Computer-Aided Diagnosis for Melanoma using Ontology and Deep Learning Approaches

The emergence of deep-learning algorithms provides great potential to enhance the prediction performance of computer-aided supporting diagnosis systems. Recent research efforts indicated that well-trained algorithms could achieve the accuracy level of experienced senior clinicians in the Dermatology field. However, the lack of interpretability and transparency hinders the algorithms’ utility in real-life. Physicians and patients require a certain level of interpretability for them to accept and trust the results. Another limitation of AI algorithms is the lack of consideration of other information related to the disease diagnosis, for example some typical dermoscopic features and diagnostic guidelines. Clinical guidelines for skin disease diagnosis are designed based on dermoscopic features. However, a structured and standard representation of the relevant knowledge in the skin disease domain is lacking. To address the above challenges, this dissertation builds an ontology capable of formally representing the knowledge of dermoscopic features and develops an explainable deep learning model able to diagnose skin diseases and dermoscopic features. Additionally, large-scale, unlabeled datasets can learn from the trained model and automate the feature generation process. The computer vision aided feature extraction algorithms are combined with the deep learning model to improve the overall classification accuracy and save manual annotation efforts

Saliency-Enhanced Content-Based Image Retrieval for Diagnosis Support in Dermatology Consultation: Reader Study.

BACKGROUND Previous research studies have demonstrated that medical content image retrieval can play an important role by assisting dermatologists in skin lesion diagnosis. However, current state-of-the-art approaches have not been adopted in routine consultation, partly due to the lack of interpretability limiting trust by clinical users. OBJECTIVE This study developed a new image retrieval architecture for polarized or dermoscopic imaging guided by interpretable saliency maps. This approach provides better feature extraction, leading to better quantitative retrieval performance as well as providing interpretability for an eventual real-world implementation. METHODS Content-based image retrieval (CBIR) algorithms rely on the comparison of image features embedded by convolutional neural network (CNN) against a labeled data set. Saliency maps are computer vision-interpretable methods that highlight the most relevant regions for the prediction made by a neural network. By introducing a fine-tuning stage that includes saliency maps to guide feature extraction, the accuracy of image retrieval is optimized. We refer to this approach as saliency-enhanced CBIR (SE-CBIR). A reader study was designed at the University Hospital Zurich Dermatology Clinic to evaluate SE-CBIR's retrieval accuracy as well as the impact of the participant's confidence on the diagnosis. RESULTS SE-CBIR improved the retrieval accuracy by 7% (77% vs 84%) when doing single-lesion retrieval against traditional CBIR. The reader study showed an overall increase in classification accuracy of 22% (62% vs 84%) when the participant is provided with SE-CBIR retrieved images. In addition, the overall confidence in the lesion's diagnosis increased by 24%. Finally, the use of SE-CBIR as a support tool helped the participants reduce the number of nonmelanoma lesions previously diagnosed as melanoma (overdiagnosis) by 53%. CONCLUSIONS SE-CBIR presents better retrieval accuracy compared to traditional CBIR CNN-based approaches. Furthermore, we have shown how these support tools can help dermatologists and residents improve diagnosis accuracy and confidence. Additionally, by introducing interpretable methods, we should expect increased acceptance and use of these tools in routine consultation

Saliency-Enhanced Content-Based Image Retrieval for Diagnosis Support in Dermatology Consultation: Reader Study

BACKGROUND Previous research studies have demonstrated that medical content image retrieval can play an important role by assisting dermatologists in skin lesion diagnosis. However, current state-of-the-art approaches have not been adopted in routine consultation, partly due to the lack of interpretability limiting trust by clinical users. OBJECTIVE This study developed a new image retrieval architecture for polarized or dermoscopic imaging guided by interpretable saliency maps. This approach provides better feature extraction, leading to better quantitative retrieval performance as well as providing interpretability for an eventual real-world implementation. METHODS Content-based image retrieval (CBIR) algorithms rely on the comparison of image features embedded by convolutional neural network (CNN) against a labeled data set. Saliency maps are computer vision-interpretable methods that highlight the most relevant regions for the prediction made by a neural network. By introducing a fine-tuning stage that includes saliency maps to guide feature extraction, the accuracy of image retrieval is optimized. We refer to this approach as saliency-enhanced CBIR (SE-CBIR). A reader study was designed at the University Hospital Zurich Dermatology Clinic to evaluate SE-CBIR's retrieval accuracy as well as the impact of the participant's confidence on the diagnosis. RESULTS SE-CBIR improved the retrieval accuracy by 7% (77% vs 84%) when doing single-lesion retrieval against traditional CBIR. The reader study showed an overall increase in classification accuracy of 22% (62% vs 84%) when the participant is provided with SE-CBIR retrieved images. In addition, the overall confidence in the lesion's diagnosis increased by 24%. Finally, the use of SE-CBIR as a support tool helped the participants reduce the number of nonmelanoma lesions previously diagnosed as melanoma (overdiagnosis) by 53%. CONCLUSIONS SE-CBIR presents better retrieval accuracy compared to traditional CBIR CNN-based approaches. Furthermore, we have shown how these support tools can help dermatologists and residents improve diagnosis accuracy and confidence. Additionally, by introducing interpretable methods, we should expect increased acceptance and use of these tools in routine consultation

Resolution invariant wavelet features of melanoma studied by SVM classifiers

This article refers to the Computer Aided Diagnosis of the melanoma skin cancer. We derive wavelet-based features of melanoma from the dermoscopic images of pigmental skin lesions and apply binary C-SVM classifiers to discriminate malignant melanoma from dysplastic nevus. The aim of this research is to select the most efficient model of the SVM classifier for various image resolutions and to search for the best resolution-invariant wavelet bases. We show AUC as a function of the wavelet number and SVM kernels optimized by the Bayesian search for two independent data sets. Our results are compatible with the previous experiments to discriminate melanoma in dermoscopy images with ensembling and feed-forward neural networks

Leveraging Computer Vision for Applications in Biomedicine and Geoscience

Skin cancer is one of the most common types of cancer and is usually classified as either non-melanoma and melanoma skin cancer. Melanoma skin cancer accounts for about half of all skin cancer-related deaths. The 5-year survival rate is 99% when the cancer is detected early but drops to 25% once it becomes metastatic. In other words, the key to preventing death is early detection. Foraminifera are microscopic single-celled organisms that exist in marine environments and are classified as living a benthic or planktic lifestyle. In total, roughly 50,000 species are known to have existed, of which about 9,000 are still living today. Foraminifera are important proxies for reconstructing past ocean and climate conditions and as bio-indicators of anthropogenic pollution. Since the 1800s, the identification and counting of foraminifera have been performed manually. The process is resource-intensive. In this dissertation, we leverage recent advances in computer vision, driven by breakthroughs in deep learning methodologies and scale-space theory, to make progress towards both early detection of melanoma skin cancer and automation of the identification and counting of microscopic foraminifera. First, we investigate the use of hyperspectral images in skin cancer detection by performing a critical review of relevant, peer-reviewed research. Second, we present a novel scale-space methodology for detecting changes in hyperspectral images. Third, we develop a deep learning model for classifying microscopic foraminifera. Finally, we present a deep learning model for instance segmentation of microscopic foraminifera. The works presented in this dissertation are valuable contributions in the fields of biomedicine and geoscience, more specifically, towards the challenges of early detection of melanoma skin cancer and automation of the identification, counting, and picking of microscopic foraminifera