RT Journal Article SR Electronic T1 Deceptive learning in histopathology JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.04.21.489110 DO 10.1101/2022.04.21.489110 A1 Sahar Shahamatdar A1 Daryoush Saeed-Vafa A1 Drew Linsley A1 Farah Khalil A1 Katherine Lovinger A1 Lester Li A1 Howard McLeod A1 Sohini Ramachandran A1 Thomas Serre YR 2022 UL http://biorxiv.org/content/early/2022/04/22/2022.04.21.489110.abstract AB Deep learning holds immense potential for histopathology, automating tasks that are simple for expert pathologists, and revealing novel biology for tasks that were previously considered difficult or impossible to solve by eye alone. However, the extent to which the visual strategies learned by deep learning models in histopathological analysis are trustworthy or not has yet to be systematically analyzed. In this work, we address this problem and discover new limits on the histopathological tasks for which deep learning models learn trustworthy versus deceptive solutions. While tasks that have been extensively studied in the field like tumor detection are reliable and trustworthy, recent advances demonstrating the ability to learn molecular profiling from hematoxylin and eosin (H&E) stained slides do not hold up to closer scrutiny. Our analysis framework represents a new approach in understanding the capabilities of deep learning models, which should be incorporated into the computational pathologists toolkit.Competing Interest StatementThe authors have declared no competing interest.