journal article·2025-01-31Open access

Optimizing Cervical Cancer Diagnosis with Feature Selection and Deep Learning

Łukasz Jeleń, Izabela Stankiewicz-Antosz, Maria Chosia, Michał Jeleń

Applied Sciences· Volume 15· Issue 3

Abstract

The main purpose of cervical cancer diagnosis is a correct and rapid detection of the disease and the determination of its histological type. This study investigates the effectiveness of combining handcrafted feature-based methods with convolutional neural networks for the determination of cancer histological type, emphasizing the role of feature selection in enhancing classification accuracy. Here, a data set of liquid-based cytology images was analyzed and a set of handcrafted morphological features was introduced. Furthermore, features were optimized through advanced selection techniques, including stepwise and significant feature selection, to reduce feature dimensionality while retaining critical diagnostic information. These reduced feature sets were evaluated using several classifiers including support vector machines and compared with CNN-based approach, highlighting differences in accuracy and precision. The results demonstrate that optimized feature sets, paired with SVM classifiers, achieve classification performance comparable to those of CNNs while significantly reducing computational complexity. This finding underscores the potential of feature reduction techniques in creating efficient diagnostic frameworks. The study concludes that while convolutional neural networks offer robust classification capabilities, optimized handcrafted features remain a viable and cost-effective alternative, particularly when the data count is limited. This work contributes to advancing automated diagnostic systems by balancing accuracy, efficiency, and interpretability.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: AI in cancer detection · Cervical Cancer and HPV Research · Digital Imaging for Blood Diseases

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Computer Engineering, Wroclaw University of Science and Technology, wyb. Stanisława Wyspiańskiego 27, 50-370 Wrocław, Poland

Faculty of Security Studies, General Tadeusz Kościuszko Military University of Land Forces, ul. Piotra Czajkowskiego 109, 51-147 Wrocław, Poland

Department of Pathology, Pomeranian Medical University, ul. Unii Lubelskiej 1, 71-252 Szczecin, Poland

Department of Immunopathology and Molecular Biology, Wroclaw Medical University, ul. Borowska 211, 50-556 Wrocław, Poland

References (49)

