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-based tools can allow faster diagnosis, with potentially increased quality. Unfortunately, due to the sparsity of tumor cells, annotating this type of data demands a high level of effort from pathologists. Using weak annotations from slide-level images have shown great potential, but demand access to a substantial amount of data as well. In this study, we investigate mitigation strategies for limited data access scenarios. Particularly, we address whether it is possible to exploit mutual structure between tissues to develop general techniques, wherein data from one type of cancer in a particular tissue could have diagnostic value for other cancers in other tissues. Our case is exemplified by a DL model for metastatic colon cancer detection in lymph nodes. Could such a model be trained with little or even no lymph node data? As alternative data sources, we investigate 1) tumor cells taken from the primary colon tumor tissue, and 2) cancer data from a different organ (breast), either as is or transformed to the target domain (colon) using Cycle-GANs. We show that the suggested approaches make it possible to detect cancer metastasis with no or very little lymph node data, opening up for the possibility that existing, annotated histopathology data could generalize to other domains.
Memorial Sloan Kettering Cancer Center（纪念斯隆凯特琳癌症中心）；Stony Brook University（石溪大学）
Colorectal cancer screening modalities, such as optical colonoscopy (OC) and virtual colonoscopy (VC), are critical for diagnosing and ultimately removing polyps (precursors of colon cancer). The non-invasive VC is normally used to inspect a 3D reconstructed colon (from CT scans) for polyps and if found, the OC procedure is performed to physically traverse the colon via endoscope and remove these polyps. In this paper, we present a deep learning framework, Extended and Directional CycleGAN, for lossy unpaired image-to-image translation between OC and VC to augment OC video sequences with scale…
Stony Brook University（石溪大学）；Memorial Sloan Kettering Cancer Center（纪念斯隆凯特琳癌症中心）
Optical colonoscopy (OC), the most prevalent colon cancer screening tool, has a high miss rate due to a number of factors, including the geometry of the colon (haustral fold and sharp bends occlusions), endoscopist inexperience or fatigue, endoscope field of view, etc. We present a framework to visualize the missed regions per-frame during the colonoscopy, and provides a workable clinical solution. Specifically, we make use of 3D reconstructed virtual colonoscopy (VC) data and the insight that VC and OC share the same underlying geometry but differ in color, texture and specular reflections, e…
MeVGAN: GAN-based Plugin Model for Video Generation with Applications in Colonoscopy
Jagiellonian University（雅盖隆大学）；Marian Smoluchowski Institute of Physics, Jagiellonian University（玛丽安·斯莫卢霍夫斯基物理研究所，雅盖隆大学）；Skopia Medical Center（斯科皮亚医疗中心）
Lung and Colon cancer are one of the leading causes of mortality and morbidity in adults. Histopathological diagnosis is one of the key components to discern cancer type. The aim of the present research is to propose a computer aided diagnosis system for diagnosing squamous cell carcinomas and adenocarcinomas of lung as well as adenocarcinomas of colon using convolutional neural networks by evaluating the digital pathology images for these cancers. Hereby, rendering artificial intelligence as useful technology in the near future. A total of 2500 digital images were acquired from LC25000 datase…
Indira Gandhi National Open University（英迪拉·甘地国立开放大学）；Larkin Community Hospital Palm Springs Campus（拉金社区医院棕榈泉院区）；Long Island Jewish Valley Stream（长岛犹太谷溪医院）；Feinberg School of Medicine, Northwestern University（西北大学范伯格医学院）
Colorectal cancer (CRC) is one of the most common causes of cancer and cancer-related mortality worldwide. Performing colon cancer screening in a timely fashion is the key to early detection. Colonoscopy is the primary modality used to diagnose colon cancer. However, the miss rate of polyps, adenomas and advanced adenomas remains significantly high. Early detection of polyps at the precancerous stage can help reduce the mortality rate and the economic burden associated with colorectal cancer. Deep learning-based computer-aided diagnosis (CADx) system may help gastroenterologists to identify po…
