Machine learning(ML)is increasingly applied for medical image processing with appropriate learning paradigms.These applications include analyzing images of various organs,such as the brain,lung,eye,etc.,to identify sp...Machine learning(ML)is increasingly applied for medical image processing with appropriate learning paradigms.These applications include analyzing images of various organs,such as the brain,lung,eye,etc.,to identify specific flaws/diseases for diagnosis.The primary concern of ML applications is the precise selection of flexible image features for pattern detection and region classification.Most of the extracted image features are irrelevant and lead to an increase in computation time.Therefore,this article uses an analytical learning paradigm to design a Congruent Feature Selection Method to select the most relevant image features.This process trains the learning paradigm using similarity and correlation-based features over different textural intensities and pixel distributions.The similarity between the pixels over the various distribution patterns with high indexes is recommended for disease diagnosis.Later,the correlation based on intensity and distribution is analyzed to improve the feature selection congruency.Therefore,the more congruent pixels are sorted in the descending order of the selection,which identifies better regions than the distribution.Now,the learning paradigm is trained using intensity and region-based similarity to maximize the chances of selection.Therefore,the probability of feature selection,regardless of the textures and medical image patterns,is improved.This process enhances the performance of ML applications for different medical image processing.The proposed method improves the accuracy,precision,and training rate by 13.19%,10.69%,and 11.06%,respectively,compared to other models for the selected dataset.The mean error and selection time is also reduced by 12.56%and 13.56%,respectively,compared to the same models and dataset.展开更多
Existing semi-supervisedmedical image segmentation algorithms use copy-paste data augmentation to correct the labeled-unlabeled data distribution mismatch.However,current copy-paste methods have three limitations:(1)t...Existing semi-supervisedmedical image segmentation algorithms use copy-paste data augmentation to correct the labeled-unlabeled data distribution mismatch.However,current copy-paste methods have three limitations:(1)training the model solely with copy-paste mixed pictures from labeled and unlabeled input loses a lot of labeled information;(2)low-quality pseudo-labels can cause confirmation bias in pseudo-supervised learning on unlabeled data;(3)the segmentation performance in low-contrast and local regions is less than optimal.We design a Stochastic Augmentation-Based Dual-Teaching Auxiliary Training Strategy(SADT),which enhances feature diversity and learns high-quality features to overcome these problems.To be more precise,SADT trains the Student Network by using pseudo-label-based training from Teacher Network 1 and supervised learning with labeled data,which prevents the loss of rare labeled data.We introduce a bi-directional copy-pastemask with progressive high-entropy filtering to reduce data distribution disparities and mitigate confirmation bias in pseudo-supervision.For the mixed images,Deep-Shallow Spatial Contrastive Learning(DSSCL)is proposed in the feature spaces of Teacher Network 2 and the Student Network to improve the segmentation capabilities in low-contrast and local areas.In this procedure,the features retrieved by the Student Network are subjected to a random feature perturbation technique.On two openly available datasets,extensive trials show that our proposed SADT performs much better than the state-ofthe-art semi-supervised medical segmentation techniques.Using only 10%of the labeled data for training,SADT was able to acquire a Dice score of 90.10%on the ACDC(Automatic Cardiac Diagnosis Challenge)dataset.展开更多
Medical image segmentation has become a cornerstone for many healthcare applications,allowing for the automated extraction of critical information from images such as Computed Tomography(CT)scans,Magnetic Resonance Im...Medical image segmentation has become a cornerstone for many healthcare applications,allowing for the automated extraction of critical information from images such as Computed Tomography(CT)scans,Magnetic Resonance Imaging(MRIs),and X-rays.The introduction of U-Net in 2015 has significantly advanced segmentation capabilities,especially for small datasets commonly found in medical imaging.Since then,various modifications to the original U-Net architecture have been proposed to enhance segmentation accuracy and tackle challenges like class imbalance,data scarcity,and multi-modal image processing.This paper provides a detailed review and comparison of several U-Net-based architectures,focusing on their effectiveness in medical image segmentation tasks.We evaluate performance metrics such as Dice Similarity Coefficient(DSC)and Intersection over Union(IoU)across different U-Net variants including HmsU-Net,CrossU-Net,mResU-Net,and others.Our results indicate that architectural enhancements such as transformers,attention mechanisms,and residual connections improve segmentation performance across diverse medical imaging applications,including tumor detection,organ segmentation,and lesion identification.The study also identifies current challenges in the field,including data variability,limited dataset sizes,and issues with class imbalance.Based on these findings,the paper suggests potential future directions for improving the robustness and clinical applicability of U-Net-based models in medical image segmentation.展开更多
Medical image fusion technology is crucial for improving the detection accuracy and treatment efficiency of diseases,but existing fusion methods have problems such as blurred texture details,low contrast,and inability...Medical image fusion technology is crucial for improving the detection accuracy and treatment efficiency of diseases,but existing fusion methods have problems such as blurred texture details,low contrast,and inability to fully extract fused image information.Therefore,a multimodal medical image fusion method based on mask optimization and parallel attention mechanism was proposed to address the aforementioned issues.Firstly,it converted the entire image into a binary mask,and constructed a contour feature map to maximize the contour feature information of the image and a triple path network for image texture detail feature extraction and optimization.Secondly,a contrast enhancement module and a detail preservation module were proposed to enhance the overall brightness and texture details of the image.Afterwards,a parallel attention mechanism was constructed using channel features and spatial feature changes to fuse images and enhance the salient information of the fused images.Finally,a decoupling network composed of residual networks was set up to optimize the information between the fused image and the source image so as to reduce information loss in the fused image.Compared with nine high-level methods proposed in recent years,the seven objective evaluation indicators of our method have improved by 6%−31%,indicating that this method can obtain fusion results with clearer texture details,higher contrast,and smaller pixel differences between the fused image and the source image.It is superior to other comparison algorithms in both subjective and objective indicators.展开更多
The pancreas is neither part of the five Zang organs(五脏) nor the six Fu organs(六腑).Thus,it has received little attention in Chinese medical literature.In the late 19th century,medical missionaries in China started...The pancreas is neither part of the five Zang organs(五脏) nor the six Fu organs(六腑).Thus,it has received little attention in Chinese medical literature.In the late 19th century,medical missionaries in China started translating and introducing anatomical and physiological knowledge about the pancreas.As for the word pancreas,an early and influential translation was “sweet meat”(甜肉),proposed by Benjamin Hobson(合信).The translation “sweet meat” is not faithful to the original meaning of “pancreas”,but is a term coined by Hobson based on his personal habits,and the word “sweet” appeared by chance.However,in the decades since the term “sweet meat” became popular,Chinese medicine practitioners,such as Tang Zonghai(唐宗海),reinterpreted it by drawing new medical illustrations for “sweet meat” and giving new connotations to the word “sweet”.This discussion and interpretation of “sweet meat” in modern China,particularly among Chinese medicine professionals,is not only a dissemination and interpretation of the knowledge of “pancreas”,but also a construction of knowledge around the term “sweet meat”.展开更多
