Survey on Recent Trends in Medical Image Classification Using Semi-Supervised Learning

The article examines the application of semi-supervised learning and computer vision methods for segmentation of spine MR images and diagnosis of deformation of intervertebral discs. Existing neural network architectures for spine MR image segmentation and semi-supervised learning methods used in medical image segmentation are reviewed. A system for diagnosis deformation of intervertebral discs is proposed, which consists of two modules: a segmentation module and a diagnostic module. The implementation of the proposed system using two convolutional neural networks is presented: U-Net for segmentation of spine MR images and ResNet for classification of the degree of deformation of each intervertebral disc based on the Pfirrmann classification of degenerative changes. The software implementation of the medical diagnosis system was developed in the Python programming language using the PyTorch library. Neural networks were trained on an open dataset of spine MR images using a variant of the Mean Teacher semi-supervised learning method. As a result of the verification, it was found that the system is capable of performing segmentation with high accuracy. It was found that the exact prediction of the grade of degenerative changes according to Pfirrmann remains a difficult task, but the introduction of another classification made it possible to increase the accuracy of diagnosis of deformation of intervertebral discs. The proposed medical system involves the addition of new diagnostic modules, which makes it possible to use it for the comprehensive analysis of various spine diseases

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.

Due to the lack of quality annotation in medical imaging community, semi-supervised learning methods are highly valued in image semantic segmentation tasks. In this paper, an advanced consistency-aware pseudo-label-based self-ensembling approach is presented to fully utilize the power of Vision Transformer (ViT) and Convolutional Neural Network (CNN) in semi-supervised learning. Our proposed framework consists of a feature-learning module which is enhanced by ViT and CNN mutually, and a guidance module which is robust for consistency-aware purposes. The pseudo labels are inferred and utilized recurrently and separately by views of CNN and ViT in the feature-learning module to expand the data set and are beneficial to each other. Meanwhile, a perturbation scheme is designed for the feature-learning module, and averaging network weight is utilized to develop the guidance module. By doing so, the framework combines the feature-learning strength of CNN and ViT, strengthens the performance via dual-view co-training, and enables consistency-aware supervision in a semi-supervised manner. A topological exploration of all alternative supervision modes with CNN and ViT are detailed validated, demonstrating the most promising performance and specific setting of our method on semi-supervised medical image segmentation tasks. Experimental results show that the proposed method achieves state-of-the-art performance on a public benchmark data set with a variety of metrics. The code is publicly available (https://github.com/ziyangwang007/CV-SSL-MIS).

To evaluate a novel method of semisupervised learning (SSL) guided by automated sparse information from diagnostic reports to leverage additional data for deep learning-based malignancy detection in patients with clinically significant prostate cancer. This retrospective study included 7756 prostate MRI examinations (6380 patients) performed between January 2014 and December 2020 for model development. An SSL method, report-guided SSL (RG-SSL), was developed for detection of clinically significant prostate cancer using biparametric MRI. RG-SSL, supervised learning (SL), and state-of-the-art SSL methods were trained using 100, 300, 1000, or 3050 manually annotated examinations. Performance on detection of clinically significant prostate cancer by RG-SSL, SL, and SSL was compared on 300 unseen examinations from an external center with a histopathologically confirmed reference standard. Performance was evaluated using receiver operating characteristic (ROC) and free-response ROC analysis. P values for performance differences were generated with a permutation test. At 100 manually annotated examinations, mean examination-based diagnostic area under the ROC curve (AUC) values for RG-SSL, SL, and the best SSL were 0.86 ± 0.01 (SD), 0.78 ± 0.03, and 0.81 ± 0.02, respectively. Lesion-based detection partial AUCs were 0.62 ± 0.02, 0.44 ± 0.04, and 0.48 ± 0.09, respectively. Examination-based performance of SL with 3050 examinations was matched by RG-SSL with 169 manually annotated examinations, thus requiring 14 times fewer annotations. Lesion-based performance was matched with 431 manually annotated examinations, requiring six times fewer annotations. RG-SSL outperformed SSL in clinically significant prostate cancer detection and achieved performance similar to SL even at very low annotation budgets.Keywords: Annotation Efficiency, Computer-aided Detection and Diagnosis, MRI, Prostate Cancer, Semisupervised Deep Learning Supplemental material is available for this article. Published under a CC BY 4.0 license.

