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Frederic Sampedro, Sergio Escalera, Anna Domenech, & Ignasi Carrio. (2015). Automatic Tumor Volume Segmentation in Whole-Body PET/CT Scans: A Supervised Learning Approach Source. JMIHI - Journal of Medical Imaging and Health Informatics, 5(2), 192–201.
Abstract: Whole-body 3D PET/CT tumoral volume segmentation provides relevant diagnostic and prognostic information in clinical oncology and nuclear medicine. Carrying out this procedure manually by a medical expert is time consuming and suffers from inter- and intra-observer variabilities. In this paper, a completely automatic approach to this task is presented. First, the problem is stated and described both in clinical and technological terms. Then, a novel supervised learning segmentation framework is introduced. The segmentation by learning approach is defined within a Cascade of Adaboost classifiers and a 3D contextual proposal of Multiscale Stacked Sequential Learning. Segmentation accuracy results on 200 Breast Cancer whole body PET/CT volumes show mean 49% sensitivity, 99.993% specificity and 39% Jaccard overlap Index, which represent good performance results both at the clinical and technological level.
Keywords: CONTEXTUAL CLASSIFICATION; PET/CT; SUPERVISED LEARNING; TUMOR SEGMENTATION; WHOLE BODY
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Frederic Sampedro, Sergio Escalera, Anna Domenech, & Ignasi Carrio. (2014). A computational framework for cancer response assessment based on oncological PET-CT scans. CBM - Computers in Biology and Medicine, 55, 92–99.
Abstract: In this work we present a comprehensive computational framework to help in the clinical assessment of cancer response from a pair of time consecutive oncological PET-CT scans. In this scenario, the design and implementation of a supervised machine learning system to predict and quantify cancer progression or response conditions by introducing a novel feature set that models the underlying clinical context is described. Performance results in 100 clinical cases (corresponding to 200 whole body PET-CT scans) in comparing expert-based visual analysis and classifier decision making show up to 70% accuracy within a completely automatic pipeline and 90% accuracy when providing the system with expert-guided PET tumor segmentation masks.
Keywords: Computer aided diagnosis; Nuclear medicine; Machine learning; Image processing; Quantitative analysis
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Carles Sanchez, Antonio Esteban Lansaque, Agnes Borras, Marta Diez-Ferrer, Antoni Rosell, & Debora Gil. (2017). Towards a Videobronchoscopy Localization System from Airway Centre Tracking. In 12th International Conference on Computer Vision Theory and Applications (pp. 352–359).
Abstract: Bronchoscopists use fluoroscopy to guide flexible bronchoscopy to the lesion to be biopsied without any kind of incision. Being fluoroscopy an imaging technique based on X-rays, the risk of developmental problems and cancer is increased in those subjects exposed to its application, so minimizing radiation is crucial. Alternative guiding systems such as electromagnetic navigation require specific equipment, increase the cost of the clinical procedure and still require fluoroscopy. In this paper we propose an image based guiding system based on the extraction of airway centres from intra-operative videos. Such anatomical landmarks are matched to the airway centreline extracted from a pre-planned CT to indicate the best path to the nodule. We present a
feasibility study of our navigation system using simulated bronchoscopic videos and a multi-expert validation of landmarks extraction in 3 intra-operative ultrathin explorations.
Keywords: Video-bronchoscopy; Lung cancer diagnosis; Airway lumen detection; Region tracking; Guided bronchoscopy navigation
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Santiago Segui, Michal Drozdzal, Ekaterina Zaytseva, Fernando Azpiroz, Petia Radeva, & Jordi Vitria. (2014). Detection of wrinkle frames in endoluminal videos using betweenness centrality measures for images. TITB - IEEE Transactions on Information Technology in Biomedicine, 18(6), 1831–1838.
Abstract: Intestinal contractions are one of the most important events to diagnose motility pathologies of the small intestine. When visualized by wireless capsule endoscopy (WCE), the sequence of frames that represents a contraction is characterized by a clear wrinkle structure in the central frames that corresponds to the folding of the intestinal wall. In this paper we present a new method to robustly detect wrinkle frames in full WCE videos by using a new mid-level image descriptor that is based on a centrality measure proposed for graphs. We present an extended validation, carried out in a very large database, that shows that the proposed method achieves state of the art performance for this task.
Keywords: Wireless Capsule Endoscopy; Small Bowel Motility Dysfunction; Contraction Detection; Structured Prediction; Betweenness Centrality
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Santiago Segui, Michal Drozdzal, Ekaterina Zaytseva, Carolina Malagelada, Fernando Azpiroz, Petia Radeva, et al. (2013). A new image centrality descriptor for wrinkle frame detection in WCE videos. In 13th IAPR Conference on Machine Vision Applications.