With the rapid advancement in artificial intelligence(AI)and its application in the Internet of Things(IoT),intelligent technologies are being introduced in the medical field,giving rise to smart healthcare systems.Th...With the rapid advancement in artificial intelligence(AI)and its application in the Internet of Things(IoT),intelligent technologies are being introduced in the medical field,giving rise to smart healthcare systems.The medical imaging data contains sensitive information,which can easily be stolen or tampered with,necessitating secure encryption schemes designed specifically to protect these images.This paper introduces an artificial intelligence-driven novel encryption scheme tailored for the secure transmission and storage of high-resolution medical images.The proposed scheme utilizes an artificial intelligence-based autoencoder to compress high-resolution medical images and to facilitate fast encryption and decryption.The proposed autoencoder retains important diagnostic information even after reducing the image dimensions.The low-resolution images then undergo a four-stage encryption process.The first two encryption stages involve permutation and the next two stages involve confusion.The first two stages ensure the disruption of the structure of the image,making it secure against statistical attacks.Whereas the two stages of confusion ensure the effective concealment of the pixel values making it difficult to decrypt without secret keys.This encrypted image is then safe for storage or transmission.The proposed scheme has been extensively evaluated against various attacks and statistical security parameters confirming its effectiveness in securing medical image data.展开更多
In blood or bone marrow,leukemia is a form of cancer.A person with leukemia has an expansion of white blood cells(WBCs).It primarily affects children and rarely affects adults.Treatment depends on the type of leukemia...In blood or bone marrow,leukemia is a form of cancer.A person with leukemia has an expansion of white blood cells(WBCs).It primarily affects children and rarely affects adults.Treatment depends on the type of leukemia and the extent to which cancer has established throughout the body.Identifying leukemia in the initial stage is vital to providing timely patient care.Medical image-analysis-related approaches grant safer,quicker,and less costly solutions while ignoring the difficulties of these invasive processes.It can be simple to generalize Computer vision(CV)-based and image-processing techniques and eradicate human error.Many researchers have implemented computer-aided diagnosticmethods andmachine learning(ML)for laboratory image analysis,hopefully overcoming the limitations of late leukemia detection and determining its subgroups.This study establishes a Marine Predators Algorithm with Deep Learning Leukemia Cancer Classification(MPADL-LCC)algorithm onMedical Images.The projectedMPADL-LCC system uses a bilateral filtering(BF)technique to pre-process medical images.The MPADL-LCC system uses Faster SqueezeNet withMarine Predators Algorithm(MPA)as a hyperparameter optimizer for feature extraction.Lastly,the denoising autoencoder(DAE)methodology can be executed to accurately detect and classify leukemia cancer.The hyperparameter tuning process using MPA helps enhance leukemia cancer classification performance.Simulation results are compared with other recent approaches concerning various measurements and the MPADL-LCC algorithm exhibits the best results over other recent approaches.展开更多
This article proposes a novel fractional heterogeneous neural network by coupling a Rulkov neuron with a Hopfield neural network(FRHNN),utilizing memristors for emulating neural synapses.The study firstly demonstrates...This article proposes a novel fractional heterogeneous neural network by coupling a Rulkov neuron with a Hopfield neural network(FRHNN),utilizing memristors for emulating neural synapses.The study firstly demonstrates the coexistence of multiple firing patterns through phase diagrams,Lyapunov exponents(LEs),and bifurcation diagrams.Secondly,the parameter related firing behaviors are described through two-parameter bifurcation diagrams.Subsequently,local attraction basins reveal multi-stability phenomena related to initial values.Moreover,the proposed model is implemented on a microcomputer-based ARM platform,and the experimental results correspond to the numerical simulations.Finally,the article explores the application of digital watermarking for medical images,illustrating its features of excellent imperceptibility,extensive key space,and robustness against attacks including noise and cropping.展开更多
In the intricate network environment,the secure transmission of medical images faces challenges such as information leakage and malicious tampering,significantly impacting the accuracy of disease diagnoses by medical ...In the intricate network environment,the secure transmission of medical images faces challenges such as information leakage and malicious tampering,significantly impacting the accuracy of disease diagnoses by medical professionals.To address this problem,the authors propose a robust feature watermarking algorithm for encrypted medical images based on multi-stage discrete wavelet transform(DWT),Daisy descriptor,and discrete cosine transform(DCT).The algorithm initially encrypts the original medical image through DWT-DCT and Logistic mapping.Subsequently,a 3-stage DWT transformation is applied to the encrypted medical image,with the centre point of the LL3 sub-band within its low-frequency component serving as the sampling point.The Daisy descriptor matrix for this point is then computed.Finally,a DCT transformation is performed on the Daisy descriptor matrix,and the low-frequency portion is processed using the perceptual hashing algorithm to generate a 32-bit binary feature vector for the medical image.This scheme utilises cryptographic knowledge and zero-watermarking technique to embed watermarks without modifying medical images and can extract the watermark from test images without the original image,which meets the basic re-quirements of medical image watermarking.The embedding and extraction of water-marks are accomplished in a mere 0.160 and 0.411s,respectively,with minimal computational overhead.Simulation results demonstrate the robustness of the algorithm against both conventional attacks and geometric attacks,with a notable performance in resisting rotation attacks.展开更多
The Internet of Multimedia Things(IoMT)refers to a network of interconnected multimedia devices that communicate with each other over the Internet.Recently,smart healthcare has emerged as a significant application of ...The Internet of Multimedia Things(IoMT)refers to a network of interconnected multimedia devices that communicate with each other over the Internet.Recently,smart healthcare has emerged as a significant application of the IoMT,particularly in the context of knowledge‐based learning systems.Smart healthcare systems leverage knowledge‐based learning to become more context‐aware,adaptable,and auditable while maintain-ing the ability to learn from historical data.In smart healthcare systems,devices capture images,such as X‐rays,Magnetic Resonance Imaging.The security and integrity of these images are crucial for the databases used in knowledge‐based learning systems to foster structured decision‐making and enhance the learning abilities of AI.Moreover,in knowledge‐driven systems,the storage and transmission of HD medical images exert a burden on the limited bandwidth of the communication channel,leading to data trans-mission delays.To address the security and latency concerns,this paper presents a lightweight medical image encryption scheme utilising bit‐plane decomposition and chaos theory.The results of the experiment yield entropy,energy,and correlation values of 7.999,0.0156,and 0.0001,respectively.This validates the effectiveness of the encryption system proposed in this paper,which offers high‐quality encryption,a large key space,key sensitivity,and resistance to statistical attacks.展开更多
