scholarly journals Automated Breast Cancer Detection in Digital Mammograms of Various Densities via Deep Learning

2020 ◽  
Vol 10 (4) ◽  
pp. 211 ◽  
Author(s):  
Yong Joon Suh ◽  
Jaewon Jung ◽  
Bum-Joo Cho
Keyword(s):  
Breast Cancer ◽  
Deep Learning ◽  
Operating Characteristic ◽  
Meta Analysis ◽  
Characteristic Curve ◽  
Malignant Lesion ◽  
Model Performance ◽  
Mean Values ◽  
The Mean ◽  
Deep Learning Model

Mammography plays an important role in screening breast cancer among females, and artificial intelligence has enabled the automated detection of diseases on medical images. This study aimed to develop a deep learning model detecting breast cancer in digital mammograms of various densities and to evaluate the model performance compared to previous studies. From 1501 subjects who underwent digital mammography between February 2007 and May 2015, craniocaudal and mediolateral view mammograms were included and concatenated for each breast, ultimately producing 3002 merged images. Two convolutional neural networks were trained to detect any malignant lesion on the merged images. The performances were tested using 301 merged images from 284 subjects and compared to a meta-analysis including 12 previous deep learning studies. The mean area under the receiver-operating characteristic curve (AUC) for detecting breast cancer in each merged mammogram was 0.952 ± 0.005 by DenseNet-169 and 0.954 ± 0.020 by EfficientNet-B5, respectively. The performance for malignancy detection decreased as breast density increased (density A, mean AUC = 0.984 vs. density D, mean AUC = 0.902 by DenseNet-169). When patients’ age was used as a covariate for malignancy detection, the performance showed little change (mean AUC, 0.953 ± 0.005). The mean sensitivity and specificity of the DenseNet-169 (87 and 88%, respectively) surpassed the mean values (81 and 82%, respectively) obtained in a meta-analysis. Deep learning would work efficiently in screening breast cancer in digital mammograms of various densities, which could be maximized in breasts with lower parenchyma density.

Predicting the interaction biomolecule types for lncRNA: an ensemble deep learning approach

2020 ◽  
Author(s):  
Yu Zhang ◽  
Cangzhi Jia ◽  
Chee Keong Kwoh
Keyword(s):  
Deep Learning ◽  
Molecular Mechanisms ◽  
Operating Characteristic ◽  
Cross Validation ◽  
Characteristic Curve ◽  
Published Data ◽  
Different Types ◽  
Precision Recall Curve ◽  
Deep Learning Model ◽  
Fold Cross Validation

Abstract Long noncoding RNAs (lncRNAs) play significant roles in various physiological and pathological processes via their interactions with biomolecules like DNA, RNA and protein. The existing in silico methods used for predicting the functions of lncRNA mainly rely on calculating the similarity of lncRNA or investigating whether an lncRNA can interact with a specific biomolecule or disease. In this work, we explored the functions of lncRNA from a different perspective: we presented a tool for predicting the interaction biomolecule type for a given lncRNA. For this purpose, we first investigated the main molecular mechanisms of the interactions of lncRNA–RNA, lncRNA–protein and lncRNA–DNA. Then, we developed an ensemble deep learning model: lncIBTP (lncRNA Interaction Biomolecule Type Prediction). This model predicted the interactions between lncRNA and different types of biomolecules. On the 5-fold cross-validation, the lncIBTP achieves average values of 0.7042 in accuracy, 0.7903 and 0.6421 in macro-average area under receiver operating characteristic curve and precision–recall curve, respectively, which illustrates the model effectiveness. Besides, based on the analysis of the collected published data and prediction results, we hypothesized that the characteristics of lncRNAs that interacted with DNA may be different from those that interacted with only RNA.

scholarly journals Deep Learning to Predict TBI Outcomes in the Low Resource Setting

