The Impact of an XAI-Augmented Approach on Binary Classification with Scarce Data

Point-of-Care Ultrasound (POCUS) is the practice of clinicians conducting and interpreting ultrasound scans right at the patient's bedside. However, the expertise needed to interpret these images is considerable and may not always be present in emergency situations. This reality makes algorithms such as machine learning classifiers extremely valuable to augment human decisions. POCUS devices are becoming available at a reasonable cost in the size of a mobile phone. The challenge of turning POCUS devices into life-saving tools is that interpretation of ultrasound images requires specialist training and experience. Unfortunately, the difficulty to obtain positive training images represents an important obstacle to building efficient and accurate classifiers. Hence, the problem we try to investigate is how to explore strategies to increase accuracy of classifiers trained with scarce data. We hypothesize that training with a few data instances may not suffice for classifiers to generalize causing them to overfit. Our approach uses an Explainable AI-Augmented approach to help the algorithm learn more from less and potentially help the classifier better generalize.

Interpretable Models for Detecting and Monitoring Elevated Intracranial Pressure

Detecting elevated intracranial pressure (ICP) is crucial in diagnosing and managing various neurological conditions. These fluctuations in pressure are transmitted to the optic nerve sheath (ONS), resulting in changes to its diameter, which can then be detected using ultrasound imaging devices. However, interpreting sonographic images of the ONS can be challenging. In this work, we propose two systems that actively monitor the ONS diameter throughout an ultrasound video and make a final prediction as to whether ICP is elevated. To construct our systems, we leverage subject matter expert (SME) guidance, structuring our processing pipeline according to their collection procedure, while also prioritizing interpretability and computational efficiency. We conduct a number of experiments, demonstrating that our proposed systems are able to outperform various baselines. One of our SMEs then manually validates our top system's performance, lending further credibility to our approach while demonstrating its potential utility in a clinical setting.

MobilePTX: Sparse Coding for Pneumothorax Detection Given Limited Training Examples

Point-of-Care Ultrasound (POCUS) refers to clinician-performed and interpreted ultrasonography at the patient's bedside. Interpreting these images requires a high level of expertise, which may not be available during emergencies. In this paper, we support POCUS by developing classifiers that can aid medical professionals by diagnosing whether or not a patient has pneumothorax. We decomposed the task into multiple steps, using YOLOv4 to extract relevant regions of the video and a 3D sparse coding model to represent video features. Given the difficulty in acquiring positive training videos, we trained a small-data classifier with a maximum of 15 positive and 32 negative examples. To counteract this limitation, we leveraged subject matter expert (SME) knowledge to limit the hypothesis space, thus reducing the cost of data collection. We present results using two lung ultrasound datasets and demonstrate that our model is capable of achieving performance on par with SMEs in pneumothorax identification. We then developed an iOS application that runs our full system in less than 4 seconds on an iPad Pro, and less than 8 seconds on an iPhone 13 Pro, labeling key regions in the lung sonogram to provide interpretable diagnoses.