Abstract: Small bowel motility dysfunctions are a widespread functional disorder characterized by abdominal pain and altered bowel habits in the absence of specific and unique organic pathology. Current methods of diagnosis are complex and can only be conducted at some highly specialized referral centers. Wireless Video Capsule Endoscopy (WCE) could be an interesting diagnostic alternative that presents excellent clinical advantages, since it is non-invasive and can be conducted by non specialists. The purpose of this work is to present a new method for the detection of wrinkle frames in WCE, a critical characteristic to detect one of the main motility events: contractions. The method goes beyond the use of one of the classical image feature, the Histogram
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Santiago Segui, Michal Drozdzal, Fernando Vilariño, Carolina Malagelada, Fernando Azpiroz, Petia Radeva, et al. (2012). Categorization and Segmentation of Intestinal Content Frames for Wireless Capsule Endoscopy. TITB - IEEE Transactions on Information Technology in Biomedicine, 16(6), 1341–1352.
Abstract: Wireless capsule endoscopy (WCE) is a device that allows the direct visualization of gastrointestinal tract with minimal discomfort for the patient, but at the price of a large amount of time for screening. In order to reduce this time, several works have proposed to automatically remove all the frames showing intestinal content. These methods label frames as {intestinal content – clear} without discriminating between types of content (with different physiological meaning) or the portion of image covered. In addition, since the presence of intestinal content has been identified as an indicator of intestinal motility, its accurate quantification can show a potential clinical relevance. In this paper, we present a method for the robust detection and segmentation of intestinal content in WCE images, together with its further discrimination between turbid liquid and bubbles. Our proposal is based on a twofold system. First, frames presenting intestinal content are detected by a support vector machine classifier using color and textural information. Second, intestinal content frames are segmented into {turbid, bubbles, and clear} regions. We show a detailed validation using a large dataset. Our system outperforms previous methods and, for the first time, discriminates between turbid from bubbles media.
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Palaiahnakote Shivakumara, Anjan Dutta, Chew Lim Tan, & Umapada Pal. (2014). Multi-oriented scene text detection in video based on wavelet and angle projection boundary growing. MTAP - Multimedia Tools and Applications, 72(1), 515–539.
Abstract: In this paper, we address two complex issues: 1) Text frame classification and 2) Multi-oriented text detection in video text frame. We first divide a video frame into 16 blocks and propose a combination of wavelet and median-moments with k-means clustering at the block level to identify probable text blocks. For each probable text block, the method applies the same combination of feature with k-means clustering over a sliding window running through the blocks to identify potential text candidates. We introduce a new idea of symmetry on text candidates in each block based on the observation that pixel distribution in text exhibits a symmetric pattern. The method integrates all blocks containing text candidates in the frame and then all text candidates are mapped on to a Sobel edge map of the original frame to obtain text representatives. To tackle the multi-orientation problem, we present a new method called Angle Projection Boundary Growing (APBG) which is an iterative algorithm and works based on a nearest neighbor concept. APBG is then applied on the text representatives to fix the bounding box for multi-oriented text lines in the video frame. Directional information is used to eliminate false positives. Experimental results on a variety of datasets such as non-horizontal, horizontal, publicly available data (Hua’s data) and ICDAR-03 competition data (camera images) show that the proposed method outperforms existing methods proposed for video and the state of the art methods for scene text as well.
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Santiago Segui, Michal Drozdzal, Petia Radeva, & Jordi Vitria. (2012). An Integrated Approach to Contextual Face Detection. In 1st International Conference on Pattern Recognition Applications and Methods (pp. 143–150). Springer.
Abstract: Face detection is, in general, based on content-based detectors. Nevertheless, the face is a non-rigid object with well defined relations with respect to the human body parts. In this paper, we propose to take benefit of the context information in order to improve content-based face detections. We propose a novel framework for integrating multiple content- and context-based detectors in a discriminative way. Moreover, we develop an integrated scoring procedure that measures the ’faceness’ of each hypothesis and is used to discriminate the detection results. Our approach detects a higher rate of faces while minimizing the number of false detections, giving an average increase of more than 10% in average precision when comparing it to state-of-the art face detectors
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Santiago Segui, Michal Drozdzal, Guillem Pascual, Petia Radeva, Carolina Malagelada, Fernando Azpiroz, et al. (2016). Generic Feature Learning for Wireless Capsule Endoscopy Analysis. CBM - Computers in Biology and Medicine, 79, 163–172.
