Weakly Supervised Arrhythmia Detection Based on Deep Convolutional Neural Network
School of Computer Science and Technology, Harbin Institute of Technology(哈尔滨工业大学计算机科学与技术学院);Peng Cheng Laboratory(鹏城实验室);School of Physics and Astronomy, University of Manchester(曼彻斯特大学物理与天文学院);Northeastern University(东北大学)
Supervised deep learning has been widely used in the studies of automatic ECG classification, which largely benefits from sufficient annotation of large datasets. However, most of the existing large ECG datasets are roughly annotated, so the classification model trained on them can only detect the existence of abnormalities in a whole recording, but cannot determine their exact occurrence time. In addition, it may take huge time and economic cost to construct a fine-annotated ECG dataset. Therefore, this study proposes weakly supervised deep learning models for detecting abnormal ECG events and their occurrence time. The available supervision information for the models is limited to the event types in an ECG record, excluding the specific occurring time of each event. By leverage of feature locality of deep convolution neural network, the models first make predictions based on the local features, and then aggregate the local predictions to infer the existence of each event during the whole record. Through training, the local predictions are expected to reflect the specific occurring time of each event. To test their potentials, we apply the models for detecting cardiac rhythmic and morphological arrhythmias by using the AFDB and MITDB datasets, respectively. The results show that the models achieve beat-level accuracies of 99.09% in detecting atrial fibrillation, and 99.13% in detecting morphological arrhythmias, which are comparable to that of fully supervised learning models, demonstrating their effectiveness. The local prediction maps revealed by this method are also helpful to analyze and diagnose the decision logic of record-level classification models.
Swiss Center for Electronics and Microtechnology (CSEM)(瑞士电子与微技术中心)
Except for a few specific types, cardiac arrhythmias are not immediately life-threatening. However, if not treated appropriately, they can cause serious complications. In particular, atrial fibrillation, which is characterized by fast and irregular heart beats, increases the risk of stroke. We propose three neural network architectures to detect abnormal rhythms from single-lead ECG signals. These architectures combine convolutional layers to extract high-level features pertinent for arrhythmia detection from sliding windows and recurrent layers to aggregate these features over signals of vary…
Swiss Center for Electronics and Microtechnology (CSEM)(瑞士电子与微技术中心)
While most heart arrhythmias are not immediately harmful, they can lead to severe complications. In particular, atrial fibrillation, the most common arrhythmia, is characterized by fast and irregular heart beats and increases the risk of suffering a stroke. To detect such abnormal heart conditions, we propose a system composed of two main parts: a smart vest with two cooperative sensors to collect ECG data and a neural network architecture to classify heart rhythms. The smart vest uses two dry bi-electrodes to record a single lead ECG signal. The biopotential signal is then streamed via a gate…
Cardiovascular disease (CVDs) is one of the universal deadly diseases, and the detection of it in the early stage is a challenging task to tackle. Recently, deep learning and convolutional neural networks have been employed widely for the classification of objects. Moreover, it is promising that lots of networks can be deployed on wearable devices. An increasing number of methods can be used to realize ECG signal classification for the sake of arrhythmia detection. However, the existing neural networks proposed for arrhythmia detection are not hardware-friendly enough due to a remarkable quant…
University of New South Wales(新南威尔士大学);Harvard University(哈佛大学)
Electrocardiography (ECG) signal is a highly applied measurement for individual heart condition, and much effort have been endeavored towards automatic heart arrhythmia diagnosis based on machine learning. However, traditional machine learning models require large investment of time and effort for raw data preprocessing and feature extraction, as well as challenged by poor classification performance. Here, we propose a novel deep learning model, named Attention-Based Convolutional Neural Networks (ABCNN) that taking advantage of CNN and multi-head attention, to directly work on the raw ECG sig…
H-Infinity Filter Enhanced CNN-LSTM for Arrhythmia Detection from Heart Sound Recordings
Department of Computer Science and Engineering(计算机科学与工程系);National Institute of Technology Karnataka, Surathkal, Karnataka, India 575025(卡纳塔克邦苏拉塔卡尔国家理工学院)
本文提出CNN-H-Infinity-LSTM架构,通过引入受控制理论H-Infinity滤波器启发的可训练参数,增强模型鲁棒性与泛化能力,在PhysioNet CinC Challenge 2016数据集上实现99.42%准确率,有效解决心音记录心律失常检测问题。