Neurosurgery ◽  
2020 ◽  
Vol 67 (Supplement_1) ◽  
Author(s):  
Syed M Adil ◽  
Cyrus Elahi ◽  
Anthony Fuller ◽  
Michael M Haglund ◽  
Timothy Dunn
Keyword(s):  
Machine Learning ◽  
Deep Learning ◽  
Characteristic Curve ◽  
Model Performance ◽  
Machine Learning Algorithms ◽  
Individual Treatment ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
The Mean

Abstract INTRODUCTION Traumatic brain injury (TBI) disproportionately affects low- and middle-income countries (LMICs). In these low-resource settings, accurate patient prognostication is both difficult and essential. Deep learning-a branch of machine learning using neural networks with multiple hidden layers-has the potential to predict outcomes better than other machine learning algorithms and capture complex non-linear patterns. METHODS Data from TBI patients of all ages were prospectively collected at Mulago National Referral Hospital in Kampala, Uganda, from 2016 to 2020. We designed the 3 aforementioned models to predict good versus poor outcome at hospital discharge. The DNN included four hidden layers. Predictors included 13 clinical variables easily acquired on admission-spanning demographics, physical exam, presence of polytrauma or seizures, and mechanism of injury-and whether or not the patient received surgery. Model performance was assessed using 5-fold cross-validation. We calibrated the model using Platt scaling. RESULTS Ultimately, 2164 patients were included for model training and a subset of 1677 for model testing, of which 12% had poor outcomes. The mean age was 28 -± 15 years and 85% were male. The mean admission Glasgow Coma Score (GCS) was 12.4 ± 2.9. Twenty-eight percent of patients received surgical intervention. The DNN demonstrated the highest area under the receiver operating characteristic curve (AUC) at 93.2% with an F1 score of 0.70, followed by the SNN at 92.7% and 0.68, and finally the LRnet at 92.1% and 0.64, respectively. CONCLUSION We present one of the first uses of deep learning to predict outcomes after TBI in the LMIC setting. The model slightly outperforms both SNN and LRnet on composite metrics. All models performed well. Before implementation, the model should be externally validated on other LMIC data. Future studies should continue optimization of DNN model architecture and illuminate the individual treatment effect associated with surgery in these predictions, with the ultimate aim of enhancing surgical decision making in the low-resource setting.

scholarly journals Weakly-supervised deep learning for ultrasound diagnosis of breast cancer

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jaeil Kim ◽  
Hye Jung Kim ◽  
Chanho Kim ◽  
Jin Hwa Lee ◽  
Keum Won Kim ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Deep Learning ◽  
Operating Characteristic ◽  
Image Annotation ◽  
Characteristic Curve ◽  
External Validation ◽  
Region Of Interest ◽  
Internal Validation ◽  
Breast Masses ◽  
Weakly Supervised

AbstractConventional deep learning (DL) algorithm requires full supervision of annotating the region of interest (ROI) that is laborious and often biased. We aimed to develop a weakly-supervised DL algorithm that diagnosis breast cancer at ultrasound without image annotation. Weakly-supervised DL algorithms were implemented with three networks (VGG16, ResNet34, and GoogLeNet) and trained using 1000 unannotated US images (500 benign and 500 malignant masses). Two sets of 200 images (100 benign and 100 malignant masses) were used for internal and external validation sets. For comparison with fully-supervised algorithms, ROI annotation was performed manually and automatically. Diagnostic performances were calculated as the area under the receiver operating characteristic curve (AUC). Using the class activation map, we determined how accurately the weakly-supervised DL algorithms localized the breast masses. For internal validation sets, the weakly-supervised DL algorithms achieved excellent diagnostic performances, with AUC values of 0.92–0.96, which were not statistically different (all Ps > 0.05) from those of fully-supervised DL algorithms with either manual or automated ROI annotation (AUC, 0.92–0.96). For external validation sets, the weakly-supervised DL algorithms achieved AUC values of 0.86–0.90, which were not statistically different (Ps > 0.05) or higher (P = 0.04, VGG16 with automated ROI annotation) from those of fully-supervised DL algorithms (AUC, 0.84–0.92). In internal and external validation sets, weakly-supervised algorithms could localize 100% of malignant masses, except for ResNet34 (98%). The weakly-supervised DL algorithms developed in the present study were feasible for US diagnosis of breast cancer with well-performing localization and differential diagnosis.

