Disentangled PET Lesion Segmentation

PET imaging is an invaluable tool in clinical settings as it captures the functional activity of both healthy anatomy and cancerous lesions. Developing automatic lesion segmentation methods for PET images is crucial since manual lesion segmentation is laborious and prone to inter- and intra-observer variability. We propose PET-Disentangler, a 3D disentanglement method that uses a 3D UNet-like encoder-decoder architecture to disentangle disease and normal healthy anatomical features with losses for segmentation, reconstruction, and healthy component plausibility. A critic network is used to encourage the healthy latent features to match the distribution of healthy samples and thus encourages these features to not contain any lesion-related features. Our quantitative results show that PET-Disentangler is less prone to incorrectly declaring healthy and high tracer uptake regions as cancerous lesions, since such uptake pattern would be assigned to the disentangled healthy component.

Segmentation Style Discovery: Application to Skin Lesion Images

Variability in medical image segmentation, arising from annotator preferences, expertise, and their choice of tools, has been well documented. While the majority of multi-annotator segmentation approaches focus on modeling annotator-specific preferences, they require annotator-segmentation correspondence. In this work, we introduce the problem of segmentation style discovery, and propose StyleSeg, a segmentation method that learns plausible, diverse, and semantically consistent segmentation styles from a corpus of image-mask pairs without any knowledge of annotator correspondence. StyleSeg consistently outperforms competing methods on four publicly available skin lesion segmentation (SLS) datasets. We also curate ISIC-MultiAnnot, the largest multi-annotator SLS dataset with annotator correspondence, and our results show a strong alignment, using our newly proposed measure AS2, between the predicted styles and annotator preferences. The code and the dataset are available at https://github.com/sfu-mial/StyleSeg.

Lesion Elevation Prediction from Skin Images Improves Diagnosis

While deep learning-based computer-aided diagnosis for skin lesion image analysis is approaching dermatologists' performance levels, there are several works showing that incorporating additional features such as shape priors, texture, color constancy, and illumination further improves the lesion diagnosis performance. In this work, we look at another clinically useful feature, skin lesion elevation, and investigate the feasibility of predicting and leveraging skin lesion elevation labels. Specifically, we use a deep learning model to predict image-level lesion elevation labels from 2D skin lesion images. We test the elevation prediction accuracy on the derm7pt dataset, and use the elevation prediction model to estimate elevation labels for images from five other datasets: ISIC 2016, 2017, and 2018 Challenge datasets, MSK, and DermoFit. We evaluate cross-domain generalization by using these estimated elevation labels as auxiliary inputs to diagnosis models, and show that these improve the classification performance, with AUROC improvements of up to 6.29% and 2.69% for dermoscopic and clinical images, respectively. The code is publicly available at https://github.com/sfu-mial/LesionElevation.

Investigating the Quality of DermaMNIST and Fitzpatrick17k Dermatological Image Datasets

The remarkable progress of deep learning in dermatological tasks has brought us closer to achieving diagnostic accuracies comparable to those of human experts. However, while large datasets play a crucial role in the development of reliable deep neural network models, the quality of data therein and their correct usage are of paramount importance. Several factors can impact data quality, such as the presence of duplicates, data leakage across train-test partitions, mislabeled images, and the absence of a well-defined test partition. In this paper, we conduct meticulous analyses of two popular dermatological image datasets: DermaMNIST and Fitzpatrick17k, uncovering these data quality issues, measure the effects of these problems on the benchmark results, and propose corrections to the datasets. Besides ensuring the reproducibility of our analysis, by making our analysis pipeline and the accompanying code publicly available, we aim to encourage similar explorations and to facilitate the identification and addressing of potential data quality issues in other large datasets.

DermSynth3D: Synthesis of in-the-wild Annotated Dermatology Images

In recent years, deep learning (DL) has shown great potential in the field of dermatological image analysis. However, existing datasets in this domain have significant limitations, including a small number of image samples, limited disease conditions, insufficient annotations, and non-standardized image acquisitions. To address these shortcomings, we propose a novel framework called DermSynth3D. DermSynth3D blends skin disease patterns onto 3D textured meshes of human subjects using a differentiable renderer and generates 2D images from various camera viewpoints under chosen lighting conditions in diverse background scenes. Our method adheres to top-down rules that constrain the blending and rendering process to create 2D images with skin conditions that mimic in-the-wild acquisitions, ensuring more meaningful results. The framework generates photo-realistic 2D dermoscopy images and the corresponding dense annotations for semantic segmentation of the skin, skin conditions, body parts, bounding boxes around lesions, depth maps, and other 3D scene parameters, such as camera position and lighting conditions. DermSynth3D allows for the creation of custom datasets for various dermatology tasks. We demonstrate the effectiveness of data generated using DermSynth3D by training DL models on synthetic data and evaluating them on various dermatology tasks using real 2D dermatological images. We make our code publicly available at https://github.com/sfu-mial/DermSynth3D.

