Computer-Assisted Fine-Needle Aspiration Cytology of Thyroid Using Two-Stage Refined Convolutional Neural Network

Fine-needle aspiration cytology (FNAC) is regarded as one of the most important preoperative diagnostic tests for thyroid nodules. However, the traditional diagnostic process of FNAC is time-consuming, and its accuracy is highly related to the experience of the cytopathologist. Computer-aided diagno...

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Main Authors: Wensi Duan, Lili Gao, Juan Liu, Cheng Li, Peng Jiang, Lang Wang, Hua Chen, Xiaorong Sun, Dehua Cao, Baochuan Pang, Rong Li, Sai Liu
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Electronics
Subjects:
Online Access:https://www.mdpi.com/2079-9292/11/24/4089
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author Wensi Duan
Lili Gao
Juan Liu
Cheng Li
Peng Jiang
Lang Wang
Hua Chen
Xiaorong Sun
Dehua Cao
Baochuan Pang
Rong Li
Sai Liu
author_facet Wensi Duan
Lili Gao
Juan Liu
Cheng Li
Peng Jiang
Lang Wang
Hua Chen
Xiaorong Sun
Dehua Cao
Baochuan Pang
Rong Li
Sai Liu
author_sort Wensi Duan
collection DOAJ
description Fine-needle aspiration cytology (FNAC) is regarded as one of the most important preoperative diagnostic tests for thyroid nodules. However, the traditional diagnostic process of FNAC is time-consuming, and its accuracy is highly related to the experience of the cytopathologist. Computer-aided diagnostic (CAD) systems are rapidly evolving to provide objective diagnostic recommendations. So far, most studies have used fixed-size patches and usually hand-select patches for model training. In this study, we develop a CAD system to address these challenges. In order to be consistent with the diagnostic working mode of cytopathologists, the system is mainly composed of two task modules: the detecting module that is responsible for detecting the regions of interest (ROIs) from the whole slide image of the FNAC, and the classification module that identifies ROIs having positive lesions. The system can then output the top-k ROIs with the highest positive probabilities for the cytopathologists to review. In order to obtain the overall good performance of the system, we compared different object detection and classification models, and used a combination of the YOLOV4 and EfficientNet networks in our system.
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spelling doaj.art-0696e5807eff4b88b5a5c252d05a98482023-11-24T14:30:02ZengMDPI AGElectronics2079-92922022-12-011124408910.3390/electronics11244089Computer-Assisted Fine-Needle Aspiration Cytology of Thyroid Using Two-Stage Refined Convolutional Neural NetworkWensi Duan0Lili Gao1Juan Liu2Cheng Li3Peng Jiang4Lang Wang5Hua Chen6Xiaorong Sun7Dehua Cao8Baochuan Pang9Rong Li10Sai Liu11Institute of Artificial Intelligence, School of Computer Science, Wuhan University, Wuhan 430072, ChinaDepartment of Pathology, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200025, ChinaInstitute of Artificial Intelligence, School of Computer Science, Wuhan University, Wuhan 430072, ChinaLanding Artificial Intelligence Center for Pathological Diagnosis, Wuhan 430070, ChinaInstitute of Artificial Intelligence, School of Computer Science, Wuhan University, Wuhan 430072, ChinaInstitute of Artificial Intelligence, School of Computer Science, Wuhan University, Wuhan 430072, ChinaInstitute of Artificial Intelligence, School of Computer Science, Wuhan University, Wuhan 430072, ChinaLanding Artificial Intelligence Center for Pathological Diagnosis, Wuhan 430070, ChinaLanding Artificial Intelligence Center for Pathological Diagnosis, Wuhan 430070, ChinaLanding Artificial Intelligence Center for Pathological Diagnosis, Wuhan 430070, ChinaLanding Artificial Intelligence Center for Pathological Diagnosis, Wuhan 430070, ChinaLanding Artificial Intelligence Center for Pathological Diagnosis, Wuhan 430070, ChinaFine-needle aspiration cytology (FNAC) is regarded as one of the most important preoperative diagnostic tests for thyroid nodules. However, the traditional diagnostic process of FNAC is time-consuming, and its accuracy is highly related to the experience of the cytopathologist. Computer-aided diagnostic (CAD) systems are rapidly evolving to provide objective diagnostic recommendations. So far, most studies have used fixed-size patches and usually hand-select patches for model training. In this study, we develop a CAD system to address these challenges. In order to be consistent with the diagnostic working mode of cytopathologists, the system is mainly composed of two task modules: the detecting module that is responsible for detecting the regions of interest (ROIs) from the whole slide image of the FNAC, and the classification module that identifies ROIs having positive lesions. The system can then output the top-k ROIs with the highest positive probabilities for the cytopathologists to review. In order to obtain the overall good performance of the system, we compared different object detection and classification models, and used a combination of the YOLOV4 and EfficientNet networks in our system.https://www.mdpi.com/2079-9292/11/24/4089two-stage CAD systemfine-needle aspiration cytology (FNAC)thyroid cytopathologydeep learningobject detection
spellingShingle Wensi Duan
Lili Gao
Juan Liu
Cheng Li
Peng Jiang
Lang Wang
Hua Chen
Xiaorong Sun
Dehua Cao
Baochuan Pang
Rong Li
Sai Liu
Computer-Assisted Fine-Needle Aspiration Cytology of Thyroid Using Two-Stage Refined Convolutional Neural Network
Electronics
two-stage CAD system
fine-needle aspiration cytology (FNAC)
thyroid cytopathology
deep learning
object detection
title Computer-Assisted Fine-Needle Aspiration Cytology of Thyroid Using Two-Stage Refined Convolutional Neural Network
title_full Computer-Assisted Fine-Needle Aspiration Cytology of Thyroid Using Two-Stage Refined Convolutional Neural Network
title_fullStr Computer-Assisted Fine-Needle Aspiration Cytology of Thyroid Using Two-Stage Refined Convolutional Neural Network
title_full_unstemmed Computer-Assisted Fine-Needle Aspiration Cytology of Thyroid Using Two-Stage Refined Convolutional Neural Network
title_short Computer-Assisted Fine-Needle Aspiration Cytology of Thyroid Using Two-Stage Refined Convolutional Neural Network
title_sort computer assisted fine needle aspiration cytology of thyroid using two stage refined convolutional neural network
topic two-stage CAD system
fine-needle aspiration cytology (FNAC)
thyroid cytopathology
deep learning
object detection
url https://www.mdpi.com/2079-9292/11/24/4089
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