Standardized Classification of Lung Adenocarcinoma Subtypes and Improvement of Grading Assessment Through Deep Learning.

Details

Serval ID
serval:BIB_30B68AD61B19
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Standardized Classification of Lung Adenocarcinoma Subtypes and Improvement of Grading Assessment Through Deep Learning.
Journal
The American journal of pathology
Author(s)
Lami K., Ota N., Yamaoka S., Bychkov A., Matsumoto K., Uegami W., Munkhdelger J., Seki K., Sukhbaatar O., Attanoos R., Berezowska S., Brcic L., Cavazza A., English J.C., Fabro A.T., Ishida K., Kashima Y., Kitamura Y., Larsen B.T., Marchevsky A.M., Miyazaki T., Morimoto S., Ozasa M., Roden A.C., Schneider F., Smith M.L., Tabata K., Takano A.M., Tanaka T., Tsuchiya T., Nagayasu T., Sakanashi H., Fukuoka J.
ISSN
1525-2191 (Electronic)
ISSN-L
0002-9440
Publication state
Published
Issued date
12/2023
Peer-reviewed
Oui
Volume
193
Number
12
Pages
2066-2079
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
The histopathologic distinction of lung adenocarcinoma (LADC) subtypes is subject to high interobserver variability, which can compromise the optimal assessment of patient prognosis. Therefore, this study developed convolutional neural networks capable of distinguishing LADC subtypes and predicting disease-specific survival, according to the recently established LADC tumor grades. Consensus LADC histopathologic images were obtained from 17 expert pulmonary pathologists and one pathologist in training. Two deep learning models (AI-1 and AI-2) were trained to predict eight different LADC classes. Furthermore, the trained models were tested on an independent cohort of 133 patients. The models achieved high precision, recall, and F1 scores exceeding 0.90 for most of the LADC classes. Clear stratification of the three LADC grades was reached in predicting the disease-specific survival by the two models, with both Kaplan-Meier curves showing significance (P = 0.0017 and 0.0003). Moreover, both trained models showed high stability in the segmentation of each pair of predicted grades with low variation in the hazard ratio across 200 bootstrapped samples. These findings indicate that the trained convolutional neural networks improve the diagnostic accuracy of the pathologist and refine LADC grade assessment. Thus, the trained models are promising tools that may assist in the routine evaluation of LADC subtypes and grades in clinical practice.
Keywords
Humans, Deep Learning, GRADE Approach, Adenocarcinoma of Lung, Lung Neoplasms/pathology, Adenocarcinoma/pathology
Pubmed
Web of science
Create date
07/08/2023 18:17
Last modification date
10/01/2024 8:15
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