Generative adversarial network in medical imaging: A review.

This book places an emphasis on the basic principles and recent advances in medical imaging technologies. After an introduction, the rest of the text can be categorized into three main parts. Part 1 provides a comprehensive tutorial on the fundamentals of medical imaging modalities and image processing methodologies. Part 2 highlights the cutting-edge imaging modalities for radiography and the recent developments of information technology in biomedicine. Part 3 provides some case studies and applications in radiation therapy and computer-aided diagnosis along with a perspective on future trends in medical and molecular imaging. The book is well organized and well presented. A concise summary before each chapter highlights the most important points of the text. This book can be used as a textbook for graduate courses and as an excellent reference for radiologists, neurologists, biomedical engineers, and researchers who are interested in imaging processing and modeling.

Recent advances in medical imaging and deep learning have enabled the efficient analysis of large databases of images. Notable examples include the analysis of computed tomography (CT), magnetic resonance imaging (MRI), and X-ray. While the automatic classification of images has proven successful, adopting such a paradigm in the medical healthcare setting is unfeasible. Indeed, the physician in charge of the detailed medical assessment and diagnosis of patients cannot trust a deep learning model's decisions without further explanations or insights about their classification outcome. In this study, rather than relying on classification, we propose a new method that leverages deep neural networks to extract a representation of images and further analyze them through clustering, dimensionality reduction for visualization, and class activation mapping. Thus, the system does not make decisions on behalf of physicians. Instead, it helps them make a diagnosis. Experimental results on lung images affected by Pneumonia and Covid-19 lesions show the potential of our method as a tool for decision support in a medical setting. It allows the physician to identify groups of similar images and highlight regions of the input that the model deemed important for its predictions.

Accurate classification and early detection of lung cancer are crucial for effective treatment and improved patient outcomes. Although recent advances in medical imaging have improved diagnostic workflows, many traditional approaches remain limited in their ability to efficiently analyze large volumes of imaging data. Accordingly, this study proposes a deep learning framework for lung cancer classification using Digital Imaging and Communications in Medicine (DICOM) images. The proposed approach integrates an Intelligent Squirrel Search (ISS)–tuned VGG16 network (ISS-VGG16) to improve classification performance. A set of lung cancer DICOM images was obtained from an open-source dataset. Preprocessing steps, including image resizing and contrast enhancement, were applied to standardize the inputs for model training. ISS was used to optimize key hyperparameters of the VGG16 model, thereby improving classification performance. The model was implemented in Python. Experimental results indicate that the proposed ISS-VGG16 approach outperforms baseline methods, achieving a recall of 0.92, precision of 0.96, F1-score of 0.95, and overall accuracy of 0.97 on the evaluated lung cancer image dataset. These results demonstrate reliable classification performance across the defined lung cancer classes. Overall, the proposed framework provides an effective and dependable approach for lung cancer image classification.

Identification of hemodynamic biomarkers for bicuspid aortic valve induced aortic dilation using machine learning

A unified multimodal framework for chest X-ray retrieval and disease prediction for clinical decision support.

The immune system protects against invading pathogens and helps maintain homeostasis. Other pivotal roles include the regulation of tissue health through interactions with the nervous system. Understanding how these neuroimmune interactions may go awry in musculoskeletal conditions and how they can be targeted therapeutically may optimise patient care. We conducted a clinically focused narrative review of the role of the immune and nervous systems in musculoskeletal health and conditions such as neck pain, back pain and osteoarthritis and how psychosocial and behavioural factors impact these conditions via interacting with neuroimmune functioning. The interplay between the immune and nervous system is involved in both the physiology and pathology of musculoskeletal tissues, including bone, joint, nerve, muscle and tendon. We describe this at the local tissue, whole nervous system, and systemic (blood) level and how psychosocial and behavioural factors impact immune activity and influence outcomes. We also highlight recent advances in medical imaging and multi-omics that shed new light on the interplay between the immune and nervous systems in musculoskeletal conditions. Advances in understanding these relationships provide promising new treatment avenues for musculoskeletal conditions and important insights into how psychosocial- and behavioural-based therapies such as exercise and cognitive behavioural therapy work and can be optimised to improve outcomes. This review provides clinicians with a foundation in the neuroimmunology of musculoskeletal conditions. It also explores how the immune and nervous systems, and their interplay can be modulated to improve prevention and management strategies.

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Recent Advances in Medical Imaging

UK Fifth National Colorectal Cancer Consensus Meeting 2010

In recent years, generative adversarial networks (GANs) have gained tremendous popularity for various imaging related tasks such as artificial image generation to support AI training. GANs are especially useful for medical imaging-related tasks where training datasets are usually limited in size and heavily imbalanced against the diseased class. We present a systematic review, following the PRISMA guidelines, of recent GAN architectures used for medical image analysis to help the readers in making an informed decision before employing GANs in developing medical image classification and segmentation models. We have extracted 54 papers that highlight the capabilities and application of GANs in medical imaging from January 2015 to August 2020 and inclusion criteria for meta-analysis. Our results show four main architectures of GAN that are used for segmentation or classification in medical imaging. We provide a comprehensive overview of recent trends in the application of GANs in clinical diagnosis through medical image segmentation and classification and ultimately share experiences for task-based GAN implementations.

This chapter discusses the importance of machine learning in the field of medical imaging for reconstructing medical images from the measured raw data. Besides discussing the use of machine learning for medical image reconstruction, a general overview is also provided on all the existing techniques of medical imaging. Mathematical models are provided in order to understand better the use of machine learning for reconstruction purposes. We discuss both unsupervised techniques like dictionary learning, auto-encoders, and supervised techniques which include learning of hyperparameters and various regularization methods used in deep learning models that replace various steps in iterative algorithms used for image reconstruction such as for image enhancement.

