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import torch.nn as nn
import torch.nn.functional as F
from torch.utils.data import DataLoader
import pandas as pd
import numpy as np
import argparse
from collections import defaultdict
from sklearn.preprocessing import label_binarize
from sklearn.metrics import f1_score, accuracy_score, roc_auc_score, roc_curve
import cv2
from src.data_loader.mammo_transforms import BasicTransforms
import os
import torch
import wandb
from dataset import MammographyDataset, BreastMRI
#from src.models_all.models import create_soat_cnn_models
import torch.optim as optim
import pandas as pd
import argparse
import torch.nn as nn
from pathlib import Path
from torch.utils.data import WeightedRandomSampler
from torchinfo import summary
from src.trainer_tester.supervised_trainer import FullySupervisedMultiViewTrainer
from src.utils.utils_functions import compute_sample_weights, log_scalar_values, set_seed
from src.data_loader.mammo_transforms import BasicTransforms, TrainTransform, TrainTransformBaseline
from src.utils.plotter import display_confusion_matrix
from sklearn.metrics import classification_report
import numpy as np
import pandas as pd
from pathlib import Path
from src.utils.dataset_utils import extract_target_names
#import utils
import torch
import torch.nn as nn
import timm
from sklearn.metrics import confusion_matrix, ConfusionMatrixDisplay
import matplotlib.pyplot as plt
class BreastMRI(torch.utils.data.Dataset):
def __init__(self, csv_file, root_dir=None, split=None, transform=None):
self.data = pd.read_csv(csv_file)
self.root_dir = root_dir
self.transform = transform
def __len__(self):
return len(self.data)
def _load_image(self, img_path):
image = cv2.imread(img_path, cv2.IMREAD_GRAYSCALE)
image = cv2.resize(image, (224, 224))
image = np.stack([image] * 3, axis=-1)
if self.transform:
image = self.transform(image)
else:
image = torch.from_numpy(image).permute(2, 0, 1).float() / 255.0
return image
def __getitem__(self, idx):
row = self.data.iloc[idx]
pre_img = self._load_image(row['pre_png'])
post_img = self._load_image(row['post_png'])
sub_img = self._load_image(row['sub_png'])
label = torch.tensor(row['Lesion']).long()
patient_id = row['Patient_ID']
return {
'pre': pre_img,
'post': post_img,
'sub': sub_img,
'label': label,
'patient_id': patient_id
}
class MultiViewSwinModel(nn.Module):
"""
Cross‑attention Swin for 3‑view breast‑MRI (pre / post / subtraction).
"""
def __init__(
self,
model_name: str = "swin_tiny_patch4_window7_224.ms_in22k",
pretrained: bool = True,
num_classes: int = 3,
num_xattn_layers: int = 2,
num_heads: int = 4,
dropout: float = 0.1,
):
super().__init__()
# 1) Swin backbone WITHOUT final linear head
self.backbone = timm.create_model(model_name, pretrained=pretrained, num_classes=0)
self.embed_dim = self.backbone.num_features # 1024 for swin‑base
# 2) Learnable CLS token (like ViT) and view‑type embeddings
self.cls_token = nn.Parameter(torch.zeros(1, 1, self.embed_dim))
self.view_embed = nn.Parameter(torch.zeros(3, 1, self.embed_dim)) # pre/post/sub
# 3) Cross‑attention encoder (TransformerEncoder)
encoder_layer = nn.TransformerEncoderLayer(
d_model=self.embed_dim,
nhead=num_heads,
dim_feedforward=self.embed_dim * 4,
dropout=dropout,
activation="gelu",
batch_first=True,
norm_first=True,
)
self.xattn = nn.TransformerEncoder(encoder_layer, num_layers=num_xattn_layers)
# 4) Classification head
self.norm = nn.LayerNorm(self.embed_dim)
self.classifier = nn.Linear(self.embed_dim, num_classes)
# init
nn.init.trunc_normal_(self.cls_token, std=0.02)
nn.init.trunc_normal_(self.view_embed, std=0.02)
# ------------------------------------------------------------------ #
def _img_embed(self, x: torch.Tensor) -> torch.Tensor:
"""
Forward a single image through Swin and return pooled vector (B, C).
