in representation learning for imaging data, it is still a very challenging task. In this paper, we propose a generalizable framework that can automatically integrate imaging data with non-imaging data in populations for uncertainty-aware disease prediction. At its core is a learnable adaptive population graph with variational edges, which we mathematically prove that it is optimizable in conjunction with graph convolutional neural networks. To estimate the predictive uncertainty related to the graph topology, we propose the novel concept of Monte-Carlo edge dropout. Experimental results on four databases show that our method can consistently and significantly improve the diagnostic accuracy for Autism spectrum disorder, Alzheimer's disease, and ocular diseases, indicating its generalizability in leveraging multimodal data for computer-aided diagnosis.Comment: Accepted to MICCAI 202

Gigapixel Histopathological Image Analysis using Attention-based Neural Networks

Although CNNs are widely considered as the state-of-the-art models in various applications of image analysis, one of the main challenges still open is the training of a CNN on high resolution images. Different strategies have been proposed involving either a rescaling of the image or an individual processing of parts of the image. Such strategies cannot be applied to images, such as gigapixel histopathological images, for which a high reduction in resolution inherently effects a loss of discriminative information, and in respect of which the analysis of single parts of the image suffers from a lack of global information or implies a high workload in terms of annotating the training images in such a way as to select significant parts. We propose a method for the analysis of gigapixel histopathological images solely by using weak image-level labels. In particular, two analysis tasks are taken into account: a binary classification and a prediction of the tumor proliferation score. Our method is based on a CNN structure consisting of a compressing path and a learning path. In the compressing path, the gigapixel image is packed into a grid-based feature map by using a residual network devoted to the feature extraction of each patch into which the image has been divided. In the learning path, attention modules are applied to the grid-based feature map, taking into account spatial correlations of neighboring patch features to find regions of interest, which are then used for the final whole slide analysis. Our method integrates both global and local information, is flexible with regard to the size of the input images and only requires weak image-level labels. Comparisons with different methods of the state-of-the-art on two well known datasets, Camelyon16 and TUPAC16, have been made to confirm the validity of the proposed model.Comment: The manuscript was submitted to a peer-review journal on January 27t

Explainable artificial intelligence (XAI) in deep learning-based medical image analysis

With an increase in deep learning-based methods, the call for explainability of such methods grows, especially in high-stakes decision making areas such as medical image analysis. This survey presents an overview of eXplainable Artificial Intelligence (XAI) used in deep learning-based medical image analysis. A framework of XAI criteria is introduced to classify deep learning-based medical image analysis methods. Papers on XAI techniques in medical image analysis are then surveyed and categorized according to the framework and according to anatomical location. The paper concludes with an outlook of future opportunities for XAI in medical image analysis.Comment: Submitted for publication. Comments welcome by email to first autho