A Cytopathologist Eye Assistant for Cell Screening

Abstract

Screening of Pap smear images continues to depend upon cytopathologists’ manual scrutiny, and the results are highly influenced by professional experience, leading to varying degrees of cell classification inaccuracies. In order to improve the quality of the Pap smear results, several efforts have been made to create software to automate and standardize the processing of medical images. In this work, we developed the CEA (Cytopathologist Eye Assistant), an easy-to-use tool to aid cytopathologists in performing their daily activities. In addition, the tool was tested by a group of cytopathologists, whose feedback indicates that CEA could be a valuable tool to be integrated into Pap smear image analysis routines. For the construction of the tool, we evaluate different YOLO configurations and classification approaches. The best combination of algorithms uses YOLOv5s as a detection algorithm and an ensemble of EfficientNets as a classification algorithm. This configuration achieved 0.726 precision, 0.906 recall, and 0.805 F1-score when considering individual cells. We also made an analysis to classify the image as a whole, in which case, the best configuration was the YOLOv5s to perform the detection and classification tasks, and it achieved 0.975 precision, 0.992 recall, 0.970 accuracy, and 0.983 F1-score.