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Farzad Khalvati

Publications and source records attributed to Farzad Khalvati.

At least 37 records · Page 2Linked to original sources

Using Large Text-to-Image Models with Structured Prompts for Skin Disease Identification: A Case Study

This paper investigates the potential usage of large text-to-image (LTI) models for the automated diagnosis of a few skin conditions with rarity or a serious lack of annotated datasets. As the input to the LTI model, we provide the targeted instantiation of a generic but succinct prompt structure designed upon careful observations of the conditional narratives from the standard medical textbooks. In this regard, we pave the path to utilizing accessible textbook descriptions for automated diagnosis of conditions with data scarcity through the lens of LTI models. Experiments show the efficacy of the proposed framework, including much better localization of the infected regions. Moreover, it has the immense possibility for generalization across the medical sub-domains, not only to mitigate the data scarcity issue but also to debias automated diagnostics from the all-pervasive racial biases.

cs.CV↗

Automating Cobb Angle Measurement for Adolescent Idiopathic Scoliosis using Instance Segmentation

Scoliosis is a three-dimensional deformity of the spine, most often diagnosed in childhood. It affects 2-3% of the population, which is approximately seven million people in North America. Currently, the reference standard for assessing scoliosis is based on the manual assignment of Cobb angles at the site of the curvature center. This manual process is time consuming and unreliable as it is affected by inter- and intra-observer variance. To overcome these inaccuracies, machine learning (ML) methods can be used to automate the Cobb angle measurement process. This paper proposes to address the Cobb angle measurement task using YOLACT, an instance segmentation model. The proposed method first segments the vertebrae in an X-Ray image using YOLACT, then it tracks the important landmarks using the minimum bounding box approach. Lastly, the extracted landmarks are used to calculate the corresponding Cobb angles. The model achieved a Symmetric Mean Absolute Percentage Error (SMAPE) score of 10.76%, demonstrating the reliability of this process in both vertebra localization and Cobb angle measurement.

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Optimized Global Perturbation Attacks For Brain Tumour ROI Extraction From Binary Classification Models

Deep learning techniques have greatly benefited computer-aided diagnostic systems. However, unlike other fields, in medical imaging, acquiring large fine-grained annotated datasets such as 3D tumour segmentation is challenging due to the high cost of manual annotation and privacy regulations. This has given interest to weakly-supervise methods to utilize the weakly labelled data for tumour segmentation. In this work, we propose a weakly supervised approach to obtain regions of interest using binary class labels. Furthermore, we propose a novel objective function to train the generator model based on a pretrained binary classification model. Finally, we apply our method to the brain tumour segmentation problem in MRI.

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Introducing Vision Transformer for Alzheimer's Disease classification task with 3D input

Many high-performance classification models utilize complex CNN-based architectures for Alzheimer's Disease classification. We aim to investigate two relevant questions regarding classification of Alzheimer's Disease using MRI: "Do Vision Transformer-based models perform better than CNN-based models?" and "Is it possible to use a shallow 3D CNN-based model to obtain satisfying results?" To achieve these goals, we propose two models that can take in and process 3D MRI scans: Convolutional Voxel Vision Transformer (CVVT) architecture, and ConvNet3D-4, a shallow 4-block 3D CNN-based model. Our results indicate that the shallow 3D CNN-based models are sufficient to achieve good classification results for Alzheimer's Disease using MRI scans.

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Minimizing the Effect of Noise and Limited Dataset Size in Image Classification Using Depth Estimation as an Auxiliary Task with Deep Multitask Learning

Generalizability is the ultimate goal of Machine Learning (ML) image classifiers, for which noise and limited dataset size are among the major concerns. We tackle these challenges through utilizing the framework of deep Multitask Learning (dMTL) and incorporating image depth estimation as an auxiliary task. On a customized and depth-augmented derivation of the MNIST dataset, we show a) multitask loss functions are the most effective approach of implementing dMTL, b) limited dataset size primarily contributes to classification inaccuracy, and c) depth estimation is mostly impacted by noise. In order to further validate the results, we manually labeled the NYU Depth V2 dataset for scene classification tasks. As a contribution to the field, we have made the data in python native format publicly available as an open-source dataset and provided the scene labels. Our experiments on MNIST and NYU-Depth-V2 show dMTL improves generalizability of the classifiers when the dataset is noisy and the number of examples is limited.

