A weakly supervised neuroimaging Hierarchical Attention Network for abnormality Detection (NEURO-HAND)

Clinical neuroimaging data is naturally hierarchical. Different magnetic resonance imaging (MRI) sequences within a series, different slices covering the head, and different regions within each slice all confer different information. In this work we present a hierarchical attention network for abnormality detection using MRI scans obtained in a clinical hospital setting. The proposed network is suitable for non-volumetric data (i.e. stacks of high-resolution MRI slices), and can be trained from binary examination-level labels. We show that this hierarchical approach leads to improved classification, while providing inter-pretability through either coarse inter-and intra-slice abnormality localisation, or giving importance scores for different slices and sequences, making our model suitable for use as an automated triaging system in radiology departments.