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2022 IEEE 35th International Symposium on Computer-Based Medical Systems (CBMS)最新文献

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Penalized Entropy: a novel loss function for uncertainty estimation and optimization in medical image classification 惩罚熵:一种新的用于医学图像分类不确定性估计和优化的损失函数
Pub Date : 2022-07-01 DOI: 10.1109/CBMS55023.2022.00061
Dehua Feng, Xi Chen, Xiaoyu Wang, Jiahuan Lv, Lin Bai, Shu Zhang, Zhiguo Zhou
In medical image classification, uncertainty estimation providing confidence of decision is part of interpretability of prediction model. Based on estimated uncertainty, physicians can pick out cases with high uncertainty for further inspection. However, in this uncertainty-informed decision referral, models may make wrong predictions with high certainty which leads to omission of false predictions. Therefore, we propose a method to set up a model which could make correct prediction with low uncertainty and wrong prediction with high uncertainty. We integrate uncertainty estimation into training phase and design a novel loss function “penalized entropy” by penalizing wrong but certain samples to improve the models' certainty performance. Experiments were conducted on three datasets: optical coherence tomography (OCT) image dataset for anti-vascular endothelial growth factor (anti- VEGF) effectiveness classification, OCT image dataset for diagnostic classification, and chest X-ray dataset for pneumonia classification. Performances were evaluated on both accuracy metrics such as accuracy, sensitivity, specificity, area under the curve (AVC), and certainty metrics which are accuracy vs. uncertainty (AvV), probability of correct results among certain predictions (PCC), and probability of uncertain results among wrong predictions (PUW). Results show that the method using the proposed loss function can achieve better or comparable accuracy and state-of-the-art certainty performance.
在医学图像分类中,提供决策置信度的不确定性估计是预测模型可解释性的一部分。根据估计的不确定性,医生可以挑选出高不确定性的病例进行进一步检查。然而,在这种不确定性的决策参考中,模型可能会在高确定性的情况下做出错误的预测,从而导致错误预测的遗漏。因此,我们提出了一种建立低不确定性下正确预测和高不确定性下错误预测模型的方法。我们将不确定性估计整合到训练阶段,并设计了一种新的损失函数“惩罚熵”,通过惩罚错误但特定的样本来提高模型的确定性性能。实验使用三个数据集:用于抗血管内皮生长因子(anti- VEGF)有效性分类的光学相干断层扫描(OCT)图像数据集、用于诊断分类的OCT图像数据集和用于肺炎分类的胸部x线数据集。对准确性指标(如准确性、灵敏度、特异性、曲线下面积(AVC))和确定性指标(准确性与不确定性(AvV)、某些预测中正确结果的概率(PCC)和错误预测中不确定结果的概率(PUW))进行评估。结果表明,使用所提出的损失函数的方法可以达到更好或相当的精度和最先进的确定性性能。
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引用次数: 1
Automatic Detection of Prostate Cancer Systemic Lesions Based on Deep Learning and 68Ga-PSMA-11 PET/CT 基于深度学习和68Ga-PSMA-11 PET/CT的前列腺癌全身病变自动检测
Pub Date : 2022-07-01 DOI: 10.1109/CBMS55023.2022.00065
S. Zhong, Yuxuan Wu, Zhantao Liu, Zhaohong Pan, Bingsheng Huang, Qinqin Yang
The identification of lesions is critical for the diagnostic evaluation of prostate cancer. 68Ga-PSMA-11 PET/CT is a specific imaging for prostate cancer. However, this is extremely challenging considering the large number of lesions of varying size and uptake that may be distributed in various anatomical settings with different backgrounds throughout the body. In this paper, we propose a deep learning approach for automatic detection of whole-body prostate cancer lesions on PSMA imaging. We established and evaluated our model on the 68Ga-PSMA-11 PET/CT image dataset of 107 patients with metastatic prostate cancer, and finally obtained Precision, Recall and F1-score of 82.9%, 100% and 90.6%, respectively, on the independent test set. Preliminary tests confirmed the potential of our method for disease detection on a systemic scale. Increasing the amount of training data can further improve the performance of the proposed deep learning method.
