Survival analysis is a valuable tool for estimating the time until specific events, such as death or cancer recurrence, based on baseline observations. This is particularly useful in healthcare to prognostically predict clinically important events based on patient data. However, existing approaches often have limitations; some focus only on ranking patients by survivability, neglecting to estimate the actual event time, while others treat the problem as a classification task, ignoring the inherent time-ordered structure of the events. Additionally, the effective utilisation of censored samples-data points where the event time is unknown- is essential for enhancing the model's predictive accuracy. In this paper, we introduce CenTime, a novel approach to survival analysis that directly estimates the time to event. Our method features an innovative event-conditional censoring mechanism that performs robustly even when uncensored data is scarce. We demonstrate that our approach forms a consistent estimator for the event model parameters, even in the absence of uncensored data. Furthermore, CenTime is easily integrated with deep learning models with no restrictions on batch size or the number of uncensored samples. We compare our approach to standard survival analysis methods, including the Cox proportional-hazard model and DeepHit. Our results indicate that CenTime offers state-of-the-art performance in predicting time-to-death while maintaining comparable ranking performance. Our implementation is publicly available at https://github.com/ahmedhshahin/CenTime.

Idiopathic Pulmonary Fibrosis (IPF) is an inexorably progressive fibrotic lung disease with a variable and unpredictable rate of progression. CT scans of the lungs inform clinical assessment of IPF patients and contain pertinent information related to disease progression. In this work, we propose a multi-modal method that uses neural networks and memory banks to predict the survival of IPF patients using clinical and imaging data. The majority of clinical IPF patient records have missing data (e.g. missing lung function tests). To this end, we propose a probabilistic model that captures the dependencies between the observed clinical variables and imputes missing ones. This principled approach to missing data imputation can be naturally combined with a deep survival analysis model. We show that the proposed framework yields significantly better survival analysis results than baselines in terms of concordance index and integrated Brier score. Our work also provides insights into novel image-based biomarkers that are linked to mortality.

Imaging biomarkers derived from medical images play an important role in diagnosis, prognosis, and therapy response assessment. Developing prognostic imaging biomarkers which can achieve reliable survival prediction is essential for prognostication across various diseases and imaging modalities. In this work, we propose a method for discovering patch-level imaging patterns which we then use to predict mortality risk and identify prognostic biomarkers. Specifically, a contrastive learning model is first trained on patches to learn patch representations, followed by a clustering method to group similar underlying imaging patterns. The entire medical image can be thus represented by a long sequence of patch representations and their cluster assignments. Then a memory-efficient clustering Vision Transformer is proposed to aggregate all the patches to predict mortality risk of patients and identify high-risk patterns. To demonstrate the effectiveness and generalizability of our model, we test the survival prediction performance of our method on two sets of patients with idiopathic pulmonary fibrosis (IPF), a chronic, progressive, and life-threatening interstitial pneumonia of unknown etiology. Moreover, by comparing the high-risk imaging patterns extracted by our model with existing imaging patterns utilised in clinical practice, we can identify a novel biomarker that may help clinicians improve risk stratification of IPF patients.

Semantic segmentation from user inputs has been actively studied to facilitate interactive segmentation for data annotation and other applications. Recent studies have shown that extreme points can be effectively used to encode user inputs. A heat map generated from the extreme points can be appended to the RGB image and input to the model for training. In this study, we present FAIRS -- a new approach to generate object segmentation from user inputs in the form of extreme points and corrective clicks. We propose a novel approach for effectively encoding the user input from extreme points and corrective clicks, in a novel and scalable manner that allows the network to work with a variable number of clicks, including corrective clicks for output refinement. We also integrate a dual attention module with our approach to increase the efficacy of the model in preferentially attending to the objects. We demonstrate that these additions help achieve significant improvements over state-of-the-art in dense object segmentation from user inputs, on multiple large-scale datasets. Through experiments, we demonstrate our method's ability to generate high-quality training data as well as its scalability in incorporating extreme points, guiding clicks, and corrective clicks in a principled manner.

The prevalence of skin melanoma is rapidly increasing as well as the recorded death cases of its patients. Automatic image segmentation tools play an important role in providing standardized computer-assisted analysis for skin melanoma patients. Current state-of-the-art segmentation methods are based on fully convolutional neural networks, which utilize an encoder-decoder approach. However, these methods produce coarse segmentation masks due to the loss of location information during the encoding layers. Inspired by Pyramid Scene Parsing Network (PSP-Net), we propose an encoder-decoder model that utilizes pyramid pooling modules in the deep skip connections which aggregate the global context and compensate for the lost spatial information. We trained and validated our approach using ISIC 2018: Skin Lesion Analysis Towards Melanoma Detection grand challenge dataset. Our approach showed a validation accuracy with a Jaccard index of 0.837, which outperforms U-Net. We believe that with this reported reliable accuracy, this method can be introduced for clinical practice.

To automate the process of segmenting an anatomy of interest, we can learn a model from previously annotated data. The learning-based approach uses annotations to train a model that tries to emulate the expert labeling on a new data set. While tremendous progress has been made using such approaches, labeling of medical images remains a time-consuming and expensive task. In this paper, we evaluate the utility of extreme points in learning to segment. Specifically, we propose a novel approach to compute a confidence map from extreme points that quantitatively encodes the priors derived from extreme points. We use the confidence map as a cue to train a deep neural network based on ResNet-101 and PSP module to develop a class-agnostic segmentation model that outperforms state-of-the-art method that employs extreme points as a cue. Further, we evaluate a realistic use-case by using our model to generate training data for supervised learning (U-Net) and observed that U-Net performs comparably when trained with either the generated data or the ground truth data. These findings suggest that models trained using cues can be used to generate reliable training data. Our code is publicly available ( https://github.com/ahmedshahin9/AssistedAnnotator ).

Skin cancer is one of the leading causes of death globally. Early diagnosis of skin lesion significantly increases the prevalence of recovery. Automatic classification of the skin lesion is a challenging task to provide clinicians with the ability to differentiate between different kind of lesion categories and recommend the suitable treatment. Recently, Deep Convolutional Neural Networks have achieved tremendous success in many machine learning applications and have shown an outstanding performance in various computer-assisted diagnosis applications. Our goal is to develop an automated framework that efficiently performs a reliable automatic lesion classification to seven skin lesion types. In this work, we propose a deep neural network-based framework that follows an ensemble approach by combining ResNet-50 and Inception V3 architectures to classify the seven different skin lesion types. Experimental validation results have achieved accurate classification with an assuring validation accuracy up to 0.899.