Image segmentation achieves significant improvements with deep neural networks at the premise of a large scale of labeled training data, which is laborious to assure in medical image tasks. Recently, semi-supervised learning (SSL) has shown great potential in medical image segmentation. However, the influence of the learning target quality for unlabeled data is usually neglected in these SSL methods. Therefore, this study proposes a novel self-correcting co-training scheme to learn a better target that is more similar to ground-truth labels from collaborative network outputs. Our work has three-fold highlights. First, we advance the learning target generation as a learning task, improving the learning confidence for unannotated data with a self-correcting module. Second, we impose a structure constraint to encourage the shape similarity further between the improved learning target and the collaborative network outputs. Finally, we propose an innovative pixel-wise contrastive learning loss to boost the representation capacity under the guidance of an improved learning target, thus exploring unlabeled data more efficiently with the awareness of semantic context. We have extensively evaluated our method with the state-of-the-art semi-supervised approaches on four public-available datasets, including the ACDC dataset, M&Ms dataset, Pancreas-CT dataset, and Task_07 CT dataset. The experimental results with different labeled-data ratios show our proposed method's superiority over other existing methods, demonstrating its effectiveness in semi-supervised medical image segmentation.

Semi-supervised learning (SSL) is one of the dominant approaches to address the annotation bottleneck of supervised learning. Recent SSL methods can effectively leverage a large repository of unlabeled data to improve performance while relying on a small set of labeled data. One common assumption in most SSL methods is that the labeled and unlabeled data are from the same data distribution. However, this is hardly the case in many real-world scenarios, which limits their applicability. In this work, instead, we attempt to solve the challenging open-world SSL problem that does not make such an assumption. In the open-world SSL problem, the objective is to recognize samples of known classes, and simultaneously detect and cluster samples belonging to novel classes present in unlabeled data. This work introduces OpenLDN that utilizes a pairwise similarity loss to discover novel classes. Using a bi-level optimization rule this pairwise similarity loss exploits the information available in the labeled set to implicitly cluster novel class samples, while simultaneously recognizing samples from known classes. After discovering novel classes, OpenLDN transforms the open-world SSL problem into a standard SSL problem to achieve additional performance gains using existing SSL methods. Our extensive experiments demonstrate that OpenLDN outperforms the current state-of-the-art methods on multiple popular classification benchmarks while providing a better accuracy/training time trade-off. Code: https://github.com/nayeemrizve/OpenLDN.KeywordsOpen-worldSemi-supervised learningNovel classes

Batteries, recognized as effective energy storage solutions, are considered the main facilitators of the world-wide transition towards clean and renewable energy sources. Among different types of batteries, lithium-ion (Li-ion) variants offer higher energy densities and relatively longer life spans when compared to other types. Nonetheless, a primary concern with these batteries is their lifetime. Batteries undergo various degradation mechanisms under storage and use, significantly impacting their lifespan. To this end, it is crucial to predict the degradation and lifetime of Li-ion batteries under given conditions.Researchers use three main methodologies to perform battery health diagnostics and to predict the lifetime of batteries. One approach revolves around using mechanistic, first-principle electrochemical models, also known as physics-based models. If equipped with proper thermodynamic theories, such models can show promising capabilities; however, holistic degradation prediction with these models is still challenging due to the computational complexities and the multitude of parameters that need to be fine-tuned in this approach. The other common strategy is to use empirical models to predict battery degradation. These models generally entail fewer parameters to be identified and are computationally less intensive to solve. Nonetheless, empirical models can suffer from the accuracy point-of-view as they are constrained to predict degradation trends introduced by certain degradation modes. Another common technique in battery life prediction is to utilize purely data-driven methods, such as machine learning (ML) algorithms, which also have shown promising results in the literature on rapid health predictions. However, these methods require large volumes of experimental data for training and testing ML models to ensure accuracy. In addition, data-driven methods are likely to extrapolate poorly to conditions beyond their training data and are indifferent towards the underlying degradation mechanisms. Recently, physics-informed machine learning (PI-ML) methods have garnered significant attention. They integrate physics-based or empirical models (developed based on physics) with a data-driven approach and allow one to train ML models on a smaller set of experimental data.To the best of the authors’ knowledge, the performance comparison between first-principle and empirical models when integrated within PI-ML remains unclear. Therefore, in this work, we aim to compare these two models when applied to prognostics (capacity forecasting and remaining useful life prediction) of a set of Li-ion batteries. To perform this study, we generate aging data for 40 Li-ion coin cells cycled under randomized conditions. Each cell undergoes a three-step charging stage followed by a two-step discharge stage. After obtaining the aging data, we will develop two PI-ML models, one equipped with a physics-based model and another with a set of empirical models. Both PI-ML models in this work will follow the sequential integration approach, where the training data for the final PI-ML model come from both experimental and computational data, the latter of which are obtained from the physics-based or empirical models. The parameters for the physics-based and empirical models are identified from another set of experimental data. Finally, the PI-ML models will be tested with experimental data obtained at different cycling conditions. The data flow for the sequential architecture of PI-ML is shown in the attached figure. This comparative study will help identify the performance of physics-based and empirical models when integrated into PI-ML. The main performance metric considered in this work is each model’s ability to extrapolate beyond the experimental training data set, hence aiding the final PI-ML model in generalizing to conditions not covered by its experimental training data set. Figure 1