Abstract: The interpretation and analysis of wireless capsule endoscopy (WCE) recordings is a complex task which requires sophisticated computer aided decision (CAD) systems to help physicians with video screening and, finally, with the diagnosis. Most CAD systems used in capsule endoscopy share a common system design, but use very different image and video representations. As a result, each time a new clinical application of WCE appears, a new CAD system has to be designed from the scratch. This makes the design of new CAD systems very time consuming. Therefore, in this paper we introduce a system for small intestine motility characterization, based on Deep Convolutional Neural Networks, which circumvents the laborious step of designing specific features for individual motility events. Experimental results show the superiority of the learned features over alternative classifiers constructed using state-of-the-art handcrafted features. In particular, it reaches a mean classification accuracy of 96% for six intestinal motility events, outperforming the other classifiers by a large margin (a 14% relative performance increase).
Keywords: Wireless capsule endoscopy; Deep learning; Feature learning; Motility analysis
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Palaiahnakote Shivakumara, Anjan Dutta, Trung Quy Phan, Chew Lim Tan, & Umapada Pal. (2011). A Novel Mutual Nearest Neighbor based Symmetry for Text Frame Classification in Video. PR - Pattern Recognition, 44(8), 1671–1683.
Abstract: In the field of multimedia retrieval in video, text frame classification is essential for text detection, event detection, event boundary detection, etc. We propose a new text frame classification method that introduces a combination of wavelet and median moment with k-means clustering to select probable text blocks among 16 equally sized blocks of a video frame. The same feature combination is used with a new Max–Min clustering at the pixel level to choose probable dominant text pixels in the selected probable text blocks. For the probable text pixels, a so-called mutual nearest neighbor based symmetry is explored with a four-quadrant formation centered at the centroid of the probable dominant text pixels to know whether a block is a true text block or not. If a frame produces at least one true text block then it is considered as a text frame otherwise it is a non-text frame. Experimental results on different text and non-text datasets including two public datasets and our own created data show that the proposed method gives promising results in terms of recall and precision at the block and frame levels. Further, we also show how existing text detection methods tend to misclassify non-text frames as text frames in term of recall and precision at both the block and frame levels.
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Frederic Sampedro, Anna Domenech, Sergio Escalera, & Ignasi Carrio. (2017). Computing quantitative indicators of structural renal damage in pediatric DMSA scans. REMNIM - Revista Española de Medicina Nuclear e Imagen Molecular, 36(2), 72–77.
Abstract: OBJECTIVES:
The proposal and implementation of a computational framework for the quantification of structural renal damage from 99mTc-dimercaptosuccinic acid (DMSA) scans. The aim of this work is to propose, implement, and validate a computational framework for the quantification of structural renal damage from DMSA scans and in an observer-independent manner.
MATERIALS AND METHODS:
From a set of 16 pediatric DMSA-positive scans and 16 matched controls and using both expert-guided and automatic approaches, a set of image-derived quantitative indicators was computed based on the relative size, intensity and histogram distribution of the lesion. A correlation analysis was conducted in order to investigate the association of these indicators with other clinical data of interest in this scenario, including C-reactive protein (CRP), white cell count, vesicoureteral reflux, fever, relative perfusion, and the presence of renal sequelae in a 6-month follow-up DMSA scan.
RESULTS:
A fully automatic lesion detection and segmentation system was able to successfully classify DMSA-positive from negative scans (AUC=0.92, sensitivity=81% and specificity=94%). The image-computed relative size of the lesion correlated with the presence of fever and CRP levels (p<0.05), and a measurement derived from the distribution histogram of the lesion obtained significant performance results in the detection of permanent renal damage (AUC=0.86, sensitivity=100% and specificity=75%).
CONCLUSIONS:
The proposal and implementation of a computational framework for the quantification of structural renal damage from DMSA scans showed a promising potential to complement visual diagnosis and non-imaging indicators.
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Frederic Sampedro, Anna Domenech, Sergio Escalera, & Ignasi Carrio. (2015). Deriving global quantitative tumor response parameters from 18F-FDG PET-CT scans in patients with non-Hodgkins lymphoma. NMC - Nuclear Medicine Communications, 36(4), 328–333.
Abstract: OBJECTIVES:
The aim of the study was to address the need for quantifying the global cancer time evolution magnitude from a pair of time-consecutive positron emission tomography-computed tomography (PET-CT) scans. In particular, we focus on the computation of indicators using image-processing techniques that seek to model non-Hodgkin's lymphoma (NHL) progression or response severity.
