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International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072
© 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1500
Classifying Chest Pathology Images using Deep Learning Techniques
Vrushali Dhanokar1, Prof. A.S. Gaikwad2
1M.tech Student, Deogiri College of Engineering and Management studies, Aurangabad.
2Professor, Deogiri College of Engineering and Management studies, Aurangabad.
----------------------------------------------------------------------***---------------------------------------------------------------------
Abstract - Chest radiographs are the most common examination in radiology intoday’sera. Theyareessentialandveryhelpfulfor
the management of various diseases associated with high mortality and display a wide range of potential information about
various diseases, many of which is subtle. Most of the research in computer-aided detection and diagnosis in CNN in chest
radiography has focused on lung nodule detection. Although the target of most research attention, lung nodules and chest are a
relatively rare finding in the lungs. The most common findings in chest X-rays include lung infiltrates and Cardiomegaly,
Mediastinum of the size of the large heart. Distinguishing the various chest pathologies is a difficult task even to the human
observer and also for radiologist. Therefore, there is an interest in developing computer system diagnosis to assist radiologists in
reading chest images through machine. The healthy versus pathology detection i.e. Tuberculosis and Cardiomegaly in chest
radiography was explored using Laplacian of Gaussian (LoG), Local Binary Patterns (LBP), Speed up Robust Features(SURF)and
also used the Bag-of-Visual-Words (BoVW) model using Artificial Neural Network (ANN) technique that discriminates between
healthy pathological cases.
Key Words: Artificial Neural Network, Chest Radiographs, Deep Learning, Feature Selection, Image Enhancement.
1. INTRODUCTION
Chest radiography is a preferred examination of radiology. They are critical for the management of diseases related to high
mortality and show a variety of capability records, maximum of which might be sensitive data. Most research on pc-assisted
detection and analysis in chest radiography has focused on lung tumor detection. Although the intention of maximum
researches, the hobby of acne lumps is rare in the lungs. The maximum not unusual locating in chest X-rays, together with the
infiltration of the lungs, catheters and abnormalities in the size or shape of the heart guy. Therefore, there's an hobby in
developing system diagnostics to help radiologists in reading chest pictures. Deep neural networks have acquired extremely
good interest because of the improvement of new species CNN and the development of green parallel softwareprogramthatis
appropriate for modern GPUs. Therefore, there is a passioningrowingsystemdiagnosticstohelpradiologistsinstudyingchest
photos. Deep neural networks have obtained awesome interest because of the improvement of latest species CNN and the
improvement of efficient parallel software that is appropriate for present day GPUs. (CNNs) that show intermediate and
advanced abstracts obtained from raw data (suchasimages)[2].Thelatest resultsindicatethat thegeneral explanationsdrawn
from CNN are very effective in object recognition and are now leading technology. [3, 4] Deep learning methods are most
effective when used with size training sets. Big in the medical field, large data sets are often not available. Preliminary studies
can be found in the medical field that uses deep architectural methods [5,6]. However, we are not aware of any work that uses
general training sets that are not physicians to identify medical imaging tasks. Moreover, we are not aware of deep
architectural methods for specific tasks of pathological examination in chest radiography. In this work, we examine the
strength of the deep learning method for pathological examination in chest radiography. We also explore the classification of
health and pathology, which is an important screening mission. In our experiments, weexploredthepossibilityofusingneural
networks (CNNs) learned from Image Net, a large medical non- medical database for medical image analysis.
Neural networks have progressedataremarkablerate,andtheyhavefoundpracticalapplicationsinvariousindustries.[1]Deep
neural networks define input for output through complex elements of layers that present building blocks, which include To
conversion and nonlinear functions [2]. Now, deep learning can solve problems that are difficult to solve with traditional
artificial intelligence [3]. A. You can use unlabeled data during training. Therefore, it is highly suitable to deal with different
information and information to learn and receive knowledge. [4]. In this work we utilize the strength of deep learning
approaches in a wide range of chest-related diseases and in addition we explore of a pre-trained CNN [8] that is learned from a
large scale reallifeand non-medical image database (ImageNet [6]). Deep learning methodsare most effectivewhenappliedon
large trainingsets. However, since such large dataare generally notavailableinthemedicaldomain,weexplorethefeasibilityof
usinga deep learning approach based on non-medical learning. We alsoapply a featureselectiontechniquetothedeeplearning
representations and show that it can improve the performance in our task. Preliminary studies canbefoundinthemedical field
that uses deep architecturemethods(e.g., [12], [3]). In our earlier work [2] weshowedinitial results on 3 pathologiesinasmall
image dataset. We used a leave-one-out (LOO) cross validation method and explored the combination of low-level features
(GIST) with features extracted fromdeeparchitecturenetwork.Inthecurrentwork,wehaveanaugmenteddatasetthatincludes
6 pathologies. We explore featureselection on a large set of features are the more informativeforthetask.Finally,weprovide
more clinically relevant results using a separate training and test set scenario.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072
© 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1501
1.1 Literature Survey
In order to examine the use of deep learning in medical diagnosis, 263 articles published in the domain have been analyzed.
The data collection process consists of extensive researchof articles that discuss theapplicationofdepthlearninginthemedical
field. These articles were downloaded and analyzed to obtainsufficienttheoreticalinformationonthesubject.Theresultsinthis
article are of natural quality and the main focus is to review the use of profound learning and to answer the research questions
outlined in the Introduction section of this article. In summary, the data collection process was conducted in four main steps:
Phase 1: Finding reliable journal articles including using keywords displayed under section 2.4 of this article. Atthispoint,the
article is thoroughly analyzed.
Phase 2: Literature analysis and article separation that are not suitable for eligibility criteria because there is no special
screening during the search process. At this point, the article has been analyzed and selected for further analysis.
Phase 3: Detailed analysis of eligible articles and qualitative data classified by purpose of review At this stage, it is possible to
have a bias towards writing and make a clear research article.
Phase 4: Qualitative data received and recorded to present information in the results of this article concisely Information is
collected in the notes, forms and records of the type of information and methods used and which applications.
