Now and Future of Artificial Intelligence-based Signet Ring Cell Diagnosis: A Survey

Since signet ring cells (SRCs) are associated with high peripheral metastasis rate and dismal survival, they play an important role in determining surgical approaches and prognosis, while they are easily missed by even experienced pathologists. Although automatic diagnosis SRCs based on deep learning has received increasing attention to assist pathologists in improving the diagnostic efficiency and accuracy, the existing works have not been systematically overviewed, which hindered the evaluation of the gap between algorithms and clinical applications. In this paper, we provide a survey on SRC analysis driven by deep learning from 2008 to August 2023. Specifically, the biological characteristics of SRCs and the challenges of automatic identification are systemically summarized. Then, the representative algorithms are analyzed and compared via dividing them into classification, detection, and segmentation. Finally, for comprehensive consideration to the performance of existing methods and the requirements for clinical assistance, we discuss the open issues and future trends of SRC analysis. The retrospect research will help researchers in the related fields, particularly for who without medical science background not only to clearly find the outline of SRC analysis, but also gain the prospect of intelligent diagnosis, resulting in accelerating the practice and application of intelligent algorithms.

Assessing and Enhancing Robustness of Deep Learning Models with Corruption Emulation in Digital Pathology

Deep learning in digital pathology brings intelligence and automation as substantial enhancements to pathological analysis, the gold standard of clinical diagnosis. However, multiple steps from tissue preparation to slide imaging introduce various image corruptions, making it difficult for deep neural network (DNN) models to achieve stable diagnostic results for clinical use. In order to assess and further enhance the robustness of the models, we analyze the physical causes of the full-stack corruptions throughout the pathological life-cycle and propose an Omni-Corruption Emulation (OmniCE) method to reproduce 21 types of corruptions quantified with 5-level severity. We then construct three OmniCE-corrupted benchmark datasets at both patch level and slide level and assess the robustness of popular DNNs in classification and segmentation tasks. Further, we explore to use the OmniCE-corrupted datasets as augmentation data for training and experiments to verify that the generalization ability of the models has been significantly enhanced.