Multi-institutional validation of AI models for classifying urothelial neoplasms in digital pathology.

Journal: Scientific reports

This study presents a deep learning approach using convolutional neural networks and transformer-based models to classify normal, noninvasive, and invasive urothelial neoplasms from digitized histopathological images.

The models were trained on 12,500 whole-slide images from multiple institutions, incorporating stain normalization and patch extraction techniques.

Key results include:

  • EfficientNet-B6 performed best, achieving:
    • Accuracy: 91.3%
    • Sensitivity: 90.9%
    • Specificity: 95.6%
    • F1-score: 90.6%
    • AUC: 0.983

These findings highlight the potential of AI to effectively and reliably assist in bladder cancer classification.

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