PMID- 33836449 OWN - NLM STAT- MEDLINE DCOM- 20210625 LR - 20210625 IS - 1879-0534 (Electronic) IS - 0010-4825 (Linking) VI - 133 DP - 2021 Jun TI - Attention-embedded complementary-stream CNN for false positive reduction in pulmonary nodule detection. PG - 104357 LID - S0010-4825(21)00151-7 [pii] LID - 10.1016/j.compbiomed.2021.104357 [doi] AB - False positive reduction plays a key role in computer-aided detection systems for pulmonary nodule detection in computed tomography (CT) scans. However, this remains a challenge owing to the heterogeneity and similarity of anisotropic pulmonary nodules. In this study, a novel attention-embedded complementary-stream convolutional neural network (AECS-CNN) is proposed to obtain more representative features of nodules for false positive reduction. The proposed network comprises three function blocks: 1) attention-guided multi-scale feature extraction, 2) complementary-stream block with an attention module for feature integration, and 3) classification block. The inputs of the network are multi-scale 3D CT volumes due to variations in nodule sizes. Subsequently, a gradual multi-scale feature extraction block with an attention module was applied to acquire more contextual information regarding the nodules. A subsequent complementary-stream integration block with an attention module was utilized to learn the significantly complementary features. Finally, the candidates were classified using a fully connected layer block. An exhaustive experiment on the LUNA16 challenge dataset was conducted to verify the effectiveness and performance of the proposed network. The AECS-CNN achieved a sensitivity of 0.92 with 4 false positives per scan. The results indicate that the attention mechanism can improve the network performance in false positive reduction, the proposed AECS-CNN can learn more representative features, and the attention module can guide the network to learn the discriminated feature channels and the crucial information embedded in the data, thereby effectively enhancing the performance of the detection system. CI - Copyright (c) 2021 Elsevier Ltd. All rights reserved. FAU - Sun, Lingma AU - Sun L AD - School of Information and Communication Engineering, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610054, China; Laboratory of Imaging Detection and Intelligent Perception, University of Electronic Science and Technology of China, Chengdu, 611731, China. FAU - Wang, Zhuoran AU - Wang Z AD - School of Information and Communication Engineering, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610054, China; Laboratory of Imaging Detection and Intelligent Perception, University of Electronic Science and Technology of China, Chengdu, 611731, China. FAU - Pu, Hong AU - Pu H AD - Sichuan Provincial People's Hospital, Chengdu, Sichuan, 610072, China; School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610054, China. FAU - Yuan, Guohui AU - Yuan G AD - School of Information and Communication Engineering, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610054, China; Laboratory of Imaging Detection and Intelligent Perception, University of Electronic Science and Technology of China, Chengdu, 611731, China. FAU - Guo, Lu AU - Guo L AD - Sichuan Provincial People's Hospital, Chengdu, Sichuan, 610072, China; School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610054, China. FAU - Pu, Tian AU - Pu T AD - School of Information and Communication Engineering, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610054, China; Laboratory of Imaging Detection and Intelligent Perception, University of Electronic Science and Technology of China, Chengdu, 611731, China. FAU - Peng, Zhenming AU - Peng Z AD - School of Information and Communication Engineering, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610054, China; Laboratory of Imaging Detection and Intelligent Perception, University of Electronic Science and Technology of China, Chengdu, 611731, China. Electronic address: zmpeng@uestc.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210330 PL - United States TA - Comput Biol Med JT - Computers in biology and medicine JID - 1250250 SB - IM MH - Humans MH - *Lung Neoplasms/diagnostic imaging MH - Neural Networks, Computer MH - Radiographic Image Interpretation, Computer-Assisted MH - *Solitary Pulmonary Nodule/diagnostic imaging MH - Tomography, X-Ray Computed OTO - NOTNLM OT - Attention mechanism OT - Convolutional neural network OT - False positive reduction OT - Multi-scale features OT - Pulmonary nodule detection EDAT- 2021/04/10 06:00 MHDA- 2021/06/29 06:00 CRDT- 2021/04/09 20:18 PHST- 2021/01/19 00:00 [received] PHST- 2021/03/22 00:00 [revised] PHST- 2021/03/22 00:00 [accepted] PHST- 2021/04/10 06:00 [pubmed] PHST- 2021/06/29 06:00 [medline] PHST- 2021/04/09 20:18 [entrez] AID - S0010-4825(21)00151-7 [pii] AID - 10.1016/j.compbiomed.2021.104357 [doi] PST - ppublish SO - Comput Biol Med. 2021 Jun;133:104357. doi: 10.1016/j.compbiomed.2021.104357. Epub 2021 Mar 30.