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Artificial Intelligence in Health





                                        ORIGINAL RESEARCH ARTICLE
                                        Optimized convolutional neural network model

                                        for multilevel classification in leukemia diagnosis
                                        using Tversky loss



                                        Kumari Pritee *  and Rahul Dev Garg 2
                                                    1
                                        1 Department of Information System Management, IIM Sambalpur, Sambalpur, India
                                        2 Department of Geomatics Engineering, IIT Roorkee, Roorkee, India




                                        Abstract
                                        Leukemia diagnosis traditionally depends on time-intensive examination of blood
                                        cell morphology, a process prone to human error. To address these challenges, this
                                        study explores the use of convolutional neural networks (CNNs) optimized with
                                        the Tversky loss function for automated, multilevel image classification in leukemia
                                        diagnostics. The model was designed to tackle binary classification for distinguishing
            *Corresponding author:      normal from abnormal cells, and multiclass classification for identifying leukemia
            Kumari Pritee
            (preetik@iimsambalpur.ac.in)  subtypes, while addressing the challenges of imbalanced datasets inherent in
                                        medical imaging. Trained on publicly available leukemia image datasets, the CNN
            Citation: Pritee K, Garg RD.   achieved  high accuracy in both tasks,  effectively  capturing subtle  morphological
            Optimized convolutional neural
            network model for multilevel   variations critical for precise diagnosis. By incorporating performance metrics such
            classification in leukemia diagnosis   as accuracy, precision, and recall, the study highlights the model’s reliability and
            using Tversky loss. Artif Intell   robustness across classification tasks. The findings underscore the potential of CNN-
            Health. 2025;2(3):63-76.
            doi: 10.36922/aih.4710      based tools in enhancing diagnostic accuracy and efficiency, paving the way for future
                                        innovations in leukemia diagnostics and broader medical imaging applications.
            Received: August 30, 2024
            1st revised: September 27, 2024
                                        Keywords: Multilevel classification; Deep learning; Leukemia; Convolutional neural
            2nd revised: October 28, 2024  networks; Medical image analysis; Automated diagnosis
            3rd revised: December 10, 2024
            4th revised: December 31, 2024
            5th revised: January 3, 2025  1. Introduction
            Accepted: January 8, 2025   1.1. Background and motivation
            Published online: January 22,   Leukemia, a type of cancer affecting blood and bone marrow, requires timely and
            2025
                                        accurate diagnosis for effective treatment. However, traditional diagnostic methods such
            Copyright: © 2025 Author(s).   as microscopic examination are time-consuming, labor-intensive, and prone to human
            This is an Open-Access article
            distributed under the terms of the   error. With the increasing volume of medical imaging data, there is a growing need for
            Creative Commons Attribution   automated diagnostic tools that can enhance both the speed and accuracy of leukemia
            License, permitting distribution,
            and reproduction in any medium,   diagnosis. This paper aims to address these challenges by leveraging deep learning
            provided the original work is   (DL) techniques, specifically convolutional neural networks (CNNs), for the multilevel
            properly cited.             classification of leukemia cells, offering a more reliable and efficient diagnostic solution.
            Publisher’s Note: AccScience
            Publishing remains neutral with   1.2. Contributions
            regard to jurisdictional claims in
            published maps and institutional   The main contributions of this work are threefold. First, we introduce a multilevel
            affiliations.               classification framework for leukemia diagnosis, which uses CNNs optimized with the


            Volume 2 Issue 3 (2025)                         63                               doi: 10.36922/aih.4710
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