Gliomas have the highest mortality rate of all brain tumors.Correctly classifying the glioma risk period can help doctors make reasonable treatment plans and improve patients’survival rates.This paper proposes a hier...Gliomas have the highest mortality rate of all brain tumors.Correctly classifying the glioma risk period can help doctors make reasonable treatment plans and improve patients’survival rates.This paper proposes a hierarchical multi-scale attention feature fusion medical image classification network(HMAC-Net),which effectively combines global features and local features.The network framework consists of three parallel layers:The global feature extraction layer,the local feature extraction layer,and the multi-scale feature fusion layer.A linear sparse attention mechanism is designed in the global feature extraction layer to reduce information redundancy.In the local feature extraction layer,a bilateral local attention mechanism is introduced to improve the extraction of relevant information between adjacent slices.In the multi-scale feature fusion layer,a channel fusion block combining convolutional attention mechanism and residual inverse multi-layer perceptron is proposed to prevent gradient disappearance and network degradation and improve feature representation capability.The double-branch iterative multi-scale classification block is used to improve the classification performance.On the brain glioma risk grading dataset,the results of the ablation experiment and comparison experiment show that the proposed HMAC-Net has the best performance in both qualitative analysis of heat maps and quantitative analysis of evaluation indicators.On the dataset of skin cancer classification,the generalization experiment results show that the proposed HMAC-Net has a good generalization effect.展开更多
Background A medical content-based image retrieval(CBIR)system is designed to retrieve images from large imaging repositories that are visually similar to a user′s query image.CBIR is widely used in evidence-based di...Background A medical content-based image retrieval(CBIR)system is designed to retrieve images from large imaging repositories that are visually similar to a user′s query image.CBIR is widely used in evidence-based diagnosis,teaching,and research.Although the retrieval accuracy has largely improved,there has been limited development toward visualizing important image features that indicate the similarity of retrieved images.Despite the prevalence of 3D volumetric data in medical imaging such as computed tomography(CT),current CBIR systems still rely on 2D cross-sectional views for the visualization of retrieved images.Such 2D visualization requires users to browse through the image stacks to confirm the similarity of the retrieved images and often involves mental reconstruction of 3D information,including the size,shape,and spatial relations of multiple structures.This process is time-consuming and reliant on users'experience.Methods In this study,we proposed an importance-aware 3D volume visualization method.The rendering parameters were automatically optimized to maximize the visibility of important structures that were detected and prioritized in the retrieval process.We then integrated the proposed visualization into a CBIR system,thereby complementing the 2D cross-sectional views for relevance feedback and further analyses.Results Our preliminary results demonstrate that 3D visualization can provide additional information using multimodal positron emission tomography and computed tomography(PETCT)images of a non-small cell lung cancer dataset.展开更多
Deep learning has been extensively applied to medical image segmentation,resulting in significant advancements in the field of deep neural networks for medical image segmentation since the notable success of U Net in ...Deep learning has been extensively applied to medical image segmentation,resulting in significant advancements in the field of deep neural networks for medical image segmentation since the notable success of U Net in 2015.However,the application of deep learning models to ocular medical image segmentation poses unique challenges,especially compared to other body parts,due to the complexity,small size,and blurriness of such images,coupled with the scarcity of data.This article aims to provide a comprehensive review of medical image segmentation from two perspectives:the development of deep network structures and the application of segmentation in ocular imaging.Initially,the article introduces an overview of medical imaging,data processing,and performance evaluation metrics.Subsequently,it analyzes recent developments in U-Net-based network structures.Finally,for the segmentation of ocular medical images,the application of deep learning is reviewed and categorized by the type of ocular tissue.展开更多
Automatic segmentation of medical images provides a reliable scientific basis for disease diagnosis and analysis.Notably,most existing methods that combine the strengths of convolutional neural networks(CNNs)and Trans...Automatic segmentation of medical images provides a reliable scientific basis for disease diagnosis and analysis.Notably,most existing methods that combine the strengths of convolutional neural networks(CNNs)and Transformers have made significant progress.However,there are some limitations in the current integration of CNN and Transformer technology in two key aspects.Firstly,most methods either overlook or fail to fully incorporate the complementary nature between local and global features.Secondly,the significance of integrating the multiscale encoder features from the dual-branch network to enhance the decoding features is often disregarded in methods that combine CNN and Transformer.To address this issue,we present a groundbreaking dual-branch cross-attention fusion network(DCFNet),which efficiently combines the power of Swin Transformer and CNN to generate complementary global and local features.We then designed the Feature Cross-Fusion(FCF)module to efficiently fuse local and global features.In the FCF,the utilization of the Channel-wise Cross-fusion Transformer(CCT)serves the purpose of aggregatingmulti-scale features,and the Feature FusionModule(FFM)is employed to effectively aggregate dual-branch prominent feature regions from the spatial perspective.Furthermore,within the decoding phase of the dual-branch network,our proposed Channel Attention Block(CAB)aims to emphasize the significance of the channel features between the up-sampled features and the features generated by the FCFmodule to enhance the details of the decoding.Experimental results demonstrate that DCFNet exhibits enhanced accuracy in segmentation performance.Compared to other state-of-the-art(SOTA)methods,our segmentation framework exhibits a superior level of competitiveness.DCFNet’s accurate segmentation of medical images can greatly assist medical professionals in making crucial diagnoses of lesion areas in advance.展开更多
The unsupervised multi-modal image translation is an emerging domain of computer vision whose goal is to transform an image from the source domain into many diverse styles in the target domain.However,the multi-genera...The unsupervised multi-modal image translation is an emerging domain of computer vision whose goal is to transform an image from the source domain into many diverse styles in the target domain.However,the multi-generator mechanism is employed among the advanced approaches available to model different domain mappings,which results in inefficient training of neural networks and pattern collapse,leading to inefficient generation of image diversity.To address this issue,this paper introduces a multi-modal unsupervised image translation framework that uses a generator to perform multi-modal image translation.Specifically,firstly,the domain code is introduced in this paper to explicitly control the different generation tasks.Secondly,this paper brings in the squeeze-and-excitation(SE)mechanism and feature attention(FA)module.Finally,the model integrates multiple optimization objectives to ensure efficient multi-modal translation.This paper performs qualitative and quantitative experiments on multiple non-paired benchmark image translation datasets while demonstrating the benefits of the proposed method over existing technologies.Overall,experimental results have shown that the proposed method is versatile and scalable.展开更多
