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<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Text- and Content-based Approaches to Image Modality Detection and Retrieval for the ImageCLEF 2010 Medical Retrieval Track</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Matthew Simpson</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Md Mahmudur Rahman</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Sachin Singhal</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Dina Demner-Fushman</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Sameer Antani</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>George Thoma</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Lister Hill National Center for Biomedical Communications National Library of Medicine, NIH</institution>
          ,
          <addr-line>Bethesda, MD</addr-line>
          ,
          <country country="US">USA</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>This article describes the participation of the Image and Text Integration (ITI) group from the U.S. National Library of Medicine (NLM) in the ImageCLEF 2010 medical retrieval track. Our methods encompass a variety of techniques relating to document summarization and text- and content-based image retrieval. Our text-based approaches utilize the Uni ed Medical Language System (UMLS) synonymy to identify concepts in information requests and image-related text in order to retrieve semantically relevant images. Our image content-based approaches utilize similarity metrics based on computed \visual concepts" and lowlevel image features to identify visually similar images. In this article we present an overview of the application of our methods to the modality detection, ad-hoc image retrieval, and case-based retrieval tasks and describe our submitted runs and results.</p>
      </abstract>
      <kwd-group>
        <kwd>Image Retrieval</kwd>
        <kwd>Case-based Retreival</kwd>
        <kwd>Image Modality</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>This article describes the participation of the Image and Text Integration (ITI)
group from the U.S. National Library of Medicine (NLM) in the ImageCLEF
2010 medical retrieval track.</p>
      <p>
        ImgeCLEFmed'10 [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ] consists of an image modality detection task and two
medical retrieval tasks. For the modality detection task, the goal is to
automatically classify given medical images according to eight modalities (e.g., CT or
MRI). In the rst retrieval task, a set of ad-hoc information requests is given,
and the goal is to retrieve the most relevant images for each topic. Finally, in
the second retrieval task, a set of case-based information requests is given, and
the goal is to retrieve the most relevant articles describing similar cases.
      </p>
      <p>
        In the following sections, we describe the text- and content-based features
that comprise our image and case representation (Sections 2{3) and our methods
for the modality detection (Section 4) and medical retrieval tasks (Sections 5{6).
Our text-based retrieval approach relies on mapping information requests and
image-related text to concepts in the Uni ed Medical Language System (UMLS)
[
        <xref ref-type="bibr" rid="ref8">8</xref>
        ] Metathesaurus, and our modality detection and content-based retrieval
approaches analogously rely on mapping the content of medical images to \visual
concepts" using supervised machine learning techniques.
      </p>
      <p>In Section 7, we describe our submitted runs, and in Section 8 we present
our results. For the modality detection task, our best submission achieved a
classi cation accuracy of 92% which was the 2nd ranked submission overall. For
the retrieval tasks, our results were lower than expected yet reveal new insights
which we anticipate will improve future work.
2</p>
    </sec>
    <sec id="sec-2">
      <title>Image Representation</title>
      <p>Images contained in biomedical articles can be represented using both
textand content-based features. Text-based features include text that pertains to an
image, such as in captions and \mentions" (snippets of text within the body of
an article that discuss an image), and content-based features include information
derived from the image itself, such as shapes, colors and textures. We describe
our text- and content-based image representations below.
2.1</p>
      <sec id="sec-2-1">
        <title>Text-Based Features</title>
        <p>
          We represent each image in the ImageCLEFmed'10 collection [
          <xref ref-type="bibr" rid="ref12">12</xref>
          ] as a structured
document of image-related text. Our representation includes the title, abstract,
and MeSH terms1 of the article in which the image appears as well as the image's
caption and mention.
