The scarcity of richly annotated medical images is limiting supervised deep learning based solutions to medical image analysis tasks, such as localizing discriminatory radiomic disease signatures. Therefore, it is desirable to leverage unsupervised and weakly supervised models. Most recent weakly supervised localization methods apply attention maps or region proposals in a multiple instance learning formulation. While attention maps can be noisy, leading to erroneously highlighted regions, it is not simple to decide on an optimal window bag size for multiple instance learning approaches. In this paper, we propose a learned spatial masking mechanism to filter out irrelevant background signals from attention maps. The proposed method minimizes mutual information between a masked variational representation and the input while maximizing the information between the masked representation and class labels. This results in more accurate localization of discriminatory regions. We tested the proposed model on the ChestX-ray8 dataset to localize pneumonia from chest X-ray images without using any pixel-level or bounding-box annotations.
We develop an algorithm that can detect pneumonia from chest X-rays at a level exceeding practicing radiologists. Our algorithm, CheXNet, is a 121-layer convolutional neural network trained on ChestX-ray14, currently the largest publicly available chest X-ray dataset, containing over 100,000 frontal-view X-ray images with 14 diseases. Four practicing academic radiologists annotate a test set, on which we compare the performance of CheXNet to that of radiologists. We find that CheXNet exceeds average radiologist performance on the F1 metric. We extend CheXNet to detect all 14 diseases in ChestX-ray14 and achieve state of the art results on all 14 diseases. Chest X-rays is one of the most commonly available and affordable radiological examinations in clinical practice. While detecting thoracic diseases on chest X-rays is still a challenging task for machine intelligence, due to 1) the highly varied appearance of lesion areas on X-rays from patients of different thoracic disease and 2) the shortage of accurate pixel-level annotations by radiologists for model training. Existing machine learning methods are unable to deal with the challenge that thoracic diseases usually happen in localized disease-specific areas. In this article, we propose a weakly supervised deep learning framework equipped with squeeze-and-excitation blocks, multi-map transfer and max-min pooling for classifying common thoracic diseases as well as localizing suspicious lesion regions on chest X-rays. The comprehensive experiments and discussions are performed on the ChestX-ray14 dataset. Both numerical and visual results have demonstrated the effectiveness of proposed model and its better performance against the state-of-the-art pipelines. This paper addresses the visualisation of image classification models, learnt using deep Convolutional Networks (ConvNets). We consider two visualisation techniques, based on computing the gradient of the class score with respect to the input image. The first one generates an image, which maximises the class score [5], thus visualising the notion of the class, captured by a ConvNet. The second technique computes a class saliency map, specific to a given image and class. We show that such maps can be employed for weakly supervised object segmentation using classification ConvNets. Finally, we establish the connection between the gradient-based ConvNet visualisation methods and deconvolutional networks [13]. This work provides a simple approach to discover tight object bounding boxes with only image-level supervision, called Tight box mining with Surrounding Segmentation Context (TS2C). We observe that object candidates mined through current multiple instance learning methods are usually trapped to discriminative object parts, rather than the entire object. TS2C leverages surrounding segmentation context derived from weakly-supervised segmentation to suppress such low-quality distracting candidates and boost the high-quality ones. Specifically, TS2C is developed based on two key properties of desirable bounding boxes: (1) high purity, meaning most pixels in the box are with high object response, and (2) high completeness, meaning the box covers high object response pixels comprehensively. With such novel and computable criteria, more tight candidates can be discovered for learning a better object detector. With TS2C, we obtain 48.0 and 44.4 mAP scores on VOC 2007 and 2012 benchmarks, which are the new state-of-the-arts. 