MedTric : A clinically applicable metric for evaluation of multi-label computational diagnostic systems.

When judging the quality of a computational system for a pathological screening task, several factors seem to be important, like sensitivity, specificity, accuracy, etc. With machine learning based approaches showing promise in the multi-label paradigm, they are being widely adopted to diagnostics and digital therapeutics. Metrics are usually borrowed from machine learning literature, and the current consensus is to report results on a diverse set of metrics. It is infeasible to compare efficacy of computational systems which have been evaluated on different sets of metrics. From a diagnostic utility standpoint, the current metrics themselves are far from perfect, often biased by prevalence of negative samples or other statistical factors and importantly, they are designed to evaluate general purpose machine learning tasks. In this paper we outline the various parameters that are important in constructing a clinical metric aligned with diagnostic practice, and demonstrate their incompatibility with existing metrics. We propose a new metric, MedTric that takes into account several factors that are of clinical importance. MedTric is built from the ground up keeping in mind the unique context of computational diagnostics and the principle of risk minimization, penalizing missed diagnosis more harshly than over-diagnosis. MedTric is a unified metric for medical or pathological screening system evaluation. We compare this metric against other widely used metrics and demonstrate how our system outperforms them in key areas of medical relevance.

MICaps: Multi-instance capsule network for machine inspection of Munro's microabscess.

Munro's Microabscess (MM) is the diagnostic hallmark of psoriasis. Neutrophil detection in the Stratum Corneum (SC) of the skin epidermis is an integral part of MM detection in skin biopsy. The microscopic inspection of skin biopsy is a tedious task and staining variations in skin histopathology often hinder human performance to differentiate neutrophils from skin keratinocytes. Motivated from this, we propose a computational framework that can assist human experts and reduce potential errors in diagnosis. The framework first segments the SC layer, and multiple patches are sampled from the segmented regions which are classified to detect neutrophils. Both UNet and CapsNet are used for segmentation and classification. Experiments show that of the two choices, CapsNet, owing to its robustness towards better hierarchical object representation and localisation ability, appears as a better candidate for both segmentation and classification tasks and hence, we termed our framework as MICaps. The training algorithm explores both minimisation of Dice Loss and Focal Loss and makes a comparative study between the two. The proposed framework is validated with our in-house dataset consisting of 290 skin biopsy images. Two different experiments are considered. Under the first protocol, only 3-fold cross-validation is done to directly compare the current results with the state-of-the-art ones. Next, the performance of the system on a held-out data set is reported. The experimental results show that MICaps improves the state-of-the-art diagnosis performance by 3.27% (maximum) and reduces the number of model parameters by 50%.

Mimic and Fool: A Task-Agnostic Adversarial Attack.

At present, adversarial attacks are designed in a task-specific fashion. However, for downstream computer vision tasks such as image captioning and image segmentation, the current deep-learning systems use an image classifier such as VGG16, ResNet50, and Inception-v3 as a feature extractor. Keeping this in mind, we propose Mimic and Fool (MaF), a task-agnostic adversarial attack. Given a feature extractor, the proposed attack finds an adversarial image, which can mimic the image feature of the original image. This ensures that the two images give the same (or similar) output regardless of the task. We randomly select 1000 MSCOCO validation images for experimentation. We perform experiments on two image captioning models, Show and Tell, Show Attend and Tell, and one visual question answering (VQA) model, namely, end-to-end neural module network (N2NMN). The proposed attack achieves a success rate of 74.0%, 81.0%, and 87.1% for Show and Tell, Show Attend and Tell, and N2NMN, respectively. We also propose a slight modification to our attack to generate natural-looking adversarial images. In addition, we also show the applicability of the proposed attack for invertible architecture. Since MaF only requires information about the feature extractor of the model, it can be considered as a gray-box attack.

Psoriasis skin biopsy image segmentation using Deep Convolutional Neural Network.

BACKGROUND AND OBJECTIVE: Development of machine assisted tools for automatic analysis of psoriasis skin biopsy image plays an important role in clinical assistance. Development of automatic approach for accurate segmentation of psoriasis skin biopsy image is the initial prerequisite for developing such system. However, the complex cellular structure, presence of imaging artifacts, uneven staining variation make the task challenging. This paper presents a pioneering attempt for automatic segmentation of psoriasis skin biopsy images. METHODS: Several deep neural architectures are tried for segmenting psoriasis skin biopsy images. Deep models are used for classifying the super-pixels generated by Simple Linear Iterative Clustering (SLIC) and the segmentation performance of these architectures is compared with the traditional hand-crafted feature based classifiers built on popularly used classifiers like K-Nearest Neighbor (KNN), Support Vector Machine (SVM) and Random Forest (RF). A U-shaped Fully Convolutional Neural Network (FCN) is also used in an end to end learning fashion where input is the original color image and the output is the segmentation class map for the skin layers. RESULTS: An annotated real psoriasis skin biopsy image data set of ninety (90) images is developed and used for this research. The segmentation performance is evaluated with two metrics namely, Jaccard's Coefficient (JC) and the Ratio of Correct Pixel Classification (RCPC) accuracy. The experimental results show that the CNN based approaches outperform the traditional hand-crafted feature based classification approaches. CONCLUSIONS: The present research shows that practical system can be developed for machine assisted analysis of psoriasis disease.

Recognition of online handwritten mathematical expressions.

This paper aims at automatic understanding of online handwritten mathematical expressions (MEs) written on an electronic tablet. The proposed technique involves two major stages: symbol recognition and structural analysis. Combination of two different classifiers have been used to achieve high accuracy for the recognition of symbols. Several online and offline features are used in the structural analysis phase to identify the spatial relationships among symbols. A context-free grammar has been designed to convert the input expressions into their corresponding T(E)X strings which are subsequently converted into MathML format. Contextual information has been used to correct several structure interpretation errors. A new method for evaluating performance of the proposed system has been formulated. Experiments on a dataset of considerable size strongly support the feasibility of the proposed system.