scholarly journals Predicting Malignancy and Invasiveness of Pulmonary Subsolid Nodules on CT Images Using Deep Learning

2021 ◽  
Vol 11 ◽  
Author(s):  
Tianle Shen ◽  
Runping Hou ◽  
Xiaodan Ye ◽  
Xiaoyang Li ◽  
Junfeng Xiong ◽  
...  
Keyword(s):  
Deep Learning ◽  
Operating Characteristic ◽  
Characteristic Curve ◽  
Three Dimensional ◽  
Ct Images ◽  
Optimal Decision ◽  
Preoperative Ct ◽  
3D Cnn ◽  
Deep Learning Model

BackgroundTo develop and validate a deep learning–based model on CT images for the malignancy and invasiveness prediction of pulmonary subsolid nodules (SSNs).Materials and MethodsThis study retrospectively collected patients with pulmonary SSNs treated by surgery in our hospital from 2012 to 2018. Postoperative pathology was used as the diagnostic reference standard. Three-dimensional convolutional neural network (3D CNN) models were constructed using preoperative CT images to predict the malignancy and invasiveness of SSNs. Then, an observer reader study conducted by two thoracic radiologists was used to compare with the CNN model. The diagnostic power of the models was evaluated with receiver operating characteristic curve (ROC) analysis.ResultsA total of 2,614 patients were finally included and randomly divided for training (60.9%), validation (19.1%), and testing (20%). For the benign and malignant classification, the best 3D CNN model achieved a satisfactory AUC of 0.913 (95% CI: 0.885–0.940), sensitivity of 86.1%, and specificity of 83.8% at the optimal decision point, which outperformed all observer readers’ performance (AUC: 0.846±0.031). For pre-invasive and invasive classification of malignant SSNs, the 3D CNN also achieved satisfactory AUC of 0.908 (95% CI: 0.877–0.939), sensitivity of 87.4%, and specificity of 80.8%.ConclusionThe deep-learning model showed its potential to accurately identify the malignancy and invasiveness of SSNs and thus can help surgeons make treatment decisions.

scholarly journals Application of Artificial Intelligence for Screening COVID-19 Patients Using Digital Images: Meta-analysis

10.2196/21394 ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. e21394
Author(s):  
Tahmina Nasrin Poly ◽  
Md Mohaimenul Islam ◽  
Yu-Chuan Jack Li ◽  
Belal Alsinglawi ◽  
Min-Huei Hsu ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Deep Learning ◽  
Sensitivity And Specificity ◽  
Operating Characteristic ◽  
Meta Analysis ◽  
Characteristic Curve ◽  
Diagnostic Odds Ratio ◽  
Study Characteristics ◽  
Key Terms ◽  
Immense Potential

