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    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>The MedGIFT group at ImageCLEF 2009</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Xin Zhou</string-name>
          <email>xin.zhou@sim.hcuge.ch</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Ivan Eggel</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Henning Mu¨ller</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>General Terms</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Image Retrieval</institution>
          ,
          <addr-line>Image Classification, Medical Imaging</addr-line>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Medical Informatics, Geneva University Hospitals and University of Geneva</institution>
          ,
          <country country="CH">Switzerland</country>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>University of Applied Sciences Western Switzerland (HES-SO)</institution>
          ,
          <addr-line>Sierre</addr-line>
          ,
          <country country="CH">Switzerland</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>MedGIFT is a medical imaging research group of the Geneva University Hospitals and the University of Geneva, Switzerland. Since 2004, the medGIFT group has participated in the ImageCLEF benchmark each year, focusing mainly on the medical imaging tasks. For the medical image retrieval task, two existing retrieval engines were used: the GNU Image Finding Tool (GIFT) as image retrieval engine and Apache Lucene as textual retrieval engine. To improve the retrieval performance, automatic query expansion was used. In total, 13 runs were submitted as well for the image-based topics and the case-based topics. The baseline setup used for the past five years already obtained the best result among all our visual submissions. For the medical image annotation task, two approaches were tested. One approach is using GIFT for image retrieval and kNN (k-Nearest Neighbors) for the classification, which was already used for the past 5 years. The second approach used Scale-Invariant Feature Transform (SIFT) technology with a Support Vector Machine (SVM) classifier. Three runs were submitted in total, two with the GIFT-kNN-based approach and one using a combination of the SIFT-SVM-based approach and GIFT-kNN-based approach. For the medical image classification task, the GIFT-kNN-based approach gives stable results, although not in the quality of the best groups. The SIFT-SVMbased approach implementation did not achieve the expected better performance. We think that the SVM kernel may be a key factor that requires further optimization.</p>
      </abstract>
      <kwd-group>
        <kwd>H</kwd>
        <kwd>3 [Information Storage and Retrieval]</kwd>
        <kwd>H</kwd>
        <kwd>3</kwd>
        <kwd>1 Content Analysis and Indexing</kwd>
        <kwd>H</kwd>
        <kwd>3</kwd>
        <kwd>3 Information Search and Retrieval</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1http://www.imageclef.org/ 2http://www.sim.hcuge.ch/medgift/</title>
      <p>
        Image Retrieval, image classification, medical imaging
these competitions using the same technology as a baseline and trying to improve the performance
of this baseline over time using simple modifications. The GIFT3 (GNU Image Finding Tool,
[
        <xref ref-type="bibr" rid="ref6">6</xref>
        ]) has been the technology used for visual information retrieval. Visual runs using GIFT have
also been made available to other participants of ImageCLEF who do not possess visual retrieval
technology.
      </p>
      <p>For textual retrieval the Lucene4 system was employed in 2009. The full text of the articles
was indexed and the query texts were not treated for the retrieval at all but used as they were
given.</p>
      <p>
        More information concerning the setup and the collections of the medical retrieval task of 2009
can be red in [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. The following sections describe first the retrieval tools used, and then present
the results in comparison with the best techniques of the ImageCLEF benchmark.
2
      </p>
      <sec id="sec-1-1">
        <title>Retrieval Tools Reused</title>
        <p>This section describes the basic technologies used for retrieval. The modifications to the base
technologies will be detailed in the results section.
2.1</p>
        <sec id="sec-1-1-1">
          <title>Text Retrieval Approach</title>
          <p>The text retrieval approach used in 2009 is based on the Apache Lucene retrieval engine. No
specific terms such as MeSH (Medical Subject Headings) were used. Only one textual run was
submitted. Five mixed visual/textual runs were submitted combining the textual retrieval with
visual retrieval in various ways. The texts were indexed entirely from the html which contains
the articles used by ImageCLEFmed task, removing all links and metadata keeping only the text.
The query text was not modified, either.
