Segmentation, Classification and Interpretation of Breast Cancer Medical Images using Human-in-the-Loop Machine Learning

This paper explores the application of Human-in-the-Loop (HITL) strategies in training machine learning models in the medical domain. In this case a doctor-in-the-loop approach is proposed to leverage human expertise in dealing with large and complex data. Specifically, the paper deals with the integration of genomic data and Whole Slide Imaging (WSI) analysis of breast cancer. Three different tasks were developed: segmentation of histopathological images, classification of this images regarding the genomic subtype of the cancer and, finally, interpretation of the machine learning results. The involvement of a pathologist helped us to develop a better segmentation model and to enhance the explainatory capabilities of the models, but the classification results were suboptimal, highlighting the limitations of this approach: despite involving human experts, complex domains can still pose challenges, and a HITL approach may not always be effective.