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    Summary
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    This study introduces a feedback loop for digital pathology, enhancing classification algorithms with pathologist input. This novel approach significantly improves diagnostic accuracy in computational pathology.

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    Area of Science:

    • Computational pathology
    • Medical artificial intelligence
    • Image analysis

    Background:

    • Digital pathology integrates classification algorithms, Graphical User Interfaces (GUIs), and pathologists.
    • Current systems feature unidirectional interaction from algorithms to pathologists.
    • Improving algorithm performance necessitates incorporating pathologist expertise.

    Purpose of the Study:

    • To introduce a novel feedback-based method for digital pathology.
    • To enhance the performance of classification algorithms using pathologist feedback.
    • To develop a simple and adaptive GUI for this feedback system.

    Main Methods:

    • Implementation of a bidirectional interaction pathway between algorithms and pathologists.
    • Development of an adaptive Graphical User Interface (GUI) for seamless feedback.
    • Application of the feedback method to a Convolutional Neural Network (CNN) algorithm.

    Main Results:

    • Significant improvement in classification performance was observed.
    • The 25% quantile of prediction probability scores increased from 0.48 to 0.89.
    • The median prediction probability score rose from 0.95 to 0.99.

    Conclusions:

    • The proposed feedback-based method effectively enhances digital pathology algorithm performance.
    • Pathologist feedback is crucial for refining computational pathology tools.
    • The developed GUI facilitates efficient integration of human expertise into AI models.