CVAIMay 28, 2018

Training Medical Image Analysis Systems like Radiologists

arXiv:1805.10884v360 citations
Originality Incremental advance
AI Analysis

This addresses the challenge of improving medical image analysis for applications like breast cancer screening, though it is incremental as it builds on existing meta-learning and curriculum learning concepts.

The paper tackles the problem of training medical image analysis systems by proposing a novel meta-training approach inspired by radiologist training, using teacher-student curriculum learning with small datasets, and achieves state-of-the-art classification performance for automatic breast screening from DCE-MRI, outperforming baseline methods like DenseNet.

The training of medical image analysis systems using machine learning approaches follows a common script: collect and annotate a large dataset, train the classifier on the training set, and test it on a hold-out test set. This process bears no direct resemblance with radiologist training, which is based on solving a series of tasks of increasing difficulty, where each task involves the use of significantly smaller datasets than those used in machine learning. In this paper, we propose a novel training approach inspired by how radiologists are trained. In particular, we explore the use of meta-training that models a classifier based on a series of tasks. Tasks are selected using teacher-student curriculum learning, where each task consists of simple classification problems containing small training sets. We hypothesize that our proposed meta-training approach can be used to pre-train medical image analysis models. This hypothesis is tested on the automatic breast screening classification from DCE-MRI trained with weakly labeled datasets. The classification performance achieved by our approach is shown to be the best in the field for that application, compared to state of art baseline approaches: DenseNet, multiple instance learning and multi-task learning.

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