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Michael Fulham

Publications and source records attributed to Michael Fulham.

31 records · Page 2Linked to original sources

Predicting Distant Metastases in Soft-Tissue Sarcomas from PET-CT scans using Constrained Hierarchical Multi-Modality Feature Learning

Distant metastases (DM) refer to the dissemination of tumors, usually, beyond the organ where the tumor originated. They are the leading cause of death in patients with soft-tissue sarcomas (STSs). Positron emission tomography-computed tomography (PET-CT) is regarded as the imaging modality of choice for the management of STSs. It is difficult to determine from imaging studies which STS patients will develop metastases. 'Radiomics' refers to the extraction and analysis of quantitative features from medical images and it has been employed to help identify such tumors. The state-of-the-art in radiomics is based on convolutional neural networks (CNNs). Most CNNs are designed for single-modality imaging data (CT or PET alone) and do not exploit the information embedded in PET-CT where there is a combination of an anatomical and functional imaging modality. Furthermore, most radiomic methods rely on manual input from imaging specialists for tumor delineation, definition and selection of radiomic features. This approach, however, may not be scalable to tumors with complex boundaries and where there are multiple other sites of disease. We outline a new 3D CNN to help predict DM in STS patients from PET-CT data. The 3D CNN uses a constrained feature learning module and a hierarchical multi-modality feature learning module that leverages the complementary information from the modalities to focus on semantically important regions. Our results on a public PET-CT dataset of STS patients show that multi-modal information improves the ability to identify those patients who develop DM. Further our method outperformed all other related state-of-the-art methods.

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Multimodal Spatial Attention Module for Targeting Multimodal PET-CT Lung Tumor Segmentation

Multimodal positron emission tomography-computed tomography (PET-CT) is used routinely in the assessment of cancer. PET-CT combines the high sensitivity for tumor detection with PET and anatomical information from CT. Tumor segmentation is a critical element of PET-CT but at present, there is not an accurate automated segmentation method. Segmentation tends to be done manually by different imaging experts and it is labor-intensive and prone to errors and inconsistency. Previous automated segmentation methods largely focused on fusing information that is extracted separately from the PET and CT modalities, with the underlying assumption that each modality contains complementary information. However, these methods do not fully exploit the high PET tumor sensitivity that can guide the segmentation. We introduce a multimodal spatial attention module (MSAM) that automatically learns to emphasize regions (spatial areas) related to tumors and suppress normal regions with physiologic high-uptake. The resulting spatial attention maps are subsequently employed to target a convolutional neural network (CNN) for segmentation of areas with higher tumor likelihood. Our MSAM can be applied to common backbone architectures and trained end-to-end. Our experimental results on two clinical PET-CT datasets of non-small cell lung cancer (NSCLC) and soft tissue sarcoma (STS) validate the effectiveness of the MSAM in these different cancer types. We show that our MSAM, with a conventional U-Net backbone, surpasses the state-of-the-art lung tumor segmentation approach by a margin of 7.6% in Dice similarity coefficient (DSC).

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Multi-Modality Information Fusion for Radiomics-based Neural Architecture Search

'Radiomics' is a method that extracts mineable quantitative features from radiographic images. These features can then be used to determine prognosis, for example, predicting the development of distant metastases (DM). Existing radiomics methods, however, require complex manual effort including the design of hand-crafted radiomic features and their extraction and selection. Recent radiomics methods, based on convolutional neural networks (CNNs), also require manual input in network architecture design and hyper-parameter tuning. Radiomic complexity is further compounded when there are multiple imaging modalities, for example, combined positron emission tomography - computed tomography (PET-CT) where there is functional information from PET and complementary anatomical localization information from computed tomography (CT). Existing multi-modality radiomics methods manually fuse the data that are extracted separately. Reliance on manual fusion often results in sub-optimal fusion because they are dependent on an 'expert's' understanding of medical images. In this study, we propose a multi-modality neural architecture search method (MM-NAS) to automatically derive optimal multi-modality image features for radiomics and thus negate the dependence on a manual process. We evaluated our MM-NAS on the ability to predict DM using a public PET-CT dataset of patients with soft-tissue sarcomas (STSs). Our results show that our MM-NAS had a higher prediction accuracy when compared to state-of-the-art radiomics methods.