The strength of the deep network is to learn how to display multiple levelsofconceptsthatareconsistentwiththeabstractlevel.
For a set of data that sees low-levelabstraction, it may explain the edgein theimage,whilethehighlayerinthenetworkrefersto
the object's part and even the type of object that looks at CNN. The deep layer, at the middle layer, is received when entering
properties created by the oldlayer and passing the output to the next layer.ThetwopopularoptionsareCNN.Recommendedby
[7] and [8] for Take the challenge of ImageNet's large image recognition [9]. ImageNet is a comprehensive, lifelike, large- scale
image database consisting of approximately 15 million images with more than 20,000 categories (such as musicalinstruments,
instruments, fruits). A few layers that learn persuasion interleavedwithnonlinearoperationsandprofitcombinations,followed
by layers in space or fully connected. Properties had drawn from the middle layer of these networks results in image
classification work. [3] In thiswork, wetestthecapabilitiesofin-depthlearningnetworksinthedetectionofchestpathology.We
separate the different details and compare among them Our main explanations were pulled out using CNN's Decaf Implement
[10] which followsCNN in [7]CNN in[10] receiving more than one million subsetsofimagesfromImageNet.Is1,000categories.
Use the symbol of [10] to display the activation of the hidden layer n of the network received as Decaf n, Class 5 (Decaf5), Tier 6
(Decaf6) and Class 7 (Decaf7) Isolated. DeCAF5 consists of 9216 activation of the final layer and is the first set of activation that
has been completely published.
In this work we can explore the outcomes of various parameters on system Performance, and show satisfactory consequences
usingLBP (Local Binary Pattern) classifier. We will make use of the strength of text, interior, exterior layers, and FeaturesDeep
learning approaches in a wide range of chest-related Sicknesses. 3. We will even explore categorization of healthful versus
pathology that is important screening mission.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072
© 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1502
The strength of the deep network is to learn how to display multiple levelsofconceptsthatareconsistentwiththeabstractlevel.
For a set of data that sees low-levelabstraction, it may explain the edgein theimage,whilethehighlayerinthenetworkrefersto
the object's part and even the type of object that looks at CNN. The deep layer, at the middle layer, is received when entering
properties created by the oldlayer and passing the output to the next layer.ThetwopopularoptionsareCNN.Recommendedby
[7] and [8] for Take the challenge of ImageNet's large image recognition [9]. ImageNet is a comprehensive, lifelike, large- scale
image database consisting of Approximately 15 million images with more than 20,000 categories(suchasmusicalinstruments,
instruments, fruits) A few layers thatlearn persuasion interleaved with nonlinear operationsandprofitcombinations,followed
by layers in space or fully connected. Properties drawn from the middle layer of these networks.createhighlyselectivefeatures
that achieve effective results in image classification work. [3] In this work, wetestthecapabilitiesofin-depthlearningnetworks
In the detection of chest pathology. We separate the different details and compare among them. Our main explanations were
pulled out using CNN's Decaf Implement [10] which follows CNN in [7] CNN in[10] receiving more than one million subsets of
images from ImageNet. Is 1,000 categories.
Use the symbol of [10] to display the activation of the hidden layer n of the network received as Decaf n, Class 5 (Decaf5), Tier 6
(Decaf6) and Class 7 (Decaf7). Isolated.DeCAF5 consists of9216 activation of the final layer and is the firstset ofactivation that
has been completely published through the layer. The Convolutional oftheDeCAF6networkconsistsoftheactivationofthefirst
fully connectedlayer - such as before propagating throughthe fully connected layer to createa class prediction.Figure 1 shows
the CNN Decaf usage map view.[10] The second basic indicator covered in this work is the "Image Code" indicator
(PiCoDes).[9] PiCoDes is a high-level, compact display of low-level features that are (SIFTs, GIST, PHOG, and SSIM) which are
optimized fora subset of ImageNet datasets with approximately 70,000 images. For PiCoDes, an offline step is executed, which
creates a classification criteria that consists ofseeds that learn aboutthelow-levelimagepropertiesreceivedfromtheImageNet
subset. The PiCodes then use this classification basis to determine the image. Recognition model for classification of object
categories by converting image data using the classification criteria in which the item in the image description is a projection.
Situation of low-level image features pulled from the image. This encoding schema yields a binary image descriptor with high
performance rates onobjectcategoryrecognition.Asabenchmarkforourapproach,wetestedmanygeneralexplanations.These
Sr.
No
Year Author-Title Approach Metrics Dataset
1 April-
2010
B. van Ginneken, L.
Hogeweg, and M.
Prokop, "Computer-
aided diagnosis in
chest radiography:
Beyond nodules,"
UsingCADdevelopmenttechniqueworkedupon
interstitial Infiltrates,cathetertipdetection,size
measurement, detection and quantification of
emphysema.
Precision,
Recall
DICOM,
Imagenet
2 April-
2012
J.M. Carrillo-de-Gea,
G. GarcĂ­a -Mateos,
"Detection of
Normality /
Pathology on Chest
Radiographs using
LBP,"
The main novelty of our contribution is the
application of transformation of Local Binary
Pattern to these areas and LBP Histograms are
used as input features for a classificationsystem
which is ultimately responsible for the decision
of normality pathology.
Specificity,
Sensitivity
DICOM,
Imagenet
3 March
2014
U. Avni, H.
Greenspan, E.
Konen, M. Sharon,
and J. Goldberger,
"X-ray
categorization and
retrieval on the
organ and
pathology level,
using patch-based
visual words,"
The system discriminationbetweenhealthyand
pathological cases, and is also shown to
successfully identify specific pathologiesina set
of chest radiograph taken from routine hospital
examination.
Precision,
Recall
DICOM,
Imagenet
4 April
2016
U. Avni, H.
Greenspan, and J.
Goldberger, "X-ray
categorization and
spatial localization
of chest
pathologies,"
The system find between healthy and
pathological cases indicates the sub region in
the image that is automatically found to the
most relevant for the decisions.
