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      Deep learning assisted classification of spectral photoacoustic imaging of carotid plaques

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          Abstract

          Spectral photoacoustic imaging (sPAI) is an emerging modality that allows real-time, non-invasive, and radiation-free assessment of tissue, benefiting from their optical contrast. sPAI is ideal for morphology assessment in arterial plaques, where plaque composition provides relevant information on plaque progression and its vulnerability. However, since sPAI is affected by spectral coloring, general spectroscopy unmixing techniques cannot provide reliable identification of such complicated sample composition. In this study, we employ a convolutional neural network (CNN) for the classification of plaque composition using sPAI. For this study, nine carotid endarterectomy plaques were imaged and were then annotated and validated using multiple histological staining. Our results show that a CNN can effectively differentiate constituent regions within plaques without requiring fluence or spectra correction, with the potential to eventually support vulnerability assessment in plaques.

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          Most cited references41

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          Dermatologist-level classification of skin cancer with deep neural networks

          Skin cancer, the most common human malignancy, is primarily diagnosed visually, beginning with an initial clinical screening and followed potentially by dermoscopic analysis, a biopsy and histopathological examination. Automated classification of skin lesions using images is a challenging task owing to the fine-grained variability in the appearance of skin lesions. Deep convolutional neural networks (CNNs) show potential for general and highly variable tasks across many fine-grained object categories. Here we demonstrate classification of skin lesions using a single CNN, trained end-to-end from images directly, using only pixels and disease labels as inputs. We train a CNN using a dataset of 129,450 clinical images—two orders of magnitude larger than previous datasets—consisting of 2,032 different diseases. We test its performance against 21 board-certified dermatologists on biopsy-proven clinical images with two critical binary classification use cases: keratinocyte carcinomas versus benign seborrheic keratoses; and malignant melanomas versus benign nevi. The first case represents the identification of the most common cancers, the second represents the identification of the deadliest skin cancer. The CNN achieves performance on par with all tested experts across both tasks, demonstrating an artificial intelligence capable of classifying skin cancer with a level of competence comparable to dermatologists. Outfitted with deep neural networks, mobile devices can potentially extend the reach of dermatologists outside of the clinic. It is projected that 6.3 billion smartphone subscriptions will exist by the year 2021 (ref. 13) and can therefore potentially provide low-cost universal access to vital diagnostic care.
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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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              An overview of deep learning in medical imaging focusing on MRI

              What has happened in machine learning lately, and what does it mean for the future of medical image analysis? Machine learning has witnessed a tremendous amount of attention over the last few years. The current boom started around 2009 when so-called deep artificial neural networks began outperforming other established models on a number of important benchmarks. Deep neural networks are now the state-of-the-art machine learning models across a variety of areas, from image analysis to natural language processing, and widely deployed in academia and industry. These developments have a huge potential for medical imaging technology, medical data analysis, medical diagnostics and healthcare in general, slowly being realized. We provide a short overview of recent advances and some associated challenges in machine learning applied to medical image processing and image analysis. As this has become a very broad and fast expanding field we will not survey the entire landscape of applications, but put particular focus on deep learning in MRI. Our aim is threefold: (i) give a brief introduction to deep learning with pointers to core references; (ii) indicate how deep learning has been applied to the entire MRI processing chain, from acquisition to image retrieval, from segmentation to disease prediction; (iii) provide a starting point for people interested in experimenting and perhaps contributing to the field of deep learning for medical imaging by pointing out good educational resources, state-of-the-art open-source code, and interesting sources of data and problems related medical imaging.
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                Author and article information

                Contributors
                Journal
                Photoacoustics
                Photoacoustics
                Photoacoustics
                Elsevier
                2213-5979
                16 August 2023
                October 2023
                16 August 2023
                : 33
                : 100544
                Affiliations
                [a ]Department of Biomedical Engineering, Eindhoven University of Technology, De Rondom 70, Eindhoven, the Netherlands
                [b ]Department of Precision Medicine, Maastricht University, Minderbroedersberg 4-6, Maastricht, the Netherlands
                [c ]Department of Vascular Surgery, Catharina Ziekenhuis Eindhoven, Michelangelolaan 2, State Two, the Netherlands
                Author notes
                [* ]Corresponding author. c.a.cano.barrera@ 123456tue.nl
                Article
                S2213-5979(23)00097-6 100544
                10.1016/j.pacs.2023.100544
                10475504
                37671317
                242e3623-8a4c-420d-9e4b-424b45798949
                © 2023 The Author(s)

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 17 June 2023
                : 31 July 2023
                : 11 August 2023
                Categories
                Research Article

                spectral photoacoustic imaging,convolutional neural network,carotid plaque

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