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Register a new userDetecting hip fractures with radiologist-level performance using deep neural networks
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We developed an automated deep learning system to detect hip fractures from frontal pelvic x-rays, an important and common radiological task. Our system was trained on a decade of clinical x-rays (~53,000 studies) and can be applied to clinical data, automatically excluding inappropriate and technically unsatisfactory studies. We demonstrate diagnostic performance equivalent to a human radiologist and an area under the ROC curve of 0.994. Translated to clinical practice, such a system has the potential to increase the efficiency of diagnosis, reduce the need for expensive additional testing, expand access to expert level medical image interpretation, and improve overall patient outcomes.
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Importance: Lung cancer is the leading cause of cancer mortality in the US, responsible for more deaths than breast, prostate, colon and pancreas cancer combined and it has been recently demonstrated that low-dose computed tomography (CT) screening of the chest can significantly reduce this death rate. Objective: To compare the performance of a deep learning model to state-of-the-art automated algorithms and radiologists as well as assessing the robustness of the algorithm in heterogeneous datasets. Design, Setting, and Participants: Three low-dose CT lung cancer screening datasets from heterogeneous sources were used, including National Lung Screening Trial (NLST, n=3410), Lahey Hospital and Medical Center (LHMC, n=3174) data, Kaggle competition data (from both stages, n=1595+505) and the University of Chicago data (UCM, a subset of NLST, annotated by radiologists, n=197). Relevant works on automated methods for Lung Cancer malignancy estimation have used significantly less data in size and diversity. At the first stage, our framework employs a nodule detector; while in the second stage, we use both the image area around the nodules and nodule features as inputs to a neural network that estimates the malignancy risk for the entire CT scan. We trained our two-stage algorithm on a part of the NLST dataset, and validated it on the other datasets. Results, Conclusions, and Relevance: The proposed deep learning model: (a) generalizes well across all three data sets, achieving AUC between 86% to 94%; (b) has better performance than the widely accepted PanCan Risk Model, achieving 11% better AUC score; (c) has improved performance compared to the state-of-the-art represented by the winners of the Kaggle Data Science Bowl 2017 competition on lung cancer screening; (d) has comparable performance to radiologists in estimating cancer risk at a patient level.
Recently, it has been shown that deep neural networks (DNN) are subject to attacks through adversarial samples. Adversarial samples are often crafted through adversarial perturbation, i.e., manipulating the original sample with minor modifications so that the DNN model labels the sample incorrectly. Given that it is almost impossible to train perfect DNN, adversarial samples are shown to be easy to generate. As DNN are increasingly used in safety-critical systems like autonomous cars, it is crucial to develop techniques for defending such attacks. Existing defense mechanisms which aim to make adversarial perturbation challenging have been shown to be ineffective. In this work, we propose an alternative approach. We first observe that adversarial samples are much more sensitive to perturbations than normal samples. That is, if we impose random perturbations on a normal and an adversarial sample respectively, there is a significant difference between the ratio of label change due to the perturbations. Observing this, we design a statistical adversary detection algorithm called nMutant (inspired by mutation testing from software engineering community). Our experiments show that nMutant effectively detects most of the adversarial samples generated by recently proposed attacking methods. Furthermore, we provide an error bound with certain statistical significance along with the detection.
Automatic Offline Handwritten Signature Verification has been researched over the last few decades from several perspectives, using insights from graphology, computer vision, signal processing, among others. In spite of the advancements on the field, building classifiers that can separate between genuine signatures and skilled forgeries (forgeries made targeting a particular signature) is still hard. We propose approaching the problem from a feature learning perspective. Our hypothesis is that, in the absence of a good model of the data generation process, it is better to learn the features from data, instead of using hand-crafted features that have no resemblance to the signature generation process. To this end, we use Deep Convolutional Neural Networks to learn features in a writer-independent format, and use this model to obtain a feature representation on another set of users, where we train writer-dependent classifiers. We tested our method in two datasets: GPDS-960 and Brazilian PUC-PR. Our experimental results show that the features learned in a subset of the users are discriminative for the other users, including across different datasets, reaching close to the state-of-the-art in the GPDS dataset, and improving the state-of-the-art in the Brazilian PUC-PR dataset.
Measurement of head biometrics from fetal ultrasonography images is of key importance in monitoring the healthy development of fetuses. However, the accurate measurement of relevant anatomical structures is subject to large inter-observer variability in the clinic. To address this issue, an automated method utilizing Fully Convolutional Networks (FCN) is proposed to determine measurements of fetal head circumference (HC) and biparietal diameter (BPD). An FCN was trained on approximately 2000 2D ultrasound images of the head with annotations provided by 45 different sonographers during routine screening examinations to perform semantic segmentation of the head. An ellipse is fitted to the resulting segmentation contours to mimic the annotation typically produced by a sonographer. The models performance was compared with inter-observer variability, where two experts manually annotated 100 test images. Mean absolute model-expert error was slightly better than inter-observer error for HC (1.99mm vs 2.16mm), and comparable for BPD (0.61mm vs 0.59mm), as well as Dice coefficient (0.980 vs 0.980). Our results demonstrate that the model performs at a level similar to a human expert, and learns to produce accurate predictions from a large dataset annotated by many sonographers. Additionally, measurements are generated in near real-time at 15fps on a GPU, which could speed up clinical workflow for both skilled and trainee sonographers.
Recent researches show that deep learning model is susceptible to backdoor attacks. Many defenses against backdoor attacks have been proposed. However, existing defense works require high computational overhead or backdoor attack information such as the trigger size, which is difficult to satisfy in realistic scenarios. In this paper, a novel backdoor detection method based on adversarial examples is proposed. The proposed method leverages intentional adversarial perturbations to detect whether an image contains a trigger, which can be applied in both the training stage and the inference stage (sanitize the training set in training stage and detect the backdoor instances in inference stage). Specifically, given an untrusted image, the adversarial perturbation is added to the image intentionally. If the prediction of the model on the perturbed image is consistent with that on the unperturbed image, the input image will be considered as a backdoor instance. Compared with most existing defense works, the proposed adversarial perturbation based method requires low computational resources and maintains the visual quality of the images. Experimental results show that, the backdoor detection rate of the proposed defense method is 99.63%, 99.76% and 99.91% on Fashion-MNIST, CIFAR-10 and GTSRB datasets, respectively. Besides, the proposed method maintains the visual quality of the image as the l2 norm of the added perturbation are as low as 2.8715, 3.0513 and 2.4362 on Fashion-MNIST, CIFAR-10 and GTSRB datasets, respectively. In addition, it is also demonstrated that the proposed method can achieve high defense performance against backdoor attacks under different attack settings (trigger transparency, trigger size and trigger pattern). Compared with the existing defense work (STRIP), the proposed method has better detection performance on all the three datasets, and is more efficient than STRIP.
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