Deep convolutional neural network (CNN) greatly promotes the automatic segmentation of medical images. However, due to the inherent properties of convolution operations, CNN usually cannot establish long-distance inte...Deep convolutional neural network (CNN) greatly promotes the automatic segmentation of medical images. However, due to the inherent properties of convolution operations, CNN usually cannot establish long-distance interdependence, which limits the segmentation performance. Transformer has been successfully applied to various computer vision, using self-attention mechanism to simulate long-distance interaction, so as to capture global information. However, self-attention lacks spatial location and high-performance computing. In order to solve the above problems, we develop a new medical transformer, which has a multi-scale context fusion function and can be used for medical image segmentation. The proposed model combines convolution operation and attention mechanism to form a u-shaped framework, which can capture both local and global information. First, the traditional converter module is improved to an advanced converter module, which uses post-layer normalization to obtain mild activation values, and uses scaled cosine attention with a moving window to obtain accurate spatial information. Secondly, we also introduce a deep supervision strategy to guide the model to fuse multi-scale feature information. It further enables the proposed model to effectively propagate feature information across layers, Thanks to this, it can achieve better segmentation performance while being more robust and efficient. The proposed model is evaluated on multiple medical image segmentation datasets. Experimental results demonstrate that the proposed model achieves better performance on a challenging dataset (ETIS) compared to existing methods that rely only on convolutional neural networks, transformers, or a combination of both. The mDice and mIou indicators increased by 2.74% and 3.3% respectively.展开更多
The progress in medical imaging technology highlights the importance of image quality for effective diagnosis and treatment.Yet,noise during capture and transmission can compromise image accuracy and reliability,compl...The progress in medical imaging technology highlights the importance of image quality for effective diagnosis and treatment.Yet,noise during capture and transmission can compromise image accuracy and reliability,complicating clinical decisions.The rising interest in diffusion models has led to their exploration of denoising images.We present Be-FOI(Better Fluoro Images),a weakly supervised model that uses cine images to denoise fluoroscopic images,both DR types.Trained through precise noise estimation and simulation,BeFOI employs Markov chains to denoise using only the fluoroscopic image as guidance.Our tests show that BeFOI outperforms other methods,reducing noise and enhancing clar-ity and diagnostic utility,making it an effective post-processing tool for medical images.展开更多
Mutual information is widely used in medical image registration, because it does not require preprocessing the image. However, the local maximum problem in the registration is insurmountable. We combine mutual informa...Mutual information is widely used in medical image registration, because it does not require preprocessing the image. However, the local maximum problem in the registration is insurmountable. We combine mutual information and gradient information to solve this problem and apply it to the non-rigid deformation image registration. To improve the accuracy, we provide some implemental issues, for example, the Powell searching algorithm, gray interpolation and consideration of outlier points. The experimental results show the accuracy of the method and the feasibility in non-rigid medical image registration.展开更多
Brain tumor segmentation is critical in clinical diagnosis and treatment planning.Existing methods for brain tumor segmentation with missing modalities often struggle when dealing with multiple missing modalities,a co...Brain tumor segmentation is critical in clinical diagnosis and treatment planning.Existing methods for brain tumor segmentation with missing modalities often struggle when dealing with multiple missing modalities,a common scenario in real-world clinical settings.These methods primarily focus on handling a single missing modality at a time,making them insufficiently robust for the additional complexity encountered with incomplete data containing various missing modality combinations.Additionally,most existing methods rely on single models,which may limit their performance and increase the risk of overfitting the training data.This work proposes a novel method called the ensemble adversarial co-training neural network(EACNet)for accurate brain tumor segmentation from multi-modal magnetic resonance imaging(MRI)scans with multiple missing modalities.The proposed method consists of three key modules:the ensemble of pre-trained models,which captures diverse feature representations from the MRI data by employing an ensemble of pre-trained models;adversarial learning,which leverages a competitive training approach involving two models;a generator model,which creates realistic missing data,while sub-networks acting as discriminators learn to distinguish real data from the generated“fake”data.Co-training framework utilizes the information extracted by the multimodal path(trained on complete scans)to guide the learning process in the path handling missing modalities.The model potentially compensates for missing information through co-training interactions by exploiting the relationships between available modalities and the tumor segmentation task.EACNet was evaluated on the BraTS2018 and BraTS2020 challenge datasets and achieved state-of-the-art and competitive performance respectively.Notably,the segmentation results for the whole tumor(WT)dice similarity coefficient(DSC)reached 89.27%,surpassing the performance of existing methods.The analysis suggests that the ensemble approach offers potential benefits,and the adversarial co-training contributes to the increased robustness and accuracy of EACNet for brain tumor segmentation of MRI scans with missing modalities.The experimental results show that EACNet has promising results for the task of brain tumor segmentation of MRI scans with missing modalities and is a better candidate for real-world clinical applications.展开更多
Computer-aided diagnosis(CAD)can detect tuberculosis(TB)cases,providing radiologists with more accurate and efficient diagnostic solutions.Various noise information in TB chest X-ray(CXR)images is a major challenge in...Computer-aided diagnosis(CAD)can detect tuberculosis(TB)cases,providing radiologists with more accurate and efficient diagnostic solutions.Various noise information in TB chest X-ray(CXR)images is a major challenge in this classification task.This study aims to propose a model with high performance in TB CXR image detection named multi-scale input mirror network(MIM-Net)based on CXR image symmetry,which consists of a multi-scale input feature extraction network and mirror loss.The multi-scale image input can enhance feature extraction,while the mirror loss can improve the network performance through self-supervision.We used a publicly available TB CXR image classification dataset to evaluate our proposed method via 5-fold cross-validation,with accuracy,sensitivity,specificity,positive predictive value,negative predictive value,and area under curve(AUC)of 99.67%,100%,99.60%,99.80%,100%,and 0.9999,respectively.Compared to other models,MIM-Net performed best in all metrics.Therefore,the proposed MIM-Net can effectively help the network learn more features and can be used to detect TB in CXR images,thus assisting doctors in diagnosing.展开更多
基金the Deanship of Scientifc Research at King Khalid University for funding this work through large group Research Project under grant number RGP2/421/45supported via funding from Prince Sattam bin Abdulaziz University project number(PSAU/2024/R/1446)+1 种基金supported by theResearchers Supporting Project Number(UM-DSR-IG-2023-07)Almaarefa University,Riyadh,Saudi Arabia.supported by the Basic Science Research Program through the National Research Foundation of Korea(NRF)funded by the Ministry of Education(No.2021R1F1A1055408).
