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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
Creation of Shared Language Resource Repository in the Nordic and Baltic Countries
Proceeding volume: 8The META-NORD project has contributed to an open infrastructure for language resources (data and tools) under the META-NET umbrella. This paper presents the key objectives of META-NORD and reports on the results achieved in the first year of the project. META-NORD has mapped and described the national language technology landscape in the Nordic and Baltic countries in terms of language use, language technology and resources, main actors in the academy, industry, government and society; identified and collected the first batch of language resources in the Nordic and Baltic countries; documented, processed, linked, and upgraded the identified language resources to agreed standards and guidelines. The three horizontal multilingual actions in META-NORD are overviewed in this paper: linking and validating Nordic and Baltic wordnets, the harmonisation of multilingual Nordic and Baltic treebanks, and consolidating multilingual terminology resources across European countries. This paper also touches upon intellectual property rights for the sharing of language resources.Peer reviewe
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