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      Single-cell conventional pap smear image classification using pre-trained deep neural network architectures

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          Abstract

          Background

          Automating cytology-based cervical cancer screening could alleviate the shortage of skilled pathologists in developing countries. Up until now, computer vision experts have attempted numerous semi and fully automated approaches to address the need. Yet, these days, leveraging the astonishing accuracy and reproducibility of deep neural networks has become common among computer vision experts. In this regard, the purpose of this study is to classify single-cell Pap smear (cytology) images using pre-trained deep convolutional neural network (DCNN) image classifiers. We have fine-tuned the top ten pre-trained DCNN image classifiers and evaluated them using five class single-cell Pap smear images from SIPaKMeD dataset. The pre-trained DCNN image classifiers were selected from Keras Applications based on their top 1% accuracy.

          Results

          Our experimental result demonstrated that from the selected top-ten pre-trained DCNN image classifiers DenseNet169 outperformed with an average accuracy, precision, recall, and F1-score of 0.990, 0.974, 0.974, and 0.974, respectively. Moreover, it dashed the benchmark accuracy proposed by the creators of the dataset with 3.70%.

          Conclusions

          Even though the size of DenseNet169 is small compared to the experimented pre-trained DCNN image classifiers, yet, it is not suitable for mobile or edge devices. Further experimentation with mobile or small-size DCNN image classifiers is required to extend the applicability of the models in real-world demands. In addition, since all experiments used the SIPaKMeD dataset, additional experiments will be needed using new datasets to enhance the generalizability of the models.

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          Most cited references21

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          ImageNet Large Scale Visual Recognition Challenge

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            Cervical cancer screening in developing countries at a crossroad: Emerging technologies and policy choices.

            Cervical cancer (CC) represents the fourth most common malignancy affecting women all over the world and is the second most common in developing areas. In these areas, the burden from disease remains important because of the difficulty in implementing cytology-based screening programmes. The main obstacles inherent to these countries are poverty and a lack of healthcare infrastructures and trained practitioners. With the availability of new technologies, researchers have attempted to find new strategies that are adapted to low- and middle-income countries (LMIC) to promote early diagnosis of cervical pathology. Current evidence suggests that human papillomavirus (HPV) testing is more effective than cytology for CC screening. Therefore, highly sensitive tests have now been developed for primary screening. Rapid molecular methods for detecting HPV DNA have only recently been commercially available. This constitutes a milestone in CC screening in low-resource settings because it may help overcome the great majority of obstacles inherent to previous screening programmes. Despite several advantages, HPV-based screening has a low positive predictive value for CC, so that HPV-positive women need to be triaged with further testing to determine optimal management. Visual inspection tests, cytology and novel biomarkers are some options. In this review, we provide an overview of current and emerging screening approaches for CC. In particular, we discuss the challenge of implementing an efficient cervical screening adapted to LMIC and the opportunity to introduce primary HPV-based screening with the availability of point-of-care (POC) HPV testing. The most adapted screening strategy to LMIC is still a work in progress, but we have reasons to believe that POC HPV testing makes part of the future strategies in association with a triage test that still needs to be defined.
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              DeepPap: Deep Convolutional Networks for Cervical Cell Classification

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                Author and article information

                Contributors
                mohaliyet@gmail.com
                afetulhak@yahoo.com
                yoditabebe9391@gmail.com
                Journal
                BMC Biomed Eng
                BMC Biomed Eng
                BMC Biomedical Engineering
                BioMed Central (London )
                2524-4426
                29 June 2021
                29 June 2021
                2021
                : 3
                : 11
                Affiliations
                [1 ]GRID grid.411903.e, ISNI 0000 0001 2034 9160, School of Biomedical Engineering, , Jimma Institute of Technology, Jimma University, ; Jimma, Ethiopia
                [2 ]GRID grid.411903.e, ISNI 0000 0001 2034 9160, Faculty of Electrical and Computer Engineering, , Jimma Institute of Technology, Jimma University, ; Jimma, Ethiopia
                [3 ]GRID grid.192268.6, ISNI 0000 0000 8953 2273, Department of Biomedical Engineering, , Hawassa Institute of Technology, Hawassa University, ; Hawassa, Ethiopia
                Author information
                https://orcid.org/0000-0003-1912-5666
                https://orcid.org/0000-0002-5670-0319
                Article
                56
                10.1186/s42490-021-00056-6
                8244198
                34187589
                a5095877-e394-46ec-9be8-8f9f7214d15e
                © The Author(s) 2021

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 19 February 2021
                : 9 June 2021
                Categories
                Research
                Custom metadata
                © The Author(s) 2021

                deep learning,image classification,cervical cancer,pap smear,cnn

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