2019
Authors
Domingues, I; Sampaio, IL; Duarte, H; Santos, JAM; Abreu, PH;
Publication
IEEE ACCESS
Abstract
Esophageal cancer is a disease with a high prevalence that can be evaluated by a variety of imaging modalities, including endoscopy, computed tomography, and positron emission tomography. Computer-aided techniques could provide a valuable help in the analysis of these images, decreasing the medical workflow time and human errors. The goal of this paper is to review the existing literature on the application of computer vision techniques in the domain of esophageal cancer. After an initial phase where a set of keywords was chosen, the selected terms were used to retrieve papers from four well-known databases: Web of Science, Scopus, PubMed, and Springer. The results were scanned by merging identical entries, and eliminating the out of scope works, resulting in 47 selected papers. These were organized according to the image modality. Major results were then summarized and compared, and main shortcomings were identified. It could be concluded that, even though the scientific community has already paid attention to the esophageal cancer problem, there are still several open issues. Two majorfindings of this review are the nonexistence of works on MRI data and the under-exploration of recent techniques using deep learning strategies, showing the need for further investigation.
2023
Authors
Amorim, JP; Abreu, PH; Santos, J; Cortes, M; Vila, V;
Publication
INFORMATION PROCESSING & MANAGEMENT
Abstract
Deep Learning has reached human-level performance in several medical tasks including clas-sification of histopathological images. Continuous effort has been made at finding effective strategies to interpret these types of models, among them saliency maps, which depict the weights of the pixels on the classification as an heatmap of intensity values, have been by far the most used for image classification. However, there is a lack of tools for the systematic evaluation of saliency maps, and existing works introduce non-natural noise such as random or uniform values. To address this issue, we propose an approach to evaluate the faithfulness of the saliency maps by introducing natural perturbations in the image, based on oppose-class substitution, and studying their impact on evaluation metrics adapted from saliency models. We validate the proposed approach on a breast cancer metastases detection dataset PatchCamelyon with 327,680 patches of histopathological images of sentinel lymph node sections. Results show that GradCAM, Guided-GradCAM and gradient-based saliency map methods are sensitive to natural perturbations and correlate to the presence of tumor evidence in the image. Overall, this approach proves to be a solution for the validation of saliency map methods without introducing confounding variables and shows potential for application on other medical imaging tasks.
2023
Authors
Amorim, JP; Abreu, PH; Fernandez, A; Reyes, M; Santos, J; Abreu, MH;
Publication
IEEE REVIEWS IN BIOMEDICAL ENGINEERING
Abstract
Healthcare agents, in particular in the oncology field, are currently collecting vast amounts of diverse patient data. In this context, some decision-support systems, mostly based on deep learning techniques, have already been approved for clinical purposes. Despite all the efforts in introducing artificial intelligence methods in the workflow of clinicians, its lack of interpretability - understand how the methods make decisions - still inhibits their dissemination in clinical practice. The aim of this article is to present an easy guide for oncologists explaining how these methods make decisions and illustrating the strategies to explain them. Theoretical concepts were illustrated based on oncological examples and a literature review of research works was performed from PubMed between January 2014 to September 2020, using deep learning techniques, interpretability and oncology as keywords. Overall, more than 60% are related to breast, skin or brain cancers and the majority focused on explaining the importance of tumor characteristics (e.g. dimension, shape) in the predictions. The most used computational methods are multilayer perceptrons and convolutional neural networks. Nevertheless, despite being successfully applied in different cancers scenarios, endowing deep learning techniques with interpretability, while maintaining their performance, continues to be one of the greatest challenges of artificial intelligence.
2019
Authors
Abreu, PH; Silva, DC; Gomes, A;
Publication
ACM TRANSACTIONS ON COMPUTING EDUCATION
Abstract
Low performance of nontechnical engineering students in programming courses is a problem that remains unsolved. Over the years, many authors have tried to identify the multiple causes for that failure, but there is unanimity on the fact that motivation is a key factor for the acquisition of knowledge by students. To better understand motivation, a new evaluation strategy has been adopted in a second programming course of a nontechnical degree, consisting of 91 students. The goals of the study were to identify if those students felt more motivated to answer multiple-choice questions in comparison to development questions, and what type of question better allows for testing student knowledge acquisition. Possibilities around the motivational qualities of multiple-choice questions in programming courses will be discussed in light of the results. In conclusion, it seems clear that student performance varies according to the type of question. Our study points out that multiple-choice questions can be seen as a motivational factor for engineering students and it might also be a good way to test acquired programming concepts. Therefore, this type of question could be further explored in the evaluation points.
2016
Authors
Abreu, PH; Santos, MS; Abreu, MH; Andrade, B; Silva, DC;
Publication
ACM COMPUTING SURVEYS
Abstract
Background: Recurrence is an important cornerstone in breast cancer behavior, intrinsically related to mortality. In spite of its relevance, it is rarely recorded in the majority of breast cancer datasets, which makes research in its prediction more difficult. Objectives: To evaluate the performance of machine learning techniques applied to the prediction of breast cancer recurrence. Material and Methods: Revision of published works that used machine learning techniques in local and open source databases between 1997 and 2014. Results: The revision showed that it is difficult to obtain a representative dataset for breast cancer recurrence and there is no consensus on the best set of predictors for this disease. High accuracy results are often achieved, yet compromising sensitivity. The missing data and class imbalance problems are rarely addressed and most often the chosen performance metrics are inappropriate for the context. Discussion and Conclusions: Although different techniques have been used, prediction of breast cancer recurrence is still an open problem. The combination of different machine learning techniques, along with the definition of standard predictors for breast cancer recurrence seem to be the main future directions to obtain better results.
2015
Authors
Garcia Laencina, PJ; Abreu, PH; Abreu, MH; Afonoso, N;
Publication
COMPUTERS IN BIOLOGY AND MEDICINE
Abstract
Breast cancer is the most frequently diagnosed cancer in women. Using historical patient information stored in clinical datasets, data mining and machine learning approaches can be applied to predict the survival of breast cancer patients. A common drawback is the absence of information, i.e., missing data, in certain clinical trials. However, most standard prediction methods are not able to handle incomplete samples and, then, missing data imputation is a widely applied approach for solving this inconvenience. Therefore, and taking into account the characteristics of each breast cancer dataset, it is required to perform a detailed analysis to determine the most appropriate imputation and prediction methods in each clinical environment This research work analyzes a real breast cancer dataset from Institute Portuguese of Oncology of Porto with a high percentage of unknown categorical information (most clinical data of the patients are incomplete), which is a challenge in terms of complexity. Four scenarios are evaluated: (I) 5-year survival prediction without imputation and 5-year survival prediction from cleaned dataset with (II) Mode imputation, (Ill) Expectation-Maximization imputation and (IV) K-Nearest Neighbors imputation. Prediction models for breast cancer survivability are constructed using four different methods: K-Nearest Neighbors, Classification Trees, Logistic Regression and Support Vector Machines. Experiments are performed in a nested ten-fold cross-validation procedure and, according to the obtained results, the best results are provided by the K-Nearest Neighbors algorithm: more than 81% of accuracy and more than 0.78 of area under the Receiver Operator Characteristic curve, which constitutes very good results in this complex scenario.
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