Abstract

Computer-aided diagnosis systems with deep learning frameworks have been used to identify benign and malignant pulmonary nodules in lung cancer diagnosis. It's commonly known that a premise of training complex deep neural nets is the large-scale labeled datasets. However, the abundance of labeled datasets is usually unavailable in many medical image domains. This factor can lead to the poor generalization performance of deep learning models. In this paper, we propose a novel multi-discriminator generative adversarial network model combined with an encoder for the classification of benign and malignant pulmonary nodules. To the best of our knowledge, we are the first to apply unsupervised learning to identify benign and malignant lung nodules. Firstly, we use a multi-discriminator generative adversarial network to build a generative model trained with unlabeled benign lung nodule images. Then an encoder is combined with the trained generative model to establish a mapping of benign pulmonary nodule images to the latent space. The benign and malignant lung nodules are scored by calculating the GAN discriminator feature loss and image reconstruction loss. The model yields high anomaly scores on malignant images and low anomaly scores on benign images. Experimental results show that our method with only a small number of unlabeled datasets could achieve more competitive results compared with other supervised deep learning approaches.

Highlights

  • According to the 2015 Global Cancer Statistics, lung cancer is approximately more than 27% of all cancers and causes 19.5% of cancer-related deaths each year [1]

  • An overview of the proposed classification approach of lung nodules is shown in Fig.1, which mainly includes three steps: a) sample datasets construction; b) model training: multi-discriminator generative adversarial network training and Multi-discriminator Generative Adversarial Network (MDGAN) guided encoder training; c) lung nodule malignancy classification

  • Because the lung nodule area only accounts for 0.04% to 1.37% of the CT image size [14], the entire CT image is directly used as the input data of the classification model, the too-small target will cause the learning process to be unclear, so segmentation is performed to extract the ROI region that contains only lung nodules

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Summary

INTRODUCTION

According to the 2015 Global Cancer Statistics, lung cancer is approximately more than 27% of all cancers and causes 19.5% of cancer-related deaths each year [1]. We proposed an unsupervised method for the classification of benign-malignant lung nodules based on the combination of a multi-discriminator generative adversarial network (MDGAN) and an encoder in the medical images domain. Our method is to use a multi-discriminator generative adversarial network and an encoder model to learn the feature distribution of normal data by establishing the mapping of real normal data to the MDGAN latent space and calculate the MDGAN discriminator feature loss and image reconstruction loss which are used to score benign and malignant lung nodules. Our main contributions can be summarized as follows: 1) Our method is the first to successfully introduce unsupervised learning into the classification of lung nodule malignancy It overcomes the shortcomings of existing deep learning methods that required large labeled datasets for training. To improving the generator performance and better learning the characteristic distribution of pulmonary nodules images

METHODS
MDGAN MODEL GUIDED ENCODER TRAINING
LUNG NODULE MALIGNANCY CLASSIFICATION
EVALUATION
Findings
CONCLUSION
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