Medical-based Deep Curriculum Learning for Improved Fracture Classification

Jimenez-Sanchez A, Mateus D, Kirchhoff S, Kirchhoff C, Biberthaler P, Navab N, Gonzalez Ballester MA, Piella G (2019)


Publication Type: Conference contribution

Publication year: 2019

Journal

Publisher: Springer Science and Business Media Deutschland GmbH

Book Volume: 11769 LNCS

Pages Range: 694-702

Conference Proceedings Title: Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)

Event location: Shenzhen, CHN

ISBN: 9783030322250

DOI: 10.1007/978-3-030-32226-7_77

Abstract

Current deep-learning based methods do not easily integrate to clinical protocols, neither take full advantage of medical knowledge. In this work, we propose and compare several strategies relying on curriculum learning, to support the classification of proximal femur fracture from X-ray images, a challenging problem as reflected by existing intra- and inter-expert disagreement. Our strategies are derived from knowledge such as medical decision trees and inconsistencies in the annotations of multiple experts, which allows us to assign a degree of difficulty to each training sample. We demonstrate that if we start learning “easy” examples and move towards “hard”, the model can reach a better performance, even with fewer data. The evaluation is performed on the classification of a clinical dataset of about 1000 X-ray images. Our results show that, compared to class-uniform and random strategies, the proposed medical knowledge-based curriculum, performs up to 15% better in terms of accuracy, achieving the performance of experienced trauma surgeons.

Involved external institutions

How to cite

APA:

Jimenez-Sanchez, A., Mateus, D., Kirchhoff, S., Kirchhoff, C., Biberthaler, P., Navab, N.,... Piella, G. (2019). Medical-based Deep Curriculum Learning for Improved Fracture Classification. In Dinggang Shen, Pew-Thian Yap, Tianming Liu, Terry M. Peters, Ali Khan, Lawrence H. Staib, Caroline Essert, Sean Zhou (Eds.), Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics) (pp. 694-702). Shenzhen, CHN: Springer Science and Business Media Deutschland GmbH.

MLA:

Jimenez-Sanchez, Amelia, et al. "Medical-based Deep Curriculum Learning for Improved Fracture Classification." Proceedings of the 22nd International Conference on Medical Image Computing and Computer-Assisted Intervention, MICCAI 2019, Shenzhen, CHN Ed. Dinggang Shen, Pew-Thian Yap, Tianming Liu, Terry M. Peters, Ali Khan, Lawrence H. Staib, Caroline Essert, Sean Zhou, Springer Science and Business Media Deutschland GmbH, 2019. 694-702.

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