Interpretable Diagnosis for Whole-Slide Melanoma Histology Images Using Convolutional Neural Network. (1st November 2021)

• Record Type: Journal Article
• Authors: Xie, Peizhen; Zuo, Ke; Liu, Jie; Chen, Mingliang; Zhao, Shuang; Kang, Wenjie; Li, Fangfang
• Other Names: Khan Rahim Academic Editor.
• Is Part Of: Journal of healthcare engineering. Volume 2021(2021)
• Publication Date: 2021-11-01
• Subjects: Hospital buildings -- Environmental engineering -- Periodicals; Medical technology -- Periodicals; Medical informatics -- Periodicals; 610.28
• DOI: 10.1155/2021/8396438
• Languages: English
• ISSNs: 2040-2295

Abstract

Abstract : At present, deep learning-based medical image diagnosis had achieved high performance in several diseases. However, the black-box nature of the convolutional neural network (CNN) limits their role in diagnosis. In this study, a novel interpretable diagnosis pipeline using the CNN model was proposed. Furthermore, a sizeable melanoma database that contains 841 digital whole-slide images (WSIs) was built to train and evaluate the model. The model achieved strong melanoma classification ability (0.962 areas under the receiver operating characteristic, 0.887 sensitivity, and 0.925 specificity). Moreover, the proposed model outperformed the existing schemes in terms of accuracy that is 20 pathologists (0.933 vs 0.732 accuracy). Finally, the gradient-weighted class activation mapping (Grad-CAM) method was used to show the inner logic of the proposed model and its feasibility to improve diagnosis process in healthcare. The mechanism of feature heat maps which is visualized through a saliency mapping has demonstrated that features learned or extracted by the proposed model are compatible with the accepted pathological features. Conclusively, the proposed model provides a rapid and accurate diagnosis by locating the distinctive features of melanoma to build doctors' trust in the CNNs' diagnosis results.