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      Artificial Intelligence and Machine Learning in Pathology: The Present Landscape of Supervised Methods

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          Abstract

          Increased interest in the opportunities provided by artificial intelligence and machine learning has spawned a new field of health-care research. The new tools under development are targeting many aspects of medical practice, including changes to the practice of pathology and laboratory medicine. Optimal design in these powerful tools requires cross-disciplinary literacy, including basic knowledge and understanding of critical concepts that have traditionally been unfamiliar to pathologists and laboratorians. This review provides definitions and basic knowledge of machine learning categories (supervised, unsupervised, and reinforcement learning), introduces the underlying concept of the bias-variance trade-off as an important foundation in supervised machine learning, and discusses approaches to the supervised machine learning study design along with an overview and description of common supervised machine learning algorithms (linear regression, logistic regression, Naive Bayes, k-nearest neighbor, support vector machine, random forest, convolutional neural networks).

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          Most cited references32

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          Classification and mutation prediction from non–small cell lung cancer histopathology images using deep learning

          Visual inspection of histopathology slides is one of the main methods used by pathologists to assess the stage, type and subtype of lung tumors. Adenocarcinoma (LUAD) and squamous cell carcinoma (LUSC) are the most prevalent subtypes of lung cancer, and their distinction requires visual inspection by an experienced pathologist. In this study, we trained a deep convolutional neural network (inception v3) on whole-slide images obtained from The Cancer Genome Atlas to accurately and automatically classify them into LUAD, LUSC or normal lung tissue. The performance of our method is comparable to that of pathologists, with an average area under the curve (AUC) of 0.97. Our model was validated on independent datasets of frozen tissues, formalin-fixed paraffin-embedded tissues and biopsies. Furthermore, we trained the network to predict the ten most commonly mutated genes in LUAD. We found that six of them-STK11, EGFR, FAT1, SETBP1, KRAS and TP53-can be predicted from pathology images, with AUCs from 0.733 to 0.856 as measured on a held-out population. These findings suggest that deep-learning models can assist pathologists in the detection of cancer subtype or gene mutations. Our approach can be applied to any cancer type, and the code is available at https://github.com/ncoudray/DeepPATH .
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            Support vector machines

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              Some Studies in Machine Learning Using the Game of Checkers

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                Author and article information

                Journal
                Acad Pathol
                Acad Pathol
                APC
                spapc
                Academic Pathology
                SAGE Publications (Sage CA: Los Angeles, CA )
                2374-2895
                03 September 2019
                Jan-Dec 2019
                : 6
                : 2374289519873088
                Affiliations
                [1 ]Department of Pathology and Laboratory Medicine, University of California Davis, School of Medicine, Davis, CA, USA
                Author notes
                [*]Hooman H. Rashidi and Nam K. Tran, Department of Pathology and Laboratory Medicine, University of California Davis, 4400 V St, Sacramento, CA 95817, USA. Emails: hrashidi@ 123456ucdavis.edu ; nktran@ 123456ucdavis.edu
                Author information
                https://orcid.org/0000-0002-0773-5136
                Article
                10.1177_2374289519873088
                10.1177/2374289519873088
                6727099
                31523704
                400133a5-90fa-4d55-bdbd-7c8bd71bcbe2
                © The Author(s) 2019

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License ( http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 28 April 2019
                : 15 July 2019
                : 26 July 2019
                Categories
                Review Article
                Custom metadata
                January-December 2019

                algorithms,artificial intelligence,convolutional neural network,deep learning,k-nearest neighbor,machine learning,random forest,supervised learning,supervised methods,support vector machine,unsupervised learning

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