Mohammad S. Majdi

Mohammad S. Majdi, Jeffrey J. Rodriguez

Accurate and efficient classification of thoracic diseases in chest X-ray (CXR) images is crucial for timely diagnosis and treatment. However, the presence of multiple pathologies with overlapping visual characteristics poses significant challenges for automated classification systems. In this study, we propose two novel hierarchical multi-label classification techniques, namely the loss-based and logit-based methods, to address these challenges by leveraging the hierarchical relationships among different thoracic pathologies. The loss-based technique integrates hierarchical information directly into the optimization process, while the logit-based method adjusts the predicted probabilities of each class based on its parent class in the disease taxonomy. We evaluate the performance of both techniques using three large-scale CXR datasets: CheXpert (224,316 CXRs), PADCHEST (160,000 CXRs), and NIH (112,120 CXRs). The experimental results demonstrate significant improvements in accuracy, AUC, and F1 scores compared to the baseline method across various pathologies. The logit-based and loss-based methods improve accuracy by 12\% and 11\%, AUC by 13\% and 10\%, and F1 scores by 24\% and 12\%, respectively compared to the baseline. These results represent a substantial improvement over the baseline method. Furthermore, we conduct a comprehensive statistical analysis to validate the robustness and reliability of the proposed techniques. The integration of domain-specific hierarchical knowledge not only enhances the classification performance but also provides a more interpretable output for clinical decision support. Our findings highlight the potential of hierarchical multi-label classification in advancing computer-aided diagnosis systems for chest radiography.

Mohammad S. Majdi, Jeffrey J. Rodriguez

Crowdsourcing systems have been used to accumulate massive amounts of labeled data for applications such as computer vision and natural language processing. However, because crowdsourced labeling is inherently dynamic and uncertain, developing a technique that can work in most situations is extremely challenging. In this paper, we introduce Crowd-Certain, a novel approach for label aggregation in crowdsourced and ensemble learning classification tasks that offers improved performance and computational efficiency for different numbers of annotators and a variety of datasets. The proposed method uses the consistency of the annotators versus a trained classifier to determine a reliability score for each annotator. Furthermore, Crowd-Certain leverages predicted probabilities, enabling the reuse of trained classifiers on future sample data, thereby eliminating the need for recurrent simulation processes inherent in existing methods. We extensively evaluated our approach against ten existing techniques across ten different datasets, each labeled by varying numbers of annotators. The findings demonstrate that Crowd-Certain outperforms the existing methods (Tao, Sheng, KOS, MACE, MajorityVote, MMSR, Wawa, Zero-Based Skill, GLAD, and Dawid Skene), in nearly all scenarios, delivering higher average accuracy, F1 scores, and AUC rates. Additionally, we introduce a variation of two existing confidence score measurement techniques. Finally we evaluate these two confidence score techniques using two evaluation metrics: Expected Calibration Error (ECE) and Brier Score Loss. Our results show that Crowd-Certain achieves higher Brier Score, and lower ECE across the majority of the examined datasets, suggesting better calibrated results.

Mohammad S. Majdi, Khalil N. Salman, Michael F. Morris et al.

We propose a deep learning based method for classification of commonly occurring pathologies in chest X-ray images. The vast number of publicly available chest X-ray images provides the data necessary for successfully employing deep learning methodologies to reduce the misdiagnosis of thoracic diseases. We applied our method to the classification of two example pathologies, pulmonary nodules and cardiomegaly, and we compared the performance of our method to three existing methods. The results show an improvement in AUC for detection of nodules and cardiomegaly compared to the existing methods.

Mohammad S Majdi, Mahesh B Keerthivasan, Brian K Rutt et al.

A cascaded multi-planar scheme with a modified residual U-Net architecture was used to segment thalamic nuclei on conventional and white-matter-nulled (WMn) magnetization prepared rapid gradient echo (MPRAGE) data. A single network was optimized to work with images from healthy controls and patients with multiple sclerosis (MS) and essential tremor (ET), acquired at both 3T and 7T field strengths. Dice similarity coefficient and volume similarity index (VSI) were used to evaluate performance. Clinical utility was demonstrated by applying this method to study the effect of MS on thalamic nuclei atrophy. Segmentation of each thalamus into twelve nuclei was achieved in under a minute. For 7T WMn-MPRAGE, the proposed method outperforms current state-of-the-art on patients with ET with statistically significant improvements in Dice for five nuclei (increase in the range of 0.05-0.18) and VSI for four nuclei (increase in the range of 0.05-0.19), while performing comparably for healthy and MS subjects. Dice and VSI achieved using 7T WMn-MPRAGE data are comparable to those using 3T WMn-MPRAGE data. For conventional MPRAGE, the proposed method shows a statistically significant Dice improvement in the range of 0.14-0.63 over FreeSurfer for all nuclei and disease types. Effect of noise on network performance shows robustness to images with SNR as low as half the baseline SNR. Atrophy of four thalamic nuclei and whole thalamus was observed for MS patients compared to healthy control subjects, after controlling for the effect of parallel imaging, intracranial volume, gender, and age (p<0.004). The proposed segmentation method is fast, accurate, performs well across disease types and field strengths, and shows great potential for improving our understanding of thalamic nuclei involvement in neurological diseases.