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Limits of Human Expert Ensembles in Mitosis Multi-expert Ground Truth Generation

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Bildverarbeitung für die Medizin 2023 (BVM 2023)

Part of the book series: Informatik aktuell ((INFORMAT))

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Abstract

Computer vision classification tasks rely on the availability of ground truth labels. Especially in medical imaging, these are typically given by experts and can be of differing quality. To reduce the expert bias influence on labels, commonly blinded multi-expert consensus labels are used as ground truth in machine learning. In this work, we approach the question of how good a multiexpert consensus can be for the example of mitotic figure (MF) identification, which is a relevant task in tumor malignancy assessment. For this, we provide an exhaustive evaluation of all possible majority ensembles of 23 pathologists who independently assessed MFs based on a preselected region of interest. We compared the ensemble against a immunohistochemistry-based ground truth. We found that there were upper bounds to the recognition of MFs by the experts, which were, in our dataset, an accuracy, sensitivity and specificity of 88%, 82%, and 100%, respectively. An analysis of our results revealed cells in prophase and blurry cells to be amongst the most challenging to recognize.

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Correspondence to Ludwig M. Lausser .

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© 2023 Der/die Autor(en), exklusiv lizenziert an Springer Fachmedien Wiesbaden GmbH, ein Teil von Springer Nature

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Lausser, L.M., Bertram, C.A., Klopfleisch, R., Aubreville, M. (2023). Limits of Human Expert Ensembles in Mitosis Multi-expert Ground Truth Generation. In: Deserno, T.M., Handels, H., Maier, A., Maier-Hein, K., Palm, C., Tolxdorff, T. (eds) Bildverarbeitung für die Medizin 2023. BVM 2023. Informatik aktuell. Springer Vieweg, Wiesbaden. https://doi.org/10.1007/978-3-658-41657-7_27

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