scholarly journals Investigating the use of a two-stage attention-aware convolutional neural network for the automated diagnosis of otitis media from tympanic membrane images: a prediction model development and validation study

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e041139
Author(s):  
Yuexin Cai ◽  
Jin-Gang Yu ◽  
Yuebo Chen ◽  
Chu Liu ◽  
Lichao Xiao ◽  
...  

ObjectivesThis study investigated the usefulness and performance of a two-stage attention-aware convolutional neural network (CNN) for the automated diagnosis of otitis media from tympanic membrane (TM) images.DesignA classification model development and validation study in ears with otitis media based on otoscopic TM images. Two commonly used CNNs were trained and evaluated on the dataset. On the basis of a Class Activation Map (CAM), a two-stage classification pipeline was developed to improve accuracy and reliability, and simulate an expert reading the TM images.Setting and participantsThis is a retrospective study using otoendoscopic images obtained from the Department of Otorhinolaryngology in China. A dataset was generated with 6066 otoscopic images from 2022 participants comprising four kinds of TM images, that is, normal eardrum, otitis media with effusion (OME) and two stages of chronic suppurative otitis media (CSOM).ResultsThe proposed method achieved an overall accuracy of 93.4% using ResNet50 as the backbone network in a threefold cross-validation. The F1 Score of classification for normal images was 94.3%, and 96.8% for OME. There was a small difference between the active and inactive status of CSOM, achieving 91.7% and 82.4% F1 scores, respectively. The results demonstrate a classification performance equivalent to the diagnosis level of an associate professor in otolaryngology.ConclusionsCNNs provide a useful and effective tool for the automated classification of TM images. In addition, having a weakly supervised method such as CAM can help the network focus on discriminative parts of the image and improve performance with a relatively small database. This two-stage method is beneficial to improve the accuracy of diagnosis of otitis media for junior otolaryngologists and physicians in other disciplines.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Emad M. Grais ◽  
Xiaoya Wang ◽  
Jie Wang ◽  
Fei Zhao ◽  
Wen Jiang ◽  
...  

AbstractWideband Absorbance Immittance (WAI) has been available for more than a decade, however its clinical use still faces the challenges of limited understanding and poor interpretation of WAI results. This study aimed to develop Machine Learning (ML) tools to identify the WAI absorbance characteristics across different frequency-pressure regions in the normal middle ear and ears with otitis media with effusion (OME) to enable diagnosis of middle ear conditions automatically. Data analysis included pre-processing of the WAI data, statistical analysis and classification model development, and key regions extraction from the 2D frequency-pressure WAI images. The experimental results show that ML tools appear to hold great potential for the automated diagnosis of middle ear diseases from WAI data. The identified key regions in the WAI provide guidance to practitioners to better understand and interpret WAI data and offer the prospect of quick and accurate diagnostic decisions.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Young-Gon Kim ◽  
Sungchul Kim ◽  
Cristina Eunbee Cho ◽  
In Hye Song ◽  
Hee Jin Lee ◽  
...  

AbstractFast and accurate confirmation of metastasis on the frozen tissue section of intraoperative sentinel lymph node biopsy is an essential tool for critical surgical decisions. However, accurate diagnosis by pathologists is difficult within the time limitations. Training a robust and accurate deep learning model is also difficult owing to the limited number of frozen datasets with high quality labels. To overcome these issues, we validated the effectiveness of transfer learning from CAMELYON16 to improve performance of the convolutional neural network (CNN)-based classification model on our frozen dataset (N = 297) from Asan Medical Center (AMC). Among the 297 whole slide images (WSIs), 157 and 40 WSIs were used to train deep learning models with different dataset ratios at 2, 4, 8, 20, 40, and 100%. The remaining, i.e., 100 WSIs, were used to validate model performance in terms of patch- and slide-level classification. An additional 228 WSIs from Seoul National University Bundang Hospital (SNUBH) were used as an external validation. Three initial weights, i.e., scratch-based (random initialization), ImageNet-based, and CAMELYON16-based models were used to validate their effectiveness in external validation. In the patch-level classification results on the AMC dataset, CAMELYON16-based models trained with a small dataset (up to 40%, i.e., 62 WSIs) showed a significantly higher area under the curve (AUC) of 0.929 than those of the scratch- and ImageNet-based models at 0.897 and 0.919, respectively, while CAMELYON16-based and ImageNet-based models trained with 100% of the training dataset showed comparable AUCs at 0.944 and 0.943, respectively. For the external validation, CAMELYON16-based models showed higher AUCs than those of the scratch- and ImageNet-based models. Model performance for slide feasibility of the transfer learning to enhance model performance was validated in the case of frozen section datasets with limited numbers.


Sensors ◽  
2021 ◽  
Vol 21 (14) ◽  
pp. 4916
Author(s):  
Ali Usman Gondal ◽  
Muhammad Imran Sadiq ◽  
Tariq Ali ◽  
Muhammad Irfan ◽  
Ahmad Shaf ◽  
...  

