scholarly journals Novel MRI-Based CAD System for Early Detection of Thyroid Cancer Using Multi-Input CNN

Sensors ◽  
2021 ◽  
Vol 21 (11) ◽  
pp. 3878
Author(s):  
Ahmed Naglah ◽  
Fahmi Khalifa ◽  
Reem Khaled ◽  
Ahmed Abdel Khalek Abdel Razek ◽  
Mohammad Ghazal ◽  
...  

Early detection of thyroid nodules can greatly contribute to the prediction of cancer burdening and the steering of personalized management. We propose a novel multimodal MRI-based computer-aided diagnosis (CAD) system that differentiates malignant from benign thyroid nodules. The proposed CAD is based on a novel convolutional neural network (CNN)-based texture learning architecture. The main contribution of our system is three-fold. Firstly, our system is the first of its kind to combine T2-weighted MRI and apparent diffusion coefficient (ADC) maps using a CNN to model thyroid cancer. Secondly, it learns independent texture features for each input, giving it more advanced capabilities to simultaneously extract complex texture patterns from both modalities. Finally, the proposed system uses multiple channels for each input to combine multiple scans collected into the deep learning process using different values of the configurable diffusion gradient coefficient. Accordingly, the proposed system would enable the learning of more advanced radiomics with an additional advantage of visualizing the texture patterns after learning. We evaluated the proposed system using data collected from a cohort of 49 patients with pathologically proven thyroid nodules. The accuracy of the proposed system has also been compared against recent CNN models as well as multiple machine learning (ML) frameworks that use hand-crafted features. Our system achieved the highest performance among all compared methods with a diagnostic accuracy of 0.87, specificity of 0.97, and sensitivity of 0.69. The results suggest that texture features extracted using deep learning can contribute to the protocols of cancer diagnosis and treatment and can lead to the advancement of precision medicine.

2019 ◽  
Vol 9 (4) ◽  
pp. 186-193
Author(s):  
Lei Xu ◽  
Junling Gao ◽  
Quan Wang ◽  
Jichao Yin ◽  
Pengfei Yu ◽  
...  

Background: Computer-aided diagnosis (CAD) systems are being applied to the ultrasonographic diagnosis of malignant thyroid nodules, but it remains controversial whether the systems add any accuracy for radiologists. Objective: To determine the accuracy of CAD systems in diagnosing malignant thyroid nodules. Methods: PubMed, EMBASE, and the Cochrane Library were searched for studies on the diagnostic performance of CAD systems. The diagnostic performance was assessed by pooled sensitivity and specificity, and their accuracy was compared with that of radiologists. The present systematic review was registered in PROSPERO (CRD42019134460). Results: Nineteen studies with 4,781 thyroid nodules were included. Both the classic machine learning- and the deep learning-based CAD system had good performance in diagnosing malignant thyroid nodules (classic machine learning: sensitivity 0.86 [95% CI 0.79–0.92], specificity 0.85 [95% CI 0.77–0.91], diagnostic odds ratio (DOR) 37.41 [95% CI 24.91–56.20]; deep learning: sensitivity 0.89 [95% CI 0.81–0.93], specificity 0.84 [95% CI 0.75–0.90], DOR 40.87 [95% CI 18.13–92.13]). The diagnostic performance of the deep learning-based CAD system was comparable to that of the radiologists (sensitivity 0.87 [95% CI 0.78–0.93] vs. 0.87 [95% CI 0.85–0.89], specificity 0.85 [95% CI 0.76–0.91] vs. 0.87 [95% CI 0.81–0.91], DOR 40.12 [95% CI 15.58–103.33] vs. DOR 44.88 [95% CI 30.71–65.57]). Conclusions: The CAD systems demonstrated good performance in diagnosing malignant thyroid nodules. However, experienced radiologists may still have an advantage over CAD systems during real-time diagnosis.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Vivian Y. Park ◽  
Kyunghwa Han ◽  
Yeong Kyeong Seong ◽  
Moon Ho Park ◽  
Eun-Kyung Kim ◽  
...  

