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Register a new userA versatile anomaly detection method for medical images with a flow-based generative model in semi-supervision setting
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H. Shibata
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Oversight in medical images is a crucial problem, and timely reporting of medical images is desired. Therefore, an all-purpose anomaly detection method that can detect virtually all types of lesions/diseases in a given image is strongly desired. However, few commercially available and versatile anomaly detection methods for medical images have been provided so far. Recently, anomaly detection methods built upon deep learning methods have been rapidly growing in popularity, and these methods seem to provide reasonable solutions to the problem. However, the workload to label the images necessary for training in deep learning remains heavy. In this study, we present an anomaly detection method based on two trained flow-based generative models. With this method, the posterior probability can be computed as a normality metric for any given image. The training of the generative models requires two sets of images: a set containing only normal images and another set containing both normal and abnormal images without any labels. In the latter set, each sample does not have to be labeled as normal or abnormal; therefore, any mixture of images (e.g., all cases in a hospital) can be used as the dataset without cumbersome manual labeling. The method was validated with two types of medical images: chest X-ray radiographs (CXRs) and brain computed tomographies (BCTs). The areas under the receiver operating characteristic curves for logarithm posterior probabilities of CXRs (0.868 for pneumonia-like opacities) and BCTs (0.904 for infarction) were comparable to those in previous studies with other anomaly detection methods. This result showed the versatility of our method.
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We propose X2CT-FLOW for the reconstruction of volumetric chest computed tomography (CT) images from uni- or biplanar digitally reconstructed radiographs (DRRs) or chest X-ray (CXR) images on the basis of a flow-based deep generative (FDG) model. With the adoption of X2CT-FLOW, all the reconstructed volumetric chest CT images satisfy the condition that each of those projected onto each plane coincides with each input DRR or CXR image. Moreover, X2CT-FLOW can reconstruct multiple volumetric chest CT images with different likelihoods. The volumetric chest CT images reconstructed from biplanar DRRs showed good agreement with ground truth images in terms of the structural similarity index (0.931 on average). Moreover, we show that X2CT-FLOW can actually reconstruct such multiple volumetric chest CT images from DRRs. Finally, we demonstrate that X2CT-FLOW can reconstruct multiple volumetric chest CT images from a real uniplanar CXR image.
Obtaining labels for medical (image) data requires scarce and expensive experts. Moreover, due to ambiguous symptoms, single images rarely suffice to correctly diagnose a medical condition. Instead, it often requires to take additional background information such as the patients medical history or test results into account. Hence, instead of focusing on uninterpretable black-box systems delivering an uncertain final diagnosis in an end-to-end-fashion, we investigate how unsupervised methods trained on images without anomalies can be used to assist doctors in evaluating X-ray images of hands. Our method increases the efficiency of making a diagnosis and reduces the risk of missing important regions. Therefore, we adopt state-of-the-art approaches for unsupervised learning to detect anomalies and show how the outputs of these methods can be explained. To reduce the effect of noise, which often can be mistaken for an anomaly, we introduce a powerful preprocessing pipeline. We provide an extensive evaluation of different approaches and demonstrate empirically that even without labels it is possible to achieve satisfying results on a real-world dataset of X-ray images of hands. We also evaluate the importance of preprocessing and one of our main findings is that without it, most of our approaches perform not better than random. To foster reproducibility and accelerate research we make our code publicly available at https://github.com/Valentyn1997/xray
A conditional random field (CRF) model for cloud detection in ground based sky images is presented. We show that very high cloud detection accuracy can be achieved by combining a discriminative classifier and a higher order clique potential in a CRF framework. The image is first divided into homogeneous regions using a mean shift clustering algorithm and then a CRF model is defined over these regions. The various parameters involved are estimated using training data and the inference is performed using Iterated Conditional Modes (ICM) algorithm. We demonstrate how taking spatial context into account can boost the accuracy. We present qualitative and quantitative results to prove the superior performance of this framework in comparison with other state of the art methods applied for cloud detection.
Supervised learning method requires a large volume of annotated datasets. Collecting such datasets is time-consuming and expensive. Until now, very few annotated COVID-19 imaging datasets are available. Although self-supervised learning enables us to bootstrap the training by exploiting unlabeled data, the generic self-supervised methods for natural images do not sufficiently incorporate the context. For medical images, a desirable method should be sensitive enough to detect deviation from normal-appearing tissue of each anatomical region; here, anatomy is the context. We introduce a novel approach with two levels of self-supervised representation learning objectives: one on the regional anatomical level and another on the patient-level. We use graph neural networks to incorporate the relationship between different anatomical regions. The structure of the graph is informed by anatomical correspondences between each patient and an anatomical atlas. In addition, the graph representation has the advantage of handling any arbitrarily sized image in full resolution. Experiments on large-scale Computer Tomography (CT) datasets of lung images show that our approach compares favorably to baseline methods that do not account for the context. We use the learnt embedding to quantify the clinical progression of COVID-19 and show that our method generalizes well to COVID-19 patients from different hospitals. Qualitative results suggest that our model can identify clinically relevant regions in the images.
Positron emission tomography (PET) imaging is an imaging modality for diagnosing a number of neurological diseases. In contrast to Magnetic Resonance Imaging (MRI), PET is costly and involves injecting a radioactive substance into the patient. Motivated by developments in modality transfer in vision, we study the generation of certain types of PET images from MRI data. We derive new flow-based generative models which we show perform well in this small sample size regime (much smaller than dataset sizes available in standard vision tasks). Our formulation, DUAL-GLOW, is based on two invertible networks and a relation network that maps the latent spaces to each other. We discuss how given the prior distribution, learning the conditional distribution of PET given the MRI image reduces to obtaining the conditional distribution between the two latent codes w.r.t. the two image types. We also extend our framework to leverage side information (or attributes) when available. By controlling the PET generation through conditioning on age, our model is also able to capture brain FDG-PET (hypometabolism) changes, as a function of age. We present experiments on the Alzheimers Disease Neuroimaging Initiative (ADNI) dataset with 826 subjects, and obtain good performance in PET image synthesis, qualitatively and quantitatively better than recent works.
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