Entwicklung des Polypendetektionssystems ENDOMIND und Vergleich mit einem kommerziell erhältlichen CADe System

2021 ◽  
Author(s):  
D Fitting ◽  
A Krenzer ◽  
J Troya ◽  
W Böck ◽  
A Meining ◽  
...  
Keyword(s):  
Author(s):  
Xiaoqi Lu ◽  
Yu Gu ◽  
Lidong Yang ◽  
Baohua Zhang ◽  
Ying Zhao ◽  
...  

Objective: False-positive nodule reduction is a crucial part of a computer-aided detection (CADe) system, which assists radiologists in accurate lung nodule detection. In this research, a novel scheme using multi-level 3D DenseNet framework is proposed to implement false-positive nodule reduction task. Methods: Multi-level 3D DenseNet models were extended to differentiate lung nodules from falsepositive nodules. First, different models were fed with 3D cubes with different sizes for encoding multi-level contextual information to meet the challenges of the large variations of lung nodules. In addition, image rotation and flipping were utilized to upsample positive samples which consisted of a positive sample set. Furthermore, the 3D DenseNets were designed to keep low-level information of nodules, as densely connected structures in DenseNet can reuse features of lung nodules and then boost feature propagation. Finally, the optimal weighted linear combination of all model scores obtained the best classification result in this research. Results: The proposed method was evaluated with LUNA16 dataset which contained 888 thin-slice CT scans. The performance was validated via 10-fold cross-validation. Both the Free-response Receiver Operating Characteristic (FROC) curve and the Competition Performance Metric (CPM) score show that the proposed scheme can achieve a satisfactory detection performance in the falsepositive reduction track of the LUNA16 challenge. Conclusion: The result shows that the proposed scheme can be significant for false-positive nodule reduction task.


Author(s):  
Yongfeng Gao ◽  
Jiaxing Tan ◽  
Zhengrong Liang ◽  
Lihong Li ◽  
Yumei Huo

AbstractComputer aided detection (CADe) of pulmonary nodules plays an important role in assisting radiologists’ diagnosis and alleviating interpretation burden for lung cancer. Current CADe systems, aiming at simulating radiologists’ examination procedure, are built upon computer tomography (CT) images with feature extraction for detection and diagnosis. Human visual perception in CT image is reconstructed from sinogram, which is the original raw data acquired from CT scanner. In this work, different from the conventional image based CADe system, we propose a novel sinogram based CADe system in which the full projection information is used to explore additional effective features of nodules in the sinogram domain. Facing the challenges of limited research in this concept and unknown effective features in the sinogram domain, we design a new CADe system that utilizes the self-learning power of the convolutional neural network to learn and extract effective features from sinogram. The proposed system was validated on 208 patient cases from the publicly available online Lung Image Database Consortium database, with each case having at least one juxtapleural nodule annotation. Experimental results demonstrated that our proposed method obtained a value of 0.91 of the area under the curve (AUC) of receiver operating characteristic based on sinogram alone, comparing to 0.89 based on CT image alone. Moreover, a combination of sinogram and CT image could further improve the value of AUC to 0.92. This study indicates that pulmonary nodule detection in the sinogram domain is feasible with deep learning.


2020 ◽  
Vol 43 (1) ◽  
pp. 29-45
Author(s):  
Alex Noel Joseph Raj ◽  
Ruban Nersisson ◽  
Vijayalakshmi G. V. Mahesh ◽  
Zhemin Zhuang

Nipple is a vital landmark in the breast lesion diagnosis. Although there are advanced computer-aided detection (CADe) systems for nipple detection in breast mediolateral oblique (MLO) views of mammogram images, few academic works address the coronal views of breast ultrasound (BUS) images. This paper addresses a novel CADe system to locate the Nipple Shadow Area (NSA) in ultrasound images. Here the Hu Moments and Gray-level Co-occurrence Matrix (GLCM) were calculated through an iterative sliding window for the extraction of shape and texture features. These features are then concatenated and fed into an Artificial Neural Network (ANN) to obtain probable NSA’s. Later, contour features, such as shape complexity through fractal dimension, edge distance from the periphery and contour area, were computed and passed into a Support Vector Machine (SVM) to identify the accurate NSA in each case. The coronal plane BUS dataset is built upon our own, which consists of 64 images from 13 patients. The test results show that the proposed CADe system achieves 91.99% accuracy, 97.55% specificity, 82.46% sensitivity and 88% F-score on our dataset.


