Large medical imaging data sets are becoming increasingly available, but ensuring sample quality without significant artefacts is challenging. Existing methods for identifying imperfections in medical imaging rely on data-intensive approaches, compounded by a scarcity of artefact-rich scans for training machine learning models in clinical research. To tackle this problem, we propose a framework with four main components: 1) artefact generators inspired by magnetic resonance physics to corrupt brain MRI scans and augment a training dataset, 2) abstract and engineered features to represent images compactly, 3) a feature selection process depending on the artefact class to improve classification, and 4) SVM classifiers to identify artefacts. Our contributions are threefold: first, physics-based artefact generators produce synthetic brain MRI scans with controlled artefacts for data augmentation. This will avoid the labour-intensive collection and labelling process of scans with rare artefacts. Second, we propose a pool of abstract and engineered image features to identify 9 different artefacts for structural MRI. Finally, we use an artefact-based feature selection block that, for each class of artefacts, finds the set of features providing the best classification performance. We performed validation experiments on a large data set of scans with artificially-generated artefacts, and in a multiple sclerosis clinical trial where real artefacts were identified by experts, showing that the proposed pipeline outperforms traditional methods. In particular, our data augmentation increases performance by up to 12.5 percentage points on accuracy, precision, and recall. The computational efficiency of our pipeline enables potential real-time deployment, promising high-throughput clinical applications through automated image-processing pipelines driven by quality control systems.
相關內容
Histopathological image classification is an important task in medical image analysis. Recent approaches generally rely on weakly supervised learning due to the ease of acquiring case-level labels from pathology reports. However, patch-level classification is preferable in applications where only a limited number of cases are available or when local prediction accuracy is critical. On the other hand, acquiring extensive datasets with localized labels for training is not feasible. In this paper, we propose a semi-supervised patch-level histopathological image classification model, named CLASS-M, that does not require extensively labeled datasets. CLASS-M is formed by two main parts: a contrastive learning module that uses separated Hematoxylin and Eosin images generated through an adaptive stain separation process, and a module with pseudo-labels using MixUp. We compare our model with other state-of-the-art models on two clear cell renal cell carcinoma datasets. We demonstrate that our CLASS-M model has the best performance on both datasets. Our code is available at github.com/BzhangURU/Paper_CLASS-M/tree/main
Locating pathologies automatically from medical images aids the understanding of the emergence and progression of diseases, and such an ability can significantly benefit clinical diagnostics. However, existing deep learning models heavily rely on expert annotations and lack generalization capabilities in open clinical environments. In this study, we present a generalizable vision-language pre-training model for Annotation-Free pathology Localization (AFLoc). The core strength of AFLoc lies in its image annotation-free multi-level semantic structure-based contrastive learning, which comprehensively aligns multi-granularity medical concepts from reports with abundant image features, to adapt to the diverse expressions of observed and emerging unseen pathologies. We conducted extensive experimental validation across 4 distinct external datasets, encompassing 11 types of chest pathologies, to verify its generalization ability. The results demonstrate that AFLoc surpasses 6 state-of-the-art methods and even outperforms the human benchmark in locating 5 different pathologies, underscoring its suitability for complex clinical environments.
The increasing use of tools and solutions based on Large Language Models (LLMs) for various tasks in the medical domain has become a prominent trend. Their use in this highly critical and sensitive domain has thus raised important questions about their robustness, especially in response to variations in input, and the reliability of the generated outputs. This study addresses these questions by constructing a textual dataset based on the ICD-10-CM code descriptions, widely used in US hospitals and containing many clinical terms, and their easily reproducible rephrasing. We then benchmarked existing embedding models, either generalist or specialized in the clinical domain, in a semantic search task where the goal was to correctly match the rephrased text to the original description. Our results showed that generalist models performed better than clinical models, suggesting that existing clinical specialized models are more sensitive to small changes in input that confuse them. The highlighted problem of specialized models may be due to the fact that they have not been trained on sufficient data, and in particular on datasets that are not diverse enough to have a reliable global language understanding, which is still necessary for accurate handling of medical documents.
In designing external validation studies of clinical prediction models, contemporary sample size calculation methods are based on the frequentist inferential paradigm. One of the widely reported metrics of model performance is net benefit (NB), and the relevance of conventional inference around NB as a measure of clinical utility is doubtful. Value of Information methodology quantifies the consequences of uncertainty in terms of its impact on clinical utility of decisions. We introduce the expected value of sample information (EVSI) for validation as the expected gain in NB from conducting an external validation study of a given size. We propose algorithms for EVSI computation, and in a case study demonstrate how EVSI changes as a function of the amount of current information and future study's sample size. Value of Information methodology provides a decision-theoretic lens to the process of planning a validation study of a risk prediction model and can complement conventional methods when designing such studies.
Multimodal deep learning utilizing imaging and diagnostic reports has made impressive progress in the field of medical imaging diagnostics, demonstrating a particularly strong capability for auxiliary diagnosis in cases where sufficient annotation information is lacking. Nonetheless, localizing diseases accurately without detailed positional annotations remains a challenge. Although existing methods have attempted to utilize local information to achieve fine-grained semantic alignment, their capability in extracting the fine-grained semantics of the comprehensive contextual within reports is limited. To solve this problem, we introduce a new method that takes full sentences from textual reports as the basic units for local semantic alignment. Our approach combines chest X-ray images with their corresponding textual reports, performing contrastive learning at both global and local levels. The leading results obtained by our method on multiple datasets confirm its efficacy in the task of lesion localization.
