Farhan Akram

Douwe J. Spaanderman, Karthik Prathaban, Petr Zelina et al.

Large language models (LLMs) are increasingly used to extract structured information from free-text clinical records, but prior work often focuses on single tasks, limited models, and English-language reports. We evaluated 15 open-weight LLMs on pathology and radiology reports across six use cases, colorectal liver metastases, liver tumours, neurodegenerative diseases, soft-tissue tumours, melanomas, and sarcomas, at three institutes in the Netherlands, UK, and Czech Republic. Models included general-purpose and medical-specialised LLMs of various sizes, and six prompting strategies were compared: zero-shot, one-shot, few-shot, chain-of-thought, self-consistency, and prompt graph. Performance was assessed using task-appropriate metrics, with consensus rank aggregation and linear mixed-effects models quantifying variance. Top-ranked models achieved macro-average scores close to inter-rater agreement across tasks. Small-to-medium general-purpose models performed comparably to large models, while tiny and specialised models performed worse. Prompt graph and few-shot prompting improved performance by ~13%. Task-specific factors, including variable complexity and annotation variability, influenced results more than model size or prompting strategy. These findings show that open-weight LLMs can extract structured data from clinical reports across diseases, languages, and institutions, offering a scalable approach for clinical data curation.

Chuang Zhu, Shengjie Liu, Zekuan Yu et al.

For invasive breast cancer, immunohistochemical (IHC) techniques are often used to detect the expression level of human epidermal growth factor receptor-2 (HER2) in breast tissue to formulate a precise treatment plan. From the perspective of saving manpower, material and time costs, directly generating IHC-stained images from Hematoxylin and Eosin (H&E) stained images is a valuable research direction. Therefore, we held the breast cancer immunohistochemical image generation challenge, aiming to explore novel ideas of deep learning technology in pathological image generation and promote research in this field. The challenge provided registered H&E and IHC-stained image pairs, and participants were required to use these images to train a model that can directly generate IHC-stained images from corresponding H&E-stained images. We selected and reviewed the five highest-ranking methods based on their PSNR and SSIM metrics, while also providing overviews of the corresponding pipelines and implementations. In this paper, we further analyze the current limitations in the field of breast cancer immunohistochemical image generation and forecast the future development of this field. We hope that the released dataset and the challenge will inspire more scholars to jointly study higher-quality IHC-stained image generation.

Farhan Akram, Vivek Kumar Singh, Hatem A. Rashwan et al.

In this paper, we propose an efficient blood vessel segmentation method for the eye fundus images using adversarial learning with multiscale features and kernel factorization. In the generator network of the adversarial framework, spatial pyramid pooling, kernel factorization and squeeze excitation block are employed to enhance the feature representation in spatial domain on different scales with reduced computational complexity. In turn, the discriminator network of the adversarial framework is formulated by combining convolutional layers with an additional squeeze excitation block to differentiate the generated segmentation mask from its respective ground truth. Before feeding the images to the network, we pre-processed them by using edge sharpening and Gaussian regularization to reach an optimized solution for vessel segmentation. The output of the trained model is post-processed using morphological operations to remove the small speckles of noise. The proposed method qualitatively and quantitatively outperforms state-of-the-art vessel segmentation methods using DRIVE and STARE datasets.

Vivek Kumar Singh, Hatem A. Rashwan, Mohamed Abdel-Nasser et al.

This paper proposes an efficient solution for tumor segmentation and classification in breast ultrasound (BUS) images. We propose to add an atrous convolution layer to the conditional generative adversarial network (cGAN) segmentation model to learn tumor features at different resolutions of BUS images. To automatically re-balance the relative impact of each of the highest level encoded features, we also propose to add a channel-wise weighting block in the network. In addition, the SSIM and L1-norm loss with the typical adversarial loss are used as a loss function to train the model. Our model outperforms the state-of-the-art segmentation models in terms of the Dice and IoU metrics, achieving top scores of 93.76% and 88.82%, respectively. In the classification stage, we show that few statistics features extracted from the shape of the boundaries of the predicted masks can properly discriminate between benign and malignant tumors with an accuracy of 85%$

Md. Mostafa Kamal Sarker, Hatem A. Rashwan, Farhan Akram et al.

The determination of precise skin lesion boundaries in dermoscopic images using automated methods faces many challenges, most importantly, the presence of hair, inconspicuous lesion edges and low contrast in dermoscopic images, and variability in the color, texture and shapes of skin lesions. Existing deep learning-based skin lesion segmentation algorithms are expensive in terms of computational time and memory. Consequently, running such segmentation algorithms requires a powerful GPU and high bandwidth memory, which are not available in dermoscopy devices. Thus, this article aims to achieve precise skin lesion segmentation with minimum resources: a lightweight, efficient generative adversarial network (GAN) model called SLSNet, which combines 1-D kernel factorized networks, position and channel attention, and multiscale aggregation mechanisms with a GAN model. The 1-D kernel factorized network reduces the computational cost of 2D filtering. The position and channel attention modules enhance the discriminative ability between the lesion and non-lesion feature representations in spatial and channel dimensions, respectively. A multiscale block is also used to aggregate the coarse-to-fine features of input skin images and reduce the effect of the artifacts. SLSNet is evaluated on two publicly available datasets: ISBI 2017 and the ISIC 2018. Although SLSNet has only 2.35 million parameters, the experimental results demonstrate that it achieves segmentation results on a par with the state-of-the-art skin lesion segmentation methods with an accuracy of 97.61%, and Dice and Jaccard similarity coefficients of 90.63% and 81.98%, respectively. SLSNet can run at more than 110 frames per second (FPS) in a single GTX1080Ti GPU, which is faster than well-known deep learning-based image segmentation models, such as FCN. Therefore, SLSNet can be used for practical dermoscopic applications.

