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50   Chapter 2 Deep convolutional neural network in medical image processing




                                    endoscopic testing for various diseases related to the abdominal
                                    region, more research can be expected in this domain in the com-
                                    ing years.


                                    5. Critical discussion: inferences for future
                                       work and limitations

                                       A wide range of applications of deep CNN are very much
                                    evident from the literature summary done in this chapter. There
                                    are different CNN architectures studied that are applied to
                                    various medical imaging modalities and different tasks associated
                                    with clinical image processing. Different architectures studied
                                    include cascading networks, deep networks, multiple-view net-
                                    works, multiscale networks, and so on. It is observed that in
                                    many works, limited data are used, and also expert annotations
                                    are also rare. This architecture aims to decrease parameter space,
                                    reduce the computational time as well as handle 3D images. In
                                    several studies, it is observed that large data are in 3D format,
                                    mainly the data collected from MRI and CT scans. These 3D
                                    data are generally handled by converting the 3D image into 2D
                                    slices or by combining different features from multiview and
                                    2D planes so as to take advantage of contextual information. In
                                    the present scenario, a huge amount of medical data is available,
                                    which can be used by the researchers to develop more efficient
                                    models for the betterment of the healthcare unit. Also, it is
                                    seen that for a particular body part, only a few of the imaging mo-
                                    dalities have been considered. This gives future scope for the re-
                                    searchers to apply CNN to other modalities for the particular
                                    anatomical structure.
                                       Even though DL and particularly deep CNN gives better per-
                                    formance in the field of medical imaging, there are few limita-
                                    tions to look into. CNN models require a large amount of
                                    computational power for its execution. Limited computational
                                    power will require more amount of time to train the model that
                                    will be subjected to the training data size. The CNN architecture
                                    needs labeled information for the implementation of supervised
                                    learning and manual labeling for the images, which is tough
                                    work. These problems are gradually overcome as there is large
                                    computational power available, large data storage capacity, and
                                    also efficient deep CNNs.
                                       Fig. 2.6A presents the distribution of articles in years related to
                                    CNN application in healthcare and medical imaging. The data
                                    used in the figure are collected from the Scopus database [120]
                                    through searching the words “CNN in healthcare,”“convolution
   57   58   59   60   61   62   63   64   65   66   67