The document discusses using a convolutional neural network (CNN) to classify chest x-ray images as having a diagnosable condition or not. It describes preprocessing the NIH chest x-ray dataset, performing a t-test to determine mean grayscale values differ between normal and abnormal images, developing and training a CNN model, and evaluating the model's performance. The CNN model achieved 63.13% validation accuracy, outperforming pre-trained ResNet50 and MobileNet models fine-tuned on the task. Future work involves further tuning and evaluating the CNN for classifying specific disease types.

1. CONVOLUTIONAL DEEP LEARNING
NEURAL NETWORK FOR RADIOLOGICAL
CHEST X-RAY DIAGNOSIS
ISDS 577 Capstone Seminar
Guided by Professor Daniel Soper
Team Members: Skandha Chinta,
Scott Cunningham, Apurva Desai,
Saket Dhamne

2. CAN A CONVOLUTIONAL NEURAL NETWORK BE USED
TO DETERMINE IF A PATIENT X-RAY HAS A
DIAGNOSABLE CONDITION?
One Tailed T-Test:
Is the mean grayscale value of an X-Ray with
a condition present > than the mean gray
scale value of a X-Ray with no condition?
Image Classification (Deep Learning CNN):
Identify whether an X-Ray has a diagnosable
condition with reasonable accuracy.
Research on identifying specific types of cancer

3. DATASET FROM NATIONAL INSTITUTE
OF HEALTH
108,948 X-Ray images
from 32,717 unique
patients from one hospital.
01
14 disease categories
image findings and
normal.
02
Made publicly available in
September 2017 for
research purposes.
03

4. NEURAL NETWORKS
o Assigns weights to input values and
runs through a ‘black box’ of
interconnected data points to
determine which nodes should receive
greatest weights for a given output set.
o Several types of Neural Networks for
different applications.
o Attributes of Convolutional Neural
Networks
• Difficult to train
• Very good at image classification

5. GOOGLE COLABORATORY
Google’s online testing space
(much like Jupyter)
Uses Gigabyte processors
free
Vastly reduces processing time with
millions of calculations
Python lab

6. DATA PRE-PROCESSING
Process Reason
Width x Height matching Consistency,
Aspect Ratio is off
AP Labeling AP is preferred over PA
Unique Patients To avoid bias
Latest patient images To avoid bias
Unusual and inaccurate
X-Rays
Eg: You guessed it right, a
PELVIS!
Data Reduction

7. PRE-
PROCESSING
: T-TEST
• Need to prepare data for T-Test:
• Transform images to mean
grayscale values
• Per image and per cancer type
• Separate into cancer types
• Check outliers, skewness, kurtosis
• Use Histograms, Boxplots and IQR

8. CHECK ON OUTLIERS, KURTOSIS, SKEWNESS
No_Findings
Quartile 1 112.5463085
Quartile 3 130.4091029
Inter-Quartile Range 17.8627944
Upper bound 157.2032945
Lower bound 85.75211692
Findings
Quartile 1 111.5376172
Quartile 3 128.6265164
Inter-Quartile Range 17.08889915
Upper bound 154.2598651
Lower bound 85.90426848

9. CHECK ON OUTLIERS, KURTOSIS, SKEWNESS

10. PRE-PROCESSING: NEURAL NETWORK
Convert all images from
.png to .jpg
Photoshop image filters to
emphasize disease
characteristics
• Crop, Median filter, Smart
Sharpen (edges)
• Exported images in only 2
colors (black & white)
Separated images into
Training (70%) and Testing
(30%)
• Within each divided by
Findings & No Findings
• Compatibility with
neural network
code

11. T-TEST ON THE BASIS OF VISUAL
PERCEPTION
Grayscale
Normal
Lung
Diseased
Lung

12. F-TEST TO PERFORM
THE CORRECT T-TEST
• Comparison of
Variance
• If F-Test Value ~= F
Critical Value
We choose T-Test for
two samples assuming
equal variances.

13. T-TEST
HYPOTHESIS:
• Null Hypothesis based on
Descriptive Statistics
H0 : μgNF >= μgF
• Alternate Hypothesis based on
Visual Perception
HA : μgNF < μgF

14. T-TEST RESULTS
• Reject the Null Hypothesis with
1% significance level.
• Mean grayscale value of diseased Lung X-
ray
is greater than that of a normal Lung X-
Ray.
• Although T-Test is a statistical test
different from image-classification
techniques, it can be considered a basis
for visual perception.

15. NEURAL NETWORK
Neural Network architecture for image processing
using Keras library

16. STEP 1: BUILDING A
CONVOLUTIONAL
LAYER
Number of
Convolutional
Layers - 5
01
Conv2D Function:
• Number of Input filters
varies with the
Convolutional Layer
• Kernel Size
• Activation function =
‘RELU’ (Rectified Linear
Unit)
02

17. STEP 2: POOLING
• Pooling layer is used to aggregate
information within a small region
of input features and then down
sampling the results
Max Pooling, Pool Size
Strides
Padding
Dropout Layer

18. STEP 3:
FLATTENING
• What is Flattening?
• Purpose of
Flattening

19. STEP 4: FULL
CONNECTION LAYER
& OUTPUT LAYER
Purpose to create a fully connected layer
Fully Connected Layer is Hidden Layer
Number of nodes in Hidden Layer
Activation Function for Hidden Layer: RELU
Activation Function for Output Layer: Sigmoid

20. NEURAL NETWORKS:
OTHER HYPER
PARAMETERS
“Adam” Optimizer
“Binary” Cross Entropy
Evaluation Metrics: Accuracy & Loss
Batch Size: 32
Epochs: 20
Steps per Epochs: 100

21. METRICS
RESULTS

22. METRICS: GRAPHICAL REPRESENTATION

23. RESULTS OF CONVOLUTIONAL
NETWORK MODEL
Model Name Validation Loss Validation
Accuracy
Convolutional Network
Model (Version 55)
0.66 63.13%

24. PRE-TRAINED MODELS
• Different types of available pre-trained models:
• ResNet50 Model
• MobileNet Model
• Comparison of Different Models:
Model Name Validation Loss Validation Accuracy
Convolutional Network Model
(Version 55)
0.66 63.13%
ResNet50 Model 7.85 51.32%
MobileNet Model 6.82 47.50%

25. Neuron activation is focused by the darker pixels
HEATMAP FOR TRAINED MODEL

26. CONCLUSION: MODEL EVALUATION
• Validation Loss
• As close to 0 as possible
• Validation Accuracy
• As a percentage
• CNN Model outperformed pre-trained models: ResNet &
MobileNet
• Best image classification accuracy until 2012 was ~73.8%

27. FUTURE RESEARCH
• With continued tuning of Hyperparameters and image pre-
processing radiological tools can be developed to identify and flag
abnormal X-Rays for medical attention
• For Future research, we want to train the model to classify by cancer
type.
• Using heatmaps to identify neuron activation for different lesion
types.

28. THANK YOU