Search

Chest radiograph (CXR) interpretation in pediatric patients is error-prone and requires a high level of understanding of radiologic expertise. Recently, deep convolutional neural networks (D-CNNs) have shown remarkable performance in interpreting CXR in adults. However, there is a lack of evidence indicating that D-CNNs can recognize accurately multiple lung pathologies from pediatric CXR scans. In particular, the development of diagnostic models for the detection of pediatric chest diseases faces significant challenges such as (i) lack of physician-annotated datasets and (ii) class imbalance problems. In this paper, we retrospectively collect a large dataset of 5,017 pediatric CXR scans, for which each is manually labeled by an experienced radiologist for the presence of 10 common pathologies. A D-CNN model is then trained on 3,550 annotated scans to classify multiple pediatric lung pathologies automatically. To address the high-class imbalance issue, we propose to modify and apply "Distribution-Balanced loss" for training D-CNNs which reshapes the standard Binary-Cross Entropy loss (BCE) to efficiently learn harder samples by down-weighting the loss assigned to the majority classes. On an independent test set of 777 studies, the proposed approach yields an area under the receiver operating characteristic (AUC) of 0.709 (95% CI, 0.690-0.729). The sensitivity, specificity, and F1-score at the cutoff value are 0.722 (0.694-0.750), 0.579 (0.563-0.595), and 0.389 (0.373-0.405), respectively. These results significantly outperform previous state-of-the-art methods on most of the target diseases. Moreover, our ablation studies validate the effectiveness of the proposed loss function compared to other standard losses, e.g., BCE and Focal Loss, for this learning task. Overall, we demonstrate the potential of D-CNNs in interpreting pediatric CXRs., Comment: This is a preprint of our paper which was accepted for publication to ICCV Workshop 2021

Interpretation of chest radiographs (CXR) is a difficult but essential task for detecting thoracic abnormalities. Recent artificial intelligence (AI) algorithms have achieved radiologist-level performance on various medical classification tasks. However, only a few studies addressed the localization of abnormal findings from CXR scans, which is essential in explaining the image-level classification to radiologists. Additionally, the actual impact of AI algorithms on the diagnostic performance of radiologists in clinical practice remains relatively unclear. To bridge these gaps, we developed an explainable deep learning system called VinDr-CXR that can classify a CXR scan into multiple thoracic diseases and, at the same time, localize most types of critical findings on the image. VinDr-CXR was trained on 51,485 CXR scans with radiologist-provided bounding box annotations. It demonstrated a comparable performance to experienced radiologists in classifying 6 common thoracic diseases on a retrospective validation set of 3,000 CXR scans, with a mean area under the receiver operating characteristic curve (AUROC) of 0.967 (95% confidence interval [CI]: 0.958–0.975). The sensitivity, specificity, F1-score, false-positive rate (FPR), and false-negative rate (FNR) of the system at the optimal cutoff value were 0.933 (0.898–0.964), 0.900 (0.887–0.911), 0.631 (0.589–0.672), 0.101 (0.089– 0.114) and 0.067 (0.057–0.102), respectively. For the localization task with 14 types of lesions, our free-response receiver operating characteristic (FROC) analysis showed that the VinDr-CXR achieved a sensitivity of 80.2% at the rate of 1.0 false-positive lesion identified per scan. A prospective study was also conducted to measure the clinical impact of the VinDr-CXR in assisting six experienced radiologists. The results indicated that the proposed system, when used as a diagnosis supporting tool, significantly improved the agreement between radiologists themselves with an increase of 1.5% in mean Fleiss’ Kappa. We also observed that, after the radiologists consulted VinDr-CXR’s suggestions, the agreement between each of them and the system was remarkably increased by 3.3% in mean Co-hen’s Kappa. Altogether, our results highlight the potentials of the proposed deep learning system as an effective assistant to radiologists in clinical practice. Part of the dataset used for developing the VinDr-CXR system has been made publicly available at https://physionet.org/content/vindr-cxr/1.0.0/.

