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Published in: International Journal of Computer Assisted Radiology and Surgery 1/2019

01-01-2019 | Original Article

Deep learning-based detection of motion artifacts in probe-based confocal laser endomicroscopy images

Authors: Marc Aubreville, Maike Stoeve, Nicolai Oetter, Miguel Goncalves, Christian Knipfer, Helmut Neumann, Christopher Bohr, Florian Stelzle, Andreas Maier

Published in: International Journal of Computer Assisted Radiology and Surgery | Issue 1/2019

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Abstract

Purpose:

Probe-based confocal laser endomicroscopy (pCLE) is a subcellular in vivo imaging technique capable of producing images that enable diagnosis of malign structural modifications in epithelial tissue. Images acquired with pCLE are, however, often tainted by significant artifacts that impair diagnosis. This is especially detrimental for automated image analysis, which is why said images are often excluded from recognition pipelines.

Methods

We present an approach for the automatic detection of motion artifacts in pCLE images and apply this methodology to a data set of 15 thousand images of epithelial tissue acquired in the oral cavity and the vocal folds. The approach is based on transfer learning from intermediate endpoints within a pre-trained Inception v3 network with tailored preprocessing. For detection within the non-rectangular pCLE images, we perform pooling within the activation maps of the network and evaluate this at different network depths.

Results

We achieved area under the ROC curve values of 0.92 with the proposed method, compared to 0.80 for the best feature-based machine learning approach. Our overall accuracy with the presented approach is 94.8%.

