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H. R. Tizhoosh

Publications and source records attributed to H. R. Tizhoosh.

At least 55 records · Page 3Linked to original sources

Unsupervised Detection of Lung Nodules in Chest Radiography Using Generative Adversarial Networks

Lung nodules are commonly missed in chest radiographs. We propose and evaluate P-AnoGAN, an unsupervised anomaly detection approach for lung nodules in radiographs. P-AnoGAN modifies the fast anomaly detection generative adversarial network (f-AnoGAN) by utilizing a progressive GAN and a convolutional encoder-decoder-encoder pipeline. Model training uses only unlabelled healthy lung patches extracted from the Indiana University Chest X-Ray Collection. External validation and testing are performed using healthy and unhealthy patches extracted from the ChestX-ray14 and Japanese Society for Radiological Technology datasets, respectively. Our model robustly identifies patches containing lung nodules in external validation and test data with ROC-AUC of 91.17% and 87.89%, respectively. These results show unsupervised methods may be useful in challenging tasks such as lung nodule detection in radiographs.

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A Similarity Measure of Histopathology Images by Deep Embeddings

Histopathology digital scans are large-size images that contain valuable information at the pixel level. Content-based comparison of these images is a challenging task. This study proposes a content-based similarity measure for high-resolution gigapixel histopathology images. The proposed similarity measure is an expansion of cosine vector similarity to a matrix. Each image is divided into same-size patches with a meaningful amount of information (i.e., contained enough tissue). The similarity is measured by the extraction of patch-level deep embeddings of the last pooling layer of a pre-trained deep model at four different magnification levels, namely, 1x, 2.5x, 5x, and 10x magnifications. In addition, for faster measurement, embedding reduction is investigated. Finally, to assess the proposed method, an image search method is implemented. Results show that the similarity measure represents the slide labels with a maximum accuracy of 93.18\% for top-5 search at 5x magnification.

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Automatic Multi-Stain Registration of Whole Slide Images in Histopathology

Joint analysis of multiple biomarker images and tissue morphology is important for disease diagnosis, treatment planning and drug development. It requires cross-staining comparison among Whole Slide Images (WSIs) of immuno-histochemical and hematoxylin and eosin (H&E) microscopic slides. However, automatic, and fast cross-staining alignment of enormous gigapixel WSIs at single-cell precision is challenging. In addition to morphological deformations introduced during slide preparation, there are large variations in cell appearance and tissue morphology across different staining. In this paper, we propose a two-step automatic feature-based cross-staining WSI alignment to assist localization of even tiny metastatic foci in the assessment of lymph node. Image pairs were aligned allowing for translation, rotation, and scaling. The registration was performed automatically by first detecting landmarks in both images, using the scale-invariant image transform (SIFT), followed by the fast sample consensus (FSC) protocol for finding point correspondences and finally aligned the images. The Registration results were evaluated using both visual and quantitative criteria using the Jaccard index. The average Jaccard similarity index of the results produced by the proposed system is 0.942 when compared with the manual registration.

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Colored Kimia Path24 Dataset: Configurations and Benchmarks with Deep Embeddings

The Kimia Path24 dataset has been introduced as a classification and retrieval dataset for digital pathology. Although it provides multi-class data, the color information has been neglected in the process of extracting patches. The staining information plays a major role in the recognition of tissue patterns. To address this drawback, we introduce the color version of Kimia Path24 by recreating sample patches from all 24 scans to propose Kimia Path24C. We run extensive experiments to determine the best configuration for selected patches. To provide preliminary results for setting a benchmark for the new dataset, we utilize VGG16, InceptionV3 and DenseNet-121 model as feature extractors. Then, we use these feature vectors to retrieve test patches. The accuracy of image retrieval using DenseNet was 95.92% while the highest accuracy using InceptionV3 and VGG16 reached 92.45% and 92%, respectively. We also experimented with "deep barcodes" and established that with a small loss in accuracy (e.g., 93.43% for binarized features for DenseNet instead of 95.92% when the features themselves are used), the search operations can be significantly accelerated.