As a pivotal approach in machine learning and data science, manifold learning aims to uncover the intrinsic low-dimensional structure within complex nonlinear manifolds in high-dimensional space. By exploiting the manifold hypothesis, various techniques for nonlinear dimension reduction have been developed to facilitate visualization, classification, clustering, and gaining key insights. Although existing manifold learning methods have achieved remarkable successes, they still suffer from extensive distortions incurred in the global structure, which hinders the understanding of underlying patterns. Scalability issues also limit their applicability for handling large-scale data. Here, we propose a scalable manifold learning (scML) method that can manipulate large-scale and high-dimensional data in an efficient manner. It starts by seeking a set of landmarks to construct the low-dimensional skeleton of the entire data and then incorporates the non-landmarks into the landmark space based on the constrained locally linear embedding (CLLE). We empirically validated the effectiveness of scML on synthetic datasets and real-world benchmarks of different types, and applied it to analyze the single-cell transcriptomics and detect anomalies in electrocardiogram (ECG) signals. scML scales well with increasing data sizes and exhibits promising performance in preserving the global structure. The experiments demonstrate notable robustness in embedding quality as the sample rate decreases.
Physics-informed neural networks (PINNs) and their variants have recently emerged as alternatives to traditional partial differential equation (PDE) solvers, but little literature has focused on devising accurate numerical integration methods for neural networks (NNs), which is essential for getting accurate solutions. In this work, we propose adaptive quadratures for the accurate integration of neural networks and apply them to loss functions appearing in low-dimensional PDE discretisations. We show that at opposite ends of the spectrum, continuous piecewise linear (CPWL) activation functions enable one to bound the integration error, while smooth activations ease the convergence of the optimisation problem. We strike a balance by considering a CPWL approximation of a smooth activation function. The CPWL activation is used to obtain an adaptive decomposition of the domain into regions where the network is almost linear, and we derive an adaptive global quadrature from this mesh. The loss function is then obtained by evaluating the smooth network (together with other quantities, e.g., the forcing term) at the quadrature points. We propose a method to approximate a class of smooth activations by CPWL functions and show that it has a quadratic convergence rate. We then derive an upper bound for the overall integration error of our proposed adaptive quadrature. The benefits of our quadrature are evaluated on a strong and weak formulation of the Poisson equation in dimensions one and two. Our numerical experiments suggest that compared to Monte-Carlo integration, our adaptive quadrature makes the convergence of NNs quicker and more robust to parameter initialisation while needing significantly fewer integration points and keeping similar training times.
The effect that different police protest management methods have on protesters' physical and mental trauma is still not well understood and is a matter of debate. In this paper, we take a two-pronged approach to gain insight into this issue. First, we perform statistical analysis on time series data of protests provided by ACLED and spanning the period of time from January 1, 2020, until March 13, 2021. We observe that the use of kinetic impact projectiles is associated with more protests in subsequent days and is also a better predictor of the number of deaths in subsequent deaths than the number of protests, concluding that the use of non-lethal weapons seems to have an inflammatory rather than suppressive effect on protests. Next, we provide a mathematical framework to model modern, but well-established psychological and sociological research on compliance theory and crowd dynamics. Our results show that understanding the heterogeneity of the crowd is key for protests that lead to a reduction of social tension and minimization of physical and mental trauma in protesters.
We present ResMLP, an architecture built entirely upon multi-layer perceptrons for image classification. It is a simple residual network that alternates (i) a linear layer in which image patches interact, independently and identically across channels, and (ii) a two-layer feed-forward network in which channels interact independently per patch. When trained with a modern training strategy using heavy data-augmentation and optionally distillation, it attains surprisingly good accuracy/complexity trade-offs on ImageNet. We will share our code based on the Timm library and pre-trained models.
Artificial neural networks thrive in solving the classification problem for a particular rigid task, acquiring knowledge through generalized learning behaviour from a distinct training phase. The resulting network resembles a static entity of knowledge, with endeavours to extend this knowledge without targeting the original task resulting in a catastrophic forgetting. Continual learning shifts this paradigm towards networks that can continually accumulate knowledge over different tasks without the need to retrain from scratch. We focus on task incremental classification, where tasks arrive sequentially and are delineated by clear boundaries. Our main contributions concern 1) a taxonomy and extensive overview of the state-of-the-art, 2) a novel framework to continually determine the stability-plasticity trade-off of the continual learner, 3) a comprehensive experimental comparison of 11 state-of-the-art continual learning methods and 4 baselines. We empirically scrutinize method strengths and weaknesses on three benchmarks, considering Tiny Imagenet and large-scale unbalanced iNaturalist and a sequence of recognition datasets. We study the influence of model capacity, weight decay and dropout regularization, and the order in which the tasks are presented, and qualitatively compare methods in terms of required memory, computation time, and storage.
小貼士
登錄享
相關主題
注冊地址： 北京市海淀區羊坊店路18號2幢3層301-191