"""
feats = self.backbone.forward_features(x) # (B, H*W, C)
pooled = self.backbone.forward_head(feats, pre_logits=True) # (B, C)
return pooled
def forward(self, pre, post, sub):
"""
Args:
pre, post, sub: tensors (B, 3, 224, 224)
Returns:
logits (B, num_classes)
"""
# 1) Per‑view embeddings
z_pre = self._img_embed(pre) # (B, C)
z_post = self._img_embed(post)
z_sub = self._img_embed(sub)
# 2) Assemble sequence: [CLS] + three view tokens
B = z_pre.size(0)
cls = self.cls_token.expand(B, -1, -1) # (B, 1, C)
views = torch.stack([z_pre, z_post, z_sub], dim=1) # (B, 3, C)
# add view‑type embeddings (broadcast over batch)
views = views + self.view_embed.transpose(0, 1) # (B, 3, C)
tokens = torch.cat([cls, views], dim=1) # (B, 4, C)
# 3) Cross‑attention
tokens = self.xattn(tokens) # (B, 4, C)
# 4) CLS pooling → head
out = self.classifier(self.norm(tokens[:, 0])) # (B, num_classes)
return out
def has_valid_lesion(pred_classes, target_class):
# Check for first or last slice being lesion
if pred_classes[0] == target_class or pred_classes[-1] == target_class:
return True
# Check for 2 or more consecutive slices
for i in range(len(pred_classes) - 1):
if pred_classes[i] == target_class and pred_classes[i + 1] == target_class :
return True
return False
@torch.no_grad()
def evaluate(model, dataloader, device):
read_ann = pd.read_csv("/anvme/workspace/b268dc11-breastt/BreastMRI/DataExtraction/annotated_odelia_slice_level.csv")
read_ann = read_ann[read_ann["Split"].str.lower() == "test"]
model.eval()
patient_probs = defaultdict(list)
patient_labels = {}
for batch in dataloader:
pre = batch['pre'].to(device)
post = batch['post'].to(device)
sub = batch['sub'].to(device)
labels = batch['label']
patient_ids = batch['patient_id']
logits = model(pre, post, sub)
probs = F.softmax(logits, dim=1).cpu().numpy()
for i, pid in enumerate(patient_ids):
patient_probs[pid].append(probs[i])
patient_labels[pid] = labels[i].item()
y_true = []
y_pred = []
y_true_onehot = []
y_pred_onehot = []
for pid in patient_probs:
gt_label = patient_labels[pid]
if pid in read_ann["UID"].values:
rows = read_ann[read_ann["UID"] == pid]
print("Tri-Slice Number(s):", rows["lesion_slice"].dropna().tolist())
print("")
else:
print(f"{pid} not found in annotation.")
slice_probs = np.array(patient_probs[pid]) # shape: (num_slices, num_classes)
print("Patient ID:", pid, "GT label:", gt_label, "Slice probs shape:", np.round(slice_probs, 2))
print("")
predicted_classes = np.argmax(slice_probs, axis=1)
print("")
print("Predicted Classes:", predicted_classes)
print("")
# Check lesion logic
has_malignant = has_valid_lesion(predicted_classes, target_class=2)
has_benign = has_valid_lesion(predicted_classes, target_class=1)
if has_malignant:
idx = np.argmax(slice_probs[:, 2]) # slice with highest malignant prob
elif has_benign:
idx = np.argmax(slice_probs[:, 1]) # slice with highest benign prob
else:
idx = np.argmax(slice_probs[:, 0]) # slice with highest normal prob
final_prob = slice_probs[idx]
final_pred = np.argmax(final_prob)
print(f"Evaluating patient: {pid} | GT label: {gt_label} | Pred: {final_pred} | MaxProbSlice: {idx}")
print("")
print("")
print("")
y_true.append(gt_label)
y_pred.append(final_pred)
y_true_onehot.append(label_binarize([gt_label], classes=[0, 1, 2])[0])
y_pred_onehot.append(final_prob)
# Convert to arrays
y_true = np.array(y_true)
y_pred = np.array(y_pred)
y_true_onehot = np.vstack(y_true_onehot)
y_pred_onehot = np.vstack(y_pred_onehot)
# Confusion Matrix
cm = confusion_matrix(y_true, y_pred)
class_names = ['Normal', 'Benign', 'Malignant']
disp = ConfusionMatrixDisplay(confusion_matrix=cm, display_labels=class_names)
disp.plot(cmap=plt.cm.Blues)
plt.title("Confusion Matrix (Patient-Level)")
plt.tight_layout()
plt.savefig("confusion_matrix_patient_level.png")
plt.close()
# Metrics (only class labels used)
accuracy = accuracy_score(y_true, y_pred)
f1 = f1_score(y_true, y_pred, average="macro")
auc = roc_auc_score(y_true_onehot, y_pred_onehot, average="micro")
# ROC from binary class outputs
fpr, tpr, _ = roc_curve(y_true_onehot.ravel(), y_pred_onehot.ravel())
sensitivity_at_90_spec = np.interp(0.10, fpr, tpr)
specificity_at_90_sens = 1 - np.interp(0.90, tpr, fpr)
avg_metric = np.mean([auc, sensitivity_at_90_spec, specificity_at_90_sens])
# Results
print("\n--- Evaluation Results (Per-Patient, Rule-Based Only) ---")
print(f"Accuracy : {accuracy:.4f}")
print(f"F1 Score (Macro) : {f1:.4f}")
print(f"AUC (Micro) : {auc:.4f}")
print(f"Sens @ 90% Specificity : {sensitivity_at_90_spec:.4f}")
print(f"Spec @ 90% Sensitivity : {specificity_at_90_sens:.4f}")
print(f"Average Metric : {avg_metric:.4f}")
if __name__ == "__main__":
parser = argparse.ArgumentParser()
parser.add_argument('--csv_path', type=str, required=True)
parser.add_argument('--model_path', type=str, required=True)
parser.add_argument('--batch_size', type=int, default=32)
parser.add_argument('--model_type', type=str, default='swin_tiny_patch4_window7_224.ms_in22k')
args = parser.parse_args()
device = torch.device("cuda" if torch.cuda.is_available() else "cpu")
dataset = BreastMRI(csv_file=args.csv_path, split="test")
dataloader = DataLoader(dataset, batch_size=args.batch_size, shuffle=False, num_workers=4)
model = MultiViewSwinModel(model_name=args.model_type)
model.load_state_dict(torch.load(args.model_path, map_location=device))
model.to(device)
evaluate(model, dataloader, device)
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