        </p>
        <p>
          We organize the content of an image's caption into the well-formed clinical
question framework following the method described by Demner-Fushman and
Lin [
          <xref ref-type="bibr" rid="ref3">3</xref>
          ]. Extractors identify UMLS concepts related to problems, interventions,
age, anatomy, drugs, and image modality. We assign one of the eight modality
classes to an image according to the extracted modality terms. Additionally, we
extract textual Regions of Interest (ROIs) from image captions. A textual ROI
is a noun phrase describing the content of an interesting region of an image
which is identi ed within a caption by a pointer. For example, in the caption
\MR image reveals hypointense indeterminate nodule (arrow)," the word arrow
points to the ROI containing a hypointense indeterminate nodule.
        </p>
        <p>The above structured documents can be indexed and searched with a
traditional search engine or the extracted concepts may be combined with additional
features (discussed below) for use in a multimodal representation. For the latter
approach, \keywords" in a structured document Dj can be represented as an
N -dimensional feature vector
fjkeyword = [wj1; wj2;
; wjN ]</p>
        <p>T
(1)
where wjk denotes the weight (typically tf-idf ) of keyword tk in document Dj .
2.2</p>
      </sec>
      <sec id="sec-2-2">
        <title>Image Content-Based Features</title>
        <p>
          In addition to the above textual features, we also represent the visual content of
images using various low-level global image features and several derived features
intended to capture high-level semantic content.
1 MeSH is a controlled vocabulary created by NLM to index biomedical articles.
Low-level Global Features We represent the spatial structure and global
shape/edge features of images with the Color Layout Descriptor (CLD) and
Edge Histogram Descriptor (EHD) of MPEG-7 [
          <xref ref-type="bibr" rid="ref2">2</xref>
          ]. CLD is extracted to form
the feature vector f cld and EHD is extracted to form f ehd. Additionally, we
extract the Color and Edge Directivity Descriptor (CEDD) and Fuzzy Color and
Texture Histogram (FCTH) using the Lucene image retrieval (LIRE) library2.
CEDD incorporates color and texture information into f cedd, and FCTH uses
the high frequency bands of the Haar wavelet transform to form f fcth.
\Bag of Concepts" Feature In a heterogeneous medical image collection,
it is possible to identify speci c local patches in images that are perceptually
and/or semantically distinguishable, such as homogeneous texture patterns in
gray-level radiological images, di erential color and texture structures in
microscopic pathology and dermoscopic images. The variation in the local patches
can be e ectively modeled as \visual concepts" [
          <xref ref-type="bibr" rid="ref13">13</xref>
          ] by using supervised
learningbased classi cation techniques, such as Support Vector Machines (SVMs).
        </p>
        <p>
          For concept model generation, we utilize a multi-class SVM composed of
binary SVM classi ers combined using the one-against-one strategy [
          <xref ref-type="bibr" rid="ref5">5</xref>
          ]. To train
the SVM, a set of L labels are assigned as C = fc1; ; ci; ; cLg, where each
ci 2 C characterizes a visual concept. The training set consists of local patches
generated by a xed-partition and represented by a combination of color and
texture moment-based features. The input to the system is the feature vectors for
patches along with their manually assigned concept labels. Concept labels are
assigned by xed partitioning each image Ij into l regions as fx1j ; ; xkj ; ; xlj g,
where each xkj 2 &lt;d is a combined color and texture feature vector. For each
xkj , its category cm is determined by the prediction of the multi-class SVM.