The future 6G network will be able to connect massive and various unmanned vehicles (UxVs) into the network, bringing novel requirements toward UxV network security and data privacy. Deploying machine learning (ML)-based intrusion detection on UxVs can be one promising approach. The conventional approach cannot fulfill security and privacy requirements, as the structure can be more flexible, and there may be a lack of a central node in the 6G-based UxV network. Moreover, UxV clients can exhibit high heterogeneity with extremely class-imbalanced training samples. With the presence of federated learning (FL), UxVs can collaborate to train and update ML models while preserving data privacy in the UxV security critical scenario. However, most past works focused on centralized approaches, using cloud servers to assist intrusion detection and service deployments. This article introduces an FL framework with a decentralized design for training ML models on UxVs using intrusion detection as a study case. This scheme can be more flexible, as UxV clients can collaborate to train and synchronize models without the central server. Simulation experiments were conducted to evaluate the efficiency of the proposed approach. Experimental results and theoretical analysis confirm that the proposed method outperforms baseline models with FedAvg and local-trained client models.

Multi-modal learning is widely adopted to learn the latent complementary information between different modalities in multi-modal medical image segmentation tasks. Nevertheless, the traditional multi-modal learning methods require spatially well-aligned and paired multi-modal images for supervised training, which cannot leverage unpaired multi-modal images with spatial misalignment and modality discrepancy. For training accurate multi-modal segmentation networks using easily accessible and low-cost unpaired multi-modal images in clinical practice, unpaired multi-modal learning has received comprehensive attention recently. Existing unpaired multi-modal learning methods usually focus on the intensity distribution gap but ignore the scale variation problem between different modalities. Besides, within existing methods, shared convolutional kernels are frequently employed to capture common patterns in all modalities, but they are typically inefficient at learning global contextual information. On the other hand, existing methods highly rely on a large number of labeled unpaired multi-modal scans for training, which ignores the practical scenario when labeled data is limited. To solve the above problems, we propose a modality-collaborative convolution and transformer hybrid network (MCTHNet) using semi-supervised learning for unpaired multi-modal segmentation with limited annotations, which not only collaboratively learns modality-specific and modality-invariant representations, but also could automatically leverage extensive unlabeled scans for improving performance. We make three main contributions to the proposed method. First, to alleviate the intensity distribution gap and scale variation problems across modalities, we develop a modality-specific scale-aware convolution (MSSC) module that can adaptively adjust the receptive field sizes and feature normalization parameters according to the input. Secondly, we propose a modality-invariant vision transformer (MIViT) module as the shared bottleneck layer for all modalities, which implicitly incorporates convolution-like local operations with the global processing of transformers for learning generalizable modality-invariant representations. Third, we design a multi-modal cross pseudo supervision (MCPS) method for semi-supervised learning, which enforces the consistency between the pseudo segmentation maps generated by two perturbed networks to acquire abundant annotation information from unlabeled unpaired multi-modal scans. Extensive experiments are performed on two unpaired CT and MR segmentation datasets, including a cardiac substructure dataset derived from the MMWHS-2017 dataset and an abdominal multi-organ dataset consisting of the BTCV and CHAOS datasets. Experiment results show that our proposed method significantly outperforms other existing state-of-the-art methods under various labeling ratios, and achieves a comparable segmentation performance close to single-modal methods with fully labeled data by only leveraging a small portion of labeled data. Specifically, when the labeling ratio is 25%, our proposed method achieves overall mean DSC values of 78.56% and 76.18% in cardiac and abdominal segmentation, respectively, which significantly improves the average DSC value of two tasks by 12.84% compared to single-modal U-Net models. Our proposed method is beneficial for reducing the annotation burden of unpaired multi-modal medical images in clinical applications.