X-ray imaging in DICOM format is the most commonly used imaging modality in clinical practice, resulting in vast, non-normalized databases. This leads to an obstacle in deploying AI solutions for analyzing medical images, which often requires identifying the right body part before feeding the image into a specified AI model. This challenge raises the need for an automated and efficient approach to classifying body parts from X-ray scans. Unfortunately, to the best of our knowledge, there is no open tool or framework for this task to date. To fill this lack, we introduce a DICOM Imaging Router that deploys deep CNNs for categorizing unknown DICOM X-ray images into five anatomical groups: abdominal, adult chest, pediatric chest, spine, and others. To this end, a large-scale X-ray dataset consisting of 16,093 images has been collected and manually classified. We then trained a set of state-of-the-art deep CNNs using a training set of 11,263 images. These networks were then evaluated on an independent test set of 2,419 images and showed superior performance in classifying the body parts. Specifically, our best performing model achieved a recall of 0.982 (95% CI, 0.977-0.988), a precision of 0.985 (95% CI, 0.975-0.989) and a F1-score of 0.981 (95% CI, 0.976-0.987), whilst requiring less computation for inference (0.0295 second per image). Our external validity on 1,000 X-ray images shows the robustness of the proposed approach across hospitals. These remarkable performances indicate that deep CNNs can accurately and effectively differentiate human body parts from X-ray scans, thereby providing potential benefits for a wide range of applications in clinical settings. The dataset, codes, and trained deep learning models from this study will be made publicly available on our project website at https://vindr.ai/., This is a preprint of our paper, which was accepted for publication to ICCV Workshop 2021

Chest radiography is one of the most common types of diagnostic radiology exams, which is critical for screening and diagnosis of many different thoracic diseases. Specialized algorithms have been developed to detect several specific pathologies such as lung nodule or lung cancer. However, accurately detecting the presence of multiple diseases from chest X-rays (CXRs) is still a challenging task. This paper presents a supervised multi-label classification framework based on deep convolutional neural networks (CNNs) for predicting the risk of 14 common thoracic diseases. We tackle this problem by training state-of-the-art CNNs that exploit dependencies among abnormality labels. We also propose to use the label smoothing technique for a better handling of uncertain samples, which occupy a significant portion of almost every CXR dataset. Our model is trained on over 200,000 CXRs of the recently released CheXpert dataset and achieves a mean area under the curve (AUC) of 0.940 in predicting 5 selected pathologies from the validation set. This is the highest AUC score yet reported to date. The proposed method is also evaluated on the independent test set of the CheXpert competition, which is composed of 500 CXR studies annotated by a panel of 5 experienced radiologists. The performance is on average better than 2.6 out of 3 other individual radiologists with a mean AUC of 0.930, which ranks first on the CheXpert leaderboard at the time of writing this paper., Comment: This is a pre-print of our paper that was accepted by Neurocomputing - Its shorter version has been accepted by Medical Imaging with Deep Learning conference (MIDL 2020)

We propose a novel method that combines a convolutional neural network (CNN) with a long short-term memory (LSTM) mechanism for accurate prediction of intracranial hemorrhage on computed tomography (CT) scans. The CNN plays the role of a slice-wise feature extractor while the LSTM is responsible for linking the features across slices. The whole architecture is trained end-to-end with input being an RGB-like image formed by stacking 3 different viewing windows of a single slice. We validate the method on the recent RSNA Intracranial Hemorrhage Detection challenge and on the CQ500 dataset. For the RSNA challenge, our best single model achieves a weighted log loss of 0.0522 on the leaderboard, which is comparable to the top 3% performances, almost all of which make use of ensemble learning. Importantly, our method generalizes very well: the model trained on the RSNA dataset significantly outperforms the 2D model, which does not take into account the relationship between slices, on CQ500. Our codes and models is publicly avaiable at https://github.com/VinBDI-MedicalImagingTeam/midl2020-cnnlstm-ich.

