Abstract

BackgroundThere is growing interest in utilizing artificial intelligence, and particularly deep learning, for computer vision in histopathology. While accumulating studies highlight expert-level performance of convolutional neural networks (CNNs) on focused classification tasks, most studies rely on probability distribution scores with empirically defined cutoff values based on post-hoc analysis. More generalizable tools that allow humans to visualize histology-based deep learning inferences and decision making are scarce.ResultsHere, we leverage t-distributed Stochastic Neighbor Embedding (t-SNE) to reduce dimensionality and depict how CNNs organize histomorphologic information. Unique to our workflow, we develop a quantitative and transparent approach to visualizing classification decisions prior to softmax compression. By discretizing the relationships between classes on the t-SNE plot, we show we can super-impose randomly sampled regions of test images and use their distribution to render statistically-driven classifications. Therefore, in addition to providing intuitive outputs for human review, this visual approach can carry out automated and objective multi-class classifications similar to more traditional and less-transparent categorical probability distribution scores. Importantly, this novel classification approach is driven by a priori statistically defined cutoffs. It therefore serves as a generalizable classification and anomaly detection tool less reliant on post-hoc tuning.ConclusionRoutine incorporation of this convenient approach for quantitative visualization and error reduction in histopathology aims to accelerate early adoption of CNNs into generalized real-world applications where unanticipated and previously untrained classes are often encountered.

Highlights

  • There is growing interest in utilizing artificial intelligence, and deep learning, for computer vision in histopathology

  • Probability distribution score-based classification performance We explored the baseline performance of this 13-class Convolutional neural network (CNN) on a prospective set of 180 randomly selected and digitized neuropathology whole slide images (WSIs) from our department (Fig. 2a)

  • Given the expected frequencies of the 5 trained lesion types, this would provide a relatively large fraction of cases that the CNN would be able to correctly classify. It would allow for a good proportion of untrained cases (~ 20%) to be encountered. This later group would allow us to understand how novel and untrained histopathologic classes are handled by our CNN

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Summary

Introduction

There is growing interest in utilizing artificial intelligence, and deep learning, for computer vision in histopathology. When using CNNs optimized for only two classes, high probability scores (approaching a value of 1.0), signify a strong likelihood of a given diagnosis (high specificity). Using such high cutoff values, can compromise sensitivity. For binary and highly focused tasks, “cutoff” values can be empirically optimized through receiver operator characteristic (ROC) curves generated on post-hoc analysis. Challenges to this binary approach arise when multiple output classes are considered. The performance of these complex and generalized tasks can be theoretically resolved with massive and comprehensive training examples, development of transparent approaches to visualize and efficiently detect anomalies offers a more immediate and global solution to accelerate adoption of CNNs into practical everyday use

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