Diagnostics ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 1498
Author(s):  
I-Ling Chen ◽  
Yen-Jen Wang ◽  
Chang-Cheng Chang ◽  
Yu-Hung Wu ◽  
Chih-Wei Lu ◽  
...  

Dark skin-type individuals have a greater tendency to have pigmentary disorders, among which melasma is especially refractory to treat and often recurs. Objective measurement of melanin amount helps evaluate the treatment response of pigmentary disorders. However, naked-eye evaluation is subjective to weariness and bias. We used a cellular resolution full-field optical coherence tomography (FF-OCT) to assess melanin features of melasma lesions and perilesional skin on the cheeks of eight Asian patients. A computer-aided detection (CADe) system is proposed to mark and quantify melanin. This system combines spatial compounding-based denoising convolutional neural networks (SC-DnCNN), and through image processing techniques, various types of melanin features, including area, distribution, intensity, and shape, can be extracted. Through evaluations of the image differences between the lesion and perilesional skin, a distribution-based feature of confetti melanin without layering, two distribution-based features of confetti melanin in stratum spinosum, and a distribution-based feature of grain melanin at the dermal–epidermal junction, statistically significant findings were achieved (p-values = 0.0402, 0.0032, 0.0312, and 0.0426, respectively). FF-OCT enables the real-time observation of melanin features, and the CADe system with SC-DnCNN was a precise and objective tool with which to interpret the area, distribution, intensity, and shape of melanin on FF-OCT images.


Author(s):  
Ahmed Elnakib ◽  
Hanan M. Amer ◽  
Fatma E.Z. Abou-Chadi

This paper proposes a Computer Aided Detection (CADe) system for early detection of lung nodules from low dose computed tomography (LDCT) images. The proposed system initially pre-process the raw data to improve the contrast of the low dose images. Compact deep learning features are then extracted by investigating different deep learning architectures, including Alex, VGG16, and VGG19 networks. To optimize the extracted set of features, a genetic algorithm (GA) is trained to select the most relevant features for early detection. Finally, different types of classifiers are tested in order to accurately detect the lung nodules. The system is tested on 320 LDCT images from 50 different subjects, using an online public lung database, i.e., the International Early Lung Cancer Action Project, I-ELCAP. The proposed system, using VGG19 architecture and SVM classifier, achieves the best detection accuracy of 96.25%, sensitivity of 97.5%, and specificity of 95%. Compared to other state-of-the-art methods, the proposed system shows a promising results.


One of the most serious global health threats is COVID-19 pandemic. The emphasis on increasing the diagnostic capability helps stopping its spread significantly. Therefore, to assist the radiologist or other medical professional to detect and identify the COVID-19 cases in the shortest possible time, we propose a computer-aided detection (CADe) system that uses the computed tomography (CT) scan images. This proposed boosted deep learning network (CLNet) is based on the implementation of Deep Learning (DL) networks as a complementary to the Compressive Learning (CL). We utilize our inception feature extraction technique in the measurement domain using CL to represent the data features into a new space with less dimensionality before accessing the Convolutional Neural Network. All original features have been contributed equally to the new space using a sensing matrix. Experiments performed on different compressed methods show promising results for COVID-19 detection.


