Two‐stage coarse‐to‐fine method for pathological images in medical decision‐making systems

Abstract Artificial intelligence decision systems play an important supporting role in the field of medical information. Medical image analysis is an important part of decision systems and an even more important part of medical diagnosis and treatment. The wealth of cellular information in histopathological images makes them a reliable means of diagnosing tumors. However, due to the large size, high resolution, and complex background structure of pathology images, deep learning methods still have various difficulties in the recognition of pathology images. Based on this, this study proposes a two‐stage continuous improvement‐based approach for pathology image recognition in medical decision systems. For pathology images with complex backgrounds, normalization and enhancement is performed to remove the effects of noise color, and light‐dark inconsistencies on the segmentation network. The continuous refinement PSP Net (CRPSPNet) is then designed for accurate recognition of the pathology images. CRPSPNet is divided into two stages: Pyramid Scene Parsing Network segmentation to obtain coarse segmentation results; and continuous refinement model refines the results of the first stage. Experiments using more than 1,000 osteosarcoma pathology images have shown that the method gives more accurate results with fewer computer resources and processing time than traditional optimization models. Its Intersection over Union achieves 0.76.