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Updated: Dec 10, 2025

Deep Neural Networks for Image-Based Dietary Assessment
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GENERALIZABLE MULTI-SITE TRAINING AND TESTING OF DEEP NEURAL NETWORKS USING IMAGE NORMALIZATION.

John A Onofrey1, Dana I Casetti-Dinescu1, Andreas D Lauritzen1

  • 1Department of Radiology & Biomedical Imaging, Yale University, New Haven, CT, USA.

Proceedings. IEEE International Symposium on Biomedical Imaging
|September 3, 2020
PubMed
Summary

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Prostate Cancer Detection on Micro-Ultrasound Raw Data Using a Deep Learning Neural Network.

Ultrasound in medicine & biology·2026

Deep learning models for medical image analysis struggle to generalize across different hospitals. Evaluating models on data from multiple sites is crucial for reliable prostate segmentation using MRI scans.

Area of Science:

  • Medical image analysis
  • Deep learning
  • Radiology

Background:

  • Generalizability of deep learning models in medical imaging is crucial for clinical use.
  • MRI data intensity varies significantly across sites, scanners, and individuals.
  • Training deep learning models with data from all possible sources is impractical.

Purpose of the Study:

  • To evaluate the effectiveness of five image normalization methods for training deep neural networks.
  • To assess the generalization capabilities of models trained for prostate gland segmentation in MRI.
  • To determine the importance of intra-site and inter-site evaluation for model robustness.

Main Methods:

  • Trained a deep neural network for prostate gland segmentation using MRI data.
Keywords:
deep learningimage segmentationmagnetic resonance imagingmulti-site evaluationprostate

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  • Utilized 600 MRI prostate gland segmentations from two distinct clinical sites.
  • Compared the performance of models trained with different image normalization techniques.
  • Main Results:

    • Training with single-site data resulted in models that failed to generalize to unseen sites.
    • Both intra-site and inter-site evaluations are critical for assessing model robustness.
    • Image normalization methods showed varying impacts on model generalization.

    Conclusions:

    • Models trained on single-site MRI data exhibit poor generalization to multi-site data.
    • Robust evaluation requires assessing model performance within and across different clinical sites.
    • Intensity normalization is a key consideration for developing generalizable deep learning models for multi-site medical imaging.