Towards Real-Time Hyperspectral Multi-Image Super-Resolution Reconstruction Applied to Histological Samples

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Information Extraction Techniques in Hyperspectral Imaging Biomedical Applications

Hyperspectral imaging (HSI) is a technology able to measure information about the spectral reflectance or transmission of light from the surface. The spectral data, usually within the ultraviolet and infrared regions of the electromagnetic spectrum, provide information about the interaction between light and different materials within the image. This fact enables the identification of different materials based on such spectral information. In recent years, this technology is being actively explored for clinical applications. One of the most relevant challenges in medical HSI is the information extraction, where image processing methods are used to extract useful information for disease detection and diagnosis. In this chapter, we provide an overview of the information extraction techniques for HSI. First, we introduce the background of HSI, and the main motivations of its usage for medical applications. Second, we present information extraction techniques based on both light propagation models within tissue and machine learning approaches. Then, we survey the usage of such information extraction techniques in HSI biomedical research applications. Finally, we discuss the main advantages and disadvantages of the most commonly used image processing approaches and the current challenges in HSI information extraction techniques in clinical applications

Feature Ranking by Variational Dropout for Classification Using Thermograms from Diabetic Foot Ulcers

Diabetes mellitus presents a high prevalence around the world. A common and long-term derived complication is diabetic foot ulcers (DFUs), which have a global prevalence of roughly 6.3%, and a lifetime incidence of up to 34%. Infrared thermograms, covering the entire plantar aspect of both feet, can be employed to monitor the risk of developing a foot ulcer, because diabetic patients exhibit an abnormal pattern that may indicate a foot disorder. In this study, the publicly available INAOE dataset composed of thermogram images of healthy and diabetic subjects was employed to extract relevant features aiming to establish a set of state-of-the-art features that efficiently classify DFU. This database was extended and balanced by fusing it with private local thermograms from healthy volunteers and generating synthetic data via synthetic minority oversampling technique (SMOTE). State-of-the-art features were extracted using two classical approaches, LASSO and random forest, as well as two variational deep learning (DL)-based ones: concrete and variational dropout. Then, the most relevant features were detected and ranked. Subsequently, the extracted features were employed to classify subjects at risk of developing an ulcer using as reference a support vector machine (SVM) classifier with a fixed hyperparameter configuration to evaluate the robustness of the selected features. The new set of features extracted considerably differed from those currently considered state-of-the-art but provided a fair performance. Among the implemented extraction approaches, the variational DL ones, particularly the concrete dropout, performed the best, reporting an F1 score of 90% using the aforementioned SVM classifier. In comparison with features previously considered as the state-of-the-art, approximately 15% better performance was achieved for classification

Performance Evaluation of Deep Learning Models for Image Classification Over Small Datasets: Diabetic Foot Case Study

Data scarcity is a common and challenging issue when working with Artificial Intelligence solutions, especially those including Deep Learning (DL) models for tasks such as image classification. This is particularly relevant in healthcare scenarios, in which data collection requires a long-lasting process, involving specific control protocols. The performance of DL models is usually quantified by different classification metrics, which may provide biased results, due to the lack of sufficient data. In this paper, an innovative approach is proposed to evaluate the performance of DL models when labeled data is scarce. This approach, which aims to detect the poor performance provided by DL models, in spite of traditional assessing metrics indicating otherwise, is based on information theoretic concepts and motivated by the Information Bottleneck framework. This methodology has been evaluated by implementing several experimental configurations to classify samples from a plantar thermogram dataset, focused on early stage detection of diabetic foot ulcers, as a case study. The proposed network architectures exhibited high results in terms of classification metrics. However, as our approach shows, only two of those models are indeed consistent to generalize the data properly. In conclusion, a new methodology was introduced and tested to identify promising DL models for image classification over small datasets without relying exclusively on the widely employed classification metrics. Example code and supplementary material using a state-of-the-art DL model are available at https://github.com/mt4sd/PerformanceEvaluationScarceDataset

Attention-based Skin Cancer Classification Through Hyperspectral Imaging

In recent years, hyperspectral imaging has been employed in several medical applications, targeting automatic diagnosis of different diseases. These images showed good performance in identifying different types of cancers. Among the methods used for classification, machine learning and deep learning techniques emerged as the most suitable algorithms to handle these data. In this paper, we propose a novel hyperspectral image classification architecture exploiting Vision Transformers. We validated the method on a real hyperspectral dataset containing 76 skin cancer images. Obtained results clearly highlight that the Vision Transforms are a suitable architecture for this task. Measured results outperform the state-of-the-art both in terms of false negative rates and of processing times. Finally, the attention mechanism is evaluated for the first time on medical hyperspectral images

