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Bone metastasis is among the most frequent in diseases to patients suffering from metastatic cancer, such as breast or prostate cancer. A popular diagnostic method is bone scintigraphy where the whole body of the patient is scanned. However, hot spots that are presented in the scanned image can be misleading, making the accurate and reliable diagnosis of bone metastasis a challenge. Artificial intelligence can play a crucial role as a decision support tool to alleviate the burden of generating manual annotations on images and therefore prevent oversights by medical experts. So far, several state-of-the-art convolutional neural networks (CNN) have been employed to address bone metastasis diagnosis as a binary or multiclass classification problem achieving adequate accuracy (higher than 90%). However, due to their increased complexity (number of layers and free parameters), these networks are severely dependent on the number of available training images that are typically limited within the medical domain. Our study was dedicated to the use of a new deep learning architecture that overcomes the computational burden by using a convolutional neural network with a significantly lower number of floating-point operations (FLOPs) and free parameters. The proposed lightweight look-behind fully convolutional neural network was implemented and compared with several well-known powerful CNNs, such as ResNet50, VGG16, Inception V3, Xception, and MobileNet on an imaging dataset of moderate size (778 images from male subjects with prostate cancer). The results prove the superiority of the proposed methodology over the current state-of-the-art on identifying bone metastasis. The proposed methodology demonstrates a unique potential to revolutionize image-based diagnostics enabling new possibilities for enhanced cancer metastasis monitoring and treatment.

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Convolutional Neural Networks (CNNs) are artificial learning systems typically based on two operations: convolution, which implements feature extraction through filtering, and pooling, which implements dimensionality reduction. The impact of pooling in the classification performance of the CNNs has been highlighted in several previous works, and a variety of alternative pooling operators have been proposed. However, only a few of them tackle with the uncertainty that is naturally propagated from the input layer to the feature maps of the hidden layers through convolutions. In this paper we present a novel pooling operation based on (type-1) fuzzy sets to cope with the local imprecision of the feature maps, and we investigate its performance in the context of image classification. Fuzzy pooling is performed by fuzzification, aggregation and defuzzification of feature map neighborhoods. It is used for the construction of a fuzzy pooling layer that can be applied as a drop-in replacement of the current, crisp, pooling layers of CNN architectures. Several experiments using publicly available datasets show that the proposed approach can enhance the classification performance of a CNN. A comparative evaluation shows that it outperforms state-of-the-art pooling approaches.

Medical image synthesis has emerged as a promising solution to address the limited availability of annotated medical data needed for training machine learning algorithms in the context of image-based Clinical Decision Support (CDS) systems. To this end, Generative Adversarial Networks (GANs) have been mainly applied to support the algorithm training process by generating synthetic images for data augmentation. However, in the field of Wireless Capsule Endoscopy (WCE), the limited content diversity and size of existing publicly available annotated datasets, adversely affect both the training stability and synthesis performance of GANs. Aiming to a viable solution for WCE image synthesis, a novel Variational Autoencoder architecture is proposed, namely 'This Intestine Does not Exist' (TIDE). The proposed architecture comprises multiscale feature extraction convolutional blocks and residual connections, which enable the generation of high-quality and diverse datasets even with a limited number of training images. Contrary to the current approaches, which are oriented towards the augmentation of the available datasets, this study demonstrates that using TIDE, real WCE datasets can be fully substituted by artificially generated ones, without compromising classification performance. Furthermore, qualitative and user evaluation studies by experienced WCE specialists, validate from a medical viewpoint that both the normal and abnormal WCE images synthesized by TIDE are sufficiently realistic.

Machine Learning (ML) applications are growing in an unprecedented scale. The development of easy-to-use machine-learning application frameworks has enabled the development of advanced artificial intelligence (AI) applications with only a few lines of self-explanatory code. As a result, ML-based AI is becoming approachable by mainstream developers and small businesses. However, the deployment of ML algorithms for remote high throughput ML task execution, involving complex data-processing pipelines can still be challenging, especially with respect to production ML use cases. To cope with this issue, in this paper we propose a novel system architecture that enables Algorithm-agnostic, Scalable ML (ASML) task execution for high throughput applications. It aims to provide an answer to the research question of how to design and implement an abstraction framework, suitable for the deployment of end-to-end ML pipelines in a generic and standard way. The proposed ASML architecture manages horizontal scaling, task scheduling, reporting, monitoring and execution of multi-client ML tasks using modular, extensible components that abstract the execution details of the underlying algorithms. Experiments in the context of obstacle detection and recognition, as well as in the context of abnormality detection in medical image streams, demonstrate its capacity for parallel, mission critical, task execution.

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