Show source-provided references
1. Wild, C.P., Weiderpass, E., and Stewart, B.W. (2020). World Cancer Report: Cancer Research for Cancer Prevention, IARC.
2. National Cancer Registry of Poland (2024, November 19). Incidence Statistics for 2021. Available online: https://onkologia.org.pl/en.
3. Influence of Feature Set Reduction on Breast Cancer Malignancy Classification of Fine Needle Aspiration Biopsies10.1016/j.compbiomed.2016.10.007 ↗
4. Stankiewicz, I. (2018). Using a Computer Program to Evaluate Cytological Smears Received from the Vaginal Part of the Cervix Using the LBC Method. [Master’s thesis, Wroclaw Medical University].
5. Anurag, A., Das, R., Jha, G.K., Thepade, S.D., Dsouza, N., and Singh, C. (2021, January 16–19). Feature Blending Approach for Efficient Categorization of Histopathological Images for Cancer Detection. Proceedings of the 2021 IEEE Pune Section International Conference (PuneCon), Pune, India.10.1109/PuneCon52575.2021.9686523 ↗
6. Daoud, M.I., Abdel-Rahman, S., Bdair, T.M., Al-Najjar, M., Al-Hawari, F., and Alazrai, R. (2020). Breast Tumor Classification in Ultrasound Images Using Combined Deep and Handcrafted Features. Sensors, 20.10.3390/s20236838 ↗
7. HPV testing in combination with liquid-based cytology in primary cervical screening (ARTISTIC): A randomised controlled trial10.1016/S1470-2045(09)70156-1 ↗
8. The diagnostic value of vaginal smears in carcinoma of the uterus10.1016/S0002-9378(16)40621-6 ↗
9. A new procedure for staining vaginal smears10.1126/science.95.2469.438 ↗
10. Solomon, D., and Kurman, R. (2012). The Bethesda System for Reporting Cervical/Vaginal Cytologic Diagnoses: Definitions, Criteria, and Explanatory Notes for Terminology and Specimen Adequacy, Springer.
11. Naghdy, G., Ros, M., Todd, C., and Norahmawati, E. (2011, January 26–29). Cervical Cancer Classification Using Gabor Filters. Proceedings of the 2011 IEEE First International Conference on Healthcare Informatics, Imaging and Systems Biology, San Jose, CA, USA.
12. Nominated Texture Based Cervical Cancer Classification10.1155/2015/586928 ↗
13. Textural Analysis of Pap Smears Images for k-NN and SVM Based Cervical Cancer Classification System10.25046/aj030420 ↗
14. Rapid diagnosis and classification of cervical lesions by serum infrared spectroscopy combined with machine learning
15. Rajeev, M.A. (2021, January 1–3). A Framework for Detecting Cervical Cancer Based on UD-MHDC Segmentation and MBD-RCNN Classification Techniques. Proceedings of the 2021 2nd Global Conference for Advancement in Technology, Bangalore, India.10.1109/GCAT52182.2021.9587533 ↗
16. Khoulqi, I., and Idrissi, N. (2022, January 14–16). Deep learning-based Cervical Cancer Classification. Proceedings of the 2022 International Conference on Technology Innovations for Healthcare (ICTIH), Magdeburg, Germany.10.1109/ICTIH57289.2022.10112111 ↗
17. Hemalatha, K., and Vetriselvi, V. (2022, January 17–18). Deep Learning based Classification of Cervical Cancer using Transfer Learning. Proceedings of the 2022 International Conference on Electronic Systems and Intelligent Computing, Odisha, India.
18. Detection and classification of cervical cancer images using CEENET deep learning approach10.3233/JIFS-220173 ↗
19. Comparative image analysis of conventional and thin-layer preparations in endometrial cytology10.1002/dc.22891 ↗
20. A randomized trial comparing conventional cytology to liquid–based cytology and computer assistance10.1002/ijc.27955 ↗
21. Comparing Deep Learning Models for Multi-cell Classification in Liquid-based Cervical Cytology Images
22. Computer-Aided Diagnostic System for Whole Slide Imaging of Liquid-Based Cervical Cytology Sample Classification Using Convolutional Neural Networks10.7251/COMEN2202169H ↗
23. Kanavati, F., Hirose, N., Ishii, T., Fukuda, A., Ichihara, S., and Tsuneki, M. (2022). A Deep Learning Model for Cervical Cancer Screening on Liquid-Based Cytology Specimens in Whole Slide Images. Cancers, 14.10.3390/cancers14051159 ↗
24. Deep Learning and Transfer Learning Methods to Effectively Diagnose Cervical Cancer from Liquid-Based Cytology Pap Smear Images10.3991/ijoe.v19i04.37437 ↗
25. Cervical Cancer Classification From Pap Smear Images Using Deep Convolutional Neural Network Models10.1007/s12539-023-00589-5 ↗
26. A Deep Learning-Based Approach for Cervical Cancer Classification Using 3D CNN and Vision Transformer10.1007/s10278-023-00911-z ↗
27. Gade, R., Felsberg, M., and Kämäräinen, J.K. From Local Binary Patterns to Pixel Difference Networks for Efficient Visual Representation Learning. Proceedings of the Image Analysis.
28. Detailed Investigation of Deep Features with Sparse Representation and Dimensionality Reduction in CBIR: A Comparative Study10.3233/IDA-184411 ↗
29. Extracting discriminative features for CBIR10.1007/s11042-011-0836-8 ↗
30. Zhang, J., and Liu, Y. (2004, January 26–29). Cervical Cancer Detection Using SVM Based Feature Screening. Proceedings of the Medical Image Computing and Computer-Assisted Intervention, Malo, France.10.1007/978-3-540-30136-3_106 ↗
31. Influence of Pattern Recognition Techniques on Breast Cytology Grading
32. Computer-aided diagnosis of breast cancer based on fine needle biopsy microscopic images10.1016/j.compbiomed.2013.08.003 ↗
33. An efficient k–means clustering algorithm: Analysis and implementation10.1109/TPAMI.2002.1017616 ↗
34. Jain, L. (2000). Xcyt: A System for Remote Cytological Diagnosis and Prognosis of Breast Cancer. Artificial Intelligence Techniques in Breast Cancer Diagnosis and Prognosis, World Scientific Publishing Company.10.1142/9789812792488 ↗
35. Umbaugh, S. (2011). Digital Image Processing and Analysis. Human and Computer Vision Applications with CVIPTools, CRC Press. [2nd ed.].10.1201/9781439802069 ↗
36. An Introduction to Variable and Feature Selection
37. Use of Ranks in One-Criterion Variance Analysis10.1080/01621459.1952.10483441 ↗
38. Conover, W. (1980). Practical Nonparametric Statistics, Wiley.
39. Corder, G.W., and Foreman, D.I. (2014). Nonparametric Statistics: A Step by Step Approach, Wiley. [2nd ed.].
40. The Use of Ranks to Avoid the Assumption of Normality Implicit in the Analysis of Variance10.1080/01621459.1937.10503522 ↗
41. Kleinbaum, D.G., Kupper, L.L., Nizam, A., and Muller, K.E. (2007). Applied Regression Analysis and Multivariable Methods, Duxbury Press. [4th ed.].
42. Duda, R., Hart, P., and Stork, D. (2000). Pattern Classification, Wiley Interscience Publishers. [2nd ed.].
43. An introduction to kernel and nearest-neighbor nonparametric regression10.1080/00031305.1992.10475879 ↗
44. Cristianini, N., and Shawe-Taylor, J. (2000). An Introduction to Support Vector Machines and Other Kernel-Based Learning Methods, Cambridge University Press.10.1017/CBO9780511801389 ↗
45. Idlahcen, F., Colere Mboukou, P.F., Zerouaoui, H., and Idri, A. (2022, January 24–26). Whole-slide Classification of H&E-stained Cervix Uteri Tissue using Deep Neural Networks. Proceedings of the 14th International Joint Conference on Knowledge Discovery, Knowledge Engineering, and Knowledge Management, Valletta, Malta.10.5220/0011578700003335 ↗
46. Mohammed, B.A., Senan, E.M., Al-Mekhlafi, Z.G., Alazmi, M., Alayba, A.M., Alanazi, A.A., Alreshidi, A., and Alshahrani, M. (2022). Hybrid Techniques for Diagnosis with WSIs for Early Detection of Cervical Cancer Based on Fusion Features. Appl. Sci., 12.10.3390/app12178836 ↗
47. Classification Assessment Methods10.1016/j.aci.2018.08.003 ↗
48. Measures Derived from a 2 × 2 Table for an Accuracy of a Diagnostic Test10.4172/2155-6180.1000128 ↗
49. Cervical cancerous cell classification: Opposition-based harmony search for deep feature selection10.1007/s13042-023-01872-z ↗