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Bujotzek MR, Akünal Ü, Denner S, Neher P, Zenk M, Frodl E, Jaiswal A, Kim M, Krekiehn NR, Nickel M, Ruppel R, Both M, Döllinger F, Opitz M, Persigehl T, Kleesiek J, Penzkofer T, Maier-Hein K, Bucher A, Braren R. Real-world federated learning in radiology: hurdles to overcome and benefits to gain. J Am Med Inform Assoc 2025; 32:193-205. [PMID: 39455061 DOI: 10.1093/jamia/ocae259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2024] [Revised: 09/24/2024] [Accepted: 09/27/2024] [Indexed: 10/28/2024] Open
Abstract
OBJECTIVE Federated Learning (FL) enables collaborative model training while keeping data locally. Currently, most FL studies in radiology are conducted in simulated environments due to numerous hurdles impeding its translation into practice. The few existing real-world FL initiatives rarely communicate specific measures taken to overcome these hurdles. To bridge this significant knowledge gap, we propose a comprehensive guide for real-world FL in radiology. Minding efforts to implement real-world FL, there is a lack of comprehensive assessments comparing FL to less complex alternatives in challenging real-world settings, which we address through extensive benchmarking. MATERIALS AND METHODS We developed our own FL infrastructure within the German Radiological Cooperative Network (RACOON) and demonstrated its functionality by training FL models on lung pathology segmentation tasks across six university hospitals. Insights gained while establishing our FL initiative and running the extensive benchmark experiments were compiled and categorized into the guide. RESULTS The proposed guide outlines essential steps, identified hurdles, and implemented solutions for establishing successful FL initiatives conducting real-world experiments. Our experimental results prove the practical relevance of our guide and show that FL outperforms less complex alternatives in all evaluation scenarios. DISCUSSION AND CONCLUSION Our findings justify the efforts required to translate FL into real-world applications by demonstrating advantageous performance over alternative approaches. Additionally, they emphasize the importance of strategic organization, robust management of distributed data and infrastructure in real-world settings. With the proposed guide, we are aiming to aid future FL researchers in circumventing pitfalls and accelerating translation of FL into radiological applications.
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Affiliation(s)
- Markus Ralf Bujotzek
- Division of Medical Image Computing, German Cancer Research Center Heidelberg, Heidelberg, 69120, Germany
- Medical Faculty Heidelberg, University of Heidelberg, Heidelberg, 69120, Germany
| | - Ünal Akünal
- Division of Medical Image Computing, German Cancer Research Center Heidelberg, Heidelberg, 69120, Germany
| | - Stefan Denner
- Division of Medical Image Computing, German Cancer Research Center Heidelberg, Heidelberg, 69120, Germany
- Faculty of Mathematics and Computer Science, Heidelberg University, Heidelberg, 69120, Germany
| | - Peter Neher
- Division of Medical Image Computing, German Cancer Research Center Heidelberg, Heidelberg, 69120, Germany
- Pattern Analysis and Learning Group, Department of Radiation Oncology, Heidelberg University Hospital, Heidelberg, 69120, Germany
- German Cancer Consortium (DKTK), Partner Site Heidelberg, Heidelberg, 69120, Germany
| | - Maximilian Zenk
- Division of Medical Image Computing, German Cancer Research Center Heidelberg, Heidelberg, 69120, Germany
- Medical Faculty Heidelberg, University of Heidelberg, Heidelberg, 69120, Germany
| | - Eric Frodl
- Institute for Diagnostic and Interventional Radiology, University Hospital Frankfurt, Frankfurt (Main), 60590, Germany
- Goethe University Frankfurt, Frankfurt, 60590, Germany
| | - Astha Jaiswal
- Institute for Diagnostic and Interventional Radiology, Faculty of Medicine, University Hospital Cologne, University of Cologne, Cologne, 50937, Germany
| | - Moon Kim
- Institute for AI in Medicine (IKIM), University Hospital Essen (AöR), Essen, 45131, Germany
| | - Nicolai R Krekiehn
- Intelligent Imaging Lab@Section Biomedical Imaging, Department of Radiology and Neuroradiology, University Medical Center Schleswig-Holstein (UKSH), Kel, 24118, Germany
| | - Manuel Nickel
- Institute for AI in Medicine, Technical University of Munich, Munich, 81675, Germany
| | - Richard Ruppel
- Department of Radiology, Charité-Universitätsmedizin Berlin, Berlin, 10117, Germany
| | - Marcus Both
- Department of Radiology and Neuroradiology, University Medical Centers Schleswig-Holstein, Kiel, 24105, Germany
| | - Felix Döllinger
- Department of Radiology, Charité-Universitätsmedizin Berlin, Berlin, 10117, Germany
| | - Marcel Opitz
- Institute for Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen (AÖR), Essen, 45131, Germany
| | - Thorsten Persigehl
- Institute for Diagnostic and Interventional Radiology, Faculty of Medicine, University Hospital Cologne, University of Cologne, Cologne, 50937, Germany
| | - Jens Kleesiek
- Institute for AI in Medicine (IKIM), University Hospital Essen (AöR), Essen, 45131, Germany
| | - Tobias Penzkofer
- Department of Radiology, Charité-Universitätsmedizin Berlin, Berlin, 10117, Germany
- Berlin Institute of Health, Berlin, 10178, Germany
| | - Klaus Maier-Hein
- Division of Medical Image Computing, German Cancer Research Center Heidelberg, Heidelberg, 69120, Germany
- Pattern Analysis and Learning Group, Department of Radiation Oncology, Heidelberg University Hospital, Heidelberg, 69120, Germany