Hence, instead of the low-level feature-based representation, an entire image is
represented as a two-dimensional index linked to visual concepts. Based on this
encoding scheme, an image Ij is represented as a vector of concepts
f concept = [w1j ;
j
; wij ;
wLj ]
        </p>
        <p>T
where each wij denotes the \tf-idf " weight of a concept ci; 1
Ij , depending on its information content.</p>
        <p>(2)
i</p>
        <p>
          L in image
\Bag of Keypoints" Feature We also extract robust and invariant image
features that are commonly termed a ne region detectors [
          <xref ref-type="bibr" rid="ref11">11</xref>
          ]. These regions
simply refer to a set of pixels or interest points, which are invariant to a ne
transformations as well as occlusion, lighting, and intra-class variations. We use
the Harris-a ne detector to locate interest points [
          <xref ref-type="bibr" rid="ref10">10</xref>
          ] as a large number of
overlapping regions. We then associate with each interest point a vector descriptor
invariant to viewpoint changes and, to some extent, illumination changes
computed from the intensity pattern within the point. We use a local descriptor
developed by Lowe [
          <xref ref-type="bibr" rid="ref9">9</xref>
          ] based on the Scale-Invariant Feature Transform (SIFT),
to describe the information in a set of scale-invariant coordinates. The SIFT
2 http://freshmeat.net/projects/lirecbir/
descriptor is chosen to be invariant to viewpoint changes and, to some extent,
illumination changes, and to discriminate between the regions. The above features
are vector quantized by a self-organizing map (SOM)-based clustering. Finally,
images are represented by a bag of these quantized features (i.e., a bag of
keypoints). Hence, the model is applied to images by using a visual analogue of the
bag of words model used in text retrieval [
          <xref ref-type="bibr" rid="ref1">1</xref>
          ].
3
        </p>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>Case Representation</title>
      <p>We represent an article describing a patient's case by combining the textual
features of each image contained in the article into a single surrogate document.
Thus, each case representation consists of the article's title, abstract, and MeSH
terms as well as the caption, mention and textual ROIs of each image contained
in the article.
4</p>
    </sec>
    <sec id="sec-4">
      <title>Modality Detection Task</title>
      <p>
        Owing to their empirical success, we utilize multi-class SVMs to classifying
images into eight image modalities [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ] based on the above features. We compose
multi-class SVMs by using the one-against-one method [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ] for combining the
pairwise classi cations of each binary SVM.
      </p>
      <p>
        Figure 1 shows the overall modality detection process. Textual and visual
features can be used individually or combined to form a single feature vector,
and the output of the multi-class SVMs can be used as separate predictions
or \fused" to form a single classi er. We use the popular classi er combination
techniques derived from Bayes' theory (product, sum, maximum and mean rules)
[
        <xref ref-type="bibr" rid="ref4 ref7">4, 7</xref>
        ] for fusing separate classi ers.
5
      </p>
    </sec>
    <sec id="sec-5">
      <title>Ad-Hoc Image Retrieval Task</title>
      <p>In this section we describe our text- and content-based approaches to image
retrieval. The methods may be combined (e.g., by re-ranking retrieved images)
to form multimodal approaches.
5.1</p>
      <sec id="sec-5-1">
        <title>Text-Based Approach</title>
        <p>
          We use the NLM-developed Essie [
          <xref ref-type="bibr" rid="ref6">6</xref>
          ] search engine to index our collection of
structured image documents and retrieve relevant images. Key features of Essie
that make it particularly well-suited to the medical retrieval track include its
automatic expansion of query terms along synonymy relationships in the UMLS
Metathesaurus and its ability to weight term occurrences according the location
of the document in which they occur. For example, term occurrences in an image
caption can be given a higher weight than those in the abstract of the article in
which the image appears.
        </p>
        <p>To construct queries for each topic, we organize each information request
according to the well-formed clinical question framework, extracting UMLS
concepts relating to problems, interventions, age, anatomy, drugs, and image
modality. This procedure is identical to that described in Section 2.1</p>
        <p>We use three methods of varying speci city for combining the extracted terms
to form queries. First, the term-based method produces the OR of each extracted
term. Second, the type-based method rst applies the term-based method for
each type (problem, intervention, etc.) and then ANDs the result for each type
group. Finally, the sentence-based method rst applies the type-based method
for each topic sentence and then ANDs the result for each sentence.</p>
        <p>Additionally, we may expand each query to include concepts taken from the
de nition of problems extracted from the original topic. Query expansion using
problem de nitions applies to each query construction method described above.
