Improving quality control in the routine practice for histopathological interpretation of gastrointestinal endoscopic biopsies using artificial intelligence

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dc.contributor.authorKo, Young Sinko
dc.contributor.authorChoi, Yoo Miko
dc.contributor.authorKim, Mujinko
dc.contributor.authorPark, Youngjinko
dc.contributor.authorAshraf, Murtazako
dc.contributor.authorRobles, Willmer Rafell Quinonesko
dc.contributor.authorKim, Min-Juko
dc.contributor.authorJang, Jiwookko
dc.contributor.authorYun, Seokjuko
dc.contributor.authorHwang, Yuriko
dc.contributor.authorJang, Haniko
dc.contributor.authorYi, Mun Yongko
dc.date.accessioned2023-02-28T02:02:37Z-
dc.date.available2023-02-28T02:02:37Z-
dc.date.created2023-02-28-
dc.date.created2023-02-28-
dc.date.issued2022-12-
dc.identifier.citationPLOS ONE, v.17, no.12-
dc.identifier.issn1932-6203-
dc.identifier.urihttp://hdl.handle.net/10203/305391-
dc.description.abstractBackground Colorectal and gastric cancer are major causes of cancer-related deaths. In Korea, gastrointestinal (GI) endoscopic biopsy specimens account for a high percentage of histopathologic examinations. Lack of a sufficient pathologist workforce can cause an increase in human errors, threatening patient safety. Therefore, we developed a digital pathology total solution combining artificial intelligence (AI) classifier models and pathology laboratory information system for GI endoscopic biopsy specimens to establish a post-analytic daily fast quality control (QC) system, which was applied in clinical practice for a 3-month trial run by four pathologists. Methods and findings Our whole slide image (WSI) classification framework comprised patch-generator, patch-level classifier, and WSI-level classifier. The classifiers were both based on DenseNet (Dense Convolutional Network). In laboratory tests, the WSI classifier achieved accuracy rates of 95.8% and 96.0% in classifying histopathological WSIs of colorectal and gastric endoscopic biopsy specimens, respectively, into three classes (Negative for dysplasia, Dysplasia, and Malignant). Classification by pathologic diagnosis and AI prediction were compared and daily reviews were conducted, focusing on discordant cases for early detection of potential human errors by the pathologists, allowing immediate correction, before the pathology report error is conveyed to the patients. During the 3-month AI-assisted daily QC trial run period, approximately 7-10 times the number of slides compared to that in the conventional monthly QC (33 months) were reviewed by pathologists; nearly 100% of GI endoscopy biopsy slides were double-checked by the AI models. Further, approximately 17-30 times the number of potential human errors were detected within an average of 1.2 days. Conclusions The AI-assisted daily QC system that we developed and established demonstrated notable improvements in QC, in quantitative, qualitative, and time utility aspects. Ultimately, we developed an independent AI-assisted post-analytic daily fast QC system that was clinically applicable and influential, which could enhance patient safety.-
dc.languageEnglish-
dc.publisherPUBLIC LIBRARY SCIENCE-
dc.titleImproving quality control in the routine practice for histopathological interpretation of gastrointestinal endoscopic biopsies using artificial intelligence-
dc.typeArticle-
dc.identifier.wosid000925175100055-
dc.identifier.scopusid2-s2.0-85144096586-
dc.type.rimsART-
dc.citation.volume17-
dc.citation.issue12-
dc.citation.publicationnamePLOS ONE-
dc.identifier.doi10.1371/journal.pone.0278542-
dc.contributor.localauthorYi, Mun Yong-
dc.contributor.nonIdAuthorKo, Young Sin-
dc.contributor.nonIdAuthorChoi, Yoo Mi-
dc.contributor.nonIdAuthorRobles, Willmer Rafell Quinones-
dc.contributor.nonIdAuthorKim, Min-Ju-
dc.contributor.nonIdAuthorJang, Jiwook-
dc.contributor.nonIdAuthorYun, Seokju-
dc.contributor.nonIdAuthorHwang, Yuri-
dc.contributor.nonIdAuthorJang, Hani-
dc.description.isOpenAccessY-
dc.type.journalArticleArticle-
dc.subject.keywordPlusAMERICAN-PATHOLOGISTS PATHOLOGY-
dc.subject.keywordPlusCANCER SCREENING STATUS-
dc.subject.keywordPlusVIENNA CLASSIFICATION-
dc.subject.keywordPlusSURGICAL PATHOLOGY-
dc.subject.keywordPlusNEURAL-NETWORK-
dc.subject.keywordPlusDEEP-
dc.subject.keywordPlusDIAGNOSIS-
dc.subject.keywordPlusIMPROVEMENT-
dc.subject.keywordPlusSTATISTICS-
dc.subject.keywordPlusVALIDATION-
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