Towards case-based medical learning in radiological decision making using content-based image retrieval

<p>Abstract</p> <p>Background</p> <p>Radiologists' training is based on intensive practice and can be improved with the use of diagnostic training systems. However, existing systems typically require laboriously prepared training cases and lack integration into the clinical environment with a proper learning scenario. Consequently, diagnostic training systems advancing decision-making skills are not well established in radiological education.</p> <p>Methods</p> <p>We investigated didactic concepts and appraised methods appropriate to the radiology domain, as follows: (i) Adult learning theories stress the importance of work-related practice gained in a team of problem-solvers; (ii) Case-based reasoning (CBR) parallels the human problem-solving process; (iii) Content-based image retrieval (CBIR) can be useful for computer-aided diagnosis (CAD). To overcome the known drawbacks of existing learning systems, we developed the concept of image-based case retrieval for radiological education (IBCR-RE). The IBCR-RE diagnostic training is embedded into a didactic framework based on the Seven Jump approach, which is well established in problem-based learning (PBL). In order to provide a learning environment that is as similar as possible to radiological practice, we have analysed the radiological workflow and environment.</p> <p>Results</p> <p>We mapped the IBCR-RE diagnostic training approach into the Image Retrieval in Medical Applications (IRMA) framework, resulting in the proposed concept of the IRMAdiag training application. IRMAdiag makes use of the modular structure of IRMA and comprises (i) the IRMA core, i.e., the IRMA CBIR engine; and (ii) the IRMAcon viewer. We propose embedding IRMAdiag into hospital information technology (IT) infrastructure using the standard protocols Digital Imaging and Communications in Medicine (DICOM) and Health Level Seven (HL7). Furthermore, we present a case description and a scheme of planned evaluations to comprehensively assess the system.</p> <p>Conclusions</p> <p>The IBCR-RE paradigm incorporates a novel combination of essential aspects of diagnostic learning in radiology: (i) Provision of work-relevant experiences in a training environment integrated into the radiologist's working context; (ii) Up-to-date training cases that do not require cumbersome preparation because they are provided by routinely generated electronic medical records; (iii) Support of the way adults learn while remaining suitable for the patient- and problem-oriented nature of medicine. Future work will address unanswered questions to complete the implementation of the IRMAdiag trainer.</p

VISIR : visual and semantic image label refinement

The social media explosion has populated the Internet with a wealth of images. There are two existing paradigms for image retrieval: 1) content-based image retrieval (CBIR), which has traditionally used visual features for similarity search (e.g., SIFT features), and 2) tag-based image retrieval (TBIR), which has relied on user tagging (e.g., Flickr tags). CBIR now gains semantic expressiveness by advances in deep-learning-based detection of visual labels. TBIR benefits from query-and-click logs to automatically infer more informative labels. However, learning-based tagging still yields noisy labels and is restricted to concrete objects, missing out on generalizations and abstractions. Click-based tagging is limited to terms that appear in the textual context of an image or in queries that lead to a click. This paper addresses the above limitations by semantically refining and expanding the labels suggested by learning-based object detection. We consider the semantic coherence between the labels for different objects, leverage lexical and commonsense knowledge, and cast the label assignment into a constrained optimization problem solved by an integer linear program. Experiments show that our method, called VISIR, improves the quality of the state-of-the-art visual labeling tools like LSDA and YOLO

Simple identification tools in FishBase

Simple identification tools for fish species were included in the FishBase information system from its inception. Early tools made use of the relational model and characters like fin ray meristics. Soon pictures and drawings were added as a further help, similar to a field guide. Later came the computerization of existing dichotomous keys, again in combination with pictures and other information, and the ability to restrict possible species by country, area, or taxonomic group. Today, www.FishBase.org offers four different ways to identify species. This paper describes these tools with their advantages and disadvantages, and suggests various options for further development. It explores the possibility of a holistic and integrated computeraided strategy

Measuring cognitive load and cognition: metrics for technology-enhanced learning

This critical and reflective literature review examines international research published over the last decade to summarise the different kinds of measures that have been used to explore cognitive load and critiques the strengths and limitations of those focussed on the development of direct empirical approaches. Over the last 40 years, cognitive load theory has become established as one of the most successful and influential theoretical explanations of cognitive processing during learning. Despite this success, attempts to obtain direct objective measures of the theory's central theoretical construct – cognitive load – have proved elusive. This obstacle represents the most significant outstanding challenge for successfully embedding the theoretical and experimental work on cognitive load in empirical data from authentic learning situations. Progress to date on the theoretical and practical approaches to cognitive load are discussed along with the influences of individual differences on cognitive load in order to assess the prospects for the development and application of direct empirical measures of cognitive load especially in technology-rich contexts