École de technologie supérieure (ÉTS), Université du Québec(魁北克大学高等技术学院)
Idiopathic ventricular arrhythmia (IVAs) is extra abnormal heartbeats disturbing the regular heart rhythm that can become fatal if left untreated. Cardiac catheter ablation is the standard approach to treat IVAs, however, a crucial prerequisite for the ablation is the localization of IVAs' origin. The current IVA localization techniques are invasive, rely on expert interpretation, or are inaccurate. In this study, we developed a new deep-learning algorithm that can automatically identify the origin of IVAs from ECG signals without the need for expert manual analysis. Our developed deep learnin…
Low-power sensing technologies, such as wearables, have emerged in the healthcare domain since they enable continuous and non-invasive monitoring of physiological signals. In order to endow such devices with clinical value, classical signal processing has encountered numerous challenges. However, data-driven methods, such as machine learning, offer attractive accuracies at the expense of being resource and memory demanding. In this paper, we focus on the inference of neural networks running in microcontrollers and low-power processors which wearable sensors and devices are generally equipped w…
Objectives: Atrial fibrillation (AF) is a common heart rhythm disorder associated with deadly and debilitating consequences including heart failure, stroke, poor mental health, reduced quality of life and death. Having an automatic system that diagnoses various types of cardiac arrhythmias would assist cardiologists to initiate appropriate preventive measures and to improve the analysis of cardiac disease. To this end, this paper introduces a new approach to detect and classify automatically cardiac arrhythmias in electrocardiograms (ECG) recordings. Methods: The proposed approach used a combi…
This study proposes a deep learning model that effectively suppresses the false alarms in the intensive care units (ICUs) without ignoring the true alarms using single- and multimodal biosignals. Most of the current work in the literature are either rule-based methods, requiring prior knowledge of arrhythmia analysis to build rules, or classical machine learning approaches, depending on hand-engineered features. In this work, we apply convolutional neural networks to automatically extract time-invariant features, an attention mechanism to put more emphasis on the important regions of the input…
École de Technologie Superieure, Université du Québec(魁北克大学高等技术学院)
Weakly supervised object localization is a challenging task in which the object of interest should be localized while learning its appearance. State-of-the-art methods recycle the architecture of a standard CNN by using the activation maps of the last layer for localizing the object. While this approach is simple and works relatively well, object localization relies on different features than classification, thus, a specialized localization mechanism is required during training to improve performance. In this paper, we propose a convolutional, multi-scale spatial localization network that prov…
Electrocardiogram (ECG) is a simple non-invasive measure to identify heart-related issues such as irregular heartbeats known as arrhythmias. While artificial intelligence and machine learning is being utilized in a wide range of healthcare related applications and datasets, many arrhythmia classifiers using deep learning methods have been proposed in recent years. However, sizes of the available datasets from which to build and assess machine learning models is often very small and the lack of well-annotated public ECG datasets is evident. In this paper, we propose a deep transfer learning fra…
University of Isfahan(伊斯法罕大学);Amirkabir University of Technology(阿米尔卡比尔理工大学);New Jersey Institute of Technology(新泽西理工学院);Rutgers University(罗格斯大学)
Electrocardiogram (ECG) is the most frequent and routine diagnostic tool used for monitoring heart electrical signals and evaluating its functionality. The human heart can suffer from a variety of diseases, including cardiac arrhythmias. Arrhythmia is an irregular heart rhythm that in severe cases can lead to heart stroke and can be diagnosed via ECG recordings. Since early detection of cardiac arrhythmias is of great importance, computerized and automated classification and identification of these abnormal heart signals have received much attention for the past decades. Methods: This paper in…
ArrhythmiaVision: Resource-Conscious Deep Learning Models with Visual Explanations for ECG Arrhythmia Classification
Dipartimento di Informatica, Università di Verona, Verona, Italy(信息学院,威尼斯大学,威尼斯,意大利);Department of Computer Science, School of Mathematics and Computer Science, Institute of Business Administration, Karachi, Pakistan(计算机科学系,数学与计算机科学学院,商学院,卡拉奇,巴基斯坦);Faculty of Information Technology, Salim Habib University, Karachi, Pakistan(信息技术学院,萨利姆·哈比大学,卡拉奇,巴基斯坦)
