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Publications

Publications by Joana Maria Rocha

2019

Comparison of conventional and deep learning based methods for pulmonary nodule segmentation in CT images

Authors
Rocha, J; Cunha, A; Maria Mendonça, A;

Publication
Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)

Abstract
Lung cancer is among the deadliest diseases in the world. The detection and characterization of pulmonary nodules are crucial for an accurate diagnosis, which is of vital importance to increase the patients’ survival rates. The segmentation process contributes to the mentioned characterization, but faces several challenges, due to the diversity in nodular shape, size, and texture, as well as the presence of adjacent structures. This paper proposes two methods for pulmonary nodule segmentation in Computed Tomography (CT) scans. First, a conventional approach which applies the Sliding Band Filter (SBF) to estimate the center of the nodule, and consequently the filter’s support points, matching the initial border coordinates. This preliminary segmentation is then refined to include mainly the nodular area, and no other regions (e.g. vessels and pleural wall). The second approach is based on Deep Learning, using the U-Net to achieve the same goal. This work compares both performances, and consequently identifies which one is the most promising tool to promote early lung cancer screening and improve nodule characterization. Both methodologies used 2653 nodules from the LIDC database: the SBF based one achieved a Dice score of 0.663, while the U-Net achieved 0.830, yielding more similar results to the ground truth reference annotated by specialists, and thus being a more reliable approach. © Springer Nature Switzerland AG 2019.

2020

Conventional Filtering Versus U-Net Based Models for Pulmonary Nodule Segmentation in CT Images

Authors
Rocha, J; Cunha, A; Mendonca, AM;

Publication
JOURNAL OF MEDICAL SYSTEMS

Abstract
Lung cancer is considered one of the deadliest diseases in the world. An early and accurate diagnosis aims to promote the detection and characterization of pulmonary nodules, which is of vital importance to increase the patients' survival rates. The mentioned characterization is done through a segmentation process, facing several challenges due to the diversity in nodular shape, size, and texture, as well as the presence of adjacent structures. This paper tackles pulmonary nodule segmentation in computed tomography scans proposing three distinct methodologies. First, a conventional approach which applies the Sliding Band Filter (SBF) to estimate the filter's support points, matching the border coordinates. The remaining approaches are Deep Learning based, using the U-Net and a novel network called SegU-Net to achieve the same goal. Their performance is compared, as this work aims to identify the most promising tool to improve nodule characterization. All methodologies used 2653 nodules from the LIDC database, achieving a Dice score of 0.663, 0.830, and 0.823 for the SBF, U-Net and SegU-Net respectively. This way, the U-Net based models yield more identical results to the ground truth reference annotated by specialists, thus being a more reliable approach for the proposed exercise. The novel network revealed similar scores to the U-Net, while at the same time reducing computational cost and improving memory efficiency. Consequently, such study may contribute to the possible implementation of this model in a decision support system, assisting the physicians in establishing a reliable diagnosis of lung pathologies based on this segmentation task.

2020

Segmentation of Pulmonary Nodules in CT Images Using the Sliding Band Filter

Authors
Rocha, J; Cunha, A; Mendonca, AM;

Publication
XV MEDITERRANEAN CONFERENCE ON MEDICAL AND BIOLOGICAL ENGINEERING AND COMPUTING - MEDICON 2019

Abstract
This paper proposes a conventional approach for pulmonary nodule segmentation, that uses the Sliding Band Filter to estimate the center of the nodule, and consequently the filter's support points, matching the initial border coordinates. This preliminary segmentation is then refined to try to include mainly the nodular area, and no other regions (e.g. vessels and pleural wall). The algorithm was tested on 2653 nodules from the LIDC database and achieved a Dice score of 0.663, yielding similar results to the ground truth reference, and thus being a promising tool to promote early lung cancer screening and improve nodule characterization.

2020

Activity Mapping of Children in Play Using Multivariate Analysis of Movement Events

Authors
Rocha, JN; Barnes, CM; Rees, P; Clark, CT; Stratton, G; Summers, HD;

Publication
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE

Abstract
Purpose (i) To develop an automated measurement technique for the assessment of both the form and intensity of physical activity undertaken by children during play. (ii) To profile the varying activity across a cohort of children using a multivariate analysis of their movement patterns. Methods Ankle-worn accelerometers were used to record 40 min of activity during a school recess, for 24 children over five consecutive days. Activity events of 1.1 s duration were identified within the acceleration time trace and compared with a reference motif, consisting of a single walking stride acceleration trace, obtained on a treadmill operating at a speed of 4 km h(-1). Dynamic time warping of motif and activity events provided metrics of comparative movement duration and intensity, which formed the data set for multivariate mapping of the cohort activity using a principal component analysis (PCA). Results The two-dimensional PCA plot provided clear differentiation of children displaying diverse activity profiles and clustering of those with similar movement patterns. The first component of the PCA correlated to the integrated intensity of movement over the 40-min period, whereas the second component informed on the temporal phasing of activity. Conclusions By defining movement events and then quantifying them by reference to a motion-standard, meaningful assessment of highly varied activity within free play can be obtained. This allows detailed profiling of individual children's activity and provides an insight on social aspects of play through identification of matched activity time profiles for children participating in conjoined play.

2021

Segmentation of COVID-19 Lesions in CT Images

Authors
Rocha, J; Pereira, S; Campilho, A; Mendonça, AM;

Publication
IEEE EMBS International Conference on Biomedical and Health Informatics, BHI 2021, Athens, Greece, July 27-30, 2021

Abstract
The worldwide pandemic caused by the new coronavirus (COVID-19) has encouraged the development of multiple computer-aided diagnosis systems to automate daily clinical tasks, such as abnormality detection and classification. Among these tasks, the segmentation of COVID lesions is of high interest to the scientific community, enabling further lesion characterization. Automating the segmentation process can be a useful strategy to provide a fast and accurate second opinion to the physicians, and thus increase the reliability of the diagnosis and disease stratification. The current work explores a CNN-based approach to segment multiple COVID lesions. It includes the implementation of a U-Net structure with a ResNet34 encoder able to deal with the highly imbalanced nature of the problem, as well as the great variability of the COVID lesions, namely in terms of size, shape, and quantity. This approach yields a Dice score of 64.1%, when evaluated on the publicly available COVID-19-20 Lung CT Lesion Segmentation GrandChallenge data set. © 2021 IEEE

2021

A Review on Deep Learning Methods for Chest X-Ray based Abnormality Detection and Thoracic Pathology Classification

Authors
Rocha J.; Mendonça A.M.; Campilho A.;

Publication
U.Porto Journal of Engineering

Abstract
Backed by more powerful computational resources and optimized training routines, Deep Learning models have proven unprecedented performance and several benefits to extract information from chest X-ray data. This is one of the most common imaging exams, whose increasing demand is reflected in the aggravated radiologists’ workload. Consequently, healthcare would benefit from computer-aided diagnosis systems to prioritize certain exams and further identify possible pathologies. Pioneering work in chest X-ray analysis has focused on the identification of specific diseases, but to the best of the authors’ knowledge no paper has specifically reviewed relevant work on abnormality detection and multi-label thoracic pathology classification. This paper focuses on those issues, selecting the leading chest X-ray based deep learning strategies for comparison. In addition, the paper discloses the current annotated public chest X-ray databases, covering the common thorax diseases.

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