Impact of transfer learning on convolutional neural networks for odontogenic tumor diagnosis.

Giraldo-Roldán, Daniela - Nakamura, Thaís Cerqueira Reis - Claret, Anderson Faria - Santos, Giovanna Calabrese dos - Pulido-Díaz, Katya - Gerber-Mora, Roberto - Gónzalez-Pérez, Leonor Victoria - Câmara, Jeconias - Pontes, Hélder Antônio Rebelo - Martins, Manoela Domingues - Oliveira, Márcio Campos - Pereira-Prado, Vanesa - Silveira, Felipe Martins - Bologna-Molina, Ronell - Araújo, Anna Luíza Damaceno - Moraes, Matheus Cardoso - Vargas, Pablo Agustin

Resumen:

Objective This study aimed to evaluate the coherence between data heterogeneity and model complexity by comparing seven convolutional neural network (CNN) architectures—trained with and without ImageNet pretraining—in a multiclass framework for the histopathological classification of three odontogenic tumors: adenomatoid odontogenic tumor, ameloblastoma, and ameloblastic carcinoma. The goal was to investigate how transfer learning influences performance and diagnostic reliability in a clinically relevant context characterized by overlapping histological patterns. Methods An international, multicenter cross-sectional dataset of 64 hematoxylin- and eosin-stained whole slide images was analyzed, including adenomatoid odontogenic tumor (n = 16), ameloblastoma (n = 27), and ameloblastic carcinoma (n = 21). Seven CNN models (DenseNet121, EfficientNetV2B0, InceptionV3, MobileNet, ResNet50, VGG16, and Xception) were trained and tested on 455,107 patches (224 × 224 pixels). Performance was assessed using accuracy, balanced accuracy, sensitivity, specificity, F1-score, and AUC. Results Without ImageNet pretraining, DenseNet121 achieved the highest performance (accuracy = 0.73, balanced accuracy = 0.74, AUC = 0.78, specificity = 0.84, sensitivity = 0.65), followed by EfficientNetV2B0 (accuracy = 0.67, balanced accuracy = 0.68, sensitivity = 0.54). When ImageNet pretraining was applied, performance improved across all architectures. EfficientNetV2B0 reached the best overall results (accuracy = 0.79, balanced accuracy = 0.81, AUC = 0.91, specificity = 0.88, sensitivity = 0.74), while DenseNet121 maintained consistent performance (accuracy = 0.72, balanced accuracy = 0.74, AUC = 0.85, specificity = 0.84, sensitivity = 0.64). Conclusion Transfer learning with ImageNet weights enhanced the performance of most CNNs, with EfficientNetV2B0 showing the greatest responsiveness to pretraining and DenseNet121 demonstrating intrinsic robustness to initialization. These results highlight the potential of CNN-based frameworks to support the differential diagnosis of odontogenic tumors—an inherently challenging task due to morphological overlap—while establishing reproducible methodological baselines that contribute to the global development of explainable, ensemble-based, and clinically reliable AI systems in oral pathology.

Detalles Bibliográficos
2026
APRENDIZAJE AUTOMÁTICO
REDES NEURONALES CONVOLUCIONALES
TUMORES ODONTOGÉNICOS
INTELIGENCIA ARTIFICIAL
APRENDIZAJE PROFUNDO
Inglés
Universidad de la República
COLIBRI
https://hdl.handle.net/20.500.12008/53707
Acceso abierto
Licencia Creative Commons Atribución (CC - By 4.0)
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author Giraldo-Roldán, Daniela
author2 Nakamura, Thaís Cerqueira Reis
Claret, Anderson Faria
Santos, Giovanna Calabrese dos
Pulido-Díaz, Katya
Gerber-Mora, Roberto
Gónzalez-Pérez, Leonor Victoria
Câmara, Jeconias
Pontes, Hélder Antônio Rebelo
Martins, Manoela Domingues
Oliveira, Márcio Campos
Pereira-Prado, Vanesa
Silveira, Felipe Martins
Bologna-Molina, Ronell
Araújo, Anna Luíza Damaceno
Moraes, Matheus Cardoso
Vargas, Pablo Agustin
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Giraldo-Roldán, Daniela
Nakamura, Thaís Cerqueira Reis
Claret, Anderson Faria
Santos, Giovanna Calabrese dos
Pulido-Díaz, Katya
Gerber-Mora, Roberto
Gónzalez-Pérez, Leonor Victoria
Câmara, Jeconias
Pontes, Hélder Antônio Rebelo
Martins, Manoela Domingues
Oliveira, Márcio Campos
Pereira-Prado, Vanesa
Silveira, Felipe Martins
Bologna-Molina, Ronell
Araújo, Anna Luíza Damaceno
Moraes, Matheus Cardoso
Vargas, Pablo Agustin
author_role author
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dc.contributor.filiacion.none.fl_str_mv Giraldo-Roldán Daniela, Universidad de Campinas (Brasil).
