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使用带有MLP-Mixer的卷积神经网络进行活动性和非活动性肺结核分类

Active and Inactive Tuberculosis Classification Using Convolutional Neural Networks with MLP-Mixer.

作者信息

Rim Beanbonyka, Jang Hyeonung, Lee Hongchang, Jeon Wangsu

机构信息

Department of Software Convergence, Soonchunhyang University, Asan 31538, Republic of Korea.

Haewootech Co., Ltd., Busan 46742, Republic of Korea.

出版信息

Bioengineering (Basel). 2025 Jun 9;12(6):630. doi: 10.3390/bioengineering12060630.

DOI:10.3390/bioengineering12060630
PMID:40564446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12189041/
Abstract

Early detection of tuberculosis plays a critical role in effective treatment management. Like active tuberculosis, early identification of inactive forms such as latent or healed tuberculosis is essential to prevent future reactivation. In this study, we developed a deep-learning-based binary classification model to distinguish between active and inactive tuberculosis cases. Our model architecture incorporated an EfficientNet backbone with an MLP-Mixer classification head and was fine-tuned on a dataset annotated by Cheonan Soonchunhyang Hospital. To enhance predictive performance, we applied transfer learning using weights pre-trained on the JFT-300M dataset via the Noisy Student training method. Unlike conventional models, our approach achieved competitive results, with an accuracy of 96.3%, a sensitivity of 95.9%, and a specificity of 96.6% on the test set. These promising outcomes suggest that our model could serve as a valuable asset to support clinical decision-making and streamline early screening workflows for latent tuberculosis.

摘要

结核病的早期检测在有效的治疗管理中起着关键作用。与活动性结核病一样,早期识别潜伏性或已治愈等非活动性形式的结核病对于预防未来的复发至关重要。在本研究中,我们开发了一种基于深度学习的二元分类模型,以区分活动性和非活动性结核病例。我们的模型架构采用了带有MLP-Mixer分类头的EfficientNet主干,并在忠南顺天乡医院标注的数据集上进行了微调。为了提高预测性能,我们通过Noisy Student训练方法使用在JFT-300M数据集上预训练的权重进行迁移学习。与传统模型不同,我们的方法取得了具有竞争力的结果,在测试集上的准确率为96.3%,灵敏度为95.9%,特异性为96.6%。这些令人鼓舞的结果表明,我们的模型可以作为一项有价值的资产,以支持临床决策并简化潜伏性结核病的早期筛查工作流程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc5/12189041/3bc6594c46a7/bioengineering-12-00630-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc5/12189041/a54f41979c75/bioengineering-12-00630-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc5/12189041/f70980e79fe0/bioengineering-12-00630-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc5/12189041/180f00eebb60/bioengineering-12-00630-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc5/12189041/47dc549900d9/bioengineering-12-00630-g006a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc5/12189041/3bc6594c46a7/bioengineering-12-00630-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc5/12189041/a54f41979c75/bioengineering-12-00630-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc5/12189041/fe2d7c027f53/bioengineering-12-00630-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc5/12189041/f70980e79fe0/bioengineering-12-00630-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc5/12189041/de8ef0b724c2/bioengineering-12-00630-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc5/12189041/180f00eebb60/bioengineering-12-00630-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc5/12189041/47dc549900d9/bioengineering-12-00630-g006a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2dc5/12189041/3bc6594c46a7/bioengineering-12-00630-g007.jpg

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本文引用的文献

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Early detection of tuberculosis: a systematic review.结核病的早期检测:一项系统综述
Pneumonia (Nathan). 2024 Jul 5;16(1):11. doi: 10.1186/s41479-024-00133-z.
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Performance of AI to exclude normal chest radiographs to reduce radiologists' workload.利用人工智能排除正常胸部 X 光片以减少放射科医生的工作量。
Eur Radiol. 2024 Nov;34(11):7255-7263. doi: 10.1007/s00330-024-10794-5. Epub 2024 May 17.
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Tuberc Respir Dis (Seoul). 2023 Jul;86(3):226-233. doi: 10.4046/trd.2023.0020. Epub 2023 May 15.
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OView-AI Supporter for Classifying Pneumonia, Pneumothorax, Tuberculosis, Lung Cancer Chest X-ray Images Using Multi-Stage Superpixels Classification.OView-AI:用于使用多阶段超像素分类对肺炎、气胸、肺结核、肺癌胸部X光图像进行分类的支持工具
Diagnostics (Basel). 2023 Apr 23;13(9):1519. doi: 10.3390/diagnostics13091519.
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Economic analysis of different throughput scenarios and implementation strategies of computer-aided detection software as a screening and triage test for pulmonary TB.不同吞吐量方案的经济分析及计算机辅助检测软件作为肺结核筛查和分诊试验的实施策略。
PLoS One. 2022 Dec 30;17(12):e0277393. doi: 10.1371/journal.pone.0277393. eCollection 2022.
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Deep Learning Detection of Active Pulmonary Tuberculosis at Chest Radiography Matched the Clinical Performance of Radiologists.深度学习在胸部 X 光摄影检测活动性肺结核的表现与放射科医生相当。
Radiology. 2023 Jan;306(1):124-137. doi: 10.1148/radiol.212213. Epub 2022 Sep 6.
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