Zhongzhao Teng

Xiang Bai, Hanchen Wang, Liya Ma et al.

Artificial intelligence (AI) provides a promising substitution for streamlining COVID-19 diagnoses. However, concerns surrounding security and trustworthiness impede the collection of large-scale representative medical data, posing a considerable challenge for training a well-generalised model in clinical practices. To address this, we launch the Unified CT-COVID AI Diagnostic Initiative (UCADI), where the AI model can be distributedly trained and independently executed at each host institution under a federated learning framework (FL) without data sharing. Here we show that our FL model outperformed all the local models by a large yield (test sensitivity /specificity in China: 0.973/0.951, in the UK: 0.730/0.942), achieving comparable performance with a panel of professional radiologists. We further evaluated the model on the hold-out (collected from another two hospitals leaving out the FL) and heterogeneous (acquired with contrast materials) data, provided visual explanations for decisions made by the model, and analysed the trade-offs between the model performance and the communication costs in the federated training process. Our study is based on 9,573 chest computed tomography scans (CTs) from 3,336 patients collected from 23 hospitals located in China and the UK. Collectively, our work advanced the prospects of utilising federated learning for privacy-preserving AI in digital health.

Yuanhan Mo, Shuo Wang, Chengliang Dai et al.

Supervised deep learning requires a large amount of training samples with annotations (e.g. label class for classification task, pixel- or voxel-wised label map for segmentation tasks), which are expensive and time-consuming to obtain. During the training of a deep neural network, the annotated samples are fed into the network in a mini-batch way, where they are often regarded of equal importance. However, some of the samples may become less informative during training, as the magnitude of the gradient start to vanish for these samples. In the meantime, other samples of higher utility or hardness may be more demanded for the training process to proceed and require more exploitation. To address the challenges of expensive annotations and loss of sample informativeness, here we propose a novel training framework which adaptively selects informative samples that are fed to the training process. The adaptive selection or sampling is performed based on a hardness-aware strategy in the latent space constructed by a generative model. To evaluate the proposed training framework, we perform experiments on three different datasets, including MNIST and CIFAR-10 for image classification task and a medical image dataset IVUS for biophysical simulation task. On all three datasets, the proposed framework outperforms a random sampling method, which demonstrates the effectiveness of proposed framework.