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Katerine Diaz, Jesus Martinez del Rincon, Marçal Rusiñol, & Aura Hernandez-Sabate. (2019). "Feature Extraction by Using Dual-Generalized Discriminative Common Vectors " . Journal of Mathematical Imaging and Vision, 61(3), 331–351.
Abstract: In this paper, a dual online subspace-based learning method called dual-generalized discriminative common vectors (Dual-GDCV) is presented. The method extends incremental GDCV by exploiting simultaneously both the concepts of incremental and decremental learning for supervised feature extraction and classification. Our methodology is able to update the feature representation space without recalculating the full projection or accessing the previously processed training data. It allows both adding information and removing unnecessary data from a knowledge base in an efficient way, while retaining the previously acquired knowledge. The proposed method has been theoretically proved and empirically validated in six standard face recognition and classification datasets, under two scenarios: (1) removing and adding samples of existent classes, and (2) removing and adding new classes to a classification problem. Results show a considerable computational gain without compromising the accuracy of the model in comparison with both batch methodologies and other state-of-art adaptive methods.
Keywords: Online feature extraction; Generalized discriminative common vectors; Dual learning; Incremental learning; Decremental learning
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Santi Puch, Irina Sanchez, Aura Hernandez-Sabate, Gemma Piella, & Vesna Prckovska. (2018). "Global Planar Convolutions for Improved Context Aggregation in Brain Tumor Segmentation " In International MICCAI Brainlesion Workshop (Vol. 11384, pp. 393–405).
Abstract: In this work, we introduce the Global Planar Convolution module as a building-block for fully-convolutional networks that aggregates global information and, therefore, enhances the context perception capabilities of segmentation networks in the context of brain tumor segmentation. We implement two baseline architectures (3D UNet and a residual version of 3D UNet, ResUNet) and present a novel architecture based on these two architectures, ContextNet, that includes the proposed Global Planar Convolution module. We show that the addition of such module eliminates the need of building networks with several representation levels, which tend to be over-parametrized and to showcase slow rates of convergence. Furthermore, we provide a visual demonstration of the behavior of GPC modules via visualization of intermediate representations. We finally participate in the 2018 edition of the BraTS challenge with our best performing models, that are based on ContextNet, and report the evaluation scores on the validation and the test sets of the challenge.
Keywords: Brain tumors; 3D fully-convolutional CNN; Magnetic resonance imaging; Global planar convolution
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Debora Gil, Antonio Esteban Lansaque, Agnes Borras, & Carles Sanchez. (2019). "Enhancing virtual bronchoscopy with intra-operative data using a multi-objective GAN " . International Journal of Computer Assisted Radiology and Surgery, 7(1).
Abstract: This manuscript has been withdrawn by bioRxiv due to upload of an incorrect version of the manuscript by the authors. Therefore, this manuscript should not be cited as reference for this project.
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Debora Gil, Carles Sanchez, Agnes Borras, Marta Diez-Ferrer, & Antoni Rosell. (2019). "Segmentation of Distal Airways using Structural Analysis " . PloS one, 14(12).
Abstract: Segmentation of airways in Computed Tomography (CT) scans is a must for accurate support of diagnosis and intervention of many pulmonary disorders. In particular, lung cancer diagnosis would benefit from segmentations reaching most distal airways. We present a method that combines descriptors of bronchi local appearance and graph global structural analysis to fine-tune thresholds on the descriptors adapted for each bronchial level. We have compared our method to the top performers of the EXACT09 challenge and to a commercial software for biopsy planning evaluated in an own-collected data-base of high resolution CT scans acquired under different breathing conditions. Results on EXACT09 data show that our method provides a high leakage reduction with minimum loss in airway detection. Results on our data-base show the reliability across varying breathing conditions and a competitive performance for biopsy planning compared to a commercial solution.
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Marta Ligero, Guillermo Torres, Carles Sanchez, Katerine Diaz, Raquel Perez, & Debora Gil. (2019). "Selection of Radiomics Features based on their Reproducibility " In 41st Annual International Conference of the IEEE Engineering in Medicine and Biology Society (pp. 403–408).
Abstract: Dimensionality reduction is key to alleviate machine learning artifacts in clinical applications with Small Sample Size (SSS) unbalanced datasets. Existing methods rely on either the probabilistic distribution of training data or the discriminant power of the reduced space, disregarding the impact of repeatability and uncertainty in features.In the present study is proposed the use of reproducibility of radiomics features to select features with high inter-class correlation coefficient (ICC). The reproducibility includes the variability introduced in the image acquisition, like medical scans acquisition parameters and convolution kernels, that affects intensity-based features and tumor annotations made by physicians, that influences morphological descriptors of the lesion.For the reproducibility of radiomics features three studies were conducted on cases collected at Vall Hebron Oncology Institute (VHIO) on responders to oncology treatment. The studies focused on the variability due to the convolution kernel, image acquisition parameters, and the inter-observer lesion identification. The features selected were those features with a ICC higher than 0.7 in the three studies.The selected features based on reproducibility were evaluated for lesion malignancy classification using a different database. Results show better performance compared to several state-of-the-art methods including Principal Component Analysis (PCA), Kernel Discriminant Analysis via QR decomposition (KDAQR), LASSO, and an own built Convolutional Neural Network.
