Cancer diagnosis using deep learning: A bibliographic review

In this paper, we first describe the basics of the field of cancer diagnosis, which includes steps of cancer diagnosis followed by the typical classification methods used by doctors, providing a historical idea of cancer classification techniques to the readers. These methods include Asymmetry, Border, Color and Diameter (ABCD) method, seven-point detection method, Menzies method, and pattern analysis. They are used regularly by doctors for cancer diagnosis, although they are not considered very efficient for obtaining better performance. Moreover, considering all types of audience, the basic evaluation criteria are also discussed. The criteria include the receiver operating characteristic curve (ROC curve), Area under the ROC curve (AUC), F1 score, accuracy, specificity, sensitivity, precision, dice-coefficient, average accuracy, and Jaccard index. Previously used methods are considered inefficient, asking for better and smarter methods for cancer diagnosis. Artificial intelligence and cancer diagnosis are gaining attention as a way to define better diagnostic tools. In particular, deep neural networks can be successfully used for intelligent image analysis. The basic framework of how this machine learning works on medical imaging is provided in this study, i.e., pre-processing, image segmentation and post-processing. The second part of this manuscript describes the different deep learning techniques, such as convolutional neural networks (CNNs), generative adversarial models (GANs), deep autoencoders (DANs), restricted Boltzmann’s machine (RBM), stacked autoencoders (SAE), convolutional autoencoders (CAE), recurrent neural networks (RNNs), long short-term memory (LTSM), multi-scale convolutional neural network (M-CNN), multi-instance learning convolutional neural network (MIL-CNN). For each technique, we provide Python codes, to allow interested readers to experiment with the cited algorithms on their own diagnostic problems. The third part of this manuscript compiles the successfully applied deep learning models for different types of cancers. Considering the length of the manuscript, we restrict ourselves to the discussion of breast cancer, lung cancer, brain cancer, and skin cancer. The purpose of this bibliographic review is to provide researchers opting to work in implementing deep learning and artificial neural networks for cancer diagnosis a knowledge from scratch of the state-of-the-art achievements

melNET: A Deep Learning Based Model For Melanoma Detection

Melanoma is identified as the deadliest in the skin cancer category. However, early-stage detection may enhance the treatment result. In this research, a deep learning-based model, named “melNET”, has been developed to detect melanoma in both dermoscopic and digital images. melNET uses the Inception-v3 architecture to handle the deep learning part. To ensure quality optimization, the architectural aspects of Inception-v3 were designed using the Hebbian principle as well as taking the intuition of multi-scale processing. This architecture takes advantage of parallel computing across multiple GPUs to employ RMSprop as the optimizer. While going through the training phase, melNET uses the back-propagation method to retrain this Inception-v3 network by feeding the errors from each iteration, resulting in the fine-tuning of network weights. After the completion of the training step, melNET can be used to predict the diagnosis of a mole by taking the lesion image as an input to the system. With a dermoscopic dataset of 200 images, provided by PH2, melNET outperforms the work with YOLO-v2 network by improving the sensitivity value from 86.35% to 97.50%. Also, the specificity and accuracy values are found to be improved from 85.90% to 87.50%, and, from 86.00% to 89.50% respectively. melNET has also been evaluated on a digital dataset of 170 images, provided by UMCG, showing an accuracy of 84.71%, which outperforms the 81.00% accuracy of the MED-NODE model. In both cases, melNET got treated as a binary classifier and a five-fold cross validation method was applied for the evaluation. In addition, melNET has been found to perform the detections in real-time by leveraging the end-to-end Inception-v3 architecture

Application of Machine Learning in Melanoma Detection and the Identification of 'Ugly Duckling' and Suspicious Naevi: A Review

Skin lesions known as naevi exhibit diverse characteristics such as size, shape, and colouration. The concept of an "Ugly Duckling Naevus" comes into play when monitoring for melanoma, referring to a lesion with distinctive features that sets it apart from other lesions in the vicinity. As lesions within the same individual typically share similarities and follow a predictable pattern, an ugly duckling naevus stands out as unusual and may indicate the presence of a cancerous melanoma. Computer-aided diagnosis (CAD) has become a significant player in the research and development field, as it combines machine learning techniques with a variety of patient analysis methods. Its aim is to increase accuracy and simplify decision-making, all while responding to the shortage of specialized professionals. These automated systems are especially important in skin cancer diagnosis where specialist availability is limited. As a result, their use could lead to life-saving benefits and cost reductions within healthcare. Given the drastic change in survival when comparing early stage to late-stage melanoma, early detection is vital for effective treatment and patient outcomes. Machine learning (ML) and deep learning (DL) techniques have gained popularity in skin cancer classification, effectively addressing challenges, and providing results equivalent to that of specialists. This article extensively covers modern Machine Learning and Deep Learning algorithms for detecting melanoma and suspicious naevi. It begins with general information on skin cancer and different types of naevi, then introduces AI, ML, DL, and CAD. The article then discusses the successful applications of various ML techniques like convolutional neural networks (CNN) for melanoma detection compared to dermatologists' performance. Lastly, it examines ML methods for UD naevus detection and identifying suspicious naevi

Dermoscopic dark corner artifacts removal: Friend or foe?

Background and Objectives: One of the more significant obstacles in classification of skin cancer is the presence of artifacts. This paper investigates the effect of dark corner artifacts, which result from the use of dermoscopes, on the performance of a deep learning binary classification task. Previous research attempted to remove and inpaint dark corner artifacts, with the intention of creating an ideal condition for models. However, such research has been shown to be inconclusive due to a lack of available datasets with corresponding labels for dark corner artifact cases. Methods: To address these issues, we label 10,250 skin lesion images from publicly available datasets and introduce a balanced dataset with an equal number of melanoma and non-melanoma cases. The training set comprises 6126 images without artifacts, and the testing set comprises 4124 images with dark corner artifacts. We conduct three experiments to provide new understanding on the effects of dark corner artifacts, including inpainted and synthetically generated examples, on a deep learning method. Results: Our results suggest that introducing synthetic dark corner artifacts which have been superimposed onto the training set improved model performance, particularly in terms of the true negative rate. This indicates that deep learning learnt to ignore dark corner artifacts, rather than treating it as melanoma, when dark corner artifacts were introduced into the training set. Further, we propose a new approach to quantifying heatmaps indicating network focus using a root mean square measure of the brightness intensity in the different regions of the heatmaps. Conclusions: The proposed artifact methods can be used in future experiments to help alleviate possible impacts on model performance. Additionally, the newly proposed heatmap quantification analysis will help to better understand the relationships between heatmap results and other model performance metrics