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A Comprehensive Survey on Deep Active Learning in Medical Image Analysis


Core Concepts
Active learning reduces annotation costs in medical image analysis by selecting informative samples for annotation.
Abstract
Deep learning has revolutionized medical image analysis, but the high cost of annotating medical images hampers its development. Active learning aims to reduce annotation costs by selecting informative samples for annotation. This survey reviews core active learning methods and their integration with label-efficient techniques in medical image analysis. It also evaluates the performance of different active learning methods through experiments. The survey highlights the importance of active learning in improving diagnostic accuracy and supporting clinicians. Challenges such as high annotation costs and limited surveys evaluating different active learning methods are discussed.
Stats
The BraTS dataset expanded from 65 patients in 2013 to over 1,200 in 2021. A radiologist usually takes about 60 minutes to manually segment brain tumors per patient. The median hourly rate of a radiologist is $219 in the US.
Quotes
"Active learning is considered one of the most effective solutions for reducing annotation costs." "High-quality annotations often require the involvement of experienced doctors, which inherently increases the annotation cost of medical images."

Deeper Inquiries

How can active learning be further integrated with other label-efficient techniques to enhance its effectiveness

Active learning can be further integrated with other label-efficient techniques to enhance its effectiveness by combining it with semi-supervised learning, self-supervised learning, domain adaptation, region-based active learning, and generative models. Semi-Supervised Learning: By incorporating unlabeled data along with labeled data in the training process, active learning can leverage the abundance of unlabeled samples to improve model performance. Self-Supervised Learning: Self-supervised learning tasks can provide additional supervisory signals for the model without requiring manual annotations. Active learning can benefit from these auxiliary tasks to select more informative samples. Domain Adaptation: Adapting the model to different domains or datasets through domain adaptation techniques can help improve generalization and robustness. Integrating this with active learning ensures that selected samples are relevant across various domains. Region-Based Active Learning: Focusing on specific regions of interest within an image for annotation can lead to more targeted sample selection and improved performance in tasks like object detection or segmentation. Generative Models: Utilizing generative models in conjunction with active learning allows for generating synthetic samples that are challenging for the current model. These generated samples can then be used as part of the training set to enhance diversity and coverage.

What are potential drawbacks or limitations of relying solely on uncertainty-based methods for sample selection

Relying solely on uncertainty-based methods for sample selection in active learning may have some drawbacks or limitations: Outlier Selection: Uncertainty-based methods might focus on selecting hard-to-predict samples without considering intrinsic characteristics of each sample. This could lead to outliers being chosen that do not necessarily represent important patterns in the dataset. Distribution Misalignment: Samples selected based on uncertainty metrics tend to cluster near decision boundaries rather than representing a diverse range of data points across the distribution. This bias towards uncertain regions may introduce dataset bias and impact overall model performance negatively. Overconfidence Issues: Deep neural networks often exhibit overconfidence in their predictions even when they are incorrect, which could affect uncertainty estimation accuracy and subsequently influence sample selection.

How can advancements in deep active learning benefit other fields beyond medical image analysis

Advancements in deep active learning from medical image analysis have broader implications beyond this field: Computer Vision: Techniques developed in deep active learning such as uncertainty estimation, representativeness sampling, and integration with other label-efficient methods can significantly benefit computer vision tasks like object detection, image classification, and semantic segmentation. Natural Language Processing (NLP): The principles of deep active learning could be applied to NLP tasks such as text classification, sentiment analysis, named entity recognition (NER), where selecting informative examples for annotation is crucial for improving language models' performance. Autonomous Systems: Advancements in deep AL could enhance autonomous systems' capabilities by enabling them to actively learn from limited labeled data while exploring new environments effectively.
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