病变的识别对于前列腺癌的诊断评价至关重要。68Ga-PSMA-11 PET/CT是前列腺癌的特异显像。然而,考虑到大量不同大小和摄取的病变可能分布在全身不同背景的不同解剖环境中,这是极具挑战性的。在本文中,我们提出了一种基于PSMA图像的全身前列腺癌病变自动检测的深度学习方法。我们在107例转移性前列腺癌患者的68Ga-PSMA-11 PET/CT图像数据集上建立并评估了我们的模型,最终在独立测试集上获得Precision, Recall和f1评分分别为82.9%,100%和90.6%。初步试验证实了我们的方法在系统范围内检测疾病的潜力。增加训练数据量可以进一步提高所提出的深度学习方法的性能。
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引用次数: 0
Policy-Based Diabetes Detection using Formal Runtime Verification Monitors 使用正式运行时验证监视器的基于策略的糖尿病检测
Pub Date : 2022-07-01 DOI: 10.1109/CBMS55023.2022.00066
Abhinandan Panda, Srinivas Pinisetty, P. Roop
Diabetes is a global health threat, and its prevalence is rising at an alarming rate. Diabetes is the cause of severe complications in vital organs of the body. So, diabetes must be detected early for timely treatment and to prevent the condition from escalating to severe consequences. Many AI and machine learning approaches have been proposed for the non-invasive continuous monitoring of diabetes. However, using such informal methods in healthcare monitoring raises concerns about reliability. Furthermore, deploying an AI-based solution to continuously monitor a person's health state on resource-constrained embedded devices is a concern. We overcome these shortcomings in this work by proposing a formal runtime monitoring system for the first time for diabetes detection using Electrocardiogram (ECG) sensing. We implement a data mining model from the ECG features to infer ECG policies and thereby synthesize a formal verification monitor based on the policies. Using a diabetes dataset, we evaluate the verification monitor's performance compared to other proposed models.
糖尿病是一个全球性的健康威胁,其患病率正以惊人的速度上升。糖尿病是导致身体重要器官严重并发症的原因。因此,糖尿病必须及早发现,及时治疗,防止病情升级为严重后果。许多人工智能和机器学习方法已被提出用于糖尿病的非侵入性连续监测。然而,在医疗保健监测中使用这种非正式方法会引起对可靠性的担忧。此外,在资源受限的嵌入式设备上部署基于人工智能的解决方案以持续监控人员的健康状态也是一个问题。我们在这项工作中克服了这些缺点,首次提出了一种正式的运行时监测系统,用于使用心电图(ECG)检测糖尿病。我们从心电特征中实现数据挖掘模型来推断心电策略,从而合成基于策略的形式化验证监视器。使用糖尿病数据集,与其他提出的模型相比,我们评估了验证监视器的性能。
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引用次数: 0
Semi-automatic Labeling and Training Strategy for Deep Learning-based Facial Wrinkle Detection 基于深度学习的面部皱纹检测半自动标记和训练策略
Pub Date : 2022-07-01 DOI: 10.1109/CBMS55023.2022.00075
Semin Kim, Huisu Yoon, Jonghan Lee, S. Yoo
Facial wrinkle is very important in measuring aging. Image processing-based methods have been proposed for wrinkle detection, but their performance was not enough because wrinkles have a wide variety of thickness, shape, orientation, and vague boundaries. Recently, deep learning-based methods have been widely applied in the field of image recognition with a lot of labeled image dataset. To extend this technology to facial wrinkle detection, labeling work for wrinkles to generate ground truth is very important. However, it is difficult to label wrinkles accurately because of the wide variety. In this paper, we propose a semiautomatic labeling strategy incorporating a texture map and a deep learning model. Specifically, the proposed method extracted the texture map from an original image and removed non-wrinkle textures on the map by multiplying with a roughly labeled wrinkle mask. Then, the map is converted into ground truth by thresholding. Using the ground truth, a deep learning model was trained with the original image and the texture map. The trained model was evaluated with facial images obtained from real skin diagnosis devices, and the results showed superior performance to those of existing image processing-based methods.
面部皱纹是衡量衰老的重要指标。基于图像处理的皱纹检测方法已经被提出,但由于皱纹的厚度、形状、方向变化很大,并且边界模糊,因此它们的性能不够。近年来,基于深度学习的方法在图像识别领域得到了广泛的应用,有大量的标记图像数据集。为了将该技术扩展到面部皱纹检测,对皱纹进行标记工作以生成地面真值是非常重要的。然而,由于皱纹种类繁多,很难准确地标记皱纹。在本文中,我们提出了一种结合纹理映射和深度学习模型的半自动标注策略。具体而言,该方法从原始图像中提取纹理映射,并通过与粗略标记的皱纹掩模相乘来去除地图上的无皱纹纹理。然后,通过阈值分割将地图转换为地面真值。利用ground truth,利用原始图像和纹理图训练深度学习模型。用真实皮肤诊断设备获得的面部图像对训练后的模型进行了评估,结果表明该模型的性能优于现有的基于图像处理的方法。
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引用次数: 3
Patient identification methods based on medical imagery and their impact on patient privacy and open medical data 基于医学图像的患者识别方法及其对患者隐私和开放医疗数据的影响
Pub Date : 2022-07-01 DOI: 10.1109/CBMS55023.2022.00079
Laura Carolina Martínez Esmeral, A. Uhl
In this paper, we provide an overview of techniques for human subject identification from biomedical signals, highlighting the potential threat for patient privacy considering public repositories of medical data. After an in-depth review of lesser known approaches, we conclude that performing a disentanglement and elimination of the identity related attributes from the medical image data is a potential solution for this problem.