Jagannath University（贾甘纳特大学）；RMIT University（皇家墨尔本理工大学）；The University of Queensland（昆士兰大学）
Cancer is a fatal disease caused by a combination of genetic diseases and a variety of biochemical abnormalities. Lung and colon cancer have emerged as two of the leading causes of death and disability in humans. The histopathological detection of such malignancies is usually the most important component in determining the best course of action. Early detection of the ailment on either front considerably decreases the likelihood of mortality. Machine learning and deep learning techniques can be utilized to speed up such cancer detection, allowing researchers to study a large number of patients…
James A. Haley Veterans’ Hospital（詹姆斯·A·黑利退伍军人医院）；University of South Florida（南佛罗里达大学）；Moffitt Cancer Center（莫菲特癌症中心）
The field of Machine Learning, a subset of Artificial Intelligence, has led to remarkable advancements in many areas, including medicine. Machine Learning algorithms require large datasets to train computer models successfully. Although there are medical image datasets available, more image datasets are needed from a variety of medical entities, especially cancer pathology. Even more scarce are ML-ready image datasets. To address this need, we created an image dataset (LC25000) with 25,000 color images in 5 classes. Each class contains 5,000 images of the following histologic entities: colon a…
Hamburg University of Technology（汉堡工业大学）；University Medical Centre Schleswig-Holstein（石勒苏益格-荷尔斯泰因大学医学中心）
Purpose: The gold standard for colorectal cancer metastases detection in the peritoneum is histological evaluation of a removed tissue sample. For feedback during interventions, real-time in-vivo imaging with confocal laser microscopy has been proposed for differentiation of benign and malignant tissue by manual expert evaluation. Automatic image classification could improve the surgical workflow further by providing immediate feedback. Methods: We analyze the feasibility of classifying tissue from confocal laser microscopy in the colon and peritoneum. For this purpose, we adopt both classical…
Department Of Computer Science University of Massachusetts Lowell（马萨诸塞大学洛厄尔分校计算机科学系）
Colorectal cancer (CRC) is a common and lethal disease. Globally, CRC is the third most commonly diagnosed cancer in males and the second in females. For colorectal cancer, the best screening test available is the colonoscopy. During a colonoscopic procedure, a tiny camera at the tip of the endoscope generates a video of the internal mucosa of the colon. The video data are displayed on a monitor for the physician to examine the lining of the entire colon and check for colorectal polyps. Detection and removal of colorectal polyps are associated with a reduction in mortality from colorectal canc…
University of Porto（波尔图大学）；Institute for Systems and Computer Engineering Technology and Science (INESC TEC)（系统与计算机工程技术与科学研究所（INESC TEC））；Czech Technical University（捷克理工大学）
Cancer is one of the leading causes of death in the developed world. Cancer diagnosis is performed through the microscopic analysis of a sample of suspicious tissue. This process is time consuming and error prone, but Deep Learning models could be helpful for pathologists during cancer diagnosis. We propose to change the CenterNet2 object detection model to also perform instance segmentation, which we call SegCenterNet2. We train SegCenterNet2 in the CoNIC challenge dataset and show that it performs better than Mask R-CNN in the competition metrics.
Shiraz University of Technology（设拉子科技大学）；National Brain Mapping Laboratory（国家脑图谱实验室）
Perineural invasion (PNI) by malignant tumor cells has been reported as an independent indicator of poor prognosis in various cancers. Assessment of PNI in small nerves on glass slides is a labor-intensive task. In this study, we propose an algorithm to detect the perineural invasions in colon, prostate, and pancreas cancers based on a convolutional neural network (CNN).