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Fine-Tuning and Training of DenseNet for Histopathology Image Representation Using TCGA Diagnostic Slides

Feature vectors provided by pre-trained deep artificial neural networks have become a dominant source for image representation in recent literature. Their contribution to the performance of image analysis can be improved through finetuning. As an ultimate solution, one might even train a deep network from scratch with the domain-relevant images, a highly desirable option which is generally impeded in pathology by lack of labeled images and the computational expense. In this study, we propose a new network, namely KimiaNet, that employs the topology of the DenseNet with four dense blocks, fine-tuned and trained with histopathology images in different configurations. We used more than 240,000 image patches with 1000x1000 pixels acquired at 20x magnification through our proposed "highcellularity mosaic" approach to enable the usage of weak labels of 7,126 whole slide images of formalin-fixed paraffin-embedded human pathology samples publicly available through the The Cancer Genome Atlas (TCGA) repository. We tested KimiaNet using three public datasets, namely TCGA, endometrial cancer images, and colorectal cancer images by evaluating the performance of search and classification when corresponding features of different networks are used for image representation. As well, we designed and trained multiple convolutional batch-normalized ReLU (CBR) networks. The results show that KimiaNet provides superior results compared to the original DenseNet and smaller CBR networks when used as feature extractor to represent histopathology images.

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Magnification Generalization for Histopathology Image Embedding

Histopathology image embedding is an active research area in computer vision. Most of the embedding models exclusively concentrate on a specific magnification level. However, a useful task in histopathology embedding is to train an embedding space regardless of the magnification level. Two main approaches for tackling this goal are domain adaptation and domain generalization, where the target magnification levels may or may not be introduced to the model in training, respectively. Although magnification adaptation is a well-studied topic in the literature, this paper, to the best of our knowledge, is the first work on magnification generalization for histopathology image embedding. We use an episodic trainable domain generalization technique for magnification generalization, namely Model Agnostic Learning of Semantic Features (MASF), which works based on the Model Agnostic Meta-Learning (MAML) concept. Our experimental results on a breast cancer histopathology dataset with four different magnification levels show the proposed method's effectiveness for magnification generalization.

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Ink Marker Segmentation in Histopathology Images Using Deep Learning

Due to the recent advancements in machine vision, digital pathology has gained significant attention. Histopathology images are distinctly rich in visual information. The tissue glass slide images are utilized for disease diagnosis. Researchers study many methods to process histopathology images and facilitate fast and reliable diagnosis; therefore, the availability of high-quality slides becomes paramount. The quality of the images can be negatively affected when the glass slides are ink-marked by pathologists to delineate regions of interest. As an example, in one of the largest public histopathology datasets, The Cancer Genome Atlas (TCGA), approximately $12\%$ of the digitized slides are affected by manual delineations through ink markings. To process these open-access slide images and other repositories for the design and validation of new methods, an algorithm to detect the marked regions of the images is essential to avoid confusing tissue pixels with ink-colored pixels for computer methods. In this study, we propose to segment the ink-marked areas of pathology patches through a deep network. A dataset from $79$ whole slide images with $4,305$ patches was created and different networks were trained. Finally, the results showed an FPN model with the EffiecentNet-B3 as the backbone was found to be the superior configuration with an F1 score of $94.53\%$.