Author(s):  
Abdulhameed Alkhateeb

Recently, breast cancer is one of the most popular cancers that women could suffer from. The gravity and seriousness of breast cancer can be evidenced by the fact that the mortality rates associated with it are the second highest after lung cancer. For the treatment of breast cancer, Mammography has emerged as the one whose modality when it comes to the defection of this cancer is most effective despite the challenges posed by dense breast parenchyma. In this regard, computer-aided diagnosis (CADe) leverages the mammography systems’ output to facilitate the radiologist’s decision. It can be defined as a system that makes a similar diagnosis to the one done by a radiologist who relies for his/her interpretation on the suggestions generated by a computer after it analyzed a set of patient radiological images when making. Against this backdrop, the current paper examines different ways of utilizing known image processing and techniques of machine learning detection of breast cancer using CAD – more specifically, using mammogram images. This, in turn, helps pathologist in their decision-making process. For effective implementation of this methodology, CADe system was developed and tested on the public and freely available mammographic databases named MIAS database. CADe system is developed to differentiate between normal and abnormal tissues, and it assists radiologists to avoid missing breast abnormalities. The performance of all classifiers is the best by using the sequential forward selection (SFS) method. Also, we can conclude that the quantization grey level of (gray-level co-occurrence matrices) GLCM is a very significant factor to get robust high order features where the results are better with L equal to the size of ROI. Using an enormous number of several features assist the CADe system to be strong enough to distinguish between the different tissues.


Diagnostics ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1113
Author(s):  
Yu-Hsi Hsieh ◽  
Chia-Pei Tang ◽  
Chih-Wei Tseng ◽  
Tu-Liang Lin ◽  
Felix W. Leung

Randomized control trials and meta-analyses comparing colonoscopies with and without computer-aided detection (CADe) assistance showed significant increases in adenoma detection rates (ADRs) with CADe. A major limitation of CADe is its false positives (FPs), ranked 3rd in importance among 59 research questions in a modified Delphi consensus review. The definition of FPs varies. One commonly used definition defines an FP as an activation of the CADe system, irrespective of the number of frames or duration of time, not due to any polypoid or nonpolypoid lesions. Although only 0.07 to 0.2 FPs were observed per colonoscopy, video analysis studies using FPs as the primary outcome showed much higher numbers of 26 to 27 per colonoscopy. Most FPs were of short duration (91% < 0.5 s). A higher number of FPs was also associated with suboptimal bowel preparation. The appearance of FPs can lead to user fatigue. The polypectomy of FPs results in increased procedure time and added use of resources. Re-training the CADe algorithms is one way to reduce FPs but is not practical in the clinical setting during colonoscopy. Water exchange (WE) is an emerging method that the colonoscopist can use to provide salvage cleaning during insertion. We discuss the potential of WE for reducing FPs as well as the augmentation of ADRs through CADe.


Author(s):  
Jianwu Xu ◽  
Amin Zarshenas ◽  
Yisong Chen ◽  
Kenji Suzuki

A major challenge in the latest computer-aided detection (CADe) of polyps in CT colonography (CTC) is to improve the false positive (FP) rate while maintaining detection sensitivity. Radiologists prefer CADe system produce small number of false positive detections, otherwise they might not consider CADe system improve their workflow. Towards this end, in this study, we applied a nonlinear regression model operating on CTC image voxels directly and a nonlinear classification model with extracted image features based on support vector machines (SVMs) in order to improve the specificity of CADe of polyps. We investigated the feasibility of a support vector regression (SVR) in the massive-training framework, and we developed a massive-training SVR (MTSVR) in order to reduce the long training time associated with the massive-training artificial neural network (MTANN) for reduction of FPs in CADe of polyps in CTC. In addition, we proposed a feature selection method directly coupled with an SVM classifier to maximize the CADe system performance. We compared the proposed feature selection method with the conventional stepwise feature selection based on Wilks' lambda with a linear discriminant analysis classifier. The FP reduction system based on the proposed feature selection method was able to achieve a 96.0% by-polyp sensitivity with an FP rate of 4.1 per patient. The performance is better than that of the stepwise feature selection based on Wilks' lambda (which yielded the same sensitivity with 18.0 FPs/patient). To test the performance of the proposed MTSVR, we compared it with the original MTANN in the distinction between actual polyps and various types of FPs in terms of the training time reduction and FP reduction performance. The CTC database used in this study consisted of 240 CTC datasets obtained from 120 patients in the supine and prone positions. With MTSVR, we reduced the training time by a factor of 190, while achieving a performance (by-polyp sensitivity of 94.7% with 2.5 FPs/patient) comparable to that of the original MTANN (which has the same sensitivity with 2.6 FPs/patient).


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