Attribution-based XAI Methods in Computer Vision: A Review

The advancements in deep learning-based methods for visual perception tasks have seen astounding growth in the last decade, with widespread adoption in a plethora of application areas from autonomous driving to clinical decision support systems. Despite their impressive performance, these deep learning-based models remain fairly opaque in their decision-making process, making their deployment in human-critical tasks a risky endeavor. This in turn makes understanding the decisions made by these models crucial for their reliable deployment. Explainable AI (XAI) methods attempt to address this by offering explanations for such black-box deep learning methods. In this paper, we provide a comprehensive survey of attribution-based XAI methods in computer vision and review the existing literature for gradient-based, perturbation-based, and contrastive methods for XAI, and provide insights on the key challenges in developing and evaluating robust XAI methods.

CIRCLe: Color Invariant Representation Learning for Unbiased Classification of Skin Lesions

While deep learning based approaches have demonstrated expert-level performance in dermatological diagnosis tasks, they have also been shown to exhibit biases toward certain demographic attributes, particularly skin types (e.g., light versus dark), a fairness concern that must be addressed. We propose CIRCLe, a skin color invariant deep representation learning method for improving fairness in skin lesion classification. CIRCLe is trained to classify images by utilizing a regularization loss that encourages images with the same diagnosis but different skin types to have similar latent representations. Through extensive evaluation and ablation studies, we demonstrate CIRCLe's superior performance over the state-of-the-art when evaluated on 16k+ images spanning 6 Fitzpatrick skin types and 114 diseases, using classification accuracy, equal opportunity difference (for light versus dark groups), and normalized accuracy range, a new measure we propose to assess fairness on multiple skin type groups.

A Survey on Deep Learning for Skin Lesion Segmentation

Skin cancer is a major public health problem that could benefit from computer-aided diagnosis to reduce the burden of this common disease. Skin lesion segmentation from images is an important step toward achieving this goal. However, the presence of natural and artificial artifacts (e.g., hair and air bubbles), intrinsic factors (e.g., lesion shape and contrast), and variations in image acquisition conditions make skin lesion segmentation a challenging task. Recently, various researchers have explored the applicability of deep learning models to skin lesion segmentation. In this survey, we cross-examine 134 research papers that deal with deep learning based segmentation of skin lesions. We analyze these works along several dimensions, including input data (datasets, preprocessing, and synthetic data generation), model design (architecture, modules, and losses), and evaluation aspects (data annotation requirements and segmentation performance). We discuss these dimensions both from the viewpoint of select seminal works, and from a systematic viewpoint, examining how those choices have influenced current trends, and how their limitations should be addressed. We summarize all examined works in a comprehensive table to facilitate comparisons.

Multi-Sample $ζ$-mixup: Richer, More Realistic Synthetic Samples from a $p$-Series Interpolant

Modern deep learning training procedures rely on model regularization techniques such as data augmentation methods, which generate training samples that increase the diversity of data and richness of label information. A popular recent method, mixup, uses convex combinations of pairs of original samples to generate new samples. However, as we show in our experiments, mixup can produce undesirable synthetic samples, where the data is sampled off the manifold and can contain incorrect labels. We propose $\zeta$-mixup, a generalization of mixup with provably and demonstrably desirable properties that allows convex combinations of $N \geq 2$ samples, leading to more realistic and diverse outputs that incorporate information from $N$ original samples by using a $p$-series interpolant. We show that, compared to mixup, $\zeta$-mixup better preserves the intrinsic dimensionality of the original datasets, which is a desirable property for training generalizable models. Furthermore, we show that our implementation of $\zeta$-mixup is faster than mixup, and extensive evaluation on controlled synthetic and 24 real-world natural and medical image classification datasets shows that $\zeta$-mixup outperforms mixup and traditional data augmentation techniques.

Sleeping Combinatorial Bandits

In this paper, we study an interesting combination of sleeping and combinatorial stochastic bandits. In the mixed model studied here, at each discrete time instant, an arbitrary \emph{availability set} is generated from a fixed set of \emph{base} arms. An algorithm can select a subset of arms from the \emph{availability set} (sleeping bandits) and receive the corresponding reward along with semi-bandit feedback (combinatorial bandits). We adapt the well-known CUCB algorithm in the sleeping combinatorial bandits setting and refer to it as \CSUCB. We prove -- under mild smoothness conditions -- that the \CSUCB\ algorithm achieves an $O(\log (T))$ instance-dependent regret guarantee. We further prove that (i) when the range of the rewards is bounded, the regret guarantee of \CSUCB\ algorithm is $O(\sqrt{T \log (T)})$ and (ii) the instance-independent regret is $O(\sqrt[3]{T^2 \log(T)})$ in a general setting. Our results are quite general and hold under general environments -- such as non-additive reward functions, volatile arm availability, a variable number of base-arms to be pulled -- arising in practical applications. We validate the proven theoretical guarantees through experiments.