Research Article

Cascaded-Recalibrated Multiple Instance Deep Model for Pathologic-Level Lung Cancer Prediction in CT Images

Algorithm 1

Cascaded-recalibrated multiple instance learning based on multiattribute features transfer for pathologic level lung cancer prediction in CT images.
Require:
(1)The discovery group: , and the diagnosis group: ;
(2)The set of 9 semantic attributes: , , and the pathologic level lung cancer label: ;
(3)For each attribute , all nodules on and were annotated with attribute score ; The pmal of each patient in was labeled with , .
Ensure:
(4)(1) The results of patient-level lung cancer prediction;
(5)(2) Two-level cascaded recalibration coefficients, i.e., the contribution of the attributes to the nodule and the contribution of the nodules to the bag.//Step I: Attribute-specific modeling for each attribute on the discovery group .
(6)for each in do
(7) Jointly train feature extraction module and regression module with Equation (1).
(8)end for//Step II: Recalibrated MIL modeling from each attribute to pmal on diagnosis group .
(9)for each in do
(10) Extract attribute features with equation (2)
(11) Recalibrate nodule-level features with equations (5) and (6)
(12) Predict patient-level lung cancer with equation (7)
(13)end for
(14)Rank the 9 semantic attributes according to their independent performances on pmal.//Step III: Cascaded-recalibrated MIL modeling from top- attributes to pmal on diagnosis group .
(15)for to do
(16) Select the top- semantic attributes in step II.
(17) Extract attribute features with Equation (2)
(18) Recalibrate attribute-level features with Equations (3) and (4)
(19) Recalibrate nodule-level features with Equations (5) and (6)
(20) Predict patient-level lung cancer with Equation (7)
(21)end for
(22)Compute the best predictive performance on , and show the corresponding top- attributes.