Cervical Cancer Diagnosis Based on Multi-Domain Features Using Deep Learning Enhanced by Handcrafted Descriptors

Abstract

Cervical cancer, among the most frequent adverse cancers in women, could be avoided through routine checks. The Pap smear check is a widespread screening methodology for the timely identification of cervical cancer, but it is susceptible to human mistakes. Artificial Intelligence-reliant computer-aided diagnostic (CAD) methods have been extensively explored to identify cervical cancer in order to enhance the conventional testing procedure. In order to attain remarkable classification results, most current CAD systems require pre-segmentation steps for the extraction of cervical cells from a pap smear slide, which is a complicated task. Furthermore, some CAD models use only hand-crafted feature extraction methods which cannot guarantee the sufficiency of classification phases. In addition, if there are few data samples, such as in cervical cell datasets, the use of deep learning (DL) alone is not the perfect choice. In addition, most existing CAD systems obtain attributes from one domain, but the integration of features from multiple domains usually increases performance. Hence, this article presents a CAD model based on extracting features from multiple domains not only one domain. It does not require a pre-segmentation process thus it is less complex than existing methods. It employs three compact DL models to obtain high-level spatial deep features rather than utilizing an individual DL model with large number of parameters and layers as used in current CADs. Moreover, it retrieves several statistical and textural descriptors from multiple domains including spatial and time–frequency domains instead of employing features from a single domain to demonstrate a clearer representation of cervical cancer features, which is not the case in most existing CADs. It examines the influence of each set of handcrafted attributes on diagnostic accuracy independently and hybrid. It then examines the consequences of combining each DL feature set obtained from each CNN with the combined handcrafted features. Finally, it uses principal component analysis to merge the entire DL features with the combined handcrafted features to investigate the effect of merging numerous DL features with various handcrafted features on classification results. With only 35 principal components, the accuracy achieved by the quatric SVM of the proposed CAD reached 100%. The performance of the described CAD proves that combining several DL features with numerous handcrafted descriptors from multiple domains is able to boost diagnostic accuracy. Additionally, the comparative performance analysis, along with other present studies, shows the competing capacity of the proposed CAD.