DeepNAPSI multi-reader nail psoriasis prediction using deep learning.

Nail psoriasis occurs in about every second psoriasis patient. Both, finger and toe nails can be affected and also severely destroyed. Furthermore, nail psoriasis is associated with a more severe course of the disease and the development of psoriatic arthritis. User independent quantification of nail psoriasis, however, is challenging due to the heterogeneous involvement of matrix and nail bed. For this purpose, the nail psoriasis severity index (NAPSI) has been developed. Experts grade pathological changes of each nail of the patient leading to a maximum score of 80 for all nails of the hands. Application in clinical practice, however, is not feasible due to the time-intensive manual grading process especially if more nails are involved. In this work we aimed to automatically quantify the modified NAPSI (mNAPSI) of patients using neuronal networks retrospectively. First, we performed photographs of the hands of patients with psoriasis, psoriatic arthritis, and rheumatoid arthritis. In a second step, we collected and annotated the mNAPSI scores of 1154 nail photos. Followingly, we extracted each nail automatically using an automatic key-point-detection system. The agreement among the three readers with a Cronbach's alpha of 94% was very high. With the nail images individually available, we trained a transformer-based neural network (BEiT) to predict the mNAPSI score. The network reached a good performance with an area-under-receiver-operator-curve of 88% and an area-under precision-recall-curve (PR-AUC) of 63%. We could compare the results with the human annotations and achieved a very high positive Pearson correlation of 90% by aggregating the predictions of the network on the test set to the patient-level. Lastly, we provided open access to the whole system enabling the use of the mNAPSI in clinical practice.

Deep learning for terahertz image denoising in nondestructive historical document analysis.

Historical documents contain essential information about the past, including places, people, or events. Many of these valuable cultural artifacts cannot be further examined due to aging or external influences, as they are too fragile to be opened or turned over, so their rich contents remain hidden. Terahertz (THz) imaging is a nondestructive 3D imaging technique that can be used to reveal the hidden contents without damaging the documents. As noise or imaging artifacts are predominantly present in reconstructed images processed by standard THz reconstruction algorithms, this work intends to improve THz image quality with deep learning. To overcome the data scarcity problem in training a supervised deep learning model, an unsupervised deep learning network (CycleGAN) is first applied to generate paired noisy THz images from clean images (clean images are generated by a handwriting generator). With such synthetic noisy-to-clean paired images, a supervised deep learning model using Pix2pixGAN is trained, which is effective to enhance real noisy THz images. After Pix2pixGAN denoising, 99% characters written on one-side of the Xuan paper can be clearly recognized, while 61% characters written on one-side of the standard paper are sufficiently recognized. The average perceptual indices of Pix2pixGAN processed images are 16.83, which is very close to the average perceptual index 16.19 of clean handwriting images. Our work has important value for THz-imaging-based nondestructive historical document analysis.

Deep learning-based patient re-identification is able to exploit the biometric nature of medical chest X-ray data.

With the rise and ever-increasing potential of deep learning techniques in recent years, publicly available medical datasets became a key factor to enable reproducible development of diagnostic algorithms in the medical domain. Medical data contains sensitive patient-related information and is therefore usually anonymized by removing patient identifiers, e.g., patient names before publication. To the best of our knowledge, we are the first to show that a well-trained deep learning system is able to recover the patient identity from chest X-ray data. We demonstrate this using the publicly available large-scale ChestX-ray14 dataset, a collection of 112,120 frontal-view chest X-ray images from 30,805 unique patients. Our verification system is able to identify whether two frontal chest X-ray images are from the same person with an AUC of 0.9940 and a classification accuracy of 95.55%. We further highlight that the proposed system is able to reveal the same person even ten and more years after the initial scan. When pursuing a retrieval approach, we observe an mAP@R of 0.9748 and a precision@1 of 0.9963. Furthermore, we achieve an AUC of up to 0.9870 and a precision@1 of up to 0.9444 when evaluating our trained networks on external datasets such as CheXpert and the COVID-19 Image Data Collection. Based on this high identification rate, a potential attacker may leak patient-related information and additionally cross-reference images to obtain more information. Thus, there is a great risk of sensitive content falling into unauthorized hands or being disseminated against the will of the concerned patients. Especially during the COVID-19 pandemic, numerous chest X-ray datasets have been published to advance research. Therefore, such data may be vulnerable to potential attacks by deep learning-based re-identification algorithms.

Virtual cleaning and unwrapping of non-invasively digitized soiled bamboo scrolls.

In ancient China, symbols and drawings captured on bamboo and wooden slips were used as main communication media. Those documents are very precious for cultural heritage and research, but due to aging processes, the discovered pieces are sometimes in a poor condition and contaminated by soil. Manual cleaning of excavated slips is a demanding and time-consuming task in which writings can be accidentally deleted. To counter this, we propose a novel approach based on conventional 3-D X-ray computed tomography to digitize such historical documents without before manual cleaning. By applying a virtual cleaning and unwrapping algorithm, the entire scroll surface is remapped into 2-D such that the hidden content becomes readable. We show that the technique also works for heavily soiled scrolls, enabling an investigation of the content by the naked eye without the need for manual labor. This digitization also allows for recovery of potentially erased writings and reconstruction of the original spatial information.

Browsing through sealed historical manuscripts by using 3-D computed tomography with low-brilliance X-ray sources.

Severely damaged historical documents are extremely fragile. In many cases, their secrets remain concealed beneath their cover. Recently, non-invasive digitization approaches based on 3-D scanning have demonstrated the ability to recover single pages or letters without the need to open the manuscripts. This can even be achieved using conventional micro-CTs without the need for synchrotron hardware. However, not all manuscripts may be suited for such techniques due to their material and X-ray properties. In order to recommend which manuscripts and which inks are best suited for such a process, we investigate six inks that were commonly used in ancient times: malachite, three types of iron gall, Tyrian purple, and buckthorn. Image contrast is explored over the complete pipeline, from the X-ray CT scan and page extraction to the virtual flattening of the page image. We demonstrate, that all inks containing metallic particles are visible in the output, a decrease of the X-ray energy enhances the readability, and that the visibility highly depends on the X-ray attenuation of the ink's metallic ingredients and their concentration. Based on these observations, we give recommendations on how to select the appropriate imaging parameters.

Deep Learning Computed Tomography: Learning Projection-Domain Weights From Image Domain in Limited Angle Problems.

In this paper, we present a new deep learning framework for 3-D tomographic reconstruction. To this end, we map filtered back-projection-type algorithms to neural networks. However, the back-projection cannot be implemented as a fully connected layer due to its memory requirements. To overcome this problem, we propose a new type of cone-beam back-projection layer, efficiently calculating the forward pass. We derive this layer's backward pass as a projection operation. Unlike most deep learning approaches for reconstruction, our new layer permits joint optimization of correction steps in volume and projection domain. Evaluation is performed numerically on a public data set in a limited angle setting showing a consistent improvement over analytical algorithms while keeping the same computational test-time complexity by design. In the region of interest, the peak signal-to-noise ratio has increased by 23%. In addition, we show that the learned algorithm can be interpreted using known concepts from cone beam reconstruction: the network is able to automatically learn strategies such as compensation weights and apodization windows.