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      Opportunities and obstacles for deep learning in biology and medicine

      review-article
      1 , 2 , 3 , 4 , 5 , 2 , 6 , 7 , 2 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 17 , 12 , 18 , 15 , 19 , 20 , 21 , 22 , 23 , 15 , 24 , 25 , 26 , 17 , 15 , 16 , 24 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 2
      Journal of the Royal Society Interface
      The Royal Society
      deep learning, genomics, precision medicine, machine learning

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          Abstract

          Deep learning describes a class of machine learning algorithms that are capable of combining raw inputs into layers of intermediate features. These algorithms have recently shown impressive results across a variety of domains. Biology and medicine are data-rich disciplines, but the data are complex and often ill-understood. Hence, deep learning techniques may be particularly well suited to solve problems of these fields. We examine applications of deep learning to a variety of biomedical problems—patient classification, fundamental biological processes and treatment of patients—and discuss whether deep learning will be able to transform these tasks or if the biomedical sphere poses unique challenges. Following from an extensive literature review, we find that deep learning has yet to revolutionize biomedicine or definitively resolve any of the most pressing challenges in the field, but promising advances have been made on the prior state of the art. Even though improvements over previous baselines have been modest in general, the recent progress indicates that deep learning methods will provide valuable means for speeding up or aiding human investigation. Though progress has been made linking a specific neural network's prediction to input features, understanding how users should interpret these models to make testable hypotheses about the system under study remains an open challenge. Furthermore, the limited amount of labelled data for training presents problems in some domains, as do legal and privacy constraints on work with sensitive health records. Nonetheless, we foresee deep learning enabling changes at both bench and bedside with the potential to transform several areas of biology and medicine.

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          Most cited references294

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          Deep Learning in Medical Image Analysis

          This review covers computer-assisted analysis of images in the field of medical imaging. Recent advances in machine learning, especially with regard to deep learning, are helping to identify, classify, and quantify patterns in medical images. At the core of these advances is the ability to exploit hierarchical feature representations learned solely from data, instead of features designed by hand according to domain-specific knowledge. Deep learning is rapidly becoming the state of the art, leading to enhanced performance in various medical applications. We introduce the fundamentals of deep learning methods and review their successes in image registration, detection of anatomical and cellular structures, tissue segmentation, computer-aided disease diagnosis and prognosis, and so on. We conclude by discussing research issues and suggesting future directions for further improvement.
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              Deep Learning in Neural Networks: An Overview

              (2014)
              In recent years, deep artificial neural networks (including recurrent ones) have won numerous contests in pattern recognition and machine learning. This historical survey compactly summarises relevant work, much of it from the previous millennium. Shallow and deep learners are distinguished by the depth of their credit assignment paths, which are chains of possibly learnable, causal links between actions and effects. I review deep supervised learning (also recapitulating the history of backpropagation), unsupervised learning, reinforcement learning & evolutionary computation, and indirect search for short programs encoding deep and large networks.
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                Author and article information

                Journal
                J R Soc Interface
                J R Soc Interface
                RSIF
                royinterface
                Journal of the Royal Society Interface
                The Royal Society
                1742-5689
                1742-5662
                April 2018
                4 April 2018
                4 April 2018
                : 15
                : 141
                : 20170387
                Affiliations
                [1 ]Molecular Biosciences and Bioengineering Graduate Program, University of Hawaii at Manoa , Honolulu, HI, USA
                [2 ]Department of Systems Pharmacology and Translational Therapeutics, Perelman School of Medicine, University of Pennsylvania , Philadelphia, PA, USA
                [3 ]Genomics and Computational Biology Graduate Group, Perelman School of Medicine, University of Pennsylvania , Philadelphia, PA, USA
                [4 ]Department of Computational Medicine and Bioinformatics, University of Michigan Medical School , Ann Arbor, MI, USA
                [5 ]Harvard Medical School , Boston, MA, USA
                [6 ]Computational Biology and Stats, Target Sciences , GlaxoSmithKline, Stevenage, UK
                [7 ]Data Science Institute, Imperial College London , London, UK
                [8 ]Princess Margaret Cancer Centre , Toronto, Ontario, Canada
                [9 ]Department of Medical Biophysics , University of Toronto, Toronto, Ontario, Canada
                [10 ]Department of Computer Science , University of Toronto, Toronto, Ontario, Canada
                [11 ]Electrical Engineering and Computer Science, Vanderbilt University , Nashville, TN, USA
                [12 ]Ecological and Evolutionary Signal-processing and Informatics Laboratory, Department of Electrical and Computer Engineering, Drexel University , Philadelphia, PA, USA
                [13 ]Computational Biology Department, School of Computer Science, Carnegie Mellon University , Pittsburgh, PA, USA
                [14 ]Biophysics Program, Stanford University , Stanford, CA, USA
                [15 ]Department of Computer Science, Stanford University , Stanford, CA, USA
                [16 ]Department of Genetics, Stanford University , Stanford, CA, USA
                [17 ]Department of Computer Science, University of Virginia , Charlottesville, VA, USA
                [18 ]Imaging Platform, Broad Institute of Harvard and MIT , Cambridge, MA, USA
                [19 ]Toyota Technological Institute at Chicago , Chicago, IL, USA
                [20 ]Department of Computer Science, Trinity University , San Antonio, TX, USA
                [21 ]Lewis-Sigler Institute for Integrative Genomics, Princeton University , Princeton, NJ, USA
                [22 ]Integrative Bioinformatics, National Institute of Environmental Health Sciences, National Institutes of Health , Research Triangle Park, NC, USA
                [23 ]Howard Hughes Medical Institute , Janelia Research Campus, Ashburn, VA, USA
                [24 ]National Center for Biotechnology Information and National Library of Medicine, National Institutes of Health , Bethesda, MD, USA
                [25 ]Department of Wildlife Ecology and Conservation, University of Florida , Gainesville, FL, USA
                [26 ]ClosedLoop.ai , Austin, TX, USA
                [27 ]Division of Biomedical Informatics and Personalized Medicine, University of Colorado School of Medicine , Aurora, CO, USA
                [28 ]Institute of Organic Chemistry, Westfälische Wilhelms-Universität Münster , Münster, Germany
                [29 ]Innovation Center for Biomedical Informatics, Georgetown University Medical Center , Washington, DC, USA
                [30 ]Department of Pathology and Immunology, Washington University in Saint Louis , St Louis, MO, USA
                [31 ]Department of Medicine, Brown University , Providence, RI, USA
                [32 ]Department of Biostatistics and Medical Informatics, University of Wisconsin-Madison , Madison, WI, USA
                [33 ]Morgridge Institute for Research , Madison, WI, USA
                Author notes
                [†]