Nakamura Thaís Cerqueira Reis, Universidad Federal de São Paulo (Brasil).
Claret Anderson Faria, Universidad Federal de São Paulo (Brasil).
Santos Giovanna Calabrese dos, Universidad Federal de São Paulo (Brasil).
Pulido-Díaz Katya, Universidad Autónoma Metropolitana (México).
Gerber-Mora Roberto, Oroclinic (Costa Rica).
Gónzalez-Pérez Leonor Victoria, Universidad de Antioquia (Colombia).
Câmara Jeconias, Universidad Federal del Amazonas (Brasil).
Pontes Hélder Antônio Rebelo, Universidad Federal de Pará (Brasil).
Martins Manoela Domingues, Universidad Federal de Río Grande del Sur (Brasil).
Oliveira Márcio Campos, Universidad Estatal de Feira de Santana (Brasil).
Pereira-Prado Vanesa, Universidad de la República (Uruguay). Facultad de Odontología. Departamento de Diagnóstico en Patología y Medicina Oral.
Silveira Felipe Martins, Universidad de la República (Uruguay). Facultad de Odontología. Departamento de Diagnóstico en Patología y Medicina Oral.
Bologna-Molina Ronell, Universidad de la República (Uruguay). Facultad de Odontología. Departamento de Diagnóstico en Patología y Medicina Oral.
Araújo Anna Luíza Damaceno, Universidad de São Paulo (Brasil).
Moraes Matheus Cardoso, Universidad Federal de São Paulo (Brasil).
Vargas Pablo Agustin, Universidad de Campinas (Brasil).
dc.creator.none.fl_str_mv Giraldo-Roldán, Daniela
Nakamura, Thaís Cerqueira Reis
Claret, Anderson Faria
Santos, Giovanna Calabrese dos
Pulido-Díaz, Katya
Gerber-Mora, Roberto
Gónzalez-Pérez, Leonor Victoria
Câmara, Jeconias
Pontes, Hélder Antônio Rebelo
Martins, Manoela Domingues
Oliveira, Márcio Campos
Pereira-Prado, Vanesa
Silveira, Felipe Martins
Bologna-Molina, Ronell
Araújo, Anna Luíza Damaceno
Moraes, Matheus Cardoso
Vargas, Pablo Agustin
dc.date.accessioned.none.fl_str_mv 2026-03-04T16:15:27Z
dc.date.available.none.fl_str_mv 2026-03-04T16:15:27Z
dc.date.issued.none.fl_str_mv 2026
dc.description.abstract.none.fl_txt_mv Objective This study aimed to evaluate the coherence between data heterogeneity and model complexity by comparing seven convolutional neural network (CNN) architectures—trained with and without ImageNet pretraining—in a multiclass framework for the histopathological classification of three odontogenic tumors: adenomatoid odontogenic tumor, ameloblastoma, and ameloblastic carcinoma. The goal was to investigate how transfer learning influences performance and diagnostic reliability in a clinically relevant context characterized by overlapping histological patterns. Methods An international, multicenter cross-sectional dataset of 64 hematoxylin- and eosin-stained whole slide images was analyzed, including adenomatoid odontogenic tumor (n = 16), ameloblastoma (n = 27), and ameloblastic carcinoma (n = 21). Seven CNN models (DenseNet121, EfficientNetV2B0, InceptionV3, MobileNet, ResNet50, VGG16, and Xception) were trained and tested on 455,107 patches (224 × 224 pixels). Performance was assessed using accuracy, balanced accuracy, sensitivity, specificity, F1-score, and AUC. Results Without ImageNet pretraining, DenseNet121 achieved the highest performance (accuracy = 0.73, balanced accuracy = 0.74, AUC = 0.78, specificity = 0.84, sensitivity = 0.65), followed by EfficientNetV2B0 (accuracy = 0.67, balanced accuracy = 0.68, sensitivity = 0.54). When ImageNet pretraining was applied, performance improved across all architectures. EfficientNetV2B0 reached the best overall results (accuracy = 0.79, balanced accuracy = 0.81, AUC = 0.91, specificity = 0.88, sensitivity = 0.74), while DenseNet121 maintained consistent performance (accuracy = 0.72, balanced accuracy = 0.74, AUC = 0.85, specificity = 0.84, sensitivity = 0.64). Conclusion Transfer learning with ImageNet weights enhanced the performance of most CNNs, with EfficientNetV2B0 showing the greatest responsiveness to pretraining and DenseNet121 demonstrating intrinsic robustness to initialization. These results highlight the potential of CNN-based frameworks to support the differential diagnosis of odontogenic tumors—an inherently challenging task due to morphological overlap—while establishing reproducible methodological baselines that contribute to the global development of explainable, ensemble-based, and clinically reliable AI systems in oral pathology.