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Batch-Incremental Triplet Sampling for Training Triplet Networks Using Bayesian Updating Theorem

Variants of Triplet networks are robust entities for learning a discriminative embedding subspace. There exist different triplet mining approaches for selecting the most suitable training triplets. Some of these mining methods rely on the extreme distances between instances, and some others make use of sampling. However, sampling from stochastic distributions of data rather than sampling merely from the existing embedding instances can provide more discriminative information. In this work, we sample triplets from distributions of data rather than from existing instances. We consider a multivariate normal distribution for the embedding of each class. Using Bayesian updating and conjugate priors, we update the distributions of classes dynamically by receiving the new mini-batches of training data. The proposed triplet mining with Bayesian updating can be used with any triplet-based loss function, e.g., triplet-loss or Neighborhood Component Analysis (NCA) loss. Accordingly, Our triplet mining approaches are called Bayesian Updating Triplet (BUT) and Bayesian Updating NCA (BUNCA), depending on which loss function is being used. Experimental results on two public datasets, namely MNIST and histopathology colorectal cancer (CRC), substantiate the effectiveness of the proposed triplet mining method.

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A Comparative Study of U-Net Topologies for Background Removal in Histopathology Images

During the last decade, the digitization of pathology has gained considerable momentum. Digital pathology offers many advantages including more efficient workflows, easier collaboration as well as a powerful venue for telepathology. At the same time, applying Computer-Aided Diagnosis (CAD) on Whole Slide Images (WSIs) has received substantial attention as a direct result of the digitization. The first step in any image analysis is to extract the tissue. Hence, background removal is an essential prerequisite for efficient and accurate results for many algorithms. In spite of the obvious discrimination for human operators, the identification of tissue regions in WSIs could be challenging for computers, mainly due to the existence of color variations and artifacts. Moreover, some cases such as alveolar tissue types, fatty tissues, and tissues with poor staining are difficult to detect. In this paper, we perform experiments on U-Net architecture with different network backbones (different topologies) to remove the background as well as artifacts from WSIs in order to extract the tissue regions. We compare a wide range of backbone networks including MobileNet, VGG16, EfficientNet-B3, ResNet50, ResNext101 and DenseNet121. We trained and evaluated the network on a manually labeled subset of The Cancer Genome Atlas (TCGA) Dataset. EfficientNet-B3 and MobileNet by almost 99% sensitivity and specificity reached the best results.

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Supervision and Source Domain Impact on Representation Learning: A Histopathology Case Study

As many algorithms depend on a suitable representation of data, learning unique features is considered a crucial task. Although supervised techniques using deep neural networks have boosted the performance of representation learning, the need for a large set of labeled data limits the application of such methods. As an example, high-quality delineations of regions of interest in the field of pathology is a tedious and time-consuming task due to the large image dimensions. In this work, we explored the performance of a deep neural network and triplet loss in the area of representation learning. We investigated the notion of similarity and dissimilarity in pathology whole-slide images and compared different setups from unsupervised and semi-supervised to supervised learning in our experiments. Additionally, different approaches were tested, applying few-shot learning on two publicly available pathology image datasets. We achieved high accuracy and generalization when the learned representations were applied to two different pathology datasets.

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Recognizing Magnification Levels in Microscopic Snapshots

Recent advances in digital imaging has transformed computer vision and machine learning to new tools for analyzing pathology images. This trend could automate some of the tasks in the diagnostic pathology and elevate the pathologist workload. The final step of any cancer diagnosis procedure is performed by the expert pathologist. These experts use microscopes with high level of optical magnification to observe minute characteristics of the tissue acquired through biopsy and fixed on glass slides. Switching between different magnifications, and finding the magnification level at which they identify the presence or absence of malignant tissues is important. As the majority of pathologists still use light microscopy, compared to digital scanners, in many instance a mounted camera on the microscope is used to capture snapshots from significant field-of-views. Repositories of such snapshots usually do not contain the magnification information. In this paper, we extract deep features of the images available on TCGA dataset with known magnification to train a classifier for magnification recognition. We compared the results with LBP, a well-known handcrafted feature extraction method. The proposed approach achieved a mean accuracy of 96% when a multi-layer perceptron was trained as a classifier.

