Manual annotation of pathology slides for cancer diagnosis is laborious and repetitive. Therefore, much effort has been devoted to develop computer vision solutions. Our approach, (FLASH), is based on a Deep Convolutional Neural Network (DCNN) architecture. It reduces computational costs and is faster than typical deep learning approaches by two orders of magnitude, making high throughput processing a possibility. In computer vision approaches using deep learning methods, the input image is subdivided into patches which are separately passed through the neural network. Features extracted from these patches are used by the classifier to annotate the corresponding region. Our approach aggregates all the extracted features into a single matrix before passing them to the classifier. Previously, the features are extracted from overlapping patches. Aggregating the features eliminates the need for processing overlapping patches, which reduces the computations required. DCCN and FLASH demonstrate high sensitivity (~ 0.96), good precision (~0.78) and high F1 scores (~0.84). The average time taken to process each sample for FLASH and DCNN is 96.6 seconds and 9489.20 seconds, respectively. Our approach was approximately 100 times faster than the original DCNN approach while simultaneously preserving high accuracy and precision.
Shanghai United Imaging Intelligence Co. Ltd（上海联影智能医疗科技有限公司）；Southern Medical University（南方医科大学）
In brain tumor diagnosis and surgical planning, segmentation of tumor regions and accurate analysis of surrounding normal tissues are necessary for physicians. Pathological variability often renders difficulty to register a well-labeled normal atlas to such images and to automatic segment/label surrounding normal brain tissues. In this paper, we propose a new registration approach that first segments brain tumor using a U-Net and then simulates missed normal tissues within the tumor region using a partial convolutional network. Then, a standard normal brain atlas image is registered onto such …
University of Calcutta（加尔各答大学）；West Bengal University of Technology（西孟加拉技术大学）
Tumor segmentation from magnetic resonance imaging (MRI) data is an important but time consuming manual task performed by medical experts. Automating this process is a challenging task because of the high diversity in the appearance of tumor tissues among different patients and in many cases similarity with the normal tissues. MRI is an advanced medical imaging technique providing rich information about the human soft-tissue anatomy. There are different brain tumor detection and segmentation methods to detect and segment a brain tumor from MRI images. These detection and segmentation approache…
Department of Neuro-Oncology, Massachusetts General Hospital（麻省总医院神经肿瘤科）；MGH & BWH Center for Clinical Data Science（麻省总医院与布莱根妇女医院临床数据科学中心）；Department of Radiology, Massachusetts General Hospital（麻省总医院放射科）；Massachusetts General Hospital（麻省总医院）；NVIDIA（英伟达）
Deep learning has quickly become the weapon of choice for brain lesion segmentation. However, few existing algorithms pre-configure any biological context of their chosen segmentation tissues, and instead rely on the neural network's optimizer to develop such associations de novo. We present a novel method for applying deep neural networks to the problem of glioma tissue segmentation that takes into account the structured nature of gliomas - edematous tissue surrounding mutually-exclusive regions of enhancing and non-enhancing tumor. We trained multiple deep neural networks with a 3D U-Net arc…
Tissue Classification and Whole-Slide Images Analysis via Modeling of the Tumor Microenvironment and Biological Pathways
University of Regensburg（雷根斯堡大学）；Beijing Friendship Hospital, Capital Medical University（首都医科大学附属北京友谊医院）；Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg（弗里德里希-亚历山大-埃尔兰根-纽伦堡大学埃尔兰根大学医院）；Comprehensive Cancer Center Erlangen-EMN（埃尔兰根-EMN综合癌症中心）；Bavarian Cancer Research Center（巴伐利亚癌症研究中心）；Hanover Medical School（汉诺威医学院）；University Clinic Freiburg（弗莱堡大学医院）；Fraunhofer Institute for Digital Medicine MEVIS（弗劳恩霍夫数字医学研究所MEVIS）
Roche Innovation Center Munich（罗氏慕尼黑创新中心）；Technische Universität München（慕尼黑工业大学）；SagivTech LTD.（SagivTech有限公司）
A key challenge in cancer immunotherapy biomarker research is quantification of pattern changes in microscopic whole slide images of tumor biopsies. Different cell types tend to migrate into various tissue compartments and form variable distribution patterns. Drug development requires correlative analysis of various biomarkers in and between the tissue compartments. To enable that, tissue slides are manually annotated by expert pathologists. Manual annotation of tissue slides is a labor intensive, tedious and error-prone task. Automation of this annotation process can improve accuracy and cons…
