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Improving cervical cancer classification with imbalanced datasets combining taming transformers with T2T-ViT.

ABSTRACT: Cervical cell classification has important clinical significance in cervical cancer screening at early stages. However, there are fewer public cervical cancer smear cell datasets, the weights of each classes' samples are unbalanced, the image quality is uneven, and the classification research results based on CNN tend to overfit. To solve the above problems, we propose a cervical cell image generation model based on taming transformers (CCG-taming transformers) to provide high-quality cervical cancer datasets with sufficient samples and balanced weights, we improve the encoder structure by introducing SE-block and MultiRes-block to improve the ability to extract information from cervical cancer cells images; we introduce Layer Normlization to standardize the data, which is convenient for the subsequent non-linear processing of the data by the ReLU activation function in feed forward; we also introduce SMOTE-Tomek Links to balance the source data set and the number of samples and weights of the images we use Tokens-to-Token Vision Transformers (T2T-ViT) combing transfer learning to classify the cervical cancer smear cell image dataset to improve the classification performance. Classification experiments using the model proposed in this paper are performed on three public cervical cancer datasets, the classification accuracy in the liquid-based cytology Pap smear dataset (4-class), SIPAKMeD (5-class), and Herlev (7-class) are 98.79%, 99.58%, and 99.88%, respectively. The quality of the images we generated on these three data sets is very close to the source data set, the final averaged inception score (IS), Fréchet inception distance (FID), Recall and Precision are 3.75, 0.71, 0.32 and 0.65 respectively. Our method improves the accuracy of cervical cancer smear cell classification, provides more cervical cell sample images for cervical cancer-related research, and assists gynecologists to judge and diagnose different types of cervical cancer cells and analyze cervical cancer cells at different stages, which are difficult to distinguish. This paper applies the transformer to the generation and recognition of cervical cancer cell images for the first time.

Supplementary information

The online version contains supplementary material available at 10.1007/s11042-022-12670-0.

SUBMITTER: Zhao C

PROVIDER: S-EPMC8933771 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:BackgroundVision transformer-based methods are advancing the field of medical artificial intelligence and cancer imaging, including lung cancer applications. Recently, many researchers have developed vision transformer-based AI methods for lung cancer diagnosis and prognosis.ObjectiveThis scoping review aims to identify the recent developments on vision transformer-based AI methods for lung cancer imaging applications. It provides key insights into how vision transformers complemented the performance of AI and deep learning methods for lung cancer. Furthermore, the review also identifies the datasets that contributed to advancing the field.MethodsIn this review, we searched Pubmed, Scopus, IEEEXplore, and Google Scholar online databases. The search terms included intervention terms (vision transformers) and the task (i.e., lung cancer, adenocarcinoma, etc.). Two reviewers independently screened the title and abstract to select relevant studies and performed the data extraction. A third reviewer was consulted to validate the inclusion and exclusion. Finally, the narrative approach was used to synthesize the data.ResultsOf the 314 retrieved studies, this review included 34 studies published from 2020 to 2022. The most commonly addressed task in these studies was the classification of lung cancer types, such as lung squamous cell carcinoma versus lung adenocarcinoma, and identifying benign versus malignant pulmonary nodules. Other applications included survival prediction of lung cancer patients and segmentation of lungs. The studies lacked clear strategies for clinical transformation. SWIN transformer was a popular choice of the researchers; however, many other architectures were also reported where vision transformer was combined with convolutional neural networks or UNet model. Researchers have used the publicly available lung cancer datasets of the lung imaging database consortium and the cancer genome atlas. One study used a cluster of 48 GPUs, while other studies used one, two, or four GPUs.ConclusionIt can be concluded that vision transformer-based models are increasingly in popularity for developing AI methods for lung cancer applications. However, their computational complexity and clinical relevance are important factors to be considered for future research work. This review provides valuable insights for researchers in the field of AI and healthcare to advance the state-of-the-art in lung cancer diagnosis and prognosis. We provide an interactive dashboard on lung-cancer.onrender.com/ .

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Improving cervical cancer classification with imbalanced datasets combining taming transformers with T2T-ViT.

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