Julian Gilbey

Simon Deltadahl, Julian Gilbey, Christine Van Laer et al.

Accurate classification of haematological cells is critical for diagnosing blood disorders, but presents significant challenges for machine automation owing to the complexity of cell morphology, heterogeneities of biological, pathological, and imaging characteristics, and the imbalance of cell type frequencies. We introduce CytoDiffusion, a diffusion-based classifier that effectively models blood cell morphology, combining accurate classification with robust anomaly detection, resistance to distributional shifts, interpretability, data efficiency, and superhuman uncertainty quantification. Our approach outperforms state-of-the-art discriminative models in anomaly detection (AUC 0.990 vs. 0.918), resistance to domain shifts (85.85% vs. 74.38% balanced accuracy), and performance in low-data regimes (95.88% vs. 94.95% balanced accuracy). Notably, our model generates synthetic blood cell images that are nearly indistinguishable from real images, as demonstrated by an authenticity test in which expert haematologists achieved only 52.3% accuracy (95% CI: [50.5%, 54.2%]) in distinguishing real from generated images. Furthermore, we enhance model explainability through the generation of directly interpretable counterfactual heatmaps. Our comprehensive evaluation framework, encompassing these multiple performance dimensions, establishes a new benchmark for medical image analysis in haematology, ultimately enabling improved diagnostic accuracy in clinical settings. Our code is available at https://github.com/CambridgeCIA/CytoDiffusion.

Tolou Shadbahr, Michael Roberts, Jan Stanczuk et al.

Classifying samples in incomplete datasets is a common aim for machine learning practitioners, but is non-trivial. Missing data is found in most real-world datasets and these missing values are typically imputed using established methods, followed by classification of the now complete, imputed, samples. The focus of the machine learning researcher is then to optimise the downstream classification performance. In this study, we highlight that it is imperative to consider the quality of the imputation. We demonstrate how the commonly used measures for assessing quality are flawed and propose a new class of discrepancy scores which focus on how well the method recreates the overall distribution of the data. To conclude, we highlight the compromised interpretability of classifier models trained using poorly imputed data.

Sören Dittmer, Michael Roberts, Julian Gilbey et al.

In this perspective, we argue that despite the democratization of powerful tools for data science and machine learning over the last decade, developing the code for a trustworthy and effective data science system (DSS) is getting harder. Perverse incentives and a lack of widespread software engineering (SE) skills are among many root causes we identify that naturally give rise to the current systemic crisis in reproducibility of DSSs. We analyze why SE and building large complex systems is, in general, hard. Based on these insights, we identify how SE addresses those difficulties and how we can apply and generalize SE methods to construct DSSs that are fit for purpose. We advocate two key development philosophies, namely that one should incrementally grow -- not biphasically plan and build -- DSSs, and one should always employ two types of feedback loops during development: one which tests the code's correctness and another that evaluates the code's efficacy.

Daniel Kreuter, Samuel Tull, Julian Gilbey et al.

Clinical data is often affected by clinically irrelevant factors such as discrepancies between measurement devices or differing processing methods between sites. In the field of machine learning (ML), these factors are known as domains and the distribution differences they cause in the data are known as domain shifts. ML models trained using data from one domain often perform poorly when applied to data from another domain, potentially leading to wrong predictions. As such, developing machine learning models that can generalise well across multiple domains is a challenging yet essential task in the successful application of ML in clinical practice. In this paper, we propose a novel disentangled autoencoder (Dis-AE) neural network architecture that can learn domain-invariant data representations for multi-label classification of medical measurements even when the data is influenced by multiple interacting domain shifts at once. The model utilises adversarial training to produce data representations from which the domain can no longer be determined. We evaluate the model's domain generalisation capabilities on synthetic datasets and full blood count (FBC) data from blood donors as well as primary and secondary care patients, showing that Dis-AE improves model generalisation on multiple domains simultaneously while preserving clinically relevant information.

Julian D. Gilbey, Carola-Bibiane Schönlieb

Some historical and more recent printed documents have been scanned or stored at very low resolutions, such as 60 dpi. Though such scans are relatively easy for humans to read, they still present significant challenges for optical character recognition (OCR) systems. The current state-of-the art is to use super-resolution to reconstruct an approximation of the original high-resolution image and to feed this into a standard OCR system. Our novel end-to-end method bypasses the super-resolution step and produces better OCR results. This approach is inspired from our understanding of the human visual system, and builds on established neural networks for performing OCR. Our experiments have shown that it is possible to perform OCR on 60 dpi scanned images of English text, which is a significantly lower resolution than the state-of-the-art, and we achieved a mean character level accuracy (CLA) of 99.7% and word level accuracy (WLA) of 98.9% across a set of about 1000 pages of 60 dpi text in a wide range of fonts. For 75 dpi images, the mean CLA was 99.9% and the mean WLA was 99.4% on the same sample of texts. We make our code and data (including a set of low-resolution images with their ground truths) publicly available as a benchmark for future work in this field.