Effect of pathologist agreement on evaluating a computer-aided assisted system: recognizing centroblast cells in follicular lymphoma cases

Authors:
K. Belkacem-Boussaid;M. Pennell;G. Lozanski;A. Shana'ah;M. N. Gurcan
Affiliations:
Department of Biomedical Informatics, Ohio State University, Columbus, OH;College of Public Health, Ohio State University, Columbus, OH;Department of Pathology, The Ohio State University, Columbus, OH;Department of Pathology, The Ohio State University, Columbus, OH;Department of Biomedical Informatics, Ohio State University, Columbus, OH
Venue:
ISBI'10 Proceedings of the 2010 IEEE international conference on Biomedical imaging: from nano to Macro
Year:
2010

Citing 2
Cited 2

Histopathological Image Analysis Using Model-Based Intermediate Representations and Color Texture: Follicular Lymphoma Grading

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Abstract

In this paper, a novel automated method to recognize centroblast (CB) cells from non-centroblast (non-CB) cells in follicular lymphoma cases is developed and its performance is evaluated against consensus of 30 board-certified hematopathologists. Morphometric and color texture features are used in the training and testing of a supervised quadratic discriminate analysis (QDA) classifier. The novelty of our method resides in the identification of the CB cells with prior information, and the introduction of the principal component analysis (PCA) in the spectral domain to extract texture color features. A graphical user interface was developed to display CB and non-CB cells without the computer-classification to the hematopathologists and their responses were recorded by the software. Our automated grading system performed well when compared to consensus diagnosis of 30 hematopathologists. Automated classification can identify centroblast cells (CB) from non-centroblast cells (non-CB) with a sensitivity and specificity of 81.8%, 86.4%, respectively. The developed system was tested on an independent set of cases with a consensus of 16 or 20 hematopathologists. The sensitivity and specificity of the developed system is higher when the ground truth is based on the consensus of 20 pathologists.