Hamid R. Tizhoosh

Abubakr Shafique, Ricardo Gonzalez, Liron Pantanowitz et al.

Breast cancer is one of the most common cancers affecting women worldwide. They include a group of malignant neoplasms with a variety of biological, clinical, and histopathological characteristics. There are more than 35 different histological forms of breast lesions that can be classified and diagnosed histologically according to cell morphology, growth, and architecture patterns. Recently, deep learning, in the field of artificial intelligence, has drawn a lot of attention for the computerized representation of medical images. Searchable digital atlases can provide pathologists with patch matching tools allowing them to search among evidently diagnosed and treated archival cases, a technology that may be regarded as computational second opinion. In this study, we indexed and analyzed the WHO breast taxonomy (Classification of Tumours 5th Ed.) spanning 35 tumour types. We visualized all tumour types using deep features extracted from a state-of-the-art deep learning model, pre-trained on millions of diagnostic histopathology images from the TCGA repository. Furthermore, we test the concept of a digital "atlas" as a reference for search and matching with rare test cases. The patch similarity search within the WHO breast taxonomy data reached over 88% accuracy when validating through "majority vote" and more than 91% accuracy when validating using top-n tumour types. These results show for the first time that complex relationships among common and rare breast lesions can be investigated using an indexed digital archive.

Hamid R. Tizhoosh

In non-medical domains, foundation models (FMs) have revolutionized computer vision and language processing through large-scale self-supervised and multimodal learning. Consequently, their rapid adoption in computational pathology was expected to deliver comparable breakthroughs in cancer diagnosis, prognostication, and multimodal retrieval. However, recent systematic evaluations reveal fundamental weaknesses: low diagnostic accuracy, poor robustness, geometric instability, heavy computational demands, and concerning safety vulnerabilities. This short paper examines these shortcomings and argues that they stem from deeper conceptual mismatches between the assumptions underlying generic foundation modeling in mainstream AI and the intrinsic complexity of human tissue. Seven interrelated causes are identified: biological complexity, ineffective self-supervision, overgeneralization, excessive architectural complexity, lack of domain-specific innovation, insufficient data, and a fundamental design flaw related to tissue patch size. These findings suggest that current pathology foundation models remain conceptually misaligned with the nature of tissue morphology and call for a fundamental rethinking of the paradigm itself.

Shivam Kalra, Junfeng Wen, Jesse C. Cresswell et al.

Institutions in highly regulated domains such as finance and healthcare often have restrictive rules around data sharing. Federated learning is a distributed learning framework that enables multi-institutional collaborations on decentralized data with improved protection for each collaborator's data privacy. In this paper, we propose a communication-efficient scheme for decentralized federated learning called ProxyFL, or proxy-based federated learning. Each participant in ProxyFL maintains two models, a private model, and a publicly shared proxy model designed to protect the participant's privacy. Proxy models allow efficient information exchange among participants without the need of a centralized server. The proposed method eliminates a significant limitation of canonical federated learning by allowing model heterogeneity; each participant can have a private model with any architecture. Furthermore, our protocol for communication by proxy leads to stronger privacy guarantees using differential privacy analysis. Experiments on popular image datasets, and a cancer diagnostic problem using high-quality gigapixel histology whole slide images, show that ProxyFL can outperform existing alternatives with much less communication overhead and stronger privacy.

Rohollah Moosavi Tayebi, Youqing Mu, Taher Dehkharghanian et al.

Bone marrow cytology is required to make a hematological diagnosis, influencing critical clinical decision points in hematology. However, bone marrow cytology is tedious, limited to experienced reference centers and associated with high inter-observer variability. This may lead to a delayed or incorrect diagnosis, leaving an unmet need for innovative supporting technologies. We have developed the first ever end-to-end deep learning-based technology for automated bone marrow cytology. Starting with a bone marrow aspirate digital whole slide image, our technology rapidly and automatically detects suitable regions for cytology, and subsequently identifies and classifies all bone marrow cells in each region. This collective cytomorphological information is captured in a novel representation called Histogram of Cell Types (HCT) quantifying bone marrow cell class probability distribution and acting as a cytological "patient fingerprint". The approach achieves high accuracy in region detection (0.97 accuracy and 0.99 ROC AUC), and cell detection and cell classification (0.75 mAP, 0.78 F1-score, Log-average miss rate of 0.31). HCT has potential to revolutionize hematopathology diagnostic workflows, leading to more cost-effective, accurate diagnosis and opening the door to precision medicine.

