Shell John, Gregory William D
Aurora Sinai Medical CenterNovascan Inc.
IEEE J Transl Eng Health Med. 2017 Nov 15;5:2800607. doi: 10.1109/JTEHM.2017.2757471. eCollection 2017.
The inspection of live excised tissue specimens to ascertain malignancy is a challenging task in dermatopathology and generally in histopathology. We introduce a portable desktop prototype device that provides highly accurate neural network classification of malignant and benign tissue. The handheld device collects 47 impedance data samples from 1 Hz to 32 MHz via tetrapolar blackened platinum electrodes. The data analysis was implemented with six different backpropagation neural networks (BNN). A data set consisting of 180 malignant and 180 benign breast tissue data files in an approved IRB study at the Aurora Medical Center, Milwaukee, WI, USA, were utilized as a neural network input. The BNN structure consisted of a multi-tiered consensus approach autonomously selecting four of six neural networks to determine a malignant or benign classification. The BNN analysis was then compared with the histology results with consistent sensitivity of 100% and a specificity of 100%. This implementation successfully relied solely on statistical variation between the benign and malignant impedance data and intricate neural network configuration. This device and BNN implementation provides a novel approach that could be a valuable tool to augment current medical practice assessment of the health of breast, squamous, and basal cell carcinoma and other excised tissue without requisite tissue specimen expertise. It has the potential to provide clinical management personnel with a fast non-invasive accurate assessment of biopsied or sectioned excised tissue in various clinical settings.
在皮肤病理学乃至一般组织病理学中,检查活体切除的组织标本以确定是否为恶性是一项具有挑战性的任务。我们推出了一种便携式桌面原型设备,它能对恶性和良性组织进行高度准确的神经网络分类。该手持设备通过四极黑化铂电极从1Hz到32MHz采集47个阻抗数据样本。数据分析采用了六种不同的反向传播神经网络(BNN)。在美国威斯康星州密尔沃基市奥罗拉医疗中心一项经批准的机构审查委员会(IRB)研究中,由180个恶性和180个良性乳腺组织数据文件组成的数据集被用作神经网络输入。BNN结构采用多层共识方法,自主选择六个神经网络中的四个来确定恶性或良性分类。然后将BNN分析结果与组织学结果进行比较,一致性敏感性为100%,特异性为100%。该实施方案仅成功依赖于良性和恶性阻抗数据之间的统计差异以及复杂的神经网络配置。这种设备和BNN实施方案提供了一种新颖的方法,可能成为增强当前对乳腺、鳞状细胞和基底细胞癌以及其他切除组织健康状况的医学实践评估的有价值工具,而无需组织标本专业知识。它有潜力在各种临床环境中为临床管理人员提供对活检或切片切除组织的快速、非侵入性准确评估。