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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Convolutional neural network for detection of pathological changes in MR images of the brain</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Yulia Agafonova</string-name>
          <email>agafonova.julia132@gmail.com</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Pavel Zelter</string-name>
          <email>pzelter@mail.ru</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Andrey Gaidel</string-name>
          <email>andrey.gaidel@gmail.com</email>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Aleksandr Kapishnikov</string-name>
          <email>a.kapishnikov@gmail.com</email>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Faculty of Mathematics, Samara National Research University</institution>
          ,
          <addr-line>Samara</addr-line>
          ,
          <country country="RU">Russia</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Head of Radiology Department, Clinic of the Samara State, Medical University</institution>
          ,
          <addr-line>Samara</addr-line>
          ,
          <country country="RU">Russia</country>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>Head of the Department of Radiology, and Radiation Therapy, Samara State Medical University</institution>
          ,
          <addr-line>Samara</addr-line>
          ,
          <country country="RU">Russia</country>
        </aff>
        <aff id="aff3">
          <label>3</label>
          <institution>Video Mining Laboratory, Image Processing Systems Institute of, RAS - Branch of the FSRC, "Crystallography and Photonics" RAS</institution>
          ,
          <addr-line>Samara</addr-line>
          ,
          <country country="RU">Russia</country>
        </aff>
      </contrib-group>
      <pub-date>
        <year>2020</year>
      </pub-date>
      <fpage>37</fpage>
      <lpage>40</lpage>
      <abstract>
        <p>-At the present day, the problem is subsisting associated with a reliable diagnosis as soon as possible, especially in medicine in cases of diagnosis of neoplasms. The article discusses research method for the diagnosis of brain diseases in magnetic-resonance tomography images, based on deep learning. This paper presents a novel approach to solutions pattern classification, was formed the optimal architecture convolutional neural network. As a result of experimental studies, was undertake a study major characteristic of convolutional neural network. Through the use of this neural network architecture 95 % the images from the validation set were classified correctly. In addition, the results can be used as an intermediate result for further images analysis.</p>
      </abstract>
      <kwd-group>
        <kwd>computer vision</kwd>
        <kwd>image processing</kwd>
        <kwd>magneticresonance imaging</kwd>
        <kwd>classification</kwd>
        <kwd>convolutional neural network</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>I. INTRODUCTION</p>
      <p>
        There is a problem in medicine to make a reliable
diagnosis in the shortest possible time due to the growing
volume of medical research [
        <xref ref-type="bibr" rid="ref1 ref2">1, 2</xref>
        ]. This problem is especially
acute in cases of diagnosis of various neoplasms. The
presented method can help to solve this problem. This
method is able to classify a considerable number of images
of the magnetic resonance imaging (MRI) of the brain into
two types The first type includes magnetic resonance
imaging, in which any neoplasms are absent. The second
type includes magnetic resonance imaging in which there is
some neoplasms. Only magnetic resonance images of the
second type demand the doctor attention. It is this difference
that can accelerate the process of diagnosis of various
neoplasms.
      </p>
      <p>
        An algorithm for solving a similar problem using the
classifier was presented in [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ] and [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. The described
classifier was based on the use of an ensemble of decision
trees [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ]; as input a set consisting it inputs 98 images of the
first type and 98 images of the second type. The size of all
images was 512 × 512 samples in size. An equal class ratio
was made for maximum objectivity of the results. The above
algorithm assigned each image sample to the area of
pathological changes or to the background, so it actually
solved the problem of classifying each sample. However, a
significant drawback of this method is the voluminous
preprocessing of the input images to achieve high
classification results.