Chest radiography is one of the most common types of diagnostic radiology exams, which is critical for screening and diagnosis of many different thoracic diseases. Specialized algorithms have been developed to detect several specific pathologies such as lung nodule or lung cancer. However, accurately detecting the presence of multiple diseases from chest X-rays (CXRs) is still a challenging task. This paper presents a supervised multi-label classification framework based on deep convolutional neural networks (CNNs) for predicting the risk of 14 common thoracic diseases. We tackle this problem by training state-of-the-art CNNs that exploit dependencies among abnormality labels. We also propose to use the label smoothing technique for a better handling of uncertain samples, which occupy a significant portion of almost every CXR dataset. Our model is trained on over 200,000 CXRs of the recently released CheXpert dataset and achieves a mean area under the curve (AUC) of 0.940 in predicting 5 selected pathologies from the validation set. This is the highest AUC score yet reported to date. The proposed method is also evaluated on the independent test set of the CheXpert competition, which is composed of 500 CXR studies annotated by a panel of 5 experienced radiologists. The performance is on average better than 2.6 out of 3 other individual radiologists with a mean AUC of 0.930, which ranks first on the CheXpert leaderboard at the time of writing this paper.

Repetition Intervals (PRI)-the distances between consecutive times of arrival of radar pulses-are important characteristics that help identify the emitting source. The recognition of various PRI modulation types under the assumption of missing and spurious pulses is a classical yet challenging problem. We introduce in this paper a novel learning-based method for the classification of 7 popular PRI modulations. In this classifier, a set of 6 features, extracted from the preprocessed PRI sequences, are fed into a simple feed-forward neural network. The proposed scheme, while computationally fast, outperforms existing methods by a significant margin on a variety of PRI parameters and under different levels of pulse miss-detections and false alarms.

The next step in immersive communication beyond video from a single camera is object-based free viewpoint video, which is the capture and compression of a dynamic object such that it can be reconstructed and viewed from an arbitrary viewpoint. The moving human body is a particularly useful subclass of dynamic object for object-based free viewpoint video relevant to both telepresence and entertainment. In this paper, we compress moving human body sequences by applying recently developed Graph Wavelet Filter Banks to time-varying geometry and color signals living on a mesh representation of the human body. This model-based approach significantly outperforms state- of-the-art coding of the human body represented as ordinary depth plus color video sequences. I. INTRODUCTION

We present a new method for image reconstruction which replaces the projector in a projected gradient descent (PGD) with a convolutional neural network (CNN). CNNs trained as high-dimensional (image-to-image) regressors have recently been used to efficiently solve inverse problems in imaging. However, these approaches lack a feedback mechanism to enforce that the reconstructed image is consistent with the measurements. This is crucial for inverse problems, and more so in biomedical imaging, where the reconstructions are used for diagnosis. In our scheme, the gradient descent enforces measurement consistency, while the CNN recursively projects the solution closer to the space of desired reconstruction images. We provide a formal framework to ensure that the classical PGD converges to a local minimizer of a non-convex constrained least-squares problem. When the projector is replaced with a CNN, we propose a relaxed PGD, which always converges. Finally, we propose a simple scheme to train a CNN to act like a projector. Our experiments on sparse view Computed Tomography (CT) reconstruction for both noiseless and noisy measurements show an improvement over the total-variation (TV) method and a recent CNN-based technique.

We propose a data-driven algorithm for the maximum a posteriori (MAP) estimation of stochastic processes from noisy observations. The primary statistical properties of the sought signal is specified by the penalty function (i.e., negative logarithm of the prior probability density function). Our alternating direction method of multipliers (ADMM)-based approach translates the estimation task into successive applications of the proximal mapping of the penalty function. Capitalizing on this direct link, we define the proximal operator as a parametric spline curve and optimize the spline coefficients by minimizing the average reconstruction error for a given training set. The key aspects of our learning method are that the associated penalty function is constrained to be convex and the convergence of the ADMM iterations is proven. As a result of these theoretical guarantees, adaptation of the proposed framework to different levels of measurement noise is extremely simple and does not require any retraining. We apply our method to estimation of both sparse and non-sparse models of L\'{e}vy processes for which the minimum mean square error (MMSE) estimators are available. We carry out a single training session and perform comparisons at various signal-to-noise ratio (SNR) values. Simulations illustrate that the performance of our algorithm is practically identical to the one of the MMSE estimator irrespective of the noise power.