Borna Mahdi-Reza, Saadat Hanan, Sepehri Mohammad Mehdi, Torkashvand Hossein, Torkashvand Leila, Pilehvari Shamim
Faculty of Industrial Engineering and Systems, Tarbiat Modares University, Tehran, Iran.
Center of Excellence in Healthcare Systems Engineering, Tarbiat Modares University, Tehran, Iran.
Front Physiol. 2025 Jul 8;16:1520898. doi: 10.3389/fphys.2025.1520898. eCollection 2025.
INTRODUCTION: Ovarian diseases, including Polycystic Ovary Syndrome (PCO) and Dominant Follicle irregularities, present significant diagnostic challenges in clinical practice. Traditional diagnostic methods, reliant on subjective ultrasound interpretation, often lead to variability in accuracy. Recent advancements in artificial intelligence (AI) and transfer learning offer promising opportunities to improve diagnostic consistency and accuracy in ovarian disease detection. METHODS: We introduced a new, publicly available dataset of ultrasound images representing three ovarian conditions: Normal, PCO, and Dominant Follicle. Using transfer learning, we applied four CNN models-AlexNet, DenseNet121, ResNet18, and ResNet34-to evaluate their performance in multiclass classification of these conditions. The models were assessed using macro and micro metrics, including accuracy, F1 score, precision, and recall, to determine their effectiveness in classifying ovarian conditions. RESULTS: The results showed that ResNet18 demonstrated the highest performance across all metrics, particularly excelling in the classification of Normal and PCOS conditions. ResNet18 achieved the best performance, with an accuracy of 76.2% and a macro F1-score of 78.2%, demonstrating its effectiveness in distinguishing ovarian conditions. AlexNet also delivered strong results, achieving near-perfect precision in PCOS classification. However, DenseNet121 showed less competitive performance in classifying Dominant Follicle, although it still benefited from transfer learning. The overall results suggest that transfer learning enhances the classification accuracy of CNN models in ovarian disease diagnosis. DISCUSSION: The application of transfer learning in this study significantly improved the performance of CNN models, especially for Normal and PCOS classifications. The introduction of a publicly available dataset serves as an important contribution to the field, facilitating further research in AI-driven diagnostics. These findings highlight the potential of AI to revolutionize ovarian disease diagnosis by providing more reliable and accurate results, reinforcing the importance of AI in early detection and diagnosis. CONCLUSION: This study demonstrates the significant potential of CNN models, enhanced by transfer learning, in improving the diagnostic accuracy of ovarian conditions. The publicly available dataset introduced here will serve as a valuable resource for future research, advancing AI-based medical diagnosis. Further work on refining model architectures and applying these methods in clinical practice is necessary to ensure their reliability and broader applicability.
引言:卵巢疾病,包括多囊卵巢综合征(PCO)和优势卵泡异常,在临床实践中带来了重大的诊断挑战。传统的诊断方法依赖主观的超声解读,往往导致准确性的差异。人工智能(AI)和迁移学习的最新进展为提高卵巢疾病检测的诊断一致性和准确性提供了有希望的机会。 方法:我们引入了一个新的、公开可用的超声图像数据集,代表三种卵巢状况:正常、PCO和优势卵泡。使用迁移学习,我们应用了四种卷积神经网络(CNN)模型——AlexNet、DenseNet121、ResNet18和ResNet34——来评估它们在这些状况的多类分类中的性能。使用包括准确率、F1分数、精确率和召回率在内的宏观和微观指标对模型进行评估,以确定它们在分类卵巢状况方面的有效性。 结果:结果表明,ResNet18在所有指标上表现出最高性能,尤其在正常和多囊卵巢综合征(PCOS)状况的分类方面表现出色。ResNet18取得了最佳性能,准确率为76.2%,宏观F1分数为78.2%,证明了其在区分卵巢状况方面的有效性。AlexNet也取得了不错的结果,在PCOS分类中达到了近乎完美的精确率。然而,DenseNet121在优势卵泡分类中表现出竞争力较弱的性能,尽管它仍然从迁移学习中受益。总体结果表明,迁移学习提高了CNN模型在卵巢疾病诊断中的分类准确率。 讨论:本研究中迁移学习的应用显著提高了CNN模型的性能,特别是在正常和PCOS分类方面。公开可用数据集的引入是对该领域的一项重要贡献,促进了人工智能驱动诊断的进一步研究。这些发现突出了人工智能通过提供更可靠和准确的结果来彻底改变卵巢疾病诊断的潜力,强化了人工智能在早期检测和诊断中的重要性。 结论:本研究证明了通过迁移学习增强的CNN模型在提高卵巢疾病诊断准确性方面的巨大潜力。这里引入的公开可用数据集将成为未来研究的宝贵资源,推动基于人工智能的医学诊断发展。有必要进一步完善模型架构并将这些方法应用于临床实践,以确保其可靠性和更广泛的适用性。
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