Department of Computing, Imperial College London, UK.
Department of Imaging Sciences, King's College London, UK.
Med Image Anal. 2021 Jul;71:102062. doi: 10.1016/j.media.2021.102062. Epub 2021 Apr 9.
Fully automatic deep learning has become the state-of-the-art technique for many tasks including image acquisition, analysis and interpretation, and for the extraction of clinically useful information for computer-aided detection, diagnosis, treatment planning, intervention and therapy. However, the unique challenges posed by medical image analysis suggest that retaining a human end-user in any deep learning enabled system will be beneficial. In this review we investigate the role that humans might play in the development and deployment of deep learning enabled diagnostic applications and focus on techniques that will retain a significant input from a human end user. Human-in-the-Loop computing is an area that we see as increasingly important in future research due to the safety-critical nature of working in the medical domain. We evaluate four key areas that we consider vital for deep learning in the clinical practice: (1) Active Learning to choose the best data to annotate for optimal model performance; (2) Interaction with model outputs - using iterative feedback to steer models to optima for a given prediction and offering meaningful ways to interpret and respond to predictions; (3) Practical considerations - developing full scale applications and the key considerations that need to be made before deployment; (4) Future Prospective and Unanswered Questions - knowledge gaps and related research fields that will benefit human-in-the-loop computing as they evolve. We offer our opinions on the most promising directions of research and how various aspects of each area might be unified towards common goals.
深度学习已经成为许多任务的最新技术,包括图像采集、分析和解释,以及从计算机辅助检测、诊断、治疗计划、干预和治疗中提取临床有用信息。然而,医学图像分析所带来的独特挑战表明,在任何启用深度学习的系统中保留人类最终用户都将是有益的。在这篇综述中,我们调查了人类在开发和部署启用深度学习的诊断应用程序中可能扮演的角色,并专注于那些将保留人类最终用户大量输入的技术。人机交互计算是我们认为在未来研究中越来越重要的一个领域,因为在医疗领域工作具有安全关键性质。我们评估了我们认为对临床实践中的深度学习至关重要的四个关键领域:(1)主动学习,选择最佳数据进行标注,以获得最佳模型性能;(2)与模型输出的交互 - 使用迭代反馈来引导模型针对给定预测达到最优,并提供有意义的方式来解释和响应预测;(3)实际考虑因素 - 开发全面的应用程序以及在部署之前需要考虑的关键因素;(4)未来展望和未解决的问题 - 知识差距和相关研究领域,随着它们的发展,将使人机交互计算受益。我们对最有前途的研究方向提出了自己的看法,并讨论了每个领域的各个方面如何朝着共同的目标统一起来。
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