Cole J. Cook

Darryl E. Wright, Cole Cook, Jason Klug et al.

The de facto standard of dynamic histogram binning for radiomic feature extraction leads to an elevated sensitivity to fluctuations in annotated regions. This may impact the majority of radiomic studies published recently and contribute to issues regarding poor reproducibility of radiomic-based machine learning that has led to significant efforts for data harmonization; however, we believe the issues highlighted here are comparatively neglected, but often remedied by choosing static binning. The field of radiomics has improved through the development of community standards and open-source libraries such as PyRadiomics. But differences in image acquisition, systematic differences between observers' annotations, and preprocessing steps still pose challenges. These can change the distribution of voxels altering extracted features and can be exacerbated with dynamic binning.

Peilong Wang, Timothy L. Kline, Andy D. Missert et al.

Automated segmentation tools often encounter accuracy and adaptability issues when applied to images of different pathology. The purpose of this study is to explore the feasibility of building a workflow to efficiently route images to specifically trained segmentation models. By implementing a deep learning classifier to automatically classify the images and route them to appropriate segmentation models, we hope that our workflow can segment the images with different pathology accurately. The data we used in this study are 350 CT images from patients affected by polycystic liver disease and 350 CT images from patients presenting with liver metastases from colorectal cancer. All images had the liver manually segmented by trained imaging analysts. Our proposed adaptive segmentation workflow achieved a statistically significant improvement for the task of total liver segmentation compared to the generic single segmentation model (non-parametric Wilcoxon signed rank test, n=100, p-value << 0.001). This approach is applicable in a wide range of scenarios and should prove useful in clinical implementations of segmentation pipelines.

Gengyan Zhao, Gyujoon Hwang, Cole J. Cook et al.

Brain gender differences have been known for a long time and are the possible reason for many psychological, psychiatric and behavioral differences between males and females. Predicting genders from brain functional connectivity (FC) can build the relationship between brain activities and gender, and extracting important gender related FC features from the prediction model offers a way to investigate the brain gender difference. Current predictive models applied to gender prediction demonstrate good accuracies, but usually extract individual functional connections instead of connectivity patterns in the whole connectivity matrix as features. In addition, current models often omit the effect of the input brain FC scale on prediction and cannot give any model uncertainty information. Hence, in this study we propose to predict gender from multiple scales of brain FC with deep learning, which can extract full FC patterns as features. We further develop the understanding of the feature extraction mechanism in deep neural network (DNN) and propose a DNN feature ranking method to extract the highly important features based on their contributions to the prediction. Moreover, we apply Bayesian deep learning to the brain FC gender prediction, which as a probabilistic model can not only make accurate predictions but also generate model uncertainty for each prediction. Experiments were done on the high-quality Human Connectome Project S1200 release dataset comprising the resting state functional MRI data of 1003 healthy adults. First, DNN reaches 83.0%, 87.6%, 92.0%, 93.5% and 94.1% accuracies respectively with the FC input derived from 25, 50, 100, 200, 300 independent component analysis (ICA) components. DNN outperforms the conventional machine learning methods on the 25-ICA-component scale FC, but the linear machine learning method catches up as the number of ICA components increases...