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    Area of Science:

    • Medical Imaging
    • Artificial Intelligence
    • Computer-Aided Diagnostics

    Background:

    • Deep learning for medical image analysis faces challenges with small datasets due to privacy and labeling difficulties.
    • Merging disjointed datasets from various centers can increase training data but is hindered by domain shifts caused by differing protocols and subpopulations.
    • Existing approaches often focus on single datasets, limiting generalizability.

    Purpose of the Study:

    • To develop a robust deep learning model for medical image analysis that can effectively integrate data from multiple sources despite domain shifts.
    • To improve the performance and specificity of computer-aided diagnostic systems for in vivo oral lesions using multispectral autofluorescence imaging (maFLIM).

    Main Methods:

    • Implemented a domain adaptation module within a neural network architecture.
    • Utilized a gradient reversal layer and a domain classifier to encourage domain invariance between two maFLIM datasets.
    • Trained the model using combined data from two distinct data collection centers with differing calibration procedures and imaged subpopulations.

    Main Results:

    • The proposed domain adaptation approach significantly increased the performance and specificity of the diagnostic model.
    • The model trained with two datasets showed a significant increase in average performance compared to the best single-domain baseline model (p = 0.0341).
    • The method effectively mitigated differences arising from varying calibration procedures and sub-populations.

    Conclusions:

    • Domain adaptation is a feasible and effective strategy for merging multi-center medical imaging datasets, overcoming domain shifts.
    • This approach accelerates the development of computer-aided diagnostic systems by enabling the creation of robust classifiers trained on diverse data.
    • The findings support the creation of more generalizable and accurate AI tools for medical image analysis.