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Classification of lung nodule malignancy in computed tomography imaging utilising generative adversarial networks and semi-supervised transfer learning

Apostolopoulos Ioannis D., Papathanasiou Nikolaos D., Panayiotakis George S.

Biocybernetics and Biomedical Engineering

2021

Vol. 41, no. 4

1243--1257

The pulmonary nodules’ malignancy rating is commonly confined in patient follow-up; examining the nodule’s activity is estimated with the Positron Emission Tomography (PET) system or biopsy. However, these strategies are usually after the initial detection of the malignant nodules acquired from the Computed Tomography (CT) scan. In this study, a Deep Learning methodology to address the challenge of the automatic characterisation of Solitary Pulmonary Nodules (SPN) detected in CT scans is proposed. The research methodology is based on Convolutional Neural Networks, which have proven to be excellent automatic feature extractors for medical images. The publicly available CT dataset, called Lung Image Database Consortium and Image Database Resource Initiative (LIDC-IDRI), and a small CT scan dataset derived from a PET/CT system, is considered the classification target. New, realistic nodule representations are generated employing Deep Convolutional Generative Adversarial Networks to circumvent the shortage of large-scale data to train robust CNNs. Besides, a hierarchical CNN called Feature Fusion VGG19 (FF-VGG19) was developed to enhance feature extraction of the CNN proposed by the Visual Geometry Group (VGG). Moreover, the generated nodule images are separated into two classes by utilising a semi-supervised approach, called self-training, to tackle weak labelling due to DC-GAN inefficiencies. The DC-GAN can generate realistic SPNs, as the experts could only distinguish 23% of the synthetic nodule images. As a result, the classification accuracy of FF-VGG19 on the LIDCIDRI dataset increases by +7%, reaching 92.07%, while the classification accuracy on the CT dataset is increased by 5%, reaching 84,3%.