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Register a new userQuantifying and Leveraging Classification Uncertainty for Chest Radiograph Assessment
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Sasa Grbic
Publication date
2019
fields
Informatics Engineering
and research's language is
English
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The interpretation of chest radiographs is an essential task for the detection of thoracic diseases and abnormalities. However, it is a challenging problem with high inter-rater variability and inherent ambiguity due to inconclusive evidence in the data, limited data quality or subjective definitions of disease appearance. Current deep learning solutions for chest radiograph abnormality classification are typically limited to providing probabilistic predictions, relying on the capacity of learning models to adapt to the high degree of label noise and become robust to the enumerated causal factors. In practice, however, this leads to overconfident systems with poor generalization on unseen data. To account for this, we propose an automatic system that learns not only the probabilistic estimate on the presence of an abnormality, but also an explicit uncertainty measure which captures the confidence of the system in the predicted output. We argue that explicitly learning the classification uncertainty as an orthogonal measure to the predicted output, is essential to account for the inherent variability characteristic of this data. Experiments were conducted on two datasets of chest radiographs of over 85,000 patients. Sample rejection based on the predicted uncertainty can significantly improve the ROC-AUC, e.g., by 8% to 0.91 with an expected rejection rate of under 25%. Eliminating training samples using uncertainty-driven bootstrapping, enables a significant increase in robustness and accuracy. In addition, we present a multi-reader study showing that the predictive uncertainty is indicative of reader errors.
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The interpretation of medical images is a challenging task, often complicated by the presence of artifacts, occlusions, limited contrast and more. Most notable is the case of chest radiography, where there is a high inter-rater variability in the detection and classification of abnormalities. This is largely due to inconclusive evidence in the data or subjective definitions of disease appearance. An additional example is the classification of anatomical views based on 2D Ultrasound images. Often, the anatomical context captured in a frame is not sufficient to recognize the underlying anatomy. Current machine learning solutions for these problems are typically limited to providing probabilistic predictions, relying on the capacity of underlying models to adapt to limited information and the high degree of label noise. In practice, however, this leads to overconfident systems with poor generalization on unseen data. To account for this, we propose a system that learns not only the probabilistic estimate for classification, but also an explicit uncertainty measure which captures the confidence of the system in the predicted output. We argue that this approach is essential to account for the inherent ambiguity characteristic of medical images from different radiologic exams including computed radiography, ultrasonography and magnetic resonance imaging. In our experiments we demonstrate that sample rejection based on the predicted uncertainty can significantly improve the ROC-AUC for various tasks, e.g., by 8% to 0.91 with an expected rejection rate of under 25% for the classification of different abnormalities in chest radiographs. In addition, we show that using uncertainty-driven bootstrapping to filter the training data, one can achieve a significant increase in robustness and accuracy.
We propose and demonstrate a novel machine learning algorithm that assesses pulmonary edema severity from chest radiographs. While large publicly available datasets of chest radiographs and free-text radiology reports exist, only limited numerical edema severity labels can be extracted from radiology reports. This is a significant challenge in learning such models for image classification. To take advantage of the rich information present in the radiology reports, we develop a neural network model that is trained on both images and free-text to assess pulmonary edema severity from chest radiographs at inference time. Our experimental results suggest that the joint image-text representation learning improves the performance of pulmonary edema assessment compared to a supervised model trained on images only. We also show the use of the text for explaining the image classification by the joint model. To the best of our knowledge, our approach is the first to leverage free-text radiology reports for improving the image model performance in this application. Our code is available at https://github.com/RayRuizhiLiao/joint_chestxray.
Traditional deep neural nets (NNs) have shown the state-of-the-art performance in the task of classification in various applications. However, NNs have not considered any types of uncertainty associated with the class probabilities to minimize risk due to misclassification under uncertainty in real life. Unlike Bayesian neural nets indirectly infering uncertainty through weight uncertainties, evidential neural networks (ENNs) have been recently proposed to support explicit modeling of the uncertainty of class probabilities. It treats predictions of an NN as subjective opinions and learns the function by collecting the evidence leading to these opinions by a deterministic NN from data. However, an ENN is trained as a black box without explicitly considering different types of inherent data uncertainty, such as vacuity (uncertainty due to a lack of evidence) or dissonance (uncertainty due to conflicting evidence). This paper presents a new approach, called a {em regularized ENN}, that learns an ENN based on regularizations related to different characteristics of inherent data uncertainty. Via the experiments with both synthetic and real-world datasets, we demonstrate that the proposed regularized ENN can better learn of an ENN modeling different types of uncertainty in the class probabilities for classification tasks.
Assessing action quality from videos has attracted growing attention in recent years. Most existing approaches usually tackle this problem based on regression algorithms, which ignore the intrinsic ambiguity in the score labels caused by multiple judges or their subjective appraisals. To address this issue, we propose an uncertainty-aware score distribution learning (USDL) approach for action quality assessment (AQA). Specifically, we regard an action as an instance associated with a score distribution, which describes the probability of different evaluated scores. Moreover, under the circumstance where fine-grained score labels are available (e.g., difficulty degree of an action or multiple scores from different judges), we further devise a multi-path uncertainty-aware score distributions learning (MUSDL) method to explore the disentangled components of a score. We conduct experiments on three AQA datasets containing various Olympic actions and surgical activities, where our approaches set new state-of-the-arts under the Spearmans Rank Correlation.
Recently, deep learning has been adopted to the glaucoma classification task with performance comparable to that of human experts. However, a well trained deep learning model demands a large quantity of properly labeled data, which is relatively expensive since the accurate labeling of glaucoma requires years of specialist training. In order to alleviate this problem, we propose a glaucoma classification framework which takes advantage of not only the properly labeled images, but also undiagnosed images without glaucoma labels. To be more specific, the proposed framework is adapted from the teacher-student-learning paradigm. The teacher model encodes the wrapped information of undiagnosed images to a latent feature space, meanwhile the student model learns from the teacher through knowledge transfer to improve the glaucoma classification. For the model training procedure, we propose a novel training strategy that simulates the real-world teaching practice named as Learning To Teach with Knowledge Transfer (L2T-KT), and establish a Quiz Pool as the teachers optimization target. Experiments show that the proposed framework is able to utilize the undiagnosed data effectively to improve the glaucoma prediction performance.
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