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Convolutional Sparse Kernel Network for Unsupervised Medical Image Analysis

The availability of large-scale annotated image datasets and recent advances in supervised deep learning methods enable the end-to-end derivation of representative image features that can impact a variety of image analysis problems. Such supervised approaches, however, are difficult to implement in the medical domain where large volumes of labelled data are difficult to obtain due to the complexity of manual annotation and inter- and intra-observer variability in label assignment. We propose a new convolutional sparse kernel network (CSKN), which is a hierarchical unsupervised feature learning framework that addresses the challenge of learning representative visual features in medical image analysis domains where there is a lack of annotated training data. Our framework has three contributions: (i) We extend kernel learning to identify and represent invariant features across image sub-patches in an unsupervised manner. (ii) We initialise our kernel learning with a layer-wise pre-training scheme that leverages the sparsity inherent in medical images to extract initial discriminative features. (iii) We adapt a multi-scale spatial pyramid pooling (SPP) framework to capture subtle geometric differences between learned visual features. We evaluated our framework in medical image retrieval and classification on three public datasets. Our results show that our CSKN had better accuracy when compared to other conventional unsupervised methods and comparable accuracy to methods that used state-of-the-art supervised convolutional neural networks (CNNs). Our findings indicate that our unsupervised CSKN provides an opportunity to leverage unannotated big data in medical imaging repositories.

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Co-Learning Feature Fusion Maps from PET-CT Images of Lung Cancer

The analysis of multi-modality positron emission tomography and computed tomography (PET-CT) images for computer aided diagnosis applications requires combining the sensitivity of PET to detect abnormal regions with anatomical localization from CT. Current methods for PET-CT image analysis either process the modalities separately or fuse information from each modality based on knowledge about the image analysis task. These methods generally do not consider the spatially varying visual characteristics that encode different information across the different modalities, which have different priorities at different locations. For example, a high abnormal PET uptake in the lungs is more meaningful for tumor detection than physiological PET uptake in the heart. Our aim is to improve fusion of the complementary information in multi-modality PET-CT with a new supervised convolutional neural network (CNN) that learns to fuse complementary information for multi-modality medical image analysis. Our CNN first encodes modality-specific features and then uses them to derive a spatially varying fusion map that quantifies the relative importance of each modality's features across different spatial locations. These fusion maps are then multiplied with the modality-specific feature maps to obtain a representation of the complementary multi-modality information at different locations, which can then be used for image analysis. We evaluated the ability of our CNN to detect and segment multiple regions with different fusion requirements using a dataset of PET-CT images of lung cancer. We compared our method to baseline techniques for multi-modality image fusion and segmentation. Our findings show that our CNN had a significantly higher foreground detection accuracy (99.29%, p < 0.05) than the fusion baselines and a significantly higher Dice score (63.85%) than recent PET-CT tumor segmentation methods.

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Semi-supervised estimation of event temporal length for cell event detection

Cell event detection in cell videos is essential for monitoring of cellular behavior over extended time periods. Deep learning methods have shown great success in the detection of cell events for their ability to capture more discriminative features of cellular processes compared to traditional methods. In particular, convolutional long short-term memory (LSTM) models, which exploits the changes in cell events observable in video sequences, is the state-of-the-art for mitosis detection in cell videos. However, their limitations are the determination of the input sequence length, which is often performed empirically, and the need for a large annotated training dataset which is expensive to prepare. We propose a novel semi-supervised method of optimal length detection for mitosis detection with two key contributions: (i) an unsupervised step for learning the spatial and temporal locations of cells in their normal stage and approximating the distribution of temporal lengths of cell events and, (ii) a step of inferring, from that distribution, an optimal input sequence length and a minimal number of annotated frames for training a LSTM model for each particular video. We evaluated our method in detecting mitosis in densely packed stem cells in a phase-contrast microscopy videos. Our experimental data prove that increasing the input sequence length of LSTM can lead to a decrease in performance. Our results also show that by approximating the optimal input sequence length of the tested video, a model trained with only 18 annotated frames achieved F1-scores of 0.880-0.907, which are 10% higher than those of other published methods with a full set of 110 training annotated frames.

