Tummala Sudhakar, Kadry Seifedine, Nadeem Ahmed, Rauf Hafiz Tayyab, Gul Nadia
Department of Electronics and Communication Engineering, School of Engineering and Sciences, SRM University-AP, Amaravati 522240, Andhra Pradesh, India.
Department of Applied Data Science, Noroff University College, 4612 Kristiansand, Norway.
Diagnostics (Basel). 2023 Apr 29;13(9):1594. doi: 10.3390/diagnostics13091594.
Lung and colon cancers are among the leading causes of human mortality and morbidity. Early diagnostic work up of these diseases include radiography, ultrasound, magnetic resonance imaging, and computed tomography. Certain blood tumor markers for carcinoma lung and colon also aid in the diagnosis. Despite the lab and diagnostic imaging, histopathology remains the gold standard, which provides cell-level images of tissue under examination. To read these images, a histopathologist spends a large amount of time. Furthermore, using conventional diagnostic methods involve high-end equipment as well. This leads to limited number of patients getting final diagnosis and early treatment. In addition, there are chances of inter-observer errors. In recent years, deep learning has shown promising results in the medical field. This has helped in early diagnosis and treatment according to severity of disease. With the help of models that have been cross-validated and tested fivefold, we propose an automated method for detecting lung (lung adenocarcinoma, lung benign, and lung squamous cell carcinoma) and colon (colon adenocarcinoma and colon benign) cancer subtypes from LC25000 histopathology images. A state-of-the-art deep learning architecture based on the principles of compound scaling and progressive learning, large, medium, and small models. An accuracy of 99.97%, AUC of 99.99%, F1-score of 99.97%, balanced accuracy of 99.97%, and Matthew's correlation coefficient of 99.96% were obtained on the test set using the -L model for the 5-class classification of lung and colon cancers, outperforming the existing methods. Using gradCAM, we created visual saliency maps to precisely locate the vital regions in the histopathology images from the test set where the models put more attention during cancer subtype predictions. This visual saliency maps may potentially assist pathologists to design better treatment strategies. Therefore, it is possible to use the proposed pipeline in clinical settings for fully automated lung and colon cancer detection from histopathology images with explainability.
肺癌和结肠癌是导致人类死亡和发病的主要原因之一。这些疾病的早期诊断检查包括放射照相、超声、磁共振成像和计算机断层扫描。某些用于肺癌和结肠癌的血液肿瘤标志物也有助于诊断。尽管有实验室检查和诊断成像,但组织病理学仍然是金标准,它能提供被检查组织的细胞水平图像。要解读这些图像,组织病理学家需要花费大量时间。此外,使用传统诊断方法还需要高端设备。这导致能够获得最终诊断和早期治疗的患者数量有限。此外,还存在观察者间误差的可能性。近年来,深度学习在医学领域显示出了有前景的结果。这有助于根据疾病严重程度进行早期诊断和治疗。借助经过五重交叉验证和测试的模型,我们提出了一种从LC25000组织病理学图像中检测肺癌(肺腺癌、肺良性和肺鳞状细胞癌)和结肠癌(结肠腺癌和结肠良性)亚型的自动化方法。一种基于复合缩放和渐进学习原则的先进深度学习架构,包括大、中、小模型。使用-L模型对肺癌和结肠癌进行5类分类时,在测试集上获得了99.97%的准确率、99.99%的AUC、99.97%的F1分数、99.97%的平衡准确率和99.96%的马修斯相关系数,优于现有方法。使用gradCAM,我们创建了视觉显著性图,以精确定位测试集中组织病理学图像中的关键区域,模型在癌症亚型预测过程中对这些区域更为关注。这种视觉显著性图可能有助于病理学家设计更好的治疗策略。因此,有可能在临床环境中使用所提出的管道,从组织病理学图像中进行具有可解释性的全自动肺癌和结肠癌检测。
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