51 research outputs found
Deep Learning in Cardiology
The medical field is creating large amount of data that physicians are unable
to decipher and use efficiently. Moreover, rule-based expert systems are
inefficient in solving complicated medical tasks or for creating insights using
big data. Deep learning has emerged as a more accurate and effective technology
in a wide range of medical problems such as diagnosis, prediction and
intervention. Deep learning is a representation learning method that consists
of layers that transform the data non-linearly, thus, revealing hierarchical
relationships and structures. In this review we survey deep learning
application papers that use structured data, signal and imaging modalities from
cardiology. We discuss the advantages and limitations of applying deep learning
in cardiology that also apply in medicine in general, while proposing certain
directions as the most viable for clinical use.Comment: 27 pages, 2 figures, 10 table
Generative adversarial networks in ophthalmology: what are these and how can they be used?
PURPOSE OF REVIEW: The development of deep learning (DL) systems requires a large amount of data, which may be limited by costs, protection of patient information and low prevalence of some conditions. Recent developments in artificial intelligence techniques have provided an innovative alternative to this challenge via the synthesis of biomedical images within a DL framework known as generative adversarial networks (GANs). This paper aims to introduce how GANs can be deployed for image synthesis in ophthalmology and to discuss the potential applications of GANs-produced images. RECENT FINDINGS: Image synthesis is the most relevant function of GANs to the medical field, and it has been widely used for generating 'new' medical images of various modalities. In ophthalmology, GANs have mainly been utilized for augmenting classification and predictive tasks, by synthesizing fundus images and optical coherence tomography images with and without pathologies such as age-related macular degeneration and diabetic retinopathy. Despite their ability to generate high-resolution images, the development of GANs remains data intensive, and there is a lack of consensus on how best to evaluate the outputs produced by GANs. SUMMARY: Although the problem of artificial biomedical data generation is of great interest, image synthesis by GANs represents an innovation with yet unclear relevance for ophthalmology
NON-INVASIVE IMAGE DENOISING AND CONTRAST ENHANCEMENT TECHNIQUES FOR RETINAL FUNDUS IMAGES
The analysis of retinal vasculature in digital fundus images is important for
diagnosing eye related diseases. However, digital colour fundus images suffer from
low and varied contrast, and are also affected by noise, requiring the use of fundus
angiogram modality. The Fundus Fluorescein Angiogram (FFA) modality gives 5 to
6 time’s higher contrast. However, FFA is an invasive method that requires contrast
agents to be injected and this can lead other physiological problems. A reported
digital image enhancement technique named RETICA that combines Retinex and ICA
(Independent Component Analysis) techniques, reduces varied contrast, and enhances
the low contrast blood vessels of model fundus images
Self-supervised learning methods and applications in medical imaging analysis: A survey
The scarcity of high-quality annotated medical imaging datasets is a major
problem that collides with machine learning applications in the field of
medical imaging analysis and impedes its advancement. Self-supervised learning
is a recent training paradigm that enables learning robust representations
without the need for human annotation which can be considered an effective
solution for the scarcity of annotated medical data. This article reviews the
state-of-the-art research directions in self-supervised learning approaches for
image data with a concentration on their applications in the field of medical
imaging analysis. The article covers a set of the most recent self-supervised
learning methods from the computer vision field as they are applicable to the
medical imaging analysis and categorize them as predictive, generative, and
contrastive approaches. Moreover, the article covers 40 of the most recent
research papers in the field of self-supervised learning in medical imaging
analysis aiming at shedding the light on the recent innovation in the field.
Finally, the article concludes with possible future research directions in the
field
Domain Generalization for Medical Image Analysis: A Survey
Medical Image Analysis (MedIA) has become an essential tool in medicine and
healthcare, aiding in disease diagnosis, prognosis, and treatment planning, and
recent successes in deep learning (DL) have made significant contributions to
its advances. However, DL models for MedIA remain challenging to deploy in
real-world situations, failing for generalization under the distributional gap
between training and testing samples, known as a distribution shift problem.
