Evidence map›Paper›PMID 35869179›Full record

ArticleNPJ digital medicine2022

Unleashing the potential of digital pathology data by training computer-aided diagnosis models without human annotations.

Niccolò Marini, Stefano Marchesin, Sebastian Otálora, Marek Wodzinski, Alessandro Caputo, Mart van Rijthoven, Witali Aswolinskiy, John-Melle Bokhorst, Damian Podareanu, Edyta Petters and 10 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

  1. Weakly Supervised Learning of Oral Cavity Images for Separating Precancer from Cancer.IEEE International Conference on Omni-layer Intelligent Systems : COINS. IEEE International Conference on Omni-layer Intelligent Systems · 2026
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  18. Artificial Intelligence in Bone Marrow Histological Diagnostics: Potential Applications and Challenges.Pathobiology : journal of immunopathology, molecular and cellular biology · 2024
    Review
  19. Quilt-1M: One Million Image-Text Pairs for Histopathology.Advances in neural information processing systems · 2023
    Article
  20. Review
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

20 authors.

Niccolò MariniInformation Systems Institute, University of Applied Sciences Western Switzerland (HES-SO Valais), Sierre, Switzerland. niccolo.marini@hevs.ch.ORCID http://orcid.org/0000-0002-5273-5741
Stefano MarchesinDepartment of Information Engineering, University of Padua, Padua, Italy.
Sebastian OtáloraInformation Systems Institute, University of Applied Sciences Western Switzerland (HES-SO Valais), Sierre, Switzerland.
Marek WodzinskiInformation Systems Institute, University of Applied Sciences Western Switzerland (HES-SO Valais), Sierre, Switzerland.ORCID http://orcid.org/0000-0002-8076-6246
Alessandro CaputoDepartment of Pathology, Ruggi University Hospital, Salerno, Italy.
Mart van RijthovenDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
Witali AswolinskiyDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
John-Melle BokhorstDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0001-7231-8833
Damian PodareanuSURFsara, Amsterdam, The Netherlands.
Edyta PettersMicroscopeIT, Wrocław, Poland.
Svetla BoytchevaSirma AI, Sofia, Bulgaria.ORCID http://orcid.org/0000-0002-5542-9168
Genziana ButtafuocoPathology Unit, Gravina Hospital Caltagirone ASP, Catania, Italy.
Simona VatranoPathology Unit, Gravina Hospital Caltagirone ASP, Catania, Italy.
Filippo FraggettaPathology Unit, Gravina Hospital Caltagirone ASP, Catania, Italy.ORCID http://orcid.org/0000-0002-0040-9987
Jeroen van der LaakDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0001-7982-0754
Maristella AgostiDepartment of Information Engineering, University of Padua, Padua, Italy.
Francesco CiompiDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
Gianmaria SilvelloDepartment of Information Engineering, University of Padua, Padua, Italy.ORCID http://orcid.org/0000-0003-4970-4554
Henning MullerInformation Systems Institute, University of Applied Sciences Western Switzerland (HES-SO Valais), Sierre, Switzerland.ORCID http://orcid.org/0000-0001-6800-9878
Manfredo AtzoriInformation Systems Institute, University of Applied Sciences Western Switzerland (HES-SO Valais), Sierre, Switzerland.

Funding

EC | Horizon 2020 Framework Programme (EU Framework Programme for Research and Innovation H2020) 825292
6 · The paper itself

Abstract

The digitalization of clinical workflows and the increasing performance of deep learning algorithms are paving the way towards new methods for tackling cancer diagnosis. However, the availability of medical specialists to annotate digitized images and free-text diagnostic reports does not scale with the need for large datasets required to train robust computer-aided diagnosis methods that can target the high variability of clinical cases and data produced. This work proposes and evaluates an approach to eliminate the need for manual annotations to train computer-aided diagnosis tools in digital pathology. The approach includes two components, to automatically extract semantically meaningful concepts from diagnostic reports and use them as weak labels to train convolutional neural networks (CNNs) for histopathology diagnosis. The approach is trained (through 10-fold cross-validation) on 3'769 clinical images and reports, provided by two hospitals and tested on over 11'000 images from private and publicly available datasets. The CNN, trained with automatically generated labels, is compared with the same architecture trained with manual labels. Results show that combining text analysis and end-to-end deep neural networks allows building computer-aided diagnosis tools that reach solid performance (micro-accuracy = 0.908 at image-level) based only on existing clinical data without the need for manual annotations.

Identifiers

PMID35869179
PMCPMC9307641

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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.