Use of Machine Learning--Based Software for the Screening of Thyroid Cytopathology Whole Slide Images.

Context.--The use of whole slide images (WSIs) in diagnostic pathology presents special challenges for the cytopathologist. Informative areas on a direct smear from a thyroid fine-needle aspiration biopsy (FNAB) smear may be spread across a large area comprising blood and dead space. Manually naviga...

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Publicado en:Archives of Pathology & Laboratory Medicine Vol. 146; no. 7; pp. 872 - 879
Autores principales: Dov, David, Kovalsky, Shahar Z., Qizhang Feng, Assaad, Serge, Cohen, Jonathan, Bell, Jonathan, Henao, Ricardo, Carin, Lawrence, Elliott Range, Danielle
Formato: pictorial research tables/charts Journal Article
Publicado: College of American Pathologists Jul2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2022
      vid: 146
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      pub: College of American Pathologists
      place: Northfield, Illinois
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        10.5858/arpa.2020-0712-OA
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        atl: Use of Machine Learning--Based Software for the Screening of Thyroid Cytopathology Whole Slide Images.
      aug:
        au:
          Dov, David
          Kovalsky, Shahar Z.
          Qizhang Feng
          Assaad, Serge
          Cohen, Jonathan
          Bell, Jonathan
          Henao, Ricardo
          Carin, Lawrence
          Elliott Range, Danielle
        affil: Departments of Electrical and Computer Engineering, Duke University, Durham, North Carolina
      sug:
        subj:
          Machine Learning
          Thyroid Gland Pathology
          Diagnostic Imaging Statistics and Numerical Data
          Software
          Health Screening
          Diagnosis, Computer Assisted
          Pathology, Clinical
          Biopsy, Needle
          Aspiration
          Algorithms
          Reference Books
          Image Processing, Computer Assisted
          Cytological Techniques, Automated
          Data Analysis Software
      ab: Context.--The use of whole slide images (WSIs) in diagnostic pathology presents special challenges for the cytopathologist. Informative areas on a direct smear from a thyroid fine-needle aspiration biopsy (FNAB) smear may be spread across a large area comprising blood and dead space. Manually navigating through these areas makes screening and evaluation of FNA smears on a digital platform time-consuming and laborious. We designed a machine learning algorithm that can identify regions of interest (ROIs) on thyroid fine-needle aspiration biopsy WSIs. Objective.--To evaluate the ability of the machine learning algorithm and screening software to identify and screen for a subset of informative ROIs on a thyroid FNA WSI that can be used for final diagnosis. Design.--A representative slide from each of 109 consecutive thyroid fine-needle aspiration biopsies was scanned. A cytopathologist reviewed each WSI and recorded a diagnosis. The machine learning algorithm screened and selected a subset of 100 ROIs from each WSI to present as an image gallery to the same cytopathologist after a washout period of 117 days. Results.--Concordance between the diagnoses using WSIs and those using the machine learning algorithm-- generated ROI image gallery was evaluated using pairwise weighted j statistics. Almost perfect concordance was seen between the 2 methods with a j score of 0.924. Conclusions.--Our results show the potential of the screening software as an effective screening tool with the potential to reduce cytopathologist workloads.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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