4.7 Article

A Polarization-Imaging-Based Machine Learning Framework for Quantitative Pathological Diagnosis of Cervical Precancerous Lesions

Journal

IEEE TRANSACTIONS ON MEDICAL IMAGING
Volume 40, Issue 12, Pages 3728-3738

Publisher

IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC
DOI: 10.1109/TMI.2021.3097200

Keywords

Pathology; Imaging; Lesions; Microscopy; Image segmentation; Machine learning; Task analysis; Cervical precancerous tissues; dual-modality machine learning; polarization imaging; quantitative pathological diagnosis

Funding

  1. National Natural Science Foundation of China (NSFC) [61527826, 11974206]
  2. Shenzhen Bureau of Science and Innovation [JCYJ20170412170814624]
  3. Shenzhen Guangming District Bureau of Science and Innovation [2020R01043]

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The framework combining polarization imaging and traditional microscopy enables accurate and interpretable quantitative characterization of microstructural variations in cervical precancerous tissues, improving sensitivity and accuracy in diagnosis.
Polarization images encode high resolution microstructural information even at low resolution. We propose a framework combining polarization imaging and traditional microscopy imaging, constructing a dual-modality machine learning framework that is not only accurate but also generalizable and interpretable. We demonstrate the viability of our proposed framework using the cervical intraepithelial neoplasia grading task, providing a polarimetry feature parameter to quantitatively characterize microstructural variations with lesion progression in hematoxylin-eosin-stained pathological sections of cervical precancerous tissues. By taking advantages of polarization imaging techniques and machine learning methods, the model enables interpretable and quantitative diagnosis of cervical precancerous lesion cases with improved sensitivity and accuracy in a low-resolution and wide-field system. The proposed framework applies routine image-analysis technology to identify the macro-structure and segment the target region in H&E-stained pathological images, and then employs emerging polarization method to extract the micro-structure information of the target region, which intends to expand the boundary of the current image-heavy digital pathology, bringing new possibilities for quantitative medical diagnosis.

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