Antonio Sze-To, Abtin Riasatian, Hamid R. Tizhoosh

Fast diagnosis and treatment of pneumothorax, a collapsed or dropped lung, is crucial to avoid fatalities. Pneumothorax is typically detected on a chest X-ray image through visual inspection by experienced radiologists. However, the detection rate is quite low. Therefore, there is a strong need for automated detection systems to assist radiologists. Despite the high accuracy levels generally reported for deep learning classifiers in many applications, they may not be useful in clinical practice due to the lack of large number of high-quality labelled images as well as a lack of interpretation possibility. Alternatively, searching in the archive of past cases to find matching images may serve as a 'virtual second opinion' through accessing the metadata of matched evidently diagnosed cases. To use image search as a triaging/diagnosis tool, all chest X-ray images must first be tagged with identifiers, i.e., deep features. Then, given a query chest X-ray image, the majority vote among the top k retrieved images can provide a more explainable output. While image search can be clinically more viable, its detection performance needs to be investigated at a scale closer to real-world practice. We combined 3 public datasets to assemble a repository with more than 550,000 chest X-ray images. We developed the Autoencoding Thorax Net (short AutoThorax-Net) for image search in chest radiographs compressing three inputs: the left chest side, the flipped right side, and the entire chest image. Experimental results show that image search based on AutoThorax-Net features can achieve high identification rates providing a path towards real-world deployment. We achieved 92% AUC accuracy for a semi-automated search in 194,608 images (pneumothorax and normal) and 82% AUC accuracy for fully automated search in 551,383 images (normal, pneumothorax and many other chest diseases).

Aditya Sriram, Shivam Kalra, Morteza Babaie et al.

In this paper, we propose a novel image descriptor called Forming Local Intersections of Projections (FLIP) and its multi-resolution version (mFLIP) for representing histopathology images. The descriptor is based on the Radon transform wherein we apply parallel projections in small local neighborhoods of gray-level images. Using equidistant projection directions in each window, we extract unique and invariant characteristics of the neighborhood by taking the intersection of adjacent projections. Thereafter, we construct a histogram for each image, which we call the FLIP histogram. Various resolutions provide different FLIP histograms which are then concatenated to form the mFLIP descriptor. Our experiments included training common networks from scratch and fine-tuning pre-trained networks to benchmark our proposed descriptor. Experiments are conducted on the publicly available dataset KIMIA Path24 and KIMIA Path960. For both of these datasets, FLIP and mFLIP descriptors show promising results in all experiments.Using KIMIA Path24 data, FLIP outperformed non-fine-tuned Inception-v3 and fine-tuned VGG16 and mFLIP outperformed fine-tuned Inception-v3 in feature extracting.

Mohammed Adnan, Shivam Kalra, Hamid R. Tizhoosh

Representation learning for Whole Slide Images (WSIs) is pivotal in developing image-based systems to achieve higher precision in diagnostic pathology. We propose a two-stage framework for WSI representation learning. We sample relevant patches using a color-based method and use graph neural networks to learn relations among sampled patches to aggregate the image information into a single vector representation. We introduce attention via graph pooling to automatically infer patches with higher relevance. We demonstrate the performance of our approach for discriminating two sub-types of lung cancers, Lung Adenocarcinoma (LUAD) & Lung Squamous Cell Carcinoma (LUSC). We collected 1,026 lung cancer WSIs with the 40$\times$ magnification from The Cancer Genome Atlas (TCGA) dataset, the largest public repository of histopathology images and achieved state-of-the-art accuracy of 88.8% and AUC of 0.89 on lung cancer sub-type classification by extracting features from a pre-trained DenseNet