Background The COVID-19 outbreak has spread rapidly and hospitals are overwhelmed with COVID-19 patients. While analysis of nasal and throat swabs from patients is the main way to detect COVID-19, analyzing chest images could offer an alternative method to hospitals, where health care personnel and testing kits are scarce. Deep learning (DL), in particular, has shown impressive levels of performance when analyzing medical images, including those related to COVID-19 pneumonia. Objective The goal of this study was to perform a systematic review with a meta-analysis of relevant studies to quantify the performance of DL algorithms in the automatic stratification of COVID-19 patients using chest images. Methods A search strategy for use in PubMed, Scopus, Google Scholar, and Web of Science was developed, where we searched for articles published between January 1 and April 25, 2020. We used the key terms “COVID-19,” or “coronavirus,” or “SARS-CoV-2,” or “novel corona,” or “2019-ncov,” and “deep learning,” or “artificial intelligence,” or “automatic detection.” Two authors independently extracted data on study characteristics, methods, risk of bias, and outcomes. Any disagreement between them was resolved by consensus. Results A total of 16 studies were included in the meta-analysis, which included 5896 chest images from COVID-19 patients. The pooled sensitivity and specificity of the DL models in detecting COVID-19 were 0.95 (95% CI 0.94-0.95) and 0.96 (95% CI 0.96-0.97), respectively, with an area under the receiver operating characteristic curve of 0.98. The positive likelihood, negative likelihood, and diagnostic odds ratio were 19.02 (95% CI 12.83-28.19), 0.06 (95% CI 0.04-0.10), and 368.07 (95% CI 162.30-834.75), respectively. The pooled sensitivity and specificity for distinguishing other types of pneumonia from COVID-19 were 0.93 (95% CI 0.92-0.94) and 0.95 (95% CI 0.94-0.95), respectively. The performance of radiologists in detecting COVID-19 was lower than that of the DL models; however, the performance of junior radiologists was improved when they used DL-based prediction tools. Conclusions Our study findings show that DL models have immense potential in accurately stratifying COVID-19 patients and in correctly differentiating them from patients with other types of pneumonia and normal patients. Implementation of DL-based tools can assist radiologists in correctly and quickly detecting COVID-19 and, consequently, in combating the COVID-19 pandemic.

scholarly journals Application of Artificial Intelligence for Screening COVID-19 Patients Using Digital Images: Meta-analysis (Preprint)

2020 ◽  
Author(s):  
Tahmina Nasrin Poly ◽  
Md Mohaimenul Islam ◽  
Yu-Chuan Jack Li ◽  
Belal Alsinglawi ◽  
Min-Huei Hsu ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Deep Learning ◽  
Sensitivity And Specificity ◽  
Operating Characteristic ◽  
Meta Analysis ◽  
Characteristic Curve ◽  
Diagnostic Odds Ratio ◽  
Study Characteristics ◽  
Key Terms ◽  
Immense Potential

BACKGROUND The COVID-19 outbreak has spread rapidly and hospitals are overwhelmed with COVID-19 patients. While analysis of nasal and throat swabs from patients is the main way to detect COVID-19, analyzing chest images could offer an alternative method to hospitals, where health care personnel and testing kits are scarce. Deep learning (DL), in particular, has shown impressive levels of performance when analyzing medical images, including those related to COVID-19 pneumonia. OBJECTIVE The goal of this study was to perform a systematic review with a meta-analysis of relevant studies to quantify the performance of DL algorithms in the automatic stratification of COVID-19 patients using chest images. METHODS A search strategy for use in PubMed, Scopus, Google Scholar, and Web of Science was developed, where we searched for articles published between January 1 and April 25, 2020. We used the key terms “COVID-19,” or “coronavirus,” or “SARS-CoV-2,” or “novel corona,” or “2019-ncov,” and “deep learning,” or “artificial intelligence,” or “automatic detection.” Two authors independently extracted data on study characteristics, methods, risk of bias, and outcomes. Any disagreement between them was resolved by consensus. RESULTS A total of 16 studies were included in the meta-analysis, which included 5896 chest images from COVID-19 patients. The pooled sensitivity and specificity of the DL models in detecting COVID-19 were 0.95 (95% CI 0.94-0.95) and 0.96 (95% CI 0.96-0.97), respectively, with an area under the receiver operating characteristic curve of 0.98. The positive likelihood, negative likelihood, and diagnostic odds ratio were 19.02 (95% CI 12.83-28.19), 0.06 (95% CI 0.04-0.10), and 368.07 (95% CI 162.30-834.75), respectively. The pooled sensitivity and specificity for distinguishing other types of pneumonia from COVID-19 were 0.93 (95% CI 0.92-0.94) and 0.95 (95% CI 0.94-0.95), respectively. The performance of radiologists in detecting COVID-19 was lower than that of the DL models; however, the performance of junior radiologists was improved when they used DL-based prediction tools. CONCLUSIONS Our study findings show that DL models have immense potential in accurately stratifying COVID-19 patients and in correctly differentiating them from patients with other types of pneumonia and normal patients. Implementation of DL-based tools can assist radiologists in correctly and quickly detecting COVID-19 and, consequently, in combating the COVID-19 pandemic.