Specificity,
Sensitivity
DICOM,
Imagenet
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072
© 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1503
include local binary format (LBP) [12] and GIST [13]. GIST descriptor, which initially proposed for scene recognition [13], is
derived from the orientation data, color and intensity of the histogram. Above different levels and cell division. Classification is
performed using SVM with a linearkernelusingsingle-usevalidation.Therearethreemeasurementaccuracychecks:sensitivity,
specificityand area under the ROC curve (AUC). Sensitivity and specificity arederivedfromthemostappropriateintersectionof
the ROC. That is the point on the curve that is nearby. Most (0,1) for all properties except binary numbers. Values will be
standardized: each column has an average value removed and divided by standard deviation.
1.2 Application of our system
• Deep learning practical applications.
• Deep learning and medical diagnosis.
• Deep learning and MRI.
• Deep learning CT.
• Deep learning segmentation in medicine.
• Deep learning classification in medicine.
• Deep learning diagnosis medicine.
• Deep learning application medicine.
2. Proposed System
We use the strength of deep learning methods in various chest related diseases. We also explore the classification of health and
pathology, which is an important screening mission. We explore empirically how to use CNN for these tasks, focusing on CNN
that has been trained before, learning from real and non-medical images. CNN consists of a feed-forward family of deep
networks, where the intermediate layer is received when entering properties created bythe old layer andpassingtheoutputto
the next layer. The depth of the network is deep in learning. Know the hierarchy layers of concepts that correspond to different
levels of abstraction. For low-level image data, abstract things may describe different edges in the image. The middle level may
describe various parts of the object, while the high layer refers to the larger part of the object and even the object itself. In this
event, we test the ability of the deep learning network to detect chest pathology. We focus on the CNN model that has been
practiced before Decaf [12], the CNN adaptation, which follows CNN, which was created by Krizhevsky and the faculty
closely.[13] Except for small differences in input data and Cancellation of network breaks into two CNN routes in [12, 13] has
been learned through a subset of images from ImageNet [14], which is a comprehensive real-life large image database (> 20M)
arranged according to Concepts / Categories (> 10K ) Especially [12] learning CNN in over one million images that are divided
into 1,000 categories. To represent an image using the BoVW model, it must be treated as a document, which means that the
image is considered to be an image composition. We therefore need to search for these image elements
Figure 1 Proposed System
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072
© 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1504
And separate their areas to create a word dictionary. When we create a word dictionary that is visible, the image can be
displayed as a histogram of the visual term based on the collection of the machine, providing a local description.
Steps in our proposed method
1.Separate patches from each training image
2.Application of core component analysis (PCA) to reduce data dimensions
3. To reduce noise levels and computational complexity
4. Adding patch center coordinates to property vectors
5.Using spatial data to display images
6. The combination of all modified data sets using K-mean is a representation of the image that created the K-Mean
dictionary as a general grouping method that groups the input attribute vectors into the K group at their centers.
• Training set Module - ANN access and prepares data for creating neural network. Configure the network input and
outputs and train the network. Validate network result.
• Testing set Module – Test the image with train system and Integrate the network into a production system.
• Feature Extraction Module- Object Recognition using Speeded-Up Robust Features (SURF) is composed of three steps -
feature extraction, feature description, and feature matching.TheBoVWimage representation is adapted from the bag-of-
words (BoW) representation of text documents
• Classification Module- Local Binary Pattern (LBP) is classify the efficient and pixel wise LBP with medical and non
medical image.
3. Experimental Setup
Our data set contains 443 chest X-ray images (DICOMformat).TheimagesareobtainedfromthediagnosticdepartmentofSheba
Medical Center (Tel-Hashomer Israel). Two radiologists interpret X-rays and this is a reference gold standard. Radiologists
inspect all images freely. Then they talked and achieved consensus on the label of every image. For each type of image and
pathology, there are labels, positive or negative values. The picture shows 3 conditions: chest pathology: Effural right lung (44
images), Cardiomegaly (99 images) andabnormal Mediastinum (110 images). Overall,the data set contains 219 imageswithat
least one pathological condition. Digital images are cropped and centered. The images are of variable size. They are cropped,
centered and contain several artifacts such as reading directives (e.g. arrows, left/right indicators) and medical equipment but
otherwise were notpreprocessed(e.g.equalization).WehavereplicatedtheIntensitychanneltosupporttheCNN3-channelRGB
input data expectations. The pertained CNN resizes the images intospecificacceptedresolutionautomatically.Theimageswere
collected from the Diagnostic Imaging Department of Sheba Medical Center, Tel Hashomer, Israel. Gold standard was achieved
using image interpretation done by two expert radiologists. The radiologists examinedalloftheimagesindependentlyandthen
reached a decision regarding the label of every image. For each image and pathology type, a positive or negative label was
assigned. The images depict 6 chest pathology conditions:
Right Pleural Effusion (73 images), Left Pleural Effusion (74 images), Right Consolidation (58 images), Left Consolidation (45
images), Cardiomegaly (154 images) and Abnormal Mediastinum(145images).Overall,thedatasetcontains325imageswith at
least one pathologycondition. We split the data randomly into a training setof443imagesandanindependenttestingsetof 194
images, reflecting a 70-30 split.
The Laplacian of an image highlights regions of rapid intensity change and therefore often used for edge detection and image
enhancement. Following are the steps of LoG algorithm:
1. Gaussian and Laplacian Pyramid used.
2. Noise filtering and smoothing the image.
3. Finding the edge direction.
4. Tracing the edge as per direction.
5. Use thresholding to eliminate streaking
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072
© 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1505
Object Recognition using Speeded-Up Robust Features (SURF) is composed of three steps - feature extraction, features
description, and feature matching. Following are the steps of SURF algorithm:
1. Interest point detection.
2. Local neighborhood description.
3. Matching pairs.
A local binary pattern (LBP) is a sort of visible descriptor used for class in pc vision. It has consideringthatbeenobservedtobe
a powerful characteristic for texture type. It has further been determined that once LBP is mixed with the Histogram of
oriented gradients (HOG) descriptor, it improves the detection performance considerably on some datasets. This classifies
whether image is medical and non-medical.