文摘Machine learning(ML)is increasingly applied for medical image processing with appropriate learning paradigms.These applications include analyzing images of various organs,such as the brain,lung,eye,etc.,to identify specific flaws/diseases for diagnosis.The primary concern of ML applications is the precise selection of flexible image features for pattern detection and region classification.Most of the extracted image features are irrelevant and lead to an increase in computation time.Therefore,this article uses an analytical learning paradigm to design a Congruent Feature Selection Method to select the most relevant image features.This process trains the learning paradigm using similarity and correlation-based features over different textural intensities and pixel distributions.The similarity between the pixels over the various distribution patterns with high indexes is recommended for disease diagnosis.Later,the correlation based on intensity and distribution is analyzed to improve the feature selection congruency.Therefore,the more congruent pixels are sorted in the descending order of the selection,which identifies better regions than the distribution.Now,the learning paradigm is trained using intensity and region-based similarity to maximize the chances of selection.Therefore,the probability of feature selection,regardless of the textures and medical image patterns,is improved.This process enhances the performance of ML applications for different medical image processing.The proposed method improves the accuracy,precision,and training rate by 13.19%,10.69%,and 11.06%,respectively,compared to other models for the selected dataset.The mean error and selection time is also reduced by 12.56%and 13.56%,respectively,compared to the same models and dataset.
基金supported by the Natural Science Foundation of China(No.41804112,author:Chengyun Song).
文摘Existing semi-supervisedmedical image segmentation algorithms use copy-paste data augmentation to correct the labeled-unlabeled data distribution mismatch.However,current copy-paste methods have three limitations:(1)training the model solely with copy-paste mixed pictures from labeled and unlabeled input loses a lot of labeled information;(2)low-quality pseudo-labels can cause confirmation bias in pseudo-supervised learning on unlabeled data;(3)the segmentation performance in low-contrast and local regions is less than optimal.We design a Stochastic Augmentation-Based Dual-Teaching Auxiliary Training Strategy(SADT),which enhances feature diversity and learns high-quality features to overcome these problems.To be more precise,SADT trains the Student Network by using pseudo-label-based training from Teacher Network 1 and supervised learning with labeled data,which prevents the loss of rare labeled data.We introduce a bi-directional copy-pastemask with progressive high-entropy filtering to reduce data distribution disparities and mitigate confirmation bias in pseudo-supervision.For the mixed images,Deep-Shallow Spatial Contrastive Learning(DSSCL)is proposed in the feature spaces of Teacher Network 2 and the Student Network to improve the segmentation capabilities in low-contrast and local areas.In this procedure,the features retrieved by the Student Network are subjected to a random feature perturbation technique.On two openly available datasets,extensive trials show that our proposed SADT performs much better than the state-ofthe-art semi-supervised medical segmentation techniques.Using only 10%of the labeled data for training,SADT was able to acquire a Dice score of 90.10%on the ACDC(Automatic Cardiac Diagnosis Challenge)dataset.
文摘Medical image segmentation has become a cornerstone for many healthcare applications,allowing for the automated extraction of critical information from images such as Computed Tomography(CT)scans,Magnetic Resonance Imaging(MRIs),and X-rays.The introduction of U-Net in 2015 has significantly advanced segmentation capabilities,especially for small datasets commonly found in medical imaging.Since then,various modifications to the original U-Net architecture have been proposed to enhance segmentation accuracy and tackle challenges like class imbalance,data scarcity,and multi-modal image processing.This paper provides a detailed review and comparison of several U-Net-based architectures,focusing on their effectiveness in medical image segmentation tasks.We evaluate performance metrics such as Dice Similarity Coefficient(DSC)and Intersection over Union(IoU)across different U-Net variants including HmsU-Net,CrossU-Net,mResU-Net,and others.Our results indicate that architectural enhancements such as transformers,attention mechanisms,and residual connections improve segmentation performance across diverse medical imaging applications,including tumor detection,organ segmentation,and lesion identification.The study also identifies current challenges in the field,including data variability,limited dataset sizes,and issues with class imbalance.Based on these findings,the paper suggests potential future directions for improving the robustness and clinical applicability of U-Net-based models in medical image segmentation.
基金supported by Gansu Natural Science Foundation Programme(No.24JRRA231)National Natural Science Foundation of China(No.62061023)Gansu Provincial Education,Science and Technology Innovation and Industry(No.2021CYZC-04)。
文摘Medical image fusion technology is crucial for improving the detection accuracy and treatment efficiency of diseases,but existing fusion methods have problems such as blurred texture details,low contrast,and inability to fully extract fused image information.Therefore,a multimodal medical image fusion method based on mask optimization and parallel attention mechanism was proposed to address the aforementioned issues.Firstly,it converted the entire image into a binary mask,and constructed a contour feature map to maximize the contour feature information of the image and a triple path network for image texture detail feature extraction and optimization.Secondly,a contrast enhancement module and a detail preservation module were proposed to enhance the overall brightness and texture details of the image.Afterwards,a parallel attention mechanism was constructed using channel features and spatial feature changes to fuse images and enhance the salient information of the fused images.Finally,a decoupling network composed of residual networks was set up to optimize the information between the fused image and the source image so as to reduce information loss in the fused image.Compared with nine high-level methods proposed in recent years,the seven objective evaluation indicators of our method have improved by 6%−31%,indicating that this method can obtain fusion results with clearer texture details,higher contrast,and smaller pixel differences between the fused image and the source image.It is superior to other comparison algorithms in both subjective and objective indicators.