Urbanization is a big concern for both developed and developing countries in recent years. People shift themselves and their families to urban areas for the sake of better education and a modern lifestyle. Due to rapid urbanization, cities are facing huge challenges, one of which is waste management, as the volume of waste is directly proportional to the people living in the city. The municipalities and the city administrations use the traditional wastage classification techniques which are manual, very slow, inefficient and costly. Therefore, automatic waste classification and management is essential for the cities that are being urbanized for the better recycling of waste. Better recycling of waste gives the opportunity to reduce the amount of waste sent to landfills by reducing the need to collect new raw material. In this paper, the idea of a real-time smart waste classification model is presented that uses a hybrid approach to classify waste into various classes. Two machine learning models, a multilayer perceptron and multilayer convolutional neural network (ML-CNN), are implemented. The multilayer perceptron is used to provide binary classification, i.e., metal or non-metal waste, and the CNN identifies the class of non-metal waste. A camera is placed in front of the waste conveyor belt, which takes a picture of the waste and classifies it. Upon successful classification, an automatic hand hammer is used to push the waste into the assigned labeled bucket. Experiments were carried out in a real-time environment with image segmentation. The training, testing, and validation accuracy of the purposed model was 0.99% under different training batches with different input features.


2020 ◽  
Vol 53 (2) ◽  
pp. 15374-15379
Author(s):  
Hu He ◽  
Xiaoyong Zhang ◽  
Fu Jiang ◽  
Chenglong Wang ◽  
Yingze Yang ◽  
...  

2021 ◽  
Vol 11 (9) ◽  
pp. 4292
Author(s):  
Mónica Y. Moreno-Revelo ◽  
Lorena Guachi-Guachi ◽  
Juan Bernardo Gómez-Mendoza ◽  
Javier Revelo-Fuelagán ◽  
Diego H. Peluffo-Ordóñez

Automatic crop identification and monitoring is a key element in enhancing food production processes as well as diminishing the related environmental impact. Although several efficient deep learning techniques have emerged in the field of multispectral imagery analysis, the crop classification problem still needs more accurate solutions. This work introduces a competitive methodology for crop classification from multispectral satellite imagery mainly using an enhanced 2D convolutional neural network (2D-CNN) designed at a smaller-scale architecture, as well as a novel post-processing step. The proposed methodology contains four steps: image stacking, patch extraction, classification model design (based on a 2D-CNN architecture), and post-processing. First, the images are stacked to increase the number of features. Second, the input images are split into patches and fed into the 2D-CNN model. Then, the 2D-CNN model is constructed within a small-scale framework, and properly trained to recognize 10 different types of crops. Finally, a post-processing step is performed in order to reduce the classification error caused by lower-spatial-resolution images. Experiments were carried over the so-named Campo Verde database, which consists of a set of satellite images captured by Landsat and Sentinel satellites from the municipality of Campo Verde, Brazil. In contrast to the maximum accuracy values reached by remarkable works reported in the literature (amounting to an overall accuracy of about 81%, a f1 score of 75.89%, and average accuracy of 73.35%), the proposed methodology achieves a competitive overall accuracy of 81.20%, a f1 score of 75.89%, and an average accuracy of 88.72% when classifying 10 different crops, while ensuring an adequate trade-off between the number of multiply-accumulate operations (MACs) and accuracy. Furthermore, given its ability to effectively classify patches from two image sequences, this methodology may result appealing for other real-world applications, such as the classification of urban materials.


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Jian-ye Yuan ◽  
Xin-yuan Nan ◽  
Cheng-rong Li ◽  
Le-le Sun

Considering that the garbage classification is urgent, a 23-layer convolutional neural network (CNN) model is designed in this paper, with the emphasis on the real-time garbage classification, to solve the low accuracy of garbage classification and recycling and difficulty in manual recycling. Firstly, the depthwise separable convolution was used to reduce the Params of the model. Then, the attention mechanism was used to improve the accuracy of the garbage classification model. Finally, the model fine-tuning method was used to further improve the performance of the garbage classification model. Besides, we compared the model with classic image classification models including AlexNet, VGG16, and ResNet18 and lightweight classification models including MobileNetV2 and SuffleNetV2 and found that the model GAF_dense has a higher accuracy rate, fewer Params, and FLOPs. To further check the performance of the model, we tested the CIFAR-10 data set and found the accuracy rates of the model (GAF_dense) are 0.018 and 0.03 higher than ResNet18 and SufflenetV2, respectively. In the ImageNet data set, the accuracy rates of the model (GAF_dense) are 0.225 and 0.146 higher than Resnet18 and SufflenetV2, respectively. Therefore, the garbage classification model proposed in this paper is suitable for garbage classification and other classification tasks to protect the ecological environment, which can be applied to classification tasks such as environmental science, children’s education, and environmental protection.


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