scholarly journals Gastrointestinal cancer classification and prognostication from histology using deep learning: Systematic review

2021 ◽  
Vol 155 ◽  
pp. 200-215
Author(s):  
Sara Kuntz ◽  
Eva Krieghoff-Henning ◽  
Jakob N. Kather ◽  
Tanja Jutzi ◽  
Julia Höhn ◽  
...  
2020 ◽  
Author(s):  
Julia Höhn ◽  
Achim Hekler ◽  
Eva Krieghoff-Henning ◽  
Jakob Nikolas Kather ◽  
Jochen Sven Utikal ◽  
...  

BACKGROUND In the past years, accuracy of skin cancer classification by convolutional neural networks (CNNs) has improved substantially. On classification tasks of single images, CNNs have performed on par or better than dermatologists. However, in clinical practice dermatologists also use other patient data beyond the visual aspects present in a digitized image which increases their diagnostic accuracy. The effect of integration of different subtypes of patient data into CNN-based skin cancer classifiers was recently investigated in several pilot studies. OBJECTIVE This systematic review focuses on current research investigating the impact of merging information from image features and patient data on the performance of CNN-based skin cancer image classification. The aim is to explore the potential in this field of research by evaluating the type of patient data used, the ways the non-image data is encoded and merged with the image features as well as the impact of the integration for the classifier performance. METHODS Google Scholar, PubMed, Medline and ScienceDirect were screened for peer-reviewed studies published in English dealing with the integration of patient data within a CNN-based skin cancer classification. The search terms skin cancer classification, convolutional neural network(s), deep learning, lesions, melanoma, metadata, clinical information and patient data were combined. RESULTS A total of 11 publications fulfilled the inclusion criteria. All of them reported an overall improvement in different skin lesion classification tasks with patient data integration. The most commonly used patient data were age, sex and lesion location. Patient data was mostly one-hot encoded. Differences occur in the complexity that the encoded patient data was processed with regarding deep learning methods before and after fusing it with the image features for a ‘combined classifier’. CONCLUSIONS The present studies indicate a potential benefit of patient data integration into CNN-based diagnostic algorithms. However, how exactly the individual patient data enhances classification performance, especially in case of multiclass classification problems, is still unclear. Moreover, a substantial fraction of patient data used by dermatologists remains to be analyzed in the context of CNN-based skin cancer classification. Further exploratory analyses in this promising field may optimize patient data integration into CNN-based skin cancer diagnostics for the benefit of the patient.


2021 ◽  
pp. 101627
Author(s):  
Irene Deftereos ◽  
Aleksandra Djordjevic ◽  
Vanessa M. Carter ◽  
Jacqueline McNamara ◽  
Justin MC. Yeung ◽  
...  

Author(s):  
Falk Schwendicke ◽  
Akhilanand Chaurasia ◽  
Lubaina Arsiwala ◽  
Jae-Hong Lee ◽  
Karim Elhennawy ◽  
...  

Abstract Objectives Deep learning (DL) has been increasingly employed for automated landmark detection, e.g., for cephalometric purposes. We performed a systematic review and meta-analysis to assess the accuracy and underlying evidence for DL for cephalometric landmark detection on 2-D and 3-D radiographs. Methods Diagnostic accuracy studies published in 2015-2020 in Medline/Embase/IEEE/arXiv and employing DL for cephalometric landmark detection were identified and extracted by two independent reviewers. Random-effects meta-analysis, subgroup, and meta-regression were performed, and study quality was assessed using QUADAS-2. The review was registered (PROSPERO no. 227498). Data From 321 identified records, 19 studies (published 2017–2020), all employing convolutional neural networks, mainly on 2-D lateral radiographs (n=15), using data from publicly available datasets (n=12) and testing the detection of a mean of 30 (SD: 25; range.: 7–93) landmarks, were included. The reference test was established by two experts (n=11), 1 expert (n=4), 3 experts (n=3), and a set of annotators (n=1). Risk of bias was high, and applicability concerns were detected for most studies, mainly regarding the data selection and reference test conduct. Landmark prediction error centered around a 2-mm error threshold (mean; 95% confidence interval: (–0.581; 95 CI: –1.264 to 0.102 mm)). The proportion of landmarks detected within this 2-mm threshold was 0.799 (0.770 to 0.824). Conclusions DL shows relatively high accuracy for detecting landmarks on cephalometric imagery. The overall body of evidence is consistent but suffers from high risk of bias. Demonstrating robustness and generalizability of DL for landmark detection is needed. Clinical significance Existing DL models show consistent and largely high accuracy for automated detection of cephalometric landmarks. The majority of studies so far focused on 2-D imagery; data on 3-D imagery are sparse, but promising. Future studies should focus on demonstrating generalizability, robustness, and clinical usefulness of DL for this objective.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Shelly Soffer ◽  
Eyal Klang ◽  
Orit Shimon ◽  
Yiftach Barash ◽  
Noa Cahan ◽  
...  

