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Artificial Intelligence in Health                                        CNN model for leukemia diagnosis



            research contributes to the advancement of automated   feature extraction with the CNN architecture, the model
            medical image analysis, ultimately aiming to improve   becomes more adept at recognizing variations across
            patient care and outcomes in leukemia treatment. This   different resolutions, enabling it  to handle  complex and
            paper explores the role of multilevel image classification   imbalanced medical datasets effectively.
            using DL, specifically focusing on the C-NMC dataset.  Furthermore, the use of the Tversky loss function in
            1.3. Organization                                  this model addresses one of the core challenges in medical
                                                               image classification – class imbalance. Medical datasets,
            The paper is organized as follows: Section 2 provides a   particularly those used for leukemia diagnosis, often suffer
            comprehensive review of related work, highlighting key   from an uneven distribution of samples across different
            advancements in DL for medical image analysis. Section   categories.  The  Tversky  loss  function,  which  adjusts  the
            3 describes the proposed methodology, detailing the CNN   trade-off between false positives (FP) and false negatives
            architecture, the use of the Tversky loss function, and   (FN), ensures that the model remains sensitive to minority
            the training process. Section 4 presents the experimental   classes, improving overall performance on imbalanced
            results,  including  a  performance  comparison with  other   datasets. This is particularly important in the clinical
            state-of-the-art models. Finally, section 5 concludes the   context, where minimizing FN is crucial for early detection
            paper,  discussing  the  implications  of  our  findings  and   and treatment planning.
            potential directions for future research.
                                                                 Overall, the combination of CNN architecture, multi-
            2. Related work                                    scale  feature extraction, and the Tversky loss function
                                                               presents a robust solution for multilevel classification in
            2.1. Review of DL in medical image analysis        leukemia diagnosis. By incorporating techniques proven
            The application of DL in medical image analysis has   successful in other areas of computer vision, this model sets
            garnered significant attention in recent years, with   a new benchmark for automated medical image analysis,
            numerous studies demonstrating its potential to transform   offering enhanced diagnostic accuracy and reliability.
            diagnostics. This section reviews existing literature on   2.2. Existing solutions for leukemia diagnosis and
            the use of DL for leukemia detection and classification,   gaps addressed by this study
            highlighting  key methodologies, findings,  and gaps that
            this study aims to address. A key strength of this approach   Table 1 presents a detailed literature review  table
            lies in the model’s incorporation of multi-scale features,   summarizing the related work involving DL, the C-NMC
            a concept widely recognized for enhancing performance   dataset, and leukemia, including author details for 15
            in other areas of computer vision. Multi-scale features   studies from 2020 to 2024.
            have shown considerable utility in tasks such as image   Figure  2 presents a structured object-oriented model
            quality assessment, visual saliency detection, and person   for leukemia classification, breaking it down into acute
            re-identification. For example, Varga  illustrated the   and  chronic  forms,  with  subtypes  such  as myeloid and
                                            1
            effectiveness of multi-scale orderless pooling of deep   lymphocytic variants. One of the key advantages of this
            features for no-reference image quality assessment,   structure is that it facilitates systematic data representation,
            emphasizing the role of feature pooling at different scales   making it easier for machine learning (ML) or DL models
            to  capture  both  global  and  local  image  characteristics.   to process and identify patterns across the subtypes. This
            Similarly, Li and Yu  demonstrated the value of multiscale   model provides a clear hierarchy that can be used to label
                            2
            deep features in visual saliency detection, where analyzing   and categorize medical data, improving the efficiency and
            features at multiple scales helped detect visually significant   accuracy of automated disease detection systems.
            regions across images. In person re-identification, Chen
            et al.  utilized multi-scale DL architectures to improve   In addition, by organizing the leukemia subtypes into
                3
            recognition performance by mapping features across   a hierarchical object-oriented structure, the relationships
            different views and scales, highlighting the versatility of   between different types are easier to understand and
                                                               manage. This kind of classification allows for a more
            this approach.
                                                               detailed and accurate analysis of blood samples, which
              In the proposed CNN model for leukemia diagnosis,   can aid in the differentiation of leukemia types during
            multi-scale features are leveraged to detect subtle   the  diagnostic  process.  It  is  particularly  useful  when
            morphological differences between normal and leukemic   dealing with large datasets, where the defined subtype
            cells. This is critical for accurate subclassification of   structure ensures that various forms of leukemia are
            leukemia types, as cell morphology can vary significantly   appropriately identified, facilitating early diagnosis and
            between different subtypes. By integrating multi-scale   targeted treatment plans.


            Volume 2 Issue 3 (2025)                         65                               doi: 10.36922/aih.4710
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