High-Level Synthesis of Multiclass SVM Using Code Refactoring to Classify Brain Cancer from Hyperspectral Images

Currently, high-level synthesis (HLS) methods and tools are a highly relevant area in the strategy of several leading companies in the field of system-on-chips (SoCs) and field programmable gate arrays (FPGAs). HLS facilitates the work of system developers, who benefit from integrated and automated design workflows, considerably reducing the design time. Although many advances have been made in this research field, there are still some uncertainties about the quality and performance of the designs generated with the use of HLS methodologies. In this paper, we propose an optimization of the HLS methodology by code refactoring using Xilinx SDSoCTM (Software-Defined System-On-Chip). Several options were analyzed for each alternative through code refactoring of a multiclass support vector machine (SVM) classifier written in C, using two different Zynq®-7000 SoC devices from Xilinx, the ZC7020 (ZedBoard) and the ZC7045 (ZC706). The classifier was evaluated using a brain cancer database of hyperspectral images. The proposed methodology not only reduces the required resources using less than 20% of the FPGA, but also reduces the power consumption −23% compared to the full implementation. The speedup obtained of 2.86× (ZC7045) is the highest found in the literature for SVM hardware implementations

Parallel Implementations Assessment of a Spatial-Spectral Classifier for Hyperspectral Clinical Applications

Hyperspectral (HS) imaging presents itself as a non-contact, non-ionizing and non-invasive technique, proven to be suitable for medical diagnosis. However, the volume of information contained in these images makes difficult providing the surgeon with information about the boundaries in real-time. To that end, High-Performance-Computing (HPC) platforms become necessary. This paper presents a comparison between the performances provided by five different HPC platforms while processing a spatial-spectral approach to classify HS images, assessing their main benefits and drawbacks. To provide a complete study, two different medical applications, with two different requirements, have been analyzed. The first application consists of HS images taken from neurosurgical operations; the second one presents HS images taken from dermatological interventions. While the main constraint for neurosurgical applications is the processing time, in other environments, as the dermatological one, other requirements can be considered. In that sense, energy efficiency is becoming a major challenge, since this kind of applications are usually developed as hand-held devices, thus depending on the battery capacity. These requirements have been considered to choose the target platforms: on the one hand, three of the most powerful Graphic Processing Units (GPUs) available in the market; and, on the other hand, a low-power GPU and a manycore architecture, both specifically thought for being used in battery-dependent environments

Modulation by Ozone Therapy of Oxidative Stress in Chemotherapy-Induced Peripheral Neuropathy: The Background for a Randomized Clinical Trial

(1) Background: Chemotherapy-induced peripheral neuropathy (CIPN) decreases the quality of life of patients and can lead to a dose reduction and/or the interruption of chemotherapy treatment, limiting its effectiveness. Potential pathophysiological mechanisms involved in the pathogenesis of CIPN include chronic oxidative stress and subsequent increase in free radicals and proinflammatory cytokines. Approaches for the treatment of CIPN are highly limited in their number and efficacy, although several antioxidant-based therapies have been tried. On the other hand, ozone therapy can induce an adaptive antioxidant and anti-inflammatory response, which could be potentially useful in the management of CIPN. (2) Methods: The aims of this works are: (a) to summarize the potential mechanisms that could induce CIPN by the most relevant drugs (platinum, taxanes, vinca alkaloids, and bortezomib), with particular focus on the role of oxidative stress; (b) to summarize the current situation of prophylactic and treatment approaches; (c) to describe the action mechanisms of ozone therapy to modify oxidative stress and inflammation with its potential repercussions for CIPN; (d) to describe related experimental and clinical reports with ozone therapy in chemo-induced neurologic symptoms and CIPN; and (e) to show the main details about an ongoing focused clinical trial. (3) Results: A wide background relating to the mechanisms of action and a small number of experimental and clinical reports suggest that ozone therapy could be useful to prevent or improve CIPN. (4) Conclusions: Currently, there are no clinically relevant approaches for the prevention and treatment of stablished CIPN. The potential role of ozone therapy in this syndrome merits further research. Randomized controlled trials are ongoing