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Deploying deep learning models on unseen medical imaging using adversarial domain adaptation

Aly A Valliani, Faris F Gulamali, Young Joon Kwon, Michael L Martini, Chiatse Wang, Douglas Kondziolka, Viola J Chen, Weichung Wang, Anthony B Costa and Eric K Oermann

PLOS ONE, 2022, vol. 17, issue 10, 1-17

Abstract: The fundamental challenge in machine learning is ensuring that trained models generalize well to unseen data. We developed a general technique for ameliorating the effect of dataset shift using generative adversarial networks (GANs) on a dataset of 149,298 handwritten digits and dataset of 868,549 chest radiographs obtained from four academic medical centers. Efficacy was assessed by comparing area under the curve (AUC) pre- and post-adaptation. On the digit recognition task, the baseline CNN achieved an average internal test AUC of 99.87% (95% CI, 99.87-99.87%), which decreased to an average external test AUC of 91.85% (95% CI, 91.82-91.88%), with an average salvage of 35% from baseline upon adaptation. On the lung pathology classification task, the baseline CNN achieved an average internal test AUC of 78.07% (95% CI, 77.97-78.17%) and an average external test AUC of 71.43% (95% CI, 71.32-71.60%), with a salvage of 25% from baseline upon adaptation. Adversarial domain adaptation leads to improved model performance on radiographic data derived from multiple out-of-sample healthcare populations. This work can be applied to other medical imaging domains to help shape the deployment toolkit of machine learning in medicine.

Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0273262

DOI: 10.1371/journal.pone.0273262

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