We next conduct a performance comparison across the feature sets used, on a set of binary categorization task, per pathology.
For each task, cases diagnosed with the examined pathology were labeled as positive cases, while cases that were not
diagnosed with this pathology were labeled as negative cases. Classification was performed using a Support Vector Machine
(SVM) with a non-linear intersection kernel. We build a model from the training set and evaluate it on thetestingset.Accuracy
measures that were examined include: sensitivity, specificity and the area under the ROC curve (AUC). Sensitivity and
Specificity are derived based on the optimal cut point on the ROC the point on the curve closest to (0,1).
Figure 2 LBP Histogram
Figure 3 Classification of Pathology Image
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072
© 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1506
Table 1 Confusion Matrix Table
Prediction Outcome
Actual
Value
Pathology Non-
Pathology
Pathology TP (105) FN (04)
Non-
Pathology
FP (03) TN (20)
Table 2 Key Index Parameters
Accuracy Precision Specificity
95.62 % 96.57 % 92.91 %
Figure 4 Result Values
Table 3 System Analysis
Accuracy Precision Specificity
Pathology Existing 90% 83.75% 84%
Detection System
With
Deep
Learning
Improved
Method
95.62% 96.57% 92.91%
4. CONCLUSION
In conclusion, in this work will present a system for the medical application of chest pathology detection in radiography
images which makes use of ANN that is discovered from a non-clinical dataset (Image Net) and scientific dataset (DICOM).
Chest radiography are the maximum not unusual exam in radiology. They will critical for the management of various
sicknesses related to excessive mortality and show a wide variety of capacity factsunlikepreviouswork ontheusageofper-
trained CNN and GIST as a feature extraction method. In our case ANN and SURF will use the main illustration. This will
represent alone is an effective off-the-shelf descriptor for chestx-rayretrieval tasks.Inourcasewill SURFandLBPassuming
that the combination captures information that classifies functions or features. These will a standard technique this is
additionally applicable to other medical type responsibilities. By obtain features of medical snaps will generate layers for
neurons and classify image as Healthy or Pathology image according the diseases. Artificial neural networks (ANN) deep
architecture class techniques have won recognition due to their potential to study mid and high degree image
representations with provide more accurate result.
International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056
Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072
© 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1507
REFERENCES
[1]Vrushali Rajesh Dhanokar, Prof. A. S Gaikwad "Classifying Chest Pathology Images Using Deep Learning Techniques",
International Journal of Science & Engineering Development Research , ISSN:2455-2631, Vol.4, Issue 12, page no.80 - 84,
December-2019.
[2] B. van Ginneken, L. Hogeweg, and M. Prokop, "Computer-aided diagnosis in chest radiography: Beyond nodules,"
European Journal of Radiology, vol. 72, no. 2, pp. 226- 230, 2010.
[3] J.M. Carrillo-de-Gea, G. GarcĂ­a -Mateos, "Detection of Normality / Pathology on Chest Radiographs using LBP," In
Bioinformatics, pp. 167-172, 2012
[4] U. Avni, H. Greenspan, E. Konen, M. Sharon, and J. Goldberger, "X-ray categorization and retrieval on the organ and
pathology level, using patch-based visual words," IEEE Transactions on Medical Imaging, vol. 30, no. 3, pp. 733-746, 2014.
[5]Yaniv Bar, Idit Diamant, Lior Wolf, Sivan Lieberman “Chest Pathology Detection using Deep Learning with Non- Medical
Training”, IEEE 2015.
[6] ] U. Avni, H. Greenspan, and J. Goldberger, "X-ray categorization and spatial localization of chest pathologies," Medical
Image Computing and Computer-Assisted Intervention–MICCAI, Springer Berlin Heidelberg, pp. 199-206, 2016.
[7] G. Csurka, C. Dance, L. Fan, J. Willamowski, and C. Bray, "Visual categorization with bags of keypoints," Workshop on
statistical learning in computer vision, ECCV, vol. 1, no. 1-22, pp. 1-2, 2004.
[8] Y. LeCun, K. Kavukcuoglu, and C. Farabet, "Convolutional networks and applications in vision," Proceedings of IEEE
International Symposium on Circuits and Systems (ISCAS), pp. 253-256, 2010.
[9] A.S. Razavian, H. Azizpour, J. Sullivan, and S. Carlsson, "CNN Features off-the- shelf: an Astounding Baseline for
Recognition," IEEE Conference on Computer Vision and Pattern Recognition Workshops (CVPRW), pp. 512-519, 2014.
[10] M. Oquab, L. Bottou, I. Laptev, and J. Sivic, "Learning and transferring mid-level image representations using
convolutional neural networks," IEEEConferenceonComputerVisionandPatternRecognition(CVPR),pp.1717-1724,2014.
[11] A. Prasoon, K. Petersen, C. Igel, F. Lauze, E. Dam, and M. Nielsen, "Deep feature learning for knee cartilage segmentation
using a triplanar convolutional neural network," Medical Image Computing and Computer-Assisted Intervention–MICCAI,
Springer Berlin Heidelberg , pp. 246-253, 2013.
[12] D. C. CireĹźan, A. Giusti, L. M. Gambardella, and J. Schmidhuber, "Mitosis detection in breast cancerhistologyimageswith
deep neural networks," Medical Image ComputingandComputer-AssistedIntervention–MICCAI,SpringerBerlinHeidelberg,
pp. 411-418, 2013.
[13] J. Donahue, Y. Jia, O. Vinyals, J. Hoffman, N. Zhang, E. Tzeng, and T. Darrell. "Decaf: A deep convolutional activation
feature for generic visual recognition," arXiv preprint arXiv:1310.1531, 2013.
