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1. Adversarial-Robust Transfer Learning for Medical Imaging via Domain Assimilation

   Chen, Xiaohui ; Luo, Tie ( May 2024 , Lecture Notes in Computer Science, Springer; Pacific-Asia Conference on Knowledge Discovery and Data Mining (PAKDD) 2024)

   Yang, DN ; Xie, X ; Tseng, VS ; Pei, J ; Huang, JW ; Lin, JCW (Ed.)

   Extensive research in Medical Imaging aims to uncover critical diagnostic features in patients, with AI-driven medical diagnosis relying on sophisticated machine learning and deep learning models to analyze, detect, and identify diseases from medical images. Despite the remarkable accuracy of these models under normal conditions, they grapple with trustworthiness issues, where their output could be manipulated by adversaries who introduce strategic perturbations to the input images. Furthermore, the scarcity of publicly available medical images, constituting a bottleneck for reliable training, has led contemporary algorithms to depend on pretrained models grounded on a large set of natural images—a practice referred to as transfer learning. However, a significant domain discrepancy exists between natural and medical images, which causes AI models resulting from transfer learning to exhibit heightened vulnerability to adversarial attacks. This paper proposes a domain assimilation approach that introduces texture and color adaptation into transfer learning, followed by a texture preservation component to suppress undesired distortion. We systematically analyze the performance of transfer learning in the face of various adversarial attacks under different data modalities, with the overarching goal of fortifying the model’s robustness and security in medical imaging tasks. The results demonstrate high effectiveness in reducing attack efficacy, contributing toward more trustworthy transfer learning in biomedical applications. 

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2. Adversarial-Robust Transfer Learning for Medical Imaging via Domain Assimilation

   Chen, Xiaohui ; Luo, Tie ( May 2024 , Lecture Notes in Computer Science, Springer; Pacific-Asia Conference on Knowledge Discovery and Data Mining (PAKDD) 2024)

   Yang, DN ; Xie, X ; Tseng, VS ; Pei, J ; Huang, JW ; Lin, JCW (Ed.)

   Extensive research in Medical Imaging aims to uncover critical diagnostic features in patients, with AI-driven medical diagnosis relying on sophisticated machine learning and deep learning models to analyze, detect, and identify diseases from medical images. Despite the remarkable accuracy of these models under normal conditions, they grapple with trustworthiness issues, where their output could be manipulated by adversaries who introduce strategic perturbations to the input images. Furthermore, the scarcity of publicly available medical images, constituting a bottleneck for reliable training, has led contemporary algorithms to depend on pretrained models grounded on a large set of natural images—a practice referred to as transfer learning. However, a significant domain discrepancy exists between natural and medical images, which causes AI models resulting from transfer learning to exhibit heightened vulnerability to adversarial attacks. This paper proposes a domain assimilation approach that introduces texture and color adaptation into transfer learning, followed by a texture preservation component to suppress undesired distortion. We systematically analyze the performance of transfer learning in the face of various adversarial attacks under different data modalities, with the overarching goal of fortifying the model’s robustness and security in medical imaging tasks. The results demonstrate high effectiveness in reducing attack efficacy, contributing toward more trustworthy transfer learning in biomedical applications. 

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3. 3DGAUnet: 3D Generative Adversarial Networks with a 3D U-Net Based Generator to Achieve the Accurate and Effective Synthesis of Clinical Tumor Image Data for Pancreatic Cancer

   https://doi.org/10.3390/cancers15235496  

   Shi, Yu ; Tang, Hannah ; Baine, Michael J. ; Hollingsworth, Michael A. ; Du, Huijing ; Zheng, Dandan ; Zhang, Chi ; Yu, Hongfeng ( December 2023 , Cancers)

