Introduction


  • Chest X-rays are widely used to identify lung, heart, and bone abnormalities.
  • Pleural effusion is a condition where excess fluid builds up around the lungs, visible in chest X-rays.
  • Large public datasets like the NIH ChestX-ray dataset enable the development of machine learning models to detect disease.
  • In this lesson, we will train a neural network to classify chest X-rays as either “normal” or showing pleural effusion.
  • We begin by loading a balanced dataset of labeled chest X-ray images.

Visualisation


  • X-ray images can be loaded and visualized using Python libraries like OpenCV and NumPy.
  • Images are stored as 2D arrays (grayscale) or 3D arrays (RGB).
  • Visual inspection helps us understand how disease features appear in imaging data.
  • Preprocessing steps like resizing and standardization prepare data for machine learning.

Data preparation


  • Data should be split into separate sets for training, validation, and testing to fairly evaluate model performance.
  • TensorFlow expects input images in the shape (batch, height, width, channels).
  • Data augmentation increases the variety of training data by applying random transformations.
  • Augmented images help reduce overfitting and improve generalization to new data.

Neural networks


  • Neural networks are composed of layers of neurons that transform inputs into outputs through learnable parameters.
  • Activation functions introduce non-linearity and help neural networks learn complex patterns.
  • Dense (fully connected) layers connect every neuron from one layer to the next and are commonly used in classification tasks.
  • Convolutional layers apply filters to extract spatial features from images and are the core of convolutional neural networks (CNNs).
  • Dropout helps reduce overfitting by randomly disabling neurons during training.

Training and evaluation


  • Neural networks are trained by adjusting weights to minimize a loss function using optimization algorithms like Adam.
  • Training is done in batches over multiple epochs to gradually improve performance.
  • Validation data helps detect overfitting and track generalization during training.
  • The best model can be selected by monitoring validation loss and saved for future use.
  • Final performance should be evaluated on a separate test set that the model has not seen during training.

Explainability


  • Saliency maps visualize which parts of an image contribute most to a model’s prediction.
  • GradCAM++ and ScoreCAM are commonly used techniques for generating saliency maps in convolutional models.
  • Saliency maps can help build trust in a model, but they may not always reflect true model behavior.
  • Explainability methods should be interpreted cautiously and validated carefully.