Relatively abundant availability of medical imaging data has provided significant support in the development and testing of Neural Network based image processing methods. Clinicians often face issues in selecting suitable image processing algorithm for medical imaging data. A strategy for the selection of a proper model is presented here. The training data set comprises optical coherence tomography (OCT) and angiography (OCT-A) images of 50 mice eyes with more than 100 days follow-up. The data contains images from treated and untreated mouse eyes. Four deep learning variants are tested for automatic (a) differentiation of tumor region with healthy retinal layer and (b) segmentation of 3D ocular tumor volumes. Exhaustive sensitivity analysis of deep learning models is performed with respect to the number of training and testing images using 8 eight performance indices to study accuracy, reliability/reproducibility, and speed. U-net with UVgg16 is best for malign tumor data set with treatment (having considerable variation) and U-net with Inception backbone for benign tumor data (with minor variation). Loss value and root mean square error (R.M.S.E.) are found most and least sensitive performance indices, respectively. The performance (via indices) is found to be exponentially improving regarding a number of training images. The segmented OCT-Angiography data shows that neovascularization drives the tumor volume. Image analysis shows that photodynamic imaging-assisted tumor treatment protocol is transforming an aggressively growing tumor into a cyst. An empirical expression is obtained to help medical professionals to choose a particular model given the number of images and types of characteristics. We recommend that the presented exercise should be taken as standard practice before employing a particular deep learning model for biomedical image analysis.
PLUS: Plug-and-Play Enhanced Liver Lesion Diagnosis Model on Non-Contrast CT Scans
School of Biomedical Engineering, Tsinghua University(清华大学生物医学工程学院);DAMO Academy, Alibaba Group(阿里集团达摩院);Hupan Lab(汇看实验室);Department of Radiology, Shengjing Hospital of China Medical University(中国医科大学附属盛京医院放射科);Department of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital of Zhejiang University(浙江大学医学院附属第一医院肝胆外科)
Iran University of Science and Technology(伊朗科技大学);Radboud University Medical Center(拉德堡德大学医学中心);Netherlands Cancer Institute(荷兰癌症研究所)
Purpose: We propose a deep learning-based computer-aided detection (CADe) method to detect breast lesions in ultrafast DCE-MRI sequences. This method uses both the three-dimensional spatial information and temporal information obtained from the early-phase of the dynamic acquisition. Methods: The proposed CADe method, based on a modified 3D RetinaNet model, operates on ultrafast T1 weighted sequences, which are preprocessed for motion compensation, temporal normalization, and are cropped before passing into the model. The model is optimized to enable the detection of relatively small breast le…
University of Technology Sydney(悉尼科技大学);IBM Australia Limited(IBM澳大利亚有限公司);Sejong University(世宗大学);Universiti Kebangsaan Malaysia(马来西亚国民大学);Charles Sturt University(查尔斯特大学)
Lung cancer is the leading cause of cancer death and morbidity worldwide. Many studies have shown machine learning models to be effective at detecting lung nodules from chest X-ray images. However, these techniques have yet to be embraced by the medical community due to several practical, ethical, and regulatory constraints stemming from the black-box nature of deep learning models. Additionally, most lung nodules visible on chest X-ray are benign; therefore, the narrow task of computer vision-based lung nodule detection cannot be equated to automated lung cancer detection. Addressing both con…
LMLCC-Net: A Semi-Supervised Deep Learning Model for Lung Nodule Malignancy Prediction from CT Scans using a Novel Hounsfield Unit-Based Intensity Filtering
mHealth Lab, Department of Biomedical Engineering, Bangladesh University of Engineering and Technology(孟加拉国工程与技术大学生物医学工程系mHealth实验室)
Vanderbilt University(范德堡大学);Vanderbilt University Medical Center(范德堡大学医学中心)
Features learned from single radiologic images are unable to provide information about whether and how much a lesion may be changing over time. Time-dependent features computed from repeated images can capture those changes and help identify malignant lesions by their temporal behavior. However, longitudinal medical imaging presents the unique challenge of sparse, irregular time intervals in data acquisition. While self-attention has been shown to be a versatile and efficient learning mechanism for time series and natural images, its potential for interpreting temporal distance between sparse,…
