Faculty Publications

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Segmentation of focal cortical dysplasia lesions from magnetic resonance images using 3D convolutional neural networks
(Elsevier Ltd, 2021) Niyas, S.; Chethana Vaisali, S.; Show, I.; Chandrika, T.G.; Vinayagamani, S.; Kesavadas, C.; Rajan, J.
Computer-aided diagnosis using advanced Artific ial Intelligence (AI) techniques has become much popular over the last few years. This work automates the segmentation of Focal Cortical Dysplasia (FCD) lesions from three-dimensional (3D) Magnetic Resonance (MR) images. FCD is a type of neuronal malformation in the brain cortex and is the leading cause of intractable epilepsy, irrespective of gender or age differences. Since the neuron related abnormalities are usually resistant to drug therapy, surgical resection has been the main treatment approach for patients with intractable epilepsy. Automating the identification and segmentation of FCD is useful for neuroradiologists in pre-surgical evaluations. Convolutional Neural Networks (CNNs) have the ability to learn appropriate features from the training data without any human intervention. But, most of the state-of-the-art FCD segmentation approaches use two-dimensional (2D) CNN models despite the availability of 3D Magnetic resonance imaging (MRI) volumes, and hence fail to leverage the inter-slice information present in the MRI volumes. The major hurdles in considering a 3D CNN model are the need for a large 3D dataset, big memory, and high computation cost. A deep 3D CNN segmentation model, which can extract inter-slice information and overcomes the drawbacks of conventional 3D CNN methods to an extent, is proposed in this paper. The model uses a 3D version of U-Net with residual blocks that works on shallow depth 3D sub-volumes generated from MRI volumes. The proposed method shows superior performance over the state-of-the-art FCD segmentation methods in both qualitative and quantitative analysis. © 2021 Elsevier Ltd
Automated Molecular Subtyping of Breast Carcinoma Using Deep Learning Techniques
(Institute of Electrical and Electronics Engineers Inc., 2023) Niyas, S.; Bygari, R.; Naik, R.; Viswanath, B.; Ugwekar, D.; Mathew, T.; Kavya, J.; Kini, J.R.; Rajan, J.
Objective: Molecular subtyping is an important procedure for prognosis and targeted therapy of breast carcinoma, the most common type of malignancy affecting women. Immunohistochemistry (IHC) analysis is the widely accepted method for molecular subtyping. It involves the assessment of the four molecular biomarkers namely estrogen receptor (ER), progesterone receptor (PR), human epidermal growth factor receptor 2 (HER2), and antigen Ki67 using appropriate antibody reagents. Conventionally, these biomarkers are assessed manually by a pathologist, who finally combines individual results to identify the molecular subtype. Molecular subtyping necessitates the status of all the four biomarkers together, and to the best of our knowledge, no such automated method exists. This paper proposes a novel deep learning framework for automatic molecular subtyping of breast cancer from IHC images. Methods and procedures: A modified LadderNet architecture is proposed to segment the immunopositive elements from ER, PR, HER2, and Ki67 biomarker slides. This architecture uses long skip connections to pass encoder feature space from different semantic levels to the decoder layers, allowing concurrent learning with multi-scale features. The entire architecture is an ensemble of multiple fully convolutional neural networks, and learning pathways are chosen adaptively based on input data. The segmentation stage is followed by a post-processing stage to quantify the extent of immunopositive elements to predict the final status for each biomarker. Results: The performance of segmentation models for each IHC biomarker is evaluated qualitatively and quantitatively. Furthermore, the biomarker prediction results are also evaluated. The results obtained by our method are highly in concordance with manual assessment by pathologists. Clinical impact: Accurate automated molecular subtyping can speed up this pathology procedure, reduce pathologists' workload and associated costs, and facilitate targeted treatment to obtain better outcomes. © 2013 IEEE.
StrokeViT with AutoML for brain stroke classification
(Elsevier Ltd, 2023) Raj, R.; Mathew, J.; Kannath, S.K.; Rajan, J.
Stroke, categorized under cardiovascular and circulatory diseases, is considered the second foremost cause of death worldwide, causing approximately 11% of deaths annually. Stroke diagnosis using a Computed Tomography (CT) scan is considered ideal for identifying whether the stroke is hemorrhagic or ischemic. However, most methods for stroke classification are based on a single slice-level prediction mechanism, meaning that the most imperative CT slice has to be manually selected by the radiologist from the original CT volume. This paper proposes an integration of Convolutional Neural Network (CNN), Vision Transformers (ViT), and AutoML to obtain slice-level predictions as well as patient-wise prediction results. While the CNN with inductive bias captures local features, the transformer captures long-range dependencies between sequences. This collaborative local-global feature extractor improves upon the slice-wise predictions of the CT volume. We propose stroke-specific feature extraction from each slice-wise prediction to obtain the patient-wise prediction using AutoML. While the slice-wise predictions helps the radiologist to verify close and corner cases, the patient-wise predictions makes the outcome clinically relevant and closer to real-world scenario. The proposed architecture has achieved an accuracy of 87% for single slice-level prediction and an accuracy of 92% for patient-wise prediction. For comparative analysis of slice-level predictions, standalone architectures of VGG-16, VGG-19, ResNet50, and ViT were considered. The proposed architecture has outperformed the standalone architectures by 9% in terms of accuracy. For patient-wise predictions, AutoML considers 13 different ML algorithms, of which 3 achieve an accuracy of more than 90%. The proposed architecture helps in reducing the manual effort by the radiologist to manually select the most imperative CT from the original CT volume and shows improvement over other standalone architectures for classification tasks. The proposed architecture can be generalized for volumetric scans aiding in the patient diagnosis of head and neck, lungs, diseases of hepatobiliary tract, genitourinary diseases, women's imaging including breast cancer and various musculoskeletal diseases. Code for proposed stroke-specific feature extraction with the pre-trained weights of the trained model is available at: https://github.com/rishiraj-cs/StrokeViT_With_AutoML. © 2022 Elsevier Ltd

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