While great strides have been made in using deep learning algorithms to solve supervised learning tasks, the problem of unsupervised learning -leveraging unlabeled examples to learn about the structure of a domain -remains a difficult unsolved challenge. Here, we explore prediction of future frames in a video sequence as an unsupervised learning rule for learning about the structure of the visual world. We describe a predictive neural network ("PredNet") architecture that is inspired by the concept of "predictive coding" from the neuroscience literature. These networks learn to predict future frames in a video sequence, with each layer in the network making local predictions and only forwarding deviations from those predictions to subsequent network layers. We show that these networks are able to robustly learn to predict the movement of synthetic (rendered) objects, and that in doing so, the networks learn internal representations that are useful for decoding latent object parameters (e.g. pose) that support object recognition with fewer training views. We also show that these networks can scale to complex natural image streams (car-mounted camera videos), capturing key aspects of both egocentric movement and the movement of objects in the visual scene, and the representation learned in this setting is useful for estimating the steering angle. Altogether, these results suggest that prediction represents a powerful framework for unsupervised learning, allowing for implicit learning of object and scene structure.

IMPORTANCE Mammography screening currently relies on subjective human interpretation. Artificial intelligence (AI) advances could be used to increase mammography screening accuracy by reducing missed cancers and false positives. OBJECTIVE To evaluate whether AI can overcome human mammography interpretation limitations with a rigorous, unbiased evaluation of machine learning algorithms. DESIGN, SETTING, AND PARTICIPANTS In this diagnostic accuracy study conducted between September 2016 and November 2017, an international, crowdsourced challenge was hosted to foster AI algorithm development focused on interpreting screening mammography. More than 1100 participants comprising 126 teams from 44 countries participated. Analysis began November 18, 2016. MAIN OUTCOMES AND MEASUREMENTS Algorithms used images alone (challenge 1) or combined images, previous examinations (if available), and clinical and demographic risk factor data (challenge 2) and output a score that translated to cancer yes/no within 12 months. Algorithm accuracy for breast cancer detection was evaluated using area under the curve and algorithm specificity compared with radiologists' specificity with radiologists' sensitivity set at 85.9% (United States) and 83.9% (Sweden). An ensemble method aggregating top-performing AI algorithms and radiologists' recall assessment was developed and evaluated. RESULTS Overall, 144 231 screening mammograms from 85 580 US women (952 cancer positive Յ12 months from screening) were used for algorithm training and validation. A second independent validation cohort included 166 578 examinations from 68 008 Swedish women (780 cancer positive). The top-performing algorithm achieved an area under the curve of 0.858 (United States) and 0.903 (Sweden) and 66.2% (United States) and 81.2% (Sweden) specificity at the radiologists' sensitivity, lower than community-practice radiologists' specificity of 90.5% (United States) and 98.5% (Sweden). Combining top-performing algorithms and US radiologist assessments resulted in a higher area under the curve of 0.942 and achieved a significantly improved specificity (92.0%) at the same sensitivity. CONCLUSIONS AND RELEVANCE While no single AI algorithm outperformed radiologists, an ensemble of AI algorithms combined with radiologist assessment in a single-reader screening environment improved overall accuracy. This study underscores the potential of using machine (continued)

Robust breast cancer detection in mammography and digital breast tomosynthesis using an annotation-efficient deep learning approach.

SignificanceThe ability to complete patterns and interpret partial information is a central property of intelligence. Deep convolutional network architectures have proved successful in labeling whole objects in images and capturing the initial 150 ms of processing along the ventral visual cortex. This study shows that human object recognition abilities remain robust when only small amounts of information are available due to heavy occlusion, but the performance of bottom-up computational models is impaired under limited visibility. The results provide combined behavioral, neurophysiological, and modeling insights showing how recurrent computations may help the brain solve the fundamental challenge of pattern completion.