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Acute Lymphoblastic Leukemia (ALL) is the most common pediatric cancer, accounting for approximately 30–34% of childhood cancer diagnoses. Early detection is critical for improving survival outcomes; however, many resource-limited settings lack access to advanced diagnostic technologies such as flow cytometry and cytogenetic analysis. Manual microscopy remains widely used but is time-consuming and subject to inter-observer variability, limiting diagnostic efficiency and consistency. This study evaluates the effectiveness of transfer learning using pre-trained ResNet architectures for automated classification of leukemia cells from microscopy images, with a focus on the impact of model depth and fine-tuning strategies. Using the C-NMC Challenge dataset (10,661 training and 1,867 validation images; 68% cancer, 32% healthy), images were resized to 224×224 pixels and normalized to ImageNet standards. Transfer learning was implemented with ResNet18 and ResNet50 models, comparing a fully frozen baseline to partial fine-tuning of deeper convolutional layers. Models were trained using the Adam optimizer with early stopping based on validation performance. Results demonstrate that fine-tuning significantly improves classification accuracy over frozen feature extraction. The frozen ResNet18 baseline achieved 65.77% validation accuracy, while fine-tuning improved performance to 76.22% (+10.45%). Increasing architectural depth further enhanced performance, with fine-tuned ResNet50 achieving 78.41% accuracy (+12.64% over baseline). Training dynamics revealed moderate overfitting, with validation accuracy peaking at epoch 7 and an 11.39% train–validation gap at optimal performance. These findings support the feasibility of transfer learning for leukemia detection in low-data medical imaging contexts, demonstrating that both fine-tuning and increased model depth yield measurable performance gains. While overfitting and class imbalance remain limitations, the proposed approach shows promise as a cost-effective screening tool in resource-constrained settings. A hybrid clinical workflow incorporating confidence-based thresholding for expert review may further enhance reliability and reduce diagnostic risk.

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Apr 23rd, 10:00 AM Apr 23rd, 12:00 PM

Transfer Learning with ResNet Architectures for Leukemia Detection from Microscopy Images

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Acute Lymphoblastic Leukemia (ALL) is the most common pediatric cancer, accounting for approximately 30–34% of childhood cancer diagnoses. Early detection is critical for improving survival outcomes; however, many resource-limited settings lack access to advanced diagnostic technologies such as flow cytometry and cytogenetic analysis. Manual microscopy remains widely used but is time-consuming and subject to inter-observer variability, limiting diagnostic efficiency and consistency. This study evaluates the effectiveness of transfer learning using pre-trained ResNet architectures for automated classification of leukemia cells from microscopy images, with a focus on the impact of model depth and fine-tuning strategies. Using the C-NMC Challenge dataset (10,661 training and 1,867 validation images; 68% cancer, 32% healthy), images were resized to 224×224 pixels and normalized to ImageNet standards. Transfer learning was implemented with ResNet18 and ResNet50 models, comparing a fully frozen baseline to partial fine-tuning of deeper convolutional layers. Models were trained using the Adam optimizer with early stopping based on validation performance. Results demonstrate that fine-tuning significantly improves classification accuracy over frozen feature extraction. The frozen ResNet18 baseline achieved 65.77% validation accuracy, while fine-tuning improved performance to 76.22% (+10.45%). Increasing architectural depth further enhanced performance, with fine-tuned ResNet50 achieving 78.41% accuracy (+12.64% over baseline). Training dynamics revealed moderate overfitting, with validation accuracy peaking at epoch 7 and an 11.39% train–validation gap at optimal performance. These findings support the feasibility of transfer learning for leukemia detection in low-data medical imaging contexts, demonstrating that both fine-tuning and increased model depth yield measurable performance gains. While overfitting and class imbalance remain limitations, the proposed approach shows promise as a cost-effective screening tool in resource-constrained settings. A hybrid clinical workflow incorporating confidence-based thresholding for expert review may further enhance reliability and reduce diagnostic risk.

 

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