BackgroundGenetic interaction profiles are highly informative and helpful for understanding the functional linkages between genes, and therefore have been extensively exploited for annotating gene functions and dissecting specific pathway structures. However, our understanding is rather limited to the relationship between double concurrent perturbation and various higher level phenotypic changes, e.g. those in cells, tissues or organs. Modifier screens, such as synthetic genetic arrays (SGA) can help us to understand the phenotype caused by combined gene mutations. Unfortunately, exhaustive tests on all possible combined mutations in any genome are vulnerable to combinatorial explosion and are infeasible either technically or financially. Therefore, an accurate computational approach to predict genetic interaction is highly desirable, and such methods have the potential of alleviating the bottleneck on experiment design.ResultsIn this work, we introduce a computational systems biology approach for the accurate prediction of pairwise synthetic genetic interactions (SGI). First, a high-coverage and high-precision functional gene network (FGN) is constructed by integrating protein-protein interaction (PPI), protein complex and gene expression data; then, a graph-based semi-supervised learning (SSL) classifier is utilized to identify SGI, where the topological properties of protein pairs in weighted FGN is used as input features of the classifier. We compare the proposed SSL method with the state-of-the-art supervised classifier, the support vector machines (SVM), on a benchmark dataset in S. cerevisiae to validate our method's ability to distinguish synthetic genetic interactions from non-interaction gene pairs. Experimental results show that the proposed method can accurately predict genetic interactions in S. cerevisiae (with a sensitivity of 92% and specificity of 91%). Noticeably, the SSL method is more efficient than SVM, especially for very small training sets and large test sets.ConclusionsWe developed a graph-based SSL classifier for predicting the SGI. The classifier employs topological properties of weighted FGN as input features and simultaneously employs information induced from labelled and unlabelled data. Our analysis indicates that the topological properties of weighted FGN can be employed to accurately predict SGI. Also, the graph-based SSL method outperforms the traditional standard supervised approach, especially when used with small training sets. The proposed method can alleviate experimental burden of exhaustive test and provide a useful guide for the biologist in narrowing down the candidate gene pairs with SGI. The data and source code implementing the method are available from the website: http://home.ustc.edu.cn/~yzh33108/GeneticInterPred.htm

Objective. Although convolutional neural networks (CNN) and Transformers have performed well in many medical image segmentation tasks, they rely on large amounts of labeled data for training. The annotation of medical image data is expensive and time-consuming, so it is common to use semi-supervised learning methods that use a small amount of labeled data and a large amount of unlabeled data to improve the performance of medical imaging segmentation. Approach. This work aims to enhance the segmentation performance of medical images using a triple-teacher cross-learning semi-supervised medical image segmentation with shape perception and multi-scale consistency regularization. To effectively leverage the information from unlabeled data, we design a multi-scale semi-supervised method for three-teacher cross-learning based on shape perception, called Semi-TMS. The three teacher models engage in cross-learning with each other, where Teacher A and Teacher C utilize a CNN architecture, while Teacher B employs a transformer model. The cross-learning module consisting of Teacher A and Teacher C captures local and global information, generates pseudo-labels, and performs cross-learning using prediction results. Multi-scale consistency regularization is applied separately to the CNN and Transformer to improve accuracy. Furthermore, the low uncertainty output probabilities from Teacher A or Teacher C are utilized as input to Teacher B, enhancing the utilization of prior knowledge and overall segmentation robustness. Main results. Experimental evaluations on two public datasets demonstrate that the proposed method outperforms some existing semi-segmentation models, implicitly capturing shape information and effectively improving the utilization and accuracy of unlabeled data through multi-scale consistency. Significance. With the widespread utilization of medical imaging in clinical diagnosis, our method is expected to be a potential auxiliary tool, assisting clinicians and medical researchers in their diagnoses.

Aim: The majority of machine learning (ML) models in healthcare are built on retrospective data, much of which is collected without explicit patient consent for use in artificial intelligence (AI) and ML applications. The primary aim of this study was to evaluate whether clinicians and scientific researchers themselves consent to provide their own data for the training of ML models. Materials and Methods: This survey was conducted through an anonymous online survey, utilizing platforms such as Telegram, LinkedIn, and Viber. The target audience comprised specific international groups, primarily Russian, German, and English-speaking, of clinicians and scientific researchers. These participants ranged in their levels of expertise and experience, from beginners to veterans. The survey centered on a singular, pivotal question: “Do You Consent to the Use of Your Biological and Private Data for Training Machine Learning and AI Models?” Respondents had the option to choose from three responses: “Yes” and “No”. Results: The survey was conducted in January 2024. A total of 119 unique and verified individuals participated in the survey. The results revealed that only 50% of respondents (63 persons) expressed consent to provide their own data for the training of ML and AI models. Conclusion: In the development of ML and AI models, particularly open-source ones, it is crucial to ascertain whether participants are willing to provide their private data. While ML algorithms can transform the nature of data, it is important to remember that the primary owner of this data is the individual. Our findings show that in 50% of the cases, even participants from scientific research and clinical backgrounds – individuals typically accountable for ensuring data quality in AI and ML model development – do not consent to the use of their data in AI and ML settings. This highlights the need for more stringent consent processes and ethical considerations in the utilization of personal data in AI and ML research.