[14] A. Krizhevsky, I. Sutskever, and G. E. Hinton, "Imagenet classification with deep convolutional neural networks,"
Advances in neural information processing systems, pp. 1097-1105, 2012.

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IRJET- Classifying Chest Pathology Images using Deep Learning Techniques

  • 1. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072 © 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1500 Classifying Chest Pathology Images using Deep Learning Techniques Vrushali Dhanokar1, Prof. A.S. Gaikwad2 1M.tech Student, Deogiri College of Engineering and Management studies, Aurangabad. 2Professor, Deogiri College of Engineering and Management studies, Aurangabad. ----------------------------------------------------------------------***--------------------------------------------------------------------- Abstract - Chest radiographs are the most common examination in radiology intoday’sera. Theyareessentialandveryhelpfulfor the management of various diseases associated with high mortality and display a wide range of potential information about various diseases, many of which is subtle. Most of the research in computer-aided detection and diagnosis in CNN in chest radiography has focused on lung nodule detection. Although the target of most research attention, lung nodules and chest are a relatively rare finding in the lungs. The most common findings in chest X-rays include lung infiltrates and Cardiomegaly, Mediastinum of the size of the large heart. Distinguishing the various chest pathologies is a difficult task even to the human observer and also for radiologist. Therefore, there is an interest in developing computer system diagnosis to assist radiologists in reading chest images through machine. The healthy versus pathology detection i.e. Tuberculosis and Cardiomegaly in chest radiography was explored using Laplacian of Gaussian (LoG), Local Binary Patterns (LBP), Speed up Robust Features(SURF)and also used the Bag-of-Visual-Words (BoVW) model using Artificial Neural Network (ANN) technique that discriminates between healthy pathological cases. Key Words: Artificial Neural Network, Chest Radiographs, Deep Learning, Feature Selection, Image Enhancement. 1. INTRODUCTION Chest radiography is a preferred examination of radiology. They are critical for the management of diseases related to high mortality and show a variety of capability records, maximum of which might be sensitive data. Most research on pc-assisted detection and analysis in chest radiography has focused on lung tumor detection. Although the intention of maximum researches, the hobby of acne lumps is rare in the lungs. The maximum not unusual locating in chest X-rays, together with the infiltration of the lungs, catheters and abnormalities in the size or shape of the heart guy. Therefore, there's an hobby in developing system diagnostics to help radiologists in reading chest pictures. Deep neural networks have acquired extremely good interest because of the improvement of new species CNN and the development of green parallel softwareprogramthatis appropriate for modern GPUs. Therefore, there is a passioningrowingsystemdiagnosticstohelpradiologistsinstudyingchest photos. Deep neural networks have obtained awesome interest because of the improvement of latest species CNN and the improvement of efficient parallel software that is appropriate for present day GPUs. (CNNs) that show intermediate and advanced abstracts obtained from raw data (suchasimages)[2].Thelatest resultsindicatethat thegeneral explanationsdrawn from CNN are very effective in object recognition and are now leading technology. [3, 4] Deep learning methods are most effective when used with size training sets. Big in the medical field, large data sets are often not available. Preliminary studies can be found in the medical field that uses deep architectural methods [5,6]. However, we are not aware of any work that uses general training sets that are not physicians to identify medical imaging tasks. Moreover, we are not aware of deep architectural methods for specific tasks of pathological examination in chest radiography. In this work, we examine the strength of the deep learning method for pathological examination in chest radiography. We also explore the classification of health and pathology, which is an important screening mission. In our experiments, weexploredthepossibilityofusingneural networks (CNNs) learned from Image Net, a large medical non- medical database for medical image analysis. Neural networks have progressedataremarkablerate,andtheyhavefoundpracticalapplicationsinvariousindustries.[1]Deep neural networks define input for output through complex elements of layers that present building blocks, which include To conversion and nonlinear functions [2]. Now, deep learning can solve problems that are difficult to solve with traditional artificial intelligence [3]. A. You can use unlabeled data during training. Therefore, it is highly suitable to deal with different information and information to learn and receive knowledge. [4]. In this work we utilize the strength of deep learning approaches in a wide range of chest-related diseases and in addition we explore of a pre-trained CNN [8] that is learned from a large scale reallifeand non-medical image database (ImageNet [6]). Deep learning methodsare most effectivewhenappliedon large trainingsets. However, since such large dataare generally notavailableinthemedicaldomain,weexplorethefeasibilityof usinga deep learning approach based on non-medical learning. We alsoapply a featureselectiontechniquetothedeeplearning representations and show that it can improve the performance in our task. Preliminary studies canbefoundinthemedical field that uses deep architecturemethods(e.g., [12], [3]). In our earlier work [2] weshowedinitial results on 3 pathologiesinasmall image dataset. We used a leave-one-out (LOO) cross validation method and explored the combination of low-level features (GIST) with features extracted fromdeeparchitecturenetwork.Inthecurrentwork,wehaveanaugmenteddatasetthatincludes 6 pathologies. We explore featureselection on a large set of features are the more informativeforthetask.Finally,weprovide more clinically relevant results using a separate training and test set scenario.