To achieve minimum DNA input and tumor purity requirements for next-generation sequencing (NGS), pathologists visually estimate macrodissection and slide count decisions. Misestimation may cause tissue waste and increased laboratory costs. We developed an AI-augmented smart pathology review system (SmartPath) to empower pathologists with quantitative metrics for determining tissue extraction parameters. Using digitized H&E-stained FFPE slides as inputs, SmartPath segments tumors, extracts cell-based features, and suggests macrodissection areas. To predict DNA yield per slide, the extracted fea…
University of Oxford（牛津大学）；University of Jordan（约旦大学）
Assessing tumor tissue heterogeneity via ultrasound has recently been suggested for predicting early response to treatment. The ultrasound backscattering characteristics can assist in better understanding the tumor texture by highlighting local concentration and spatial arrangement of tissue scatterers. However, it is challenging to quantify the various tissue heterogeneities ranging from fine-to-coarse of the echo envelope peaks in tumor texture. Local parametric fractal features extracted via maximum likelihood estimation from five well-known statistical model families are evaluated for the …
The level of PD-L1 expression in immunohistochemistry (IHC) assays is a key biomarker for the identification of Non-Small-Cell-Lung-Cancer (NSCLC) patients that may respond to anti PD-1/PD-L1 treatments. The quantification of PD-L1 expression currently includes the visual estimation of a Tumor Cell (TC) score by a pathologist and consists of evaluating the ratio of PD-L1 positive and PD-L1 negative tumor cells. Known challenges like differences in positivity estimation around clinically relevant cut-offs and sub-optimal quality of samples makes visual scoring tedious and subjective, yielding a…
The Harker School（哈克学校）；Beth Israel Deaconess Medical Center（贝斯以色列女执事医疗中心）
Current analysis of tumor proliferation, the most salient prognostic biomarker for invasive breast cancer, is limited to subjective mitosis counting by pathologists in localized regions of tissue images. This study presents the first data-driven integrative approach to characterize the severity of tumor growth and spread on a categorical and molecular level, utilizing multiple biologically salient deep learning classifiers to develop a comprehensive prognostic model. Our approach achieves pathologist-level performance on three-class categorical tumor severity prediction. It additionally pionee…
Brain tumor segmentation intends to delineate tumor tissues from healthy brain tissues. The tumor tissues include necrosis, peritumoral edema, and active tumor. In contrast, healthy brain tissues include white matter, gray matter, and cerebrospinal fluid. The MRI based brain tumor segmentation research is gaining popularity as; 1. It does not irradiate ionized radiation like X-ray or computed tomography imaging. 2. It produces detailed pictures of internal body structures. The MRI scans are input to deep learning-based approaches which are useful for automatic brain tumor segmentation. The fea…
Concordia Institute for Information Systems Engineering, Concordia University（康考迪亚大学康考迪亚信息系统工程研究所）；University of Toronto（多伦多大学）
According to official statistics, cancer is considered as the second leading cause of human fatalities. Among different types of cancer, brain tumor is seen as one of the deadliest forms due to its aggressive nature, heterogeneous characteristics, and low relative survival rate. Determining the type of brain tumor has significant impact on the treatment choice and patient's survival. Human-centered diagnosis is typically error-prone and unreliable resulting in a recent surge of interest to automatize this process using convolutional neural networks (CNNs). CNNs, however, fail to fully utilize …
IBM Research - Europe（IBM欧洲研究院）；University College Dublin（都柏林大学学院）；Royal College of Surgeons（皇家外科医学院）
Intra-operative identification of malignant versus benign or healthy tissue is a major challenge in fluorescence guided cancer surgery. We propose a perfusion quantification method for computer-aided interpretation of subtle differences in dynamic perfusion patterns which can be used to distinguish between normal tissue and benign or malignant tumors intra-operatively in real-time by using multispectral endoscopic videos. The method exploits the fact that vasculature arising from cancer angiogenesis gives tumors differing perfusion patterns from the surrounding tissue, and defines a signature …
The Ohio State University（俄亥俄州立大学）；K.N. Toosi University of Technology（K.N.图西理工大学）
In this study, a morphological differentiation-based method has been introduced which employs temperature distribution on the tissue surface to detect brain tumor's malignancy. According to the common tumor CT scans, two different scenarios have been implemented to describe irregular shape of the malignant tumor. In the first scenario, tumor has been considered as a polygon base prism and in the second one, it has been considered as a star-shaped base prism. By increasing the number of sides of the polygon or wings of the star, degree of the malignancy has been increased. Constant heat generat…