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Using Multi-modal Data for Improving Generalizability and Explainability of Disease Classification in Radiology

Traditional datasets for the radiological diagnosis tend to only provide the radiology image alongside the radiology report. However, radiology reading as performed by radiologists is a complex process, and information such as the radiologist's eye-fixations over the course of the reading has the potential to be an invaluable data source to learn from. Nonetheless, the collection of such data is expensive and time-consuming. This leads to the question of whether such data is worth the investment to collect. This paper utilizes the recently published Eye-Gaze dataset to perform an exhaustive study on the impact on performance and explainability of deep learning (DL) classification in the face of varying levels of input features, namely: radiology images, radiology report text, and radiologist eye-gaze data. We find that the best classification performance of X-ray images is achieved with a combination of radiology report free-text and radiology image, with the eye-gaze data providing no performance boost. Nonetheless, eye-gaze data serving as secondary ground truth alongside the class label results in highly explainable models that generate better attention maps compared to models trained to do classification and attention map generation without eye-gaze data.

cs.CV↗

Improving Disease Classification Performance and Explainability of Deep Learning Models in Radiology with Heatmap Generators

As deep learning is widely used in the radiology field, the explainability of such models is increasingly becoming essential to gain clinicians' trust when using the models for diagnosis. In this research, three experiment sets were conducted with a U-Net architecture to improve the classification performance while enhancing the heatmaps corresponding to the model's focus through incorporating heatmap generators during training. All of the experiments used the dataset that contained chest radiographs, associated labels from one of the three conditions ("normal", "congestive heart failure (CHF)", and "pneumonia"), and numerical information regarding a radiologist's eye-gaze coordinates on the images. The paper (A. Karargyris and Moradi, 2021) that introduced this dataset developed a U-Net model, which was treated as the baseline model for this research, to show how the eye-gaze data can be used in multi-modal training for explainability improvement. To compare the classification performances, the 95% confidence intervals (CI) of the area under the receiver operating characteristic curve (AUC) were measured. The best method achieved an AUC of 0.913 (CI: 0.860-0.966). The greatest improvements were for the "pneumonia" and "CHF" classes, which the baseline model struggled most to classify, resulting in AUCs of 0.859 (CI: 0.732-0.957) and 0.962 (CI: 0.933-0.989), respectively. The proposed method's decoder was also able to produce probability masks that highlight the determining image parts in model classifications, similarly as the radiologist's eye-gaze data. Hence, this work showed that incorporating heatmap generators and eye-gaze information into training can simultaneously improve disease classification and provide explainable visuals that align well with how the radiologist viewed the chest radiographs when making diagnosis.

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Exploring COVID-19 Related Stressors Using Topic Modeling

The COVID-19 pandemic has affected lives of people from different countries for almost two years. The changes on lifestyles due to the pandemic may cause psychosocial stressors for individuals, and have a potential to lead to mental health problems. To provide high quality mental health supports, healthcare organization need to identify the COVID-19 specific stressors, and notice the trends of prevalence of those stressors. This study aims to apply natural language processing (NLP) on social media data to identify the psychosocial stressors during COVID-19 pandemic, and to analyze the trend on prevalence of stressors at different stages of the pandemic. We obtained dataset of 9266 Reddit posts from subreddit \rCOVID19_support, from 14th Feb ,2020 to 19th July 2021. We used Latent Dirichlet Allocation (LDA) topic model and lexicon methods to identify the topics that were mentioned on the subreddit. Our result presented a dashboard to visualize the trend of prevalence of topics about covid-19 related stressors being discussed on social media platform. The result could provide insights about the prevalence of pandemic related stressors during different stages of COVID-19. The NLP techniques leveraged in this study could also be applied to analyze event specific stressors in the future.

cs.CL↗

Localized Perturbations For Weakly-Supervised Segmentation of Glioma Brain Tumours

Deep convolutional neural networks (CNNs) have become an essential tool in the medical imaging-based computer-aided diagnostic pipeline. However, training accurate and reliable CNNs requires large fine-grain annotated datasets. To alleviate this, weakly-supervised methods can be used to obtain local information from global labels. This work proposes the use of localized perturbations as a weakly-supervised solution to extract segmentation masks of brain tumours from a pretrained 3D classification model. Furthermore, we propose a novel optimal perturbation method that exploits 3D superpixels to find the most relevant area for a given classification using a U-net architecture. Our method achieved a Dice similarity coefficient (DSC) of 0.44 when compared with expert annotations. When compared against Grad-CAM, our method outperformed both in visualization and localization ability of the tumour region, with Grad-CAM only achieving 0.11 average DSC.

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Improving the Segmentation of Pediatric Low-Grade Gliomas through Multitask Learning

Brain tumor segmentation is a critical task for tumor volumetric analyses and AI algorithms. However, it is a time-consuming process and requires neuroradiology expertise. While there has been extensive research focused on optimizing brain tumor segmentation in the adult population, studies on AI guided pediatric tumor segmentation are scarce. Furthermore, MRI signal characteristics of pediatric and adult brain tumors differ, necessitating the development of segmentation algorithms specifically designed for pediatric brain tumors. We developed a segmentation model trained on magnetic resonance imaging (MRI) of pediatric patients with low-grade gliomas (pLGGs) from The Hospital for Sick Children (Toronto, Ontario, Canada). The proposed model utilizes deep Multitask Learning (dMTL) by adding tumor's genetic alteration classifier as an auxiliary task to the main network, ultimately improving the accuracy of the segmentation results.

