Lingfeng Li

Lingfeng Li, Huaiwei Cong, Gangming Zhao et al.

In recent years, several works have adopted the convolutional neural network (CNN) to diagnose the avascular necrosis of the femoral head (AVNFH) based on X-ray images or magnetic resonance imaging (MRI). However, due to the tissue overlap, X-ray images are difficult to provide fine-grained features for early diagnosis. MRI, on the other hand, has a long imaging time, is more expensive, making it impractical in mass screening. Computed tomography (CT) shows layer-wise tissues, is faster to image, and is less costly than MRI. However, to our knowledge, there is no work on CT-based automated diagnosis of AVNFH. In this work, we collected and labeled a large-scale dataset for AVNFH ranking. In addition, existing end-to-end CNNs only yields the classification result and are difficult to provide more information for doctors in diagnosis. To address this issue, we propose the structure regularized attentive network (SRANet), which is able to highlight the necrotic regions during classification based on patch attention. SRANet extracts features in chunks of images, obtains weight via the attention mechanism to aggregate the features, and constrains them by a structural regularizer with prior knowledge to improve the generalization. SRANet was evaluated on our AVNFH-CT dataset. Experimental results show that SRANet is superior to CNNs for AVNFH classification, moreover, it can localize lesions and provide more information to assist doctors in diagnosis. Our codes are made public at https://github.com/tomas-lilingfeng/SRANet.

Riqiang Gao, Lingfeng Li, Yucheng Tang et al.

Annual low dose computed tomography (CT) lung screening is currently advised for individuals at high risk of lung cancer (e.g., heavy smokers between 55 and 80 years old). The recommended screening practice significantly reduces all-cause mortality, but the vast majority of screening results are negative for cancer. If patients at very low risk could be identified based on individualized, image-based biomarkers, the health care resources could be more efficiently allocated to higher risk patients and reduce overall exposure to ionizing radiation. In this work, we propose a multi-task (diagnosis and prognosis) deep convolutional neural network to improve the diagnostic accuracy over a baseline model while simultaneously estimating a personalized cancer-free progression time (CFPT). A novel Censored Regression Loss (CRL) is proposed to perform weakly supervised regression so that even single negative screening scans can provide small incremental value. Herein, we study 2287 scans from 1433 de-identified patients from the Vanderbilt Lung Screening Program (VLSP) and Molecular Characterization Laboratories (MCL) cohorts. Using five-fold cross-validation, we train a 3D attention-based network under two scenarios: (1) single-task learning with only classification, and (2) multi-task learning with both classification and regression. The single-task learning leads to a higher AUC compared with the Kaggle challenge winner pre-trained model (0.878 v. 0.856), and multi-task learning significantly improves the single-task one (AUC 0.895, p<0.01, McNemar test). In summary, the image-based predicted CFPT can be used in follow-up year lung cancer prediction and data assessment.

Lingfeng Li, Shousheng Luo, Xue-Cheng Tai et al.

Seeking the convex hull of an object is a very fundamental problem arising from various tasks. In this work, we propose two variational convex hull models using level set representation for 2-dimensional data. The first one is an exact model, which can get the convex hull of one or multiple objects. In this model, the convex hull is characterized by the zero sublevel-set of a convex level set function, which is non-positive at every given point. By minimizing the area of the zero sublevel-set, we can find the desired convex hull. The second one is intended to get convex hull of objects with outliers. Instead of requiring all the given points are included, this model penalizes the distance from each given point to the zero sublevel-set. Literature methods are not able to handle outliers. For the solution of these models, we develop efficient numerical schemes using alternating direction method of multipliers. Numerical examples are given to demonstrate the advantages of the proposed methods.