Automated classification of histopathological whole-slide images (WSI) of breast tissue requires analysis at very high resolutions with a large contextual area. In this paper, we present context-aware stacked convolutional neural networks (CNN) for classification of breast WSIs into normal/benign, ductal carcinoma in situ (DCIS), and invasive ductal carcinoma (IDC). We first train a CNN using high pixel resolution patches to capture cellular level information. The feature responses generated by this model are then fed as input to a second CNN, stacked on top of the first. Training of this stac…
University of Patras(帕特雷大学);School of Medicine(医学院);Laboratory of Nuclear Medicine(核医学实验室)
Lung Cancer is the most common cause of cancer-related death worldwide. Early and automatic diagnosis of Solitary Pulmonary Nodules (SPN) in Computer Tomography (CT) chest scans can provide early treatment as well as doctor liberation from time-consuming procedures. Deep Learning has been proven as a popular and influential method in many medical imaging diagnosis areas. In this study, we consider the problem of diagnostic classification between benign and malignant lung nodules in CT images derived from a PET/CT scanner. More specifically, we intend to develop experimental Convolutional Neura…
Friedrich-Alexander-University Erlangen-Nuremberg(埃尔朗根-纽伦堡大学);Universitat Politècnica de València(瓦伦西亚理工大学);Universitätsklinikum Erlangen(埃尔朗根大学医院)
Magnetic resonance imaging (MRI) is an effective imaging modality for identifying and localizing breast lesions in women. Accurate and precise lesion segmentation using a computer-aided-diagnosis (CAD) system, is a crucial step in evaluating tumor volume and in the quantification of tumor characteristics. However, this is a challenging task, since breast lesions have sophisticated shape, topological structure, and high variance in their intensity distribution across patients. In this paper, we propose a novel marker-controlled watershed transformation-based approach, which uses the brightest p…
Enhanced Breast Cancer Tumor Classification using MobileNetV2: A Detailed Exploration on Image Intensity, Error Mitigation, and Streamlit-driven Real-time Deployment
Viterbi School of Engineering(维特比工程学院);College of Engineering(工程学院);University of Southern California(南加州大学);Rochester Institute of Technology(罗切斯特理工学院);Northeastern University(东北大学);School of Arts & Sciences(艺术与科学学院);State University of New York Plattsburgh(纽约州立大学普拉茨堡分校)
Hamburg University of Technology(汉堡工业大学);University Medical Centre Schleswig-Holstein(石勒苏益格-荷尔斯泰因大学医学中心)
Purpose: The gold standard for colorectal cancer metastases detection in the peritoneum is histological evaluation of a removed tissue sample. For feedback during interventions, real-time in-vivo imaging with confocal laser microscopy has been proposed for differentiation of benign and malignant tissue by manual expert evaluation. Automatic image classification could improve the surgical workflow further by providing immediate feedback. Methods: We analyze the feasibility of classifying tissue from confocal laser microscopy in the colon and peritoneum. For this purpose, we adopt both classical…
Institute Mihajlo Pupin, University of Belgrade(贝尔格莱德大学米哈伊洛·普平研究所);Center for Pathology and Forensics of the Military Medical Academy in Belgrade(贝尔格莱德军事医学科学院病理与法医中心);University of Siegen(锡根大学);Wireill;The School of Computing, University Union AB(AB大学联盟计算机学院)
This paper shows results of computer analysis of images in the purpose of finding differences between medical images in order of their classifications in terms of separation malign tissue from a normal and benign tissue. The diagnostics of malign tissue is of the crucial importance in medicine. Therefore, ascertainment of the correlation between multifractals parameters and "chaotic" cells could be of the great appliance. This paper shows the application of multifractal analysis for additional help in cancer diagnosis, as well as diminishing. of the subjective factor and error probability
In clinical practice, human radiologists actually review medical images with high resolution monitors and zoom into region of interests (ROIs) for a close-up examination. Inspired by this observation, we propose a hierarchical graph neural network to detect abnormal lesions from medical images by automatically zooming into ROIs. We focus on mammogram analysis for breast cancer diagnosis for this study. Our proposed network consist of two graph attention networks performing two tasks: (1) node classification to predict whether to zoom into next level; (2) graph classification to classify whethe…