scholarly journals Ensembled deep learning model outperforms human experts in diagnosing biliary atresia from sonographic gallbladder images

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Wenying Zhou ◽  
Yang Yang ◽  
Cheng Yu ◽  
Juxian Liu ◽  
Xingxing Duan ◽  
...  
Keyword(s):  
Deep Learning ◽  
Biliary Atresia ◽  
Operating Characteristic ◽  
Characteristic Curve ◽  
External Validation ◽  
Learning Model ◽  
Video Sequences ◽  
Validation Dataset ◽  
Patient Level ◽  
Deep Learning Model

AbstractIt is still challenging to make accurate diagnosis of biliary atresia (BA) with sonographic gallbladder images particularly in rural area without relevant expertise. To help diagnose BA based on sonographic gallbladder images, an ensembled deep learning model is developed. The model yields a patient-level sensitivity 93.1% and specificity 93.9% [with areas under the receiver operating characteristic curve of 0.956 (95% confidence interval: 0.928-0.977)] on the multi-center external validation dataset, superior to that of human experts. With the help of the model, the performances of human experts with various levels are improved. Moreover, the diagnosis based on smartphone photos of sonographic gallbladder images through a smartphone app and based on video sequences by the model still yields expert-level performances. The ensembled deep learning model in this study provides a solution to help radiologists improve the diagnosis of BA in various clinical application scenarios, particularly in rural and undeveloped regions with limited expertise.

scholarly journals Recalibration of deep learning models for abnormality detection in smartphone-captured chest radiograph

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Po-Chih Kuo ◽  
Cheng Che Tsai ◽  
Diego M. López ◽  
Alexandros Karargyris ◽  
Tom J. Pollard ◽  
...  
Keyword(s):  
Deep Learning ◽  
Operating Characteristic ◽  
Characteristic Curve ◽  
Model Performance ◽  
X Rays ◽  
Abnormality Detection ◽  
Learning Models ◽  
Radiological Findings ◽  
Operating Characteristic Curve ◽  
Uncalibrated Model

AbstractImage-based teleconsultation using smartphones has become increasingly popular. In parallel, deep learning algorithms have been developed to detect radiological findings in chest X-rays (CXRs). However, the feasibility of using smartphones to automate this process has yet to be evaluated. This study developed a recalibration method to build deep learning models to detect radiological findings on CXR photographs. Two publicly available databases (MIMIC-CXR and CheXpert) were used to build the models, and four derivative datasets containing 6453 CXR photographs were collected to evaluate model performance. After recalibration, the model achieved areas under the receiver operating characteristic curve of 0.80 (95% confidence interval: 0.78–0.82), 0.88 (0.86–0.90), 0.81 (0.79–0.84), 0.79 (0.77–0.81), 0.84 (0.80–0.88), and 0.90 (0.88–0.92), respectively, for detecting cardiomegaly, edema, consolidation, atelectasis, pneumothorax, and pleural effusion. The recalibration strategy, respectively, recovered 84.9%, 83.5%, 53.2%, 57.8%, 69.9%, and 83.0% of performance losses of the uncalibrated model. We conclude that the recalibration method can transfer models from digital CXRs to CXR photographs, which is expected to help physicians’ clinical works.

scholarly journals Development and Verification of a Deep Learning Algorithm to Evaluate Small-Bowel Preparation Quality