Text-image synergy for multimodal retrieval and annotation

Text and images are the two most common data modalities found on the Internet. Understanding the synergy between text and images, that is, seamlessly analyzing information from these modalities may be trivial for humans, but is challenging for software systems. In this dissertation we study problems where deciphering text-image synergy is crucial for finding solutions. We propose methods and ideas that establish semantic connections between text and images in multimodal contents, and empirically show their effectiveness in four interconnected problems: Image Retrieval, Image Tag Refinement, Image-Text Alignment, and Image Captioning. Our promising results and observations open up interesting scopes for future research involving text-image data understanding.Text and images are the two most common data modalities found on the Internet. Understanding the synergy between text and images, that is, seamlessly analyzing information from these modalities may be trivial for humans, but is challenging for software systems. In this dissertation we study problems where deciphering text-image synergy is crucial for finding solutions. We propose methods and ideas that establish semantic connections between text and images in multimodal contents, and empirically show their effectiveness in four interconnected problems: Image Retrieval, Image Tag Refinement, Image-Text Alignment, and Image Captioning. Our promising results and observations open up interesting scopes for future research involving text-image data understanding.Text und Bild sind die beiden häufigsten Arten von Inhalten im Internet. Während es für Menschen einfach ist, gerade aus dem Zusammenspiel von Text- und Bildinhalten Informationen zu erfassen, stellt diese kombinierte Darstellung von Inhalten Softwaresysteme vor große Herausforderungen. In dieser Dissertation werden Probleme studiert, für deren Lösung das Verständnis des Zusammenspiels von Text- und Bildinhalten wesentlich ist. Es werden Methoden und Vorschläge präsentiert und empirisch bewertet, die semantische Verbindungen zwischen Text und Bild in multimodalen Daten herstellen. Wir stellen in dieser Dissertation vier miteinander verbundene Text- und Bildprobleme vor: • Bildersuche. Ob Bilder anhand von textbasierten Suchanfragen gefunden werden, hängt stark davon ab, ob der Text in der Nähe des Bildes mit dem der Anfrage übereinstimmt. Bilder ohne textuellen Kontext, oder sogar mit thematisch passendem Kontext, aber ohne direkte Übereinstimmungen der vorhandenen Schlagworte zur Suchanfrage, können häufig nicht gefunden werden. Zur Abhilfe schlagen wir vor, drei Arten von Informationen in Kombination zu nutzen: visuelle Informationen (in Form von automatisch generierten Bildbeschreibungen), textuelle Informationen (Stichworte aus vorangegangenen Suchanfragen), und Alltagswissen. • Verbesserte Bildbeschreibungen. Bei der Objekterkennung durch Computer Vision kommt es des Öfteren zu Fehldetektionen und Inkohärenzen. Die korrekte Identifikation von Bildinhalten ist jedoch eine wichtige Voraussetzung für die Suche nach Bildern mittels textueller Suchanfragen. Um die Fehleranfälligkeit bei der Objekterkennung zu minimieren, schlagen wir vor Alltagswissen einzubeziehen. Durch zusätzliche Bild-Annotationen, welche sich durch den gesunden Menschenverstand als thematisch passend erweisen, können viele fehlerhafte und zusammenhanglose Erkennungen vermieden werden. • Bild-Text Platzierung. Auf Internetseiten mit Text- und Bildinhalten (wie Nachrichtenseiten, Blogbeiträge, Artikel in sozialen Medien) werden Bilder in der Regel an semantisch sinnvollen Positionen im Textfluss platziert. Wir nutzen dies um ein Framework vorzuschlagen, in dem relevante Bilder ausgesucht werden und mit den passenden Abschnitten eines Textes assoziiert werden. • Bildunterschriften. Bilder, die als Teil von multimodalen Inhalten zur Verbesserung der Lesbarkeit von Texten dienen, haben typischerweise Bildunterschriften, die zum Kontext des umgebenden Texts passen. Wir schlagen vor, den Kontext beim automatischen Generieren von Bildunterschriften ebenfalls einzubeziehen. Üblicherweise werden hierfür die Bilder allein analysiert. Wir stellen die kontextbezogene Bildunterschriftengenerierung vor. Unsere vielversprechenden Beobachtungen und Ergebnisse eröffnen interessante Möglichkeiten für weitergehende Forschung zur computergestützten Erfassung des Zusammenspiels von Text- und Bildinhalten