Abstract
Over the past decades, the incidence of thyroid cancer has been increasing globally. Accurate and early diagnosis allows timely treatment and helps to avoid over-diagnosis. Clinically, a nodule is commonly evaluated from both transverse and longitudinal views using thyroid ultrasound. However, the appearance of the thyroid gland and lesions can vary dramatically across individuals. Identifying key diagnostic information from both views requires specialized expertise. Furthermore, finding an optimal way to integrate multi-view information also relies on the experience of clinicians and adds further difficulty to accurate diagnosis. To address these, we propose a personalized diagnostic tool that can customize its decision-making process for different patients. It consists of a multi-view classification module for feature extraction and a personalized weighting allocation network that generates optimal weighting for different views. It is also equipped with a self-supervised view-aware contrastive loss to further improve the model robustness towards different patient groups. Experimental results show that the proposed framework can better utilize multi-view information and outperform the competing methods.
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References
Cabanillas, M.E., McFadden, D.G., Durante, C.: Thyroid cancer. The Lancet 388(10061), 2783–2795 (2016)
Chaudhary, V., Bano, S.: Thyroid ultrasound. Indian J. Endocrinol. Metab. 17(2), 219 (2013)
Chen, T., Kornblith, S., Norouzi, M., Hinton, G.: A simple framework for contrastive learning of visual representations. In: International Conference on Machine Learning, pp. 1597–1607. PMLR (2020)
Chen, Y., Li, D., Zhang, X., Jin, J., Shen, Y.: Computer aided diagnosis of thyroid nodules based on the devised small-datasets multi-view ensemble learning. Med. Image Anal. 67, 101819 (2021)
Chi, J., Walia, E., Babyn, P., Wang, J., Groot, G., Eramian, M.: Thyroid nodule classification in ultrasound images by fine-tuning deep convolutional neural network. J. Digit. Imaging 30(4), 477–486 (2017)
Hegedüs, L.: The thyroid nodule. N. Engl. J. Med. 351(17), 1764–1771 (2004)
Hjelm, R.D., et al.: Learning deep representations by mutual information estimation and maximization. arXiv preprint arXiv:1808.06670 (2018)
Huang, R., et al.: Aw3m: An auto-weighting and recovery framework for breast cancer diagnosis using multi-modal ultrasound. Med. Image Anal. 72, 102137 (2021)
Khosla, P., et al.: Supervised contrastive learning. Adv. Neural. Inf. Process. Syst. 33, 18661–18673 (2020)
Kyono, T., Gilbert, F.J., Schaar, M.: Multi-view multi-task learning for improving autonomous mammogram diagnosis. In: Machine Learning for Healthcare Conference, pp. 571–591. PMLR (2019)
Liu, T., et al.: Automated detection and classification of thyroid nodules in ultrasound images using clinical-knowledge-guided convolutional neural networks. Med. Image Anal. 58, 101555 (2019)
Liu, T., Xie, S., Yu, J., Niu, L., Sun, W.: Classification of thyroid nodules in ultrasound images using deep model based transfer learning and hybrid features. In: 2017 IEEE International Conference on Acoustics, Speech and Signal Processing (ICASSP), pp. 919–923. IEEE (2017)
Liu, Z., et al.: Swin transformer: hierarchical vision transformer using shifted windows. In: Proceedings of the IEEE/CVF International Conference on Computer Vision, pp. 10012–10022 (2021)
Moon, H.J., Kwak, J.Y., Kim, E.K., Kim, M.J.: A taller-than-wide shape in thyroid nodules in transverse and longitudinal ultrasonographic planes and the prediction of malignancy. Thyroid 21(11), 1249–1253 (2011)
Panda, R., Chen, C.F.R., Fan, Q., Sun, X., Saenko, K., Oliva, A., Feris, R.: Adamml: Adaptive multi-modal learning for efficient video recognition. In: Proceedings of the IEEE/CVF International Conference on Computer Vision, pp. 7576–7585 (2021)
Pi, Y., Zhao, Z., Xiang, Y., Li, Y., Cai, H., Yi, Z.: Automated diagnosis of bone metastasis based on multi-view bone scans using attention-augmented deep neural networks. Med. Image Anal. 65, 101784 (2020)
Sipos, J.A.: Advances in ultrasound for the diagnosis and management of thyroid cancer. Thyroid 19(12), 1363–1372 (2009)
Wang, J., et al.: Automated interpretation of congenital heart disease from multi-view echocardiograms. Med. Image Anal. 69, 101942 (2021)
Zhao, S.X., Chen, Y., Yang, K.F., Luo, Y., Ma, B.Y., Li, Y.J.: A local and global feature disentangled network: toward classification of benign-malignant thyroid nodules from ultrasound image. IEEE Trans. Med. Imaging (2022)
Acknowledgements
This work was supported by the National Natural Science Foundation of China (No. 62101342, 62171290, and 61901275); Shenzhen-Hong Kong Joint Research Program (No. SGDX20201103095613036), Shenzhen Science and technology research and Development Fund for Sustainable development project (No. KCXFZ20201221173613036); National Natural Science Foundation of China (No. 82071928); Shenzhen University Startup Fund (2019131).
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Huang, H. et al. (2022). Personalized Diagnostic Tool for Thyroid Cancer Classification Using Multi-view Ultrasound. In: Wang, L., Dou, Q., Fletcher, P.T., Speidel, S., Li, S. (eds) Medical Image Computing and Computer Assisted Intervention – MICCAI 2022. MICCAI 2022. Lecture Notes in Computer Science, vol 13433. Springer, Cham. https://doi.org/10.1007/978-3-031-16437-8_64
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