Novel loss functions for ensemble-based medical image classification.

Medical images commonly exhibit multiple abnormalities. Predicting them requires multi-class classifiers whose training and desired reliable performance can be affected by a combination of factors, such as, dataset size, data source, distribution, and the loss function used to train deep neural networks. Currently, the cross-entropy loss remains the de-facto loss function for training deep learning classifiers. This loss function, however, asserts equal learning from all classes, leading to a bias toward the majority class. Although the choice of the loss function impacts model performance, to the best of our knowledge, we observed that no literature exists that performs a comprehensive analysis and selection of an appropriate loss function toward the classification task under study. In this work, we benchmark various state-of-the-art loss functions, critically analyze model performance, and propose improved loss functions for a multi-class classification task. We select a pediatric chest X-ray (CXR) dataset that includes images with no abnormality (normal), and those exhibiting manifestations consistent with bacterial and viral pneumonia. We construct prediction-level and model-level ensembles to improve classification performance. Our results show that compared to the individual models and the state-of-the-art literature, the weighted averaging of the predictions for top-3 and top-5 model-level ensembles delivered significantly superior classification performance (p < 0.05) in terms of MCC (0.9068, 95% confidence interval (0.8839, 0.9297)) metric. Finally, we performed localization studies to interpret model behavior and confirm that the individual models and ensembles learned task-specific features and highlighted disease-specific regions of interest. The code is available at https://github.com/sivaramakrishnan-rajaraman/multiloss_ensemble_models.

TDA-Net: Fusion of Persistent Homology and Deep Learning Features for COVID-19 Detection From Chest X-Ray Images.

Topological Data Analysis (TDA) has emerged recently as a robust tool to extract and compare the structure of datasets. TDA identifies features in data (e.g., connected components and holes) and assigns a quantitative measure to these features. Several studies reported that topological features extracted by TDA tools provide unique information about the data, discover new insights, and determine which feature is more related to the outcome. On the other hand, the overwhelming success of deep neural networks in learning patterns and relationships has been proven on various data applications including images. To capture the characteristics of both worlds, we propose TDA-Net, a novel ensemble network that fuses topological and deep features for the purpose of enhancing model generalizability and accuracy. We apply the proposed TDA-Net to a critical application, which is the automated detection of COVID-19 from CXR images. Experimental results showed that the proposed network achieved excellent performance and suggested the applicability of our method in practice.