15,023 research outputs found
Assessment of algorithms for mitosis detection in breast cancer histopathology images
The proliferative activity of breast tumors, which is routinely estimated by counting of mitotic figures in hematoxylin and eosin stained histology sections, is considered to be one of the most important prognostic markers. However, mitosis counting is laborious, subjective and may suffer from low inter-observer agreement. With the wider acceptance of whole slide images in pathology labs, automatic image analysis has been proposed as a potential solution for these issues.
In this paper, the results from the Assessment of Mitosis Detection Algorithms 2013 (AMIDA13) challenge are described. The challenge was based on a data set consisting of 12 training and 11 testing subjects, with more than one thousand annotated mitotic figures by multiple observers. Short descriptions and results from the evaluation of eleven methods are presented. The top performing method has an error rate that is comparable to the inter-observer agreement among pathologists
Automatic quantification of the microvascular density on whole slide images, applied to paediatric brain tumours
Angiogenesis is a key phenomenon for tumour progression, diagnosis and
treatment in brain tumours and more generally in oncology. Presently, its
precise, direct quantitative assessment can only be done on whole tissue
sections immunostained to reveal vascular endothelial cells. But this is a
tremendous task for the pathologist and a challenge for the computer since
digitised whole tissue sections, whole slide images (WSI), contain typically
around ten gigapixels.
We define and implement an algorithm that determines automatically, on a WSI
at objective magnification , the regions of tissue, the regions
without blur and the regions of large puddles of red blood cells, and
constructs the mask of blur-free, significant tissue on the WSI. Then it
calibrates automatically the optical density ratios of the immunostaining of
the vessel walls and of the counterstaining, performs a colour deconvolution
inside the regions of blur-free tissue, and finds the vessel walls inside these
regions by selecting, on the image resulting from the colour deconvolution,
zones which satisfy a double-threshold criterion. A mask of vessel wall regions
on the WSI is produced. The density of microvessels is finally computed as the
fraction of the area of significant tissue which is occupied by vessel walls.
We apply this algorithm to a set of 186 WSI of paediatric brain tumours from
World Health Organisation grades I to IV. The segmentations are of very good
quality although the set of slides is very heterogeneous. The computation time
is of the order of a fraction of an hour for each WSI on a modest computer. The
computed microvascular density is found to be robust and strongly correlates
with the tumour grade.
This method requires no training and can easily be applied to other tumour
types and other stainings
Spatial Organization and Molecular Correlation of Tumor-Infiltrating Lymphocytes Using Deep Learning on Pathology Images
Beyond sample curation and basic pathologic characterization, the digitized H&E-stained images
of TCGA samples remain underutilized. To highlight this resource, we present mappings of tumorinfiltrating lymphocytes (TILs) based on H&E images from 13 TCGA tumor types. These TIL
maps are derived through computational staining using a convolutional neural network trained to
classify patches of images. Affinity propagation revealed local spatial structure in TIL patterns and
correlation with overall survival. TIL map structural patterns were grouped using standard
histopathological parameters. These patterns are enriched in particular T cell subpopulations
derived from molecular measures. TIL densities and spatial structure were differentially enriched
among tumor types, immune subtypes, and tumor molecular subtypes, implying that spatial
infiltrate state could reflect particular tumor cell aberration states. Obtaining spatial lymphocytic
patterns linked to the rich genomic characterization of TCGA samples demonstrates one use for
the TCGA image archives with insights into the tumor-immune microenvironment
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Predicting survival from colorectal cancer histology slides using deep learning: A retrospective multicenter study
BACKGROUND: For virtually every patient with colorectal cancer (CRC), hematoxylin-eosin (HE)-stained tissue slides are available. These images contain quantitative information, which is not routinely used to objectively extract prognostic biomarkers. In the present study, we investigated whether deep convolutional neural networks (CNNs) can extract prognosticators directly from these widely available images.
METHODS AND FINDINGS: We hand-delineated single-tissue regions in 86 CRC tissue slides, yielding more than 100,000 HE image patches, and used these to train a CNN by transfer learning, reaching a nine-class accuracy of >94% in an independent data set of 7,180 images from 25 CRC patients. With this tool, we performed automated tissue decomposition of representative multitissue HE images from 862 HE slides in 500 stage I-IV CRC patients in the The Cancer Genome Atlas (TCGA) cohort, a large international multicenter collection of CRC tissue. Based on the output neuron activations in the CNN, we calculated a "deep stroma score," which was an independent prognostic factor for overall survival (OS) in a multivariable Cox proportional hazard model (hazard ratio [HR] with 95% confidence interval [CI]: 1.99 [1.27-3.12], p = 0.0028), while in the same cohort, manual quantification of stromal areas and a gene expression signature of cancer-associated fibroblasts (CAFs) were only prognostic in specific tumor stages. We validated these findings in an independent cohort of 409 stage I-IV CRC patients from the "Darmkrebs: Chancen der Verhütung durch Screening" (DACHS) study who were recruited between 2003 and 2007 in multiple institutions in Germany. Again, the score was an independent prognostic factor for OS (HR 1.63 [1.14-2.33], p = 0.008), CRC-specific OS (HR 2.29 [1.5-3.48], p = 0.0004), and relapse-free survival (RFS; HR 1.92 [1.34-2.76], p = 0.0004). A prospective validation is required before this biomarker can be implemented in clinical workflows.
CONCLUSIONS: In our retrospective study, we show that a CNN can assess the human tumor microenvironment and predict prognosis directly from histopathological images
GAN-based Virtual Re-Staining: A Promising Solution for Whole Slide Image Analysis
Histopathological cancer diagnosis is based on visual examination of stained
tissue slides. Hematoxylin and eosin (H\&E) is a standard stain routinely
employed worldwide. It is easy to acquire and cost effective, but cells and
tissue components show low-contrast with varying tones of dark blue and pink,
which makes difficult visual assessments, digital image analysis, and
quantifications. These limitations can be overcome by IHC staining of target
proteins of the tissue slide. IHC provides a selective, high-contrast imaging
of cells and tissue components, but their use is largely limited by a
significantly more complex laboratory processing and high cost. We proposed a
conditional CycleGAN (cCGAN) network to transform the H\&E stained images into
IHC stained images, facilitating virtual IHC staining on the same slide. This
data-driven method requires only a limited amount of labelled data but will
generate pixel level segmentation results. The proposed cCGAN model improves
the original network \cite{zhu_unpaired_2017} by adding category conditions and
introducing two structural loss functions, which realize a multi-subdomain
translation and improve the translation accuracy as well. % need to give
reasons here. Experiments demonstrate that the proposed model outperforms the
original method in unpaired image translation with multi-subdomains. We also
explore the potential of unpaired images to image translation method applied on
other histology images related tasks with different staining techniques
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