Accurately predicting and detecting interstitial lung disease (ILD) patterns given any computed tomography (CT) slice without any pre-processing prerequisites, such as manually delineated regions of interest (ROIs), is a clinically desirable, yet challenging goal. The majority of existing work relies on manually-provided ILD ROIs to extract sampled 2D image patches from CT slices and, from there, performs patch-based ILD categorization. Acquiring manual ROIs is labor intensive and serves as a bottleneck towards fully-automated CT imaging ILD screening over large-scale populations. Furthermore, despite the considerable high frequency of more than one ILD pattern on a single CT slice, previous works are only designed to detect one ILD pattern per slice or patch. To tackle these two critical challenges, we present multi-label deep convolutional neural networks (CNNs) for detecting ILDs from holistic CT slices (instead of ROIs or sub-images). Conventional single-labeled CNN models can be augmented to cope with the possible presence of multiple ILD pattern labels, via 1) continuous-valued deep regression based robust norm loss functions or 2) a categorical objective as the sum of element-wise binary logistic losses. Our methods are evaluated and validated using a publicly available database of 658 patient CT scans under five-fold cross-validation, achieving promising performance on detecting four major ILD patterns: Ground Glass, Reticular, Honeycomb, and Emphysema. We also investigate the effectiveness of a CNN activation-based deep-feature encoding scheme using Fisher vector encoding, which treats ILD detection as spatially-unordered deep texture classification.
An early work on computer-aided ILD recognition is proposed to employ neural networks and expert rules to detect ground glass opacity (GGO) on CT images @cite_32 . The follow-up work includes GGO detection and segmentation @cite_46 @cite_34 . @cite_42 describe a human-in-the-loop approach where the human annotator delineates the region of interest and anatomical landmarks in the images, followed by classification on image attributes related to variations in intensity, texture, shape descriptors and so on. @cite_3 analyze 3D ILD imaging regions that are combined from multiple candidates detected beforehand on 2D slices. @cite_38 evaluate the diagnostic performance of an artificial neural network. There are many types of hand-crafted image features that are adopted for ILD classification, such as filter banks @cite_4 @cite_44 @cite_9 , local binary patterns (LBPs) @cite_52 @cite_47 , morphological operators followed by geometric measures, histogram of oriented gradients @cite_44 , texton based approaches @cite_7 , and wavelet and contourlet transforms @cite_13 @cite_15 . 2D texture features have also been extended into three dimensions @cite_49 @cite_35 @cite_34 . Typical feature encoding scheme and classifiers include bag of words @cite_0 , support vector machines (SVMs) @cite_52 @cite_14 @cite_16 , random forest @cite_9 and k-nearest neighbors (kNN) @cite_4 .
@cite_35 @cite_42 @cite_3 @cite_44 @cite_15 @cite_38 @cite_4 @cite_52 @cite_49 @cite_46 @cite_7 @cite_32 @cite_16 @cite_34 @cite_14 @cite_9 @cite_0 @cite_47 @cite_13
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Automated tissue characterization is one of the most crucial components of a computer aided diagnosis (CAD) system for interstitial lung diseases (ILDs). Although much research has been conducted in this field, the problem remains challenging. Deep learning techniques have recently achieved impressive results in a variety of computer vision problems, raising expectations that they might be applied in other domains, such as medical image analysis. In this paper, we propose and evaluate a convolutional neural network (CNN), designed for the classification of ILD patterns. The proposed network consists of 5 convolutional layers with 2 @math 2 kernels and LeakyReLU activations, followed by average pooling with size equal to the size of the final feature maps and three dense layers. The last dense layer has 7 outputs, equivalent to the classes considered: healthy, ground glass opacity (GGO), micronodules, consolidation, reticulation, honeycombing and a combination of GGO reticulation. To train and evaluate the CNN, we used a dataset of 14696 image patches, derived by 120 CT scans from different scanners and hospitals. To the best of our knowledge, this is the first deep CNN designed for the specific problem. A comparative analysis proved the effectiveness of the proposed CNN against previous methods in a challenging dataset. The classification performance ( @math ) demonstrated the potential of CNNs in analyzing lung patterns. Future work includes, extending the CNN to three-dimensional data provided by CT volume scans and integrating the proposed method into a CAD system that aims to provide differential diagnosis for ILDs as a supportive tool for radiologists. Remarkable progress has been made in image recognition, primarily due to the availability of large-scale annotated datasets and deep convolutional neural networks (CNNs). CNNs enable learning data-driven, highly representative, hierarchical image features from sufficient training data. However, obtaining datasets as comprehensively annotated as ImageNet in the medical imaging domain remains a challenge. There are currently three major techniques that successfully employ CNNs to medical image classification: training the CNN from scratch, using off-the-shelf pre-trained CNN features, and conducting unsupervised CNN pre-training with supervised fine-tuning. Another effective method is transfer learning, i.e., fine-tuning CNN models pre-trained from natural image dataset to medical image tasks. In this paper, we exploit three important, but previously understudied factors of employing deep convolutional neural networks to computer-aided detection problems. We first explore and evaluate different CNN architectures. The studied models contain 5 thousand to 160 million parameters, and vary in numbers of layers. We then evaluate the influence of dataset scale and spatial image context on performance. Finally, we examine when and why transfer learning from pre-trained ImageNet (via fine-tuning) can be useful. We study two specific computer-aided detection (CADe) problems, namely thoraco-abdominal lymph node (LN) detection and interstitial lung disease (ILD) classification. We achieve the state-of-the-art performance on the mediastinal LN detection, and report the first five-fold cross-validation classification results on predicting axial CT slices with ILD categories. Our extensive empirical evaluation, CNN model analysis and valuable insights can be extended to the design of high performance CAD systems for other medical imaging tasks. Deep convolutional neural networks have recently achieved state-of-the-art performance on a number of image recognition benchmarks, including the ImageNet Large-Scale Visual Recognition Challenge (ILSVRC-2012). The winning model on the localization sub-task was a network that predicts a single bounding box and a confidence score for each object category in the image. Such a model captures the whole-image context around the objects but cannot handle multiple instances of the same object in the image without naively replicating the number of outputs for each instance. In this work, we propose a saliency-inspired neural network model for detection, which predicts a set of class-agnostic bounding boxes along with a single score for each box, corresponding to its likelihood of containing any object of interest. The model naturally handles a variable number of instances for each class and allows for cross-class generalization at the highest levels of the network. We are able to obtain competitive recognition performance on VOC2007 and ILSVRC2012, while using only the top few predicted locations in each image and a small number of neural network evaluations. Deep convolutional neural networks have recently achieved state-of-the-art performance on a number of image recognition benchmarks, including the ImageNet Large-Scale Visual Recognition Challenge (ILSVRC-2012). The winning model on the localization sub-task was a network that predicts a single bounding box and a confidence score for each object category in the image. Such a model captures the whole-image context around the objects but cannot handle multiple instances of the same object in the image without naively replicating the number of outputs for each instance. In this work, we propose a saliency-inspired neural network model for detection, which predicts a set of class-agnostic bounding boxes along with a single score for each box, corresponding to its likelihood of containing any object of interest. The model naturally handles a variable number of instances for each class and allows for cross-class generalization at the highest levels of the network. We are able to obtain competitive recognition performance on VOC2007 and ILSVRC2012, while using only the top few predicted locations in each image and a small number of neural network evaluations.