Ranil Sonnadara

Umaseh Sivanesan, Luis H. Braga, Ranil R. Sonnadara et al.

We develop and approach to unsupervised semantic medical image segmentation that extends previous work with generative adversarial networks. We use existing edge detection methods to construct simple edge diagrams, train a generative model to convert them into synthetic medical images, and construct a dataset of synthetic images with known segmentations using variations on extracted edge diagrams. This synthetic dataset is then used to train a supervised image segmentation model. We test our approach on a clinical dataset of kidney ultrasound images and the benchmark ISIC 2018 skin lesion dataset. We show that our unsupervised approach is more accurate than previous unsupervised methods, and performs reasonably compared to supervised image segmentation models. All code and trained models are available at https://github.com/kiretd/Unsupervised-MIseg.

Jason Bernard, Ranil Sonnadara, Anthony N. Saraco et al.

An Objective Structured Practical Examination (OSPE) is an effective and robust, but resource-intensive, means of evaluating anatomical knowledge. Since most OSPEs employ short answer or fill-in-the-blank style questions, the format requires many people familiar with the content to mark the exams. However, the increasing prevalence of online delivery for anatomy and physiology courses could result in students losing the OSPE practice that they would receive in face-to-face learning sessions. The purpose of this study was to test the accuracy of Decision Trees (DTs) in marking OSPE questions as a potential first step to creating an intelligent, online OSPE tutoring system. The study used the results of the winter 2020 semester final OSPE from McMaster University's anatomy and physiology course in the Faculty of Health Sciences (HTHSCI 2FF3/2LL3/1D06) as the data set. Ninety percent of the data set was used in a 10-fold validation algorithm to train a DT for each of the 54 questions. Each DT was comprised of unique words that appeared in correct, student-written answers. The remaining 10% of the data set was marked by the generated DTs. When the answers marked by the DT were compared to the answers marked by staff and faculty, the DT achieved an average accuracy of 94.49% across all 54 questions. This suggests that machine learning algorithms such as DTs are a highly effective option for OSPE grading and are suitable for the development of an intelligent, online OSPE tutoring system.

Umaseh Sivanesan, Luis H. Braga, Ranil R. Sonnadara et al.

Medical image segmentation is routinely performed to isolate regions of interest, such as organs and lesions. Currently, deep learning is the state of the art for automatic segmentation, but is usually limited by the need for supervised training with large datasets that have been manually segmented by trained clinicians. The goal of semi-superised and unsupervised image segmentation is to greatly reduce, or even eliminate, the need for training data and therefore to minimze the burden on clinicians when training segmentation models. To this end we introduce a novel network architecture for capable of unsupervised and semi-supervised image segmentation called TricycleGAN. This approach uses three generative models to learn translations between medical images and segmentation maps using edge maps as an intermediate step. Distinct from other approaches based on generative networks, TricycleGAN relies on shape priors rather than colour and texture priors. As such, it is particularly well-suited for several domains of medical imaging, such as ultrasound imaging, where commonly used visual cues may be absent. We present experiments with TricycleGAN on a clinical dataset of kidney ultrasound images and the benchmark ISIC 2018 skin lesion dataset.