University of Engineering and Technology Taxila(塔克西拉工程技术大学);University of Central Florida(中佛罗里达大学);Hankuk University of Foreign Studies(韩国外国语大学);Xiamen University Malaysia(厦门大学马来西亚分校)
The electrocardiogram (ECG) is one of the most extensively employed signals used in the diagnosis and prediction of cardiovascular diseases (CVDs). The ECG signals can capture the heart's rhythmic irregularities, commonly known as arrhythmias. A careful study of ECG signals is crucial for precise diagnoses of patients' acute and chronic heart conditions. In this study, we propose a two-dimensional (2-D) convolutional neural network (CNN) model for the classification of ECG signals into eight classes; namely, normal beat, premature ventricular contraction beat, paced beat, right bundle branch b…
Deep learning applied to electrocardiogram (ECG) data can be used to achieve personal authentication in biometric security applications, but it has not been widely used to diagnose cardiovascular disorders. We developed a deep learning model for the detection of arrhythmia in which time-sliced ECG data representing the distance between successive R-peaks are used as the input for a convolutional neural network (CNN). The main objective is developing the compact deep learning based detect system which minimally uses the dataset but delivers the confident accuracy rate of the Arrhythmia detectio…
ETH Zürich(苏黎世联邦理工学院);University of Bologna(博洛尼亚大学);Huawei Technologies(华为技术有限公司)
Personalized ubiquitous healthcare solutions require energy-efficient wearable platforms that provide an accurate classification of bio-signals while consuming low average power for long-term battery-operated use. Single lead electrocardiogram (ECG) signals provide the ability to detect, classify, and even predict cardiac arrhythmia. In this paper, we propose a novel temporal convolutional network (TCN) that achieves high accuracy while still being feasible for wearable platform use. Experimental results on the ECG5000 dataset show that the TCN has a similar accuracy (94.2%) score as the state…
Institute of Theoretical and Applied Informatics, Polish Academy of Sciences(波兰科学院理论与应用信息学研究所);Warsaw University of Technology(华沙理工大学);Cracow University of Technology(克拉科夫理工大学);Firat University(菲拉特大学);Singapore University of Social Sciences(新加坡社会科学大学);University of Southern Queensland(南昆士兰大学);Ngee Ann Polytechnic(义安理工学院);Asia University(亚洲大学);Kumamoto University(熊本大学);National Heart Centre Singapore(新加坡国家心脏中心)
Interpretation of electrocardiography (ECG) signals is required for diagnosing cardiac arrhythmia. Recently, machine learning techniques have been applied for automated computer-aided diagnosis. Machine learning tasks can be divided into regression and classification. Regression can be used for noise and artifacts removal as well as resolve issues of missing data from low sampling frequency. Classification task concerns the prediction of output diagnostic classes according to expert-labeled input classes. In this work, we propose a deep neural network model capable of solving regression and cl…
Multi-Window Temporal Analysis for Enhanced Arrhythmia Classification: Leveraging Long-Range Dependencies in Electrocardiogram Signals
AI4Health Department, Oldenburg University(奥尔登堡大学AI4Health部门);Department of Cardiology, Angiology and Intensive Care Medicine, Charité Campus Mitte, German Heart Center of the Charité-University Medicine Berlin(查理医院梅特校区心内科、血管科和重症医学科,查理-柏林大学医学中心心脏中心)
We report on a method that classifies heart beats according to a set of 13 classes, including cardiac arrhythmias. The method localises the QRS peak complex to define each heart beat and uses a neural network to infer the patterns characteristic of each heart beat class. The best performing neural network contains six one-dimensional convolutional layers and four dense layers, with the kernel sizes being multiples of the characteristic scale of the problem, thus resulting a computationally fast and physically motivated neural network. For the same number of heart beat classes, our method yield…
In typical machine learning tasks and applications, it is necessary to obtain or create large labeled datasets in order to to achieve high performance. Unfortunately, large labeled datasets are not always available and can be expensive to source, creating a bottleneck towards more widely applicable machine learning. The paradigm of weak supervision offers an alternative that allows for integration of domain-specific knowledge by enforcing constraints that a correct solution to the learning problem will obey over the output space. In this work, we explore the application of this paradigm to 2-D…
It is challenging to visually detect heart disease from the electrocardiographic (ECG) signals. Implementing an automated ECG signal detection system can help diagnosis arrhythmia in order to improve the accuracy of diagnosis. In this paper, we proposed, implemented, and compared an automated system using two different frameworks of the combination of convolutional neural network (CNN) and long-short term memory (LSTM) for classifying normal sinus signals, atrial fibrillation, and other noisy signals. The dataset we used is from the MIT-BIT Arrhythmia Physionet. Our approach demonstrated that …