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Fisher Discriminant Triplet and Contrastive Losses for Training Siamese Networks

Siamese neural network is a very powerful architecture for both feature extraction and metric learning. It usually consists of several networks that share weights. The Siamese concept is topology-agnostic and can use any neural network as its backbone. The two most popular loss functions for training these networks are the triplet and contrastive loss functions. In this paper, we propose two novel loss functions, named Fisher Discriminant Triplet (FDT) and Fisher Discriminant Contrastive (FDC). The former uses anchor-neighbor-distant triplets while the latter utilizes pairs of anchor-neighbor and anchor-distant samples. The FDT and FDC loss functions are designed based on the statistical formulation of the Fisher Discriminant Analysis (FDA), which is a linear subspace learning method. Our experiments on the MNIST and two challenging and publicly available histopathology datasets show the effectiveness of the proposed loss functions.

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Weighted Fisher Discriminant Analysis in the Input and Feature Spaces

Fisher Discriminant Analysis (FDA) is a subspace learning method which minimizes and maximizes the intra- and inter-class scatters of data, respectively. Although, in FDA, all the pairs of classes are treated the same way, some classes are closer than the others. Weighted FDA assigns weights to the pairs of classes to address this shortcoming of FDA. In this paper, we propose a cosine-weighted FDA as well as an automatically weighted FDA in which weights are found automatically. We also propose a weighted FDA in the feature space to establish a weighted kernel FDA for both existing and newly proposed weights. Our experiments on the ORL face recognition dataset show the effectiveness of the proposed weighting schemes.

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Pan-Cancer Diagnostic Consensus Through Searching Archival Histopathology Images Using Artificial Intelligence

The emergence of digital pathology has opened new horizons for histopathology and cytology. Artificial-intelligence algorithms are able to operate on digitized slides to assist pathologists with diagnostic tasks. Whereas machine learning involving classification and segmentation methods have obvious benefits for image analysis in pathology, image search represents a fundamental shift in computational pathology. Matching the pathology of new patients with already diagnosed and curated cases offers pathologist a novel approach to improve diagnostic accuracy through visual inspection of similar cases and computational majority vote for consensus building. In this study, we report the results from searching the largest public repository (The Cancer Genome Atlas [TCGA] program by National Cancer Institute, USA) of whole slide images from almost 11,000 patients depicting different types of malignancies. For the first time, we successfully indexed and searched almost 30,000 high-resolution digitized slides constituting 16 terabytes of data comprised of 20 million 1000x1000 pixels image patches. The TCGA image database covers 25 anatomic sites and contains 32 cancer subtypes. High-performance storage and GPU power were employed for experimentation. The results were assessed with conservative "majority voting" to build consensus for subtype diagnosis through vertical search and demonstrated high accuracy values for both frozen sections slides (e.g., bladder urothelial carcinoma 93%, kidney renal clear cell carcinoma 97%, and ovarian serous cystadenocarcinoma 99%) and permanent histopathology slides (e.g., prostate adenocarcinoma 98%, skin cutaneous melanoma 99%, and thymoma 100%). The key finding of this validation study was that computational consensus appears to be possible for rendering diagnoses if a sufficiently large number of searchable cases are available for each cancer subtype.

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Yottixel -- An Image Search Engine for Large Archives of Histopathology Whole Slide Images

With the emergence of digital pathology, searching for similar images in large archives has gained considerable attention. Image retrieval can provide pathologists with unprecedented access to the evidence embodied in already diagnosed and treated cases from the past. This paper proposes a search engine specialized for digital pathology, called Yottixel, a portmanteau for "one yotta pixel," alluding to the big-data nature of histopathology images. The most impressive characteristic of Yottixel is its ability to represent whole slide images (WSIs) in a compact manner. Yottixel can perform millions of searches in real-time with a high search accuracy and low storage profile. Yottixel uses an intelligent indexing algorithm capable of representing WSIs with a mosaic of patches by converting them into a small number of methodically extracted barcodes, called "Bunch of Barcodes" (BoB), the most prominent performance enabler of Yottixel. The performance of the prototype platform is qualitatively tested using 300 WSIs from the University of Pittsburgh Medical Center (UPMC) and 2,020 WSIs from The Cancer Genome Atlas Program (TCGA) provided by the National Cancer Institute. Both datasets amount to more than 4,000,000 patches of 1000x1000 pixels. We report three sets of experiments that show that Yottixel can accurately retrieve organs and malignancies, and its semantic ordering shows good agreement with the subjective evaluation of human observers.

