David M. F. Chapman

Sourajit Saha, Shaswati Saha, Md Osman Gani et al.

Learning High-Resolution representations is essential for semantic segmentation. Convolutional neural network (CNN)architectures with downstream and upstream propagation flow are popular for segmentation in medical diagnosis. However, due to performing spatial downsampling and upsampling in multiple stages, information loss is inexorable. On the contrary, connecting layers densely on high spatial resolution is computationally expensive. In this work, we devise a Loose Dense Connection Strategy to connect neurons in subsequent layers with reduced parameters. On top of that, using a m-way Tree structure for feature propagation we propose Receptive Field Chain Network (RFC-Net) that learns high resolution global features on a compressed computational space. Our experiments demonstrates that RFC-Net achieves state-of-the-art performance on Kvasir and CVC-ClinicDB benchmarks for Polyp segmentation.

Nishanjan Ravin, Sourajit Saha, Alan Schweitzer et al.

We demonstrate that Domain Invariant Feature Learning (DIFL) can improve the out-of-domain generalizability of a deep learning Tuberculosis screening algorithm. It is well known that state of the art deep learning algorithms often have difficulty generalizing to unseen data distributions due to "domain shift". In the context of medical imaging, this could lead to unintended biases such as the inability to generalize from one patient population to another. We analyze the performance of a ResNet-50 classifier for the purposes of Tuberculosis screening using the four most popular public datasets with geographically diverse sources of imagery. We show that without domain adaptation, ResNet-50 has difficulty in generalizing between imaging distributions from a number of public Tuberculosis screening datasets with imagery from geographically distributed regions. However, with the incorporation of DIFL, the out-of-domain performance is greatly enhanced. Analysis criteria includes a comparison of accuracy, sensitivity, specificity and AUC over both the baseline, as well as the DIFL enhanced algorithms. We conclude that DIFL improves generalizability of Tuberculosis screening while maintaining acceptable accuracy over the source domain imagery when applied across a variety of public datasets.

Sumeet Menon, Jayalakshmi Mangalagiri, Josh Galita et al.

We present a novel algorithm that is able to classify COVID-19 pneumonia from CT Scan slices using a very small sample of training images exhibiting COVID-19 pneumonia in tandem with a larger number of normal images. This algorithm is able to achieve high classification accuracy using as few as 10 positive training slices (from 10 positive cases), which to the best of our knowledge is one order of magnitude fewer than the next closest published work at the time of writing. Deep learning with extremely small positive training volumes is a very difficult problem and has been an important topic during the COVID-19 pandemic, because for quite some time it was difficult to obtain large volumes of COVID-19 positive images for training. Algorithms that can learn to screen for diseases using few examples are an important area of research. We present the Cycle Consistent Segmentation Generative Adversarial Network (CCS-GAN). CCS-GAN combines style transfer with pulmonary segmentation and relevant transfer learning from negative images in order to create a larger volume of synthetic positive images for the purposes of improving diagnostic classification performance. The performance of a VGG-19 classifier plus CCS-GAN was trained using a small sample of positive image slices ranging from at most 50 down to as few as 10 COVID-19 positive CT-scan images. CCS-GAN achieves high accuracy with few positive images and thereby greatly reduces the barrier of acquiring large training volumes in order to train a diagnostic classifier for COVID-19.

Jayalakshmi Mangalagiri, David Chapman, Aryya Gangopadhyay et al.

We present a novel conditional Generative Adversarial Network (cGAN) architecture that is capable of generating 3D Computed Tomography scans in voxels from noisy and/or pixelated approximations and with the potential to generate full synthetic 3D scan volumes. We believe conditional cGAN to be a tractable approach to generate 3D CT volumes, even though the problem of generating full resolution deep fakes is presently impractical due to GPU memory limitations. We present results for autoencoder, denoising, and depixelating tasks which are trained and tested on two novel COVID19 CT datasets. Our evaluation metrics, Peak Signal to Noise ratio (PSNR) range from 12.53 - 46.46 dB, and the Structural Similarity index ( SSIM) range from 0.89 to 1.

Sumeet Menon, Joshua Galita, David Chapman et al.

COVID-19 is a novel infectious disease responsible for over 800K deaths worldwide as of August 2020. The need for rapid testing is a high priority and alternative testing strategies including X-ray image classification are a promising area of research. However, at present, public datasets for COVID19 x-ray images have low data volumes, making it challenging to develop accurate image classifiers. Several recent papers have made use of Generative Adversarial Networks (GANs) in order to increase the training data volumes. But realistic synthetic COVID19 X-rays remain challenging to generate. We present a novel Mean Teacher + Transfer GAN (MTT-GAN) that generates COVID19 chest X-ray images of high quality. In order to create a more accurate GAN, we employ transfer learning from the Kaggle Pneumonia X-Ray dataset, a highly relevant data source orders of magnitude larger than public COVID19 datasets. Furthermore, we employ the Mean Teacher algorithm as a constraint to improve stability of training. Our qualitative analysis shows that the MTT-GAN generates X-ray images that are greatly superior to a baseline GAN and visually comparable to real X-rays. Although board-certified radiologists can distinguish MTT-GAN fakes from real COVID19 X-rays. Quantitative analysis shows that MTT-GAN greatly improves the accuracy of both a binary COVID19 classifier as well as a multi-class Pneumonia classifier as compared to a baseline GAN. Our classification accuracy is favourable as compared to recently reported results in the literature for similar binary and multi-class COVID19 screening tasks.