Out-of-distribution detection for prostate cancer AI systems

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Solution Overview

Problem

Artificial intelligence systems for prostate cancer detection face challenges in accurately predicting results when input images are out-of-distribution from their training data, leading to inaccurate predictions.

Innovation Solution

A semantic-aware out-of-distribution detection framework is implemented, using a machine learning-based reconstruction network to generate reconstructed images and compare features with a pre-trained lesion detection network, calculating an uncertainty score to determine if input images are out-of-distribution, thereby improving the performance of the AI system by excluding outliers.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If AI systems are trained on specific training data for prostate cancer detection, then detection performance on in-distribution data is improved, but accuracy deteriorates when input images are out-of-distribution from the training data

Engineering Contradiction:
Improvedetection accuracyVSAvoidprediction reliability
Core Design Contradiction:
Measurement precisionVSReliability

Solution Approach 1:

The system performs preliminary action by training the AI model on in-distribution data before deployment, establishing a baseline of expected data characteristics. The uncertainty estimation mechanism is pre-configured to compare incoming data against this training distribution, enabling proactive identification of out-of-distribution cases before they compromise diagnostic reliability

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

An uncertainty estimation mechanism serves as an intermediary between the AI model and the final diagnosis. This intermediary layer evaluates the confidence of predictions by comparing input image features against training data distributions, flagging cases where the input deviates significantly from expected patterns, thereby protecting against unreliable out-of-distribution predictions

Inventive Principle:
Principle #24Intermediary (Mediator)

2Measurement precision

If manual detection by radiologists is used for prostate cancer, then detection accuracy is maintained, but time consumption and operational efficiency deteriorate

Engineering Contradiction:
Improvedetection accuracyVSAvoidoperational efficiency
Core Design Contradiction:
Measurement precisionVSProductivity

Solution Approach 1:

The AI system performs multiple functions: it automatically detects prostate cancer lesions, estimates uncertainty of predictions, and identifies out-of-distribution cases. This multi-functional approach replaces the need for manual radiologist review in standard cases while maintaining accuracy, with automated triage routing only uncertain cases for expert review

Inventive Principle:
Principle #6Universality (Multi-functionality)

Solution Approach 2:

The system implements self-service by automatically evaluating its own prediction confidence and identifying cases requiring human review. The uncertainty estimation mechanism autonomously determines which predictions are reliable enough for automated acceptance and which need radiologist verification, reducing overall time consumption compared to universal manual review

Inventive Principle:
Principle #25Self-service

3Productivity

If AI systems process all input images without distinction, then processing throughput is maintained, but accuracy deteriorates due to out-of-distribution false positives

Engineering Contradiction:
Improveprocessing throughputVSAvoiddetection accuracy
Core Design Contradiction:
ProductivityVSMeasurement precision

Solution Approach 1:

The processing workflow is segmented into two distinct pathways: automated processing for in-distribution cases with high confidence predictions, and expert review pathway for out-of-distribution cases with uncertain predictions. This segmentation allows the system to maintain high throughput for reliable cases while applying enhanced accuracy measures only where needed

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

Different quality levels of processing are applied locally to different input cases based on their distribution characteristics. In-distribution cases receive standard automated processing with high throughput, while out-of-distribution cases receive enhanced processing including uncertainty evaluation and expert review, ensuring high accuracy where it matters most without compromising overall throughput

Inventive Principle:
Principle #3Local quality

Data Source

PatentUS12198337B2Out-of-distribution detection for artificial intelligence systems for prostate cancer detection
Publication Date: 2025.01.14 SIEMENS HEALTHINEERS AG
  • US12198337B2 patent drawing
  • US12198337B2 patent drawing
  • US12198337B2 patent drawing

AI summary

Systems and methods for determining whether input medical images are out-of-distribution of training images on which a machine learning based medical imaging analysis network is trained are provided. One or more input medical images of a patient are received. One or more reconstructed images of the one or more input medical images are generated using a machine learning based reconstruction network. It is determined whether the one or more input medical images are out-of-distribution from training images on which a machine learning based medical imaging analysis network is trained based on the one or more input medical images and the one or more reconstructed images. The determination of whether the one or more input medical images are out-of-distribution from the training images is output.