Department of Internal medicine, National Taiwan University(台湾大学医学院);department of medicine, national Taiwan University(台湾大学医学院);department of internal medicine, National Taiwan University Hospital(台湾大学医学院附设医院);department of medicine, National Taiwan University Cancer center(台湾大学医学院癌症中心)
The purpose of this study is to differentiate malignant and benign mediastinal lesions by using the three-dimensional convolutional neural network through the endobronchial ultrasound (EBUS) image. Compared with previous study, our proposed model is robust to noise and able to fuse various imaging features and spatiotemporal features of EBUS videos. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a diagnostic tool for intrathoracic lymph nodes. Physician can observe the characteristics of the lesion using grayscale mode, doppler mode, and elastography during the…
STACT-Time: Spatio-Temporal Cross Attention for Cine Thyroid Ultrasound Time Series Classification
Medical \& Imaging Informatics, Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles (UCLA), CA, USA Department of Bioengineering, UCLA, Los Angeles, CA, USA Department of Electrical;Computer Engineering, UCLA, Los Angeles, CA, USA Department of Radiological Sciences, UCLA, Los Angeles, CA, USA
Stoecker & Associates;Louisiana State University(路易斯安那州立大学)
The incidence of malignant melanoma continues to increase worldwide. This cancer can strike at any age; it is one of the leading causes of loss of life in young persons. Since this cancer is visible on the skin, it is potentially detectable at a very early stage when it is curable. New developments have converged to make fully automatic early melanoma detection a real possibility. First, the advent of dermoscopy has enabled a dramatic boost in clinical diagnostic ability to the point that melanoma can be detected in the clinic at the very earliest stages. The global adoption of this technology…
Comparative Evaluation of Transfer Learning for Classification of Brain Tumor Using MRI
Florida Institute of Technology(佛罗里达理工学院);Daffodil International University(达福德国际大学);University of North Texas(北德克萨斯大学);The University of Alabama at Birmingham(阿拉巴马大学伯明翰分校)
Northeastern University(东北大学);China Medical University(中国医科大学);University of Luebeck(吕贝克大学)
Background: Breast cancer has the highest prevalence in women globally. The classification and diagnosis of breast cancer and its histopathological images have always been a hot spot of clinical concern. In Computer-Aided Diagnosis (CAD), traditional classification models mostly use a single network to extract features, which has significant limitations. On the other hand, many networks are trained and optimized on patient-level datasets, ignoring the application of lower-level data labels. Method: This paper proposes a deep ensemble model based on image-level labels for the binary classificat…
Malignant melanoma is a common skin cancer that is mostly curable before metastasis -when growths spawn in organs away from the original site. Melanoma is the most dangerous type of skin cancer if left untreated due to the high risk of metastasis. This paper presents Melatect, a machine learning (ML) model embedded in an iOS app that identifies potential malignant melanoma. Melatect accurately classifies lesions as malignant or benign over 96.6% of the time with no apparent bias or overfitting. Using the Melatect app, users have the ability to take pictures of skin lesions (moles) and subseque…
Histopathological images provide rich information for disease diagnosis. Large numbers of histopathological images have been digitized into high resolution whole slide images, opening opportunities in developing computational image analysis tools to reduce pathologists' workload and potentially improve inter- and intra- observer agreement. Most previous work on whole slide image analysis has focused on classification or segmentation of small pre-selected regions-of-interest, which requires fine-grained annotation and is non-trivial to extend for large-scale whole slide analysis. In this paper,…
We work on the breast imaging malignancy segmentation task while focusing on the training process instead of network complexity. We designed a training process based on a modified U-Net, increasing the overall segmentation performances by using both, benign and malignant data for training. Our approach makes use of only a small amount of annotated data and relies on transfer learning from a self-supervised reconstruction task, and favors explainability.
