arXiv:2411.15942eess.IVcs.CV2024-11中稿 · SPIE Medical Imagi…

用胃肠道训练的AI模型直接检测鼻部炎症中的嗜酸性粒细胞,效果参差但可行。

Cross-organ Deployment of EOS Detection AI without Retraining: Feasibility and Limitation

  • 复用胃肠道预训练的CircleSnake模型,无需重新训练直接用于鼻部组织分割。
  • 部分鼻部全切片图像中嗜酸性粒细胞分割准确率较高,但整体表现波动明显。
  • 为跨器官部署病理AI提供实证参考,适合关注模型泛化与临床落地的研究者。

慢性鼻窦炎(CRS)以鼻旁窦持续性炎症为特征,表现为鼻塞、面部压迫感、嗅觉障碍和脓性鼻分泌物,显著影响生活质量。嗜酸性粒细胞(Eos)是黏膜免疫反应的关键成分,其数量与疾病严重程度相关,诊断标准通常为每高倍视野(HPF)10-20个。然而,人工计数组织切片中的嗜酸性粒细胞耗时费力,因此自动化AI评估极具应用价值。值得注意的是,嗜酸性粒细胞主要分布在胃肠道,已有大量基于胃肠道数据训练的深度学习模型。本研究采用最初在上消化道数据上训练的CircleSnake模型,对鼻部组织全切片图像(WSIs)进行嗜酸性粒细胞分割,旨在探究此类胃肠模型能否无需重训练即应用于鼻部。实验结果显示,在部分样本中取得良好分割精度,但性能在不同病例间差异显著。本文详细分析了性能波动原因,为未来嗜酸性粒细胞相关慢性鼻窦炎的深度学习模型开发提供重要启示。

原文摘要 · Abstract (English)

Chronic rhinosinusitis (CRS) is characterized by persistent inflammation in the paranasal sinuses, leading to typical symptoms of nasal congestion, facial pressure, olfactory dysfunction, and discolored nasal drainage, which can significantly impact quality-of-life. Eosinophils (Eos), a crucial component in the mucosal immune response, have been linked to disease severity in CRS. The diagnosis of eosinophilic CRS typically uses a threshold of 10-20 eos per high-power field (HPF). However, manually counting Eos in histological samples is laborious and time-intensive, making the use of AI-driven methods for automated evaluations highly desirable. Interestingly, eosinophils are predominantly located in the gastrointestinal (GI) tract, which has prompted the release of numerous deep learning models trained on GI data. This study leverages a CircleSnake model initially trained on upper-GI data to segment Eos cells in whole slide images (WSIs) of nasal tissues. It aims to determine the extent to which Eos segmentation models developed for the GI tract can be adapted to nasal applications without retraining. The experimental results show promising accuracy in some WSIs, although, unsurprisingly, the performance varies across cases. This paper details these performance outcomes, delves into the reasons for such variations, and aims to provide insights that could guide future development of deep learning models for eosinophilic CRS.

病理分割跨器官迁移嗜酸性粒细胞AI医疗

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