An ensemble deep learning approach to detect tumors on Mohs micrographic surgery slides

Fuente: arXiv
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Main Authors: Yilmaz, Abdurrahim, Aydin, Serra Atilla, Temur, Deniz, Yuceyalcin, Furkan, Kahya, Berkin Deniz, Varol, Rahmetullah, Gokoz, Ozay, Gencoglan, Gulsum, Uvet, Huseyin, Elcin, Gonca
Format: Preprint
Published: 2025
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author Yilmaz, Abdurrahim
Aydin, Serra Atilla
Temur, Deniz
Yuceyalcin, Furkan
Kahya, Berkin Deniz
Varol, Rahmetullah
Gokoz, Ozay
Gencoglan, Gulsum
Uvet, Huseyin
Elcin, Gonca
author_facet Yilmaz, Abdurrahim
Aydin, Serra Atilla
Temur, Deniz
Yuceyalcin, Furkan
Kahya, Berkin Deniz
Varol, Rahmetullah
Gokoz, Ozay
Gencoglan, Gulsum
Uvet, Huseyin
Elcin, Gonca
contents Mohs micrographic surgery (MMS) is the gold standard technique for removing high risk nonmelanoma skin cancer however, intraoperative histopathological examination demands significant time, effort, and professionality. The objective of this study is to develop a deep learning model to detect basal cell carcinoma (BCC) and artifacts on Mohs slides. A total of 731 Mohs slides from 51 patients with BCCs were used in this study, with 91 containing tumor and 640 without tumor which was defined as non-tumor. The dataset was employed to train U-Net based models that segment tumor and non-tumor regions on the slides. The segmented patches were classified as tumor, or non-tumor to produce predictions for whole slide images (WSIs). For the segmentation phase, the deep learning model success was measured using a Dice score with 0.70 and 0.67 value, area under the curve (AUC) score with 0.98 and 0.96 for tumor and non-tumor, respectively. For the tumor classification, an AUC of 0.98 for patch-based detection, and AUC of 0.91 for slide-based detection was obtained on the test dataset. We present an AI system that can detect tumors and non-tumors in Mohs slides with high success. Deep learning can aid Mohs surgeons and dermatopathologists in making more accurate decisions.
format Preprint
id arxiv_https___arxiv_org_abs_2504_05219
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle An ensemble deep learning approach to detect tumors on Mohs micrographic surgery slides
Yilmaz, Abdurrahim
Aydin, Serra Atilla
Temur, Deniz
Yuceyalcin, Furkan
Kahya, Berkin Deniz
Varol, Rahmetullah
Gokoz, Ozay
Gencoglan, Gulsum
Uvet, Huseyin
Elcin, Gonca
Computer Vision and Pattern Recognition
Image and Video Processing
Mohs micrographic surgery (MMS) is the gold standard technique for removing high risk nonmelanoma skin cancer however, intraoperative histopathological examination demands significant time, effort, and professionality. The objective of this study is to develop a deep learning model to detect basal cell carcinoma (BCC) and artifacts on Mohs slides. A total of 731 Mohs slides from 51 patients with BCCs were used in this study, with 91 containing tumor and 640 without tumor which was defined as non-tumor. The dataset was employed to train U-Net based models that segment tumor and non-tumor regions on the slides. The segmented patches were classified as tumor, or non-tumor to produce predictions for whole slide images (WSIs). For the segmentation phase, the deep learning model success was measured using a Dice score with 0.70 and 0.67 value, area under the curve (AUC) score with 0.98 and 0.96 for tumor and non-tumor, respectively. For the tumor classification, an AUC of 0.98 for patch-based detection, and AUC of 0.91 for slide-based detection was obtained on the test dataset. We present an AI system that can detect tumors and non-tumors in Mohs slides with high success. Deep learning can aid Mohs surgeons and dermatopathologists in making more accurate decisions.
title An ensemble deep learning approach to detect tumors on Mohs micrographic surgery slides
topic Computer Vision and Pattern Recognition
Image and Video Processing
url https://arxiv.org/abs/2504.05219