A computer-aided diagnosis system for HEp-2 fluorescence intensity classification.


Journal

Artificial intelligence in medicine
ISSN: 1873-2860
Titre abrégé: Artif Intell Med
Pays: Netherlands
ID NLM: 8915031

Informations de publication

Date de publication:
06 2019
Historique:
received: 19 02 2018
revised: 08 09 2018
accepted: 06 11 2018
pubmed: 7 12 2018
medline: 29 8 2020
entrez: 4 12 2018
Statut: ppublish

Résumé

The indirect immunofluorescence (IIF) on HEp-2 cells is the recommended technique for the detection of antinuclear antibodies. However, it is burdened by some limitations, as it is time consuming and subjective, and it requires trained personnel. In other fields the adoption of deep neural networks has provided an effective high-level abstraction of the raw data, resulting in the ability to automatically generate optimized high-level features. To alleviate IIF limitations, this paper presents a computer-aided diagnosis (CAD) system classifying HEp-2 fluorescence intensity: it represents each image using an Invariant Scattering Convolutional Network (Scatnet), which is locally translation invariant and stable to deformations, a characteristic useful in case of HEp-2 samples. To cope with the inter-observer discrepancies found in the dataset, we also introduce a method for gold standard computation that assigns a label and a reliability score to each HEp-2 sample on the basis of annotations provided by expert physicians. Features by Scatnet and gold standard information are then used to train a Support Vector Machine. The proposed CAD is tested on a new dataset of 1771 images annotated by three independent medical centers. The performances achieved by our CAD in recognizing positive, weak positive and negative samples are also compared against those obtained by other two approaches presented so far in the literature. The same system trained on this new dataset is then tested on two public datasets, namely MIVIA and I3Asel. The results confirm the effectiveness of our proposal, also revealing that it achieves the same performance as medical experts.

Sections du résumé

BACKGROUND AND OBJECTIVE
The indirect immunofluorescence (IIF) on HEp-2 cells is the recommended technique for the detection of antinuclear antibodies. However, it is burdened by some limitations, as it is time consuming and subjective, and it requires trained personnel. In other fields the adoption of deep neural networks has provided an effective high-level abstraction of the raw data, resulting in the ability to automatically generate optimized high-level features.
METHODS
To alleviate IIF limitations, this paper presents a computer-aided diagnosis (CAD) system classifying HEp-2 fluorescence intensity: it represents each image using an Invariant Scattering Convolutional Network (Scatnet), which is locally translation invariant and stable to deformations, a characteristic useful in case of HEp-2 samples. To cope with the inter-observer discrepancies found in the dataset, we also introduce a method for gold standard computation that assigns a label and a reliability score to each HEp-2 sample on the basis of annotations provided by expert physicians. Features by Scatnet and gold standard information are then used to train a Support Vector Machine.
RESULTS
The proposed CAD is tested on a new dataset of 1771 images annotated by three independent medical centers. The performances achieved by our CAD in recognizing positive, weak positive and negative samples are also compared against those obtained by other two approaches presented so far in the literature. The same system trained on this new dataset is then tested on two public datasets, namely MIVIA and I3Asel.
CONCLUSIONS
The results confirm the effectiveness of our proposal, also revealing that it achieves the same performance as medical experts.

Identifiants

pubmed: 30503016
pii: S0933-3657(18)30100-3
doi: 10.1016/j.artmed.2018.11.002
pii:
doi:

Substances chimiques

Antibodies, Antinuclear 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

71-78

Informations de copyright

Copyright © 2018 Elsevier B.V. All rights reserved.

Auteurs

Mario Merone (M)

Unit of Computer Systems and Bioinformatics, Department of Engineering, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Rome, Italy. Electronic address: m.merone@unicampus.it.

Carlo Sansone (C)

Dipartimento di Ingegneria Elettrica e delle Tecnologie dell'Informazione, Università degli Studi di Napoli Federico II, Via Claudio 21, 80125 Naples, Italy. Electronic address: carlosan@unina.it.

Paolo Soda (P)

Unit of Computer Systems and Bioinformatics, Department of Engineering, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Rome, Italy. Electronic address: p.soda@unicampus.it.

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