dc.format.extent.es.fl_str_mv 12 h.
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dc.identifier.citation.es.fl_str_mv Giraldo-Roldán, D, Nakamura, T, Claret, A, [y otros autores]. "Impact of transfer learning on convolutional neural networks for odontogenic tumor diagnosis". Head and Neck Pathology. [en línea] 2026, 20:24.
dc.identifier.doi.none.fl_str_mv 10.1007/s12105-025-01875-y
dc.identifier.issn.none.fl_str_mv 1936-0568
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12008/53707
dc.language.iso.none.fl_str_mv en
eng
dc.publisher.es.fl_str_mv Springer
dc.relation.none.fl_str_mv Head and Neck Pathology, 2026, 20:24.
dc.rights.license.none.fl_str_mv Licencia Creative Commons Atribución (CC - By 4.0)
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
dc.source.none.fl_str_mv reponame:COLIBRI
instname:Universidad de la República
instacron:Universidad de la República
dc.subject.other.es.fl_str_mv APRENDIZAJE AUTOMÁTICO
REDES NEURONALES CONVOLUCIONALES
TUMORES ODONTOGÉNICOS
INTELIGENCIA ARTIFICIAL
APRENDIZAJE PROFUNDO
dc.title.none.fl_str_mv Impact of transfer learning on convolutional neural networks for odontogenic tumor diagnosis.
dc.type.es.fl_str_mv Artículo
dc.type.none.fl_str_mv info:eu-repo/semantics/article
dc.type.version.none.fl_str_mv info:eu-repo/semantics/publishedVersion
description Objective This study aimed to evaluate the coherence between data heterogeneity and model complexity by comparing seven convolutional neural network (CNN) architectures—trained with and without ImageNet pretraining—in a multiclass framework for the histopathological classification of three odontogenic tumors: adenomatoid odontogenic tumor, ameloblastoma, and ameloblastic carcinoma. The goal was to investigate how transfer learning influences performance and diagnostic reliability in a clinically relevant context characterized by overlapping histological patterns. Methods An international, multicenter cross-sectional dataset of 64 hematoxylin- and eosin-stained whole slide images was analyzed, including adenomatoid odontogenic tumor (n = 16), ameloblastoma (n = 27), and ameloblastic carcinoma (n = 21). Seven CNN models (DenseNet121, EfficientNetV2B0, InceptionV3, MobileNet, ResNet50, VGG16, and Xception) were trained and tested on 455,107 patches (224 × 224 pixels). Performance was assessed using accuracy, balanced accuracy, sensitivity, specificity, F1-score, and AUC. Results Without ImageNet pretraining, DenseNet121 achieved the highest performance (accuracy = 0.73, balanced accuracy = 0.74, AUC = 0.78, specificity = 0.84, sensitivity = 0.65), followed by EfficientNetV2B0 (accuracy = 0.67, balanced accuracy = 0.68, sensitivity = 0.54). When ImageNet pretraining was applied, performance improved across all architectures. EfficientNetV2B0 reached the best overall results (accuracy = 0.79, balanced accuracy = 0.81, AUC = 0.91, specificity = 0.88, sensitivity = 0.74), while DenseNet121 maintained consistent performance (accuracy = 0.72, balanced accuracy = 0.74, AUC = 0.85, specificity = 0.84, sensitivity = 0.64). Conclusion Transfer learning with ImageNet weights enhanced the performance of most CNNs, with EfficientNetV2B0 showing the greatest responsiveness to pretraining and DenseNet121 demonstrating intrinsic robustness to initialization. These results highlight the potential of CNN-based frameworks to support the differential diagnosis of odontogenic tumors—an inherently challenging task due to morphological overlap—while establishing reproducible methodological baselines that contribute to the global development of explainable, ensemble-based, and clinically reliable AI systems in oral pathology.
eu_rights_str_mv openAccess
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identifier_str_mv Giraldo-Roldán, D, Nakamura, T, Claret, A, [y otros autores]. "Impact of transfer learning on convolutional neural networks for odontogenic tumor diagnosis". Head and Neck Pathology. [en línea] 2026, 20:24.
