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1.
J Imaging Inform Med ; 2024 Mar 05.
Article in English | MEDLINE | ID: mdl-38441700

ABSTRACT

The utilization of advanced intraoral scanners to acquire 3D dental models has gained significant popularity in the fields of dentistry and orthodontics. Accurate segmentation and labeling of teeth on digitized 3D dental surface models are crucial for computer-aided treatment planning. At the same time, manual labeling of these models is a time-consuming task. Recent advances in geometric deep learning have demonstrated remarkable efficiency in surface segmentation when applied to raw 3D models. However, segmentation of the dental surface remains challenging due to the atypical and diverse appearance of the patients' teeth. Numerous deep learning methods have been proposed to automate dental surface segmentation. Nevertheless, they still show limitations, particularly in cases where teeth are missing or severely misaligned. To overcome these challenges, we introduce a network operator called dilated edge convolution, which enhances the network's ability to learn additional, more distant features by expanding its receptive field. This leads to improved segmentation results, particularly in complex and challenging cases. To validate the effectiveness of our proposed method, we performed extensive evaluations on the recently published benchmark data set for dental model segmentation Teeth3DS. We compared our approach with several other state-of-the-art methods using a quantitative and qualitative analysis. Through these evaluations, we demonstrate the superiority of our proposed method, showcasing its ability to outperform existing approaches in dental surface segmentation.

2.
Sci Rep ; 13(1): 18299, 2023 10 25.
Article in English | MEDLINE | ID: mdl-37880333

ABSTRACT

Since the beginning of the COVID-19 pandemic, many different machine learning models have been developed to detect and verify COVID-19 pneumonia based on chest X-ray images. Although promising, binary models have only limited implications for medical treatment, whereas the prediction of disease severity suggests more suitable and specific treatment options. In this study, we publish severity scores for the 2358 COVID-19 positive images in the COVIDx8B dataset, creating one of the largest collections of publicly available COVID-19 severity data. Furthermore, we train and evaluate deep learning models on the newly created dataset to provide a first benchmark for the severity classification task. One of the main challenges of this dataset is the skewed class distribution, resulting in undesirable model performance for the most severe cases. We therefore propose and examine different augmentation strategies, specifically targeting majority and minority classes. Our augmentation strategies show significant improvements in precision and recall values for the rare and most severe cases. While the models might not yet fulfill medical requirements, they serve as an appropriate starting point for further research with the proposed dataset to optimize clinical resource allocation and treatment.


Subject(s)
COVID-19 , Pandemics , Humans , Benchmarking , Machine Learning , Mental Recall
3.
Sci Rep ; 13(1): 9203, 2023 06 06.
Article in English | MEDLINE | ID: mdl-37280219

ABSTRACT

In medical imaging, deep learning models can be a critical tool to shorten time-to-diagnosis and support specialized medical staff in clinical decision making. The successful training of deep learning models usually requires large amounts of quality data, which are often not available in many medical imaging tasks. In this work we train a deep learning model on university hospital chest X-ray data, containing 1082 images. The data was reviewed, differentiated into 4 causes for pneumonia, and annotated by an expert radiologist. To successfully train a model on this small amount of complex image data, we propose a special knowledge distillation process, which we call Human Knowledge Distillation. This process enables deep learning models to utilize annotated regions in the images during the training process. This form of guidance by a human expert improves model convergence and performance. We evaluate the proposed process on our study data for multiple types of models, all of which show improved results. The best model of this study, called PneuKnowNet, shows an improvement of + 2.3% points in overall accuracy compared to a baseline model and also leads to more meaningful decision regions. Utilizing this implicit data quality-quantity trade-off can be a promising approach for many scarce data domains beyond medical imaging.


Subject(s)
Deep Learning , Pneumonia , Humans , Data Curation , Pneumonia/diagnostic imaging , Diagnostic Imaging
4.
J Healthc Inform Res ; 7(2): 203-224, 2023 Jun.
Article in English | MEDLINE | ID: mdl-37359194

ABSTRACT

Personal health data is subject to privacy regulations, making it challenging to apply centralized data-driven methods in healthcare, where personalized training data is frequently used. Federated Learning (FL) promises to provide a decentralized solution to this problem. In FL, siloed data is used for the model training to ensure data privacy. In this paper, we investigate the viability of the federated approach using the detection of COVID-19 pneumonia as a use case. 1411 individual chest radiographs, sourced from the public data repository COVIDx8 are used. The dataset contains radiographs of 753 normal lung findings and 658 COVID-19 related pneumonias. We partition the data unevenly across five separate data silos in order to reflect a typical FL scenario. For the binary image classification analysis of these radiographs, we propose ResNetFed, a pre-trained ResNet50 model modified for federation so that it supports Differential Privacy. In addition, we provide a customized FL strategy for the model training with COVID-19 radiographs. The experimental results show that ResNetFed clearly outperforms locally trained ResNet50 models. Due to the uneven distribution of the data in the silos, we observe that the locally trained ResNet50 models perform significantly worse than ResNetFed models (mean accuracies of 63% and 82.82%, respectively). In particular, ResNetFed shows excellent model performance in underpopulated data silos, achieving up to +34.9 percentage points higher accuracy compared to local ResNet50 models. Thus, with ResNetFed, we provide a federated solution that can assist the initial COVID-19 screening in medical centers in a privacy-preserving manner.

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