Department of Pathology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Institute of Biomedical and Health Engineering, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Nat Commun. 2023 Oct 11;14(1):6359. doi: 10.1038/s41467-023-41195-9.
Current diagnosis of glioma types requires combining both histological features and molecular characteristics, which is an expensive and time-consuming procedure. Determining the tumor types directly from whole-slide images (WSIs) is of great value for glioma diagnosis. This study presents an integrated diagnosis model for automatic classification of diffuse gliomas from annotation-free standard WSIs. Our model is developed on a training cohort (n = 1362) and a validation cohort (n = 340), and tested on an internal testing cohort (n = 289) and two external cohorts (n = 305 and 328, respectively). The model can learn imaging features containing both pathological morphology and underlying biological clues to achieve the integrated diagnosis. Our model achieves high performance with area under receiver operator curve all above 0.90 in classifying major tumor types, in identifying tumor grades within type, and especially in distinguishing tumor genotypes with shared histological features. This integrated diagnosis model has the potential to be used in clinical scenarios for automated and unbiased classification of adult-type diffuse gliomas.
目前,胶质瘤类型的诊断需要结合组织学特征和分子特征,这是一个昂贵且耗时的过程。直接从全切片图像(WSI)中确定肿瘤类型对胶质瘤的诊断具有重要价值。本研究提出了一种用于自动分类无注释标准 WSI 的弥漫性胶质瘤的综合诊断模型。我们的模型是在训练队列(n=1362)和验证队列(n=340)上开发的,并在内部测试队列(n=289)和两个外部队列(n=305 和 328)上进行了测试。该模型可以学习包含病理形态和潜在生物学线索的成像特征,以实现综合诊断。我们的模型在分类主要肿瘤类型、识别类型内的肿瘤分级以及特别是区分具有共享组织学特征的肿瘤基因型方面表现出了较高的性能,受试者工作特征曲线下面积均高于 0.90。这种综合诊断模型有可能在临床环境中用于自动和无偏分类成人型弥漫性胶质瘤。
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