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Debora Gil, Antonio Esteban Lansaque, Sebastian Stefaniga, Mihail Gaianu, & Carles Sanchez. (2019). "Data Augmentation from Sketch " In International Workshop on Uncertainty for Safe Utilization of Machine Learning in Medical Imaging (Vol. 11840, pp. 155–162).
Abstract: State of the art machine learning methods need huge amounts of data with unambiguous annotations for their training. In the context of medical imaging this is, in general, a very difficult task due to limited access to clinical data, the time required for manual annotations and variability across experts. Simulated data could serve for data augmentation provided that its appearance was comparable to the actual appearance of intra-operative acquisitions. Generative Adversarial Networks (GANs) are a powerful tool for artistic style transfer, but lack a criteria for selecting epochs ensuring also preservation of intra-operative content.
We propose a multi-objective optimization strategy for a selection of cycleGAN epochs ensuring a mapping between virtual images and the intra-operative domain preserving anatomical content. Our approach has been applied to simulate intra-operative bronchoscopic videos and chest CT scans from virtual sketches generated using simple graphical primitives.
Keywords: Data augmentation; cycleGANs; Multi-objective optimization
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Carles Sanchez, Miguel Viñas, Coen Antens, Agnes Borras, & Debora Gil. (2018). "Back to Front Architecture for Diagnosis as a Service " In 20th International Symposium on Symbolic and Numeric Algorithms for Scientific Computing (pp. 343–346).
Abstract: Software as a Service (SaaS) is a cloud computing model in which a provider hosts applications in a server that customers use via internet. Since SaaS does not require to install applications on customers' own computers, it allows the use by multiple users of highly specialized software without extra expenses for hardware acquisition or licensing. A SaaS tailored for clinical needs not only would alleviate licensing costs, but also would facilitate easy access to new methods for diagnosis assistance. This paper presents a SaaS client-server architecture for Diagnosis as a Service (DaaS). The server is based on docker technology in order to allow execution of softwares implemented in different languages with the highest portability and scalability. The client is a content management system allowing the design of websites with multimedia content and interactive visualization of results allowing user editing. We explain a usage case that uses our DaaS as crowdsourcing platform in a multicentric pilot study carried out to evaluate the clinical benefits of a software for assessment of central airway obstruction.
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Debora Gil, & Antoni Rosell. (2019)." Advances in Artificial Intelligence – How Lung Cancer CT Screening Will Progress?" In World Lung Cancer Conference.
Abstract: Invited speaker
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Antonio Esteban Lansaque. (2019)." An Endoscopic Navigation System for Lung Cancer Biopsy" (Debora Gil, & Carles Sanchez, Eds.). Ph.D. thesis, Ediciones Graficas Rey, .
Abstract: Lung cancer is one of the most diagnosed cancers among men and women. Actually,
lung cancer accounts for 13% of the total cases with a 5-year global survival
rate in patients. Although Early detection increases survival rate from 38% to 67%, accurate diagnosis remains a challenge. Pathological confirmation requires extracting a sample of the lesion tissue for its biopsy. The preferred procedure for tissue biopsy is called bronchoscopy. A bronchoscopy is an endoscopic technique for the internal exploration of airways which facilitates the performance of minimal invasive interventions with low risk for the patient. Recent advances in bronchoscopic devices have increased their use for minimal invasive diagnostic and intervention procedures, like lung cancer biopsy sampling. Despite the improvement in bronchoscopic device quality, there is a lack of intelligent computational systems for supporting in-vivo clinical decision during examinations. Existing technologies fail to accurately reach the lesion due to several aspects at intervention off-line planning and poor intra-operative guidance at exploration time. Existing guiding systems radiate patients and clinical staff,might be expensive and achieve a suboptimlal 70% of yield boost. Diagnostic yield could be improved reducing radiation and costs by developing intra-operative support systems able to guide the bronchoscopist to the lesion during the intervention. The goal of this PhD thesis is to develop an image-based navigation systemfor intra-operative guidance of bronchoscopists to a target lesion across a path previously planned on a CT-scan. We propose a 3D navigation system which uses the anatomy of video bronchoscopy frames to locate the bronchoscope within the airways. Once the bronchoscope is located, our navigation system is able to indicate the bifurcation which needs to be followed to reach the lesion. In order to facilitate an off-line validation
as realistic as possible, we also present a method for augmenting simulated virtual bronchoscopies with the appearance of intra-operative videos. Experiments performed on augmented and intra-operative videos, prove that our algorithm can be speeded up for an on-line implementation in the operating room.
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Debora Gil, Antonio Esteban Lansaque, Agnes Borras, Esmitt Ramirez, & Carles Sanchez. (2020). "Intraoperative Extraction of Airways Anatomy in VideoBronchoscopy " . IEEE Access, 8, 159696–159704.
Abstract: A main bottleneck in bronchoscopic biopsy sampling is to efficiently reach the lesion navigating across bronchial levels. Any guidance system should be able to localize the scope position during the intervention with minimal costs and alteration of clinical protocols. With the final goal of an affordable image-based guidance, this work presents a novel strategy to extract and codify the anatomical structure of bronchi, as well as, the scope navigation path from videobronchoscopy. Experiments using interventional data show that our method accurately identifies the bronchial structure. Meanwhile, experiments using simulated data verify that the extracted navigation path matches the 3D route.
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