5.2</p>
      </sec>
      <sec id="sec-5-2">
        <title>Image Content-Based Approach</title>
        <p>Our content-based image retrieval approach is based on retrieving images that
are visually similar to the given topic images. The similarity between a query
image Iq and target image Ij is de ned by</p>
        <p>Sim(Iq; Ij ) = X</p>
        <p>F SimF (Iq; Ij )</p>
        <p>F
where F 2 fConcepts; Keypoints; EHD; CLD; CEDD; FCTHg and
weights within the di erent image representations.</p>
        <p>(3)
F are the</p>
        <p>The feature weights are determined based on the 5-fold cross-validation (CV)
accuracies of retrieval on the training set of images. The weights are normalized
to 0 F 1 and P F = 1 for F 2 fConcept; Keypoint; EHD; CLD; CEDD; FCTHg.
In addition, based on the online category prediction of a query image,
precomputed category-speci c feature weights (e.g., F ) are utilized in the above
linear combination of the similarity matching function.
6</p>
      </sec>
    </sec>
    <sec id="sec-6">
      <title>Case-Based Retrieval Task</title>
      <p>
        Our method for performing case-based retrieval is analogous to our text-based
approach for ad-hoc image retrieval. Here, we use the Essie [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ] search engine
to index the structured case documents and construct queries for each case
descriptions as described in Section 5.1.
7
      </p>
    </sec>
    <sec id="sec-7">
      <title>Submitted Runs</title>
      <p>In this section we describe each of our submitted runs for the modality detection,
ad-hoc image retrieval, and case-based retrieval runs. Each run is identi ed by its
(abbreviated) ID used with the trec_eval program and followed by a submission
mode (textual, visual or mixed). All submitted runs are automatic.
7.1</p>
      <sec id="sec-7-1">
        <title>Modality Detection Task</title>
        <p>We submitted the following 10 runs for the modality detection task:
1. result image combined (visual): SVM classi cation combining an image's
visual features (Concept, Keypoint, CLD, EHD, CEDD and FCTH) in a single
feature vector.
2. result image comb cv (visual): Classi er combination weighting the
underlying classi ers according to their normalized cross validation accuracies.</p>
        <p>Visual features are each considered individually for SVM classi cation.
3. result image comb sum (visual): Classi er combination using the \Sum"
method of Bayes' theorem where an image's visual features are each
considered individually for SVM classi cation.
4. result image comb max (visual): Classi er combination using the \Maximum"
method of Bayes' theorem where an images' visual features are each
considered individually for SVM classi cation.
5. result text title caption mod mesh (textual): SVM classi cation combining
an image's textual features (tf-idf of keywords extracted from the title,
caption, modality, and MeSH elds of an image's textual representation) as a
single feature vector.
6. result text image combined (mixed): SVM classi cation combining an
image's textual and visual features as a single feature vector.
7. result text image comb sum (mixed): Classi er combination using the \Sum"
method of Bayes' theorem where an image's textual and visual features are
each considered individually for SVM classi cation.
8. result text image comb prod (mixed): Classi er combination using the
\Product" method of Bayes' theorem where an image's textual and visual features
are each considered individually for SVM classi cation.
9. result text image comb max (mixed): Classi er combination using the
\Maximum" method of Bayes' theorem where an image's textual and visual
features are each considered individually for SVM classi cation.
10. result text image comb cv (mixed): Classi er combination weighting
classiers according to their normalized cross validation accuracies. Textual and
visual features are each considered individually for SVM classi cation.
7.2</p>
      </sec>
      <sec id="sec-7-2">
        <title>Ad-hoc Image Retrieval Task</title>
        <p>We submitted the following 10 runs for the ad-hoc image retrieval task:
1. queries terms (textual): Essie search using term-based query construction.
2. expanded queries terms (textual): Essie search like run (1) but with query
expansion using problem de nitions.
3. queries terms modalities (mixed): Re-ranking of (1) according to topic image
modality (determined by our modality detection approach) applied to the
retrieved images' text-based modality class.
4. fusion cv merge max (visual): Similarity matching using visual features
(Concept, Keypoint, CLD, EHD, CEDD and FCTH) that are each weighted
according to their normalized cross validation accuracy (from the modality
detection task). All topic images produce individual result lists that are
then merged based on the maximum score of each retrieved image.
