Abstract
Cervical cancer is the fourth most common cancer in the world. Whole-slide images (WSIs) are an important standard for the diagnosis of cervical cancer. Missed diagnoses and misdiagnoses often occur due to the high similarity in pathological cervical images, the large number of readings, the long reading time, and the insufficient experience levels of pathologists. Existing models have insufficient feature extraction and representation capabilities, and they suffer from insufficient pathological classification. Therefore, this work first designs an image processing algorithm for data augmentation. Second, the deep convolutional features are extracted by fine-tuning pre-trained deep network models, including ResNet50 v2, DenseNet121, Inception v3, VGGNet19, and Inception-ResNet, and then local binary patterns and a histogram of the oriented gradient to extract traditional image features are used. Third, the features extracted by the fine-tuned models are serially fused according to the feature representation ability parameters and the accuracy of multiple experiments proposed in this paper, and spectral embedding is used for dimension reduction. Finally, the fused features are inputted into the Analysis of Variance-F value-Spectral Embedding Net (AF-SENet) for classification. There are four different pathological images of the dataset: normal, low-grade squamous intraepithelial lesion (LSIL), high-grade squamous intraepithelial lesion (HSIL), and cancer. The dataset is divided into a training set (90%) and a test set (10%). The serial fusion effect of the deep features extracted by Resnet50v2 and DenseNet121 (C5) is the best, with average classification accuracy reaching 95.33%, which is 1.07% higher than ResNet50 v2 and 1.05% higher than DenseNet121. The recognition ability is significantly improved, especially in LSIL, reaching 90.89%, which is 2.88% higher than ResNet50 v2 and 2.1% higher than DenseNet121. Thus, this method significantly improves the accuracy and generalization ability of pathological cervical WSI recognition by fusing deep features.
Highlights
The field of medical image diagnosis has been trending in the direction of artificial intelligence, which has effectively improved the diagnostic efficiency and accuracy of pathologists and reduced missed detections and misdiagnoses caused by human fatigue and insufficient clinical experience [1]
Synonyms for tumors was used for cervical squamous cell precancerous lesions (Table 1), where low-grade squamous intraepithelial lesion (LSIL) is LSIL include cervical intraepithelial neoplasia Grade I (CIN1), mild atypical hyperplasia, defined as a kind of clinical and pathological change caused by human papillomavirus (HPV) infection
The different trained models may contain complementary information. To explore this possible information complementarity, this paper proposed the use of the analysis of variance-F value (ANOVA F)-spectral embedding strategy to analyze the changes in the Analysis of variance (ANOVA) F values for different fusion combinations
Summary
The field of medical image diagnosis has been trending in the direction of artificial intelligence, which has effectively improved the diagnostic efficiency and accuracy of pathologists and reduced missed detections and misdiagnoses caused by human fatigue and insufficient clinical experience [1]. After detecting cervical lesions through the abovementioned early screening methods, a follow-up biopsy is required for pathological diagnosis. Pathologists use circular electric cutters to perform the conization of cervical lesions and obtain tissue sections. They use biopsy forceps to obtain tissue from lesions, make full slides and use them to generate whole-slide images (WSIs) by microscopic imaging, and make glass slides for microscopic examination. This is the established standard for cervical cancer diagnosis. The early identification of cervical lesions in images is a significant challenge for medical institutions with pathologists who have only a few years of experience or no professional pathologists at all [10]
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