The Development and Evaluation of a Convolutional Neural Network for Cutaneous Melanoma Detection in Whole Slide Images.

Context.-- The current melanoma staging system does not account for 26% of the variance seen in melanoma-specific survival, therefore our ability to predict patient outcome is not fully elucidated. Morphology may be of greater significance than in other solid tumors, with Breslow thickness remaining...

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Publicado en:Archives of Pathology & Laboratory Medicine Vol. 149; no. 9; pp. 831 - 838
Autores principales: Clarke, Emily L., Magee, Derek, Newton-Bishop, Julia, Merchant, William, Insall, Robert, Maher, Nigel G., Scolyer, Richard A., Farnworth, Grace, Ali, Anisah, O'Shea, Sally, Treanor, Darren
Formato: pictorial research tables/charts Journal Article
Publicado: College of American Pathologists Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
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      pub: College of American Pathologists
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        atl: The Development and Evaluation of a Convolutional Neural Network for Cutaneous Melanoma Detection in Whole Slide Images.
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        au:
          Clarke, Emily L.
          Magee, Derek
          Newton-Bishop, Julia
          Merchant, William
          Insall, Robert
          Maher, Nigel G.
          Scolyer, Richard A.
          Farnworth, Grace
          Ali, Anisah
          O'Shea, Sally
          Treanor, Darren
        affil: Department of Histopathology, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom
      sug:
        subj:
          Neural Networks (Computer)
          Melanoma Diagnosis
          Neural Networks (Computer) Evaluation
          Histology
          Microscopy
          Biological Markers Blood
          Human
          Male
          Female
          Funding Source
          Confidence Intervals
          Correlation Coefficient
          Adult
          Middle Age
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Context.-- The current melanoma staging system does not account for 26% of the variance seen in melanoma-specific survival, therefore our ability to predict patient outcome is not fully elucidated. Morphology may be of greater significance than in other solid tumors, with Breslow thickness remaining the strongest prognostic indicator despite being subject to high levels of interobserver variation. The application of convolutional neural networks to whole slide images affords objective morphologic metrics, which may reveal new insights into patient prognosis. Objective.-- To develop and evaluate a convolutional neural network for invasive cutaneous melanoma detection in whole slide images for the generation of objective prognostic biomarkers based on tumor morphology. Design.-- One thousand sixty-eight whole slide images containing cutaneous melanoma from 5 data sets were used in the initial development and evaluation of the convolutional neural network. A 2-class tumor segmentation network with a fully convolutional architecture was trained using sparse annotations. The network was evaluated at per-pixel and per-tumor levels as compared to manual annotation, as well as variation across 3 scanning platforms. Results.-- The convolutional neural network located conventional cutaneous invasive melanoma tissue with an average per-pixel sensitivity and specificity of 97.59% and 99.86%, respectively, across the 5 test sets. There were high levels of concordance between the tumor dimensions generated by the model as compared to manual annotation, and between the tumor dimensions generated by the model across 3 scanning platforms. Conclusions.-- We have developed a convolutional neural network that accurately detects invasive cutaneous conventional melanoma in whole slide images from multiple data sources. Future work should assess the use of this network to generate metrics for survival prediction.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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