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Unsupervised Feature Learning with K-means and An Ensemble of Deep Convolutional Neural Networks for Medical Image Classification

Medical image analysis using supervised deep learning methods remains problematic because of the reliance of deep learning methods on large amounts of labelled training data. Although medical imaging data repositories continue to expand there has not been a commensurate increase in the amount of annotated data. Hence, we propose a new unsupervised feature learning method that learns feature representations to then differentiate dissimilar medical images using an ensemble of different convolutional neural networks (CNNs) and K-means clustering. It jointly learns feature representations and clustering assignments in an end-to-end fashion. We tested our approach on a public medical dataset and show its accuracy was better than state-of-the-art unsupervised feature learning methods and comparable to state-of-the-art supervised CNNs. Our findings suggest that our method could be used to tackle the issue of the large volume of unlabelled data in medical imaging repositories.

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Unsupervised Deep Transfer Feature Learning for Medical Image Classification

The accuracy and robustness of image classification with supervised deep learning are dependent on the availability of large-scale, annotated training data. However, there is a paucity of annotated data available due to the complexity of manual annotation. To overcome this problem, a popular approach is to use transferable knowledge across different domains by: 1) using a generic feature extractor that has been pre-trained on large-scale general images (i.e., transfer-learned) but which not suited to capture characteristics from medical images; or 2) fine-tuning generic knowledge with a relatively smaller number of annotated images. Our aim is to reduce the reliance on annotated training data by using a new hierarchical unsupervised feature extractor with a convolutional auto-encoder placed atop of a pre-trained convolutional neural network. Our approach constrains the rich and generic image features from the pre-trained domain to a sophisticated representation of the local image characteristics from the unannotated medical image domain. Our approach has a higher classification accuracy than transfer-learned approaches and is competitive with state-of-the-art supervised fine-tuned methods.

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Automated Segmentation of the Optic Disk and Cup using Dual-Stage Fully Convolutional Networks

Automated segmentation of the optic cup and disk on retinal fundus images is fundamental for the automated detection / analysis of glaucoma. Traditional segmentation approaches depend heavily upon hand-crafted features and a priori knowledge of the user. As such, these methods are difficult to be adapt to the clinical environment. Recently, deep learning methods based on fully convolutional networks (FCNs) have been successful in resolving segmentation problems. However, the reliance on large annotated training data is problematic when dealing with medical images. If a sufficient amount of annotated training data to cover all possible variations is not available, FCNs do not provide accurate segmentation. In addition, FCNs have a large receptive field in the convolutional layers, and hence produce coarse outputs of boundaries. Hence, we propose a new fully automated method that we refer to as a dual-stage fully convolutional networks (DSFCN). Our approach leverages deep residual architectures and FCNs and learns and infers the location of the optic cup and disk in a step-wise manner with fine-grained details. During training, our approach learns from the training data and the estimated results derived from the previous iteration. The ability to learn from the previous iteration optimizes the learning of the optic cup and the disk boundaries. During testing (prediction), DSFCN uses test (input) images and the estimated probability map derived from previous iterations to gradually improve the segmentation accuracy. Our method achieved an average Dice co-efficient of 0.8488 and 0.9441 for optic cup and disk segmentation and an area under curve (AUC) of 0.9513 for glaucoma detection.