2.2</p>
        </sec>
        <sec id="sec-1-1-2">
          <title>Visual Retrieval Techniques</title>
          <p>GIFT has been used for the visual retrieval for the past five years. This tool is open source and
can be used by other participants of ImageCLEF as well. The goal of using the standard GIFT
is also to provide a baseline to facilitate the evaluation of other techniques. GIFT uses a simple
partitioning of the image into fixed regions to obtain local features.</p>
          <p>
            The performance obtained by GIFT remained limited over the past years. Various strategies
were applied in order to improve the results. Aspect–ratio was integrated as feature and simple
query expansion with the most similar images was added for the retrieval task [
            <xref ref-type="bibr" rid="ref3">3</xref>
            ]. For the
annotation task a technique to treat the annotation axes of the multi–axial IRMA (Image Retrieval
in Medical Applications) code of the images separately was employed [
            <xref ref-type="bibr" rid="ref7">7</xref>
            ], and also a dynamic
kNN approach for classification [
            <xref ref-type="bibr" rid="ref8">8</xref>
            ]. The strategies used in ImageCLEFmed 2009 are detailed in
Section 3.
3
          </p>
        </sec>
      </sec>
      <sec id="sec-1-2">
        <title>Results</title>
        <p>In this section the results and technical details for the two medical tasks of ImageCLEF 2009 are
detailed.
3.1</p>
        <sec id="sec-1-2-1">
          <title>Medical Image Retrieval Task</title>
          <p>All the runs submitted for evaluation are based on visual retrieval using GIFT with 8 gray levels
as this had consistently given best results in past years. Various strategies to improve the results
were tried out. An simple improvement strategy is to separately query the images belonging to
one topic as these images are quite often dissimilar. Then, the result can be combined in a late</p>
        </sec>
      </sec>
    </sec>
    <sec id="sec-2">
      <title>3http://www.gnu.org/software/gift/ 4http://lucene.apache.org/</title>
      <p>fusion. Another approach is to supply images of other topics as negative feedback assuming that
this can create more discriminative queries.</p>
      <p>The following steps were thus performed:
• for each topic, the similarities between all query image pairs were calculated;
• based on the similarity between the images pairs, queries are treated either as a query of
multiple images or as several separate queries;
• for each topic, a random selection of 2 images from other topics were added as negative
feedback;
In total, 16 automatic runs were submitted. 10 runs were submitted for the image–based retrieval
topics and 6 for the case–based topics. These runs can be divided into 2 textual, 10 visual, and 4
mixed runs. Run identifiers are composed of the strategies applied to the run. The following list
explains the labels and their meaning.</p>
      <p>• txt : textual;
• vis: visual;
• mix : mixed;
• sep: separate queries for the various images of a topic;
• withAR: aspect ratio added as feature;
• withNegImg: query expansion with negative examples of other topics;
• sum: simple sum to combine scores of several queries;
• max : maximum score of an image is taken to combine several queries;
• 0.x for mixed runs, 0.x is the weight for the visual retrieval and (1-0.x) for the textual
retrieval;
• EN the language used for textual retrieval is English;
• BySim For the case–based topics the similarity score of images appearing in the case is used;
• ByFreq For the case–based topics the frequency of images of a case in the first 1000 results
is used.</p>
      <p>Results for the medical retrieval task are shown in two parts. The results of 25 image–based topics
are shown in Table 1 and those of the case–based topics (topics 26–30) are shown in Table 2. Mean
average precision (MAP), binary preference (Bpref), and early precisions (P10, P30) were selected
for our tables. The ImageCLEFmed 2009 retrieval task has an unbalanced number of visual,
mixed, and textual runs. We submitted no manual or feedback runs at all.