1936-0568
10.1007/s12105-025-01875-y
instacron_str Universidad de la República
institution Universidad de la República
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publishDate 2026
reponame_str COLIBRI
repository.mail.fl_str_mv karina.camps@seciu.edu.uy
repository.name.fl_str_mv COLIBRI - Universidad de la República
repository_id_str 4771
rights_invalid_str_mv Licencia Creative Commons Atribución (CC - By 4.0)
spelling Giraldo-Roldán Daniela, Universidad de Campinas (Brasil).Nakamura Thaís Cerqueira Reis, Universidad Federal de São Paulo (Brasil).Claret Anderson Faria, Universidad Federal de São Paulo (Brasil).Santos Giovanna Calabrese dos, Universidad Federal de São Paulo (Brasil).Pulido-Díaz Katya, Universidad Autónoma Metropolitana (México).Gerber-Mora Roberto, Oroclinic (Costa Rica).Gónzalez-Pérez Leonor Victoria, Universidad de Antioquia (Colombia).Câmara Jeconias, Universidad Federal del Amazonas (Brasil).Pontes Hélder Antônio Rebelo, Universidad Federal de Pará (Brasil).Martins Manoela Domingues, Universidad Federal de Río Grande del Sur (Brasil).Oliveira Márcio Campos, Universidad Estatal de Feira de Santana (Brasil).Pereira-Prado Vanesa, Universidad de la República (Uruguay). Facultad de Odontología. Departamento de Diagnóstico en Patología y Medicina Oral.Silveira Felipe Martins, Universidad de la República (Uruguay). Facultad de Odontología. Departamento de Diagnóstico en Patología y Medicina Oral.Bologna-Molina Ronell, Universidad de la República (Uruguay). Facultad de Odontología. Departamento de Diagnóstico en Patología y Medicina Oral.Araújo Anna Luíza Damaceno, Universidad de São Paulo (Brasil).Moraes Matheus Cardoso, Universidad Federal de São Paulo (Brasil).Vargas Pablo Agustin, Universidad de Campinas (Brasil).2026-03-04T16:15:27Z2026-03-04T16:15:27Z2026Giraldo-Roldán, D, Nakamura, T, Claret, A, [y otros autores]. "Impact of transfer learning on convolutional neural networks for odontogenic tumor diagnosis". Head and Neck Pathology. [en línea] 2026, 20:24.1936-0568https://hdl.handle.net/20.500.12008/5370710.1007/s12105-025-01875-yObjective This study aimed to evaluate the coherence between data heterogeneity and model complexity by comparing seven convolutional neural network (CNN) architectures—trained with and without ImageNet pretraining—in a multiclass framework for the histopathological classification of three odontogenic tumors: adenomatoid odontogenic tumor, ameloblastoma, and ameloblastic carcinoma. The goal was to investigate how transfer learning influences performance and diagnostic reliability in a clinically relevant context characterized by overlapping histological patterns. Methods An international, multicenter cross-sectional dataset of 64 hematoxylin- and eosin-stained whole slide images was analyzed, including adenomatoid odontogenic tumor (n = 16), ameloblastoma (n = 27), and ameloblastic carcinoma (n = 21). Seven CNN models (DenseNet121, EfficientNetV2B0, InceptionV3, MobileNet, ResNet50, VGG16, and Xception) were trained and tested on 455,107 patches (224 × 224 pixels). Performance was assessed using accuracy, balanced accuracy, sensitivity, specificity, F1-score, and AUC. Results Without ImageNet pretraining, DenseNet121 achieved the highest performance (accuracy = 0.73, balanced accuracy = 0.74, AUC = 0.78, specificity = 0.84, sensitivity = 0.65), followed by EfficientNetV2B0 (accuracy = 0.67, balanced accuracy = 0.68, sensitivity = 0.54). When ImageNet pretraining was applied, performance improved across all architectures. EfficientNetV2B0 reached the best overall results (accuracy = 0.79, balanced accuracy = 0.81, AUC = 0.91, specificity = 0.88, sensitivity = 0.74), while DenseNet121 maintained consistent performance (accuracy = 0.72, balanced accuracy = 0.74, AUC = 0.85, specificity = 0.84, sensitivity = 0.64). Conclusion Transfer learning with ImageNet weights enhanced the performance of most CNNs, with EfficientNetV2B0 showing the greatest responsiveness to pretraining and DenseNet121 demonstrating intrinsic robustness to initialization. These results highlight the potential of CNN-based frameworks to support the differential diagnosis of odontogenic tumors—an inherently challenging task due to morphological overlap—while establishing reproducible methodological baselines that contribute to the global development of explainable, ensemble-based, and clinically reliable AI systems in oral pathology.Submitted by Farias Verónica (verofariasblundell@gmail.com) on 2026-03-03T16:46:04Z No. of bitstreams: 2 license_rdf: 25630 bytes, checksum: e7132498e7c1fe99f7096667baa99b25 (MD5) 101007s1210502501875-y.pdf: 1892315 bytes, checksum: 2c0bfd50308bc6a8e15bd7cca53f2c8c (MD5)Made available in DSpace by Luna Fabiana (fabiana.luna@seciu.edu.uy) on 2026-03-04T16:15:27Z (GMT). No. of bitstreams: 2 license_rdf: 25630 bytes, checksum: e7132498e7c1fe99f7096667baa99b25 (MD5) 101007s1210502501875-y.pdf: 1892315 bytes, checksum: 2c0bfd50308bc6a8e15bd7cca53f2c8c (MD5) Previous issue date: 202612 h.application/pdfenengSpringerHead and Neck Pathology, 2026, 20:24.Las obras depositadas en el Repositorio se rigen por la Ordenanza de los Derechos de la Propiedad Intelectual de la Universidad de la República.(Res. Nº 91 de C.D.C. de 8/III/1994 – D.O. 7/IV/1994) y por la Ordenanza del Repositorio Abierto de la Universidad de la República (Res. Nº 16 de C.D.C. de 07/10/2014)info:eu-repo/semantics/openAccessLicencia Creative Commons Atribución (CC - By 4.0)APRENDIZAJE AUTOMÁTICOREDES NEURONALES CONVOLUCIONALESTUMORES ODONTOGÉNICOSINTELIGENCIA ARTIFICIALAPRENDIZAJE PROFUNDOImpact of transfer learning on convolutional neural networks for odontogenic tumor diagnosis.Artículoinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionreponame:COLIBRIinstname:Universidad de la Repúblicainstacron:Universidad de la RepúblicaGiraldo-Roldán, DanielaNakamura, Thaís Cerqueira ReisClaret, Anderson FariaSantos, Giovanna Calabrese dosPulido-Díaz, KatyaGerber-Mora, RobertoGónzalez-Pérez, Leonor VictoriaCâmara, JeconiasPontes, Hélder Antônio RebeloMartins, Manoela DominguesOliveira, Márcio CamposPereira-Prado, VanesaSilveira, Felipe MartinsBologna-Molina, RonellAraújo, Anna Luíza DamacenoMoraes, Matheus CardosoVargas, Pablo AgustinLICENSElicense.txtlicense.txttext/plain; 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- Universidad de la Repúblicafalse
spellingShingle Impact of transfer learning on convolutional neural networks for odontogenic tumor diagnosis.
Giraldo-Roldán, Daniela
APRENDIZAJE AUTOMÁTICO
REDES NEURONALES CONVOLUCIONALES
TUMORES ODONTOGÉNICOS
INTELIGENCIA ARTIFICIAL
APRENDIZAJE PROFUNDO
status_str publishedVersion
title Impact of transfer learning on convolutional neural networks for odontogenic tumor diagnosis.
title_full Impact of transfer learning on convolutional neural networks for odontogenic tumor diagnosis.
title_fullStr Impact of transfer learning on convolutional neural networks for odontogenic tumor diagnosis.
title_full_unstemmed Impact of transfer learning on convolutional neural networks for odontogenic tumor diagnosis.
title_short Impact of transfer learning on convolutional neural networks for odontogenic tumor diagnosis.
title_sort Impact of transfer learning on convolutional neural networks for odontogenic tumor diagnosis.
topic APRENDIZAJE AUTOMÁTICO
REDES NEURONALES CONVOLUCIONALES
TUMORES ODONTOGÉNICOS
INTELIGENCIA ARTIFICIAL
APRENDIZAJE PROFUNDO
url https://hdl.handle.net/20.500.12008/53707