CNN attention guidance for improved orthopedics radiographic fracture classification
Journal article
Liao, Zhibin, Liao, Kewen, Shen, Haifeng, van Boxel, Marouska F, Prijs, Jasper, Jaarsma, Ruurd L., Doornberg, Job N., van den Hengel, Anton and Verjans, Johan W.. (2022). CNN attention guidance for improved orthopedics radiographic fracture classification. IEEE Journal of Biomedical and Health Informatics. 26(7), pp. 3139-3150. https://doi.org/10.1109/JBHI.2022.3152267
Authors | Liao, Zhibin, Liao, Kewen, Shen, Haifeng, van Boxel, Marouska F, Prijs, Jasper, Jaarsma, Ruurd L., Doornberg, Job N., van den Hengel, Anton and Verjans, Johan W. |
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Abstract | Convolutional neural networks (CNNs) have gained significant popularity in orthopedic imaging in recent years due to their ability to solve fracture classification problems. A common criticism of CNNs is their opaque learning and reasoning process, making it difficult to trust machine diagnosis and the subsequent adoption of such algorithms in clinical setting. This is especially true when the CNN is trained with limited amount of medical data, which is a common issue as curating sufficiently large amount of annotated medical imaging data is a long and costly process. While interest has been devoted to explaining CNN learnt knowledge by visualizing network attention, the utilization of the visualized attention to improve network learning has been rarely investigated. This paper explores the effectiveness of regularizing CNN network with human-provided attention guidance on where in the image the network should look for answering clues. On two orthopedics radiographic fracture classification datasets, through extensive experiments we demonstrate that explicit human-guided attention indeed can direct correct network attention and consequently significantly improve classification performance. The development code for the proposed attention guidance is publicly available on https://github.com/zhibinliao89/fracture_attention_guidance. |
Keywords | CNN; deep learning; network attention; orthopedics fracture classification; radiology; X-rays |
Year | 2022 |
Journal | IEEE Journal of Biomedical and Health Informatics |
Journal citation | 26 (7), pp. 3139-3150 |
Publisher | Institute of Electrical and Electronics Engineers |
ISSN | 2168-2194 |
2168-2208 | |
Digital Object Identifier (DOI) | https://doi.org/10.1109/JBHI.2022.3152267 |
Scopus EID | 2-s2.0-8512534573 |
Research or scholarly | Research |
Page range | 3139-3150 |
Publisher's version | License All rights reserved File Access Level Controlled |
Output status | Published |
Publication dates | |
Online | 22 Feb 2022 |
Publication process dates | |
Deposited | 18 Aug 2022 |
https://acuresearchbank.acu.edu.au/item/8y1xy/cnn-attention-guidance-for-improved-orthopedics-radiographic-fracture-classification
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