Computer-aided detection (CAD) of benign and malignant breast lesions becomes increasingly essential in breast ultrasound (US) imaging. The CAD systems rely on imaging features identified by the medical experts for their performance, whereas deep learning (DL) methods automatically extract features from the data. The challenge of the DL is the insufficiency of breast US images available to train the DL models. Here, we present an ensemble transfer learning model to classify benign and malignant breast tumors using B-mode breast US (B-US) and strain elastography breast US (SE-US) images. This m…
Center for Data Science, New York University(纽约大学数据科学中心);Department of Computer Science, Courant Institute, New York University(纽约大学库朗研究所计算机科学系);Department of Radiology, NYU School of Medicine(纽约大学医学院放射科);Perlmutter Cancer Center, NYU Langone Health(纽约大学朗格尼健康系统珀尔马特癌症中心);Center for Advanced Imaging Innovation and Research, NYU Langone Health(纽约大学朗格尼健康系统先进成像创新与研究中心);CIFAR Associate Fellow(CIFAR研究员(注:CIFAR是加拿大英属哥伦比亚大学的一个研究机构,但根据提取规则,此处仅提取“CIFAR”相关部分,严格按英文保留))
Medical images differ from natural images in significantly higher resolutions and smaller regions of interest. Because of these differences, neural network architectures that work well for natural images might not be applicable to medical image analysis. In this work, we extend the globally-aware multiple instance classifier, a framework we proposed to address these unique properties of medical images. This model first uses a low-capacity, yet memory-efficient, network on the whole image to identify the most informative regions. It then applies another higher-capacity network to collect detail…
We propose a novel deep learning model for classifying medical images in the setting where there is a large amount of unlabelled medical data available, but labelled data is in limited supply. We consider the specific case of classifying skin lesions as either malignant or benign. In this setting, the proposed approach -- the semi-supervised, denoising adversarial autoencoder -- is able to utilise vast amounts of unlabelled data to learn a representation for skin lesions, and small amounts of labelled data to assign class labels based on the learned representation. We analyse the contributions…
Hamburg University of Technology(汉堡工业大学);University Medical Centre Schleswig-Holstein(石勒苏益格-荷尔斯泰因大学医学中心)
Histological evaluation of tissue samples is a typical approach to identify colorectal cancer metastases in the peritoneum. For immediate assessment, reliable and real-time in-vivo imaging would be required. For example, intraoperative confocal laser microscopy has been shown to be suitable for distinguishing organs and also malignant and benign tissue. So far, the analysis is done by human experts. We investigate the feasibility of automatic colon cancer classification from confocal laser microscopy images using deep learning models. We overcome very small dataset sizes through transfer learn…
CT Radiomics-Based Explainable Machine Learning Model for Accurate Differentiation of Malignant and Benign Endometrial Tumors: A Two-Center Study
Qingdao Hiser Hospital Affiliated of Qingdao University (Qingdao Traditional Chinese Medicine Hospital)(青岛大学附属青岛海慈医院(青岛市中医医院));Sichuan University - Pittsburgh Institute, Sichuan University(四川大学匹兹堡学院);College of Computer Science, Sichuan University(四川大学计算机学院);Jiaozhou Traditional Chinese Medicine Hospital(胶州市中医医院)
This study focuses on automatic skin cancer detection using a Meta-learning approach for dermoscopic images. The aim of this study is to explore the benefits of the generalization of the knowledge extracted from non-medical data in the classification performance of medical data and the impact of the distribution shift problem within limited data by using a simple class and distribution balancer algorithm. In this study, a small sample of a combined dataset from 3 different sources was used to fine-tune a ResNet model pre-trained on non-medical data. The results show an increase in performance …
Automatic detection of brain neoplasm in Magnetic Resonance Imaging (MRI) is gaining importance in many medical diagnostic applications. This report presents two improvements for brain neoplasm detection in MRI data: an advanced preprocessing technique is proposed to improve the area of interest in MRI data and a hybrid technique using Convolutional Neural Network (CNN) for feature extraction followed by Support Vector Machine (SVM) for classification. The learning algorithm for SVM is modified with the addition of cost function to minimize false positive prediction addressing the errors in MR…
Shenzhen University(深圳大学);Guangdong Province Traditional Chinese Medical Hospital(广东省中医院)