MATERIALS AND METHODS:
A total of 89 pairs of time-consecutive PET-CT scans from NHL patients were stored in a nuclear medicine station for subsequent analysis. These were classified by a consensus of nuclear medicine physicians into progressions, partial responses, mixed responses, complete responses, and relapses. The cases of each group were ordered by magnitude following visual analysis. Thereafter, a set of quantitative indicators designed to model the cancer evolution magnitude within each group were computed using semiautomatic and automatic image-processing techniques. Performance evaluation of the proposed indicators was measured by a correlation analysis with the expert-based visual analysis.
RESULTS:
The set of proposed indicators achieved Pearson's correlation results in each group with respect to the expert-based visual analysis: 80.2% in progressions, 77.1% in partial response, 68.3% in mixed response, 88.5% in complete response, and 100% in relapse. In the progression and mixed response groups, the proposed indicators outperformed the common indicators used in clinical practice [changes in metabolic tumor volume, mean, maximum, peak standardized uptake value (SUV mean, SUV max, SUV peak), and total lesion glycolysis] by more than 40%.
CONCLUSION:
Computing global indicators of NHL response using PET-CT imaging techniques offers a strong correlation with the associated expert-based visual analysis, motivating the future incorporation of such quantitative and highly observer-independent indicators in oncological decision making or treatment response evaluation scenarios.
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Frederic Sampedro, Anna Domenech, & Sergio Escalera. (2014). Static and dynamic computational cancer spread quantification in whole body FDG-PET/CT scans. JMIHI - Journal of Medical Imaging and Health Informatics, 4(6), 825–831.
Abstract: In this work we address the computational cancer spread quantification scenario in whole body FDG-PET/CT scans. At the static level, this setting can be modeled as a clustering problem on the set of 3D connected components of the whole body PET tumoral segmentation mask carried out by nuclear medicine physicians. At the dynamic level, and ad-hoc algorithm is proposed in order to quantify the cancer spread time evolution which, when combined with other existing indicators, gives rise to the metabolic tumor volume-aggressiveness-spread time evolution chart, a novel tool that we claim that would prove useful in nuclear medicine and oncological clinical or research scenarios. Good performance results of the proposed methodologies both at the clinical and technological level are shown using a dataset of 48 segmented whole body FDG-PET/CT scans.
Keywords: CANCER SPREAD; COMPUTER AIDED DIAGNOSIS; MEDICAL IMAGING; TUMOR QUANTIFICATION
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Albin Soutif, Antonio Carta, & Joost Van de Weijer. (2023). Improving Online Continual Learning Performance and Stability with Temporal Ensembles. In 2nd Conference on Lifelong Learning Agents.
Abstract: Neural networks are very effective when trained on large datasets for a large number of iterations. However, when they are trained on non-stationary streams of data and in an online fashion, their performance is reduced (1) by the online setup, which limits the availability of data, (2) due to catastrophic forgetting because of the non-stationary nature of the data. Furthermore, several recent works (Caccia et al., 2022; Lange et al., 2023) arXiv:2205.13452 showed that replay methods used in continual learning suffer from the stability gap, encountered when evaluating the model continually (rather than only on task boundaries). In this article, we study the effect of model ensembling as a way to improve performance and stability in online continual learning. We notice that naively ensembling models coming from a variety of training tasks increases the performance in online continual learning considerably. Starting from this observation, and drawing inspirations from semi-supervised learning ensembling methods, we use a lightweight temporal ensemble that computes the exponential moving average of the weights (EMA) at test time, and show that it can drastically increase the performance and stability when used in combination with several methods from the literature.
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Damian Sojka, Sebastian Cygert, Bartlomiej Twardowski, & Tomasz Trzcinski. (2023). AR-TTA: A Simple Method for Real-World Continual Test-Time Adaptation. In Proceedings of the IEEE/CVF International Conference on Computer Vision (ICCV) Workshops (pp. 3491–3495).
Abstract: Test-time adaptation is a promising research direction that allows the source model to adapt itself to changes in data distribution without any supervision. Yet, current methods are usually evaluated on benchmarks that are only a simplification of real-world scenarios. Hence, we propose to validate test-time adaptation methods using the recently introduced datasets for autonomous driving, namely CLAD-C and SHIFT. We observe that current test-time adaptation methods struggle to effectively handle varying degrees of domain shift, often resulting in degraded performance that falls below that of the source model. We noticed that the root of the problem lies in the inability to preserve the knowledge of the source model and adapt to dynamically changing, temporally correlated data streams. Therefore, we enhance well-established self-training framework by incorporating a small memory buffer to increase model stability and at the same time perform dynamic adaptation based on the intensity of domain shift. The proposed method, named AR-TTA, outperforms existing approaches on both synthetic and more real-world benchmarks and shows robustness across a variety of TTA scenarios.
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