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Am J Pathol ; 191(12): 2172-2183, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34508689

RESUMEN

Although deep learning networks applied to digital images have shown impressive results for many pathology-related tasks, their black-box approach and limitation in terms of interpretability are significant obstacles for their widespread clinical utility. This study investigates the visualization of deep features (DFs) to characterize two lung cancer subtypes, adenocarcinoma and squamous cell carcinoma. It demonstrates that a subset of DFs, called prominent DFs, can accurately distinguish these two cancer subtypes. Visualization of such individual DFs allows for a better understanding of histopathologic patterns at both the whole-slide and patch levels, and discrimination of these cancer types. These DFs were visualized at the whole slide image level through DF-specific heatmaps and at tissue patch level through the generation of activation maps. In addition, these prominent DFs can distinguish carcinomas of organs other than the lung. This framework may serve as a platform for evaluating the interpretability of any deep network for diagnostic decision making.


Asunto(s)
Adenocarcinoma del Pulmón/diagnóstico , Carcinoma de Células Escamosas/diagnóstico , Aprendizaje Profundo , Neoplasias Pulmonares/diagnóstico , Adenocarcinoma del Pulmón/patología , Carcinoma de Células Escamosas/patología , Conjuntos de Datos como Asunto , Diagnóstico Diferencial , Estudios de Factibilidad , Femenino , Humanos , Interpretación de Imagen Asistida por Computador/métodos , Procesamiento de Imagen Asistido por Computador/métodos , Neoplasias Pulmonares/patología , Masculino , Redes Neurales de la Computación , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
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