Large scale datasets created from user labels or openly available data have become crucial to provide training data for large scale learning algorithms. While these datasets are easier to acquire, the data are frequently noisy and unreliable, which is motivating research on weakly supervised learning techniques. In this paper we propose an iterative learning method that extracts the useful information from a large scale change detection dataset generated from open vector data to train a fully convolutional network which surpasses the performance obtained by naive supervised learning. We also p…
Arrhythmia is a cardiovascular disease that manifests irregular heartbeats. In arrhythmia detection, the electrocardiogram (ECG) signal is an important diagnostic technique. However, manually evaluating ECG signals is a complicated and time-consuming task. With the application of convolutional neural networks (CNNs), the evaluation process has been accelerated and the performance is improved. It is noteworthy that the performance of CNNs heavily depends on their architecture design, which is a complex process grounded on expert experience and trial-and-error. In this paper, we propose a novel …
VISION-ICE: Video-based Interpretation and Spatial Identification of Arrhythmia Origins via Neural Networks in Intracardiac Echocardiography
Department of Electrical and Computer Engineering, Rice University, United States of America(电气与计算机工程系,里士大学,美国);Electrophysiology Clinical Research and Innovations, Texas Heart Institute, United States of America(电生理临床研究与创新,德克萨斯心脏研究所,美国);Department of Cardiology, Texas Heart Institute, United States of America(心内科部,德克萨斯心脏研究所,美国)
University of Lille(里尔大学);ENSAIT(国立高等艺术与纺织工业学院);GEMTEX–Laboratoire de Génie et Matériaux Textiles(纺织工程与材料实验室);University of Kent(肯特大学)
Deep learning play a vital role in classifying different arrhythmias using the electrocardiography (ECG) data. Nevertheless, training deep learning models normally requires a large amount of data and it can lead to privacy concerns. Unfortunately, a large amount of healthcare data cannot be easily collected from a single silo. Additionally, deep learning models are like black-box, with no explainability of the predicted results, which is often required in clinical healthcare. This limits the application of deep learning in real-world health systems. In this paper, we design a new explainable a…
National Heart, Lung, and Blood Institute(美国国家心肺血液研究所)
The electrocardiogram (ECG) is routinely used in hospitals to analyze cardiovascular status and health of an individual. Abnormal heart rhythms can be a precursor to more serious conditions including sudden cardiac death. Classifying abnormal rhythms is a laborious process prone to error. Therefore, tools that perform automated classification with high accuracy are highly desirable. The work presented classifies five different types of ECG arrhythmia based on AAMI EC57 standard and using the MIT-BIH data set. These include non-ectopic (normal), supraventricular, ventricular, fusion, and unknow…
Wearable devices enable theoretically continuous, longitudinal monitoring of physiological measurements like step count, energy expenditure, and heart rate. Although the classification of abnormal cardiac rhythms such as atrial fibrillation from wearable devices has great potential, commercial algorithms remain proprietary and tend to focus on heart rate variability derived from green spectrum LED sensors placed on the wrist where noise remains an unsolved problem. Here, we develop a multi-task deep learning method to assess signal quality and arrhythmia event detection in wearable photoplethy…
HARDC : A novel ECG-based heartbeat classification method to detect arrhythmia using hierarchical attention based dual structured RNN with dilated CNN
Universiti Malaysia Pahang(马来西亚彭亨大学);Queensland University of Technology(昆士兰科技大学);Islamic University(伊斯兰大学);The University of Sydney(悉尼大学);University of Cambridge(剑桥大学);The Garvan Institute of Medical Research(加文医学研究所);The University of Queensland(昆士兰大学)
Electrocardiogram (ECG) is an authoritative source to diagnose and counter critical cardiovascular syndromes such as arrhythmia and myocardial infarction (MI). Current machine learning techniques either depend on manually extracted features or large and complex deep learning networks which merely utilize the 1D ECG signal directly. Since intelligent multimodal fusion can perform at the stateof-the-art level with an efficient deep network, therefore, in this paper, we propose two computationally efficient multimodal fusion frameworks for ECG heart beat classification called Multimodal Image Fus…