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Subtractive Perceptrons for Learning Images: A Preliminary Report

In recent years, artificial neural networks have achieved tremendous success for many vision-based tasks. However, this success remains within the paradigm of \emph{weak AI} where networks, among others, are specialized for just one given task. The path toward \emph{strong AI}, or Artificial General Intelligence, remains rather obscure. One factor, however, is clear, namely that the feed-forward structure of current networks is not a realistic abstraction of the human brain. In this preliminary work, some ideas are proposed to define a \textit{subtractive Perceptron} (s-Perceptron), a graph-based neural network that delivers a more compact topology to learn one specific task. In this preliminary study, we test the s-Perceptron with the MNIST dataset, a commonly used image archive for digit recognition. The proposed network achieves excellent results compared to the benchmark networks that rely on more complex topologies.

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Atrial Fibrillation Detection Using Deep Features and Convolutional Networks

Atrial fibrillation is a cardiac arrhythmia that affects an estimated 33.5 million people globally and is the potential cause of 1 in 3 strokes in people over the age of 60. Detection and diagnosis of atrial fibrillation (AFIB) is done noninvasively in the clinical environment through the evaluation of electrocardiograms (ECGs). Early research into automated methods for the detection of AFIB in ECG signals focused on traditional bio-medical signal analysis to extract important features for use in statistical classification models. Artificial intelligence models have more recently been used that employ convolutional and/or recurrent network architectures. In this work, significant time and frequency domain characteristics of the ECG signal are extracted by applying the short-time Fourier trans-form and then visually representing the information in a spectrogram. Two different classification approaches were investigated that utilized deep features in the spectrograms construct-ed from ECG segments. The first approach used a pretrained DenseNet model to extract features that were then classified using Support Vector Machines, and the second approach used the spectrograms as direct input into a convolutional network. Both approaches were evaluated against the MIT-BIH AFIB dataset, where the convolutional network approach achieved a classification accuracy of 93.16%. While these results do not surpass established automated atrial fibrillation detection methods, they are promising and warrant further investigation given they did not require any noise prefiltering, hand-crafted features, nor a reliance on beat detection.

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Deep Features for Tissue-Fold Detection in Histopathology Images

Whole slide imaging (WSI) refers to the digitization of a tissue specimen which enables pathologists to explore high-resolution images on a monitor rather than through a microscope. The formation of tissue folds occur during tissue processing. Their presence may not only cause out-of-focus digitization but can also negatively affect the diagnosis in some cases. In this paper, we have compared five pre-trained convolutional neural networks (CNNs) of different depths as feature extractors to characterize tissue folds. We have also explored common classifiers to discriminate folded tissue against the normal tissue in hematoxylin and eosin (H\&E) stained biopsy samples. In our experiments, we manually select the folded area in roughly 2.5mm $\times$ 2.5mm patches at $20$x magnification level as the training data. The ``DenseNet'' with 201 layers alongside an SVM classifier outperformed all other configurations. Based on the leave-one-out validation strategy, we achieved $96.3\%$ accuracy, whereas with augmentation the accuracy increased to $97.2\%$. We have tested the generalization of our method with five unseen WSIs from the NIH (National Cancer Institute) dataset. The accuracy for patch-wise detection was $81\%$. One folded patch within an image suffices to flag the entire specimen for visual inspection.

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