  • 2. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072 © 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1501 1.1 Literature Survey In order to examine the use of deep learning in medical diagnosis, 263 articles published in the domain have been analyzed. The data collection process consists of extensive researchof articles that discuss theapplicationofdepthlearninginthemedical field. These articles were downloaded and analyzed to obtainsufficienttheoreticalinformationonthesubject.Theresultsinthis article are of natural quality and the main focus is to review the use of profound learning and to answer the research questions outlined in the Introduction section of this article. In summary, the data collection process was conducted in four main steps: Phase 1: Finding reliable journal articles including using keywords displayed under section 2.4 of this article. Atthispoint,the article is thoroughly analyzed. Phase 2: Literature analysis and article separation that are not suitable for eligibility criteria because there is no special screening during the search process. At this point, the article has been analyzed and selected for further analysis. Phase 3: Detailed analysis of eligible articles and qualitative data classified by purpose of review At this stage, it is possible to have a bias towards writing and make a clear research article. Phase 4: Qualitative data received and recorded to present information in the results of this article concisely Information is collected in the notes, forms and records of the type of information and methods used and which applications. The strength of the deep network is to learn how to display multiple levelsofconceptsthatareconsistentwiththeabstractlevel. For a set of data that sees low-levelabstraction, it may explain the edgein theimage,whilethehighlayerinthenetworkrefersto the object's part and even the type of object that looks at CNN. The deep layer, at the middle layer, is received when entering properties created by the oldlayer and passing the output to the next layer.ThetwopopularoptionsareCNN.Recommendedby [7] and [8] for Take the challenge of ImageNet's large image recognition [9]. ImageNet is a comprehensive, lifelike, large- scale image database consisting of approximately 15 million images with more than 20,000 categories (such as musicalinstruments, instruments, fruits). A few layers that learn persuasion interleavedwithnonlinearoperationsandprofitcombinations,followed by layers in space or fully connected. Properties had drawn from the middle layer of these networks results in image classification work. [3] In thiswork, wetestthecapabilitiesofin-depthlearningnetworksinthedetectionofchestpathology.We separate the different details and compare among them Our main explanations were pulled out using CNN's Decaf Implement [10] which followsCNN in [7]CNN in[10] receiving more than one million subsetsofimagesfromImageNet.Is1,000categories. Use the symbol of [10] to display the activation of the hidden layer n of the network received as Decaf n, Class 5 (Decaf5), Tier 6 (Decaf6) and Class 7 (Decaf7) Isolated. DeCAF5 consists of 9216 activation of the final layer and is the first set of activation that has been completely published. In this work we can explore the outcomes of various parameters on system Performance, and show satisfactory consequences usingLBP (Local Binary Pattern) classifier. We will make use of the strength of text, interior, exterior layers, and FeaturesDeep learning approaches in a wide range of chest-related Sicknesses. 3. We will even explore categorization of healthful versus pathology that is important screening mission.
  • 3. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072 © 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1502 The strength of the deep network is to learn how to display multiple levelsofconceptsthatareconsistentwiththeabstractlevel. For a set of data that sees low-levelabstraction, it may explain the edgein theimage,whilethehighlayerinthenetworkrefersto the object's part and even the type of object that looks at CNN. The deep layer, at the middle layer, is received when entering properties created by the oldlayer and passing the output to the next layer.ThetwopopularoptionsareCNN.Recommendedby [7] and [8] for Take the challenge of ImageNet's large image recognition [9]. ImageNet is a comprehensive, lifelike, large- scale image database consisting of Approximately 15 million images with more than 20,000 categories(suchasmusicalinstruments, instruments, fruits) A few layers thatlearn persuasion interleaved with nonlinear operationsandprofitcombinations,followed by layers in space or fully connected. Properties drawn from the middle layer of these networks.createhighlyselectivefeatures that achieve effective results in image classification work. [3] In this work, wetestthecapabilitiesofin-depthlearningnetworks In the detection of chest pathology. We separate the different details and compare among them. Our main explanations were pulled out using CNN's Decaf Implement [10] which follows CNN in [7] CNN in[10] receiving more than one million subsets of images from ImageNet. Is 1,000 categories. Use the symbol of [10] to display the activation of the hidden layer n of the network received as Decaf n, Class 5 (Decaf5), Tier 6 (Decaf6) and Class 7 (Decaf7). Isolated.DeCAF5 consists of9216 activation of the final layer and is the firstset ofactivation that has been completely published through the layer. The Convolutional oftheDeCAF6networkconsistsoftheactivationofthefirst fully connectedlayer - such as before propagating throughthe fully connected layer to createa class prediction.Figure 1 shows the CNN Decaf usage map view.[10] The second basic indicator covered in this work is the "Image Code" indicator (PiCoDes).[9] PiCoDes is a high-level, compact display of low-level features that are (SIFTs, GIST, PHOG, and SSIM) which are optimized fora subset of ImageNet datasets with approximately 70,000 images. For PiCoDes, an offline step is executed, which creates a classification criteria that consists ofseeds that learn aboutthelow-levelimagepropertiesreceivedfromtheImageNet subset. The PiCodes then use this classification basis to determine the image. Recognition model for classification of object categories by converting image data using the classification criteria in which the item in the image description is a projection. Situation of low-level image features pulled from the image. This encoding schema yields a binary image descriptor with high performance rates onobjectcategoryrecognition.Asabenchmarkforourapproach,wetestedmanygeneralexplanations.These Sr. No Year Author-Title Approach Metrics Dataset 1 April- 2010 B. van Ginneken, L. Hogeweg, and M. Prokop, "Computer- aided diagnosis in chest radiography: Beyond nodules," UsingCADdevelopmenttechniqueworkedupon interstitial Infiltrates,cathetertipdetection,size measurement, detection and quantification of emphysema. Precision, Recall DICOM, Imagenet 2 April- 2012 J.M. Carrillo-de-Gea, G. GarcĂ­a -Mateos, "Detection of Normality / Pathology on Chest Radiographs using LBP," The main novelty of our contribution is the application of transformation of Local Binary Pattern to these areas and LBP Histograms are used as input features for a classificationsystem which is ultimately responsible for the decision of normality pathology. Specificity, Sensitivity DICOM, Imagenet 3 March 2014 U. Avni, H. Greenspan, E. Konen, M. Sharon, and J. Goldberger, "X-ray categorization and retrieval on the organ and pathology level, using patch-based visual words," The system discriminationbetweenhealthyand pathological cases, and is also shown to successfully identify specific pathologiesina set of chest radiograph taken from routine hospital examination. Precision, Recall DICOM, Imagenet 4 April 2016 U. Avni, H. Greenspan, and J. Goldberger, "X-ray categorization and spatial localization of chest pathologies," The system find between healthy and pathological cases indicates the sub region in the image that is automatically found to the most relevant for the decisions. Specificity, Sensitivity DICOM, Imagenet