Shivam Kalra, Larry Li, Hamid R. Tizhoosh

A Pathology report is arguably one of the most important documents in medicine containing interpretive information about the visual findings from the patient's biopsy sample. Each pathology report has a retention period of up to 20 years after the treatment of a patient. Cancer registries process and encode high volumes of free-text pathology reports for surveillance of cancer and tumor diseases all across the world. In spite of their extremely valuable information they hold, pathology reports are not used in any systematic way to facilitate computational pathology. Therefore, in this study, we investigate automated machine-learning techniques to identify/predict the primary diagnosis (based on ICD-O code) from pathology reports. We performed experiments by extracting the TF-IDF features from the reports and classifying them using three different methods---SVM, XGBoost, and Logistic Regression. We constructed a new dataset with 1,949 pathology reports arranged into 37 ICD-O categories, collected from four different primary sites, namely lung, kidney, thymus, and testis. The reports were manually transcribed into text format after collecting them as PDF files from NCI Genomic Data Commons public dataset. We subsequently pre-processed the reports by removing irrelevant textual artifacts produced by OCR software. The highest classification accuracy we achieved was 92\% using XGBoost classifier on TF-IDF feature vectors, the linear SVM scored 87\% accuracy. Furthermore, the study shows that TF-IDF vectors are suitable for highlighting the important keywords within a report which can be helpful for the cancer research and diagnostic workflow. The results are encouraging in demonstrating the potential of machine learning methods for classification and encoding of pathology reports.

Aravind Ravi, Harshwin Venugopal, Sruthy Paul et al.

In recent years, there has been increased interest in video summarization and automatic sports highlights generation. In this work, we introduce a new dataset, called SNOW, for umpire pose detection in the game of cricket. The proposed dataset is evaluated as a preliminary aid for developing systems to automatically generate cricket highlights. In cricket, the umpire has the authority to make important decisions about events on the field. The umpire signals important events using unique hand signals and gestures. We identify four such events for classification namely SIX, NO BALL, OUT and WIDE based on detecting the pose of the umpire from the frames of a cricket video. Pre-trained convolutional neural networks such as Inception V3 and VGG19 net-works are selected as primary candidates for feature extraction. The results are obtained using a linear SVM classifier. The highest classification performance was achieved for the SVM trained on features extracted from the VGG19 network. The preliminary results suggest that the proposed system is an effective solution for the application of cricket highlights generation.

Hojjat Salehinejad, Shahryar Rahnamayan, Hamid R. Tizhoosh

Differential evolution (DE) algorithm with a small population size is called Micro-DE (MDE). A small population size decreases the computational complexity but also reduces the exploration ability of DE by limiting the population diversity. In this paper, we propose the idea of combining ensemble mutation scheme selection and opposition-based learning concepts to enhance the diversity of population in MDE at mutation and selection stages. The proposed algorithm enhances the diversity of population by generating a random mutation scale factor per individual and per dimension, randomly assigning a mutation scheme to each individual in each generation, and diversifying individuals selection using opposition-based learning. This approach is easy to implement and does not require the setting of mutation scheme selection and mutation scale factor. Experimental results are conducted for a variety of objective functions with low and high dimensionality on the CEC Black- Box Optimization Benchmarking 2015 (CEC-BBOB 2015). The results show superior performance of the proposed algorithm compared to the other micro-DE algorithms.

Mehrdad J. Gangeh, Hamid R. Tizhoosh, Kan Wu et al.

Recent advances in using quantitative ultrasound (QUS) methods have provided a promising framework to non-invasively and inexpensively monitor or predict the effectiveness of therapeutic cancer responses. One of the earliest steps in using QUS methods is contouring a region of interest (ROI) inside the tumour in ultrasound B-mode images. While manual segmentation is a very time-consuming and tedious task for human experts, auto-contouring is also an extremely difficult task for computers due to the poor quality of ultrasound B-mode images. However, for the purpose of cancer response prediction, a rough boundary of the tumour as an ROI is only needed. In this research, a semi-automated tumour localization approach is proposed for ROI estimation in ultrasound B-mode images acquired from patients with locally advanced breast cancer (LABC). The proposed approach comprised several modules, including 1) feature extraction using keypoint descriptors, 2) augmenting the feature descriptors with the distance of the keypoints to the user-input pixel as the centre of the tumour, 3) supervised learning using a support vector machine (SVM) to classify keypoints as "tumour" or "non-tumour", and 4) computation of an ellipse as an outline of the ROI representing the tumour. Experiments with 33 B-mode images from 10 LABC patients yielded promising results with an accuracy of 76.7% based on the Dice coefficient performance measure. The results demonstrated that the proposed method can potentially be used as the first stage in a computer-assisted cancer response prediction system for semi-automated contouring of breast tumours.

Hamid R. Tizhoosh, Christopher Mitcheltree, Shujin Zhu et al.

