Is there a role for image science in the brave new world of artificial intelligence?

Detecting Spurious Correlations With Sanity Tests for Artificial Intelligence Guided Radiology Systems

Artificial intelligence (AI) has been successful at solving numerous problems in machine perception. In radiology, AI systems are rapidly evolving and show progress in guiding treatment decisions, diagnosing, localizing disease on medical images, and improving radiologists' efficiency. A critical component to deploying AI in radiology is to gain confidence in a developed system's efficacy and safety. The current gold standard approach is to conduct an analytical validation of performance on a generalization dataset from one or more institutions, followed by a clinical validation study of the system's efficacy during deployment. Clinical validation studies are time-consuming, and best practices dictate limited re-use of analytical validation data, so it is ideal to know ahead of time if a system is likely to fail analytical or clinical validation. In this paper, we describe a series of sanity tests to identify when a system performs well on development data for the wrong reasons. We illustrate the sanity tests' value by designing a deep learning system to classify pancreatic cancer seen in computed tomography scans.

On the correlation between second order texture features and human observer detection performance in digital images

Image texture, the relative spatial arrangement of intensity values in an image, encodes valuable information about the scene. As it stands, much of this potential information remains untapped. Understanding how to decipher textural details would afford another method of extracting knowledge of the physical world from images. In this work, we attempt to bridge the gap in research between quantitative texture analysis and the visual perception of textures. The impact of changes in image texture on human observer's ability to perform signal detection and localization tasks in complex digital images is not understood. We examine this critical question by studying task-based human observer performance in detecting and localizing signals in tomographic breast images. We have also investigated how these changes impact the formation of second-order image texture. We used digital breast tomosynthesis (DBT) an FDA approved tomographic X-ray breast imaging method as the modality of choice to show our preliminary results. Our human observer studies involve localization ROC (LROC) studies for low contrast mass detection in DBT. Simulated images are used as they offer the benefit of known ground truth. Our results prove that changes in system geometry or processing leads to changes in image texture magnitudes. We show that the variations in several well-known texture features estimated in digital images correlate with human observer detection-localization performance for signals embedded in them. This insight can allow efficient and practical techniques to identify the best imaging system design and algorithms or filtering tools by examining the changes in these texture features. This concept linking texture feature estimates and task based image quality assessment can be extended to several other imaging modalities and applications as well. It can also offer feedback in system and algorithm designs with a goal to improve perceptual benefits. Broader impact can be in wide array of areas including imaging system design, image processing, data science, machine learning, computer vision, perceptual and vision science. Our results also point to the caution that must be exercised in using these texture features as image-based radiomic features or as predictive markers for risk assessment as they are sensitive to system or image processing changes.

Special Section Guest Editorial: Evaluation Methodologies for Clinical AI

The editorial introduces the Special Section on Evaluation Methodologies for Clinical AI.