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arXiv 2109.07892eess.IVcs.CV
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基于组织病理学图像语义分割的结肠活检风险自动分类

Automated risk classification of colon biopsies based on semantic segmentation of histopathology images

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)

John-Melle Bokhorst, Iris D. Nagtegaal, Filippo Fraggetta, Simona Vatrano, Wilma Mesker, Michael Vieth, Jeroen van der Laak, Francesco Ciompi

摘要:

人工智能(AI)可以帮助组织病理学家诊断广泛的癌症类型。在结直肠癌(CRC)中,AI可以减轻对切除的活检(包括息肉)进行表征和报告的艰巨任务,由于全球许多国家正在进行的CRC人群筛查计划,息肉的数量正在增加。在这里,我们提出了一种方法来解决两个主要的挑战,在自动评估CRC组织病理学全载玻片图像。首先,我们提出了一种基于AI的方法来分割H\& E染色的全载玻片图像中的多个组织隔室,该方法提供了组织形态和组成的不同的、更可感知的图片。我们测试和比较了一组可用于分割模型的最先进的损失函数,并提供了有关其在组织病理学图像分割中使用的指示,基于对a)来自荷兰和德国五个医疗中心的CRC病例的多中心队列的分析,以及b)两个公开可用的CRC分割数据集。其次,我们使用性能最好的AI模型作为计算机辅助诊断系统(CAD)的基础,该系统将结肠活检分为四个主要类别,这些类别与病理相关。我们报告了该系统在1,000多名患者的独立队列中的性能。结果显示了这种基于AI的系统在人群筛查背景下帮助病理学家诊断CRC的潜力。我们已经在https://grand-challenge.org/algorithms/colon-tissue-segmentation/上提供了用于研究的细分模型。

英文摘要:

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 in the H\&E-stained whole-slide image, which provides a different, more perceptible picture of tissue morphology and composition. We test and compare a panel of state-of-the-art loss functions available for segmentation models, and provide indications about their use in histopathology image segmentation, based on the analysis of a) a multi-centric cohort of CRC cases from five medical centers in the Netherlands and Germany, and b) two publicly available datasets on segmentation in CRC. Second, we use the best performing AI model as the basis for a computer-aided diagnosis system (CAD) that classifies colon biopsies into four main categories that are relevant pathologically. We report the performance of this system on an independent cohort of more than 1,000 patients. The results show the potential of such an AI-based system to assist pathologists in diagnosis of CRC in the context of population screening. We have made the segmentation model available for research use on https://grand-challenge.org/algorithms/colon-tissue-segmentation/.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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