AbstractComputer-aided diagnosis (CAD) systems hold potential to improve the diagnostic accuracy of thyroid ultrasound (US). We aimed to develop a deep learning-based US CAD system (dCAD) for the diagnosis of thyroid nodules and compare its performance with those of a support vector machine (SVM)-based US CAD system (sCAD) and radiologists. dCAD was developed by using US images of 4919 thyroid nodules from three institutions. Its diagnostic performance was prospectively evaluated between June 2016 and February 2017 in 286 nodules, and was compared with those of sCAD and radiologists, using logistic regression with the generalized estimating equation. Subgroup analyses were performed according to experience level and separately for small thyroid nodules 1–2 cm. There was no difference in overall sensitivity, specificity, positive predictive value (PPV), negative predictive value and accuracy (all p > 0.05) between radiologists and dCAD. Radiologists and dCAD showed higher specificity, PPV, and accuracy than sCAD (all p < 0.001). In small nodules, experienced radiologists showed higher specificity, PPV and accuracy than sCAD (all p < 0.05). In conclusion, dCAD showed overall comparable diagnostic performance with radiologists and assessed thyroid nodules more effectively than sCAD, without loss of sensitivity.


Diagnostics ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 694
Author(s):  
Xuejiao Pang ◽  
Zijian Zhao ◽  
Ying Weng

At present, the application of artificial intelligence (AI) based on deep learning in the medical field has become more extensive and suitable for clinical practice compared with traditional machine learning. The application of traditional machine learning approaches to clinical practice is very challenging because medical data are usually uncharacteristic. However, deep learning methods with self-learning abilities can effectively make use of excellent computing abilities to learn intricate and abstract features. Thus, they are promising for the classification and detection of lesions through gastrointestinal endoscopy using a computer-aided diagnosis (CAD) system based on deep learning. This study aimed to address the research development of a CAD system based on deep learning in order to assist doctors in classifying and detecting lesions in the stomach, intestines, and esophagus. It also summarized the limitations of the current methods and finally presented a prospect for future research.


2018 ◽  
Vol 7 (2.25) ◽  
pp. 133
Author(s):  
T R. Thamizhvani ◽  
Bincy Babu ◽  
A Josephin Arockia Dhivya ◽  
R J. Hemalatha ◽  
Josline Elsa Joseph ◽  
...  

Early detection of breast cancer is necessary because it is considered as one of the most common reason of cancer death among women. Nowadays, the basic screening test for detection of breast cancer is Mammography which con-sists of various artifacts. These artifacts leads to wrong results in detection of breast cancer. Therefore, Computer Aided Diagnosis (CAD) system mainly focus in removal of artifacts and mammogram quality enhancement. By this procedure, exact Region of Interest (ROI) can be obtained. This is a challenging procedure because detection of pecto-ral muscle and cancer region is difficult. Here a comparative study of different preprocessing and enhancement tech-niques are done by testing proposed system on mammogram mini-MIAS database. Result obtained shows that sug-gested system is efficient for CAD system.  


Author(s):  
Kazuhiro Tokunaga ◽  
◽  
Fumiya Kubosaka ◽  
Noriaki Suetake ◽  
Eiji Uchino ◽  
...  

In this paper, we propose a Computer Aided Diagnosis (CAD) system using a DNA microarray data for an early detection of a bladder cancer. In previous works, it is reported that one of the generating factors of the cancer cells is a centrosome hyperamplification. The centrosome hyperamplification is caused by a damage of DNA. Therefore, it is possible to detect the cancer by using the DNA microarray data. In this paper, the CAD system implemented based on a stochastic approach is proposed. The effectiveness of the present system is verified by the actual experiments.


Ultrasound scanning is most excellent significant diagnosis techniques utilized for thyroid nodules identification. A thyroid nodule is unnecessary cells that can develop in your base of neck which can be normal or cancerous. Many Computer added diagnosis systems (CAD) have been developed as a second opinion for radiologist. The thyroid nodules classification using machine learning and deep learning approach is latest trend which is using to improve accuracy for differentiation of thyroid nodules from benign and malignant type. In this paper we review the most recent work on CAD system which uses different feature extraction technique and classifier used for thyroid nodules classification with deep learning approach. This paper we illustrate the result obtained by these studies and highlight the limitation of each proposed methods. Moreover we summarize convolution neural network (CNN) architecture for classification of thyroid nodule. This literature review is meant at researcher but it also useful for radiologist who is interesting in CAD tool in ultrasound imaging for second opinion.


2021 ◽  
Vol 8 ◽  
Author(s):  
Qingling Li ◽  
Yanhua Zhu ◽  
Minglin Chen ◽  
Ruomi Guo ◽  
Qingyong Hu ◽  
...  

