Convolutional Neural Networks for Classifying Cervical Cancer Types Using Histological Images.

Cervical cancer is the most common cancer among women worldwide. The diagnosis and classification of cancer are extremely important, as it influences the optimal treatment and length of survival. The objective was to develop and validate a diagnosis system based on convolutional neural networks (CNN...

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Publicado en:Journal of Digital Imaging Vol. 36; no. 2; pp. 441 - 450
Autores principales: Li, Yi-xin, Chen, Feng, Shi, Jiao-jiao, Huang, Yu-li, Wang, Mei
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Apr2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2023
      vid: 36
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-022-00722-8
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        atl: Convolutional Neural Networks for Classifying Cervical Cancer Types Using Histological Images.
      aug:
        au:
          Li, Yi-xin
          Chen, Feng
          Shi, Jiao-jiao
          Huang, Yu-li
          Wang, Mei
        affil: Department of Obstetrics and Gynecology, Xinhua Hospital Chongming Branch, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
      sug:
        subj:
          Neural Networks (Computer)
          Cervix Neoplasms Classification
          Image Interpretation, Computer Assisted
          Cervix Neoplasms Diagnosis
          Human
          Histology
          Specimen Handling
          Precision
          ROC Curve
          Pathologists
          Probability
          Carcinoma, Squamous Cell Diagnosis
          Adenocarcinoma Diagnosis
          Task Performance and Analysis
          Algorithms
          Funding Source
      ab: Cervical cancer is the most common cancer among women worldwide. The diagnosis and classification of cancer are extremely important, as it influences the optimal treatment and length of survival. The objective was to develop and validate a diagnosis system based on convolutional neural networks (CNN) that identifies cervical malignancies and provides diagnostic interpretability. A total of 8496 labeled histology images were extracted from 229 cervical specimens (cervical squamous cell carcinoma, SCC, n = 37; cervical adenocarcinoma, AC, n = 8; nonmalignant cervical tissues, n = 184). AlexNet, VGG-19, Xception, and ResNet-50 with five-fold cross-validation were constructed to distinguish cervical cancer images from nonmalignant images. The performance of CNNs was quantified in terms of accuracy, precision, recall, and the area under the receiver operating curve (AUC). Six pathologists were recruited to make a comparison with the performance of CNNs. Guided Backpropagation and Gradient-weighted Class Activation Mapping (Grad-CAM) were deployed to highlight the area of high malignant probability. The Xception model had excellent performance in identifying cervical SCC and AC in test sets. For cervical SCC, AUC was 0.98 (internal validation) and 0.974 (external validation). For cervical AC, AUC was 0.966 (internal validation) and 0.958 (external validation). The performance of CNNs falls between experienced and inexperienced pathologists. Grad-CAM and Guided Gard-CAM ensured diagnoses interpretability by highlighting morphological features of malignant changes. CNN is efficient for histological image classification tasks of distinguishing cervical malignancies from benign tissues and could highlight the specific areas of concern. All these findings suggest that CNNs could serve as a diagnostic tool to aid pathologic diagnosis.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
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        Journal Article
      ougenre: Article
    language: English
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