In this paper, a novel ECG monitoring approach based on IoT technology is suggested. This paper proposes a routing system for IoT healthcare platforms based on Dynamic Source Routing (DSR) and Routing by Energy and Link Quality (REL). In addition, the Artificial Neural Network (ANN), Support Vector Machine (SVM), and Convolution Neural Networks (CNNs)-based approaches for ECG signal categorization were tested in this study. Deep-ECG will employ a deep CNN to extract important characteristics, which will then be compared using simple and fast distance functions in order to classify cardiac prob…
Deep Neural Network Architectures for Electrocardiogram Classification: A Comprehensive Evaluation
Independent Researcher(独立研究者);Department of Materials Engineering, Xi'an Polytechnic University(材料工程系,西安理工大学);Tandon School of Engineering, New York University(工程学院,纽约大学);College of Computing, Georgia Institute of Technology(计算学院,佐治亚理工学院)
The analysis of electrocardiogram (ECG) signals can be time consuming as it is performed manually by cardiologists. Therefore, automation through machine learning (ML) classification is being increasingly proposed which would allow ML models to learn the features of a heartbeat and detect abnormalities. The lack of interpretability hinders the application of Deep Learning in healthcare. Through interpretability of these models, we would understand how a machine learning algorithm makes its decisions and what patterns are being followed for classification. This thesis builds Convolutional Neura…
Compact Neural Network Algorithm for Electrocardiogram Classification
Centro de Física Aplicada y Tecnología Avanzada(应用物理与先进技术中心);Instituto de Ciencias Nucleares(核科学研究所);Instituto Tecnológico y de Estudios Superiores de Monterrey(蒙特雷技术与高等研究学院)
Despite the proliferation of numerous deep learning methods proposed for generic ECG classification and arrhythmia detection, compact systems with the real-time ability and high accuracy for classifying patient-specific ECG are still few. Particularly, the scarcity of patient-specific data poses an ultimate challenge to any classifier. Recently, compact 1D Convolutional Neural Networks (CNNs) have achieved the state-of-the-art performance level for the accurate classification of ventricular and supraventricular ectopic beats. However, several studies have demonstrated the fact that the learnin…
University of Nevada, Reno(内华达大学雷诺分校);Deakin University(迪肯大学)
Electrocardiogram (ECG) acquisition requires an automated system and analysis pipeline for understanding specific rhythm irregularities. Deep neural networks have become a popular technique for tracing ECG signals, outperforming human experts. Despite this, convolutional neural networks are susceptible to adversarial examples that can misclassify ECG signals and decrease the model's precision. Moreover, they do not generalize well on the out-of-distribution dataset. The GAN architecture has been employed in recent works to synthesize adversarial ECG signals to increase existing training data. …
Electrocardiogram (ECG) can be reliably used as a measure to monitor the functionality of the cardiovascular system. Recently, there has been a great attention towards accurate categorization of heartbeats. While there are many commonalities between different ECG conditions, the focus of most studies has been classifying a set of conditions on a dataset annotated for that task rather than learning and employing a transferable knowledge between different tasks. In this paper, we propose a method based on deep convolutional neural networks for the classification of heartbeats which is able to ac…
Nanjing Normal University(南京师范大学);Nanjing University of Information Science and Technology(南京信息工程大学)
Unlike images or videos data which can be easily labeled by human being, sensor data annotation is a time-consuming process. However, traditional methods of human activity recognition require a large amount of such strictly labeled data for training classifiers. In this paper, we present an attention-based convolutional neural network for human recognition from weakly labeled data. The proposed attention model can focus on labeled activity among a long sequence of sensor data, and while filter out a large amount of background noise signals. In experiment on the weakly labeled dataset, we show …
We present an approach to learn a dense pixel-wise labeling from image-level tags. Each image-level tag imposes constraints on the output labeling of a Convolutional Neural Network (CNN) classifier. We propose Constrained CNN (CCNN), a method which uses a novel loss function to optimize for any set of linear constraints on the output space (i.e. predicted label distribution) of a CNN. Our loss formulation is easy to optimize and can be incorporated directly into standard stochastic gradient descent optimization. The key idea is to phrase the training objective as a biconvex optimization for li…
BITS-Pilani(博拉理工学院皮拉尼校区);CVR College of Engineering(CVR工程学院)