Using content-based binary codes to tag digital images has emerged as a promising retrieval technology. Recently, Radon barcodes (RBCs) have been introduced as a new binary descriptor for image search. RBCs are generated by binarization of Radon projections and by assembling them into a vector, namely the barcode. A simple local thresholding has been suggested for binarization. In this paper, we put forward the idea of "autoencoded Radon barcodes". Using images in a training dataset, we autoencode Radon projections to perform binarization on outputs of hidden layers. We employed the mini-batch stochastic gradient descent approach for the training. Each hidden layer of the autoencoder can produce a barcode using a threshold determined based on the range of the logistic function used. The compressing capability of autoencoders apparently reduces the redundancies inherent in Radon projections leading to more accurate retrieval results. The IRMA dataset with 14,410 x-ray images is used to validate the performance of the proposed method. The experimental results, containing comparison with RBCs, SURF and BRISK, show that autoencoded Radon barcode (ARBC) has the capacity to capture important information and to learn richer representations resulting in lower retrieval errors for image retrieval measured with the accuracy of the first hit only.

Fares Al-Qunaieer, Hamid R. Tizhoosh, Shahryar Rahnamayan

It is well-known in image processing that computational cost increases rapidly with the number and dimensions of the images to be processed. Several fields, such as medical imaging, routinely use numerous very large images, which might also be 3D and/or captured at several frequency bands, all adding to the computational expense. Multiresolution analysis is a method of increasing the efficiency of the segmentation process. One multiresolution approach is the coarse-to-fine segmentation strategy, whereby the segmentation starts at a coarse resolution and is then fine-tuned during subsequent steps. The starting resolution for segmentation is generally selected arbitrarily with no clear selection criteria. The research reported in this paper showed that starting from different resolutions for image segmentation results in different accuracies and computational times, even for images of the same category (depicting similar scenes or objects). An automated method for resolution selection for an input image would thus be beneficial. This paper introduces a framework for the automated selection of the best resolution for image segmentation. We propose a measure for defining the best resolution based on user/system criteria, offering a trade-off between accuracy and computation time. A learning approach is then introduced for the selection of the resolution, whereby extracted image features are mapped to the previously determined best resolution. In the learning process, class (i.e., resolution) distribution is generally imbalanced, making effective learning from the data difficult. Experiments conducted with three datasets using two different segmentation algorithms show that the resolutions selected through learning enable much faster segmentation than the original ones, while retaining at least the original accuracy.

Mina Nouredanesh, Hamid R. Tizhoosh, Ershad Banijamali

In recent years, advances in medical imaging have led to the emergence of massive databases, containing images from a diverse range of modalities. This has significantly heightened the need for automated annotation of the images on one side, and fast and memory-efficient content-based image retrieval systems on the other side. Binary descriptors have recently gained more attention as a potential vehicle to achieve these goals. One of the recently introduced binary descriptors for tagging of medical images are Radon barcodes (RBCs) that are driven from Radon transform via local thresholding. Gabor transform is also a powerful transform to extract texture-based information. Gabor features have exhibited robustness against rotation, scale, and also photometric disturbances, such as illumination changes and image noise in many applications. This paper introduces Gabor Barcodes (GBCs), as a novel framework for the image annotation. To find the most discriminative GBC for a given query image, the effects of employing Gabor filters with different parameters, i.e., different sets of scales and orientations, are investigated, resulting in different barcode lengths and retrieval performances. The proposed method has been evaluated on the IRMA dataset with 193 classes comprising of 12,677 x-ray images for indexing, and 1,733 x-rays images for testing. A total error score as low as $351$ ($\approx 80\%$ accuracy for the first hit) was achieved.

Antonio Sze-To, Hamid R. Tizhoosh, Andrew K. C. Wong

A Content-Based Image Retrieval (CBIR) system which identifies similar medical images based on a query image can assist clinicians for more accurate diagnosis. The recent CBIR research trend favors the construction and use of binary codes to represent images. Deep architectures could learn the non-linear relationship among image pixels adaptively, allowing the automatic learning of high-level features from raw pixels. However, most of them require class labels, which are expensive to obtain, particularly for medical images. The methods which do not need class labels utilize a deep autoencoder for binary hashing, but the code construction involves a specific training algorithm and an ad-hoc regularization technique. In this study, we explored using a deep de-noising autoencoder (DDA), with a new unsupervised training scheme using only backpropagation and dropout, to hash images into binary codes. We conducted experiments on more than 14,000 x-ray images. By using class labels only for evaluating the retrieval results, we constructed a 16-bit DDA and a 512-bit DDA independently. Comparing to other unsupervised methods, we succeeded to obtain the lowest total error by using the 512-bit codes for retrieval via exhaustive search, and speed up 9.27 times with the use of the 16-bit codes while keeping a comparable total error. We found that our new training scheme could reduce the total retrieval error significantly by 21.9%. To further boost the image retrieval performance, we developed Radon Autoencoder Barcode (RABC) which are learned from the Radon projections of images using a de-noising autoencoder. Experimental results demonstrated its superior performance in retrieval when it was combined with DDA binary codes.

