Abstract
Breast cancer, the most prevalent cancer among women, poses a significant healthcare challenge, demanding effective early detection for optimal treatment outcomes. Mammography, the gold standard for breast cancer detection, employs low-dose X-rays to reveal tissue details, particularly cancerous masses and calcium deposits. This work focuses on evaluating the impact of incorporating anatomical knowledge to improve the performance and robustness of a breast cancer classification model. In order to achieve this, a methodology was devised to generate anatomical pseudo-labels, simulating plausible anatomical variations in cancer masses. These variations, encompassing changes in mass size and intensity, closely reflect concepts from the BI-RADs scale. Besides anatomical-based augmentation, we propose a novel loss term promoting the learning of cancer grading by our model. Experiments were conducted on publicly available datasets simulating both in-distribution and out-of-distribution scenarios to thoroughly assess the model's performance under various conditions.

Abstract
Federated Learning (FL) is emerging in the medical field to address the need for diverse datasets while complying with data protection regulations. This decentralised learning paradigm allows hospitals (clients) to train machine learning models locally, ensuring that patient data remains within the confines of its originating institution. Nonetheless, FL by itself is not enough to guarantee privacy, as the central aggregation process may still be susceptible to identity-exposing attacks, potentially compromising data protection compliance. To strengthen privacy, differential privacy (DP) is often introduced. In this work, we conduct a comprehensive comparative analysis to evaluate the impact of DP in both traditional Centralised Learning (CL) frameworks and FL for polyp segmentation, a common medical image analysis task. Experiments are performed in PolypGen, a multi-centre publicly available dataset designed for polyp segmentation. The results show a clear drop in performance with the introduction of DP, exposing the trade-off between privacy and performance and highlighting the need to develop novel privacy-preserving techniques.

Abstract
We explore deep generative models to generate case-based explanations in a medical federated learning setting. Explaining AI model decisions through case-based interpretability is paramount to increasing trust and allowing widespread adoption of AI in clinical practice. However, medical AI training paradigms are shifting towards federated learning settings in order to comply with data protection regulations. In a federated scenario, past data is inaccessible to the current user. Thus, we use a deep generative model to generate synthetic examples that protect privacy and explain decisions. Our proof-of-concept focuses on pleural effusion diagnosis and uses publicly available Chest X-ray data. © 2024 IEEE.

Abstract

Abstract

Abstract
Prognosis after intracranial hemorrhage (ICH) is influenced by a complex interplay between imaging and tabular data. Rapid and reliable prognosis are crucial for effective patient stratification and informed treatment decision-making. In this study, we aim to enhance image-based prognosis by learning a robust feature representation shared between prognosis and the clinical and demographic variables most highly correlated with it. Our approach mimics clinical decision-making by reinforcing the model to learn valuable prognostic data embedded in the image. We propose a 3D multi-task image model to predict prognosis, Glasgow Coma Scale and age, improving accuracy and interpretability. Our method outperforms current state-of-the-art baseline image models, and demonstrates superior performance in ICH prognosis compared to four board-certified neuroradiologists using only CT scans as input. We further validate our model with interpretability saliency maps. Code is available at https://github.com/MiriamCobo/MultitaskLearning_ICH_Prognosis.git.