Comprehensive Pathological Image Segmentation via Teacher Aggregation for Tumor Microenvironment Analysis
The University of Tokyo（东京大学）；Institute of Science Tokyo（东京科学大学）；Tottori University（鸟取大学）；Biomy Inc.（Biomy公司）；Japanese Red Cross Medical Center（日本红十字会医疗中心）；Kanagawa Cancer Center（神奈川县癌症中心）；Kanagawa Cancer Center Research Institute（神奈川县癌症中心研究所）；National Cancer Center Exploratory Oncology Research & Clinical Trial Center（国立癌症中心探索性肿瘤学研究与临床试验中心）
Radboud University Medical Center（拉德堡德大学医学中心）；Beth Israel Deaconess Medical Center（贝斯以色列女执事医疗中心）；Harvard Medical School（哈佛医学院）；National Cancer Institute（美国国家癌症研究所）；The Harker School（哈克学校）；Mayo Clinic（梅奥诊所）
Diagnosis of breast carcinomas has so far been limited to the morphological interpretation of epithelial cells and the assessment of epithelial tissue architecture. Consequently, most of the automated systems have focused on characterizing the epithelial regions of the breast to detect cancer. In this paper, we propose a system for classification of hematoxylin and eosin (H&E) stained breast specimens based on convolutional neural networks that primarily targets the assessment of tumor-associated stroma to diagnose breast cancer patients. We evaluate the performance of our proposed system usin…
VRVis Zentrum für Virtual Reality und Visualisierung Forschungs-GmbH（VRVis虚拟现实与可视化研究有限公司）；Center for Medical Physics and Biomedical Engineering, Medical University of Vienna（维也纳医科大学医学物理与生物医学工程中心）；Center for Nuclear Medicine, Clinical Center of Serbia（塞尔维亚临床中心核医学中心）
Tumor segmentation in multimodal medical images has seen a growing trend towards deep learning based methods. Typically, studies dealing with this topic fuse multimodal image data to improve the tumor segmentation contour for a single imaging modality. However, they do not take into account that tumor characteristics are emphasized differently by each modality, which affects the tumor delineation. Thus, the tumor segmentation is modality- and task-dependent. This is especially the case for soft tissue sarcomas, where, due to necrotic tumor tissue, the segmentation differs vastly. Closing this …
University of Glasgow（格拉斯哥大学）；New York University（纽约大学）
Deep learning based analysis of histopathology images shows promise in advancing the understanding of tumor progression, tumor micro-environment, and their underpinning biological processes. So far, these approaches have focused on extracting information associated with annotations. In this work, we ask how much information can be learned from the tissue architecture itself. We present an adversarial learning model to extract feature representations of cancer tissue, without the need for manual annotations. We show that these representations are able to identify a variety of morphological char…
Washington University in St. Louis（圣路易斯华盛顿大学）；Washington University School of Medicine（华盛顿大学医学院）；Mallinckrodt Institute of Radiology（马林克罗德放射研究所）
Tumor segmentation in oncological PET is challenging, a major reason being the partial-volume effects that arise due to low system resolution and finite voxel size. The latter results in tissue-fraction effects, i.e. voxels contain a mixture of tissue classes. Conventional segmentation methods are typically designed to assign each voxel in the image as belonging to a certain tissue class. Thus, these methods are inherently limited in modeling tissue-fraction effects. To address the challenge of accounting for partial-volume effects, and in particular, tissue-fraction effects, we propose a Baye…
Concordia University（康考迪亚大学）；Université Grenoble Alpes（格勒诺布尔阿尔卑斯大学）；CNRS（法国国家科学研究中心）；Grenoble INP（格勒诺布尔理工学院）；Western University（韦仕敦大学）；St. Olavs Hospital（圣奥拉夫医院）；Trondheim University Hospital（特隆赫姆大学医院）；Norwegian University of Science and Technology (NTNU)（挪威科技大学）；SINTEF Digital（SINTEF数字研究所）
Purpose: Registration and segmentation of magnetic resonance (MR) and ultrasound (US) images play an essential role in surgical planning and resection of brain tumors. However, validating these techniques is challenging due to the scarcity of publicly accessible sources with high-quality ground truth information. To this end, we propose a unique annotation dataset of tumor tissues and resection cavities from the previously published RESECT dataset (Xiao et al. 2017) to encourage a more rigorous assessments of image processing techniques. Acquisition and validation methods: The RESECT database …
Genomics-guided Representation Learning for Pathologic Pan-cancer Tumor Microenvironment Subtype Prediction
Tongji University（同济大学）；Tongji Hospital（同济医院）；Shanghai Research Institute for Intelligent Autonomous Systems（上海智能自主系统研究院）；Cancer Research UK Cambridge Institute（英国癌症研究剑桥研究所）；University of Cambridge（剑桥大学）