3.1.1 Image–Based Topics
As in past years, most of the submissions are textual or mixed and only few groups worked on
improving the visual runs. Only 5 groups submitted a total of 15 visual runs. All our runs and
the best runs in each category can be seen in Table 1 Our best visual run is the standard GIFT
with 8 gray levels that was not submitted for the competition but has actually the best MAP. The
other submitted runs give worse results but in general the performance of all runs is rather low
with a MAP below 2%. Also the other measures such as early precision and number of relevant
images found are much lower for the purely visual runs. None of the visual runs obtains extremely
good results.</p>
      <p>Run
best textual
HES-SO-VS txt EN
best visual run
medGIFT vis GIFT8
medGIFT vis sep max
medGIFT vis sep sum withAR
medGIFT vis sep sum
medGIFT vis sep max withAR
medGIFT vis sum withNegImg
medGIFT vis max withNegImg
best mixed run
medGIFT mix 0.3withNegImg EN
medGIFT mix 0.5 EN
medGIFT mix 0.5withNegImg EN
run type
Textual
Textual
Visual
Visual
Visual
Visual
Visual
Visual
Visual
Visual
Mixed
Mixed
Mixed
Mixed
Run
best run
HES-SO-VS txt case
medGIFT mix 0.5BySim EN
medGIFT vis maxBySim withAR
medGIFT vis sumBySim withAR
medGIFT vis maxByFreq withAR
medGIFT vis sumByFreq withAR</p>
      <p>A total of 52 textual runs were submitted. We only submitted a single textual run using an
extremely simple strategy of Lucene with no pre–treatment of neither queries nor documents. The
results looking at MAP are not as good as other approaches but early precision is fairly good and
looking at the simplicity of the approach this is rather surprising. The performance is above the
average of the textual runs.</p>
      <p>In total, 25 mixed runs were submitted. We submitted three mixed runs that have a large
variety of combination strategies. It can be seen that the combination strategy has a very strong
influence on the results. Our best mixed run is slightly better in early precision than our text
runs but worse in all other measures. In early precision our mixed run can rival the best runs
submitted and reaches the second overall position.
3.1.2</p>
      <p>Case–based topics
In Table 2, all our runs for the case–based topics are shown and the best run of the competition for
comparison. Again it can be seen that the pure text retrieval has by far the best results, despite
the simplicity of our approach. Our mixed approach was worse in all categories. The purely visual
runs have a fairly low MAP similar to the image–based topics and even the early precision was
rather low.</p>
      <p>In both the viaul and mixed categories our system perfromed best but this is also partly due
to the low participation.
3.2</p>
      <sec id="sec-2-1">
        <title>Medical Image Annotation</title>
        <p>
          For the medical image annotation task 6 groups submitted in total 18 runs. The medGIFT group
submitted 3 runs. Two runs used the same strategy as in the past 2 years using GIFT as a
basic retrieval technology, then adding aspect ratio to the similarity score. For classification the
5 nearest neighbors (5NN) was used. More details on the strategy can also be found in [
          <xref ref-type="bibr" rid="ref7 ref8">7, 8</xref>
          ].
One run was submitted to test a SIFT–SVM based approach. The standard Gaussian kernel is
used for the SVM classifier. Another run combined the results of the SVM run and a standard
run. The results obtained by the three submitted runs are shown in Table 3. The simple 5NN
approach using GIFT with 8 grey levels gave consistently the best results over all tasks. The test
of the SVM classifier did not reach the performance hoped for but much if this can be due to the
lack of optimization performed on the level of the Kernel. The results of GIFT can not be seen
as much more than a simple baseline.
4
        </p>
        <sec id="sec-2-1-1">
          <title>Discussion</title>
          <p>Textual runs significantly out–performed visual runs, which was coherent with past experiences.
Even using the basic Lucene with no pretreatment obtained fairly good results compared to the
much more complex approaches of other groups. Since 2004 GIFT with 8 gray levels has been
used as a baseline. Generally, the result obtained were below the average MAP of purely visual
runs. The strategy to perform separate queries for each query image of a topic increased early
precision but decreased MAP: Using aspect ration for the retrieval has a slight influence on early
precision but is otherwise not better. Combinations of text and visual result can obtain a higher
early precision.</p>
          <p>For the image annotation task a new SVM–based strategy was employed but did not increase
results at all. The basic GIFT strategy still had our best results but not comparable with the
results of the best groups. The combination of using GIFT features and SIFT did not improve
results either. Using a small number of results for the combination does not seem appropriate.
5</p>
        </sec>
        <sec id="sec-2-1-2">
          <title>Conclusion</title>
          <p>The paper summarized the participation of the medGIFT group in ImageCLEF2009. The medical
image retrieval and medical image annotation tasks were addressed. Results show that textual
retrieval techniques outperfrom visual techniques but that visual retrieval can be an addition to
improve early precision of retrieval.</p>
        </sec>
        <sec id="sec-2-1-3">
          <title>Acknowledgments</title>
          <p>This study was partially supported by the Swiss National Science Foundation (Grant 200020–
118638/1), the HES SO with the BeMeVIS project, and the European Union in the 6th Framework
Program through the KnowARC project (Grant IST 032691).</p>
        </sec>
      </sec>
    </sec>
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