Background: It is often difficult to diagnose pituitary microadenoma (PM) by MRI alone, due to its relatively small size, variable anatomical structure, complex clinical symptoms, and signs among individuals. We develop and validate a deep learning -based system to diagnose PM from MRI.Methods: A total of 11,935 infertility participants were initially recruited for this project. After applying the exclusion criteria, 1,520 participants (556 PM patients and 964 controls subjects) were included for further stratified into 3 non-overlapping cohorts. The data used for the training set were derived from a retrospective study, and in the validation dataset, prospective temporal and geographical validation set were adopted. A total of 780 participants were used for training, 195 participants for testing, and 545 participants were used to validate the diagnosis performance. The PM-computer-aided diagnosis (PM-CAD) system consists of two parts: pituitary region detection and PM diagnosis. The diagnosis performance of the PM-CAD system was measured using the receiver operating characteristics (ROC) curve and area under the ROC curve (AUC), calibration curve, accuracy, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and F1-score.Results: Pituitary microadenoma-computer-aided diagnosis system showed 94.36% diagnostic accuracy and 98.13% AUC score in the testing dataset. We confirm the robustness and generalization of our PM-CAD system, the diagnostic accuracy in the internal dataset was 96.50% and in the external dataset was 92.26 and 92.36%, the AUC was 95.5, 94.7, and 93.7%, respectively. In human-computer competition, the diagnosis performance of our PM-CAD system was comparable to radiologists with &gt;10 years of professional expertise (diagnosis accuracy of 94.0% vs. 95.0%, AUC of 95.6% vs. 95.0%). For the misdiagnosis cases from radiologists, our system showed a 100% accurate diagnosis. A browser-based software was designed to assist the PM diagnosis.Conclusions: This is the first report showing that the PM-CAD system is a viable tool for detecting PM. Our results suggest that the PM-CAD system is applicable to radiology departments, especially in primary health care institutions.


2020 ◽  
Vol 47 (9) ◽  
pp. 3952-3960 ◽  
Author(s):  
Chao Sun ◽  
Yukang Zhang ◽  
Qing Chang ◽  
Tianjiao Liu ◽  
Shaohang Zhang ◽  
...  

Author(s):  
Mugahed A. Al-antari ◽  
Cam-Hao Hua ◽  
Sungyoung Lee

Abstract Background and Objective: The novel coronavirus 2019 (COVID-19) is a harmful lung disease that rapidly attacks people worldwide. At the end of 2019, COVID-19 was discovered as mysterious lung disease in Wuhan, Hubei province of China. World health organization (WHO) declared the coronavirus outbreak a pandemic in the second week of March 2020. Simultaneous deep learning detection and classification of COVID-19 from the entire digital X-ray images is the key to efficiently assist patients and physicians for a fast and accurate diagnosis.Methods: In this paper, a deep learning computer-aided diagnosis (CAD) based on the YOLO predictor is proposed to simultaneously detect and diagnose COVID-19 among the other eight lung diseases: Atelectasis, Infiltration, Pneumothorax, Mass, Effusion, Pneumonia, Cardiomegaly, and Nodule. The proposed CAD system is assessed via five-fold tests for multi-class prediction problem using two different databases of chest X-ray images: COVID-19 and ChestX-ray8. The proposed CAD system is trained using an annotated training set of 50,490 chest X-ray images.Results: The suspicious regions of COVID-19 from the entire X-ray images are simultaneously detected and classified end-to-end via the proposed CAD predictor achieving overall detection and classification accuracies of 96.31% and 97.40%, respectively. The most testing images of COVID-19 and other lunge diseases are correctly predicted achieving intersection over union (IoU) with their GTs greater than 90%. Applying deep learning regularizers of data balancing and augmentation improve the diagnostic performance by 6.64% and 12.17% in terms of overall accuracy and F1-score, respectively. Meanwhile, the proposed CAD system presents its feasibility to diagnose the individual chest X-ray image within 0.009 second. Thus, the presented CAD system could predict 108 frames/second (FPS) at the real-time of prediction.Conclusion: The proposed deep learning CAD system shows its capability and reliability to achieve promising COVID-19 diagnostic performance among all other lung diseases. The proposed deep learning model seems reliable to assist health care systems, patients, and physicians in their practical validations.


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