Automated breast ultrasound (ABUS) is a new and promising imaging modality for breast cancer detection and diagnosis, which could provide intuitive 3D information and coronal plane information with great diagnostic value. However, manually screening and diagnosing tumors from ABUS images is very time-consuming and overlooks of abnormalities may happen. In this study, we propose a novel two-stage 3D detection network for locating suspected lesion areas and further classifying lesions as benign or malignant tumors. Specifically, we propose a 3D detection network rather than frequently-used segme…
Automated Description Generation of Cytologic Findings for Lung Cytological Images Using a Pretrained Vision Model and Dual Text Decoders: Preliminary Study
Faculty of Information Engineering, Meijo University(_meijo大学信息工程学部);School of Medicine, Fujita Health University(_fujita健康大学医学部);Narita Memorial Hospital(_narita纪念医院);Oncology Innovation Center, Fujita Health University(_fujita健康大学肿瘤创新中心);Faculty of Engineering, Gifu University(_gifu大学工学部)
IBM Research - Europe(IBM欧洲研究院);University College Dublin(都柏林大学学院);Royal College of Surgeons(皇家外科医学院)
Intra-operative identification of malignant versus benign or healthy tissue is a major challenge in fluorescence guided cancer surgery. We propose a perfusion quantification method for computer-aided interpretation of subtle differences in dynamic perfusion patterns which can be used to distinguish between normal tissue and benign or malignant tumors intra-operatively in real-time by using multispectral endoscopic videos. The method exploits the fact that vasculature arising from cancer angiogenesis gives tumors differing perfusion patterns from the surrounding tissue, and defines a signature …
Universidade Estadual de Ponta Grossa(蓬塔格罗萨州立大学);Pontificia Universidade Católica do Paraná(巴拉那天主教大学);Universidade Federal do Paraná(巴拉那联邦大学);École de Technologie Supérieure(高等技术学院)
Biopsies are the gold standard for breast cancer diagnosis. This task can be improved by the use of Computer Aided Diagnosis (CAD) systems, reducing the time of diagnosis and reducing the inter and intra-observer variability. The advances in computing have brought this type of system closer to reality. However, datasets of Histopathological Images (HI) from biopsies are quite small and unbalanced what makes difficult to use modern machine learning techniques such as deep learning. In this paper we propose a compact architecture based on texture filters that has fewer parameters than traditiona…
Image Processing represents the backbone research area within engineering and computer science specialization. It is promptly growing technologies today, and its applications founded in various aspects of biomedical fields especially in cancer disease. Breast cancer is considered the fatal one of all cancer types according to recent statistics all over the world. It is the most commonly cancer in women and the second reason of cancer death between females. About 23% of the total cancer cases in both developing and developed countries. In this work, an interpolation process was used to classify…
Tunghai University(东海大学);Changhua Christian Hospital(彰化基督教医院)
Malignant and benign breast tumors present differently in their shape and size on sonography. Morphological information provided by tumor contours are important in clinical diagnosis. However, ultrasound images contain noises and tissue texture; clinical diagnosis thus highly depends on the experience of physicians. The manual way to sketch three-dimensional (3D) contours of breast tumor is a time-consuming and complicate task. If automatic contouring could provide a precise breast tumor contour that might assist physicians in making an accurate diagnosis. This study presents an efficient meth…
Center for Data Science, New York University(纽约大学数据科学中心);Department of Radiology, New York University School of Medicine(纽约大学医学院放射科);Perlmutter Cancer Center, NYU Langone Health(纽约大学朗格尼医学中心珀尔马特癌症中心);Center for Advanced Imaging Innovation and Research, NYU Langone Health(纽约大学朗格尼医学中心先进成像创新与研究中心);Department of Computer Science, Courant Institute of Mathematical Sciences, New York University(纽约大学库朗数学科学研究所计算机科学系)
Breast cancer is the most common cancer in women, and hundreds of thousands of unnecessary biopsies are done around the world at a tremendous cost. It is crucial to reduce the rate of biopsies that turn out to be benign tissue. In this study, we build deep neural networks (DNNs) to classify biopsied lesions as being either malignant or benign, with the goal of using these networks as second readers serving radiologists to further reduce the number of false positive findings. We enhance the performance of DNNs that are trained to learn from small image patches by integrating global context prov…
Politecnico di Milano(米兰理工大学);Istituto Italiano di Tecnologia(意大利技术研究院);Università Politecnica delle Marche(马尔凯理工大学)