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A Modified AUC for Training Convolutional Neural Networks: Taking Confidence into Account

Receiver operating characteristic (ROC) curve is an informative tool in binary classification and Area Under ROC Curve (AUC) is a popular metric for reporting performance of binary classifiers. In this paper, first we present a comprehensive review of ROC curve and AUC metric. Next, we propose a modified version of AUC that takes confidence of the model into account and at the same time, incorporates AUC into Binary Cross Entropy (BCE) loss used for training a Convolutional neural Network for classification tasks. We demonstrate this on three datasets: MNIST, prostate MRI, and brain MRI. Furthermore, we have published GenuineAI, a new python library, which provides the functions for conventional AUC and the proposed modified AUC along with metrics including sensitivity, specificity, recall, precision, and F1 for each point of the ROC curve.

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Vanishing Twin GAN: How training a weak Generative Adversarial Network can improve semi-supervised image classification

Generative Adversarial Networks can learn the mapping of random noise to realistic images in a semi-supervised framework. This mapping ability can be used for semi-supervised image classification to detect images of an unknown class where there is no training data to be used for supervised classification. However, if the unknown class shares similar characteristics to the known class(es), GANs can learn to generalize and generate images that look like both classes. This generalization ability can hinder the classification performance. In this work, we propose the Vanishing Twin GAN. By training a weak GAN and using its generated output image parallel to the regular GAN, the Vanishing Twin training improves semi-supervised image classification where image similarity can hurt classification tasks.

cs.CV↗

Multi-class Generative Adversarial Nets for Semi-supervised Image Classification

From generating never-before-seen images to domain adaptation, applications of Generative Adversarial Networks (GANs) spread wide in the domain of vision and graphics problems. With the remarkable ability of GANs in learning the distribution and generating images of a particular class, they can be used for semi-supervised classification tasks. However, the problem is that if two classes of images share similar characteristics, the GAN might learn to generalize and hinder the classification of the two classes. In this paper, we use various images from MNIST and Fashion-MNIST datasets to illustrate how similar images cause the GAN to generalize, leading to the poor classification of images. We propose a modification to the traditional training of GANs that allows for improved multi-class classification in similar classes of images in a semi-supervised learning framework.

cs.CV↗

Data Augmentation using Generative Adversarial Networks (GANs) for GAN-based Detection of Pneumonia and COVID-19 in Chest X-ray Images

Successful training of convolutional neural networks (CNNs) requires a substantial amount of data. With small datasets networks generalize poorly. Data Augmentation techniques improve the generalizability of neural networks by using existing training data more effectively. Standard data augmentation methods, however, produce limited plausible alternative data. Generative Adversarial Networks (GANs) have been utilized to generate new data and improve the performance of CNNs. Nevertheless, data augmentation techniques for training GANs are under-explored compared to CNNs. In this work, we propose a new GAN architecture for augmentation of chest X-rays for semi-supervised detection of pneumonia and COVID-19 using generative models. We show that the proposed GAN can be used to effectively augment data and improve classification accuracy of disease in chest X-rays for pneumonia and COVID-19. We compare our augmentation GAN model with Deep Convolutional GAN and traditional augmentation methods (rotate, zoom, etc) on two different X-ray datasets and show our GAN-based augmentation method surpasses other augmentation methods for training a GAN in detecting anomalies in X-ray images.

cs.CV↗

A Transfer Learning Based Active Learning Framework for Brain Tumor Classification

Brain tumor is one of the leading causes of cancer-related death globally among children and adults. Precise classification of brain tumor grade (low-grade and high-grade glioma) at early stage plays a key role in successful prognosis and treatment planning. With recent advances in deep learning, Artificial Intelligence-enabled brain tumor grading systems can assist radiologists in the interpretation of medical images within seconds. The performance of deep learning techniques is, however, highly depended on the size of the annotated dataset. It is extremely challenging to label a large quantity of medical images given the complexity and volume of medical data. In this work, we propose a novel transfer learning based active learning framework to reduce the annotation cost while maintaining stability and robustness of the model performance for brain tumor classification. We employed a 2D slice-based approach to train and finetune our model on the Magnetic Resonance Imaging (MRI) training dataset of 203 patients and a validation dataset of 66 patients which was used as the baseline. With our proposed method, the model achieved Area Under Receiver Operating Characteristic (ROC) Curve (AUC) of 82.89% on a separate test dataset of 66 patients, which was 2.92% higher than the baseline AUC while saving at least 40% of labeling cost. In order to further examine the robustness of our method, we created a balanced dataset, which underwent the same procedure. The model achieved AUC of 82% compared with AUC of 78.48% for the baseline, which reassures the robustness and stability of our proposed transfer learning augmented with active learning framework while significantly reducing the size of training data.

