Ng Dianwen, Lan Xiang, Yao Melissa Min-Szu, Chan Wing P, Feng Mengling
Saw Swee Hock School of Public Health, National University Health System, National University of Singapore, Singapore.
Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei.
Quant Imaging Med Surg. 2021 Feb;11(2):852-857. doi: 10.21037/qims-20-595.
Despite the overall success of using artificial intelligence (AI) to assist radiologists in performing computer-aided patient diagnosis, it remains challenging to build good models with small datasets at individual sites. Because many medical images do not come with proper labelling for training, this requires radiologists to perform strenuous labelling work and to prepare the dataset for training. Placing such demands on radiologists is unsustainable, given the ever-increasing number of medical images taken each year. We propose an alternative solution using a relatively new learning framework. This framework, called federated learning, allows individual sites to train a global model in a collaborative effort. Federated learning involves aggregating training results from multiple sites to create a global model without directly sharing datasets. This ensures that patient privacy is maintained across sites. Furthermore, the added supervision obtained from the results of partnering sites improves the global model's overall detection abilities. This alleviates the issue of insufficient supervision when training AI models with small datasets. Lastly, we also address the major challenges of adopting federated learning.
尽管利用人工智能(AI)协助放射科医生进行计算机辅助患者诊断总体上取得了成功,但在各个机构使用小数据集构建良好模型仍然具有挑战性。由于许多医学图像没有用于训练的适当标注,这就要求放射科医生进行繁重的标注工作,并准备用于训练的数据集。鉴于每年拍摄的医学图像数量不断增加,对放射科医生提出这样的要求是不可持续的。我们提出了一种使用相对较新的学习框架的替代解决方案。这个框架称为联邦学习,它允许各个机构通过合作来训练一个全局模型。联邦学习涉及聚合来自多个机构的训练结果,以创建一个全局模型,而无需直接共享数据集。这确保了各个机构之间患者隐私得到保护。此外,从合作机构的结果中获得的额外监督提高了全局模型的整体检测能力。这缓解了使用小数据集训练AI模型时监督不足的问题。最后,我们还解决了采用联邦学习的主要挑战。