   Pancreatic ductal adenocarcinoma (PDAC) presents a critical global health challenge, and early detection is crucial for improving the 5-year survival rate. Recent medical imaging and computational algorithm advances offer potential solutions for early diagnosis. Deep learning, particularly in the form of convolutional neural networks (CNNs), has demonstrated success in medical image analysis tasks, including classification and segmentation. However, the limited availability of clinical data for training purposes continues to represent a significant obstacle. Data augmentation, generative adversarial networks (GANs), and cross-validation are potential techniques to address this limitation and improve model performance, but effective solutions are still rare for 3D PDAC, where the contrast is especially poor, owing to the high heterogeneity in both tumor and background tissues. In this study, we developed a new GAN-based model, named 3DGAUnet, for generating realistic 3D CT images of PDAC tumors and pancreatic tissue, which can generate the inter-slice connection data that the existing 2D CT image synthesis models lack. The transition to 3D models allowed the preservation of contextual information from adjacent slices, improving efficiency and accuracy, especially for the poor-contrast challenging case of PDAC. PDAC’s challenging characteristics, such as an iso-attenuating or hypodense appearance and lack of well-defined margins, make tumor shape and texture learning challenging. To overcome these challenges and improve the performance of 3D GAN models, our innovation was to develop a 3D U-Net architecture for the generator, to improve shape and texture learning for PDAC tumors and pancreatic tissue. Thorough examination and validation across many datasets were conducted on the developed 3D GAN model, to ascertain the efficacy and applicability of the model in clinical contexts. Our approach offers a promising path for tackling the urgent requirement for creative and synergistic methods to combat PDAC. The development of this GAN-based model has the potential to alleviate data scarcity issues, elevate the quality of synthesized data, and thereby facilitate the progression of deep learning models, to enhance the accuracy and early detection of PDAC tumors, which could profoundly impact patient outcomes. Furthermore, the model has the potential to be adapted to other types of solid tumors, hence making significant contributions to the field of medical imaging in terms of image processing models.

    

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4. Artificial intelligence system reduces false-positive findings in the interpretation of breast ultrasound exams

   https://doi.org/10.1038/s41467-021-26023-2  

   Shen, Yiqiu ; Shamout, Farah_E ; Oliver, Jamie_R ; Witowski, Jan ; Kannan, Kawshik ; Park, Jungkyu ; Wu, Nan ; Huddleston, Connor ; Wolfson, Stacey ; Millet, Alexandra ; et al ( September 2021 , Nature Communications)

   Though consistently shown to detect mammographically occult cancers, breast ultrasound has been noted to have high false-positive rates. In this work, we present an AI system that achieves radiologist-level accuracy in identifying breast cancer in ultrasound images. Developed on 288,767 exams, consisting of 5,442,907 B-mode and Color Doppler images, the AI achieves an area under the receiver operating characteristic curve (AUROC) of 0.976 on a test set consisting of 44,755 exams. In a retrospective reader study, the AI achieves a higher AUROC than the average of ten board-certified breast radiologists (AUROC: 0.962 AI, 0.924 ± 0.02 radiologists). With the help of the AI, radiologists decrease their false positive rates by 37.3% and reduce requested biopsies by 27.8%, while maintaining the same level of sensitivity. This highlights the potential of AI in improving the accuracy, consistency, and efficiency of breast ultrasound diagnosis.

    

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5. Active Semi-Supervised Learning via Bayesian Experimental Design for Lung Cancer Classification Using Low Dose Computed Tomography Scans

   https://doi.org/10.3390/app13063752  

   Nguyen, Phuong ; Rathod, Ankita ; Chapman, David ; Prathapan, Smriti ; Menon, Sumeet ; Morris, Michael ; Yesha, Yelena ( March 2023 , Applied Sciences)

   We introduce an active, semisupervised algorithm that utilizes Bayesian experimental design to address the shortage of annotated images required to train and validate Artificial Intelligence (AI) models for lung cancer screening with computed tomography (CT) scans. Our approach incorporates active learning with semisupervised expectation maximization to emulate the human in the loop for additional ground truth labels to train, evaluate, and update the neural network models. Bayesian experimental design is used to intelligently identify which unlabeled samples need ground truth labels to enhance the model’s performance. We evaluate the proposed Active Semi-supervised Expectation Maximization for Computer aided diagnosis (CAD) tasks (ASEM-CAD) using three public CT scans datasets: the National Lung Screening Trial (NLST), the Lung Image Database Consortium (LIDC), and Kaggle Data Science Bowl 2017 for lung cancer classification using CT scans. ASEM-CAD can accurately classify suspicious lung nodules and lung cancer cases with an area under the curve (AUC) of 0.94 (Kaggle), 0.95 (NLST), and 0.88 (LIDC) with significantly fewer labeled images compared to a fully supervised model. This study addresses one of the significant challenges in early lung cancer screenings using low-dose computed tomography (LDCT) scans and is a valuable contribution towards the development and validation of deep learning algorithms for lung cancer screening and other diagnostic radiology examinations. 

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