基金financed by the grant from the Youth Fund for Humanities and Social Sciences Research of the Ministry of Education (No. 19YJCZH040)。
文摘The pancreas is neither part of the five Zang organs(五脏) nor the six Fu organs(六腑).Thus,it has received little attention in Chinese medical literature.In the late 19th century,medical missionaries in China started translating and introducing anatomical and physiological knowledge about the pancreas.As for the word pancreas,an early and influential translation was “sweet meat”(甜肉),proposed by Benjamin Hobson(合信).The translation “sweet meat” is not faithful to the original meaning of “pancreas”,but is a term coined by Hobson based on his personal habits,and the word “sweet” appeared by chance.However,in the decades since the term “sweet meat” became popular,Chinese medicine practitioners,such as Tang Zonghai(唐宗海),reinterpreted it by drawing new medical illustrations for “sweet meat” and giving new connotations to the word “sweet”.This discussion and interpretation of “sweet meat” in modern China,particularly among Chinese medicine professionals,is not only a dissemination and interpretation of the knowledge of “pancreas”,but also a construction of knowledge around the term “sweet meat”.
文摘With the rapid advancement in artificial intelligence(AI)and its application in the Internet of Things(IoT),intelligent technologies are being introduced in the medical field,giving rise to smart healthcare systems.The medical imaging data contains sensitive information,which can easily be stolen or tampered with,necessitating secure encryption schemes designed specifically to protect these images.This paper introduces an artificial intelligence-driven novel encryption scheme tailored for the secure transmission and storage of high-resolution medical images.The proposed scheme utilizes an artificial intelligence-based autoencoder to compress high-resolution medical images and to facilitate fast encryption and decryption.The proposed autoencoder retains important diagnostic information even after reducing the image dimensions.The low-resolution images then undergo a four-stage encryption process.The first two encryption stages involve permutation and the next two stages involve confusion.The first two stages ensure the disruption of the structure of the image,making it secure against statistical attacks.Whereas the two stages of confusion ensure the effective concealment of the pixel values making it difficult to decrypt without secret keys.This encrypted image is then safe for storage or transmission.The proposed scheme has been extensively evaluated against various attacks and statistical security parameters confirming its effectiveness in securing medical image data.
基金funded by Researchers Supporting Program at King Saud University,(RSPD2024R809).
文摘In blood or bone marrow,leukemia is a form of cancer.A person with leukemia has an expansion of white blood cells(WBCs).It primarily affects children and rarely affects adults.Treatment depends on the type of leukemia and the extent to which cancer has established throughout the body.Identifying leukemia in the initial stage is vital to providing timely patient care.Medical image-analysis-related approaches grant safer,quicker,and less costly solutions while ignoring the difficulties of these invasive processes.It can be simple to generalize Computer vision(CV)-based and image-processing techniques and eradicate human error.Many researchers have implemented computer-aided diagnosticmethods andmachine learning(ML)for laboratory image analysis,hopefully overcoming the limitations of late leukemia detection and determining its subgroups.This study establishes a Marine Predators Algorithm with Deep Learning Leukemia Cancer Classification(MPADL-LCC)algorithm onMedical Images.The projectedMPADL-LCC system uses a bilateral filtering(BF)technique to pre-process medical images.The MPADL-LCC system uses Faster SqueezeNet withMarine Predators Algorithm(MPA)as a hyperparameter optimizer for feature extraction.Lastly,the denoising autoencoder(DAE)methodology can be executed to accurately detect and classify leukemia cancer.The hyperparameter tuning process using MPA helps enhance leukemia cancer classification performance.Simulation results are compared with other recent approaches concerning various measurements and the MPADL-LCC algorithm exhibits the best results over other recent approaches.
文摘This article proposes a novel fractional heterogeneous neural network by coupling a Rulkov neuron with a Hopfield neural network(FRHNN),utilizing memristors for emulating neural synapses.The study firstly demonstrates the coexistence of multiple firing patterns through phase diagrams,Lyapunov exponents(LEs),and bifurcation diagrams.Secondly,the parameter related firing behaviors are described through two-parameter bifurcation diagrams.Subsequently,local attraction basins reveal multi-stability phenomena related to initial values.Moreover,the proposed model is implemented on a microcomputer-based ARM platform,and the experimental results correspond to the numerical simulations.Finally,the article explores the application of digital watermarking for medical images,illustrating its features of excellent imperceptibility,extensive key space,and robustness against attacks including noise and cropping.
基金National Natural Science Foundation of China,Grant/Award Numbers:62063004,62350410483Key Research and Development Project of Hainan Province,Grant/Award Number:ZDYF2021SHFZ093Zhejiang Provincial Postdoctoral Science Foundation,Grant/Award Number:ZJ2021028。
文摘In the intricate network environment,the secure transmission of medical images faces challenges such as information leakage and malicious tampering,significantly impacting the accuracy of disease diagnoses by medical professionals.To address this problem,the authors propose a robust feature watermarking algorithm for encrypted medical images based on multi-stage discrete wavelet transform(DWT),Daisy descriptor,and discrete cosine transform(DCT).The algorithm initially encrypts the original medical image through DWT-DCT and Logistic mapping.Subsequently,a 3-stage DWT transformation is applied to the encrypted medical image,with the centre point of the LL3 sub-band within its low-frequency component serving as the sampling point.The Daisy descriptor matrix for this point is then computed.Finally,a DCT transformation is performed on the Daisy descriptor matrix,and the low-frequency portion is processed using the perceptual hashing algorithm to generate a 32-bit binary feature vector for the medical image.This scheme utilises cryptographic knowledge and zero-watermarking technique to embed watermarks without modifying medical images and can extract the watermark from test images without the original image,which meets the basic re-quirements of medical image watermarking.The embedding and extraction of water-marks are accomplished in a mere 0.160 and 0.411s,respectively,with minimal computational overhead.Simulation results demonstrate the robustness of the algorithm against both conventional attacks and geometric attacks,with a notable performance in resisting rotation attacks.
文摘The Internet of Multimedia Things(IoMT)refers to a network of interconnected multimedia devices that communicate with each other over the Internet.Recently,smart healthcare has emerged as a significant application of the IoMT,particularly in the context of knowledge‐based learning systems.Smart healthcare systems leverage knowledge‐based learning to become more context‐aware,adaptable,and auditable while maintain-ing the ability to learn from historical data.In smart healthcare systems,devices capture images,such as X‐rays,Magnetic Resonance Imaging.The security and integrity of these images are crucial for the databases used in knowledge‐based learning systems to foster structured decision‐making and enhance the learning abilities of AI.Moreover,in knowledge‐driven systems,the storage and transmission of HD medical images exert a burden on the limited bandwidth of the communication channel,leading to data trans-mission delays.To address the security and latency concerns,this paper presents a lightweight medical image encryption scheme utilising bit‐plane decomposition and chaos theory.The results of the experiment yield entropy,energy,and correlation values of 7.999,0.0156,and 0.0001,respectively.This validates the effectiveness of the encryption system proposed in this paper,which offers high‐quality encryption,a large key space,key sensitivity,and resistance to statistical attacks.