Researchers have dedicated their efforts to developing various DL methods to
adapt and perform robustly on unknown and out-of-distribution data
distributions. This paper comprehensively reviews domain generalization studies
specifically tailored for MedIA. We provide a holistic view of how domain
generalization techniques interact within the broader MedIA system, going
beyond methodologies to consider the operational implications on the entire
MedIA workflow. Specifically, we categorize domain generalization methods into
data-level, feature-level, model-level, and analysis-level methods. We show how
those methods can be used in various stages of the MedIA workflow with DL
equipped from data acquisition to model prediction and analysis. Furthermore,
we include benchmark datasets and applications used to evaluate these
approaches and analyze the strengths and weaknesses of various methods,
unveiling future research opportunities
Deep Representation Learning with Limited Data for Biomedical Image Synthesis, Segmentation, and Detection
Biomedical imaging requires accurate expert annotation and interpretation that can aid medical staff and clinicians in automating differential diagnosis and solving underlying health conditions. With the advent of Deep learning, it has become a standard for reaching expert-level performance in non-invasive biomedical imaging tasks by training with large image datasets. However, with the need for large publicly available datasets, training a deep learning model to learn intrinsic representations becomes harder. Representation learning with limited data has introduced new learning techniques, such as Generative Adversarial Networks, Semi-supervised Learning, and Self-supervised Learning, that can be applied to various biomedical applications. For example, ophthalmologists use color funduscopy (CF) and fluorescein angiography (FA) to diagnose retinal degenerative diseases. However, fluorescein angiography requires injecting a dye, which can create adverse reactions in the patients. So, to alleviate this, a non-invasive technique needs to be developed that can translate fluorescein angiography from fundus images. Similarly, color funduscopy and optical coherence tomography (OCT) are also utilized to semantically segment the vasculature and fluid build-up in spatial and volumetric retinal imaging, which can help with the future prognosis of diseases. Although many automated techniques have been proposed for medical image segmentation, the main drawback is the model's precision in pixel-wise predictions. Another critical challenge in the biomedical imaging field is accurately segmenting and quantifying dynamic behaviors of calcium signals in cells. Calcium imaging is a widely utilized approach to studying subcellular calcium activity and cell function; however, large datasets have yielded a profound need for fast, accurate, and standardized analyses of calcium signals. For example, image sequences from calcium signals in colonic pacemaker cells ICC (Interstitial cells of Cajal) suffer from motion artifacts and high periodic and sensor noise, making it difficult to accurately segment and quantify calcium signal events. Moreover, it is time-consuming and tedious to annotate such a large volume of calcium image stacks or videos and extract their associated spatiotemporal maps. To address these problems, we propose various deep representation learning architectures that utilize limited labels and annotations to address the critical challenges in these biomedical applications. To this end, we detail our proposed semi-supervised, generative adversarial networks and transformer-based architectures for individual learning tasks such as retinal image-to-image translation, vessel and fluid segmentation from fundus and OCT images, breast micro-mass segmentation, and sub-cellular calcium events tracking from videos and spatiotemporal map quantification. We also illustrate two multi-modal multi-task learning frameworks with applications that can be extended to other domains of biomedical applications. The main idea is to incorporate each of these as individual modules to our proposed multi-modal frameworks to solve the existing challenges with 1) Fluorescein angiography synthesis, 2) Retinal vessel and fluid segmentation, 3) Breast micro-mass segmentation, and 4) Dynamic quantification of calcium imaging datasets
A Chebyshev Confidence Guided Source-Free Domain Adaptation Framework for Medical Image Segmentation
Source-free domain adaptation (SFDA) aims to adapt models trained on a
labeled source domain to an unlabeled target domain without the access to
source data. In medical imaging scenarios, the practical significance of SFDA
methods has been emphasized due to privacy concerns. Recent State-of-the-art
SFDA methods primarily rely on self-training based on pseudo-labels (PLs).
Unfortunately, PLs suffer from accuracy deterioration caused by domain shift,
and thus limit the effectiveness of the adaptation process. To address this
issue, we propose a Chebyshev confidence guided SFDA framework to accurately
assess the reliability of PLs and generate self-improving PLs for
self-training. The Chebyshev confidence is estimated by calculating probability
lower bound of the PL confidence, given the prediction and the corresponding
uncertainty. Leveraging the Chebyshev confidence, we introduce two
confidence-guided denoising methods: direct denoising and prototypical
denoising. Additionally, we propose a novel teacher-student joint training
scheme (TJTS) that incorporates a confidence weighting module to improve PLs
iteratively. The TJTS, in collaboration with the denoising methods, effectively
prevents the propagation of noise and enhances the accuracy of PLs. Extensive
experiments in diverse domain scenarios validate the effectiveness of our
proposed framework and establish its superiority over state-of-the-art SFDA
methods. Our paper contributes to the field of SFDA by providing a novel
approach for precisely estimating the reliability of pseudo-labels and a
framework for obtaining high-quality PLs, resulting in improved adaptation
performance
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