Modality-Specific Deep Learning Model Ensembles Toward Improving TB Detection in Chest Radiographs

The proposed study evaluates the efficacy of knowledge transfer gained through an ensemble of modality-specific deep learning models toward improving the state-of-the-art in Tuberculosis (TB) detection. A custom convolutional neural network (CNN) and selected popular pretrained CNNs are trained to l...

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Main Authors: Sivaramakrishnan Rajaraman, Sameer K. Antani
Format: Article
Language:English
Published: IEEE 2020-01-01
Series:IEEE Access
Subjects:
Online Access:https://ieeexplore.ieee.org/document/8979446/
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author Sivaramakrishnan Rajaraman
Sameer K. Antani
author_facet Sivaramakrishnan Rajaraman
Sameer K. Antani
author_sort Sivaramakrishnan Rajaraman
collection DOAJ
description The proposed study evaluates the efficacy of knowledge transfer gained through an ensemble of modality-specific deep learning models toward improving the state-of-the-art in Tuberculosis (TB) detection. A custom convolutional neural network (CNN) and selected popular pretrained CNNs are trained to learn modality-specific features from large-scale publicly available chest x-ray (CXR) collections including (i) RSNA dataset (normal = 8851, abnormal = 17833), (ii) Pediatric pneumonia dataset (normal = 1583, abnormal = 4273), and (iii) Indiana dataset (normal = 1726, abnormal = 2378). The knowledge acquired through modality-specific learning is transferred and fine-tuned for TB detection on the publicly available Shenzhen CXR collection (normal = 326, abnormal = 336). The predictions of the best performing models are combined using different ensemble methods to demonstrate improved performance over any individual constituent model in classifying TB-infected and normal CXRs. The models are evaluated through cross-validation (n = 5) at the patient-level with an aim to prevent overfitting, improve robustness and generalization. It is observed that a stacked ensemble of the top-3 retrained models demonstrates promising performance (accuracy: 0.941; 95% confidence interval (CI): [0.899, 0.985], area under the curve (AUC): 0.995; 95% CI: [0.945, 1.00]). One-way ANOVA analyses show there are no statistically significant differences in accuracy (P = .759) and AUC (P = .831) among the ensemble methods. Knowledge transferred through modality-specific learning of relevant features helped improve the classification. The ensemble model resulted in reduced prediction variance and sensitivity to training data fluctuations. Results from their combined use are superior to the state-of-the-art.
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spelling doaj.art-f1a0a904cced46c49cb59cad7a6b45492022-12-21T23:21:07ZengIEEEIEEE Access2169-35362020-01-018273182732610.1109/ACCESS.2020.29712578979446Modality-Specific Deep Learning Model Ensembles Toward Improving TB Detection in Chest RadiographsSivaramakrishnan Rajaraman0https://orcid.org/0000-0003-0871-8634Sameer K. Antani1Lister Hill National Center for Biomedical Communications, National Library of Medicine, Bethesda, MD, USALister Hill National Center for Biomedical Communications, National Library of Medicine, Bethesda, MD, USAThe proposed study evaluates the efficacy of knowledge transfer gained through an ensemble of modality-specific deep learning models toward improving the state-of-the-art in Tuberculosis (TB) detection. A custom convolutional neural network (CNN) and selected popular pretrained CNNs are trained to learn modality-specific features from large-scale publicly available chest x-ray (CXR) collections including (i) RSNA dataset (normal = 8851, abnormal = 17833), (ii) Pediatric pneumonia dataset (normal = 1583, abnormal = 4273), and (iii) Indiana dataset (normal = 1726, abnormal = 2378). The knowledge acquired through modality-specific learning is transferred and fine-tuned for TB detection on the publicly available Shenzhen CXR collection (normal = 326, abnormal = 336). The predictions of the best performing models are combined using different ensemble methods to demonstrate improved performance over any individual constituent model in classifying TB-infected and normal CXRs. The models are evaluated through cross-validation (n = 5) at the patient-level with an aim to prevent overfitting, improve robustness and generalization. It is observed that a stacked ensemble of the top-3 retrained models demonstrates promising performance (accuracy: 0.941; 95% confidence interval (CI): [0.899, 0.985], area under the curve (AUC): 0.995; 95% CI: [0.945, 1.00]). One-way ANOVA analyses show there are no statistically significant differences in accuracy (P = .759) and AUC (P = .831) among the ensemble methods. Knowledge transferred through modality-specific learning of relevant features helped improve the classification. The ensemble model resulted in reduced prediction variance and sensitivity to training data fluctuations. Results from their combined use are superior to the state-of-the-art.https://ieeexplore.ieee.org/document/8979446/Classificationconfidence intervalconvolutional neural networkdeep learningensembleknowledge transfer
spellingShingle Sivaramakrishnan Rajaraman
Sameer K. Antani
Modality-Specific Deep Learning Model Ensembles Toward Improving TB Detection in Chest Radiographs
IEEE Access
Classification
confidence interval
convolutional neural network
deep learning
ensemble
knowledge transfer
title Modality-Specific Deep Learning Model Ensembles Toward Improving TB Detection in Chest Radiographs
title_full Modality-Specific Deep Learning Model Ensembles Toward Improving TB Detection in Chest Radiographs
title_fullStr Modality-Specific Deep Learning Model Ensembles Toward Improving TB Detection in Chest Radiographs
title_full_unstemmed Modality-Specific Deep Learning Model Ensembles Toward Improving TB Detection in Chest Radiographs
title_short Modality-Specific Deep Learning Model Ensembles Toward Improving TB Detection in Chest Radiographs
title_sort modality specific deep learning model ensembles toward improving tb detection in chest radiographs
topic Classification
confidence interval
convolutional neural network
deep learning
ensemble
knowledge transfer
url https://ieeexplore.ieee.org/document/8979446/
work_keys_str_mv AT sivaramakrishnanrajaraman modalityspecificdeeplearningmodelensemblestowardimprovingtbdetectioninchestradiographs
AT sameerkantani modalityspecificdeeplearningmodelensemblestowardimprovingtbdetectioninchestradiographs