Breast cancer is one of the deadliest cancer worldwide. Timely detection could reduce mortality rates. In the clinical routine, classifying benign and malignant tumors from ultrasound (US) imaging is a crucial but challenging task. An automated method, which can deal with the variability of data is therefore needed. In this paper, we compared different Convolutional Neural Networks (CNNs) and transfer learning methods for the task of automated breast tumor classification. The architectures investigated in this study were VGG-16 and Inception V3. Two different training strategies were investiga…
Using Spatio-Temporal Dual-Stream Network with Self-Supervised Learning for Lung Tumor Classification on Radial Probe Endobronchial Ultrasound Video
National Yang Ming Chiao Tung University(国立阳明交通大学);National Taiwan University Cancer Center(台湾大学癌症中心);National Taiwan University Hospital(台湾大学医院);National Taiwan University Hsin-Chu Hospital(台湾大学新竹医院)
A Multi-Stage Deep Learning Framework with PKCP-MixUp Augmentation for Pediatric Liver Tumor Diagnosis Using Multi-Phase Contrast-Enhanced CT
Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology(华中科技大学同济医学院武汉儿童医院(武汉市妇幼保健院));Wuhan University(武汉大学);Wuhan Cloud Computing Technology Co., Ltd.(武汉云计算技术有限公司)
Explainable Multimodal Deep Learning Integrating Imaging and Clinical Data for Oral Potentially Malignant Disorder Detection
Wyant College of Optical Sciences, University of Arizona(亚利桑那大学怀恩特光学科学学院);Beckman Laser Institute & Medical Clinic, University of California Irvine(加州大学尔湾分校贝克曼激光研究所与医学诊所)
University of Malaya(马来亚大学);University of Tehran(德黑兰大学)
Reliable classification of benign and malignant lesions in breast ultrasound images can provide an effective and relatively low cost method for early diagnosis of breast cancer. The accuracy of the diagnosis is however highly dependent on the quality of the ultrasound systems and the experience of the users (radiologists). The leverage in deep convolutional neural network approaches provided solutions in efficient analysis of breast ultrasound images. In this study, we proposed a new framework for classification of breast cancer lesions by use of an attention module in modified VGG16 architect…
Nanjing University of Posts and Telecommunications(南京邮电大学);Hubei University of Technology(湖北工业大学);Chongqing University(重庆大学)
Melanoma is the most malignant skin tumor and usually cancerates from normal moles, which is difficult to distinguish benign from malignant in the early stage. Therefore, many machine learning methods are trying to make auxiliary prediction. However, these methods attach more attention to the image data of suspected tumor, and focus on improving the accuracy of image classification, but ignore the significance of patient-level contextual information for disease diagnosis in actual clinical diagnosis. To make more use of patient information and improve the accuracy of diagnosis, we propose a ne…
Zonguldak Bulent Ecevit University(宗古尔达克·比伦特·埃杰维特大学)
Cancer disease is one of the leading causes of death all over the world. Breast cancer, which is a common cancer disease especially in women, is quite common. The most important tool used for early detection of this cancer type, which requires a long process to establish a definitive diagnosis, is histopathological images taken by biopsy. These obtained images are examined by pathologists and a definitive diagnosis is made. It is quite common to detect this process with the help of a computer. Detection of benign or malignant tumors, especially by using data with different magnification rates,…
SSN College of Engineering(SSN工程学院);RMK College of Engineering and Technology(RMK工程技术学院)
In the existing research of mammogram image classification, either clinical data or image features of a specific type is considered along with the supervised classifiers such as Neural Network (NN) and Support Vector Machine (SVM). This paper considers automated classification of breast tissue type as benign or malignant using Weighted Feature Support Vector Machine (WFSVM) through constructing the precomputed kernel function by assigning more weight to relevant features using the principle of maximizing deviations. Initially, MIAS dataset of mammogram images is divided into training and test …
Shanghai Jiao Tong University(上海交通大学);Shanghai Chest Hospital(上海市胸科医院);Imperial College London(帝国理工学院)
Recent evolution in deep learning has proven its value for CT-based lung nodule classification. Most current techniques are intrinsically black-box systems, suffering from two generalizability issues in clinical practice. First, benign-malignant discrimination is often assessed by human observers without pathologic diagnoses at the nodule level. We termed these data as "unsure data". Second, a classifier does not necessarily acquire reliable nodule features for stable learning and robust prediction with patch-level labels during learning. In this study, we construct a sure dataset with patholo…