Hyunwoo Kim

In Kyu Lee, Junsup Shin, Yong-Hee Lee et al.

Coronary artery stenosis is a critical health risk, and its precise identification in Coronary Angiography (CAG) can significantly aid medical practitioners in accurately evaluating the severity of a patient's condition. The complexity of coronary artery structures combined with the inherent noise in X-ray images poses a considerable challenge to this task. To tackle these obstacles, we introduce a semi-supervised approach for cardiovascular stenosis segmentation. Our strategy begins with data augmentation, specifically tailored to replicate the structural characteristics of coronary arteries. We then apply a pseudo-label-based semi-supervised learning technique that leverages the data generated through our augmentation process. Impressively, our approach demonstrated an exceptional performance in the Automatic Region-based Coronary Artery Disease diagnostics using x-ray angiography imagEs (ARCADE) Stenosis Detection Algorithm challenge by utilizing a single model instead of relying on an ensemble of multiple models. This success emphasizes our method's capability and efficiency in providing an automated solution for accurately assessing stenosis severity from medical imaging data.

Jonghoe Ku, Yong-Hee Lee, Junsup Shin et al.

Accurate segmentation of coronary arteries is a pivotal process in assessing cardiovascular diseases. However, the intricate structure of the cardiovascular system presents significant challenges for automatic segmentation, especially when utilizing methodologies like the SYNTAX Score, which relies extensively on detailed structural information for precise risk stratification. To address these difficulties and cater to this need, we present MPSeg, an innovative multi-phase strategy designed for coronary artery segmentation. Our approach specifically accommodates these structural complexities and adheres to the principles of the SYNTAX Score. Initially, our method segregates vessels into two categories based on their unique morphological characteristics: Left Coronary Artery (LCA) and Right Coronary Artery (RCA). Specialized ensemble models are then deployed for each category to execute the challenging segmentation task. Due to LCA's higher complexity over RCA, a refinement model is utilized to scrutinize and correct initial class predictions on segmented areas. Notably, our approach demonstrated exceptional effectiveness when evaluated in the Automatic Region-based Coronary Artery Disease diagnostics using x-ray angiography imagEs (ARCADE) Segmentation Detection Algorithm challenge at MICCAI 2023.

Sam Sattarzadeh, Mahesh Sudhakar, Konstantinos N. Plataniotis et al.

Visualizing the features captured by Convolutional Neural Networks (CNNs) is one of the conventional approaches to interpret the predictions made by these models in numerous image recognition applications. Grad-CAM is a popular solution that provides such a visualization by combining the activation maps obtained from the model. However, the average gradient-based terms deployed in this method underestimates the contribution of the representations discovered by the model to its predictions. Addressing this problem, we introduce a solution to tackle this issue by computing the path integral of the gradient-based terms in Grad-CAM. We conduct a thorough analysis to demonstrate the improvement achieved by our method in measuring the importance of the extracted representations for the CNN's predictions, which yields to our method's administration in object localization and model interpretation.

Hyun-Woo Kim, Hong-Gyu Jung, Seong-Whan Lee

To enable a deep learning-based system to be used in the medical domain as a computer-aided diagnosis system, it is essential to not only classify diseases but also present the locations of the diseases. However, collecting instance-level annotations for various thoracic diseases is expensive. Therefore, weakly supervised localization methods have been proposed that use only image-level annotation. While the previous methods presented the disease location as the most discriminative part for classification, this causes a deep network to localize wrong areas for indistinguishable X-ray images. To solve this issue, we propose a spatial attention method using disease masks that describe the areas where diseases mainly occur. We then apply the spatial attention to find the precise disease area by highlighting the highest probability of disease occurrence. Meanwhile, the various sizes, rotations and noise in chest X-ray images make generating the disease masks challenging. To reduce the variation among images, we employ an alignment module to transform an input X-ray image into a generalized image. Through extensive experiments on the NIH-Chest X-ray dataset with eight kinds of diseases, we show that the proposed method results in superior localization performances compared to state-of-the-art methods.

Sam Sattarzadeh, Mahesh Sudhakar, Anthony Lem et al.

As an emerging field in Machine Learning, Explainable AI (XAI) has been offering remarkable performance in interpreting the decisions made by Convolutional Neural Networks (CNNs). To achieve visual explanations for CNNs, methods based on class activation mapping and randomized input sampling have gained great popularity. However, the attribution methods based on these techniques provide lower resolution and blurry explanation maps that limit their explanation power. To circumvent this issue, visualization based on various layers is sought. In this work, we collect visualization maps from multiple layers of the model based on an attribution-based input sampling technique and aggregate them to reach a fine-grained and complete explanation. We also propose a layer selection strategy that applies to the whole family of CNN-based models, based on which our extraction framework is applied to visualize the last layers of each convolutional block of the model. Moreover, we perform an empirical analysis of the efficacy of derived lower-level information to enhance the represented attributions. Comprehensive experiments conducted on shallow and deep models trained on natural and industrial datasets, using both ground-truth and model-truth based evaluation metrics validate our proposed algorithm by meeting or outperforming the state-of-the-art methods in terms of explanation ability and visual quality, demonstrating that our method shows stability regardless of the size of objects or instances to be explained.