Due to the complexity of medical images, traditional medical image classification methods have been unable to meet the actual application needs. In recent years, the rapid development of deep learning theory has provided a technical approach for solving medical image classification. However, deep learning has the following problems in the application of medical image classification. First, it is impossible to construct a deep learning model with excellent performance according to the characteristics of medical images. Second, the current deep learning network structure and training strategies are less adaptable to medical images. Therefore, this paper first introduces the visual attention mechanism into the deep learning model so that the information can be extracted more effectively according to the problem of medical images, and the reasoning is realized at a finer granularity. It can increase the interpretability of the model. Additionally, to solve the problem of matching the deep learning network structure and training strategy to medical images, this paper will construct a novel multiscale convolutional neural network model that can automatically extract high-level discriminative appearance features from the original image, and the loss function uses the Mahalanobis distance optimization model to obtain a better training strategy, which can improve the robust performance of the network model. The medical image classification task is completed by the above method. Based on the above ideas, this paper proposes a medical classification algorithm based on a visual attention mechanism-multiscale convolutional neural network. The lung nodules and breast cancer images were classified by the method in this paper. The experimental results show that the accuracy of medical image classification in this paper is not only higher than that of traditional machine learning methods but also improved compared with other deep learning methods, and the method has good stability and robustness.

Graph-based semi-supervised learning (SSL) algorithms have been widely studied in the last few years. Most of these algorithms were designed from unconstrained optimization problems using a Laplacian regularizer term as smoothness functional in an attempt to reflect the intrinsic geometric structure of the data's marginal distribution. Although a number of recent research papers are still focusing on unconstrained methods for graph-based SSL, a recent statistical analysis showed that many of these algorithms may be unstable on transductive regression. Therefore, we focus on providing new constrained methods for graph-based SSL. We begin by analyzing the regularization framework of existing unconstrained methods. Then, we incorporate two normalization constraints into the optimization problem of three of these methods. We show that the proposed optimization problems have closed-form solution. By generalizing one of these constraints to any distribution, we provide generalized methods for constrained graph-based SSL. The proposed methods have a more flexible regularization framework than the corresponding unconstrained methods. More precisely, our methods can deal with any graph Laplacian and use higher order regularization, which is effective on general SSL taks. In order to show the effectiveness of the proposed methods, we provide comprehensive experimental analyses. Specifically, our experiments are subdivided into two parts. In the first part, we evaluate existing graph-based SSL algorithms on time series data to find their weaknesses. In the second part, we evaluate the proposed constrained methods against six state-of-the-art graph-based SSL algorithms on benchmark data sets. Since the widely used best case analysis may hide useful information concerning the SSL algorithms' performance with respect to parameter selection, we used recently proposed empirical evaluation models to evaluate our results. Our results show that our methods outperforms the competing methods on most parameter settings and graph construction methods. However, we found a few experimental settings in which our methods showed poor performance. In order to facilitate the reproduction of our results, the source codes, data sets, and experimental results are freely available.

With the explosive growth of surveillance data, exact match queries become much more difficult for its high dimension and high volume. Owing to its good balance between the retrieval performance and the computational cost, hash learning technique is widely used in solving approximate nearest neighbor search problems. Dimensionality reduction plays a critical role in hash learning, as its target is to preserve the most original information into low-dimensional vectors. However, the existing dimensionality reduction methods neglect to unify diverse resources in original space when learning a downsized subspace. In this article, we propose a numeric and semantic consistency semi-supervised hash learning method, which unifies the numeric features and supervised semantic features into a low-dimensional subspace before hash encoding, and improves a multiple table hash method with complementary numeric local distribution structure. A consistency-based learning method, which confers the meaning of semantic to numeric features in dimensionality reduction, is presented. The experiments are conducted on two public datasets, that is, a web image NUS-WIDE and text dataset DBLP. Experimental results demonstrate that the semi-supervised hash learning method, with the consistency-based information subspace, is more effective in preserving useful information for hash encoding than state-of-the-art methods and achieves high-quality retrieval performance in multi-table context.