4.6 Review

Closing the translation gap: AI applications in digital pathology

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DOI: 10.1016/j.bbcan.2020.188452

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Deep learning; Cancer diagnosis; Digital pathology; Artificial intelligence; Computer vision

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Recent advances in artificial intelligence show great promise in improving the accuracy of medical diagnostics, especially in the field of digital pathology. However, there are significant challenges in translating these technologies into clinical practice despite the increasing number of publications on their performance in diagnostic applications.
Recent advances in artificial intelligence show tremendous promise to improve the accuracy, reproducibility, and availability of medical diagnostics across a number of medical subspecialities. This is especially true in the field of digital pathology, which has recently witnessed a surge in publications describing state-of-the-art performance for machine learning models across a wide range of diagnostic applications. Nonetheless, despite this promise, there remain significant gaps in translating applications for any of these technologies into actual clinical practice. In this review, we will first give a brief overview of the recent progress in applying AI to digitized pathology images, focusing on how these tools might be applied in clinical workflows in the near term to improve the accuracy and efficiency of pathologists. Then we define and describe in detail the various factors that need to be addressed in order to successfully close the translation gap for AI applications in digital pathology.

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