  • 4. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072 © 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1503 include local binary format (LBP) [12] and GIST [13]. GIST descriptor, which initially proposed for scene recognition [13], is derived from the orientation data, color and intensity of the histogram. Above different levels and cell division. Classification is performed using SVM with a linearkernelusingsingle-usevalidation.Therearethreemeasurementaccuracychecks:sensitivity, specificityand area under the ROC curve (AUC). Sensitivity and specificity arederivedfromthemostappropriateintersectionof the ROC. That is the point on the curve that is nearby. Most (0,1) for all properties except binary numbers. Values will be standardized: each column has an average value removed and divided by standard deviation. 1.2 Application of our system • Deep learning practical applications. • Deep learning and medical diagnosis. • Deep learning and MRI. • Deep learning CT. • Deep learning segmentation in medicine. • Deep learning classification in medicine. • Deep learning diagnosis medicine. • Deep learning application medicine. 2. Proposed System We use the strength of deep learning methods in various chest related diseases. We also explore the classification of health and pathology, which is an important screening mission. We explore empirically how to use CNN for these tasks, focusing on CNN that has been trained before, learning from real and non-medical images. CNN consists of a feed-forward family of deep networks, where the intermediate layer is received when entering properties created bythe old layer andpassingtheoutputto the next layer. The depth of the network is deep in learning. Know the hierarchy layers of concepts that correspond to different levels of abstraction. For low-level image data, abstract things may describe different edges in the image. The middle level may describe various parts of the object, while the high layer refers to the larger part of the object and even the object itself. In this event, we test the ability of the deep learning network to detect chest pathology. We focus on the CNN model that has been practiced before Decaf [12], the CNN adaptation, which follows CNN, which was created by Krizhevsky and the faculty closely.[13] Except for small differences in input data and Cancellation of network breaks into two CNN routes in [12, 13] has been learned through a subset of images from ImageNet [14], which is a comprehensive real-life large image database (> 20M) arranged according to Concepts / Categories (> 10K ) Especially [12] learning CNN in over one million images that are divided into 1,000 categories. To represent an image using the BoVW model, it must be treated as a document, which means that the image is considered to be an image composition. We therefore need to search for these image elements Figure 1 Proposed System
  • 5. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072 © 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1504 And separate their areas to create a word dictionary. When we create a word dictionary that is visible, the image can be displayed as a histogram of the visual term based on the collection of the machine, providing a local description. Steps in our proposed method 1.Separate patches from each training image 2.Application of core component analysis (PCA) to reduce data dimensions 3. To reduce noise levels and computational complexity 4. Adding patch center coordinates to property vectors 5.Using spatial data to display images 6. The combination of all modified data sets using K-mean is a representation of the image that created the K-Mean dictionary as a general grouping method that groups the input attribute vectors into the K group at their centers. • Training set Module - ANN access and prepares data for creating neural network. Configure the network input and outputs and train the network. Validate network result. • Testing set Module – Test the image with train system and Integrate the network into a production system. • Feature Extraction Module- Object Recognition using Speeded-Up Robust Features (SURF) is composed of three steps - feature extraction, feature description, and feature matching.TheBoVWimage representation is adapted from the bag-of- words (BoW) representation of text documents • Classification Module- Local Binary Pattern (LBP) is classify the efficient and pixel wise LBP with medical and non medical image. 3. Experimental Setup Our data set contains 443 chest X-ray images (DICOMformat).TheimagesareobtainedfromthediagnosticdepartmentofSheba Medical Center (Tel-Hashomer Israel). Two radiologists interpret X-rays and this is a reference gold standard. Radiologists inspect all images freely. Then they talked and achieved consensus on the label of every image. For each type of image and pathology, there are labels, positive or negative values. The picture shows 3 conditions: chest pathology: Effural right lung (44 images), Cardiomegaly (99 images) andabnormal Mediastinum (110 images). Overall,the data set contains 219 imageswithat least one pathological condition. Digital images are cropped and centered. The images are of variable size. They are cropped, centered and contain several artifacts such as reading directives (e.g. arrows, left/right indicators) and medical equipment but otherwise were notpreprocessed(e.g.equalization).WehavereplicatedtheIntensitychanneltosupporttheCNN3-channelRGB input data expectations. The pertained CNN resizes the images intospecificacceptedresolutionautomatically.Theimageswere collected from the Diagnostic Imaging Department of Sheba Medical Center, Tel Hashomer, Israel. Gold standard was achieved using image interpretation done by two expert radiologists. The radiologists examinedalloftheimagesindependentlyandthen reached a decision regarding the label of every image. For each image and pathology type, a positive or negative label was assigned. The images depict 6 chest pathology conditions: Right Pleural Effusion (73 images), Left Pleural Effusion (74 images), Right Consolidation (58 images), Left Consolidation (45 images), Cardiomegaly (154 images) and Abnormal Mediastinum(145images).Overall,thedatasetcontains325imageswith at least one pathologycondition. We split the data randomly into a training setof443imagesandanindependenttestingsetof 194 images, reflecting a 70-30 split. The Laplacian of an image highlights regions of rapid intensity change and therefore often used for edge detection and image enhancement. Following are the steps of LoG algorithm: 1. Gaussian and Laplacian Pyramid used. 2. Noise filtering and smoothing the image. 3. Finding the edge direction. 4. Tracing the edge as per direction. 5. Use thresholding to eliminate streaking
