Department of Neurosurgery, National Neuroscience Institute, 308433, Singapore.
School of Electrical and Electronic Engineering, Nanyang Technological University, 639798, Singapore.
J Clin Neurosci. 2019 Aug;66:239-245. doi: 10.1016/j.jocn.2019.05.019. Epub 2019 May 31.
Brain and breast tumors cause significant morbidity and mortality worldwide. Accurate and expedient histological diagnosis of patients' tumor specimens is required for subsequent treatment and prognostication. Currently, histology slides are visually inspected by trained pathologists, but this process is both time and labor-intensive. In this paper, we propose an automated process to classify histology slides of both brain and breast tissues using the Google Inception V3 convolutional neural network (CNN). We report successful automated classification of brain histology specimens into normal, low grade glioma (LGG) or high grade glioma (HGG). We also report for the first time the benefit of transfer learning across different tissue types. Pre-training on a brain tumor classification task improved CNN performance accuracy in a separate breast tumor classification task, with the F1 score improving from 0.547 to 0.913. We constructed a dataset using brain histology images from our own hospital and a public breast histology image dataset. Our proposed method can assist human pathologists in the triage and inspection of histology slides to expedite medical care. It can also improve CNN performance in cases where the training data is limited, for example in rare tumors, by applying the learned model weights from a more common tissue type.
脑肿瘤和乳腺癌在全球范围内导致了显著的发病率和死亡率。为了后续的治疗和预后,需要对患者的肿瘤标本进行准确且迅速的组织学诊断。目前,组织学切片由经过培训的病理学家进行肉眼检查,但这个过程既费时又费力。在本文中,我们提出了一种使用 Google Inception V3 卷积神经网络(CNN)自动对脑和乳腺组织的组织学切片进行分类的方法。我们成功地实现了对脑组织学标本的自动分类,分为正常、低级别胶质瘤(LGG)或高级别胶质瘤(HGG)。我们还首次报告了跨不同组织类型进行迁移学习的好处。在脑肿瘤分类任务上进行预训练,提高了在独立的乳腺肿瘤分类任务中 CNN 的性能准确性,F1 分数从 0.547 提高到 0.913。我们使用来自我们医院的脑组织学图像和公共的乳腺组织学图像数据集构建了一个数据集。我们提出的方法可以帮助病理学家对组织学切片进行分诊和检查,从而加快医疗护理速度。它还可以通过应用来自更常见组织类型的已学习模型权重,在训练数据有限的情况下,例如在罕见肿瘤中,提高 CNN 的性能。