Retinopathy of prematurity (ROP) is the leading cause of childhood blindness worldwide. Automated ROP detection system is urgent and it appears to be a safe, reliable, and cost-effective complement to human experts. An automated ROP detection system called DeepROP was developed by using Deep Neural Networks (DNNs). ROP detection was divided into ROP identification and grading tasks. Two specific DNN models, i.e., Id-Net and Gr-Net, were designed for identification and grading tasks, respectively. To develop the DNNs, large-scale datasets of retinal fundus images were constructed by labeling the images of ROP screenings by clinical ophthalmologists. On the test dataset, the Id-Net achieved a sensitivity of 96.62%(95%CI, 92.29%-98.89%) and a specificity of 99.32% (95%CI, 96.29%-9.98%) for ROP identification while the Gr-Net attained sensitivity and specificity values of 88.46% (95%CI, 96.29%-99.98%) and 92.31% (95%CI, 81.46%-97.86%), respectively, on the ROP grading task. On another 552 cases, the developed DNNs outperformed some human experts. In a clinical setting, the sensitivity and specificity values of DeepROP for ROP identification were 84.91% (95%CI, 76.65%-91.12%) and 96.90% (95%CI, 95.49%-97.96%), respectively, whereas the corresponding measures for ROP grading were 93.33%(95%CI, 68.05%-99.83%) and 73.63%(95%CI, 68.05%-99.83%), respectively. We constructed large-scale ROP datasets with adequate clinical labels and proposed novel DNN models. The DNN models can directly learn ROP features from big data. The developed DeepROP is potential to be an efficient and effective system for automated ROP screening. FUND: National Natural Science Foundation of China under Grant 61432012 and U1435213.

Retinopathy of Prematurity (ROP) is a retinal vasproliferative disorder disease principally observed in infants born prematurely with low birth weight. ROP is an important cause of childhood blindness. Although automatic or semi-automatic diagnosis of ROP has been conducted, most previous studies have focused on “plus” disease, which is indicated by abnormalities of retinal vasculature. Few studies have reported methods for identifying the “stage” of the ROP disease. Deep neural networks have achieved impressive results in many computer vision and medical image analysis problems, raising expectations that it might be a promising tool in the automatic diagnosis of ROP. In this paper, convolutional neural networks with a novel architecture are proposed to recognize the existence and severity of ROP disease per-examination. The severity of ROP is divided into mild and severe cases according to the disease progression. The proposed architecture consists of two sub-networks connected by a feature aggregate operator. The first sub-network is designed to extract high-level features from images of the fundus. These features from different images in an examination are fused by the aggregate operator, then used as the input for the second sub-network to predict its class. A large data set imaged by RetCam 3 is used to train and evaluate the model. The high classification accuracy in the experiment demonstrates the effectiveness of the proposed architecture for recognizing the ROP disease.

A rational leader selection strategy can enhance a swarm to manage the convergence and diversity during the entire search process. In this article, a novel adaptive multiobjective particle swarm optimization (MOPSO) is proposed on the basis of an evolutionary state estimation mechanism, which is used to detect the evolutionary environment whether in exploitation or exploration state. During the search process, different types of leaders, such as a convergence global best solution (c-gBest) and several diversity global best solutions (d-gBests), are to be selected from the external archive for particles under different evolutionary environments. The c-gBest is selected for improving the convergence when the swarm is in an exploitation state, while the d-gBests are chosen for enhancing the diversity in an exploration state. Furthermore, a modified archive maintenance strategy based on some predefined reference points is adopted to maximize the diversity of the Pareto solutions in the external archive. The experimental results demonstrate that the proposed algorithm performs significantly better than the several state-of-the-art multiobjective PSO algorithms and multiobjective evolutionary algorithms on 31 benchmark functions in terms of convergence and diversity of those obtained approximate Pareto fronts.

3-D radiotherapy is an effective treatment modality for breast cancer. In 3-D radiotherapy, delineation of the clinical target volume (CTV) is an essential step in the establishment of treatment plans. However, manual delineation is subjective and time consuming. In this study, we propose an automated segmentation model based on deep neural networks for the breast cancer CTV in planning computed tomography (CT). Our model is composed of three stages that work in a cascade manner, making it applicable to real-world scenarios. The first stage determines which slices contain CTVs, as not all CT slices include breast lesions. The second stage detects the region of the human body in an entire CT slice, eliminating boundary areas, which may have side effects for the segmentation of the CTV. The third stage delineates the CTV. To permit the network to focus on the breast mass in the slice, a novel dynamically strided convolution operation, which shows better performance than standard convolution, is proposed. To train and evaluate the model, a large dataset containing 455 cases and 50,425 CT slices is constructed. The proposed model achieves an average dice similarity coefficient (DSC) of 0.802 and 0.801 for right-0 and left-sided breast, respectively. Our method shows superior performance to that of previous state-of-the-art approaches.

Medical image analysis tasks are characterized by high-noise, volumetric, and multi-modality, posing challenges for the model that attempts to learn robust features from the input images. Over the last decade, deep neural networks (DNNs) have achieved enormous success in medical image analysis tasks, which can be attributed to their powerful feature representation capability. Despite the promising results reported in numerous literature, DNNs are also criticized for several pivotal limits, with one of the limitations is lack of safety. Safety plays an important role in the applications of DNNs during clinical practice, helping the model defend against potential attacks and preventing the model from silent failure prediction. The recently proposed neural ordinary differential equation (NODE), a continuous model bridging the gap between DNNs and ODE, provides a significant advantage in ensuring the model’s safety. Among the variants of NODE, the neural memory ordinary differential equation (nmODE) owns the global attractor theoretically, exhibiting superiority in prompting the model’s performance and robustness during applications. While NODE and its variants have been widely used in medical image analysis tasks, there is a lack of a comprehensive review of their applications, hindering the in-depth understanding of NODE’s working principle and its potential applications. To mitigate this limitation, this paper thoroughly reviews the literature on the applications of NODE in medical image analysis from the following five aspects: segmentation, reconstruction, registration, disease prediction, and data generation. We also summarize both the strengths and downsides of the applications of NODE, followed by the possible research directions. To the best of our knowledge, this is the first review regards the applications of NODE in the field of medical image analysis. We hope this review can draw the researchers’ attention to the great potential of NODE and its variants in medical image analysis.