Expanding the Medical Decathlon dataset: segmentation of colon and colorectal cancer from computed tomography images
Neural Network Technologies Center（神经网络技术中心）；Institute of Urology and Human Reproductive Health（泌尿学与人类生殖健康研究所）；N.E. Bauman Moscow State Technical University（鲍曼莫斯科国立技术大学）；I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)（俄罗斯联邦卫生部I.M.谢切诺夫第一莫斯科国立医科大学（谢切诺夫大学））；Hospital of Faculty Surgery No. 2, UKB No. 4（第4大学临床医院第二外科教学医院）；University Clinical Hospital No. 2（第二大学临床医院）
本文通过为 Medical Decathlon 数据集增加经放射科医生验证的结直肠癌 CT 分割标记，并训练 UNet 模型进行 5 折交叉验证，以提升结直肠癌自动分割与早期检测能力。
Fraunhofer Institute for Integrated Circuits IIS（弗劳恩霍夫集成电路研究所IIS）；Friedrich-Alexander-University, Erlangen-Nuremberg（埃尔朗根-纽伦堡弗里德里希-亚历山大大学）；University Hospital Erlangen, FAU Erlangen-Nuremberg（埃尔朗根-纽伦堡弗里德里希-亚历山大大学埃尔朗根大学医院）
Automatic outlining of different tissue types in digitized histological specimen provides a basis for follow-up analyses and can potentially guide subsequent medical decisions. The immense size of whole-slide-images (WSI), however, poses a challenge in terms of computation time. In this regard, the analysis of non-overlapping patches outperforms pixelwise segmentation approaches, but still leaves room for optimization. Furthermore, the division into patches, regardless of the biological structures they contain, is a drawback due to the loss of local dependencies. We propose to subdivide the WS…
A Hyperspectral Imaging Dataset and Methodology for Intraoperative Pixel-Wise Classification of Metastatic Colon Cancer in the Liver
Ruđer Bošković Institute（鲁杰尔·博什科维奇研究所）；Technical University Munich（慕尼黑工业大学）；University of Montreal（蒙特利尔大学）；Photon etc.（Photon etc.公司）；Clinical Hospital Center Zagreb（萨格勒布临床医院中心）；University of Zagreb（萨格勒布大学）；Clinical Hospital Dubrava（杜布拉瓦临床医院）
Colorectal cancer (CRC) is one of the most commonly diagnosed cancers and a leading cause of cancer deaths in the United States. Colorectal polyps that grow on the intima of the colon or rectum is an important precursor for CRC. Currently, the most common way for colorectal polyp detection and precancerous pathology is the colonoscopy. Therefore, accurate colorectal polyp segmentation during the colonoscopy procedure has great clinical significance in CRC early detection and prevention. In this paper, we propose a novel end-to-end deep learning framework for the colorectal polyp segmentation. …
Radboud University Medical Center（拉德堡德大学医学中心）；Ospedale Cannizzaro（坎尼扎罗医院）；Leids Universitair Medisch Centrum（莱顿大学医学中心）；University of Bayreuth（拜罗伊特大学）；Linköping University（林雪平大学）
Artificial Intelligence (AI) can potentially support histopathologists in the diagnosis of a broad spectrum of cancer types. In colorectal cancer (CRC), AI can alleviate the laborious task of characterization and reporting on resected biopsies, including polyps, the numbers of which are increasing as a result of CRC population screening programs, ongoing in many countries all around the globe. Here, we present an approach to address two major challenges in automated assessment of CRC histopathology whole-slide images. First, we present an AI-based method to segment multiple tissue compartments…
REAL-Colon: A dataset for developing real-world AI applications in colonoscopy
Cosmo Intelligent Medical Devices（科斯莫智能医疗设备公司）；Ospedale dei Castelli (N.O.C.)（卡斯特利医院（N.O.C.））；University Hospital of St. Pölten（圣珀尔滕大学医院）；Humanitas University（乌纳塔斯大学）；Humanitas Clinical and Research Center IRCCS（乌纳塔斯临床与研究中心 IRCCS）；Sano Hospital（佐野医院）；Milan Center for Neuroscience, University of Milano–Bicocca（米兰-比可卡大学米兰神经科学中心）
Beijing University of Posts and Telecommunications（北京邮电大学）
