Li Xing, Li Lianyu, Sun Qing, Chen Bo, Zhao Chenjie, Dong Yuting, Zhu Zhihui, Zhao Ruiqi, Ma Xinsong, Yu Mingxin, Zhang Tao
Department of Stomatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Key Laboratory of the Ministry of Education for Optoelectronic Measurement Technology and Instrument, Beijing Information Science and Technology University, Beijing, China.
Front Oncol. 2023 Oct 10;13:1272305. doi: 10.3389/fonc.2023.1272305. eCollection 2023.
Oral cancer, a predominant malignancy in developing nations, represents a global health challenge with a five-year survival rate below 50%. Nonetheless, substantial reductions in both its incidence and mortality rates can be achieved through early detection and appropriate treatment. Crucial to these treatment plans and prognosis predictions is the identification of the pathological type of oral cancer.
Toward this end, fiber-optic Raman spectroscopy emerges as an effective tool. This study combines Raman spectroscopy technology with deep learning algorithms to develop a portable intelligent prototype for oral case analysis. We propose, for the first time, a multi-task network (MTN) Raman spectroscopy classification model that utilizes a shared backbone network to simultaneously achieve different clinical staging and histological grading diagnoses.
The developed model demonstrated accuracy rates of 94.88%, 94.57%, and 94.34% for tumor staging, lymph node staging, and histological grading, respectively. Its sensitivity, specificity, and accuracy compare closely with the gold standard: routine histopathological examination.
Thus, this prototype proposed in this study has great potential for rapid, non-invasive, and label-free pathological diagnosis of oral cancer.
口腔癌是发展中国家主要的恶性肿瘤,是一项全球性的健康挑战,其五年生存率低于50%。尽管如此,通过早期检测和适当治疗,其发病率和死亡率都能大幅降低。确定口腔癌的病理类型对于这些治疗方案和预后预测至关重要。
为此,光纤拉曼光谱法成为一种有效的工具。本研究将拉曼光谱技术与深度学习算法相结合,开发了一种用于口腔病例分析的便携式智能原型。我们首次提出了一种多任务网络(MTN)拉曼光谱分类模型,该模型利用共享骨干网络同时实现不同的临床分期和组织学分级诊断。
所开发的模型在肿瘤分期、淋巴结分期和组织学分级方面的准确率分别为94.88%、94.57%和94.34%。其灵敏度、特异性和准确性与金标准:常规组织病理学检查相近。
因此,本研究中提出的该原型在口腔癌的快速、非侵入性和无标记病理诊断方面具有巨大潜力。