Conclusion

Over traditional machine learning approaches with state-of-the-art features, we achieved significantly improved overall performance.
Literature
5.
go back to reference Bier B, Mualla F, Steidl S, Bohr C, Neumann H, Maier A, Hornegger J (2015) Band-pass filter design by segmentation in frequency domain for detection of epithelial cells in endomicroscope images. In: Bildverarbeitung für die Medizin. Springer, Berlin, pp 413–418. https://doi.org/10.1007/978-3-662-46224-9_71 Bier B, Mualla F, Steidl S, Bohr C, Neumann H, Maier A, Hornegger J (2015) Band-pass filter design by segmentation in frequency domain for detection of epithelial cells in endomicroscope images. In: Bildverarbeitung für die Medizin. Springer, Berlin, pp 413–418. https://​doi.​org/​10.​1007/​978-3-662-46224-9_​71
12.
go back to reference Gil D, Ramos-Terrades O, Minchole E, Sanchez C, de Frutos NC, Diez-Ferrer M, Ortiz RM, Rosell A (2017) Classification of confocal endomicroscopy patterns for diagnosis of lung cancer. In: Medical image computing and computer-assisted intervention—MICCAI 2017, pp. 151–159. Springer, Cham. https://doi.org/10.1007/978-3-319-67543-5_15 Gil D, Ramos-Terrades O, Minchole E, Sanchez C, de Frutos NC, Diez-Ferrer M, Ortiz RM, Rosell A (2017) Classification of confocal endomicroscopy patterns for diagnosis of lung cancer. In: Medical image computing and computer-assisted intervention—MICCAI 2017, pp. 151–159. Springer, Cham. https://​doi.​org/​10.​1007/​978-3-319-67543-5_​15
13.
go back to reference Goncalves M, Iro H, Dittberner A, Agaimy A, Bohr C (2017) Value of confocal laser endomicroscopy in the diagnosis of vocal cord lesions. Eur Rev Med Pharmacol Sci 21:3990–3997PubMed Goncalves M, Iro H, Dittberner A, Agaimy A, Bohr C (2017) Value of confocal laser endomicroscopy in the diagnosis of vocal cord lesions. Eur Rev Med Pharmacol Sci 21:3990–3997PubMed
14.
go back to reference Hong J, Park By, Park H (2017) Convolutional neural network classifier for distinguishing Barrett’s esophagus and neoplasia endomicroscopy images. In: 39th Annual International conference of the IEEE engineering in medicine and biology society (EMBC). IEEE, pp 2892–2895. https://doi.org/10.1109/EMBC.2017.8037461 Hong J, Park By, Park H (2017) Convolutional neural network classifier for distinguishing Barrett’s esophagus and neoplasia endomicroscopy images. In: 39th Annual International conference of the IEEE engineering in medicine and biology society (EMBC). IEEE, pp 2892–2895. https://​doi.​org/​10.​1109/​EMBC.​2017.​8037461
15.
go back to reference Izadyyazdanabadi M, Belykh E, Cavallo C, Zhao X, Gandhi S, Moreira LB, Eschbacher J, Nakaji P, Preul MC, Yang Y (2018) Weakly-supervised learning-based feature localization in confocal laser endomicroscopy glioma images. arXiv preprint arXiv:1804.09428v1 Izadyyazdanabadi M, Belykh E, Cavallo C, Zhao X, Gandhi S, Moreira LB, Eschbacher J, Nakaji P, Preul MC, Yang Y (2018) Weakly-supervised learning-based feature localization in confocal laser endomicroscopy glioma images. arXiv preprint arXiv:​1804.​09428v1
16.
go back to reference Izadyyazdanabadi M, Belykh E, Martirosyan N, Eschbacher J, Nakaji P, Yang Y, Preul MC (2017)Improving utility of brain tumor confocal laser endomicroscopy - objective value assessment and diagnostic frame detection with convolutional neural networks. In: Medical Imaging 2017, vol 10134. SPIE. https://doi.org/10.1117/12.2254902 Izadyyazdanabadi M, Belykh E, Martirosyan N, Eschbacher J, Nakaji P, Yang Y, Preul MC (2017)Improving utility of brain tumor confocal laser endomicroscopy - objective value assessment and diagnostic frame detection with convolutional neural networks. In: Medical Imaging 2017, vol 10134. SPIE. https://​doi.​org/​10.​1117/​12.​2254902
17.
go back to reference Izadyyazdanabadi M, Belykh E, Mooney M, Eschbacher J, Nakaji P, Yang Y, Preul MC (2018) Prospects for theranostics in neurosurgical technology—empowering confocal laser endomicroscopy diagnostics via deep learning. arXiv preprint arXiv:1804.09873 Izadyyazdanabadi M, Belykh E, Mooney M, Eschbacher J, Nakaji P, Yang Y, Preul MC (2018) Prospects for theranostics in neurosurgical technology—empowering confocal laser endomicroscopy diagnostics via deep learning. arXiv preprint arXiv:​1804.​09873
19.
go back to reference Jaremenko C, Maier A, Steidl S, Hornegger J, Oetter N, Knipfer C, Stelzle F, Neumann H (2015) Classification of confocal laser endomicroscopic images of the oral cavity to distinguish pathological from healthy tissue. In: Bildverarbeitung für die Medizin 2015. Springer, Berlin, pp 479–485. https://doi.org/10.1007/978-3-662-46224-9_82 Jaremenko C, Maier A, Steidl S, Hornegger J, Oetter N, Knipfer C, Stelzle F, Neumann H (2015) Classification of confocal laser endomicroscopic images of the oral cavity to distinguish pathological from healthy tissue. In: Bildverarbeitung für die Medizin 2015. Springer, Berlin, pp 479–485. https://​doi.​org/​10.​1007/​978-3-662-46224-9_​82
21.
go back to reference Laemmel E, Genet M, Le Goualher G, Perchant A, Le Gargasson JF, Vicaut E (2004) Fibered confocal fluorescence microscopy (Cell-viZio) facilitates extended imaging in the field of microcirculation. A comparison with intravital microscopy. J Vasc Res 41(5):400–411. https://doi.org/10.1159/000081209 CrossRefPubMed Laemmel E, Genet M, Le Goualher G, Perchant A, Le Gargasson JF, Vicaut E (2004) Fibered confocal fluorescence microscopy (Cell-viZio) facilitates extended imaging in the field of microcirculation. A comparison with intravital microscopy. J Vasc Res 41(5):400–411. https://​doi.​org/​10.​1159/​000081209 CrossRefPubMed
22.
23.
go back to reference Maier AK, Schebesch F, Syben C, Würfl T, Steidl S, Choi JH, Fahrig R (2017) Precision learning: towards use of known operators in neural networks. arXiv preprint arXiv:1712.00374 Maier AK, Schebesch F, Syben C, Würfl T, Steidl S, Choi JH, Fahrig R (2017) Precision learning: towards use of known operators in neural networks. arXiv preprint arXiv:​1712.​00374
28.
go back to reference Neumann H, Vieth M, Atreya R, Neurath MF, Mudter J (2011) Prospective evaluation of the learning curve of confocal laser endomicroscopy in patients with IBD. Histol Histopathol 26(7):867–872PubMed Neumann H, Vieth M, Atreya R, Neurath MF, Mudter J (2011) Prospective evaluation of the learning curve of confocal laser endomicroscopy in patients with IBD. Histol Histopathol 26(7):867–872PubMed
29.
go back to reference Oetter N, Knipfer C, Rohde M, Wilmowsky C, Maier A, Brunner K, Adler W, Neukam FW, Neumann H, Stelzle F (2016) Development and validation of a classification and scoring system for the diagnosis of oral squamous cell carcinomas through confocal laser endomicroscopy. J Transl Med 14(1):1–11. https://doi.org/10.1186/s12967-016-0919-4 CrossRef Oetter N, Knipfer C, Rohde M, Wilmowsky C, Maier A, Brunner K, Adler W, Neukam FW, Neumann H, Stelzle F (2016) Development and validation of a classification and scoring system for the diagnosis of oral squamous cell carcinomas through confocal laser endomicroscopy. J Transl Med 14(1):1–11. https://​doi.​org/​10.​1186/​s12967-016-0919-4 CrossRef
30.
33.
go back to reference Robert Koch Institut. Zentrum für Krebsregisterdaten (2017) Krebs in Deutschland für 2013/2014, 11th edn. Robert Koch Institut, Berlin Robert Koch Institut. Zentrum für Krebsregisterdaten (2017) Krebs in Deutschland für 2013/2014, 11th edn. Robert Koch Institut, Berlin
36.
40.
go back to reference Yang Y, Li T, Li W, Wu H, Fan W, Zhang W (2017) Lesion detection and grading of diabetic retinopathy via two-stages deep convolutional neural networks. In: Medical image computing and computer-assisted intervention—MICCAI 2017. Springer, Cham, pp 533–540. https://doi.org/10.1007/978-3-319-66179-7_61 Yang Y, Li T, Li W, Wu H, Fan W, Zhang W (2017) Lesion detection and grading of diabetic retinopathy via two-stages deep convolutional neural networks. In: Medical image computing and computer-assisted intervention—MICCAI 2017. Springer, Cham, pp 533–540. https://​doi.​org/​10.​1007/​978-3-319-66179-7_​61
Metadata
Title
Deep learning-based detection of motion artifacts in probe-based confocal laser endomicroscopy images
Authors
Marc Aubreville
Maike Stoeve
Nicolai Oetter
Miguel Goncalves
Christian Knipfer
Helmut Neumann
Christopher Bohr
Florian Stelzle
Andreas Maier
Publication date
01-01-2019
Publisher
Springer International Publishing
Published in
International Journal of Computer Assisted Radiology and Surgery / Issue 1/2019
Print ISSN: 1861-6410
Electronic ISSN: 1861-6429
DOI
https://doi.org/10.1007/s11548-018-1836-1

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