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2 Biocybernetics and Biomedical Engineering

2 2022

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Transfer learning techniques for medical image analysis: A review

Kora Padmavathi, Ooi Chui Ping, Faust Oliver, Raghavendra U., Gudigar Anjan, Chan Wai Yee, Meenakshi K., Swaraja K., Plawiak Pawel, Acharya U. Rajendra

Biocybernetics and Biomedical Engineering

2022

Vol. 42, no. 1

79--107

Medical imaging is a useful tool for disease detection and diagnostic imaging technology has enabled early diagnosis of medical conditions. Manual image analysis methods are labor-intense and they are susceptible to intra as well as inter-observer variability. Automated medical image analysis techniques can overcome these limitations. In this review, we investigated Transfer Learning (TL) architectures for automated medical image analysis. We discovered that TL has been applied to a wide range of medical imaging tasks, such as segmentation, object identification, disease categorization, severity grading, to name a few. We could establish that TL provides high quality decision support and requires less training data when compared to traditional deep learning methods. These advantageous properties arise from the fact that TL models have already been trained on large generic datasets and a task specific dataset is only used to customize the model. This eliminates the need to train the models from scratch. Our review shows that AlexNet, ResNet, VGGNet, and GoogleNet are the most widely used TL models for medical image analysis. We found that these models can understand medical images, and the customization refines the ability, making these TL models useful tools for medical image analysis.

Applications of machine-learning algorithms for prediction of benign and malignant breast lesions using ultrasound radiomics signatures: A multi-center study

Homayoun Hassan, Chan Wai Yee, Kuzan Taha Yusuf, Leong Wai Ling, Altintoprak Kübra Murzoglu, Mohammadi Afshin, Vijayananthan Anushya, Rahmat Kartini, Leong Sook Sam, Mirza-Aghazadeh-Attari Mohammad, Ejtehadifar Sajjad, Faeghi Fariborz, Acharya U. Rajendra, Ardakani Ali Abbasian

Biocybernetics and Biomedical Engineering

2022

Vol. 42, no. 3

921--933

Artificial intelligence (AI) algorithms have an enormous potential to impact the field of radiology and diagnostic imaging, especially the field of cancer imaging. There have been efforts to use AI models to differentiate between benign and malignant breast lesions. However, most studies have been single-center studies without external validation. The present study examines the diagnostic efficacy of machine-learning algorithms in differentiating benign and malignant breast lesions using ultrasound images. Ultrasound images of 1259 solid non-cystic lesions from 3 different centers in 3 countries (Malaysia, Turkey, and Iran) were used for the machine-learning study. A total of 242 radiomics features were extracted from each breast lesion, and the robust features were considered for models’ development. Three machine-learning algorithms were used to carry out the classification task, namely, gradient boosting (XGBoost), random forest, and support vector machine. Sensitivity, specificity, accuracy, and area under the ROC curve (AUC) were determined to evaluate the models. Thirty-three robust features differed significantly between the two groups from all of the features. XGBoost, based on these robust features, showed the most favorable profile for all cohorts, as it achieved a sensitivity of 90.3%, specificity of 86.7%, the accuracy of 88.4%, and AUC of 0.890. The present study results show that incorporating selected robust radiomics features into well-curated machine-learning algorithms can generate high sensitivity, specificity, and accuracy in differentiating benign and malignant breast lesions. Furthermore, our results show that this optimal performance is preserved even in external validation datasets.