Objectives: The advent of deep-learning has set new standards in an array of image translation applications. At present, the use of these methods often requires computer programming experience. Non-commercial programs with graphical interface usually do not allow users to fully customize their deep-learning pipeline. Therefore, our primary objective is to provide a simple graphical interface that allows students and researchers with no programming experience to easily create, train, and evaluate custom deep-learning models for image translation. We also aimed to test the applicability of our tool (the DeepImageTranslator) in two different tasks: semantic segmentation and noise reduction of CT images. Methods: The DeepImageTranslator was implemented using the Tkinter library; backend computations were implemented using Pillow, Numpy, OpenCV, Augmentor, Tensorflow, and Keras libraries. Convolutional neural networks (CNNs) were trained using DeepImageTranslator and assessed with three-way cross-validation. The effects of data augmentation, deep-supervision, and sample size on model accuracy were also systematically assessed. Results: The DeepImageTranslator a simple tool that allows users to customize all aspects of their deep-learning pipeline, including the CNN, the training optimizer, the loss function, and the types of training image augmentation scheme. We showed that DeepImageTranslator can be used to achieve state-of-the-art accuracy and generalizability in semantic segmentation and noise reduction. Highly accurate 3D segmentation models for body composition can be obtained using training sample sizes as small as 17 images. Therefore, for studies with small datasets, researchers can randomly select a very small subset of images for manual labeling, which can then be used to train a specialized CNN model with DeepImageTranslator to fully automate segmentation of the entire dataset, thereby saving tremendous time and effort. Conclusions: An open-source deep-learning tool for accurate image translation with a user-friendly graphical interface was presented and evaluated. This standalone software is freely available for Windows 10 at:https://sourceforge.net/projects/deepimagetranslator/
A Multi-Center Study of COVID-19 Patient Prognosis Using Deep Learning-based CT Image Analysis and Electronic Health Records