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In the biomedical domain, challenges have been used effectively in bioinformatics as seen by recent crowd-sourced efforts such as Critical Assessment of Protein Structure Prediction (CASP) (1), the CLARITY Challenge for standardizing clinical genome sequencing analysis and reporting (2) and the cancer Genome atlas Pan-cancer analysis Working Group (3)(4). , DREAM Challenges (Dialogue for Reverse Engineering Assessments and Methods) (5) , including the prostate challenge currently underway are being used for the assessment of predictive models of disease.

Some of the key advantages of challenges over conventional methods include 1) scientific rigor (sequestering the test data), 2) comparing methods on the same datasets with the same, agreed-upon metrics, 3) allowing computer scientists without access to medical data to test their methods on large clinical datasets, 4) making available resources such as source code, and 5) bringing together diverse communities (that may traditionally not work together) of imaging and computer scientists, machine learning algorithm developer, software developers, clinicians and biologists (4).

However, despite this potential, there are a number of challenges. Medical data is usually governed by privacy and security policies such as HIPPA that make it difficult to share patient data. Patient health records can be very difficult to completely deidentify. Medical imaging data, especially brain MRIs can be particularly challenging as once could easily reconstruct a recognizable 3D model of the subject.

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