1. Artificial neural networks and pathologists recognize basal cell carcinomas based on different histological patterns
- Author
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Emmanuella Guenova, Elisabeth Rumetshofer, Sepp Hochreiter, Markus Hofmarcher, Petar Noack, Martin Kaltenbrunner, Wolfram Hoetzenecker, Guenter Klambauer, Rene Silye, Philipp Tschandl, Harald Kindermann, and Susanne Kimeswenger
- Subjects
0301 basic medicine ,Pathology ,medicine.medical_specialty ,Skin Neoplasms ,Computer science ,Skin tumor ,Pathology and Forensic Medicine ,Machine Learning ,03 medical and health sciences ,0302 clinical medicine ,Text mining ,medicine ,Humans ,Basal cell ,Tumor Identification ,Skin ,Artificial neural network ,business.industry ,Deep learning ,Digital pathology ,Pattern recognition ,3. Good health ,Pathologists ,030104 developmental biology ,Carcinoma, Basal Cell ,030220 oncology & carcinogenesis ,Neural Networks, Computer ,Artificial intelligence ,business ,Area under the roc curve ,Algorithms - Abstract
Recent advances in artificial intelligence, particularly in the field of deep learning, have enabled researchers to create compelling algorithms for medical image analysis. Histological slides of basal cell carcinomas (BCCs), the most frequent skin tumor, are accessed by pathologists on a daily basis and are therefore well suited for automated prescreening by neural networks for the identification of cancerous regions and swift tumor classification. In this proof-of-concept study, we implemented an accurate and intuitively interpretable artificial neural network (ANN) for the detection of BCCs in histological whole-slide images (WSIs). Furthermore, we identified and compared differences in the diagnostic histological features and recognition patterns relevant for machine learning algorithms vs. expert pathologists. An attention-ANN was trained with WSIs of BCCs to identify tumor regions (n = 820). The diagnosis-relevant regions used by the ANN were compared to regions of interest for pathologists, detected by eye-tracking techniques. This ANN accurately identified BCC tumor regions on images of histologic slides (area under the ROC curve: 0.993, 95% CI: 0.990–0.995; sensitivity: 0.965, 95% CI: 0.951–0.979; specificity: 0.910, 95% CI: 0.859–0.960). The ANN implicitly calculated a weight matrix, indicating the regions of a histological image that are important for the prediction of the network. Interestingly, compared to pathologists’ eye-tracking results, machine learning algorithms rely on significantly different recognition patterns for tumor identification (p
- Published
- 2021
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