In the setting of a challenge competition, some deep learning algorithms achieved better diagnostic performance than a panel of 11 pathologists participating in a simulation exercise designed to mimic routine pathology workflow; algorithm performance was comparable with an expert pathologist interpreting whole-slide images without time constraints. Whether this approach has clinical utility will require evaluation in a clinical setting.

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Recently deep neural networks have been widely and successfully applied in computer vision tasks and attracted growing interests in medical imaging. One barrier for the application of deep neural networks to medical imaging is the need of large amounts of prior training pairs, which is not always feasible in clinical practice. This is especially true for medical image reconstruction problems, where raw data are needed. Inspired by the deep image prior framework, in this work we proposed a personalized network training method where no prior training pairs are needed, but only the patient' own prior information. The network is updated during the iterative reconstruction process using the patient specific prior information and measured data. We formulated the maximum likelihood estimation as a constrained optimization problem and solved it using the alternating direction method of multipliers (ADMM) algorithm. Magnetic resonance imaging (MRI) guided Positron emission tomography (PET) reconstruction was employed as an example to demonstrate the effectiveness of the proposed framework. Quantification results based on simulation and real data show that the proposed reconstruction framework can outperform Gaussian post-smoothing and anatomically-guided reconstructions using the kernel method or the neural network penalty.

PET image reconstruction is challenging due to the ill-poseness of the inverse problem and limited number of detected photons. Recently deep neural networks have been widely and successfully used in computer vision tasks and attracted growing interests in medical imaging. In this work, we trained a deep residual convolutional neural network to improve PET image quality by using the existing inter-patient information. An innovative feature of the proposed method is that we embed the neural network in the iterative reconstruction framework for image representation, rather than using it as a post-processing tool. We formulate the objective function as a constrained optimization problem and solve it using the alternating direction method of multipliers (ADMM) algorithm. Both simulation data and hybrid real data are used to evaluate the proposed method. Quantification results show that our proposed iterative neural network method can outperform the neural network denoising and conventional penalized maximum likelihood methods.

T he scientific, academic, medical and data science communities have come together in the face of the COVID-19 pandemic crisis to rapidly assess novel paradigms in artificial intelligence (AI) that are rapid and secure, and potentially incentivize data sharing and model training and testing without the usual privacy and data ownership hurdles of conventional collaborations 1,2 . Healthcare providers, researchers and industry have pivoted their focus to address unmet and critical clinical needs created by the crisis, with remarkable results [3][4][5][6][7][8][9] . Clinical trial recruitment has been expedited and facilitated by national regulatory bodies and an international cooperative spirit 10-12 . The data analytics and AI disciplines have always fostered open

Multi-modality medical imaging techniques have been increasingly applied in clinical practice and research studies. Corresponding multi-modal image analysis and ensemble learning schemes have seen rapid growth and bring unique value to medical applications. Motivated by the recent success of applying deep learning methods to medical image processing, we first propose an algorithmic architecture for supervised multi-modal image analysis with cross-modality fusion at the feature learning level, classifier level, and decision-making level. We then design and implement an image segmentation system based on deep Convolutional Neural Networks (CNN) to contour the lesions of soft tissue sarcomas using multi-modal images, including those from Magnetic Resonance Imaging (MRI), Computed Tomography (CT) and Positron Emission Tomography (PET). The network trained with multi-modal images shows superior performance compared to networks trained with single-modal images. For the task of tumor segmentation, performing image fusion within the network (i.e. fusing at convolutional or fully connected layers) is generally better than fusing images at the network output (i.e. voting). This study provides empirical guidance for the design and application of multi-modal image analysis.