In recent years, researchers have introduced various methods in many domains into medical image processing so that its effectiveness and efficiency can be improved to some extent. The applications of generative adversarial networks (GAN) in medical image processing are evolving very fast. In this paper, the state of the art in this area has been reviewed. Firstly, the basic concepts of the GAN were introduced. And then, from the perspectives of the medical image denoising, detection, segmentation, synthesis, reconstruction and classification, the applications of the GAN were summarized. Finally, prospects for further research in this area were presented.

Medical imaging is becoming indispensable for patients' healthcare. Machine learning plays an essential role in the medical imaging field, including computer-aided diagnosis, image segmentation, image registration, image fusion, image-guided therapy, image annotation, and image database retrieval. With advances in medical imaging, new imaging modalities and methodologies such as cone-beam/multislice CT, 3D ultrasound imaging, tomosynthesis, diffusion-weighted magnetic resonance imaging (MRI), positron-emission tomography (PET)/CT, electrical impedance tomography, and diffuse optical tomography, new machine-learning algorithms/applications are demanded in the medical imaging field. Because of large variations and complexityit is generally difficult to derive analytic solutions or simple equations to represent objects such as lesions and anatomy in medical images. Therefore, tasks in medical imaging require “learning from examples” for accurate representation of data and prior knowledge. Because of its essential needs, machine learning in medical imaging is one of the most promising, growing fields. The main aim of this special issue is to help advance the scientific research within the broad field of machine learning in medical imaging. The special issue was planned in conjunction with the International Workshop on Machine Learning in Medical Imaging (MLMI 2010) [1], which was the first workshop on this topic, held at the 13th International Conference on Medical Image Computing and Computer-Assisted Intervention (MICCAI 2010) in September, 2010, in Beijing, China. This special issue is one in a series of special issues of journals on this topic [2]; it focuses on major trends and challenges in this area, and it presents work aimed at identifying new cutting-edge techniques and their use in medical imaging. The quality level of the submissions for this special issue was very high. A total of 17 papers were submitted to this issue in response to the call for papers. Based on a rigorous review process, 10 papers (59%) were accepted for publication in the special issue. The special issue starts by a review of studies on a class of machine-learning techniques, called pixel/voxel-based machine learning, in medical imaging by K. Suzuki. A series of medical imaging applications of machine-learning techniques are presented. A large variety of applications are well represented here, including organ modeling by D. Wang et al. and X. Qiao and Y.-W. Chen, brain function estimation by V. Michel et al., image reconstruction by H. Shouno et al., lesion classification by P. Wighton et al., modality classification by X.-H. Han and Y.-W. Chen, lesion segmentation by M. Zortea et al., organ segmentation by S. Alzubi et al., and visualization of molecular signals by F. Mattoli et al. Also, the issue covers various biomedical imaging modalities, including MRI by D. Wang et al., CT by X. Qiao and Y.-W. Chen and H. Shouno et al., functional MRI by V. Michel et al., dermoscopy by P. Wighton et al. and M. Zortea et al., scintigraphy by X.-H. Han and Y.-W. Chen, ultrasound imaging by X.-H. Han and Y.-W. Chen, radiography by X.-H. Han and Y.-W. Chen, MR angiography by S. Alzubi et al., and microscopy by F. Mattoli et al. as well as a variety of organs, including the kidneys by D. Wang et al., liver by X. Qiao and Y.-W. Chen, brain by V. Michel et al. and F. Mattoli et al., chest by S. Alzubi et al., skin by P. Wighton et al. and M. Zortea et al., and heart by F. Mattoli et al. Various machine-learning techniques were developed/used to solve the respective problems, including structured dictionary learning by D. Wang et al., generalized N-dimensional principal component analysis by X. Qiao et al., multiclass sparse Bayesian regression by V. Michel et al., Bayesian hyperparameter inference by H. Shouno et al., supervised learning of probabilistic models based on maximum aposteriori estimation and conditional random fields by P. Wighton et al., joint kernel equal contribution in support vector classification by X.-H. Han and Y.-W. Chen, and iterative hybrid classification by M. Zortea et al. We are grateful to all authors for their excellent contributions to this special issue and to all reviewers for their reviews and constructive suggestions. We hope that this special issue will inspire further ideas for creative research, advance the field of machine learning in medical imaging, and facilitate the translation of the research from bench to bedside. Kenji Suzuki Pingkun Yan Fei Wang Dinggang Shen

Generative adversarial networks (GANs) have proven useful for several medical imaging tasks, including image reconstruction and stochastic object model generation. Thus far, most of the work with GANs has been constrained to twodimensional images. Considering that medical imaging data are often inherently three-dimensional (3D), a 3D GAN would be a more principled way to synthesize realistic volumes. Training a 3D GAN is both computationally and memory intensive. However, prior work has not considered the anisotropic nature of many medical imaging systems. In this paper, the SlabGAN is proposed to reduce the inefficiencies associated with training a 3D GAN. The SlabGAN uses the progressive GAN architecture extended to 3D, but removes the requirement of the three dimensions being equal sizes. This permits the generation of anisotropic 3D volumes with large <i>x </i>and<i> y</i> dimensions. The SlabGAN is trained on MRI brain images from the fastMRI dataset to generate images of dimension 256&times;256&times;16. The <i>x</i> and <i>y</i> dimensions of these images are comparable to previously published results while requiring significantly fewer computational resources to generate. The trained SlabGAN is applicable to tasks such as 3D medical image reconstruction and thin-slice MR super resolution.

Semi-supervised GAN-based Radiomics Model for Data Augmentation in Breast Ultrasound Mass Classification