Framework to Segment and Evaluate Multiple Sclerosis Lesion in MRI Slices Using VGG-UNet

[Development of a Deep Learning Model for Judging Late Gadolinium-enhancement in Cardiac MRI]

PURPOSE

To verify the usefulness of a deep learning model for determining the presence or absence of contrast-enhanced myocardium in late gadolinium-enhancement images in cardiac MRI.

METHODS

We used 174 late gadolinium-enhancement myocardial short-axis images obtained from contrast-enhanced cardiac MRI performed using a 3.0T MRI system at the University of Tokyo Hospital. Of these, 144 images were used for training, extracting a region of interest targeting the heart, scaling signal intensity, and data augmentation were performed to obtain 3312 training images. The interpretation report of two cardiology specialists of our hospital was used as the correct label. A learning model was constructed using a convolutional neural network and applied to 30 test data. In all cases, the acquired mean age was 56.4±12.1 years, and the male-to-female ratio was 1 : 0.82.

RESULTS

Before and after data augmentation, sensitivity remained consistent at 93.3%, specificity improved from 0.0% to 100.0%, and accuracy improved from 46.7% to 96.7%.

CONCLUSION

The prediction accuracy of the deep learning model developed in this research is high, suggesting its high usefulness.

Efficient segmentation of active and inactive plaques in FLAIR-images using DeepLabV3Plus SE with efficientnetb0 backbone in multiple sclerosis

This research paper introduces an efficient approach for the segmentation of active and inactive plaques within Fluid-attenuated inversion recovery (FLAIR) images, employing a convolutional neural network (CNN) model known as DeepLabV3Plus SE with the EfficientNetB0 backbone in Multiple sclerosis (MS), and demonstrates its superior performance compared to other CNN architectures. The study encompasses various critical components, including dataset pre-processing techniques, the utilization of the Squeeze and Excitation Network (SE-Block), and the atrous spatial separable pyramid Block to enhance segmentation capabilities. Detailed descriptions of pre-processing procedures, such as removing the cranial bone segment, image resizing, and normalization, are provided. This study analyzed a cross-sectional cohort of 100 MS patients with active brain plaques, examining 5000 MRI slices. After filtering, 1500 slices were utilized for labeling and deep learning. The training process adopts the dice coefficient as the loss function and utilizes Adam optimization. The study evaluated the model's performance using multiple metrics, including intersection over union (IOU), Dice Score, Precision, Recall, and F1-Score, and offers a comparative analysis with other CNN architectures. Results demonstrate the superior segmentation ability of the proposed model, as evidenced by an IOU of 69.87, Dice Score of 76.24, Precision of 88.89, Recall of 73.52, and F1-Score of 80.47 for the DeepLabV3+SE_EfficientNetB0 model. This research contributes to the advancement of plaque segmentation in FLAIR images and offers a compelling approach with substantial potential for medical image analysis and diagnosis.

Concurrent Learning Approach for Estimation of Pelvic Tilt from Anterior-Posterior Radiograph

Accurate and reliable estimation of the pelvic tilt is one of the essential pre-planning factors for total hip arthroplasty to prevent common post-operative complications such as implant impingement and dislocation. Inspired by the latest advances in deep learning-based systems, our focus in this paper has been to present an innovative and accurate method for estimating the functional pelvic tilt (PT) from a standing anterior-posterior (AP) radiography image. We introduce an encoder-decoder-style network based on a concurrent learning approach called VGG-UNET (VGG embedded in U-NET), where a deep fully convolutional network known as VGG is embedded at the encoder part of an image segmentation network, i.e., U-NET. In the bottleneck of the VGG-UNET, in addition to the decoder path, we use another path utilizing light-weight convolutional and fully connected layers to combine all extracted feature maps from the final convolution layer of VGG and thus regress PT. In the test phase, we exclude the decoder path and consider only a single target task i.e., PT estimation. The absolute errors obtained using VGG-UNET, VGG, and Mask R-CNN are 3.04 ± 2.49, 3.92 ± 2.92, and 4.97 ± 3.87, respectively. It is observed that the VGG-UNET leads to a more accurate prediction with a lower standard deviation (STD). Our experimental results demonstrate that the proposed multi-task network leads to a significantly improved performance compared to the best-reported results based on cascaded networks.