在本文中,我们概述了从生物医学信号中识别人类受试者的技术,强调了考虑到公共医疗数据存储库对患者隐私的潜在威胁。在深入回顾了鲜为人知的方法后,我们得出结论,从医学图像数据中执行解纠缠和消除身份相关属性是解决此问题的潜在解决方案。
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引用次数: 1
Towards Evidence-based Argumentation Graph for Clinical Decision Support 面向临床决策支持的循证论证图
Pub Date : 2022-07-01 DOI: 10.1109/CBMS55023.2022.00078
Liang Xiao
Clinical decision-making is closely related with the activity of argumentation among alternative options. In recent years, theories and languages have been developed for argumentation and evidence-based decision support. However, a systematic study of argument representation using evidence in the medicine domain is missing. In this paper, an Evidence-based Argumentation Graph is proposed. A Clinical Argumentation scheme and a Patient Preference Argumentation scheme guide their construction. Arguments can be represented using clinical and patient preference evidence and semantically integrated in the graph. Clinical decision support is delivered to clinicians and patients together. The method is demonstrated using a case study of decision support for patients suspected with breast cancer.
临床决策与备选方案之间的论证活动密切相关。近年来,理论和语言已经发展为论证和基于证据的决策支持。然而,在医学领域使用证据的论点表示的系统研究是缺失的。本文提出了一种基于证据的论证图。临床论证方案和患者偏好论证方案指导其建设。争论可以使用临床和患者偏好证据来表示,并在语义上集成在图中。临床决策支持同时提供给临床医生和患者。该方法是用一个案例研究的决策支持,怀疑患有乳腺癌的患者演示。
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引用次数: 1
PolypConnect: Image inpainting for generating realistic gastrointestinal tract images with polyps polyconnect:用于生成具有息肉的逼真胃肠道图像的图像绘制
Pub Date : 2022-05-30 DOI: 10.1109/CBMS55023.2022.00019
Jan Andre Fagereng, Vajira Lasantha Thambawita, A. Storaas, S. Parasa, T. Lange, P. Halvorsen, M. Riegler
Early identification of a polyp in the lower gas-trointestinal (GI) tract can lead to prevention of life-threatening colorectal cancer. Developing computer-aided diagnosis (CAD) systems to detect polyps can improve detection accuracy and efficiency and save the time of the domain experts called endoscopists. Lack of annotated data is a common challenge when building CAD systems. Generating synthetic medical data is an active research area to overcome the problem of having relatively few true positive cases in the medical domain. To be able to efficiently train machine learning (ML) models, which are the core of CAD systems, a considerable amount of data should be used. In this respect, we propose the PolypConnect pipeline, which can convert non-polyp images into polyp images to increase the size of training datasets for training. We present the whole pipeline with quantitative and qualitative evaluations involving endoscopists. The polyp segmentation model trained using synthetic data, and real data shows a 5.1% improvement of mean intersection over union (mIOU), compared to the model trained only using real data. The codes of all the experiments are available on GitHub to reproduce the results.