Advances in computing technology have allowed researchers across many fields of endeavor to collect and maintain vast amounts of observational statistical data such as clinical data,biological patient data,data regarding access of web sites,financial data,and the like.Brain Magnetic Resonance Imaging(MRI)segmentation is a complex problem in the field of medical imaging despite various presented methods.MR image of human brain can be divided into several sub regions especially soft tissues such as gray matter,white matter and cerebrospinal fluid.Although edge information is the main clue in ima…
Hamburg University of Technology（汉堡工业大学）；Carl von Ossietzky University Oldenburg（奥尔登堡大学）；University Medical Center Hamburg-Eppendorf（汉堡-埃彭多夫大学医学中心）；University of Bonn（波恩大学）；Klinikum Braunschweig（不伦瑞克医院）
Early detection of cancerous tissue is crucial for long-term patient survival. In the head and neck region, a typical diagnostic procedure is an endoscopic intervention where a medical expert manually assesses tissue using RGB camera images. While healthy and tumor regions are generally easier to distinguish, differentiating benign and malignant tumors is very challenging. This requires an invasive biopsy, followed by histological evaluation for diagnosis. Also, during tumor resection, tumor margins need to be verified by histological analysis. To avoid unnecessary tissue resection, a non-inva…
Shenzhen University（深圳大学）；Islamic Azad University（伊斯兰阿扎德大学）
Magnetic resonance imaging (MRI) provides varying tissue contrast images of internal organs based on a strong magnetic field. Despite the non-invasive advantage of MRI in frequent imaging, the low contrast MR images in the target area make tissue segmentation a challenging problem. This paper demonstrates the potential benefits of image-to-image translation techniques to generate synthetic high tissue contrast (HTC) images. Notably, we adopt a new cycle generative adversarial network (CycleGAN) with an attention mechanism to increase the contrast within underlying tissues. The attention block,…
Digitization of histopathology slides has led to several advances, from easy data sharing and collaborations to the development of digital diagnostic tools. Deep learning (DL) methods for classification and detection have shown great potential, but often require large amounts of training data that are hard to collect, and annotate. For many cancer types, the scarceness of data creates barriers for training DL models. One such scenario relates to detecting tumor metastasis in lymph node tissue, where the low ratio of tumor to non-tumor cells makes the diagnostic task hard and time-consuming. DL…
University of Jordan（约旦大学）；King Abdullah II School for IT（阿卜杜拉二世信息技术学院）
Effective ultrasound tissue characterization is usually hindered by complex tissue structures. The interlacing of speckle patterns complicates the correct estimation of backscatter distribution parameters. Nakagami parametric imaging based on localized shape parameter mapping can model different backscattering conditions. However, performance of the constructed Nakagami image depends on the sensitivity of the estimation method to the backscattered statistics and scale of analysis. Using a fixed focal region of interest in estimating the Nakagami parametric image would increase estimation varia…
This thesis focuses on the research and development of the Hemodynamic Tissue Signature (HTS) method: an unsupervised machine learning approach to describe the vascular heterogeneity of glioblastomas by means of perfusion MRI analysis. The HTS builds on the concept of habitats. An habitat is defined as a sub-region of the lesion with a particular MRI profile describing a specific physiological behavior. The HTS method delineates four habitats within the glioblastoma: the High Angiogenic Tumor (HAT) habitat, as the most perfused region of the enhancing tumor; the Low Angiogenic Tumor (LAT) habi…
ARC Training Centre for Innovative BioEngineering（ARC创新生物工程培训中心）
Distant metastases (DM) refer to the dissemination of tumors, usually, beyond the organ where the tumor originated. They are the leading cause of death in patients with soft-tissue sarcomas (STSs). Positron emission tomography-computed tomography (PET-CT) is regarded as the imaging modality of choice for the management of STSs. It is difficult to determine from imaging studies which STS patients will develop metastases. 'Radiomics' refers to the extraction and analysis of quantitative features from medical images and it has been employed to help identify such tumors. The state-of-the-art in ra…
NEC Laboratories America（NEC美国实验室）；NEC Corporation（NEC公司）；Hokkaido University Hospital（北海道大学医院）
