๐Ÿง‘๐Ÿผโ€๐Ÿ’ป Research - April 8, 2025

Implementing Trust in Non-Small Cell Lung Cancer Diagnosis with a Conformalized Uncertainty-Aware AI Framework in Whole-Slide Images.

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โšก Quick Summary

This study introduces TRUECAM, a novel AI framework designed to enhance trustworthiness in the diagnosis of non-small cell lung cancer using whole-slide images. By integrating advanced techniques, TRUECAM significantly improves classification accuracy and fairness in cancer diagnostics.

๐Ÿ” Key Details

  • ๐Ÿ“Š Framework: TRUECAM
  • ๐Ÿงฉ Techniques used: Spectral-normalized neural Gaussian process, ambiguity-guided elimination, conformal prediction
  • ๐Ÿ† Evaluation: Multiple large-scale cancer datasets
  • โš™๏ธ Focus: Non-small cell lung cancer subtyping

๐Ÿ”‘ Key Takeaways

  • ๐Ÿ” TRUECAM addresses trustworthiness concerns in AI cancer diagnostics.
  • ๐Ÿ“ˆ Significant improvements in classification accuracy and robustness were observed.
  • ๐Ÿค– The framework enhances interpretability and data efficiency of AI models.
  • โš–๏ธ TRUECAM promotes fairness in AI applications within digital pathology.
  • ๐ŸŒ Versatile framework applicable to various AI model architectures.
  • ๐Ÿ“Š Systematic evaluation across diverse datasets demonstrates effectiveness.
  • ๐Ÿ’ก Integrates multiple advanced techniques to ensure controlled error rates.

๐Ÿ“š Background

The integration of artificial intelligence (AI) in cancer diagnostics has the potential to revolutionize patient care. However, ensuring the trustworthiness of these AI models is crucial, especially in high-stakes environments like cancer diagnosis, where misdiagnoses can lead to severe consequences. Current models often struggle with discrepancies between training and real-world data, necessitating a robust solution.

๐Ÿ—’๏ธ Study

The study focused on developing the TRUECAM framework to enhance the trustworthiness of AI models in diagnosing non-small cell lung cancer. By employing a combination of techniques, including a spectral-normalized neural Gaussian process and conformal prediction, the researchers aimed to create a more reliable diagnostic tool that could effectively handle the complexities of whole-slide images.

๐Ÿ“ˆ Results

TRUECAM demonstrated a remarkable ability to outperform traditional AI models lacking such guidance. The framework not only improved classification accuracy but also enhanced robustness, interpretability, and data efficiency. Furthermore, it achieved notable advancements in fairness, making it a promising tool for responsible AI applications in digital pathology.

๐ŸŒ Impact and Implications

The implications of TRUECAM are profound. By ensuring trustworthiness in AI diagnostics, this framework can lead to more accurate and reliable cancer diagnoses, ultimately improving patient outcomes. As AI continues to evolve in healthcare, frameworks like TRUECAM will be essential in fostering confidence among clinicians and patients alike, paving the way for broader adoption of AI technologies in medical settings.

๐Ÿ”ฎ Conclusion

The development of TRUECAM marks a significant step forward in the integration of AI in cancer diagnostics. By addressing critical trustworthiness issues, this framework not only enhances diagnostic accuracy but also promotes responsible AI use in healthcare. As we look to the future, continued research and development in this area will be vital for advancing patient care and ensuring the ethical application of AI technologies.

๐Ÿ’ฌ Your comments

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Implementing Trust in Non-Small Cell Lung Cancer Diagnosis with a Conformalized Uncertainty-Aware AI Framework in Whole-Slide Images.

Abstract

Ensuring trustworthiness is fundamental to the development of artificial intelligence (AI) that is considered societally responsible, particularly in cancer diagnostics, where a misdiagnosis can have dire consequences. Current digital pathology AI models lack systematic solutions to address trustworthiness concerns arising from model limitations and data discrepancies between model deployment and development environments. To address this issue, we developed TRUECAM, a framework designed to ensure both data and model trustworthiness in non-small cell lung cancer subtyping with whole-slide images. TRUECAM integrates 1) a spectral-normalized neural Gaussian process for identifying out-of-scope inputs and 2) an ambiguity-guided elimination of tiles to filter out highly ambiguous regions, addressing data trustworthiness, as well as 3) conformal prediction to ensure controlled error rates. We systematically evaluated the framework across multiple large-scale cancer datasets, leveraging both task-specific and foundation models, illustrate that an AI model wrapped with TRUECAM significantly outperforms models that lack such guidance, in terms of classification accuracy, robustness, interpretability, and data efficiency, while also achieving improvements in fairness. These findings highlight TRUECAM as a versatile wrapper framework for digital pathology AI models with diverse architectural designs, promoting their responsible and effective applications in real-world settings.

Author: [‘Zhang X’, ‘Wang T’, ‘Yan C’, ‘Najdawi F’, ‘Zhou K’, ‘Ma Y’, ‘Cheung YM’, ‘Malin B’]

Journal: Res Sq

Citation: Zhang X, et al. Implementing Trust in Non-Small Cell Lung Cancer Diagnosis with a Conformalized Uncertainty-Aware AI Framework in Whole-Slide Images. Implementing Trust in Non-Small Cell Lung Cancer Diagnosis with a Conformalized Uncertainty-Aware AI Framework in Whole-Slide Images. 2025; (unknown volume):(unknown pages). doi: 10.21203/rs.3.rs-5723270/v1

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