TY - JOUR A1 - Frenken, Ann‐Kathrin A1 - Sievert, Matti A1 - Panuganti, Bharat A1 - Aubreville, Marc A1 - Meyer, Till A1 - Scherzad, Agmal A1 - Gehrke, Thomas A1 - Scheich, Matthias A1 - Hackenberg, Stephan A1 - Goncalves, Miguel T1 - Feasibility of Optical Biopsy During Endoscopic Sinus Surgery With Confocal Laser Endomicroscopy: A Pilot Study JF - The Laryngoscope UR - https://doi.org/10.1002/lary.31503 Y1 - 2024 UR - https://doi.org/10.1002/lary.31503 SN - 1531-4995 PB - Wiley CY - Malden ER - TY - INPR A1 - Aubreville, Marc A1 - Pan, Zhaoya A1 - Sievert, Matti A1 - Ammeling, Jonas A1 - Ganz, Jonathan A1 - Oetter, Nicolai A1 - Stelzle, Florian A1 - Frenken, Ann-Kathrin A1 - Breininger, Katharina A1 - Goncalves, Miguel T1 - Few Shot Learning for the Classification of Confocal Laser Endomicroscopy Images of Head and Neck Tumors N2 - The surgical removal of head and neck tumors requires safe margins, which are usually confirmed intraoperatively by means of frozen sections. This method is, in itself, an oversampling procedure, which has a relatively low sensitivity compared to the definitive tissue analysis on paraffin-embedded sections. Confocal laser endomicroscopy (CLE) is an in-vivo imaging technique that has shown its potential in the live optical biopsy of tissue. An automated analysis of this notoriously difficult to interpret modality would help surgeons. However, the images of CLE show a wide variability of patterns, caused both by individual factors but also, and most strongly, by the anatomical structures of the imaged tissue, making it a challenging pattern recognition task. In this work, we evaluate four popular few shot learning (FSL) methods towards their capability of generalizing to unseen anatomical domains in CLE images. We evaluate this on images of sinunasal tumors (SNT) from five patients and on images of the vocal folds (VF) from 11 patients using a cross-validation scheme. The best respective approach reached a median accuracy of 79.6% on the rather homogeneous VF dataset, but only of 61.6% for the highly diverse SNT dataset. Our results indicate that FSL on CLE images is viable, but strongly affected by the number of patients, as well as the diversity of anatomical patterns. UR - https://doi.org/10.48550/arXiv.2311.07216 Y1 - 2023 UR - https://doi.org/10.48550/arXiv.2311.07216 UR - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:573-41522 PB - arXiv CY - Ithaca ER -