                Author order was determined with a randomized algorithm.

                Author information
                http://orcid.org/0000-0002-5577-3516
                http://orcid.org/0000-0002-3012-7446
                http://orcid.org/0000-0002-6700-1468
                http://orcid.org/0000-0003-4563-3226
                http://orcid.org/0000-0003-4992-2623
                http://orcid.org/0000-0002-0503-9348
                http://orcid.org/0000-0002-8362-100X
                http://orcid.org/0000-0003-1126-1479
                http://orcid.org/0000-0003-0539-630X
                http://orcid.org/0000-0002-4517-1562
                http://orcid.org/0000-0002-1871-6846
                http://orcid.org/0000-0003-1763-5750
                http://orcid.org/0000-0001-8690-9554
                http://orcid.org/0000-0003-1633-5780
                http://orcid.org/0000-0003-0811-0944
                http://orcid.org/0000-0003-0568-298X
                http://orcid.org/0000-0003-1555-8261
                http://orcid.org/0000-0002-6443-4671
                http://orcid.org/0000-0001-7111-4839
                http://orcid.org/0000-0003-3877-0433
                http://orcid.org/0000-0002-7762-1089
                http://orcid.org/0000-0003-3247-6487
                http://orcid.org/0000-0001-8655-8109
                http://orcid.org/0000-0001-9998-916X
                http://orcid.org/0000-0003-3332-9307
                http://orcid.org/0000-0001-8931-9461
                http://orcid.org/0000-0002-5796-7453
                http://orcid.org/0000-0003-3084-2287
                http://orcid.org/0000-0001-9309-8331
                http://orcid.org/0000-0001-6681-9754
                http://orcid.org/0000-0001-8008-0546
                http://orcid.org/0000-0002-1400-3398
                http://orcid.org/0000-0003-2191-0778
                http://orcid.org/0000-0003-1349-4030
                http://orcid.org/0000-0002-5324-9833
                http://orcid.org/0000-0001-8713-9213
                Article
                rsif20170387
                10.1098/rsif.2017.0387
                5938574
                29618526
                a0103ca8-1cad-4845-9ab3-e5cd63e10c49
                © 2018 The Authors.

                Published by the Royal Society under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/, which permits unrestricted use, provided the original author and source are credited.

                History
                : 26 May 2017
                : 7 March 2018
                Funding
                Funded by: Gordon and Betty Moore Foundation, http://dx.doi.org/10.13039/100000936;
                Award ID: GBMF 4552
                Award ID: GBMF 4563
                Funded by: National Institutes of Health, http://dx.doi.org/10.13039/100000002;
                Award ID: DP2GM123485
                Award ID: P30CA051008
                Award ID: R01AI116794
                Award ID: R01GM089652
                Award ID: R01GM089753
                Award ID: R01LM012222
                Award ID: R01LM012482
                Award ID: R21CA220398
                Award ID: T32GM007753
                Award ID: T32HG000046
                Award ID: U54AI117924
                Funded by: Roy and Diana Vagelos Scholars Program in the Molecular Life Sciences;
                Funded by: U.S. National Library of Medicine, http://dx.doi.org/10.13039/100000092;
                Award ID: Intramural Research Program
                Funded by: National Science Foundation, http://dx.doi.org/10.13039/501100008982;
                Award ID: 1245632
                Award ID: 1531594
                Award ID: 1564955
                Funded by: Natural Sciences and Engineering Research Council of Canada, http://dx.doi.org/10.13039/501100000038;
                Award ID: RGPIN-2015-3948
                Funded by: NSF;
                Award ID: 1245632
                Award ID: 1531594
                Award ID: 1564955
                Funded by: Howard Hughes Medical Institute, http://dx.doi.org/10.13039/100000011;
                Categories
                1004
                22
                44
                Review Articles
                Headline Review
                Custom metadata
                April, 2018

                Life sciences
                deep learning,genomics,precision medicine,machine learning
                Life sciences
                deep learning, genomics, precision medicine, machine learning

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