      </p>
      <p>This article was based on the idea of achieving higher
classification rates on the same set of inputs, but on the basis
of a different, more modern method. To show the
effectiveness of this method over an algorithm based on an
ensemble of decisive trees, this study will use the following
quality metrics:
– precision
– recall
– F1-score
– specificity
– accuracy
 J P  N TP /  N TP  N FP  </p>
      <p>J R  N TP /  N TP  N FN  
F1  2 J P J R /  J P  J </p>
      <p>R </p>
      <p>J S  N TN /  N TN  N FP  

where is N TP – number of correctly classified images with</p>
      <p>J A   N TP  N TN  /  N TP  N TN  N FP  N FN   
pathological changes, N TN – number of correctly classified
images without pathological changes, N FP
– number of
images without any pathological changes classified as they
have one, and N FN – number of images with pathological
changes classified as they have no pathological changes.</p>
      <p>
        The sources of the research materials were the archives
CENTRAL, supported Washington University School of
Medicine, on the platform XNAT [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ] and The Cancer
Imaging Archive [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ], established by the Federal Research
Center - Frederick National Laboratory for Cancer Research.
Meningiomas and glioblastomas were present in the images.
Table I shows the metrics of an algorithm based on an
ensemble of decisive trees, which can be considered as a
baseline. The shape features of objects extracted from the
image using adaptive threshold processing. F1-score was
assumed as the main metric to assess the quality of the
algorithm. It is on this metric that the effectiveness of various
changes to the quality of classification will be compared
throughout the work.
      </p>
      <p>J
0.81</p>
      <p>
        Currently, the common method for solving classification
problems is the use of convolutional neural networks. They
were first described in the last century [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ]. This approach is
effective for solving a wide range of tasks. However, to
achieve maximum efficiency, it is necessary to take into
account many factors that affect the training of neural
systems [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ]. In this paper, we will consider the conducted
experimental researches to determine optimal convolutional
neural network architecture to solve the task. The original
architecture is similar in architecture to AlexNet [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ].
      </p>
      <p>J</p>
      <p>MRI with neoplasms
mistake
0.17
0.00
0.10
0.29
0.12</p>
      <p>As shown in Fig. 1, initially the network consists of 5
convolutional layers, subsampling layers and fully connected
layers. Input images were downscaled from 512 × 512
reports to 72 × 72 pixels. Training lasted for 120 epochs. On
convolution and dense layers (except for the last dense
layer), the ReLu activation function was used:</p>
      <p>f R eLu  x   m a x  x , 0  .</p>
      <p>To estimate losses, we used binary cross-entropy (2),
where N is the number of images in the sample, yi - is the
class of the i-th image, pi – is the output of the neural
network for the i-th image.</p>
      <p>H p  
1 N</p>
      <p> ( y i  lo g ( p i )  (1  y i )  lo g (1  p i ))</p>
      <p>N i 1
  </p>
      <p>Table II shows the performance metrics (1) for the
convolutional neural network, which was designated as the
original. Compared to Table I, the F1-score is 3% higher,
however, this change does not affect the quality of
classification so significantly.</p>
      <p>
        To evaluate the performance indicators, we also used the
ROC - curve [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ] and the Precision-Recall curve [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ]. The
curves are shown in Figure 2.1 and Figure 2.2, respectively.
      </p>
      <p>
        The descriptive power of evaluating the effectiveness of
classification using Precision-Recall curve was discussed in
[
        <xref ref-type="bibr" rid="ref13">13</xref>
        ]. The Precision-Recall curve principle is based on mean
accuracy:
      </p>
      <p>A P    R n  R n 1  Pn</p>
      <p>n 
where Rn and Pn precision and recall on threshold n.</p>
      <p>III. RESEARCH OF EFFICIENCY OF THE
CLASSIFICATION ALGORITHM BASED ON A</p>
      <p>CONVOLUTIONAL NEURAL NETWORK
To improve quality assessments (1), it was decided to
consistently research the effect of various characteristics of
the convolutional neural network architecture on the
efficiency. The first research was to determine the effect of
the size of the input image. As we have already said in
Section 2, the original image was 512 × 512 pixels, and was
downscaled to 72 × 72 pixels. To avoid significant changes
in the speed of the convolutional neural network, the
research was performed on images of the brain MRI of the
following sizes: 32 × 32, 40 × 40, 48 × 48, 56 × 56, 64 × 64,
72 × 72, 84 × 84, 92 × 92. It should be emphasized the
original image size remains the same, 512 × 512 samples,
directly resized input image.</p>
      <p>Figure 3 shows a graph of the dependence of the size of
the input image on the F1-score and accuracy. As we can see
at the graph, it takes the greatest value at the sizes of the
input image in 84 × 84 and 92 × 92 pixels. The size of 92 ×
92 pixels was chosen as the most favorable size for the input
image in solving this problem.</p>
      <p>The quality assessment of the algorithm with changing
the size of the input image is presented in table II.
