Abstract
The pathological diagnosis is the gold standard for neoplasms and their precursors, which is highly relevant to the treatment planning and the prognostic analysis. Currently, deep learning networks have been used for the pathological computer-assisted diagnosis and treatment decision-makings. However, due to extremely large size of the whole slide images (WSIs) of pathological slides, the prevailing deep learning models are un-applicable directly in the WSIs analysis. Moreover, the precise exclusion of the blank regions and interfere regions, as well as the manual annotation of various lesioned and normal regions in super large WSIs are infeasible and unavailable in clinical practice. To address aforementioned problems, we develop an computer-aided decision-making system based on multimodal and multi-instance deep convolution networks (CNN) to assist in the diagnosis and treatment of endometrial atypical hyperplasia (AH)/ endometrial intraepithelial hyperplasia (EIH). Firstly, we set up the frame-work of computer-aided decision-making system based on the WSIs image patterns of AH/EIH, and then transfer the large-scale WSI analysis to the small-scale analysis of multiple suspected lesion regions which can be accomplished the major computer vision models, and eventually the results of prognostic analysis for multiple small-scale suspected lesion regions are summarized to obtain the prognostic results of WSIs by the decision supporting algorithm based on the cognition intelligence. We validate the method via experimental analysis of 102 endometrial atypical hyperplasia patients at the West China Second University Hospital of Sichuan University. The performance achieved for endometrial AH/EIH prognostic analysis includes accuracy (85.3%), precision (84.6%), recall (86.3%). Meanwhile, the method has superior performance to prognostic judgment of a single pathologist as well as approximates to analysis results determined by three pathologists according to the majority voting method.
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