Evidence map›Paper›PMID 35525135›Full record

ArticleMedical image analysis2022

End-to-End diagnosis of breast biopsy images with transformers.

Sachin Mehta, Ximing Lu, Wenjun Wu, Donald Weaver, Hannaneh Hajishirzi, Joann G Elmore, Linda G Shapiro

Abstract read
In one paragraph

Article in Medical image analysis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
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  4. Review
  5. Article
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  10. Review
  11. Automated analysis of whole slide digital skin biopsy images.Frontiers in artificial intelligence · 2022
    Article
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

7 authors.

Sachin MehtaUniversity of Washington, Seattle, USA.
Ximing LuUniversity of Washington, Seattle, USA.
Wenjun WuUniversity of Washington, Seattle, USA.
Donald WeaverDepartment of Pathology, The University of Vermont College of Medicine, USA.
Hannaneh HajishirziUniversity of Washington, Seattle, USA.
Joann G ElmoreDavid Geffen School of Medicine, University of California, Los Angeles, USA.
Linda G ShapiroUniversity of Washington, Seattle, USA. Electronic address: shapiro@cs.washington.edu.

Funding

Accuracy of Breast Pathology and the Impact of Double ReadingR01CA140560 · NCI · UNIVERSITY OF WASHINGTON · PI ELMORE, JOANN G, WEAVER, DONALD LEE · 2009 to 2013
$3.3M
Digital Pathology_Accuracy Viewing Behavior and Image CharacterizationR01CA172343 · NCI · UNIVERSITY OF WASHINGTON · PI SHAPIRO, LINDA, WEAVER, DONALD LEE · 2013 to 2017
$3.2M
Improving Melanoma Pathology Accuracy through Computer Vision Techniques - the IMPACT StudyR01CA200690 · NCI · UNIVERSITY OF WASHINGTON · PI ELMORE, JOANN G, SHAPIRO, LINDA · 2016 to 2020
$1.9M
A Unified Machine Learning Package for Cancer DiagnosisU01CA231782 · NCI · UNIVERSITY OF WASHINGTON · PI ELMORE, JOANN G, SHAPIRO, LINDA · 2018 to 2020
$980k
NCI NIH HHS R01 CA140560NCI NIH HHS R01 CA172343NCI NIH HHS R01 CA200690NCI NIH HHS U01 CA231782
6 · The paper itself

Abstract

Diagnostic disagreements among pathologists occur throughout the spectrum of benign to malignant lesions. A computer-aided diagnostic system capable of reducing uncertainties would have important clinical impact. To develop a computer-aided diagnosis method for classifying breast biopsy images into a range of diagnostic categories (benign, atypia, ductal carcinoma in situ, and invasive breast cancer), we introduce a transformer-based hollistic attention network called HATNet. Unlike state-of-the-art histopathological image classification systems that use a two pronged approach, i.e., they first learn local representations using a multi-instance learning framework and then combine these local representations to produce image-level decisions, HATNet streamlines the histopathological image classification pipeline and shows how to learn representations from gigapixel size images end-to-end. HATNet extends the bag-of-words approach and uses self-attention to encode global information, allowing it to learn representations from clinically relevant tissue structures without any explicit supervision. It outperforms the previous best network Y-Net, which uses supervision in the form of tissue-level segmentation masks, by 8%. Importantly, our analysis reveals that HATNet learns representations from clinically relevant structures, and it matches the classification accuracy of 87 U.S. pathologists for this challenging test set.

Indexed as

BreastBreast NeoplasmsBiopsyFemaleHumansBreast cancerConvolutional neural networksHistopathological imagesImage classificationTransformersWhole slide images

Identifiers

PMID35525135
PMCPMC10162595

What OpenQuestion holds

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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.