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A Transfer Learning Approach for Automated Segmentation of Prostate Whole Gland and Transition Zone in Diffusion Weighted MRI

The segmentation of prostate whole gland and transition zone in Diffusion Weighted MRI (DWI) are the first step in designing computer-aided detection algorithms for prostate cancer. However, variations in MRI acquisition parameters and scanner manufacturing result in different appearances of prostate tissue in the images. Convolutional neural networks (CNNs) which have shown to be successful in various medical image analysis tasks including segmentation are typically sensitive to the variations in imaging parameters. This sensitivity leads to poor segmentation performance of CNNs trained on a source cohort and tested on a target cohort from a different scanner and hence, it limits the applicability of CNNs for cross-cohort training and testing. Contouring prostate whole gland and transition zone in DWI images are time-consuming and expensive. Thus, it is important to enable CNNs pretrained on images of source domain, to segment images of target domain with minimum requirement for manual segmentation of images from the target domain. In this work, we propose a transfer learning method based on a modified U-net architecture and loss function, for segmentation of prostate whole gland and transition zone in DWIs using a CNN pretrained on a source dataset and tested on the target dataset. We explore the effect of the size of subset of target dataset used for fine-tuning the pre-trained CNN on the overall segmentation accuracy. Our results show that with a fine-tuning data as few as 30 patients from the target domain, the proposed transfer learning-based algorithm can reach dice score coefficient of 0.80 for both prostate whole gland and transition zone segmentation. Using a fine-tuning data of 115 patients from the target domain, dice score coefficient of 0.85 and 0.84 are achieved for segmentation of whole gland and transition zone, respectively, in the target domain.

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RANDGAN: Randomized Generative Adversarial Network for Detection of COVID-19 in Chest X-ray

COVID-19 spread across the globe at an immense rate has left healthcare systems incapacitated to diagnose and test patients at the needed rate. Studies have shown promising results for detection of COVID-19 from viral bacterial pneumonia in chest X-rays. Automation of COVID-19 testing using medical images can speed up the testing process of patients where health care systems lack sufficient numbers of the reverse-transcription polymerase chain reaction (RT-PCR) tests. Supervised deep learning models such as convolutional neural networks (CNN) need enough labeled data for all classes to correctly learn the task of detection. Gathering labeled data is a cumbersome task and requires time and resources which could further strain health care systems and radiologists at the early stages of a pandemic such as COVID-19. In this study, we propose a randomized generative adversarial network (RANDGAN) that detects images of an unknown class (COVID-19) from known and labelled classes (Normal and Viral Pneumonia) without the need for labels and training data from the unknown class of images (COVID-19). We used the largest publicly available COVID-19 chest X-ray dataset, COVIDx, which is comprised of Normal, Pneumonia, and COVID-19 images from multiple public databases. In this work, we use transfer learning to segment the lungs in the COVIDx dataset. Next, we show why segmentation of the region of interest (lungs) is vital to correctly learn the task of classification, specifically in datasets that contain images from different resources as it is the case for the COVIDx dataset. Finally, we show improved results in detection of COVID-19 cases using our generative model (RANDGAN) compared to conventional generative adversarial networks (GANs) for anomaly detection in medical images, improving the area under the ROC curve from 0.71 to 0.77.

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Evaluating Knowledge Transfer in Neural Network for Medical Images

Deep learning and knowledge transfer techniques have permeated the field of medical imaging and are considered as key approaches for revolutionizing diagnostic imaging practices. However, there are still challenges for the successful integration of deep learning into medical imaging tasks due to a lack of large annotated imaging data. To address this issue, we propose a teacher-student learning framework to transfer knowledge from a carefully pre-trained convolutional neural network (CNN) teacher to a student CNN. In this study, we explore the performance of knowledge transfer in the medical imaging setting. We investigate the proposed network's performance when the student network is trained on a small dataset (target dataset) as well as when teacher's and student's domains are distinct. The performances of the CNN models are evaluated on three medical imaging datasets including Diabetic Retinopathy, CheXpert, and ChestX-ray8. Our results indicate that the teacher-student learning framework outperforms transfer learning for small imaging datasets. Particularly, the teacher-student learning framework improves the area under the ROC Curve (AUC) of the CNN model on a small sample of CheXpert (n=5k) by 4% and on ChestX-ray8 (n=5.6k) by 9%. In addition to small training data size, we also demonstrate a clear advantage of the teacher-student learning framework in the medical imaging setting compared to transfer learning. We observe that the teacher-student network holds a great promise not only to improve the performance of diagnosis but also to reduce overfitting when the dataset is small.

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