Fig 3. Dependence of the F1-score and the accuracy on changes in input
image size parameters for a convolutional neural network.
J A
0.89
0.96
0.92
0.86
0.92
0.17
0.00
0.10
0.29
0.12
B. Effect of changes in convolutional layers on algorithm
efficiency</p>
      <p>The next stage of the work was the study of the effect of
convolutional layers of the neural network on the efficiency
of the algorithm.</p>
      <p>Figure 4 shows the F1-score and the accuracy depending
of the number of the study. On the x-axis the numbers of
experiments (from 1 to 5) are shown. In the experiment No.
1, the activation function of the second and the third layer
was replaced to sigmoid. In the experiments No. 2 and No. 3,
the number of filters in the third layer was increased from
384 to 512 and the number of filters in the second layer was
increased from 256 to 384, respectively. An additional sixth
convolutional layer (between the fourth and fifth layer) was
also added in the experiment No. 5. This layer had a
convolution kernel 3 × 3 and 256 filters. In the experiment
No. 4, on the contrary, there were only four convolutional
layers. The layer between the third and fifth convolutional
layers has been removed from the original architecture.</p>
      <p>
        As shown in the Fig. 4, these experiments did not bring
positive dynamics in improving the quality of classification,
but rather worsened the achieved result. Moreover, in the
experiment No. 5, overfitting occurred [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ].
      </p>
      <p>Fig 4. The effect of changes in convolutional layers on the efficiency of the
algorithm.</p>
      <p>C. The influence of the numerical values of convolution
kernels on the efficiency of the algorithm</p>
      <p>The final stage in the work was the research of the
influence of the numerical values of the convolutional
kernels of the convolutional network layers on the
classification results. Initially, the second layer, according to
the original architecture of the convolutional neural network,
had a kernel of 11 × 11 samples. As experiments,
convolution kernels of 9 × 9, 7 × 7, 13 × 13 samples were
taken. The results of the research are shown in table IV.
Fig 5. The effectiveness of neural network training depending on the era
number (train_acc and val_acc are the confidence values (1) for the training
and for the control sample, train_loss and val_loss are the values of the loss
function (2) for the training and for the control sample).</p>
      <p>By so doing, as can be seen from the table, the
convolution kernel of 9 × 9 samples is the most effective for
solving the considered problem for this convolutional neural
network architecture. To estimate the losses of the final
model, binary cross–entropy (2) was used. The assessment
was made after each era, this can be seen in Fig. 5.</p>
      <p>KARNEL
kernel 9 × 9
J mistake
kernel 7 × 7
J mistake</p>
      <p>CONCLUSION</p>
      <p>The article examined various methods for improving the
classification of brain MRI images based on a convolutional
neural network. An original convolutional neural network
architecture was developed that provides maximum
efficiency for solving this problem.</p>
      <p>In the course of experimental studies on a set of MRI
images, the average quality metrics of classification
algorithm became higher than the metrics of another method
based on an ensemble of decision trees. At the same time, the
need for expencive preprocessing of the input data has
disappeared, which may give an increase in the speed of
processing MRI images when applied in practice. The value
of the F1-score was 95%, and the probability of erroneous
classification was equal to 6%. This shows that the
classification accuracy is higher than the method described in
section 1. By so doing, we can recommend using the
resulting convolutional neural network architecture for the
recognition of pathologies in images of brain MRI.</p>
      <p>These research results can be used to create a computer
system for the diagnostics of various pathologies from MRI
images of the human brain.</p>
      <p>ACKNOWLEDGMENT</p>
      <p>The work was partially funded by the Russian
Foundation for Basic Research under grants No.
19-2901235 and 19-29-01135 (theoretical results) and the RF
Ministry of Science and Higher Education within the
government project of the FSRC “Crystallography and
Photonics” RAS under grant No. 007-GZ/Ch3363/26
(numerical calculations).</p>
    </sec>
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