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    Summary
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    This study reduces deep learning (DL) costs for optical coherence tomography (OCT) image analysis. A novel active learning framework efficiently identifies critical OCT images, achieving 97% classification accuracy with minimal data.

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    Area of Science:

    • Medical Imaging
    • Artificial Intelligence
    • Computational Pathology

    Background:

    • Deep learning (DL) models for automated pathology classification are effective but require substantial data and computational resources.
    • Optical coherence tomography (OCT) imaging generates complex data that benefits from automated analysis.

    Purpose of the Study:

    • To decrease the data and computational costs associated with training DL models for OCT image classification.
    • To introduce an active learning framework for efficient OCT image dataset selection and model fine-tuning.

    Main Methods:

    • Pre-training a ResNet feature extractor using SimCLR contrastive loss for latent encoding of OCT images.
    • Developing an active learning framework utilizing label propagation on latent encodings to identify uncertain OCT image samples.
    • Fine-tuning the pre-trained ResNet model on a minimal, sub-sampled dataset and visually explaining pathological sites.

    Main Results:

    • The proposed framework identified a minimal subset (as low as 2%) of uncertain OCT images requiring specialist attention.
    • Fine-tuning on this minimal dataset achieved up to 97% classification accuracy for OCT image analysis.
    • The method demonstrated significant reductions in data and compute requirements for DL training.

    Conclusions:

    • The active learning framework effectively reduces the cost of DL model training for OCT image classification.
    • This approach enables efficient identification of critical samples, enhancing diagnostic capabilities.
    • The methodology shows promise for extension to other medical imaging modalities to minimize prediction costs.