5. fusion cv merge mean (visual): Similarity matching according to run (4). All
topic images produce individual result lists that are then merged based on
the mean score of each retrieved image.
6. fusion cat merge max (visual): Similarity matching using visual features that
are each weighted according to online modality classi cation. All topic
images produce individual result lists that are then merged based on the
maximum score of each retrieved image.
7. adhoc queries citations cbir cv merge max (mixed): Re-ranking of run (1)
according to run (4).
8. adhoc exp queries citations cbir cv merge max (mixed): Re-ranking of run
(2) according to run (4).
9. adhoc exp queries citations cbir cat merge max (mixed): Re-ranking of run
(2) according to run (6).
10. multimodal rerank roi qe merge (mixed): Re-ranking of run (1) according to
visual Region of Interest (ROI) detection. Concept features from the ROIs
of retrieved images are extracted and added to the Concept features of the
original topic image (a form of query expansion). Similarity matching is then
performed in the Concept space.
7.3</p>
      </sec>
      <sec id="sec-7-3">
        <title>Case-based Retrieval Task</title>
        <p>We submitted the following 10 runs for the case-based retrieval task:
result text image combined
result text image comb max
result text image comb prod
result text image comb cv
result text title caption mod mesh
result text image comb sum
result image comb cv
result image comb sum
result image combined
result image comb max
Mixed
Mixed
Mixed
Mixed
Textual
Mixed
Visual
Visual
Visual
Visual</p>
        <p>Accuracy (%)
expanded queries terms
queries terms
queries terms modalities
expanded queries terms cbir cv merge max
expanded queries terms cbir cat merge max
queries terms cbir cv merge max
multimodal rerank roi qe merge
fusion cv merge mean
fusion cv merge max
fusion cat merge max
Textual
Textual
Mixed
Mixed
Mixed
Mixed
Mixed
Visual
Visual
Visual</p>
        <p>Type
Automatic
Automatic
Automatic
Automatic
Automatic
Automatic
Automatic
Automatic
Automatic
Automatic
0.19
0.16
0.11
0.06
0.06
0.06
0.05
0.01
0.00
0.00
visual features can be leveraged to signi cantly improve the automatic modality
classi cation of images found in biomedical articles.</p>
        <p>
          Table 2 presents the results of our submitted runs for the ad-hoc image
retrieval task. While our text-based submissions performed better than either the
multimodal or content-based submissions, the Mean Average Precision (MAP)
was much lower than expected given our prior experience [
          <xref ref-type="bibr" rid="ref14">14</xref>
          ]. We have
determined that this discrepancy is likely due to noise in our text-based image
representation, speci cally concerning the extraction of image mentions and ROIs.
        </p>
        <p>Our text-based submissions that expand queries to include concepts
extracted from problem de nitions show an improved MAP compared to
submissions that do not perform query expansion in this way. This improvement is a
promising result for use in future work.</p>
        <p>Finally, Table 3 presents the results of our submitted runs for the case-based
retrieval task. Given that our case representation is derived from our text-based
image representation, the MAP of our case-based retrieval runs are also lower
than expected. However, the submissions utilizing query expansion again show
an improved in MAP, providing further evidence of its bene t.</p>
      </sec>
    </sec>
    <sec id="sec-8">
      <title>Conclusion</title>
      <p>This article describes the methods and results of the ITI group at the
Communications Engineering Branch, NLM, for the ImageCLEF 2010 medical retrieval
track. We submitted 10 runs each for the modality detection task and the ad-hoc
and case-based retrieval tasks. For the modality detection task, our multimodal
approach achieved a classi cation accuracy of 92%, which was the 2nd ranked
submission overall. For the retrieval tasks, our results demonstrate that query
expansion using the de nitions of extracted terms is a promising direction for
improving retrieval. While our results show no bene t in combining textual and
visual features for the retrieval tasks, modality detection is improved when
utilizing both text- and content-based approaches.</p>
    </sec>
  </body>
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