Hamid R. Tizhoosh, Ahmed A. Othman

Quantifying the accuracy of segmentation and manual delineation of organs, tissue types and tumors in medical images is a necessary measurement that suffers from multiple problems. One major shortcoming of all accuracy measures is that they neglect the anatomical significance or relevance of different zones within a given segment. Hence, existing accuracy metrics measure the overlap of a given segment with a ground-truth without any anatomical discrimination inside the segment. For instance, if we understand the rectal wall or urethral sphincter as anatomical zones, then current accuracy measures ignore their significance when they are applied to assess the quality of the prostate gland segments. In this paper, we propose an anatomy-aware measurement scheme for segmentation accuracy of medical images. The idea is to create a ``master gold'' based on a consensus shape containing not just the outline of the segment but also the outlines of the internal zones if existent or relevant. To apply this new approach to accuracy measurement, we introduce the anatomy-aware extensions of both Dice coefficient and Jaccard index and investigate their effect using 500 synthetic prostate ultrasound images with 20 different segments for each image. We show that through anatomy-sensitive calculation of segmentation accuracy, namely by considering relevant anatomical zones, not only the measurement of individual users can change but also the ranking of users' segmentation skills may require reordering.

Xinran Liu, Hamid R. Tizhoosh, Jonathan Kofman

Content-based image retrieval (CBIR) in large medical image archives is a challenging and necessary task. Generally, different feature extraction methods are used to assign expressive and invariant features to each image such that the search for similar images comes down to feature classification and/or matching. The present work introduces a new image retrieval method for medical applications that employs a convolutional neural network (CNN) with recently introduced Radon barcodes. We combine neural codes for global classification with Radon barcodes for the final retrieval. We also examine image search based on regions of interest (ROI) matching after image retrieval. The IRMA dataset with more than 14,000 x-rays images is used to evaluate the performance of our method. Experimental results show that our approach is superior to many published works.

Hamid R. Tizhoosh, Shahryar Rahnamayan

Recently, Radon transformation has been used to generate barcodes for tagging medical images. The under-sampled image is projected in certain directions, and each projection is binarized using a local threshold. The concatenation of the thresholded projections creates a barcode that can be used for tagging or annotating medical images. A small number of equidistant projections, e.g., 4 or 8, is generally used to generate short barcodes. However, due to the diverse nature of digital images, and since we are only working with a small number of projections (to keep the barcode short), taking equidistant projections may not be the best course of action. In this paper, we proposed to find $n$ optimal projections, whereas $n\!<\!180$, in order to increase the expressiveness of Radon barcodes. We show examples for the exhaustive search for the simple case when we attempt to find 4 best projections out of 16 equidistant projections and compare it with the evolutionary approach in order to establish the benefit of the latter when operating on a small population size as in the case of micro-DE. We randomly selected 10 different classes from IRMA dataset (14,400 x-ray images in 58 classes) and further randomly selected 5 images per class for our tests.

Hamid R. Tizhoosh, Mehrdad J. Gangeh, Hadi Tadayyon et al.

Quantitative ultrasound (QUS) methods provide a promising framework that can non-invasively and inexpensively be used to predict or assess the tumour response to cancer treatment. The first step in using the QUS methods is to select a region of interest (ROI) inside the tumour in ultrasound images. Manual segmentation, however, is very time consuming and tedious. In this paper, a semi-automated approach will be proposed to roughly localize an ROI for a tumour in ultrasound images of patients with locally advanced breast cancer (LABC). Content-based barcodes, a recently introduced binary descriptor based on Radon transform, were used in order to find similar cases and estimate a bounding box surrounding the tumour. Experiments with 33 B-scan images resulted in promising results with an accuracy of $81\%$.

