Despite tremendous progress in computer vision, there has not been an attempt for machine learning on very large-scale medical image databases. We present an interleaved text image deep learning system to extract and mine the semantic interactions of radiology images and reports from a national research hospital's Picture Archiving and Communication System. With natural language processing, we mine a collection of representative 216K two-dimensional key images selected by clinicians for diagnostic reference, and match the images with their descriptions in an automated manner. Our system interleaves between unsupervised learning and supervised learning on document- and sentence-level text collections, to generate semantic labels and to predict them given an image. Given an image of a patient scan, semantic topics in radiology levels are predicted, and associated key-words are generated. Also, a number of frequent disease types are detected as present or absent, to provide more specific interpretation of a patient scan. This shows the potential of large-scale learning and prediction in electronic patient records available in most modern clinical institutions.
Graphical models have been employed to predict image attributes by @cite_13 @cite_15 , or to describe images by @cite_47 using manually annotated datasets.Automatic label mining on large, unlabeled datasets is presented by @cite_50 @cite_45 , however the variety of the label-space is limited to image text annotations. We analyze and mine the medical image semantics on both document and sentence levels, and deep CNNs of @cite_45 @cite_19 are adapted to learn them from image contents.
@cite_47 @cite_19 @cite_45 @cite_50 @cite_15 @cite_13
2950489286 2735683533 2963409068 2050418754
Despite the recent advances in automatically describing image contents, their applications have been mostly limited to image caption datasets containing natural images (e.g., Flickr 30k, MSCOCO). In this paper, we present a deep learning model to efficiently detect a disease from an image and annotate its contexts (e.g., location, severity and the affected organs). We employ a publicly available radiology dataset of chest x-rays and their reports, and use its image annotations to mine disease names to train convolutional neural networks (CNNs). In doing so, we adopt various regularization techniques to circumvent the large normal-vs-diseased cases bias. Recurrent neural networks (RNNs) are then trained to describe the contexts of a detected disease, based on the deep CNN features. Moreover, we introduce a novel approach to use the weights of the already trained pair of CNN RNN on the domain-specific image text dataset, to infer the joint image text contexts for composite image labeling. Significantly improved image annotation results are demonstrated using the recurrent neural cascade model by taking the joint image text contexts into account. The inability to interpret the model prediction in semantically and visually meaningful ways is a well-known shortcoming of most existing computer-aided diagnosis methods. In this paper, we propose MDNet to establish a direct multimodal mapping between medical images and diagnostic reports that can read images, generate diagnostic reports, retrieve images by symptom descriptions, and visualize attention, to provide justifications of the network diagnosis process. MDNet includes an image model and a language model. The image model is proposed to enhance multi-scale feature ensembles and utilization efficiency. The language model, integrated with our improved attention mechanism, aims to read and explore discriminative image feature descriptions from reports to learn a direct mapping from sentence words to image pixels. The overall network is trained end-to-end by using our developed optimization strategy. Based on a pathology bladder cancer images and its diagnostic reports (BCIDR) dataset, we conduct sufficient experiments to demonstrate that MDNet outperforms comparative baselines. The proposed image model obtains state-of-the-art performance on two CIFAR datasets as well. The inability to interpret the model prediction in semantically and visually meaningful ways is a well-known shortcoming of most existing computer-aided diagnosis methods. In this paper, we propose MDNet to establish a direct multimodal mapping between medical images and diagnostic reports that can read images, generate diagnostic reports, retrieve images by symptom descriptions, and visualize attention, to provide justifications of the network diagnosis process. MDNet includes an image model and a language model. The image model is proposed to enhance multi-scale feature ensembles and utilization efficiency. The language model, integrated with our improved attention mechanism, aims to read and explore discriminative image feature descriptions from reports to learn a direct mapping from sentence words to image pixels. The overall network is trained end-to-end by using our developed optimization strategy. Based on a pathology bladder cancer images and its diagnostic reports (BCIDR) dataset, we conduct sufficient experiments to demonstrate that MDNet outperforms comparative baselines. The proposed image model obtains state-of-the-art performance on two CIFAR datasets as well. This paper studies the effectiveness of accomplishing high-level tasks with a minimum of manual annotation and good feature representations for medical images. In medical image analysis, objects like cells are characterized by significant clinical features. Previously developed features like SIFT and HARR are unable to comprehensively represent such objects. Therefore, feature representation is especially important. In this paper, we study automatic extraction of feature representation through deep learning (DNN). Furthermore, detailed annotation of objects is often an ambiguous and challenging task. We use multiple instance learning (MIL) framework in classification training with deep learning features. Several interesting conclusions can be drawn from our work: (1) automatic feature learning outperforms manual feature; (2) the unsupervised approach can achieve performance that's close to fully supervised approach (93.56 ) vs. (94.52 ); and (3) the MIL performance of coarse label (96.30 ) outweighs the supervised performance of fine label (95.40 ) in supervised deep learning features.