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Register a new userMeta-repository of screening mammography classifiers
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Added by
Jan Witowski
Publication date
2021
fields
Informatics Engineering
and research's language is
English
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Artificial intelligence (AI) is showing promise in improving clinical diagnosis. In breast cancer screening, several recent studies show that AI has the potential to improve radiologists accuracy, subsequently helping in early cancer diagnosis and reducing unnecessary workup. As the number of proposed models and their complexity grows, it is becoming increasingly difficult to re-implement them in order to reproduce the results and to compare different approaches. To enable reproducibility of research in this application area and to enable comparison between different methods, we release a meta-repository containing deep learning models for classification of screening mammograms. This meta-repository creates a framework that enables the evaluation of machine learning models on any private or public screening mammography data set. At its inception, our meta-repository contains five state-of-the-art models with open-source implementations and cross-platform compatibility. We compare their performance on six international data sets: two New York University breast cancer screening data sets, DDSM, INbreast, OPTIMAM and Chinese Mammography Database. Our framework has a flexible design that can be generalized to other medical image analysis tasks. The meta-repository is available at https://www.github.com/nyukat/mammography_metarepository.
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Deep neural networks (DNNs) show promise in breast cancer screening, but their robustness to input perturbations must be better understood before they can be clinically implemented. There exists extensive literature on this subject in the context of natural images that can potentially be built upon. However, it cannot be assumed that conclusions about robustness will transfer from natural images to mammogram images, due to significant differences between the two image modalities. In order to determine whether conclusions will transfer, we measure the sensitivity of a radiologist-level screening mammogram image classifier to four commonly studied input perturbations that natural image classifiers are sensitive to. We find that mammogram image classifiers are also sensitive to these perturbations, which suggests that we can build on the existing literature. We also perform a detailed analysis on the effects of low-pass filtering, and find that it degrades the visibility of clinically meaningful features called microcalcifications. Since low-pass filtering removes semantically meaningful information that is predictive of breast cancer, we argue that it is undesirable for mammogram image classifiers to be invariant to it. This is in contrast to natural images, where we do not want DNNs to be sensitive to low-pass filtering due to its tendency to remove information that is human-incomprehensible.
A key promise of AI applications in healthcare is in increasing access to quality medical care in under-served populations and emerging markets. However, deep learning models are often only trained on data from advantaged populations that have the infrastructure and resources required for large-scale data collection. In this paper, we aim to empirically investigate the potential impact of such biases on breast cancer detection in mammograms. We specifically explore how a deep learning algorithm trained on screening mammograms from the US and UK generalizes to mammograms collected at a hospital in China, where screening is not widely implemented. For the evaluation, we use a top-scoring model developed for the Digital Mammography DREAM Challenge. Despite the change in institution and population composition, we find that the model generalizes well, exhibiting similar performance to that achieved in the DREAM Challenge, even when controlling for tumor size. We also illustrate a simple but effective method for filtering predictions based on model variance, which can be particularly useful for deployment in new settings. While there are many components in developing a clinically effective system, these results represent a promising step towards increasing access to life-saving screening mammography in populations where screening rates are currently low.
We present a new approach, called meta-meta classification, to learning in small-data settings. In this approach, one uses a large set of learning problems to design an ensemble of learners, where each learner has high bias and low variance and is skilled at solving a specific type of learning problem. The meta-meta classifier learns how to examine a given learning problem and combine the various learners to solve the problem. The meta-meta learning approach is especially suited to solving few-shot learning tasks, as it is easier to learn to classify a new learning problem with little data than it is to apply a learning algorithm to a small data set. We evaluate the approach on a one-shot, one-class-versus-all classification task and show that it is able to outperform traditional meta-learning as well as ensembling approaches.
The goal of this paper is to analyze an intriguing phenomenon recently discovered in deep networks, namely their instability to adversarial perturbations (Szegedy et. al., 2014). We provide a theoretical framework for analyzing the robustness of classifiers to adversarial perturbations, and show fundamental upper bounds on the robustness of classifiers. Specifically, we establish a general upper bound on the robustness of classifiers to adversarial perturbations, and then illustrate the obtained upper bound on the families of linear and quadratic classifiers. In both cases, our upper bound depends on a distinguishability measure that captures the notion of difficulty of the classification task. Our results for both classes imply that in tasks involving small distinguishability, no classifier in the considered set will be robust to adversarial perturbations, even if a good accuracy is achieved. Our theoretical framework moreover suggests that the phenomenon of adversarial instability is due to the low flexibility of classifiers, compared to the difficulty of the classification task (captured by the distinguishability). Moreover, we show the existence of a clear distinction between the robustness of a classifier to random noise and its robustness to adversarial perturbations. Specifically, the former is shown to be larger than the latter by a factor that is proportional to sqrt{d} (with d being the signal dimension) for linear classifiers. This result gives a theoretical explanation for the discrepancy between the two robustness properties in high dimensional problems, which was empirically observed in the context of neural networks. To the best of our knowledge, our results provide the first theoretical work that addresses the phenomenon of adversarial instability recently observed for deep networks. Our analysis is complemented by experimental results on controlled and real-world data.
Deep Neural networks have gained lots of attention in recent years thanks to the breakthroughs obtained in the field of Computer Vision. However, despite their popularity, it has been shown that they provide limited robustness in their predictions. In particular, it is possible to synthesise small adversarial perturbations that imperceptibly modify a correctly classified input data, making the network confidently misclassify it. This has led to a plethora of different methods to try to improve robustness or detect the presence of these perturbations. In this paper, we perform an analysis of $beta$-Variational Classifiers, a particular class of methods that not only solve a specific classification task, but also provide a generative component that is able to generate new samples from the input distribution. More in details, we study their robustness and detection capabilities, together with some novel insights on the generative part of the model.
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