Hojjat Salehinejad, Shahryar Rahnamayan, Hamid R. Tizhoosh

The differential evolution (DE) algorithm suffers from high computational time due to slow nature of evaluation. In contrast, micro-DE (MDE) algorithms employ a very small population size, which can converge faster to a reasonable solution. However, these algorithms are vulnerable to a premature convergence as well as to high risk of stagnation. In this paper, MDE algorithm with vectorized random mutation factor (MDEVM) is proposed, which utilizes the small size population benefit while empowers the exploration ability of mutation factor through randomizing it in the decision variable level. The idea is supported by analyzing mutation factor using Monte-Carlo based simulations. To facilitate the usage of MDE algorithms with very-small population sizes, new mutation schemes for population sizes less than four are also proposed. Furthermore, comprehensive comparative simulations and analysis on performance of the MDE algorithms over various mutation schemes, population sizes, problem types (i.e. uni-modal, multi-modal, and composite), problem dimensionalities, and mutation factor ranges are conducted by considering population diversity analysis for stagnation and trapping in local optimum situations. The studies are conducted on 28 benchmark functions provided for the IEEE CEC-2013 competition. Experimental results demonstrate high performance and convergence speed of the proposed MDEVM algorithm.

Hamid R. Tizhoosh

This paper proposes to generate and to use barcodes to annotate medical images and/or their regions of interest such as organs, tumors and tissue types. A multitude of efficient feature-based image retrieval methods already exist that can assign a query image to a certain image class. Visual annotations may help to increase the retrieval accuracy if combined with existing feature-based classification paradigms. Whereas with annotations we usually mean textual descriptions, in this paper barcode annotations are proposed. In particular, Radon barcodes (RBC) are introduced. As well, local binary patterns (LBP) and local Radon binary patterns (LRBP) are implemented as barcodes. The IRMA x-ray dataset with 12,677 training images and 1,733 test images is used to verify how barcodes could facilitate image retrieval.

Ahmed Othman, Hamid R. Tizhoosh, Farzad Khalvati

Current image segmentation techniques usually require that the user tune several parameters in order to obtain maximum segmentation accuracy, a computationally inefficient approach, especially when a large number of images must be processed sequentially in daily practice. The use of evolving fuzzy systems for designing a method that automatically adjusts parameters to segment medical images according to the quality expectation of expert users has been proposed recently (Evolving fuzzy image segmentation EFIS). However, EFIS suffers from a few limitations when used in practice mainly due to some fixed parameters. For instance, EFIS depends on auto-detection of the object of interest for feature calculation, a task that is highly application-dependent. This shortcoming limits the applicability of EFIS, which was proposed with the ultimate goal of offering a generic but adjustable segmentation scheme. In this paper, a new version of EFIS is proposed to overcome these limitations. The new EFIS, called self-configuring EFIS (SC-EFIS), uses available training data to self-estimate the parameters that are fixed in EFIS. As well, the proposed SC-EFIS relies on a feature selection process that does not require auto-detection of an ROI. The proposed SC-EFIS was evaluated using the same segmentation algorithms and the same dataset as for EFIS. The results show that SC-EFIS can provide the same results as EFIS but with a higher level of automation.

Hamid R. Tizhoosh, Shahryar Rahnamayan

The idea of opposition-based learning was introduced 10 years ago. Since then a noteworthy group of researchers has used some notions of oppositeness to improve existing optimization and learning algorithms. Among others, evolutionary algorithms, reinforcement agents, and neural networks have been reportedly extended into their opposition-based version to become faster and/or more accurate. However, most works still use a simple notion of opposites, namely linear (or type- I) opposition, that for each $x\in[a,b]$ assigns its opposite as $\breve{x}_I=a+b-x$. This, of course, is a very naive estimate of the actual or true (non-linear) opposite $\breve{x}_{II}$, which has been called type-II opposite in literature. In absence of any knowledge about a function $y=f(\mathbf{x})$ that we need to approximate, there seems to be no alternative to the naivety of type-I opposition if one intents to utilize oppositional concepts. But the question is if we can receive some level of accuracy increase and time savings by using the naive opposite estimate $\breve{x}_I$ according to all reports in literature, what would we be able to gain, in terms of even higher accuracies and more reduction in computational complexity, if we would generate and employ true opposites? This work introduces an approach to approximate type-II opposites using evolving fuzzy rules when we first perform opposition mining. We show with multiple examples that learning true opposites is possible when we mine the opposites from the training data to subsequently approximate $\breve{x}_{II}=f(\mathbf{x},y)$.