We propose a method to accurately obtain the ratio of tumor cells over an entire histological slide. We use deep fully convolutional neural network models trained to detect and classify cells on images of H&E-stained tissue sections. Pathologists' labels consisting of exhaustive nuclei locations and tumor regions were used to trained the model in a supervised fashion. We show that combining two models, each working at a different magnification allows the system to capture both cell-level details and surrounding context to enable successful detection and classification of cells as either tumor-…
DiffKAN-Inpainting: KAN-based Diffusion model for brain tumor inpainting
School of Biomedical Engineering, ShanghaiTech University（上海科技大学生物医学工程学院）；The Alan Turing Institute（阿兰·图灵研究所）；School of Engineering, University of Birmingham（伯明翰大学工程学院）；College of Engineering and Physical Sciences, University of Birmingham（伯明翰大学工程与物理科学学院）
Memorial Sloan Kettering Cancer Center（纪念斯隆·凯特琳癌症中心）
Lung tumors, especially those located close to or surrounded by soft tissues like the mediastinum, are difficult to segment due to the low soft tissue contrast on computed tomography images. Magnetic resonance images contain superior soft-tissue contrast information that can be leveraged if both modalities were available for training. Therefore, we developed a cross-modality educed learning approach where MR information that is educed from CT is used to hallucinate MRI and improve CT segmentation. Our approach, called cross-modality educed deep learning segmentation (CMEDL) combines CT and pse…
Department of Science and Technology, Linkoping University（林雪平大学科技学院）；Sectra AB（Sectra公司）；Center for Medical Image Science and Visualization, Linkoping University（林雪平大学医学影像科学与可视化中心）
The scarcity of labeled data is a major bottleneck for developing accurate and robust deep learning-based models for histopathology applications. The problem is notably prominent for the task of metastasis detection in lymph nodes, due to the tissue's low tumor-to-non-tumor ratio, resulting in labor- and time-intensive annotation processes for the pathologists. This work explores alternatives on how to augment the training data for colon carcinoma metastasis detection when there is limited or no representation of the target domain. Through an exhaustive study of cross-validated experiments wit…
UNC Chapel Hill（北卡罗来纳大学教堂山分校）；University of Pennsylvania（宾夕法尼亚大学）
Registration of images with pathologies is challenging due to tissue appearance changes and missing correspondences caused by the pathologies. Moreover, mass effects as observed for brain tumors may displace tissue, creating larger deformations over time than what is observed in a healthy brain. Deep learning models have successfully been applied to image registration to offer dramatic speed up and to use surrogate information (e.g., segmentations) during training. However, existing approaches focus on learning registration models using images from healthy patients. They are therefore not desi…
Deep learning classifiers for characterization of whole slide tissue morphology require large volumes of annotated data to learn variations across different tissue and cancer types. As is well known, manual generation of digital pathology training data is time consuming and expensive. In this paper, we propose a semi-automated method for annotating a group of similar instances at once, instead of collecting only per-instance manual annotations. This allows for a much larger training set, that reflects visual variability across multiple cancer types and thus training of a single network which c…
University of Warwick（华威大学）；Tissue Image Analytics (TIA) Centre, University of Warwick（华威大学组织图像分析中心）
The problem of recognizing various types of tissues present in multi-gigapixel histology images is an important fundamental pre-requisite for downstream analysis of the tumor microenvironment in a bottom-up analysis paradigm for computational pathology. In this paper, we propose a deep dictionary learning approach to solve the problem of tissue phenotyping in histology images. We propose deep Multi-Resolution Dictionary Learning (deepMRDL) in order to benefit from deep texture descriptors at multiple different spatial resolutions. We show the efficacy of the proposed approach through extensive…
Massachusetts Institute of Technology（麻省理工学院）；Harvard Medical School（哈佛医学院）；Boston University School of Medicine（波士顿大学医学院）；VA Boston Healthcare（波士顿退伍军人医疗中心）
Histopathological diagnoses of tumors in tissue biopsy after Hematoxylin and Eosin (H&E) staining is the gold standard for oncology care. H&E staining is slow and uses dyes, reagents and precious tissue samples that cannot be reused. Thousands of native nonstained RGB Whole Slide Image (RWSI) patches of prostate core tissue biopsies were registered with their H&E stained versions. Conditional Generative Adversarial Neural Networks (cGANs) that automate conversion of native nonstained RWSI to computational H&E stained images were then trained. High similarities between computational and H&E dye…
