Bayesian Convolutional Neural Networks in Medical Imaging Classification: A Promising Solution for Deep Learning Limits in Data Scarcity Scenarios.

Journal: Journal of digital imaging
Published Date:

Abstract

Deep neural networks (DNNs) have already impacted the field of medicine in data analysis, classification, and image processing. Unfortunately, their performance is drastically reduced when datasets are scarce in nature (e.g., rare diseases or early-research data). In such scenarios, DNNs display poor capacity for generalization and often lead to highly biased estimates and silent failures. Moreover, deterministic systems cannot provide epistemic uncertainty, a key component to asserting the model's reliability. In this work, we developed a probabilistic system for classification as a framework for addressing the aforementioned criticalities. Specifically, we implemented a Bayesian convolutional neural network (BCNN) for the classification of cardiac amyloidosis (CA) subtypes. We prepared four different CNNs: base-deterministic, dropout-deterministic, dropout-Bayesian, and Bayesian. We then trained them on a dataset of 1107 PET images from 47 CA and control patients (data scarcity scenario). The Bayesian model achieved performances (78.28 (1.99) % test accuracy) comparable to the base-deterministic, dropout-deterministic, and dropout-Bayesian ones, while showing strongly increased "Out of Distribution" input detection (validation-test accuracy mismatch reduction). Additionally, both the dropout-Bayesian and the Bayesian models enriched the classification through confidence estimates, while reducing the criticalities of the dropout-deterministic and base-deterministic approaches. This in turn increased the model's reliability, also providing much needed insights into the network's estimates. The obtained results suggest that a Bayesian CNN can be a promising solution for addressing the challenges posed by data scarcity in medical imaging classification tasks.

Authors

  • Filippo Bargagna
    University of Pisa, Pisa, Italy. filippo.bargagna@phd.unipi.it.
  • Lisa Anita De Santi
    University of Pisa, Pisa, Italy.
  • Nicola Martini
    Imaging Department, Fondazione Gabriele Monasterio, Massa, Italy.
  • Dario Genovesi
    Fondazione Toscana "G. Monasterio", Pisa, Italy.
  • Brunella Favilli
    Fondazione Toscana "G. Monasterio", Pisa, Italy.
  • Giuseppe Vergaro
    Institute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
  • Michele Emdin
    Cardiology and Cardiovascular Medicine Department, Fondazione Toscana G. Monasterio, Via Giuseppe Moruzzi, 1, 56124 Pisa, Italy.
  • Assuero Giorgetti
    Fondazione Toscana "G. Monasterio", Pisa, Italy.
  • Vincenzo Positano
    Fondazione Toscana "G. Monasterio", Pisa, Italy.
  • Maria Filomena Santarelli
    CNR Institute of Clinical Physiology, CNR Research Area-Via Moruzzi, 1, 56124, Pisa, Italy. mariafilomena.santarelli@cnr.it.