15 research outputs found
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
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.
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Development of computer-based algorithms for unsupervised assessment of radiotherapy contouring
INTRODUCTION: Despite the advances in radiotherapy treatment delivery, target volume
delineation remains one of the greatest sources of error in the radiotherapy delivery process,
which can lead to poor tumour control probability and impact clinical outcome. Contouring
assessments are performed to ensure high quality of target volume definition in clinical trials
but this can be subjective and labour-intensive.
This project addresses the hypothesis that computational segmentation techniques, with a given
prior, can be used to develop an image-based tumour delineation process for contour
assessments. This thesis focuses on the exploration of the segmentation techniques to develop
an automated method for generating reference delineations in the setting of advanced lung
cancer. The novelty of this project is in the use of the initial clinician outline as a prior for
image segmentation.
METHODS: Automated segmentation processes were developed for stage II and III non-small
cell lung cancer using the IDEAL-CRT clinical trial dataset. Marker-controlled watershed
segmentation, two active contour approaches (edge- and region-based) and graph-cut applied
on superpixels were explored. k-nearest neighbour (k-NN) classification of tumour from
normal tissues based on texture features was also investigated.
RESULTS: 63 cases were used for development and training. Segmentation and classification
performance were evaluated on an independent test set of 16 cases. Edge-based active contour
segmentation achieved highest Dice similarity coefficient of 0.80 ± 0.06, followed by graphcut
at 0.76 ± 0.06, watershed at 0.72 ± 0.08 and region-based active contour at 0.71 ± 0.07,
with mean computational times of 192 ± 102 sec, 834 ± 438 sec, 21 ± 5 sec and 45 ± 18 sec
per case respectively. Errors in accuracy of irregularly shaped lesions and segmentation
leakages at the mediastinum were observed.
In the distinction of tumour and non-tumour regions, misclassification errors of 14.5% and
15.5% were achieved using 16- and 8-pixel regions of interest (ROIs) respectively. Higher
misclassification errors of 24.7% and 26.9% for 16- and 8-pixel ROIs were obtained in the
analysis of the tumour boundary.
CONCLUSIONS: Conventional image-based segmentation techniques with the application of
priors are useful in automatic segmentation of tumours, although further developments are
required to improve their performance. Texture classification can be useful in distinguishing
tumour from non-tumour tissue, but the segmentation task at the tumour boundary is more
difficult. Future work with deep-learning segmentation approaches need to be explored.Funded by National Radiotherapy Trials Quality Assurance (RTTQA) grou
Case series of breast fillers and how things may go wrong: radiology point of view
INTRODUCTION: Breast augmentation is a procedure opted by women to overcome sagging
breast due to breastfeeding or aging as well as small breast size. Recent years have shown the
emergence of a variety of injectable materials on market as breast fillers. These injectable
breast fillers have swiftly gained popularity among women, considering the minimal
invasiveness of the procedure, nullifying the need for terrifying surgery. Little do they know
that the procedure may pose detrimental complications, while visualization of breast
parenchyma infiltrated by these fillers is also deemed substandard; posing diagnostic
challenges. We present a case series of three patients with prior history of hyaluronic acid and
collagen breast injections.
REPORT: The first patient is a 37-year-old lady who presented to casualty with worsening
shortness of breath, non-productive cough, central chest pain; associated with fever and chills
for 2-weeks duration. The second patient is a 34-year-old lady who complained of cough, fever
and haemoptysis; associated with shortness of breath for 1-week duration. CT in these cases
revealed non thrombotic wedge-shaped peripheral air-space densities.
The third patient is a 37‐year‐old female with right breast pain, swelling and redness for 2-
weeks duration. Previous collagen breast injection performed 1 year ago had impeded
sonographic visualization of the breast parenchyma. MRI breasts showed multiple non-
enhancing round and oval shaped lesions exhibiting fat intensity.
CONCLUSION: Radiologists should be familiar with the potential risks and hazards as well
as limitations of imaging posed by breast fillers such that MRI is required as problem-solving
tool
Characterization of alar ligament on 3.0T MRI: a cross-sectional study in IIUM Medical Centre, Kuantan
INTRODUCTION: The main purpose of the study is to compare the normal anatomy of alar
ligament on MRI between male and female. The specific objectives are to assess the prevalence
of alar ligament visualized on MRI, to describe its characteristics in term of its course, shape and
signal homogeneity and to find differences in alar ligament signal intensity between male and
female. This study also aims to determine the association between the heights of respondents
with alar ligament signal intensity and dimensions.
MATERIALS & METHODS: 50 healthy volunteers were studied on 3.0T MR scanner
Siemens Magnetom Spectra using 2-mm proton density, T2 and fat-suppression sequences. Alar
ligament is depicted in 3 planes and the visualization and variability of the ligament courses,
shapes and signal intensity characteristics were determined. The alar ligament dimensions were
also measured.
RESULTS: Alar ligament was best depicted in coronal plane, followed by sagittal and axial
planes. The orientations were laterally ascending in most of the subjects (60%), predominantly
oval in shaped (54%) and 67% showed inhomogenous signal. No significant difference of alar
ligament signal intensity between male and female respondents. No significant association was
found between the heights of the respondents with alar ligament signal intensity and dimensions.
CONCLUSION: Employing a 3.0T MR scanner, the alar ligament is best portrayed on coronal
plane, followed by sagittal and axial planes. However, tremendous variability of alar ligament as
depicted in our data shows that caution needs to be exercised when evaluating alar ligament,
especially during circumstances of injury