IEEE Trans Med Imaging. 2024 Apr;43(4):1501-1512. doi: 10.1109/TMI.2023.3341846. Epub 2024 Apr 3.
Digitization of pathological slides has promoted the research of computer-aided diagnosis, in which artificial intelligence analysis of pathological images deserves attention. Appropriate deep learning techniques in natural images have been extended to computational pathology. Still, they seldom take into account prior knowledge in pathology, especially the analysis process of lesion morphology by pathologists. Inspired by the diagnosis decision of pathologists, we design a novel deep learning architecture based on tree-like strategies called DeepTree. It imitates pathological diagnosis methods, designed as a binary tree structure, to conditionally learn the correlation between tissue morphology, and optimizes branches to finetune the performance further. To validate and benchmark DeepTree, we build a dataset of frozen lung cancer tissues and design experiments on a public dataset of breast tumor subtypes and our dataset. Results show that the deep learning architecture based on tree-like strategies makes the pathological image classification more accurate, transparent, and convincing. Simultaneously, prior knowledge based on diagnostic strategies yields superior representation ability compared to alternative methods. Our proposed methodology helps improve the trust of pathologists in artificial intelligence analysis and promotes the practical clinical application of pathology-assisted diagnosis.
病理切片的数字化推动了计算机辅助诊断的研究,其中病理图像的人工智能分析受到关注。适当的深度学习技术在自然图像中已经得到了扩展,但它们很少考虑病理学中的先验知识,特别是病理学家对病变形态的分析过程。受病理学家诊断决策的启发,我们设计了一种基于树状策略的新型深度学习架构,称为 DeepTree。它模仿病理诊断方法,设计为二叉树结构,有条件地学习组织形态之间的相关性,并优化分支以进一步微调性能。为了验证和基准测试 DeepTree,我们构建了一个冷冻肺癌组织数据集,并在公共乳腺癌肿瘤亚型数据集和我们的数据集上设计了实验。结果表明,基于树状策略的深度学习架构使病理图像分类更加准确、透明和令人信服。同时,基于诊断策略的先验知识比替代方法具有更强的表示能力。我们提出的方法有助于提高病理学家对人工智能分析的信任,并促进病理辅助诊断的实际临床应用。
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