The automatic and objective medical diagnostic model can be valuable to achieve early cancer detection, and thus reducing the mortality rate. In this paper, we propose a highly efficient multi-level malignant tissue detection through the designed adversarial CAC-UNet. A patch-level model with a pre-prediction strategy and a malignancy area guided label smoothing is adopted to remove the negative WSIs, with which to lower the risk of false positive detection. For the selected key patches by multi-model ensemble, an adversarial context-aware and appearance consistency UNet (CAC-UNet) is designed…
Recently, large, high-quality public datasets have led to the development of convolutional neural networks that can detect lymph node metastases of breast cancer at the level of expert pathologists. Many cancers, regardless of the site of origin, can metastasize to lymph nodes. However, collecting and annotating high-volume, high-quality datasets for every cancer type is challenging. In this paper we investigate how to leverage existing high-quality datasets most efficiently in multi-task settings for closely related tasks. Specifically, we will explore different training and domain adaptation…
SimulaMet（西穆拉大都会研究所）；UiT The Arctic University of Norway（挪威UiT北极大学）；Oslo Metropolitan University（奥斯陆城市大学）；Augere Medical AS（奥杰雷医疗公司）；Sahlgrenska University Hospital（萨尔格伦斯卡大学医院）；Bærum Hospital（贝鲁姆医院）
Colorectal cancer is the third most common cause of cancer worldwide. According to Global cancer statistics 2018, the incidence of colorectal cancer is increasing in both developing and developed countries. Early detection of colon anomalies such as polyps is important for cancer prevention, and automatic polyp segmentation can play a crucial role for this. Regardless of the recent advancement in early detection and treatment options, the estimated polyp miss rate is still around 20\%. Support via an automated computer-aided diagnosis system could be one of the potential solutions for the over…
Harnessing Transformers: A Leap Forward in Lung Cancer Image Detection
Laboratoire LITAN École supérieure en Sciences et Technologies de l’Informatique et du Numérique（高等计算机与数字科学技术学院 LITAN 实验室）；College of Engineering and Information Technology, University of Dubai（迪拜大学工程与信息技术学院）；Department of Computer Science, University of Sharjah（沙迦大学计算机科学系）；Institute of Artificial Intelligence, De Montfort University（德蒙福特大学人工智能研究所）
CRC-ICM: Colorectal Cancer Immune Cell Markers Pattern Dataset
Isfahan University of Medical Sciences（伊斯法罕医科大学）；Poursina Hakim Digestive Diseases Research Center, Isfahan University of Medical Sciences（伊斯法罕医科大学普尔西纳哈基姆消化系统疾病研究中心）；Islamic Azad University（伊斯兰阿扎德大学）；Shiraz University of Medical Sciences（设拉子医科大学）
Colorectal cancer (CRC) is the second leading cause of cancer-related death worldwide. Excision of polyps during colonoscopy helps reduce mortality and morbidity for CRC. Powered by deep learning, computer-aided diagnosis (CAD) systems can detect regions in the colon overlooked by physicians during colonoscopy. Lacking high accuracy and real-time speed are the essential obstacles to be overcome for successful clinical integration of such systems. While literature is focused on improving accuracy, the speed parameter is often ignored. Toward this critical need, we intend to develop a novel real…
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…
Current pathology workflow involves staining of thin tissue slices, which otherwise would be transparent, followed by manual investigation under the microscope by a trained pathologist. While the hematoxylin and eosin (H&E) stain is well-established and a cost-effective method for visualizing histology slides, its color variability across preparations and subjectivity across clinicians remain unaddressed challenges. To mitigate these challenges, recently we have demonstrated that spatial light interference microscopy (SLIM) can provide a path to intrinsic, objective markers, that are independe…