Using deep learning models to classify time series data generated from the Internet of Things (IoT) devices requires a large amount of labeled data. However, due to constrained resources available in IoT devices, it is often difficult to accommodate training using large data sets. This paper proposes and demonstrates a Similarity Learning-based Few Shot Learning for ECG arrhythmia classification using Siamese Convolutional Neural Networks. Few shot learning resolves the data scarcity issue by identifying novel classes from very few labeled examples. Few Shot Learning relies first on pretrainin…
Atrial fibrillation is a cardiac arrhythmia that affects an estimated 33.5 million people globally and is the potential cause of 1 in 3 strokes in people over the age of 60. Detection and diagnosis of atrial fibrillation (AFIB) is done noninvasively in the clinical environment through the evaluation of electrocardiograms (ECGs). Early research into automated methods for the detection of AFIB in ECG signals focused on traditional bio-medical signal analysis to extract important features for use in statistical classification models. Artificial intelligence models have more recently been used tha…
The dominant paradigm in spatiotemporal action detection is to classify actions using spatiotemporal features learned by 2D or 3D Convolutional Networks. We argue that several actions are characterized by their context, such as relevant objects and actors present in the video. To this end, we introduce an architecture based on self-attention and Graph Convolutional Networks in order to model contextual cues, such as actor-actor and actor-object interactions, to improve human action detection in video. We are interested in achieving this in a weakly-supervised setting, i.e. using as less annota…
Case Western Reserve University(凯斯西储大学);IBM Almaden Research Center(IBM阿尔马登研究中心)
We explore a solution for learning disease signatures from weakly, yet easily obtainable, annotated volumetric medical imaging data by analyzing 3D volumes as a sequence of 2D images. We demonstrate the performance of our solution in the detection of emphysema in lung cancer screening low-dose CT images. Our approach utilizes convolutional long short-term memory (LSTM) to "scan" sequentially through an imaging volume for the presence of disease in a portion of scanned region. This framework allowed effective learning given only volumetric images and binary disease labels, thus enabling trainin…
Localization of chest pathologies in chest X-ray images is a challenging task because of their varying sizes and appearances. We propose a novel weakly supervised method to localize chest pathologies using class aware deep multiscale feature learning. Our method leverages intermediate feature maps from CNN layers at different stages of a deep network during the training of a classification model using image level annotations of pathologies. During the training phase, a set of \emph{layer relevance weights} are learned for each pathology class and the CNN is optimized to perform pathology class…
Qatar University(卡塔尔大学);Izmir University of Economics(伊兹密尔经济大学);Tampere University(坦佩雷大学)
Noise and low quality of ECG signals acquired from Holter or wearable devices deteriorate the accuracy and robustness of R-peak detection algorithms. This paper presents a generic and robust system for R-peak detection in Holter ECG signals. While many proposed algorithms have successfully addressed the problem of ECG R-peak detection, there is still a notable gap in the performance of these detectors on such low-quality ECG records. Therefore, in this study, a novel implementation of the 1D Convolutional Neural Network (CNN) is used integrated with a verification model to reduce the number of…
The Ohio State University College of Medicine(俄亥俄州立大学医学院)
We propose a fully automated algorithm based on a deep learning framework enabling screening of a coronary computed tomography angiography (CCTA) examination for confident detection of the presence or absence of coronary artery atherosclerosis. The system starts with extracting the coronary arteries and their branches from CCTA datasets and representing them with multi-planar reformatted volumes; pre-processing and augmentation techniques are then applied to increase the robustness and generalization ability of the system. A 3-dimensional convolutional neural network (3D-CNN) is utilized to mo…
Brigham and Women's Hospital(布莱根和妇女医院);Harvard Medical School(哈佛医学院);Johns Hopkins School of Medicine(约翰斯·霍普金斯大学医学院)
Histology-based grade classification is clinically important for many cancer types in stratifying patients distinct treatment groups. In prostate cancer, the Gleason score is a grading system used to measure the aggressiveness of prostate cancer from the spatial organization of cells and the distribution of glands. However, the subjective interpretation of Gleason score often suffers from large interobserver and intraobserver variability. Previous work in deep learning-based objective Gleason grading requires manual pixel-level annotation. In this work, we propose a weakly-supervised approach …