  • 6. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072 © 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1505 Object Recognition using Speeded-Up Robust Features (SURF) is composed of three steps - feature extraction, features description, and feature matching. Following are the steps of SURF algorithm: 1. Interest point detection. 2. Local neighborhood description. 3. Matching pairs. A local binary pattern (LBP) is a sort of visible descriptor used for class in pc vision. It has consideringthatbeenobservedtobe a powerful characteristic for texture type. It has further been determined that once LBP is mixed with the Histogram of oriented gradients (HOG) descriptor, it improves the detection performance considerably on some datasets. This classifies whether image is medical and non-medical. We next conduct a performance comparison across the feature sets used, on a set of binary categorization task, per pathology. For each task, cases diagnosed with the examined pathology were labeled as positive cases, while cases that were not diagnosed with this pathology were labeled as negative cases. Classification was performed using a Support Vector Machine (SVM) with a non-linear intersection kernel. We build a model from the training set and evaluate it on thetestingset.Accuracy measures that were examined include: sensitivity, specificity and the area under the ROC curve (AUC). Sensitivity and Specificity are derived based on the optimal cut point on the ROC the point on the curve closest to (0,1). Figure 2 LBP Histogram Figure 3 Classification of Pathology Image
  • 7. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072 © 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1506 Table 1 Confusion Matrix Table Prediction Outcome Actual Value Pathology Non- Pathology Pathology TP (105) FN (04) Non- Pathology FP (03) TN (20) Table 2 Key Index Parameters Accuracy Precision Specificity 95.62 % 96.57 % 92.91 % Figure 4 Result Values Table 3 System Analysis Accuracy Precision Specificity Pathology Existing 90% 83.75% 84% Detection System With Deep Learning Improved Method 95.62% 96.57% 92.91% 4. CONCLUSION In conclusion, in this work will present a system for the medical application of chest pathology detection in radiography images which makes use of ANN that is discovered from a non-clinical dataset (Image Net) and scientific dataset (DICOM). Chest radiography are the maximum not unusual exam in radiology. They will critical for the management of various sicknesses related to excessive mortality and show a wide variety of capacity factsunlikepreviouswork ontheusageofper- trained CNN and GIST as a feature extraction method. In our case ANN and SURF will use the main illustration. This will represent alone is an effective off-the-shelf descriptor for chestx-rayretrieval tasks.Inourcasewill SURFandLBPassuming that the combination captures information that classifies functions or features. These will a standard technique this is additionally applicable to other medical type responsibilities. By obtain features of medical snaps will generate layers for neurons and classify image as Healthy or Pathology image according the diseases. Artificial neural networks (ANN) deep architecture class techniques have won recognition due to their potential to study mid and high degree image representations with provide more accurate result.
  • 8. International Research Journal of Engineering and Technology (IRJET) e-ISSN: 2395-0056 Volume: 07 Issue: 01 | Jan 2020 www.irjet.net p-ISSN: 2395-0072 © 2020, IRJET | Impact Factor value: 7.34 | ISO 9001:2008 Certified Journal | Page 1507 REFERENCES [1]Vrushali Rajesh Dhanokar, Prof. A. S Gaikwad "Classifying Chest Pathology Images Using Deep Learning Techniques", International Journal of Science & Engineering Development Research , ISSN:2455-2631, Vol.4, Issue 12, page no.80 - 84, December-2019. [2] B. van Ginneken, L. Hogeweg, and M. Prokop, "Computer-aided diagnosis in chest radiography: Beyond nodules," European Journal of Radiology, vol. 72, no. 2, pp. 226- 230, 2010. [3] J.M. Carrillo-de-Gea, G. GarcĂ­a -Mateos, "Detection of Normality / Pathology on Chest Radiographs using LBP," In Bioinformatics, pp. 167-172, 2012 [4] U. Avni, H. Greenspan, E. Konen, M. Sharon, and J. Goldberger, "X-ray categorization and retrieval on the organ and pathology level, using patch-based visual words," IEEE Transactions on Medical Imaging, vol. 30, no. 3, pp. 733-746, 2014. [5]Yaniv Bar, Idit Diamant, Lior Wolf, Sivan Lieberman “Chest Pathology Detection using Deep Learning with Non- Medical Training”, IEEE 2015. [6] ] U. Avni, H. Greenspan, and J. Goldberger, "X-ray categorization and spatial localization of chest pathologies," Medical Image Computing and Computer-Assisted Intervention–MICCAI, Springer Berlin Heidelberg, pp. 199-206, 2016. [7] G. Csurka, C. Dance, L. Fan, J. Willamowski, and C. Bray, "Visual categorization with bags of keypoints," Workshop on statistical learning in computer vision, ECCV, vol. 1, no. 1-22, pp. 1-2, 2004. [8] Y. LeCun, K. Kavukcuoglu, and C. Farabet, "Convolutional networks and applications in vision," Proceedings of IEEE International Symposium on Circuits and Systems (ISCAS), pp. 253-256, 2010. [9] A.S. Razavian, H. Azizpour, J. Sullivan, and S. Carlsson, "CNN Features off-the- shelf: an Astounding Baseline for Recognition," IEEE Conference on Computer Vision and Pattern Recognition Workshops (CVPRW), pp. 512-519, 2014. [10] M. Oquab, L. Bottou, I. Laptev, and J. Sivic, "Learning and transferring mid-level image representations using convolutional neural networks," IEEEConferenceonComputerVisionandPatternRecognition(CVPR),pp.1717-1724,2014. [11] A. Prasoon, K. Petersen, C. Igel, F. Lauze, E. Dam, and M. Nielsen, "Deep feature learning for knee cartilage segmentation using a triplanar convolutional neural network," Medical Image Computing and Computer-Assisted Intervention–MICCAI, Springer Berlin Heidelberg , pp. 246-253, 2013. [12] D. C. CireĹźan, A. Giusti, L. M. Gambardella, and J. Schmidhuber, "Mitosis detection in breast cancerhistologyimageswith deep neural networks," Medical Image ComputingandComputer-AssistedIntervention–MICCAI,SpringerBerlinHeidelberg, pp. 411-418, 2013. [13] J. Donahue, Y. Jia, O. Vinyals, J. Hoffman, N. Zhang, E. Tzeng, and T. Darrell. "Decaf: A deep convolutional activation feature for generic visual recognition," arXiv preprint arXiv:1310.1531, 2013. [14] A. Krizhevsky, I. Sutskever, and G. E. Hinton, "Imagenet classification with deep convolutional neural networks," Advances in neural information processing systems, pp. 1097-1105, 2012.