基金Major Program of National Natural Science Foundation of China(NSFC12292980,NSFC12292984)National Key R&D Program of China(2023YFA1009000,2023YFA1009004,2020YFA0712203,2020YFA0712201)+2 种基金Major Program of National Natural Science Foundation of China(NSFC12031016)Beijing Natural Science Foundation(BNSFZ210003)Department of Science,Technology and Information of the Ministry of Education(8091B042240).
文摘Gliomas have the highest mortality rate of all brain tumors.Correctly classifying the glioma risk period can help doctors make reasonable treatment plans and improve patients’survival rates.This paper proposes a hierarchical multi-scale attention feature fusion medical image classification network(HMAC-Net),which effectively combines global features and local features.The network framework consists of three parallel layers:The global feature extraction layer,the local feature extraction layer,and the multi-scale feature fusion layer.A linear sparse attention mechanism is designed in the global feature extraction layer to reduce information redundancy.In the local feature extraction layer,a bilateral local attention mechanism is introduced to improve the extraction of relevant information between adjacent slices.In the multi-scale feature fusion layer,a channel fusion block combining convolutional attention mechanism and residual inverse multi-layer perceptron is proposed to prevent gradient disappearance and network degradation and improve feature representation capability.The double-branch iterative multi-scale classification block is used to improve the classification performance.On the brain glioma risk grading dataset,the results of the ablation experiment and comparison experiment show that the proposed HMAC-Net has the best performance in both qualitative analysis of heat maps and quantitative analysis of evaluation indicators.On the dataset of skin cancer classification,the generalization experiment results show that the proposed HMAC-Net has a good generalization effect.
文摘Background A medical content-based image retrieval(CBIR)system is designed to retrieve images from large imaging repositories that are visually similar to a user′s query image.CBIR is widely used in evidence-based diagnosis,teaching,and research.Although the retrieval accuracy has largely improved,there has been limited development toward visualizing important image features that indicate the similarity of retrieved images.Despite the prevalence of 3D volumetric data in medical imaging such as computed tomography(CT),current CBIR systems still rely on 2D cross-sectional views for the visualization of retrieved images.Such 2D visualization requires users to browse through the image stacks to confirm the similarity of the retrieved images and often involves mental reconstruction of 3D information,including the size,shape,and spatial relations of multiple structures.This process is time-consuming and reliant on users'experience.Methods In this study,we proposed an importance-aware 3D volume visualization method.The rendering parameters were automatically optimized to maximize the visibility of important structures that were detected and prioritized in the retrieval process.We then integrated the proposed visualization into a CBIR system,thereby complementing the 2D cross-sectional views for relevance feedback and further analyses.Results Our preliminary results demonstrate that 3D visualization can provide additional information using multimodal positron emission tomography and computed tomography(PETCT)images of a non-small cell lung cancer dataset.
文摘Deep learning has been extensively applied to medical image segmentation,resulting in significant advancements in the field of deep neural networks for medical image segmentation since the notable success of U Net in 2015.However,the application of deep learning models to ocular medical image segmentation poses unique challenges,especially compared to other body parts,due to the complexity,small size,and blurriness of such images,coupled with the scarcity of data.This article aims to provide a comprehensive review of medical image segmentation from two perspectives:the development of deep network structures and the application of segmentation in ocular imaging.Initially,the article introduces an overview of medical imaging,data processing,and performance evaluation metrics.Subsequently,it analyzes recent developments in U-Net-based network structures.Finally,for the segmentation of ocular medical images,the application of deep learning is reviewed and categorized by the type of ocular tissue.
基金supported by the National Key R&D Program of China(2018AAA0102100)the National Natural Science Foundation of China(No.62376287)+3 种基金the International Science and Technology Innovation Joint Base of Machine Vision and Medical Image Processing in Hunan Province(2021CB1013)the Key Research and Development Program of Hunan Province(2022SK2054)the Natural Science Foundation of Hunan Province(No.2022JJ30762,2023JJ70016)the 111 Project under Grant(No.B18059).
文摘Automatic segmentation of medical images provides a reliable scientific basis for disease diagnosis and analysis.Notably,most existing methods that combine the strengths of convolutional neural networks(CNNs)and Transformers have made significant progress.However,there are some limitations in the current integration of CNN and Transformer technology in two key aspects.Firstly,most methods either overlook or fail to fully incorporate the complementary nature between local and global features.Secondly,the significance of integrating the multiscale encoder features from the dual-branch network to enhance the decoding features is often disregarded in methods that combine CNN and Transformer.To address this issue,we present a groundbreaking dual-branch cross-attention fusion network(DCFNet),which efficiently combines the power of Swin Transformer and CNN to generate complementary global and local features.We then designed the Feature Cross-Fusion(FCF)module to efficiently fuse local and global features.In the FCF,the utilization of the Channel-wise Cross-fusion Transformer(CCT)serves the purpose of aggregatingmulti-scale features,and the Feature FusionModule(FFM)is employed to effectively aggregate dual-branch prominent feature regions from the spatial perspective.Furthermore,within the decoding phase of the dual-branch network,our proposed Channel Attention Block(CAB)aims to emphasize the significance of the channel features between the up-sampled features and the features generated by the FCFmodule to enhance the details of the decoding.Experimental results demonstrate that DCFNet exhibits enhanced accuracy in segmentation performance.Compared to other state-of-the-art(SOTA)methods,our segmentation framework exhibits a superior level of competitiveness.DCFNet’s accurate segmentation of medical images can greatly assist medical professionals in making crucial diagnoses of lesion areas in advance.