早期发现下消化道息肉可以预防危及生命的结直肠癌。开发计算机辅助诊断(CAD)系统来检测息肉可以提高检测的准确性和效率,并节省内窥镜专家的时间。在构建CAD系统时,缺乏注释数据是一个常见的挑战。生成合成医疗数据是一个活跃的研究领域,以克服在医疗领域真正的阳性病例相对较少的问题。为了能够有效地训练作为CAD系统核心的机器学习(ML)模型,应该使用大量的数据。在这方面,我们提出了PolypConnect管道,它可以将非息肉图像转换为息肉图像,以增加训练数据集的大小。我们提出了整个管道与定量和定性评估涉及内窥镜医师。使用合成数据和真实数据训练的息肉分割模型与仅使用真实数据训练的模型相比,平均交联(mIOU)提高了5.1%。所有实验的代码都可以在GitHub上获得,以重现结果。
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引用次数: 3
FLICU: A Federated Learning Workflow for Intensive Care Unit Mortality Prediction 重症监护病房死亡率预测的联邦学习工作流
Pub Date : 2022-05-30 DOI: 10.1109/CBMS55023.2022.00013
Lena Mondrejevski, Ioanna Miliou, Annaclaudia Montanino, David Pitts, Jaakko Hollmén, P. Papapetrou
Although Machine Learning can be seen as a promising tool to improve clinical decision-making, it remains limited by access to healthcare data. Healthcare data is sensitive, requiring strict privacy practices, and typically stored in data silos, making traditional Machine Learning challenging. Federated Learning can counteract those limitations by training Machine Learning models over data silos while keeping the sensitive data localized. This study proposes a Federated Learning workflow for Intensive Care Unit mortality prediction. Hereby, the applicability of Federated Learning as an alternative to Centralized Machine Learning and Local Machine Learning is investigated by introducing Federated Learning to the binary classification problem of predicting Intensive Care Unit mortality. We extract multivariate time series data from the MIMIC-III database (lab values and vital signs), and benchmark the predictive performance of four deep sequential classifiers (FRNN, LSTM, GRU, and 1DCNN) varying the patient history window lengths (8h, 16h, 24h, and 48h) and the number of Federated Learning clients (2, 4, and 8). The experiments demonstrate that both Centralized Machine Learning and Federated Learning are comparable in terms of AUPRC and F1-score. Furthermore, the federated approach shows superior performance over Local Machine Learning. Thus, Federated Learning can be seen as a valid and privacy-preserving alternative to Centralized Machine Learning for classifying Intensive Care Unit mortality when the sharing of sensitive patient data between hospitals is not possible.
尽管机器学习可以被视为改善临床决策的有前途的工具,但它仍然受到医疗数据访问的限制。医疗保健数据非常敏感,需要严格的隐私保护措施,并且通常存储在数据孤岛中,这使得传统的机器学习具有挑战性。联邦学习可以通过在数据孤岛上训练机器学习模型来抵消这些限制,同时保持敏感数据的本地化。本研究提出一种用于重症监护病房死亡率预测的联邦学习工作流程。因此,通过将联邦学习引入预测重症监护病房死亡率的二元分类问题,研究联邦学习作为集中式机器学习和局部机器学习替代方案的适用性。我们从MIMIC-III数据库中提取多元时间序列数据(实验室值和生命体征),并对四种深度顺序分类器(FRNN, LSTM, GRU和1DCNN)的预测性能进行基准测试,这些分类器改变了患者历史窗口长度(8h, 16h, 24h和48h)和联邦学习客户端数量(2,4和8)。实验表明,集中式机器学习和联邦学习在AUPRC和f1得分方面具有可比性。此外,联邦方法表现出优于本地机器学习的性能。因此,当医院之间无法共享敏感患者数据时,联邦学习可以被视为一种有效且保护隐私的集中式机器学习替代方案,用于对重症监护病房死亡率进行分类。
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引用次数: 2
Predicting Tacrolimus Exposure in Kidney Transplanted Patients Using Machine Learning 使用机器学习预测肾移植患者他克莫司暴露
Pub Date : 2022-05-09 DOI: 10.1109/CBMS55023.2022.00014
A. Storaas, A. Aasberg, P. Halvorsen, M. Riegler, Inga Strumke
Tacrolimus is one of the cornerstone immunosup-pressive drugs in most transplantation centers worldwide following solid organ transplantation. Therapeutic drug monitoring of tacrolimus is necessary in order to avoid rejection of the transplanted organ or severe side effects. However, finding the right dose for a given patient is challenging, even for experienced clinicians. Consequently, a tool that can accurately estimate the drug exposure for individual dose adaptions would be of high clinical value. In this work, we propose a new technique using machine learning to estimate the tacrolimus exposure in kidney transplant recipients. Our models achieve predictive errors that are at the same level as an established population pharmacokinetic model, but are faster to develop and require less knowledge about the pharmacokinetic properties of the drug.
他克莫司是世界上大多数移植中心在实体器官移植后的基础免疫抑制药物之一。他克莫司的治疗药物监测是必要的,以避免移植器官的排斥反应或严重的副作用。然而,即使对经验丰富的临床医生来说,为特定患者找到合适的剂量也是一项挑战。因此,一种能够准确估计个体剂量适应的药物暴露的工具将具有很高的临床价值。在这项工作中,我们提出了一种使用机器学习来估计肾移植受者他克莫司暴露的新技术。我们的模型实现了与已建立的群体药代动力学模型相同水平的预测误差,但开发速度更快,并且对药物药代动力学特性的了解更少。
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引用次数: 0
期刊
2022 IEEE 35th International Symposium on Computer-Based Medical Systems (CBMS)
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