Diagnostics ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1127
Author(s):  
Ji Hyung Nam ◽  
Dong Jun Oh ◽  
Sumin Lee ◽  
Hyun Joo Song ◽  
Yun Jeong Lim
Keyword(s):  
Deep Learning ◽  
Small Bowel ◽  
Scoring System ◽  
Operating Characteristic ◽  
Clinical Evidence ◽  
Learning Algorithm ◽  
Characteristic Curve ◽  
External Validation ◽  
Test Results ◽  
Deep Learning Algorithm

Capsule endoscopy (CE) quality control requires an objective scoring system to evaluate the preparation of the small bowel (SB). We propose a deep learning algorithm to calculate SB cleansing scores and verify the algorithm’s performance. A 5-point scoring system based on clarity of mucosal visualization was used to develop the deep learning algorithm (400,000 frames; 280,000 for training and 120,000 for testing). External validation was performed using additional CE cases (n = 50), and average cleansing scores (1.0 to 5.0) calculated using the algorithm were compared to clinical grades (A to C) assigned by clinicians. Test results obtained using 120,000 frames exhibited 93% accuracy. The separate CE case exhibited substantial agreement between the deep learning algorithm scores and clinicians’ assessments (Cohen’s kappa: 0.672). In the external validation, the cleansing score decreased with worsening clinical grade (scores of 3.9, 3.2, and 2.5 for grades A, B, and C, respectively, p < 0.001). Receiver operating characteristic curve analysis revealed that a cleansing score cut-off of 2.95 indicated clinically adequate preparation. This algorithm provides an objective and automated cleansing score for evaluating SB preparation for CE. The results of this study will serve as clinical evidence supporting the practical use of deep learning algorithms for evaluating SB preparation quality.

scholarly journals Deep Learning Can Differentiate IDH-Mutant from IDH-Wild GBM

2021 ◽  
Vol 11 (4) ◽  
pp. 290
Author(s):  
Luca Pasquini ◽  
Antonio Napolitano ◽  
Emanuela Tagliente ◽  
Francesco Dellepiane ◽  
Martina Lucignani ◽  
...  
Keyword(s):  
Deep Learning ◽  
Hypoxia Inducible Factor ◽  
Model Performance ◽  
High Grade Glioma ◽  
Learning Model ◽  
Dense Layer ◽  
Idh Mutation ◽  
Diagnostic Challenge ◽  
Who Grade ◽  
Deep Learning Model

Isocitrate dehydrogenase (IDH) mutant and wildtype glioblastoma multiforme (GBM) often show overlapping features on magnetic resonance imaging (MRI), representing a diagnostic challenge. Deep learning showed promising results for IDH identification in mixed low/high grade glioma populations; however, a GBM-specific model is still lacking in the literature. Our aim was to develop a GBM-tailored deep-learning model for IDH prediction by applying convoluted neural networks (CNN) on multiparametric MRI. We selected 100 adult patients with pathologically demonstrated WHO grade IV gliomas and IDH testing. MRI sequences included: MPRAGE, T1, T2, FLAIR, rCBV and ADC. The model consisted of a 4-block 2D CNN, applied to each MRI sequence. Probability of IDH mutation was obtained from the last dense layer of a softmax activation function. Model performance was evaluated in the test cohort considering categorical cross-entropy loss (CCEL) and accuracy. Calculated performance was: rCBV (accuracy 83%, CCEL 0.64), T1 (accuracy 77%, CCEL 1.4), FLAIR (accuracy 77%, CCEL 1.98), T2 (accuracy 67%, CCEL 2.41), MPRAGE (accuracy 66%, CCEL 2.55). Lower performance was achieved on ADC maps. We present a GBM-specific deep-learning model for IDH mutation prediction, with a maximal accuracy of 83% on rCBV maps. Highest predictivity achieved on perfusion images possibly reflects the known link between IDH and neoangiogenesis through the hypoxia inducible factor.

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