Cuong Phuc Ngo, Amadeus Aristo Winarto, Connie Kou Khor Li et al.

Anomaly detection is a classical problem where the aim is to detect anomalous data that do not belong to the normal data distribution. Current state-of-the-art methods for anomaly detection on complex high-dimensional data are based on the generative adversarial network (GAN). However, the traditional GAN loss is not directly aligned with the anomaly detection objective: it encourages the distribution of the generated samples to overlap with the real data and so the resulting discriminator has been found to be ineffective as an anomaly detector. In this paper, we propose simple modifications to the GAN loss such that the generated samples lie at the boundary of the real data distribution. With our modified GAN loss, our anomaly detection method, called Fence GAN (FGAN), directly uses the discriminator score as an anomaly threshold. Our experimental results using the MNIST, CIFAR10 and KDD99 datasets show that Fence GAN yields the best anomaly classification accuracy compared to state-of-the-art methods.

Vivek Kumar Singh, Hatem A. Rashwan, Santiago Romani et al.

Mammogram inspection in search of breast tumors is a tough assignment that radiologists must carry out frequently. Therefore, image analysis methods are needed for the detection and delineation of breast masses, which portray crucial morphological information that will support reliable diagnosis. In this paper, we proposed a conditional Generative Adversarial Network (cGAN) devised to segment a breast mass within a region of interest (ROI) in a mammogram. The generative network learns to recognize the breast mass area and to create the binary mask that outlines the breast mass. In turn, the adversarial network learns to distinguish between real (ground truth) and synthetic segmentations, thus enforcing the generative network to create binary masks as realistic as possible. The cGAN works well even when the number of training samples are limited. Therefore, the proposed method outperforms several state-of-the-art approaches. This hypothesis is corroborated by diverse experiments performed on two datasets, the public INbreast and a private in-house dataset. The proposed segmentation model provides a high Dice coefficient and Intersection over Union (IoU) of 94% and 87%, respectively. In addition, a shape descriptor based on a Convolutional Neural Network (CNN) is proposed to classify the generated masks into four mass shapes: irregular, lobular, oval and round. The proposed shape descriptor was trained on Digital Database for Screening Mammography (DDSM) yielding an overall accuracy of 80%, which outperforms the current state-of-the-art.

Vivek Kumar Singh, Hatem A. Rashwan, Adel Saleh et al.

In this paper, an optic disc and cup segmentation method is proposed using U-Net followed by a multi-scale feature matching network. The proposed method targets task 2 of the REFUGE challenge 2018. In order to solve the segmentation problem of task 2, we firstly crop the input image using single shot multibox detector (SSD). The cropped image is then passed to an encoder-decoder network with skip connections also known as generator. Afterwards, both the ground truth and generated images are fed to a convolution neural network (CNN) to extract their multi-level features. A dice loss function is then used to match the features of the two images by minimizing the error at each layer. The aggregation of error from each layer is back-propagated through the generator network to enforce it to generate a segmented image closer to the ground truth. The CNN network improves the performance of the generator network without increasing the complexity of the model.

Vivek Kumar Singh, Hatem Rashwan, Farhan Akram et al.

This paper proposed a retinal image segmentation method based on conditional Generative Adversarial Network (cGAN) to segment optic disc. The proposed model consists of two successive networks: generator and discriminator. The generator learns to map information from the observing input (i.e., retinal fundus color image), to the output (i.e., binary mask). Then, the discriminator learns as a loss function to train this mapping by comparing the ground-truth and the predicted output with observing the input image as a condition.Experiments were performed on two publicly available dataset; DRISHTI GS1 and RIM-ONE. The proposed model outperformed state-of-the-art-methods by achieving around 0.96% and 0.98% of Jaccard and Dice coefficients, respectively. Moreover, an image segmentation is performed in less than a second on recent GPU.

Md. Mostafa Kamal Sarker, Hatem A. Rashwan, Farhan Akram et al.

Skin lesion segmentation (SLS) in dermoscopic images is a crucial task for automated diagnosis of melanoma. In this paper, we present a robust deep learning SLS model, so-called SLSDeep, which is represented as an encoder-decoder network. The encoder network is constructed by dilated residual layers, in turn, a pyramid pooling network followed by three convolution layers is used for the decoder. Unlike the traditional methods employing a cross-entropy loss, we investigated a loss function by combining both Negative Log Likelihood (NLL) and End Point Error (EPE) to accurately segment the melanoma regions with sharp boundaries. The robustness of the proposed model was evaluated on two public databases: ISBI 2016 and 2017 for skin lesion analysis towards melanoma detection challenge. The proposed model outperforms the state-of-the-art methods in terms of segmentation accuracy. Moreover, it is capable to segment more than $100$ images of size 384x384 per second on a recent GPU.

Vivek Kumar Singh, Santiago Romani, Hatem A. Rashwan et al.

This paper proposes a novel approach based on conditional Generative Adversarial Networks (cGAN) for breast mass segmentation in mammography. We hypothesized that the cGAN structure is well-suited to accurately outline the mass area, especially when the training data is limited. The generative network learns intrinsic features of tumors while the adversarial network enforces segmentations to be similar to the ground truth. Experiments performed on dozens of malignant tumors extracted from the public DDSM dataset and from our in-house private dataset confirm our hypothesis with very high Dice coefficient and Jaccard index (>94% and >89%, respectively) outperforming the scores obtained by other state-of-the-art approaches. Furthermore, in order to detect portray significant morphological features of the segmented tumor, a specific Convolutional Neural Network (CNN) have also been designed for classifying the segmented tumor areas into four types (irregular, lobular, oval and round), which provides an overall accuracy about 72% with the DDSM dataset.