Browsing by Author "Burns, John Lee"

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    Few-Shot Transfer Learning to improve Chest X-Ray pathology detection using limited triplets
    (arXiv, 2022-04) Bhimireddy, Ananth Reddy; Burns, John Lee; Purkayastha, Saptarshi; Gichoya, Judy Wawira; BioHealth Informatics, School of Informatics and Computing
    Deep learning approaches applied to medical imaging have reached near-human or better-than-human performance on many diagnostic tasks. For instance, the CheXpert competition on detecting pathologies in chest x-rays has shown excellent multi-class classification performance. However, training and validating deep learning models require extensive collections of images and still produce false inferences, as identified by a human-in-the-loop. In this paper, we introduce a practical approach to improve the predictions of a pre-trained model through Few-Shot Learning (FSL). After training and validating a model, a small number of false inference images are collected to retrain the model using \textbf{\textit{Image Triplets}} - a false positive or false negative, a true positive, and a true negative. The retrained FSL model produces considerable gains in performance with only a few epochs and few images. In addition, FSL opens rapid retraining opportunities for human-in-the-loop systems, where a radiologist can relabel false inferences, and the model can be quickly retrained. We compare our retrained model performance with existing FSL approaches in medical imaging that train and evaluate models at once.
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    Theory of radiologist interaction with instant messaging decision support tools: A sequential-explanatory study
    (Public Library of Science, 2024-02-26) Burns, John Lee; Wawira Gichoya, Judy; Kohli, Marc D.; Jones, Josette; Purkayastha, Saptarshi; Radiology and Imaging Sciences, School of Medicine
    Radiology specific clinical decision support systems (CDSS) and artificial intelligence are poorly integrated into the radiologist workflow. Current research and development efforts of radiology CDSS focus on 4 main interventions, based around exam centric time points-after image acquisition, intra-report support, post-report analysis, and radiology workflow adjacent. We review the literature surrounding CDSS tools in these time points, requirements for CDSS workflow augmentation, and technologies that support clinician to computer workflow augmentation. We develop a theory of radiologist-decision tool interaction using a sequential explanatory study design. The study consists of 2 phases, the first a quantitative survey and the second a qualitative interview study. The phase 1 survey identifies differences between average users and radiologist users in software interventions using the User Acceptance of Information Technology: Toward a Unified View (UTAUT) framework. Phase 2 semi-structured interviews provide narratives on why these differences are found. To build this theory, we propose a novel solution called Radibot-a conversational agent capable of engaging clinicians with CDSS as an assistant using existing instant messaging systems supporting hospital communications. This work contributes an understanding of how radiologist-users differ from the average user and can be utilized by software developers to increase satisfaction of CDSS tools within radiology.