Andrew P Bradley

Hang Min, Devin Wilson, Yinhuang Huang et al.

Mammographic mass detection and segmentation are usually performed as serial and separate tasks, with segmentation often only performed on manually confirmed true positive detections in previous studies. We propose a fully-integrated computer-aided detection (CAD) system for simultaneous mammographic mass detection and segmentation without user intervention. The proposed CAD only consists of a pseudo-color image generation and a mass detection-segmentation stage based on Mask R-CNN. Grayscale mammograms are transformed into pseudo-color images based on multi-scale morphological sifting where mass-like patterns are enhanced to improve the performance of Mask R-CNN. Transfer learning with the Mask R-CNN is then adopted to simultaneously detect and segment masses on the pseudo-color images. Evaluated on the public dataset INbreast, the method outperforms the state-of-the-art methods by achieving an average true positive rate of 0.90 at 0.9 false positive per image and an average Dice similarity index of 0.88 for mass segmentation.

William Gale, Luke Oakden-Rayner, Gustavo Carneiro et al.

Current approaches to explaining the decisions of deep learning systems for medical tasks have focused on visualising the elements that have contributed to each decision. We argue that such approaches are not enough to "open the black box" of medical decision making systems because they are missing a key component that has been used as a standard communication tool between doctors for centuries: language. We propose a model-agnostic interpretability method that involves training a simple recurrent neural network model to produce descriptive sentences to clarify the decision of deep learning classifiers. We test our method on the task of detecting hip fractures from frontal pelvic x-rays. This process requires minimal additional labelling despite producing text containing elements that the original deep learning classification model was not specifically trained to detect. The experimental results show that: 1) the sentences produced by our method consistently contain the desired information, 2) the generated sentences are preferred by doctors compared to current tools that create saliency maps, and 3) the combination of visualisations and generated text is better than either alone.