AbstractComputed tomographic pulmonary angiography (CTPA) is the gold standard for pulmonary embolism (PE) diagnosis. However, this diagnosis is susceptible to misdiagnosis. In this study, we aimed to perform a systematic review of current literature applying deep learning for the diagnosis of PE on CTPA. MEDLINE/PUBMED were searched for studies that reported on the accuracy of deep learning algorithms for PE on CTPA. The risk of bias was evaluated using the QUADAS-2 tool. Pooled sensitivity and specificity were calculated. Summary receiver operating characteristic curves were plotted. Seven studies met our inclusion criteria. A total of 36,847 CTPA studies were analyzed. All studies were retrospective. Five studies provided enough data to calculate summary estimates. The pooled sensitivity and specificity for PE detection were 0.88 (95% CI 0.803–0.927) and 0.86 (95% CI 0.756–0.924), respectively. Most studies had a high risk of bias. Our study suggests that deep learning models can detect PE on CTPA with satisfactory sensitivity and an acceptable number of false positive cases. Yet, these are only preliminary retrospective works, indicating the need for future research to determine the clinical impact of automated PE detection on patient care. Deep learning models are gradually being implemented in hospital systems, and it is important to understand the strengths and limitations of these algorithms.


Entropy ◽  
2021 ◽  
Vol 23 (6) ◽  
pp. 667
Author(s):  
Wei Chen ◽  
Qiang Sun ◽  
Xiaomin Chen ◽  
Gangcai Xie ◽  
Huiqun Wu ◽  
...  

The automated classification of heart sounds plays a significant role in the diagnosis of cardiovascular diseases (CVDs). With the recent introduction of medical big data and artificial intelligence technology, there has been an increased focus on the development of deep learning approaches for heart sound classification. However, despite significant achievements in this field, there are still limitations due to insufficient data, inefficient training, and the unavailability of effective models. With the aim of improving the accuracy of heart sounds classification, an in-depth systematic review and an analysis of existing deep learning methods were performed in the present study, with an emphasis on the convolutional neural network (CNN) and recurrent neural network (RNN) methods developed over the last five years. This paper also discusses the challenges and expected future trends in the application of deep learning to heart sounds classification with the objective of providing an essential reference for further study.


Author(s):  
Moloud Abdar ◽  
Maryam Samami ◽  
Sajjad Dehghani Mahmoodabad ◽  
Thang Doan ◽  
Bogdan Mazoure ◽  
...  

IEEE Access ◽  
2021 ◽  
pp. 1-1
Author(s):  
Myasar Mundher Adnan ◽  
Mohd Shafry Mohd Rahim ◽  
Amjad Rehman ◽  
Zahid Mehmood ◽  
Tanzila Saba ◽  
...  

2021 ◽  
Vol 20 ◽  
pp. 153303382110163
Author(s):  
Danju Huang ◽  
Han Bai ◽  
Li Wang ◽  
Yu Hou ◽  
Lan Li ◽  
...  

With the massive use of computers, the growth and explosion of data has greatly promoted the development of artificial intelligence (AI). The rise of deep learning (DL) algorithms, such as convolutional neural networks (CNN), has provided radiation oncologists with many promising tools that can simplify the complex radiotherapy process in the clinical work of radiation oncology, improve the accuracy and objectivity of diagnosis, and reduce the workload, thus enabling clinicians to spend more time on advanced decision-making tasks. As the development of DL gets closer to clinical practice, radiation oncologists will need to be more familiar with its principles to properly evaluate and use this powerful tool. In this paper, we explain the development and basic concepts of AI and discuss its application in radiation oncology based on different task categories of DL algorithms. This work clarifies the possibility of further development of DL in radiation oncology.


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