Automatic Intelligent System Using Medical of Things for Multiple Sclerosis Detection

Malfunctions in the immune system cause multiple sclerosis (MS), which initiates mild to severe nerve damage. MS will disturb the signal communication between the brain and other body parts, and early diagnosis will help reduce the harshness of MS in humankind. Magnetic resonance imaging (MRI) supported MS detection is a standard clinical procedure in which the bio-image recorded with a chosen modality is considered to assess the severity of the disease. The proposed research aims to implement a convolutional neural network (CNN) supported scheme to detect MS lesions in the chosen brain MRI slices. The stages of this framework include (i) image collection and resizing, (ii) deep feature mining, (iii) hand-crafted feature mining, (iii) feature optimization with firefly algorithm, and (iv) serial feature integration and classification. In this work, five-fold cross-validation is executed, and the final result is considered for the assessment. The brain MRI slices with/without the skull section are examined separately, presenting the attained results. The experimental outcome of this study confirms that the VGG16 with random forest (RF) classifier offered a classification accuracy of >98% MRI with skull, and VGG16 with K-nearest neighbor (KNN) provided an accuracy of >98% without the skull.

A framework to distinguish healthy/cancer renal CT images using the fused deep features

Introduction

Cancer happening rates in humankind are gradually rising due to a variety of reasons, and sensible detection and management are essential to decrease the disease rates. The kidney is one of the vital organs in human physiology, and cancer in the kidney is a medical emergency and needs accurate diagnosis and well-organized management.

Methods

The proposed work aims to develop a framework to classify renal computed tomography (CT) images into healthy/cancer classes using pre-trained deep-learning schemes. To improve the detection accuracy, this work suggests a threshold filter-based pre-processing scheme, which helps in removing the artefact in the CT slices to achieve better detection. The various stages of this scheme involve: (i) Image collection, resizing, and artefact removal, (ii) Deep features extraction, (iii) Feature reduction and fusion, and (iv) Binary classification using five-fold cross-validation.

Results and discussion

This experimental investigation is executed separately for: (i) CT slices with the artefact and (ii) CT slices without the artefact. As a result of the experimental outcome of this study, the K-Nearest Neighbor (KNN) classifier is able to achieve 100% detection accuracy by using the pre-processed CT slices. Therefore, this scheme can be considered for the purpose of examining clinical grade renal CT images, as it is clinically significant.

Predicting Breast Cancer Leveraging Supervised Machine Learning Techniques

Breast cancer is one of the leading causes of increasing deaths in women worldwide. The complex nature (microcalcification and masses) of breast cancer cells makes it quite difficult for radiologists to diagnose it properly. Subsequently, various computer-aided diagnosis (CAD) systems have previously been developed and are being used to aid radiologists in the diagnosis of cancer cells. However, due to intrinsic risks associated with the delayed and/or incorrect diagnosis, it is indispensable to improve the developed diagnostic systems. In this regard, machine learning has recently been playing a potential role in the early and precise detection of breast cancer. This paper presents a new machine learning-based framework that utilizes the Random Forest, Gradient Boosting, Support Vector Machine, Artificial Neural Network, and Multilayer Perception approaches to efficiently predict breast cancer from the patient data. For this purpose, the Wisconsin Diagnostic Breast Cancer (WDBC) dataset has been utilized and classified using a hybrid Multilayer Perceptron Model (MLP) and 5-fold cross-validation framework as a working prototype. For the improved classification, a connection-based feature selection technique has been used that also eliminates the recursive features. The proposed framework has been validated on two separate datasets, i.e., the Wisconsin Prognostic dataset (WPBC) and Wisconsin Original Breast Cancer (WOBC) datasets. The results demonstrate improved accuracy of 99.12% due to efficient data preprocessing and feature selection applied to the input data.