Evidence map›Paper›PMID 32081956›Full record

ArticleScientific reports2020

Tailored for Real-World: A Whole Slide Image Classification System Validated on Uncurated Multi-Site Data Emulating the Prospective Pathology Workload.

Julianna D Ianni, Rajath E Soans, Sivaramakrishnan Sankarapandian, Ramachandra Vikas Chamarthi, Devi Ayyagari, Thomas G Olsen, Michael J Bonham, Coleman C Stavish, Kiran Motaparthi, Clay J Cockerell and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 110 citations in OpenAlex.

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  20. Recommendations on compiling test datasets for evaluating artificial intelligence solutions in pathology.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Julianna D Ianni *Proscia Inc., Philadelphia, Pennsylvania, USA. julianna@proscia.com.
Rajath E Soans *Proscia Inc., Philadelphia, Pennsylvania, USA. rajath@proscia.com.ORCID http://orcid.org/0000-0002-2579-1510
Sivaramakrishnan SankarapandianProscia Inc., Philadelphia, Pennsylvania, USA.
Ramachandra Vikas ChamarthiProscia Inc., Philadelphia, Pennsylvania, USA.
Devi AyyagariProscia Inc., Philadelphia, Pennsylvania, USA.
Thomas G OlsenDepartment of Dermatology, Boonshoft School of Medicine, Wright State University School of Medicine, Dayton, Ohio, USA.
Michael J BonhamProscia Inc., Philadelphia, Pennsylvania, USA.
Coleman C StavishProscia Inc., Philadelphia, Pennsylvania, USA.
Kiran MotaparthiDepartment of Dermatology, University of Florida College of Medicine, Gainesville, Florida, USA.
Clay J CockerellCockerell Dermatopathology, Dallas, Texas, USA.
Theresa A FeeserProscia Inc., Philadelphia, Pennsylvania, USA.
Jason B LeeDepartments of Dermatology and Cutaneous Biology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Brescia University · USFundación PROINPA · BOThomas Jefferson University · USUniversity of Florida · USWright State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Standard of care diagnostic procedure for suspected skin cancer is microscopic examination of hematoxylin & eosin stained tissue by a pathologist. Areas of high inter-pathologist discordance and rising biopsy rates necessitate higher efficiency and diagnostic reproducibility. We present and validate a deep learning system which classifies digitized dermatopathology slides into 4 categories. The system is developed using 5,070 images from a single lab, and tested on an uncurated set of 13,537 images from 3 test labs, using whole slide scanners manufactured by 3 different vendors. The system's use of deep-learning-based confidence scoring as a criterion to consider the result as accurate yields an accuracy of up to 98%, and makes it adoptable in a real-world setting. Without confidence scoring, the system achieved an accuracy of 78%. We anticipate that our deep learning system will serve as a foundation enabling faster diagnosis of skin cancer, identification of cases for specialist review, and targeted diagnostic classifications.

Indexed as

Pattern Recognition, AutomatedAlgorithmsCalibrationCell ProliferationComputer SimulationDeep LearningHumansImage Interpretation, Computer-AssistedImage Processing, Computer-AssistedMelanocytesNeural Networks, ComputerPathologyProspective StudiesReproducibility of ResultsROC CurveSkin Neoplasms

Identifiers

PMID32081956
PMCPMC7035316
OpenAlexW3007110023

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.