基金the National Natural Science Foundation of China(No.61976080)the Academic Degrees&Graduate Education Reform Project of Henan Province(No.2021SJGLX195Y)+1 种基金the Teaching Reform Research and Practice Project of Henan Undergraduate Universities(No.2022SYJXLX008)the Key Project on Research and Practice of Henan University Graduate Education and Teaching Reform(No.YJSJG2023XJ006)。
文摘The unsupervised multi-modal image translation is an emerging domain of computer vision whose goal is to transform an image from the source domain into many diverse styles in the target domain.However,the multi-generator mechanism is employed among the advanced approaches available to model different domain mappings,which results in inefficient training of neural networks and pattern collapse,leading to inefficient generation of image diversity.To address this issue,this paper introduces a multi-modal unsupervised image translation framework that uses a generator to perform multi-modal image translation.Specifically,firstly,the domain code is introduced in this paper to explicitly control the different generation tasks.Secondly,this paper brings in the squeeze-and-excitation(SE)mechanism and feature attention(FA)module.Finally,the model integrates multiple optimization objectives to ensure efficient multi-modal translation.This paper performs qualitative and quantitative experiments on multiple non-paired benchmark image translation datasets while demonstrating the benefits of the proposed method over existing technologies.Overall,experimental results have shown that the proposed method is versatile and scalable.
文摘Deep convolutional neural network (CNN) greatly promotes the automatic segmentation of medical images. However, due to the inherent properties of convolution operations, CNN usually cannot establish long-distance interdependence, which limits the segmentation performance. Transformer has been successfully applied to various computer vision, using self-attention mechanism to simulate long-distance interaction, so as to capture global information. However, self-attention lacks spatial location and high-performance computing. In order to solve the above problems, we develop a new medical transformer, which has a multi-scale context fusion function and can be used for medical image segmentation. The proposed model combines convolution operation and attention mechanism to form a u-shaped framework, which can capture both local and global information. First, the traditional converter module is improved to an advanced converter module, which uses post-layer normalization to obtain mild activation values, and uses scaled cosine attention with a moving window to obtain accurate spatial information. Secondly, we also introduce a deep supervision strategy to guide the model to fuse multi-scale feature information. It further enables the proposed model to effectively propagate feature information across layers, Thanks to this, it can achieve better segmentation performance while being more robust and efficient. The proposed model is evaluated on multiple medical image segmentation datasets. Experimental results demonstrate that the proposed model achieves better performance on a challenging dataset (ETIS) compared to existing methods that rely only on convolutional neural networks, transformers, or a combination of both. The mDice and mIou indicators increased by 2.74% and 3.3% respectively.
文摘The progress in medical imaging technology highlights the importance of image quality for effective diagnosis and treatment.Yet,noise during capture and transmission can compromise image accuracy and reliability,complicating clinical decisions.The rising interest in diffusion models has led to their exploration of denoising images.We present Be-FOI(Better Fluoro Images),a weakly supervised model that uses cine images to denoise fluoroscopic images,both DR types.Trained through precise noise estimation and simulation,BeFOI employs Markov chains to denoise using only the fluoroscopic image as guidance.Our tests show that BeFOI outperforms other methods,reducing noise and enhancing clar-ity and diagnostic utility,making it an effective post-processing tool for medical images.
文摘Mutual information is widely used in medical image registration, because it does not require preprocessing the image. However, the local maximum problem in the registration is insurmountable. We combine mutual information and gradient information to solve this problem and apply it to the non-rigid deformation image registration. To improve the accuracy, we provide some implemental issues, for example, the Powell searching algorithm, gray interpolation and consideration of outlier points. The experimental results show the accuracy of the method and the feasibility in non-rigid medical image registration.
基金supported by Gansu Natural Science Foundation Programme(No.24JRRA231)National Natural Science Foundation of China(No.62061023)Gansu Provincial Education,Science and Technology Innovation and Industry(No.2021CYZC-04)。
文摘Brain tumor segmentation is critical in clinical diagnosis and treatment planning.Existing methods for brain tumor segmentation with missing modalities often struggle when dealing with multiple missing modalities,a common scenario in real-world clinical settings.These methods primarily focus on handling a single missing modality at a time,making them insufficiently robust for the additional complexity encountered with incomplete data containing various missing modality combinations.Additionally,most existing methods rely on single models,which may limit their performance and increase the risk of overfitting the training data.This work proposes a novel method called the ensemble adversarial co-training neural network(EACNet)for accurate brain tumor segmentation from multi-modal magnetic resonance imaging(MRI)scans with multiple missing modalities.The proposed method consists of three key modules:the ensemble of pre-trained models,which captures diverse feature representations from the MRI data by employing an ensemble of pre-trained models;adversarial learning,which leverages a competitive training approach involving two models;a generator model,which creates realistic missing data,while sub-networks acting as discriminators learn to distinguish real data from the generated“fake”data.Co-training framework utilizes the information extracted by the multimodal path(trained on complete scans)to guide the learning process in the path handling missing modalities.The model potentially compensates for missing information through co-training interactions by exploiting the relationships between available modalities and the tumor segmentation task.EACNet was evaluated on the BraTS2018 and BraTS2020 challenge datasets and achieved state-of-the-art and competitive performance respectively.Notably,the segmentation results for the whole tumor(WT)dice similarity coefficient(DSC)reached 89.27%,surpassing the performance of existing methods.The analysis suggests that the ensemble approach offers potential benefits,and the adversarial co-training contributes to the increased robustness and accuracy of EACNet for brain tumor segmentation of MRI scans with missing modalities.The experimental results show that EACNet has promising results for the task of brain tumor segmentation of MRI scans with missing modalities and is a better candidate for real-world clinical applications.
基金supported by the Joint Fund of the Ministry of Education for Equipment Pre-research(No.8091B0203)National Key Research and Development Program of China(No.2020YFC2008700)。
文摘Computer-aided diagnosis(CAD)can detect tuberculosis(TB)cases,providing radiologists with more accurate and efficient diagnostic solutions.Various noise information in TB chest X-ray(CXR)images is a major challenge in this classification task.This study aims to propose a model with high performance in TB CXR image detection named multi-scale input mirror network(MIM-Net)based on CXR image symmetry,which consists of a multi-scale input feature extraction network and mirror loss.The multi-scale image input can enhance feature extraction,while the mirror loss can improve the network performance through self-supervision.We used a publicly available TB CXR image classification dataset to evaluate our proposed method via 5-fold cross-validation,with accuracy,sensitivity,specificity,positive predictive value,negative predictive value,and area under curve(AUC)of 99.67%,100%,99.60%,99.80%,100%,and 0.9999,respectively.Compared to other models,MIM-Net performed best in all metrics.Therefore,the proposed MIM-Net can effectively help the network learn more features and can be used to detect TB in CXR images,thus assisting doctors in diagnosing.
