Artificial Intelligence--Assisted Classification of Gliomas Using Whole Slide Images.

Context.--Glioma is the most common primary brain tumor in adults. The diagnosis and grading of different pathological subtypes of glioma is essential in treatment planning and prognosis. Objective.--To propose a deep learning--based approach for the automated classification of glioma histopathology...

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Published in:Archives of Pathology & Laboratory Medicine Vol. 147; no. 8; pp. 916 - 925
Main Authors: Jose, Laya, Sidong Liu, Russo, Carlo, Cong Cong, Yang Song, Rodriguez, Michael, Di Ieva, Antonio
Format: pictorial research tables/charts Journal Article
Published: College of American Pathologists Aug2023
Online Access:View this record in EBSCOhost
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      dt: Aug2023
      vid: 147
      iid: 8
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      pub: College of American Pathologists
      place: Northfield, Illinois
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        169944767
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        10.5858/arpa.2021-0518-OA
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        atl: Artificial Intelligence--Assisted Classification of Gliomas Using Whole Slide Images.
      aug:
        au:
          Jose, Laya
          Sidong Liu
          Russo, Carlo
          Cong Cong
          Yang Song
          Rodriguez, Michael
          Di Ieva, Antonio
        affil: Computational NeuroSurgery Lab
      sug:
        subj:
          Glioma Classification
          Glioma Pathology
          Brain Neoplasms Classification
          Artificial Intelligence Utilization
          Deep Learning Methods
          World Health Organization Classification
          Human
          Neural Networks (Computer)
          Validation Studies
          Descriptive Statistics
          International Organization for Standardization
      ab: Context.--Glioma is the most common primary brain tumor in adults. The diagnosis and grading of different pathological subtypes of glioma is essential in treatment planning and prognosis. Objective.--To propose a deep learning--based approach for the automated classification of glioma histopathology images. Two classification methods, the ensemble method based on 2 binary classifiers and the multiclass method using a single multiclass classifier, were implemented to classify glioma images into astrocytoma, oligodendroglioma, and glioblastoma, according to the 5th edition of the World Health Organization classification of central nervous system tumors, published in 2021. Design.--We tested 2 different deep neural network architectures (VGG19 and ResNet50) and extensively validated the proposed approach based on The Cancer Genome Atlas data set (n ¼ 700). We also studied the effects of stain normalization and data augmentation on the glioma classification task. Results.--With the binary classifiers, our model could distinguish astrocytoma and oligodendroglioma (combined) from glioblastoma with an accuracy of 0.917 (area under the curve [AUC] = 0.976) and astrocytoma from oligodendroglioma (accuracy = 0.821, AUC = 0.865). The multiclass method (accuracy = 0.861, AUC = 0.961) outperformed the ensemble method (accuracy = 0.847, AUC = 0.933) with the best performance displayed by the ResNet50 architecture. Conclusions.--With the high performance of our model (.80%), the proposed method can assist pathologists and physicians to support examination and differential diagnosis of glioma histopathology images, with the aim to expedite personalized medical care.
      pubtype: Academic Journal
      doctype:
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        research
        tables/charts
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      ougenre: Article
    language: English
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