Multi-task weak supervision enables anatomically-resolved abnormality detection in whole-body FDG-PET/CT

Abstract

Computational decision support systems could provide clinical value in whole-body FDG-PET/CT workflows. However, limited availability of labeled data combined with the large size of PET/CT imaging exams make it challenging to apply existing supervised machine learning systems. Leveraging recent advancements in natural language processing, we describe a weak supervision framework that extracts imperfect, yet highly granular, regional abnormality labels from free-text radiology reports. Our framework automatically labels each region in a custom ontology of anatomical regions, providing a structured profile of the pathologies in each imaging exam. Using these generated labels, we then train an attention-based, multi-task CNN architecture to detect and estimate the location of abnormalities in whole-body scans. We demonstrate empirically that our multi-task representation is critical for strong performance on rare abnormalities with limited training data. The representation also contributes to more accurate mortality prediction from imaging data, suggesting the potential utility of our framework beyond abnormality detection and location estimation.

Abstract

Computational decision support systems could provide clinical value in whole-body FDG PET/CT workflows, but labeled data is scarce and PET/CT imaging exams are cumbersome. Here, the authors describe a weak supervision framework that extracts regional abnormality labels from free-text radiology reports.