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3D Global Convolutional Adversarial Network\\ for Prostate MR Volume Segmentation

Advanced deep learning methods have been developed to conduct prostate MR volume segmentation in either a 2D or 3D fully convolutional manner. However, 2D methods tend to have limited segmentation performance, since large amounts of spatial information of prostate volumes are discarded during the slice-by-slice segmentation process; and 3D methods also have room for improvement, since they use isotropic kernels to perform 3D convolutions whereas most prostate MR volumes have anisotropic spatial resolution. Besides, the fully convolutional structural methods achieve good performance for localization issues but neglect the per-voxel classification for segmentation tasks. In this paper, we propose a 3D Global Convolutional Adversarial Network (3D GCA-Net) to address efficient prostate MR volume segmentation. We first design a 3D ResNet encoder to extract 3D features from prostate scans, and then develop the decoder, which is composed of a multi-scale 3D global convolutional block and a 3D boundary refinement block, to address the classification and localization issues simultaneously for volumetric segmentation. Additionally, we combine the encoder-decoder segmentation network with an adversarial network in the training phrase to enforce the contiguity of long-range spatial predictions. Throughout the proposed model, we use anisotropic convolutional processing for better feature learning on prostate MR scans. We evaluated our 3D GCA-Net model on two public prostate MR datasets and achieved state-of-the-art performances.

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An unsupervised long short-term memory neural network for event detection in cell videos

We propose an automatic unsupervised cell event detection and classification method, which expands convolutional Long Short-Term Memory (LSTM) neural networks, for cellular events in cell video sequences. Cells in images that are captured from various biomedical applications usually have different shapes and motility, which pose difficulties for the automated event detection in cell videos. Current methods to detect cellular events are based on supervised machine learning and rely on tedious manual annotation from investigators with specific expertise. So that our LSTM network could be trained in an unsupervised manner, we designed it with a branched structure where one branch learns the frequent, regular appearance and movements of objects and the second learns the stochastic events, which occur rarely and without warning in a cell video sequence. We tested our network on a publicly available dataset of densely packed stem cell phase-contrast microscopy images undergoing cell division. This dataset is considered to be more challenging that a dataset with sparse cells. We compared our method to several published supervised methods evaluated on the same dataset and to a supervised LSTM method with a similar design and configuration to our unsupervised method. We used an F1-score, which is a balanced measure for both precision and recall. Our results show that our unsupervised method has a higher or similar F1-score when compared to two fully supervised methods that are based on Hidden Conditional Random Fields (HCRF), and has comparable accuracy with the current best supervised HCRF-based method. Our method was generalizable as after being trained on one video it could be applied to videos where the cells were in different conditions. The accuracy of our unsupervised method approached that of its supervised counterpart.

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Synthesis of Positron Emission Tomography (PET) Images via Multi-channel Generative Adversarial Networks (GANs)

Positron emission tomography (PET) image synthesis plays an important role, which can be used to boost the training data for computer aided diagnosis systems. However, existing image synthesis methods have problems in synthesizing the low resolution PET images. To address these limitations, we propose multi-channel generative adversarial networks (M-GAN) based PET image synthesis method. Different to the existing methods which rely on using low-level features, the proposed M-GAN is capable to represent the features in a high-level of semantic based on the adversarial learning concept. In addition, M-GAN enables to take the input from the annotation (label) to synthesize the high uptake regions e.g., tumors and from the computed tomography (CT) images to constrain the appearance consistency and output the synthetic PET images directly. Our results on 50 lung cancer PET-CT studies indicate that our method was much closer to the real PET images when compared with the existing methods.

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Morphometry-Based Longitudinal Neurodegeneration Simulation with MR Imaging

We present a longitudinal MR simulation framework which simulates the future neurodegenerative progression by outputting the predicted follow-up MR image and the voxel-based morphometry (VBM) map. This framework expects the patients to have at least 2 historical MR images available. The longitudinal and cross-sectional VBM maps are extracted to measure the affinity between the target subject and the template subjects collected for simulation. Then the follow-up simulation is performed by resampling the latest available target MR image with a weighted sum of non-linear transformations derived from the best-matched templates. The leave-one-out strategy was used to compare different simulation methods. Compared to the state-of-the-art voxel-based method, our proposed morphometry-based simulation achieves better accuracy in most cases.

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