- German Cancer Consortium (DKTK), Partner Site Heidelberg, Heidelberg, 69120, Germany
- National Center for Tumor Diseases (NCT), NCT Heidelberg, A Partnership Between DKFZ and The University Medical Center Heidelberg, Heidelberg, 69120, Germany
| | - Andreas Bucher
- Institute for Diagnostic and Interventional Radiology, University Hospital Frankfurt, Frankfurt (Main), 60590, Germany
- Goethe University Frankfurt, Frankfurt, 60590, Germany
| | - Rickmer Braren
- Institute for Diagnostic and Interventional Radiology, Klinikum rechts der Isar, Technical University of Munich, Munich, 81675, Germany
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Zheng J, Wang L, Gui J, Yussuf AH. Study on lung CT image segmentation algorithm based on threshold-gradient combination and improved convex hull method. Sci Rep 2024; 14:17731. [PMID: 39085327 PMCID: PMC11291637 DOI: 10.1038/s41598-024-68409-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Accepted: 07/23/2024] [Indexed: 08/02/2024] Open
Abstract
Lung images often have the characteristics of strong noise, uneven grayscale distribution, and complex pathological structures, which makes lung image segmentation a challenging task. To solve this problems, this paper proposes an initial lung mask extraction algorithm that combines threshold and gradient. The gradient used in the algorithm is obtained by the time series feature extraction method based on differential memory (TFDM), which is obtained by the grayscale threshold and image grayscale features. At the same time, we also proposed a lung contour repair algorithm based on the improved convex hull method to solve the contour loss caused by solid nodules and other lesions. Experimental results show that on the COVID-19 CT segmentation dataset, the advanced lung segmentation algorithm proposed in this article achieves better segmentation results and greatly improves the consistency and accuracy of lung segmentation. Our method can obtain more lung information, resulting in ideal segmentation effects with improved accuracy and robustness.
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Affiliation(s)
- Junbao Zheng
- School of Computer Science and Technology (School of Artificial Intelligence), Zhejiang Sci-tech University, Hangzhou, 310018, Zhejiang, People's Republic of China
| | - Lixian Wang
- School of Information Science and Engineering, Zhejiang Sci-tech University, Hangzhou, 310018, Zhejiang, People's Republic of China
| | - Jiangsheng Gui
- School of Computer Science and Technology (School of Artificial Intelligence), Zhejiang Sci-tech University, Hangzhou, 310018, Zhejiang, People's Republic of China.
| | - Abdulla Hamad Yussuf
- School of Computer Science and Technology (School of Artificial Intelligence), Zhejiang Sci-tech University, Hangzhou, 310018, Zhejiang, People's Republic of China
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Murmu A, Kumar P. GIFNet: an effective global infection feature network for automatic COVID-19 lung lesions segmentation. Med Biol Eng Comput 2024:10.1007/s11517-024-03024-z. [PMID: 38308670 DOI: 10.1007/s11517-024-03024-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Accepted: 01/11/2024] [Indexed: 02/05/2024]
Abstract
The ongoing COronaVIrus Disease 2019 (COVID-19) pandemic carried by the SARS-CoV-2 virus spread worldwide in early 2019, bringing about an existential health catastrophe. Automatic segmentation of infected lungs from COVID-19 X-ray and computer tomography (CT) images helps to generate a quantitative approach for treatment and diagnosis. The multi-class information about the infected lung is often obtained from the patient's CT dataset. However, the main challenge is the extensive range of infected features and lack of contrast between infected and normal areas. To resolve these issues, a novel Global Infection Feature Network (GIFNet)-based Unet with ResNet50 model is proposed for segmenting the locations of COVID-19 lung infections. The Unet layers have been used to extract the features from input images and select the region of interest (ROI) by using the ResNet50 technique for training it faster. Moreover, integrating the pooling layer into the atrous spatial pyramid pooling (ASPP) mechanism in the bottleneck helps for better feature selection and handles scale variation during training. Furthermore, the partial differential equation (PDE) approach is used to enhance the image quality and intensity value for particular ROI boundary edges in the COVID-19 images. The proposed scheme has been validated on two datasets, namely the SARS-CoV-2 CT scan and COVIDx-19, for detecting infected lung segmentation (ILS). The experimental findings have been subjected to a comprehensive analysis using various evaluation metrics, including accuracy (ACC), area under curve (AUC), recall (REC), specificity (SPE), dice similarity coefficient (DSC), mean absolute error (MAE), precision (PRE), and mean squared error (MSE) to ensure rigorous validation. The results demonstrate the superior performance of the proposed system compared to the state-of-the-art (SOTA) segmentation models on both X-ray and CT datasets.
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Affiliation(s)
- Anita Murmu
- Computer Science and Engineering Department, National Institute of Technology Patna, Ashok Rajpath, Patna, Bihar, 800005, India.
| | - Piyush Kumar
- Computer Science and Engineering Department, National Institute of Technology Patna, Ashok Rajpath, Patna, Bihar, 800005, India
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